Improving Throughput at Comer Children's Hospital - PI CME/MOC IV
PI CME/Quality Improvement Effort
Every patient in a bed that could have been discharged keeps another patient from getting the care they need.
This project is part of a larger hospitalwide initiative to improve throughput and patient satisfaction. Through this quality/performance improvement initiative, providers will review patient charts to identify additonal barriers that we can adress to improve our throughput and patient satisfaction.
By identifing and mitigating barriers to timely discharge and improving communication with families regarding expectations around discharge, the goal is to increase parents understanding of their child's medical issues and plan for outpatient management. Improving throughput will also allow health care providers to maximize their ability to provide care to all those who need it.
This performance/quality improvement initiative is intended for physicians, residents, and fellows working individually and with a team of healthcare providers to imrpove throughput and patient satisfacation.
The AIM for this project:
Comer Children's Hospital will increase the percentage of patients discharged by 12 pm by 5% (absolute) over 12 months. Patients impacted will include inpatients admitted to Comer 5 or Comer 6, two multispeciality non-ICU wards.
- Improved nursing work flow (discharge in morning, admit in afternoon)
- Improved EVS workflow (shift change at 3pm)
- Easier for families who have to travel a long distance home
- Fewer missed days of school for chronic patients
• Improving discharge communication and expectations
– Among staff – consultants, primary team, nursing, case management, PT/OT, etc.
– Between staff and patients
– Why has the child been admitted?
• Identifying goals to be met prior to discharge
• Patient and family education around discharge plan
Allison H. Bartlett ,MD, MS
Assistant Professor of Pediatrics, Section of Infectious Diseases
Quality Chief, Department of Pediatrics
Associate Medical Director, Infection Control and Antimicrobial Stewardship Programs
The University of Chicago Medicine
5841 S. Maryland Ave. | Rm. C-638A
Quality Performance Improvement Lead
Natalie Mikat-Stevens, MPH
Quality Improvement Project Manager
Center for Quality
5841 S. Maryland Ave. | Rm. P-526
The University of Chicago Pritzker School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
The University of Chicago Pritzker School of Medicine designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME and MOC IV Credit
To qualify for both PI CME credit (AMA PRA Category 1 Credit™) and QI MOC through the ABMS Multi-specialty Portfolio Program, participants must be engaged in a systematic effort of reviewing and improving some aspect(s) of care or care delivery for their patients.
Sustained QI cycles. The QI effort must be sustained, involving at least two or more linked cycles of performance review and improvement effort. The post-intervention data and review from one cycle become the baseline data and planning for the next cycle. Starting with a suspected or actual problem with care:
1st QI cycle
Baseline data collection, analysis/review, identify underlying cause(s)
Intervention(s) to address underlying cause(s)
Post-intervention data collection, analysis/review, identify remaining underlying cause(s)
2nd QI cycle
Post-intervention data collection, analysis/review, identify underlying cause(s) (same as above)
Adjustment(s) / second intervention(s) to address underlying cause(s)
Post-adjustment data collection, analysis/review, identify remaining underlying cause(s)
Individuals attest to their participation on the QI/PI project. UCM QI/PI MOC Program emails to each participant a unique Access Code used to UNLOCK this module. Once enrolled, particpants will complete an attestation of participating as required, and reflections on the QI effort and its impact. Individuals submit the form online. UMHS QI/PI MOC Program staff forward the information to the project lead. The project lead verifies that individuals participated. UCM reports participation to relevant board(s). The credit for participating in a MOC activity is recorded for the year in which the individual completed activities in the documented QI/PI project.
Attestation forms must be submitted by November 30th in order for us to report credit to your ABMS specialty board and have your credit count for that year.