Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements

Meghan R. Flanagan; Carolyn C. Foster; Anneliese Schleyer; Gene N. Peterson; Samuel P. Mandell; Kristina E. Rudd; Byron D. Joyner; Thomas H. Payne

doi:10.1016/j.amjsurg.2015.09.006

Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements

Meghan R. Flanagan^*, Carolyn C. Foster, Anneliese Schleyer, Gene N. Peterson, Samuel P. Mandell, Kristina E. Rudd, Byron D. Joyner, Thomas H. Payne

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. Methods House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. Results The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P =.002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P <.001). Conclusions This innovative project serves as a model for successful engagement of house staff in institutional quality and safety initiatives with tangible institutional benefits.

Original language	English (US)
Pages (from-to)	390-397
Number of pages	8
Journal	American Journal of Surgery
Volume	211
Issue number	2
DOIs	https://doi.org/10.1016/j.amjsurg.2015.09.006
State	Published - Feb 1 2016

Funding

The authors are indebted to the members of the Housestaff Quality and Safety Committee for their work on and support of this project, Aidan Garver-Hume for development of the problem list manager tool, and to Josh Matlock, Shawn Banta, Susan S. Johnston, EdD, and Gabrielle Pett, MA for their administrative support. They also appreciate the statistical support of the University of Washington Institute of Translational Health Sciences team under the National Institutes of Health award number UL1TR000423, and Simona Lazar and the University of Washington Learning Management System team for help with the development of the eLearning module. The UW Medicine Patient Safety Innovations Program provided financial support to this study but was not involved in the collection, analysis, or interpretation of data; writing of the report; or the decision to submit the article for publication. M.R.F. was supported by T32 grant support from the National Cancer Institute under award number CA009168. NIH had no involvement in study design, collection, analysis, or interpretation of data; in the writing of the manuscript; or in the decision to submit the manuscript for publication.

Keywords

Clinical Learning Environment Review
Electronic medical record
House staff
Inpatient problem list
Meaningful Use
Quality improvement

ASJC Scopus subject areas

Surgery

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Flanagan, M. R., Foster, C. C., Schleyer, A., Peterson, G. N., Mandell, S. P., Rudd, K. E., Joyner, B. D., & Payne, T. H. (2016). Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements. American Journal of Surgery, 211(2), 390-397. https://doi.org/10.1016/j.amjsurg.2015.09.006

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abstract = "Background House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. Methods House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. Results The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P =.002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P <.001). Conclusions This innovative project serves as a model for successful engagement of house staff in institutional quality and safety initiatives with tangible institutional benefits.",

keywords = "Clinical Learning Environment Review, Electronic medical record, House staff, Inpatient problem list, Meaningful Use, Quality improvement",

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Flanagan, MR, Foster, CC, Schleyer, A, Peterson, GN, Mandell, SP, Rudd, KE, Joyner, BD & Payne, TH 2016, 'Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements', American Journal of Surgery, vol. 211, no. 2, pp. 390-397. https://doi.org/10.1016/j.amjsurg.2015.09.006

Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements. / Flanagan, Meghan R.; Foster, Carolyn C.; Schleyer, Anneliese et al.
In: American Journal of Surgery, Vol. 211, No. 2, 01.02.2016, p. 390-397.

Research output: Contribution to journal › Article › peer-review

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T1 - Aligning institutional priorities

T2 - Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements

AU - Flanagan, Meghan R.

AU - Foster, Carolyn C.

AU - Schleyer, Anneliese

AU - Peterson, Gene N.

AU - Mandell, Samuel P.

AU - Rudd, Kristina E.

AU - Joyner, Byron D.

AU - Payne, Thomas H.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Background House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. Methods House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. Results The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P =.002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P <.001). Conclusions This innovative project serves as a model for successful engagement of house staff in institutional quality and safety initiatives with tangible institutional benefits.

AB - Background House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. Methods House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. Results The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P =.002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P <.001). Conclusions This innovative project serves as a model for successful engagement of house staff in institutional quality and safety initiatives with tangible institutional benefits.

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Flanagan MR, Foster CC, Schleyer A, Peterson GN, Mandell SP, Rudd KE et al. Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements. American Journal of Surgery. 2016 Feb 1;211(2):390-397. doi: 10.1016/j.amjsurg.2015.09.006

Aligning institutional priorities: Engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements

Abstract

Funding

Keywords

ASJC Scopus subject areas

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