PDSA Cycles and QI Presentations

Links to Quality Improvement projects completed by residents and staff.

Quality Improvement Projects

We have multiple quality improvement projects being conducted in our clinic. The Enhanced Care Team care assistants as well as residents in the ambulatory care continuity elective are required to complete a project. We use Plan-Do-Study-Act (PDSA) worksheets to help organize, design and summarize each project. Each cycle of a PDSA represents work focused around a particular test or intervention and any one project can be comprised of multiple cycles of change each led by a different person. Each project or cycle is usually led by one person with group input during the process.


Clinical Quality Improvement projects

Date

Topic

Key Contributors

Links

Anticoagulation

April 08

Coumadin Visual Dosing chart

Escher Howard-Williams, MD (PGY3)

PDSA, Presentation

Cervical Cancer

Nov 07

Screening

Leslie Proctor, MD (PGY2)

Presentation

Dec 09

Screening Process

Amanda Allen, MD (PGY1), Kiran Venkatesh, MD (PGY1)

PDSA, Presentation

Jan 10

Abnormal Pap Smear Tracking

Jacob Kulander, MD (PGY1), Tara O”Brien, MD (PGY1)

Presentation

Chronic Pain

Jan 08

Improving Appointment Cycle Times in the Pain Clinic

Kelly Hayes, Pain CA

PDSA

Dec 10

Influence of Decision Aid among patients with Chronic Pain

Joseph Bumgarner, MD (PGY1)

PDSA, Presentation

Dec 10

Pain Management Pre-Clinic Conference

Shaili Shah, MD (PGY1)

PDSA, Presentation

April 11 Treating Pain in Same Day Clinic Jacqueline Terry, MD (PGY1) Presentation
June 11 Pain in the Same Day Clinic Elaine Sunderlin, MD (PGY-3) PDSA, Presentation

Colon Cancer

Aug 09

Screening Process

Thomas Alexander, MD (PGY1), John Rommel, MD (PGY1)

Presentation

Oct 09

Screening Process, cycle 2

Shatima Seward, MD (PGY1)

PDSA 2, Presentation

Feb 11

Practice Standards for Positive FOBTs

Adrian Austin, MD (PGY1)

Presentation

Depression and Suicidality Assessment

Feb 09

ID and Treatment cycle 1

Seulli Brill (PGY4)

Project Summary, Presentation

July 09

ID and Treatment cycle 2

Alexis Ponder , MD (PGY1), Stacy Cowherd, MD (PGY1)

PDSA, Presentation

Aug 09

Review of Current Process

Kate Gerrald, Pharm D, (PGY2)

PDSA

Oct 09

Increasing diagnosis and treatment

Ben Vincent, MD (PGY1)

PDSA, Presentation

Nov 09

Provider and Nurse Training on depression assessment and treatment

Niya Mukherjee, MD (PGY1), Derek Seib, MD (PGY1)

PDSA, Presentation

Sept/Nov 09

Phone follow-up using script

Cole Andrew, Pain CA

PDSA

Jan 10

Patient Self-Administration of PHQ9

Diane Dolan-Soto, LCSW

PDSA

March 10

Screening with the PHQ9 and Provider usage of Visit Planner prompts

Sherwin Yen, MD (PGY1)

PDSA, Presentation

April 10

Suicidality Assessment - Documentation and Algorithm

Stephen Telloni, MD (PGY1)

Presentation

May 10

Depression Treatment Algorithm

Kamal Kolappa, MD (PGY1)

Presentation

May/June 10

Depression Treatment Algorithm and Medication Therapy

Grant Williams, MD (PGY1)

PDSA, Presentation

May/June 10

Depression and Suicidality Assessment Training Module

Matt Volk, MD (PGY3), Pat Barrett, MD (PGY1), Grant Williams, MD (PGY1)

PDSA, Presentation

Aug/Sept 10

Depression Evaluation and Management

Kathryn Johnson, MD (PGY1)

Presentation

Sept/Oct 10

Evaluation of Depression and Suicidality Assessment Education

Kathryn Richards, MD (PGY1)

PDSA, Presentation

Jan 11 Ensuring Treatment of Severely Depressed patients Aditi Puri, MD (PGY1) PDSA, Presentation

Feb 11

2-week follow up phone calls

Sarina Pasricha, MD (PGY1)

