REACH Quality Improvement Symposium

ECU Vidant Logo

3rd Annual Unified Quality Improvement Symposium

Hosted by The REACH Initiative and Vidant Health Quality Office
East Carolina Heart Institute at ECU
February 6, 2019

The symposium is a showcase of initiatives happening throughout East Carolina University’s Health Sciences Campus and Vidant Medical Center/Vidant Health related to quality improvement, patient safety, population health, and interprofessional practice. The goal of the symposium is to provide academic and community physicians, health professionals, health care teams, residents, fellows, and students the opportunity to present their work in systems improvement and practice redesign to an audience of peers and health system leaders.

KEYNOTE SPEAKER

James H. Johnson Jr., PhD—William R. Kenan Jr. Distinguished Professor of Strategy and Entrepreneurship and Director, Urban Investment Strategies Center, Kenan-Flagler Business School, University of North Carolina at Chapel Hill

James H. Johnson Jr. is the William R. Kenan Jr. Distinguished Professor of strategy and entrepreneurship and director of the Urban Investment Strategies Center at the Frank Hawkins Kenan Institute of Private Enterprise. His research interests include community and economic development, the effects of demographic changes on the U.S. workplace, interethnic minority conflict in advanced industrial societies, urban poverty and public policy in urban America, and workforce diversity issues. Dr. Johnson and Dr. John D. Kasarda coauthored “The Economic Impact of the African American Population on the State of North Carolina" and a study on the economic impact of North Carolina’s Hispanic population. With support from the Russell Sage Foundation, Dr. Johnson published research on the economic impact of Sept. 11 on U.S. metropolitan communities. Currently he is researching the economic and employment impact of white collar job shifts offshore on U.S. competitiveness. Dr. Johnson examines the causes and consequences of growing inequality in American society, particularly as it affects socially and economically disadvantaged youth; entrepreneurial approaches to poverty alleviation, job creation, and community development; inter-ethnic minority conflict in advanced industrial societies; and business demography and workforce diversity issues. Fast Company profiled him in "Hopes and Dreams." He has published more than 100 scholarly research articles and three research monographs and has co-edited four theme issues of scholarly journals on these and related topics. His latest book is "Prismatic Metropolis: Inequality in Los Angles." He received his PhD from Michigan State University, his MS from the University of Wisconsin at Madison and his BS from North Carolina Central University.

SYMPOSIUM OBJECTIVES

At the end of this symposium, participants will be able to:

  1. Explain the quality improvement process as illustrated through inpatient, acute care, ambulatory practice and interprofessional improvement projects.
  2. Describe how the quality improvement process can impact clinical care and system’s based practice.
  3. Provide a platform for participants to describe how they would change rules, habits, policies, or procedures to improve care delivery.

AGENDA

8:00-8:15 Registration and Refreshments
8:15-8:30 Welcome and Overview
Danielle Walsh, MD, Associate Professor of Surgery
8:30- 10:00 Podium Session I
Moderator: Timothy Reeder, MD, Associate Professor of Emergency Medicine
10:00-10:15 Break
10:55-11:45 Podium Session II
Moderator: Teresa Anderson, PhD, RN, MSN, NE-BC, Vice President of Quality, Vidant Health
11:45-1:00 Keynote Presentation & Lunch
Speaker: James H. Johnson Jr., PhD, William R. Kenan Jr. Distinguished Professor, Kenan-Flagler Business School, University of North Carolina at Chapel Hill
Moderator: Herbert Garrison, MD, MPH, Associate Dean for Graduate Medical Education, Professor of Emergency Medicine

BRACING FOR THE SILVER TSUNAMI: GOLDEN DIVIDENDS AND STRATEGIC BUSINESS OPPORTUNITIES
Nowhere is the urban-rural divide more evident than in the aging of North Carolina's population. In fully one-half of the state's counties, which are mostly rural, deaths exceed births and out-migration exceeds in-migration. These counties are literally dying while most of the state's population growth is concentrated along the I-40/I-85 corridor in mainly two urban counties (Mecklenburg and Wake).  Herein lies a propitious opportunity. Aging can be a new engine for innovation, business development, and employment growth, which can potentially eliminate the urban-rural divide and improve the health and wellbeing of our state's population.  American Community Survey data are used to illustrate both the challenges and opportunities inherent in North Carolina's aging population.

