Quality Improvement Initiatives
Using Predictive Analytics to Predict Length of Stay in Transplant Patients
Dr. Jim Perkins developed predictive models helping transplant programs predict their patients length of stay depending on known information about their patients. Hospital length of stay (LOS) after liver transplantation correlates with liver disease severity, post-transplant survival rates, and transplant-associated cost. Using data for a national database, four predictive models for LOS were built for the various stages of the liver transplant process. These LOS prediction models can help guide patients care and counseling, predict outcomes, and direct research into mitigating factors that prolong LOS.
To see the predictive models click here.
Dr. Perkins is also working with the University of Washington Medical Center's Center for Clinical Excellence on various projects including predicting patients risk for developing sepsis, readmissions to the hospital, and developing delirium in the ICU.
Engaging Patients to Improve Surgical Outcomes
Dr. Varghese’s work with Strong for Surgery highlighted by the Institute for Healthcare Improvement “All surgeons know that surgeries can be opportunities to engage patients in not only getting the best surgical outcomes, but also to improve their health and become active, functional members of society,” says Dr. Thomas Varghese in a new interview posted to the Institute for Healthcare Improvement (IHI) Patient Safety Blog. Varghese, faculty for IHI’s upcoming Improving Safety and Reliability for Surgical Procedures Expedition (beginning November 14), is Medical Director of Strong for Surgery – an initiative devoted to improving clinical outcomes through upstream patient engagement. Strong for Surgery focuses on four evidence-based areas that lead to improved outcomes: nutritional optimization, smoking cessation, blood sugar control, and medication management. In the interview, Dr. Varghese tells the story of one of his patients who, after an initial pre-surgical visit, stopped smoking, started exercising, and took better care of his health. Not only did he come through cancer surgery with flying colors, he’s now in the best shape of his life!
CLINICAL QUALITY WORKING GROUP (CQWIG)
James Perkins, MD Vice Chair, Quality
Ramasamy Bakthavatsalam, MBBS
E. Patchen Dellinger, MD
Farhood Farjah, MD
Jeffrey Friedrich, MD
Adam Goldin, MD, MPH
Richard Hopper, MD
Otway Louie, MD
Lisa McIntyre, MD
Nahush Mokadam, MD
Michael Mulligan, MD
Zoe Parr, MD
Michael Sobel, MD
Nam Tran, MD
Erik Van Eaton, MD
INTERNAL QUALITY ARTICLES
EXTERNAL QUALITY ARTICLES
by Atul Gawande / New Yorker
The Talking Cure for Health Care
by Laura Landro / Wall Street Journal
Health Care's Service Fanatics
by James I. Merlino and Ananth Raman / Harvard Business Review