PDSA, Presentation

Aug/Sept 11 Analysis on Adherence to the Depression Algorithm Sherwin Yen (PGY3) PDSA, Presentation
Aug/Sept 11 Use of Depression Decision Aids Genevieve Embree (PGY1) PDSA, Presentation
Dec 11

Provider Response to the PHQ-9 and Depression Decision Aid Prescription

Liliana Bustamante and Stephanie Davis (PGY1) PDSA, Presentation

Diabetes

July/Aug 08

Contraceptive Status

Elizabeth Dehmer, MD (PGY3)

PDSA

Feb/March 09

Contraception counseling

Nicole Cullen, MD (PGY1)

PDSA (partial),

Presentation

August 08

Foot Care cycles 1 & 2

James Hawk, MD (PGY3)

PDSA-1, PDSA-2, Presentation

Aug/Sept 08

Foot Care cycle 3

Elaine Sunderlin, MD (PGY1), James Hawk, MD (PGY3)

PDSA, Presentation

Sept/Oct 08

Foot Care – cycle 4: Assess adherence to new Foot Care Algorithm

Matt White, MD (PGY1)

PDSA, Presentation

Sept 08, Nov 08

Medication Utilization – Aspirin cycles 1 & 2

Meg Rutledge, Diabetes CA

PDSA 1, PDSA 2

Feb 08

Medication Utilization – ACE-iARB and Nephropathy

Jordan Kautz (MSY4)

PDSA, Presentation

Oct 07, Feb 08, Apr 08

Medication Utilization – Insulin not used with A1c > cycles 1, 2 & 3

Angela Thompson, Diabetes CA

PDSA 1, PDSA 2,

PDSA 3

Nov 07, Mar 08

Medication Utilization - Statin cycles 1 & 2

Carolyn Menzie, Diabetes CA

PDSA 1, PDSA 2

Aug 08, Dec 08

Medication Utilization – Statin, low dose increase cycles 1 & 2

Lauren McKnight, PharmD  (PGY1)

PDSA 1, PDSA 2

Hypertension

Oct 08

BP measurement

Amy Auerbach, MD (PGY2)

PDSA, Presentation

Nov 07

Same Day Clinic  cycle 1

Jennifer Pagliei, MD (PGY3)

PDSA, Presentation

Dec 07

Same Day Clinic – sticker cycle 2

Ryan Sanford, MD (PGY1)

PDSA

Jan/Feb 08

Same Day Clinic - sticker cycle 3

Krista Fajman, MD, (PGY1)

PDSA, Presentation

Mar 08

Same Day Clinic cycle 4

Kunwar Sohal (PGY1)

PDSA, Presentation

Kidney Disease

Oct 07

Chronic Kidney Disease

Jennifer Rogers, MD (PGY3)

Presentation

Obesity and Weight Loss

Aug 08

Obesity screening and action plan

David Rometo, MD (PGY3)

PDSA , Presentation

Oct 08

Screening and obesity management

David Rometo, MD (PGY3)

PDSA 2,

Presentation

Aug 09

Weight Loss Decision Aid

Evan  Morgan, MD (PGY1), Caitlyn Molino, MD  (PGY1)

PDSA, Presentation

Dec 10

Weight Loss Surgery Pre-Clinic Conference

Jennifer Kinley, DM (PGY1)

PDSA, Presentation

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Process Quality Improvement projects

Date

Topic

Key Contributors

Links

Clinic Support Website

May/June 08

Electronic Referrals

Ademola Aderoju, MD (PGY3)

PDSA, Presentation

E-Prescription

Aug 11 E-Prescription: Usage rates and interventions Michael Bode (PGY1) PDSA, Presentation

July-Aug 11

E-Prescription: Usage rates and intervention

Julia Hughes (PGY1) and

Nicole Harlan (PGY1)

PDSA, Presentation

July 11 E-Prescription Rates, Cycle 2 Chris Hauck (PGY1) PDSA, Presentation

January 11

E-Prescription, Cycle 1

DJ Patel

Presentation

Medicare Wellness Visit

Jan/Feb 11

Implementation of the Medicare Annual Wellness Visit, cycle 1

Sara Faber, MD (PGY4)

Presentation

March 11

Implementation of the Medicare Annual Wellness Visit, cycle 2

Christina Prather, MD (PGY1)