Objectives:
  • To explore population aging as a disruptive demographic trend in NC.
  • To advance the view that population aging constitutes as propitious opportunity in our state's rural areas.
  • To identify specific aging-related opportunities to create viable businesses, sustainable jobs, and healthy communities in rural NC.
1:00-2:00 Poster Viewing
2:00-3:30 Concurrent Sessions
  1. Quality 2020
    Presenters: Joan Wynn PhD, RN, Chief Quality Officer, Vidant Health and Lou Reida, MSN, RN, Vice President, Quality, Vidant Health

    Participants in this session will learn what's new in the national healthcare environment and how that informs creation of our Enterprise Quality plan for 2020. Participants will brainstorm quality priorities and strategies.

  2. Practical Application of Common Quality Improvement Tools
    Presenters: Tim Reeder, MD, MPH, Associate Professor of Emergency Medicine, John Kohler, MD, MBA, Vice Chair for Quality, Clinical Assistant Professor of Pediatrics, Division of Neonatology, and Amy Campbell, PhD (c), MSN, RN, LSBB, Quality Nurse Specialist III

    After a short didactic session describing commonly used quality improvement tools, participants will practice the application of these tools in a facilitated, small-group, case-based activity. The participants will use a real-life scenario to analyze and develop a process improvement plan. Some of the tools to be used may include a fishbone diagram, process map, selection of data measures, global and aim statement, and creation of a PDSA cycle. Participants will report out and discuss their recommendations with the entire group.

  3. Transforming Quality Initiatives into Scholarship
    Presenter: Danielle Walsh, MD, Associate Professor of Surgery

    Transform your quality improvement efforts into scholarly products that advance your professional and academic career! We'll take your plans, techniques, resources, and opportunities to advance from being on a QI project team to leveraging your QI work for professional promotion.
3:30-4:00 Judges' Comments, Awards, and Evaluation
Moderator: Joan Wynn PhD, RN, Chief Quality Officer, Vidant Health

REGISTRATION

This free event is open to the public, all are encouraged to attend.

To register, click https://www.easternahec.net/courses-and-events/56969.

Note: Registration is online only at www.easternahec.net and requires a current MyAHEC account.

If you do not have a MyAHEC account, you will need to create one at http://my.ncahec.net/.

There is NO registration fee for this program. During the registration process, choose the $0.00 option.

If you have any questions regarding registration, please contact Eric Japczyk Schuler at japczykschulere18@ecu.edu or 744-9781.

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Brody School of Medicine at East Carolina University and Vidant Medical Center Quality Office.  The Brody School of Medicine of East Carolina University is accredited by the ACCME to provide continuing medical education for physicians.

Credit: The Brody School of Medicine of East Carolina University designates this live activity for a maximum of 5 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Please note, CME credit will not be awarded during the poster viewing session.

ADDITIONAL INFORMATION

Handouts will be available online only. One week prior to the program, registrants will receive a confirmation email with instructions to access handouts along with other program information.

Evaluations will be emailed after the program. Once the evaluation has been completed, your certificate will be available.

Individuals requesting accommodation under the Americans with Disabilities Act (ADA) should contact the Department of Disability Support Services at (252) 737- 1016 (V/TTY) at least five business days prior to the program.

By attending this event, I acknowledge that Eastern AHEC staff and/or their designees including news media may take general (not close-up) photos or videos of this event for marketing/publicity purposes, and I further allow my likeness to be used in this manner. If I do not wish to appear in these photos or videos, I understand that it is my responsibility to notify Eastern AHEC staff so my preference can be met.

For more information, contact Jenna Garris at garrisj15@ecu.edu or 744-0439.


2nd Annual Unified Quality Improvement Symposium

East Carolina Heart Institute at ECU
January 31st, 2018

The Second Annual Unified Quality Improvement Symposium was held on January 31, 2018 at the East Carolina Heart Institute at ECU. The Symposium showcased 39 projects related to quality improvement, patient safety, population health and interprofessional practice from participants from all health sciences schools and Vidant Health, including three student innovation challenge submissions.

With over 160 people in attendance, the symposium provided Health Sciences faculty, residents, fellows, students, and Vidant Health physicians and employees the opportunity to present their quality improvement work to an audience of peers and health system leaders.

