A5025169247- Innovations in Medical Education
- Hospital Admissions and Outcomes
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Patient Safety and Medication Errors
- Health and Medical Research Impacts
- Healthcare professionals’ stress and burnout
- Emergency and Acute Care Studies
- Clinical Reasoning and Diagnostic Skills
- Quality and Safety in Healthcare
- Diversity and Career in Medicine
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Sepsis Diagnosis and Treatment
- Geriatric Care and Nursing Homes
- Healthcare Quality and Management
- Global Health Care Issues
- Biomedical and Engineering Education
- Heart Failure Treatment and Management
- Medical Malpractice and Liability Issues
- Pharmaceutical Practices and Patient Outcomes
- Veterinary Practice and Education Studies
- Nosocomial Infections in ICU
- Surgical Simulation and Training
University of Colorado Denver
2014-2023
The University of Texas at Austin
1974-2023
Denver Health Medical Center
2023
Tulane University
2023
Dell Children's Medical Center of Central Texas
2021
University of Colorado Anschutz Medical Campus
2015-2020
Lincoln Memorial University
2020
University of Colorado Hospital
2018-2019
University of California, San Francisco
2007-2018
Albert Einstein College of Medicine
2018
Purpose of Study: Miscommunications during the complex process discharging patients from acute care facilities can lead to adverse events, patient dissatisfaction, and delays in discharge. Brief multidisciplinary discharge rounds (MDRs) increase communication between stakeholders shorten a patient's length stay (LOS). At our tertiary academic medical center, case managers (CMs) have historically been assigned by physical unit location rather than provider teams caring for patients. As...
The morbidity and mortality (M&M) conference is a vital event that can affect medical education, quality improvement, peer review in academic departments. Historically, M&M conferences have emphasized cases highlight diagnostic uncertainty or complex management conundrums. In this report, the authors describe development, pilot, refinement of systems-based model combines educational clinical missions improving patient safety University Colorado Department Medicine.In 2011, focused taskforce...
Health care technology (defined as all drugs, devices, and medical surgical procedures used in well the organizational supportive systems within which such is provided) widely regarded an important driver of escalating health spending United States. Many new technologies are adopted clinical practice with little or no evidence that their use associated improved patient outcomes. Orthopaedic surgeons facing increasing scrutiny from hospitals payers regarding adoption for treatment patients...
Understanding the concept of career success is critical for hospital medicine groups seeking to create sustainably rewarding faculty positions. Conceptual models describe both extrinsic (compensation and advancement) intrinsic (career satisfaction job satisfaction) domains. How hospitalists define themselves not well understood. In this study, we qualitatively explore perspectives on how early-career clinician-educators success.We developed a semistructured interview tool open-ended...
Targeting patients with prolonged hospitalizations may represent an effective strategy for reducing average hospital length of stay (LOS). We sought to characterize predictors among general medicine guide future improvement efforts. conducted a retrospective cohort study using administrative data discharged from inpatient status our academic medical center between 2012 and 2014. Multivariable logistic regression was performed assess the association sociodemographic clinical variables LOS,...
The year was 1987, and a bold experiment under way—the US-based National Demonstration Project in Quality Improvement Health Care (NDP). This effort brought together 21 companies recognised for excellence quality manufacturing with healthcare organisations to test whether revolutionary practices from improvement (QI) could be applied healthcare. partnership succeeded NDP extended another 3 years, eventually becoming the Institute Healthcare Improvement.1 Since then, QI principles methods...
OPEN ACCESSDecember 30, 2020Expanding Training in Quality Improvement and Patient Safety Through a Multispecialty Graduate Medical Education Curriculum Designed for Fellows Anna Neumeier, MD, Andrew E. Levy, Emily Gottenborg, Tyler Anstett, DO, Read G. Pierce, Darlene Tad-y, MD Assistant Professor, Division of Pulmonary Sciences Critical Care Medicine, Department University Colorado School Medicine E-mail Address: [email protected] , Cardiology, Hospital DO Associate Internal Texas at Austin...
Readmissions to the hospital are common and costly, often resulting from poor care coordination. Despite increased attention given improving quality safety of transitions, little is known about patient provider perspectives transitional needs rehospitalized Veterans. As part a larger improvement initiative reduce readmissions, authors conducted semi-structured interviews with 25 patients 14 their interdisciplinary health providers better understand challenges faced by Patients identified 3...
Regulations that restrict resident work hours and call for increased supervision have attending physician presence in the hospital during nighttime. The resulting interactions between attendings trainees provide an important opportunity obligation to enhance quality of learning takes place 6 PM 8 AM. Nighttime education should be transformed a way maintains clinical productivity both physicians, integrates high-quality teaching curricula, achieves balance patient safety autonomy. Direct...
BACKGROUND Medicaid is often associated with longer hospitalizations and higher in‐hospital mortality than other insurance types. OBJECTIVE To characterize the impact of state expansion status under Affordable Care Act (ACA) on payer mix, length stay (LOS), mortality. DESIGN/SETTING/PATIENTS Retrospective cohort study general medicine patients discharged from academic medical centers (AMCs) within University HealthSystem Consortium October 1, 2012 to September 30, 2015....
Dramatic changes in health care require physician leadership. Efforts to instill necessary skills often occur late training. The Heath Innovations Scholars Program (HISP) provided preclinical medical students with experiential learning focused on process improvement. Students led initiatives improve the discharge for stroke patients. All completed an aptitude survey and Quality Improvement Knowledge Assessment Test (QIKAT) before after program. Significant improvements occurred across...
The techniques to be described in this paper are generally applicable any time domain, parallel fault, digital logic simulation system. particular implementation was done on the CC-TEGAS3 system and quoted results from system.The first technique considered provides accuracy of fault when using assignable nominal delays for different element types. second handling induced activity a network, such way as considerably reduce amount required.
ABSTRACT Background While leadership training is increasingly incorporated into residency education, existing assessment tools to provide feedback on skills are only applicable in limited contexts. Objective We developed an instrument, the Leadership Observation and Feedback Tool (LOFT), for assessing clinical leadership. Methods used iterative process develop tool, beginning with adapting Practices Inventory create open-ended survey identification of behaviors. presented these experts who...
Although uncompensated care for hospital-based has fallen dramatically since the implementation of Affordable Care Act and Medicaid expansion, changes in hospital physician reimbursement are not known. We evaluated if payer mix by encounter changed between 2013 2014 an academic hospitalist practice a expansion state. This was retrospective cohort study all general medicine inpatient admissions to group 2014. The proportion encounters reimbursement/inpatient were compared versus A sensitivity...
Study Objective:To determine whether deployment of an integrated virtual sepsis surveillance program could improve time to antibiotics and mortality in a longitudinal cohort non-present on admission (NPOA) cases.Methods:We used uncontrolled pre- poststudy design compare between time-based NPOA cases separated by the program.Results:A total 566 were included this study. Three hundred thirty-five compromised preintervention arm, whereas postintervention 231 cases. After program, median...
Background: In response to poor healthcare quality outcomes and rising costs, reform triple aim has increased requirements for providers demonstrate value payers, partners, the public. Objective: Electronically automating measurement of meaningful impact palliative care (PC) programs on clinical, operational, financial systems over time is imperative success field goal development this automated PC scorecard. Design: The scorecard was organized into a format measures identified by Measuring...
Among Medicare value-based payment programs for acute myocardial infarction (AMI), the Hospital Readmissions Reduction Program uses