PDSA, Presentation

Patient Agenda Setting

Sept/Oct 10

Patient Agenda Setting pilot

Adam Creech, MD (PGY2)

Presentation

Nov 10

Patient Agenda Setting, cycle 2

Tanvir Haque, MD (PGY1)

PDSA, Presentation

Patient No Shows

Oct/Nov 08

Barriers to coming to appointments

Britni Hebert,MD (PGY1)

PDSA, Presentation

Feb 10

Stratifying No Show patients

Ed Barnes, MD (PGY1), Adam Creech, MD (PGY1)

PDSA, Presentation

Apr/May 10

Advanced Case Management

Maggie Davis-Hovda, MD (PGY3)

Presentation

Patient Satisfaction

Jan/Feb 10

Awareness by residents of Patient Satisfaction measures

Jessie Stewart, MD (PGY3)

PDSA, Presentation

June/July 10

Patient Satisfaction & 360 Resident Evaluation Instrument Development, Cycle 1

Lindsay Goetz, MD (PGY1), Greg Knight, MD (PGY1)

PDSA, Presentation

July/Aug 10

Patient Satisfaction & 360 Resident Evaluation Pilot Implementation, Cycle 2

Diana Feldstein, MD (PGY1), Daniel Matthews, MD (PGY1)

PDSA, Presentation

Aug/Sept 10

Patient Satisfaction & 360 Resident Evaluation Clinic Implementation, Cycle 3

Lee Sigmon, MD (PGY1)

PDSA, Presentation

Point of Care Lab

Mar 08

Point of Care Testing cycle 1

Abigail Miller, pharm student

PDSA 1

June 08, July 08

Re-evaluation of implementation cycles 2 & 3

Andrew Maclennan, MD (PGY1)

PDSA 2, PDSA 3, Presentation

Provider Communication of Test Results

Jan/Feb 08

Patient Correspondence cycle 1

Micah Mooberry, MD (PGY4)

PDSA 1, Presentation

May/June 09

Patient Correspondence cycle 2

Chris Caulfield, MD (PGY1)

PDSA 2, Presentation

July/Aug 09

Patient Correspondence cycle 3

Kristen Amann, MD (PGY3)

Presentation

Sept/Oct 09

Residents and Patient Correspondence, cycle 4

Kunwar Sohol, MD (PGY3)

PDSA 4, Presentation

Sept/Oct 10

Patient Correspondence: Meeting practice standards

David McNeely, MD (PGY1)

PDSA, Presentation

Provider response time to WebCIS messages

Mar/Apr 09

Resident Physician messaging cycle 1

Liz Thomas, MD (PGY3)

PDSA

May/June 09

Resident Physician messaging cycle 2

Sally Ravenos, MD (PGY4)

PDSA, Presentation

Oct/Nov 10

Prior-authorizations turn-around time

Katy Tsai, MD (PGY1)

PDSA, Presentation

Resident Panel Review

July/Aug 10

Resident Panel Review

Alexis Ponder, MD (PGY2)

Presentation

Resident Satisfaction

Nov 11 Clinic Satisfaction Survey Kamal Kolappa (PGY-3) Presentation

Telephone Messages

Nov 11 Telephone Medicine Brad Barnes (PGY-3) Presentation
Nov 11 Telephone Messages

Adam Butaine (PGY-1), Suzanne Weaver (PGY-1)

PDSA, Presentation

Visit Planner Care Management Tool

Dec 07, Mar 08

Tracking Nurse Diabetes Tasks cycles 1 & 2

Regina Boone, Diabetes CA

PDSA 1, PDSA 2

Mar 10

Visit Planner 5.0 Rollout Training and Usage

Scott Haake, MD (PGY1)

PDSA, Presentation

Apr/May 10

Visit Planner 5.0, cycle 1: Survey and Compliance

Maggie Davis-Hovda, MD (PGY3)

Presentation

May 10

Visit Planner 5.0, cycle 2: Usage and CIS documentation

Pahresah Roomiany, MD (PGY1)

Presentation

June 10

Visit Planner 5.0, cycle 3: Improving compliance and usage

Fernanda Payan Schober, MD (PGY1)

PDSA, Presentation

March 11

Visit Planner: Revised Provider Responsibilities for Depression Treatment

Domenick Roma, MD (PGY3)

PDSAPresentation

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