Award Winning Presentations

Podium

1st Place:
Diana Layne, MSN, CPHQ, LSSBB, Clinical Quality, Vidant Medical Center
"A Collaborative Approach to Reducing Central Line Associated Blood Stream Infections."

2nd Place:
Pooja Sarin, M3, LINC Scholar, Brody School of Medicine
"Reducing the Rates of Newborn Hypothermia by Maintaining Delivery Temperatures of 77F During Cesarean Sections."

3rd Place:
Kate Gitzinger, MS, RN, CPNP, Newborn Services, Vidant Medical Center
"Interprofessional Education: A Powerful Tool for Improving Delivery Room Care and Competency."

Poster

1st Place:
Meera Patel, M2, LINC Scholar
"Reducing the Rate of Contaminated Blood Draws Coming from the ECU to the Microbiology Laboratory at VMC."

2nd Place:
Taj Nasser, M4, LINC Scholar, Brody School of Medicine
"From Bits to Bytes to Reality: Reduction in Patients Who Leave Without Treatment in the Emergency Department by using Computer Simulation to Redesign Nurse Staffing."

3rd Place:
Sujitha Nandi, MD, TQA 2.0 Graduate, Department of Internal Medicine
"ECU General Internal Medicine Inpatient Service Discharge before Noon Challenge."

Student Innovation

For the second consecutive year, the symposium put out a call for submissions asking learners to describe an innovation that addresses an important need in the healthcare system. Simply put, they were asked to describe an innovation that specifically aims to improve the work life of those delivering care, including clinicians and staff. Three finalists were chosen to present their innovation, and crowd-polling mechanism was used to determine the overall winner of the challenge.

1st Place:
Amber Gautam, M2, LINC Scholar, Ben Mack, M2, LINC Scholar, Chirag Patel, M2 LINC Scholar, Meera Patel, M2 LINC Scholar, and Noopur Doshi, M2, LINC Scholar
"Healing Healers: An Innovation Designed to Improve Provider Wellness in Rural Healthcare Settings."

2nd Place:
Holly Pittard, M1, Sanjana Prabbu, M1, Shivani Pandya, Graduate Student, Susan Woody, M1, and Taylor Ingram, Undergraduate Student
"Transferable and Accessible Health Records (TAHR)."

3rd Place:
Richard Andresen, M3, LINC Scholar, Christopher Thomas, M3, MET Scholar, Madison Paul, M4, Andrew Obristich, M2, Sejal Shah, M2, Gina Calco, M2
"BurnOn: Addressing Medical Student Burnout through Collaborative Technology."

View Presentations page >

For more information, contact Jenna Garris at garrisj15@ecu.edu or 744-0439

Photos from the 2018 Symposium >

Unified Quality Improvement Symposium

Hosted by The REACH Initiative and VMC Quality Office
East Carolina Heart Institute at ECU
March 31, 2017

The symposium is a showcase of initiatives happening throughout East Carolina University's Health Sciences Campus and Vidant Health Greenville Campus related to quality improvement, patient safety, population health, and interprofessional practice. The goal of the symposium is to provide faculty, residents, fellows, students, staff and community physicians the opportunity to present their work in systems improvement and practice redesign to an audience of peers and health system leaders.

View the complete list of the poster and podium presentations.

View the symposium agenda.

Symposium Objectives

At the end of this symposium, participants will be able to:

  1. Explain the quality improvement process as illustrated through inpatient, acute care, ambulatory practice and interprofessional improvement projects.
  2. Describe how the quality improvement process can impact clinical care and system's based practice.

If you have any questions about this event, contact Jenna Garris at 252-744-0439 or via email at garrisj15@ecu.edu.


