university of texas clinical safety and effectiveness program third year evaluation october 27,2011...
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University of Texas Clinical Safety and Effectiveness
Program
Third Year EvaluationOctober 27,2011
Sherry Martin, Chancellor’s Health Fellow in Clinical Effectiveness Programs
University of Texas Clinical Safety and Effectiveness Program
Goal:• To integrate quality and safety concepts into the way we do our
work everyday and enhance organizational knowledge through disseminated successful practices across the UT System– The Clinical Safety and Effectiveness (CS&E) quality
improvement course– Annual conference and recognition event– University of Texas CS&E Fellowship Core
UT
CS&E Quality Improvement Course
The purpose of the CS&E course is to establish a critical mass of clinicians able to lead improvement efforts and serve as faculty for the course to make improvement practices part of daily operations
UT CS&E Course Objectives and Related Measures
• Establish the course at each of the UT healthcare organizations– # of organizations achieving full
implementation• Reach a critical mass of graduates, completing
successful projects and leading improvement efforts– # of graduates– # of successful projects– % of graduates leading improvement initiatives– # of publications and presentations by
graduates
CS&E Course Implementation Third Year Results
• Fully implemented at MDACC, UTHSC – Houston, UTSW, and UTHSCSA– 936 Graduates + 35 enrolled– 328 Completed projects + 18 underway
• UTMB – preparing for first class graduation in 2012
• UTHSC-Tyler faculty graduates provide organizational project mentorship and oversight
• All campuses have course graduates
CS&E Course ImplementationThird Year Results
CS&E Annual Survey of Graduates• Purpose:
– Determine extent to which course goals are achieved
– Identify opportunities for improvement– Identify individuals demonstrating exceptional
quality improvement expertise• Electronic survey• 2011 response – 18%
University of Texas CS&EAnnual Conference and Recognition
Event
• Goals: – Transfer learning and applicable best
practices across the UT health care organizations
– Recognize exceptional individual and team improvement efforts
– Develop ideas and concepts to drive system-wide improvement initiatives
UT CS&E Conference Organizational Learning Goal
Measures• # of conference participants/ % satisfaction• # of abstracts accepted for presentation• # of participants adopting CS&E project
practices• # of projects achieving sustained results• $ achieved through cost avoidance or
revenue enhancement
Second Year CS&E Conference Results
• 80 abstracts accepted
• 233 participants
• “Overall satisfaction”- 74% “excellent”; 98% “excellent/good”
“Identify strategies to adopt new ‘best practices’ 52% “excellent”; 92% “excellent/good
Third Year CS&E Conference Results
• 83 abstracts accepted for presentation• Score to be considered for awards =
greater than 825• Registration = 250• One project submitted under “Adopted ”• Five demonstrated sustained results over
2 years or more• 18 publications by CS&E graduates in
peer-reviewed journals; numerous graduates presented at national and state meetings
Course/Conference ResultsQuality Pays!
The “return-on-investment” for the projects presented at the 2011 conference:
• $2.2M in project revenue, realized• $0.9M in project cost avoidance, realized
( assuming 50% reimbursement)• $3.7M projected savings/revenue if even
50% of the projections are realized
• $6.8M = Total gain
UT System Fellowship Program
• Goal: Establish a body of healthcare providers who demonstrate exceptional improvement expertise and commitment to apply these skills to make regular improvements and to educate others
• Inducted 16 Fellows from all six UT health care organizations
New Curriculum Concepts
• Lean Thinking and/or Six Sigma – all campuses
• Team STEPPS – UTHSCSA
• Crew Resource Management – UTSW, UTHSCSA
• Disclosure Training – UTHSCH, UTHSCSA
Graduate and Undergraduate Training Programs
• Integrated quality and patient safety inter-professional education into medical and nursing students curriculum
• Established internal medicine and family medicine residency rotations focused on CS&E principles
• Provide quality principles at ground rounds