Award Winning Presentations

Podium

1st Place:
Koren Way, Transplant Administrator, Vidant Medical Center

"Fast Pass" to Transplant: Improved Transplant Outcomes through Better Waitlist Management

2nd Place:
Amy McMahon, MHA, MSN, RN Nursing Supervisor, Employee Clinic, Vidant Medical Group and Joseph Pye, MD, TQA 2.0 Faculty, Medical Director of Health Informatics, Vidant Health

Vidant Employee Clinic Redesign

3rd Place:
George Koromia, MD, PGY-2, Department of Internal Medicine

Improving Post-Admission Medication Reconciliation among Inpatient Providers through Cognitive Feedback: The "Red Dot"

Poster

1st Place:
Timothy Barnes, Clinical Manager, Department of Radiation Oncology

Evaluation of the Efficiency of CT-Simulations as a Continuous Quality Improvement (CQI) Strategy to Decrease the Time to Treatment Initiation (TTI) for Radiotherapy Patients

2nd Place:
Ciarra Dortche, Social/Clinical Research Assistant, Department of Internal Medicine

Where did all the Patients Go? Engaging the Patient by Improving No-Show Rates: A Team Based Approach

3rd Place:
LaShawn McDuffie, RN, MSN, Assistant Nurse Manager, Vidant Radiation Oncology

Development of a Formal Patient Education Delivery and Documentation Process for Patients Receiving Radiation Therapy Treatment

Student Innovation

1st Place:
Melissa Peeler, RN, BSN, Rebecca Smith, RN, BSN, and Sarah Tapscott, RN, BSN, ECU College of Nursing DNP Program

Meet PETE: Play, Educate, Train, and Exercise-A health centered app that is designed to encourage Play, Educate and Train youth on healthy lifestyle choices, and promote Exercise.

2nd Place:
Zachary Williams, MS3, LINC Scholar, Anthony Mayen, MS3, Ryan Zeigler, MS3, Brody School of Medicine and Christian Cook, D2, ECU School of Dental Medicine

MyHealth INC.-An application designed to empower patients with a rewards based incentive system, integrated with easy-to-use technology to allow patients to easily track health care data.

3rd Place:
Alexandria Dixon, MS4, Brody School of Medicine and Kristie Hicks, MPH, East Carolina University

Group Visit Model for Well Child Visits to Improve Anticipatory Guidance, Family Satisfaction and Support, and Resident Education

Keynote Speaker:

David Jaimovich, MD - Founder and President of Quality Resources International

Dr. Jaimovich is the Founder and President of QRI, an international healthcare consultancy working with healthcare systems, government agencies, and global pharmaceutical companies on 4 continents. He is the former Chief Medical Officer and Vice President for International Accreditation Services for Joint Commission Resources (JCR) and Joint Commission International (JCI). Dr. Jaimovich is a "hands on" physician executive with over 30 years of experience, a career long commitment to patient centered care and a passion for physician engagement in patient safety and quality improvement. Dr. Jaimovich attended medical school at University Autonoma de Guadalajara Medical School in Guadalajara, Mexico.  He completed his residency training in Pediatrics at Rush Presbyterian-St. Luke's Medical Center in Chicago, a fellowship at Northwestern University in Pediatrics-Division of Critical Care, and a fellowship at Rush-Presbyterian-St. Luke's Medical Center in the Department of Anesthesia-Division of Critical Care.

Symposium Judges:

  • Michael Waldrum, MD, MSC, MBA, Chief Executive Officer, Vidant Health
  • Warren P. Newton, MD, MPH, Vice Dean & Director of NC AHEC, UNC School of Medicine
  • Paul Bolin, MD, Chair, Department of Internal Medicine
  • Dorothea Handron, EdD, APRN, Associate Professor Emerita, College of Nursing
  • Joanne Burgdorff, Past Chairman of the Vidant Medical Center Board of Trustees
  • Linda D. Hofler, PhD, RN, NEA-BC, FACHE, Senior Vice President - Nurse Executive, Vidant Medical Center
  • Suzanne Lazorick, MD, MPH, Associate Professor of Pediatrics and Public Health

Photos from the 2017 Symposium >

The symposium is a showcase of initiatives happening throughout our campus and health system related to quality improvement, patient safety, population health, and interprofessional practice. The goal of the symposium is to provide faculty, residents, fellows, students, and staff health system leaders.

To view the photo gallery from the event, click HERE.


Symposium Objectives
  • Explain the quality improvement process as illustrated through inpatient, acute care, ambulatory practice and interprofessional improvement projects.
  • Describe how the quality improvement process can impact clinical care and system's based practice.
Award Winning Presentations

For a complete list of the poster and podium presentations, click here.

Podium
  • 1st Place: Ismail Kassim, MS2, LINC Scholar, Brody School of Medicine, "Reduction of Sepsis-Related Mortality at Vidant Medical Center (VMC) through Implementation of a Multidisciplinary Sepsis Pathway"
  • 2nd Place: Elaine Henry, BSN, RNC-NIC, Vidant Medical Center and Dr. Danielle Walsh, Division of Pediatric Surgery, "Improving Patient Outcomes with a Robust Surgical Quality Program"
  • 3rd Place: Danielle McMullen, RN, BSN, CEN, Vidant Medical Center, "Improve ED RN Lab Draw Specimen Integrity"
Poster
  • 1st Place: LaShawn McDuffie, RN, MSN, Vidant Medical Center, "Methodology and Results of a Pain Assessment Process for Patients Receiving Radiation Therapy Treatment"
  • 2nd Place: Tim Barnes, RT (R) (T) (BA), Department of Radiation Oncology, "A Quality Verification Tool to Assure Complete Pre-Treatment Electronic Medical Records (EMR) for Patients Undergoing Radiation Therapy"
  • 3rd Place: Heather Oxentine, MD, Department of Psychiatry, "The Value of Specialized Care Plans in a High Acuity Psychiatric Patient Population"
Keynote Speaker

Jennifer Hepps, MD, FAAP, MAJ, USA, MC-Assistant Director for USU Pediatric Clerkship, Associate Program Director for NCC Pediatrics Residency, General Pediatrician at Walter Reed-Bethesda, Assistant Professor of Pediatrics at Uniformed Services University

Jennifer H. Hepps, MD is a graduate of Harvard University, attended the University of Pennsylvania Medical School after completing the Harris Fellowship in Child Development at Yale University. She completed her pediatric residency training, as well as chief residency, at the National Capital Consortium at Walter Reed National Military Medical Center in Bethesda, where she currently practices as a general pediatrician and serves as an Assistant Program Director for the pediatric residency program. Dr. Hepps is also an Assistant Professor at the Uniformed Services University of the Health Sciences, the Co-Director of the Navy Case Review Committee on Child Abuse, and the Director of Resident Continuity Clinics. As a Co-Principal Investigator of the I-PASS Study at the National Capital Consortium, Dr. Hepps contributed to curriculum development, using her experience as a TeamSTEPPS Master Trainer to help develop the team-training and simulation components. Dr. Hepps was recognized for her achievements in military medicine with the US Army Commendation Medal in 2010 and 2011.

Guest judges include
  • Mike Waldrum, MD, MS, MBA - CEO, Vidant Health and Distinguished Professor of Medicine/Critical Care, Brody School of Medicine
  • Laura Noonan, MD - Director, Center for Advancing Pediatric Excellence and Co-Chair, North Carolina Pediatric Society Quality Improvement Committee
  • Ann Lefebvre, MSW, CPHQ - Associate Director, NC Area Health Education Consortium
Symposium Objectives
  • Explain the quality improvement process as illustrated through inpatient, acute care, ambulatory practice and interprofessional improvement projects.
  • Describe how the quality improvement process can impact clinical care and system’s based practice.

Click here for the day's agenda and a complete list of podium and poster session presentations.


Award Winning Presentations


Podium
  • Best Overall: Dr. Niti Armistead, Department of Internal Medicine, “Hypoglycemia and Harm Reduction through Education and Increased Use of Order Sets.”
  • Honorable Mention:
    • Dr. Jason Foltz, Department of Family Medicine, “Reduction in Primary Care No Show Rates.”
    • Dr. Megan Sippey, Department of Surgery, “Resident Education: Improving Surgical History and Physical Documentation.”
Poster
  • Best Poster: Dr. Bryan Kitch, Department of Emergency, “Identification and Recognition of Boarding Psychiatric Patients Can Lead to Improved Medication Reconciliation.”
  • Honorable Mention: Dr. Harry Adams, formerly of the Department of Internal Medicine, now with the Office of Medical Education, “Integration of Pathology and Pharmacology Learning Issues into the Clinically Based Seminars in the M2 Introduction to Medicine Course.”

Symposium Judges
  • Lorraine Basnight, MD, Executive Director, Eastern Area Health Education Center
  • Paul Shackelford, MD, Senior Vice President of Medical Affairs, VMC
  • Joan Wynn, PhD, RN, Chief Quality Officer, Vidant Medical Center

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