{"id":6716,"date":"2019-05-29T12:36:02","date_gmt":"2019-05-29T16:36:02","guid":{"rendered":"https:\/\/www.med.unc.edu\/neurosurgery\/?page_id=6716"},"modified":"2019-06-10T11:52:36","modified_gmt":"2019-06-10T15:52:36","slug":"quality-improvement","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/","title":{"rendered":"Quality Improvement"},"content":{"rendered":"<p>Management of quality improvement (QI) and safety programs within the neurosciences at UNC is a collaborative effort between the UNC Departments of Neurosurgery and Neurology. These efforts include:<\/p>\n<ul>\n<li>Oversight by the Neurosciences Quality Council,<\/li>\n<li>Development of educational resources and training, and<\/li>\n<li>Establishment of departmental QI initiatives.<\/li>\n<\/ul>\n<div role=\"tablist\" class=\"panel-group yourcustomclass oscitas-bootstrap-container\" id=\"unc-accordion-0\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-0\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-0\">\n                Neurosciences Quality Council            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-0\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p>The Neurosciences Quality Council is a multidisciplinary team that includes physician and nursing clinical leadership as well as departmental administrators. Council members meet bimonthly to receive quality improvement coaching from clinician leaders, hospital organizational experts and project managers.<\/p>\n<p><strong>Purpose:<\/strong><\/p>\n<p>To provide a structure and process to prioritize and support focused quality and safety improvement activities within the departments.<\/p>\n<p><strong>Goals:<\/strong><\/p>\n<ul>\n<li>Align with UNC Health Care and UNC School of Medicine organizational and quality improvement goals.<\/li>\n<li>Develop an integrated framework for QI prioritization and initiatives within the departments.<\/li>\n<li>Promote a culture of QI and safety through multidisciplinary, collaborative, transparent, and data-driven activities.<\/li>\n<\/ul>\n<p><strong>Responsibilities:<\/strong><\/p>\n<ul>\n<li>Set yearly departmental quality goals.<\/li>\n<li>Foster integration and collaboration between clinical QI work groups.<\/li>\n<li>Review work group progress and execution of short and long-term departmental QI activities.<\/li>\n<li>Maintain and disseminate a Neurosciences QI dashboard.<\/li>\n<li>Inform the UNC Medical Center Improvement Council of ongoing initiates, progress and opportunities.<\/li>\n<\/ul>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-1\">\n                Education            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<a href=\"https:\/\/www.med.unc.edu\/ihqi\/resources\/\" target=\"_blank\" rel=\"noopener\">Educational resources<\/a> and <a href=\"https:\/\/www.med.unc.edu\/ihqi\/training\/\" target=\"_blank\" rel=\"noopener\">training opportunities<\/a> are described on the UNC Institute for Healthcare Quality Improvement&#8217;s website.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-2\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-2\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-2\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-2\">\n                Departmental QI Initiatives            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-2\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p>A sampling of the Neurosciences Quality Council&#8217;s active projects are listed below:<\/p>\n<ul>\n<li>IPASS hand-off project<\/li>\n<li>Neurosciences bounce back and preventable readmission initiative<\/li>\n<li>Opioid stewardship<\/li>\n<li>Hospital-acquired infection prevention<\/li>\n<li>CT reduction in children project<\/li>\n<\/ul>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-3\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h4 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-3\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-3\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-3\">\n                Additional Resources            <\/button>\n\n        <\/h4>\n\n    <\/div>\n\n    <div id=\"details-0-3\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<ul>\n<li><a href=\"https:\/\/www.cns.org\/news-advocacy\/legislative-affairs\/patient-safety-quality-improvement\" target=\"_blank\" rel=\"noopener\">Congress of Neurological Surgeons Quality Improvement and Patient Safety<\/a><br \/>\nCNS sponsors a yearly NeuroSafe Conference.<\/li>\n<li>The American College of Surgeons&#8217; <a href=\"https:\/\/www.facs.org\/quality-programs\/acs-nsqip\" target=\"_blank\" rel=\"noopener\">National Surgical Quality Improvement Program\u00ae<\/a>\u00a0(ACS NSQIP) is a nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care in the private sector. ACS NSQIP offers tools, training, customization options and data.<\/li>\n<li><a href=\"http:\/\/www.aans.org\/Legislative%20Activities\/Patient%20Safety%20and%20Quality%20Improvement.aspx\" target=\"_blank\" rel=\"noopener\">American Association of Neurological Surgeons<\/a>\u00a0(AANS) actively participates in efforts to measurably improve patient safety and quality of care, including advocacy related to the Patient Safety and Quality Improvement Act. This law created a voluntary reporting program through which health care providers can share information relating to patient safety events with patient safety organizations (PSOs) on a confidential basis to improve patient safety.<\/li>\n<li><a href=\"http:\/\/www.nihpromis.org\/software\/assessmentcenter\" target=\"_blank\" rel=\"noopener\">PROMIS Tools<\/a>\u00a0for patient reported health status.\u00a0Patient Reported Outcomes Measurement Information System (PROMIS), funded by the National Institutes of Health (NIH), is a system of highly reliable, valid, flexible, precise, and responsive assessment tools that measure patient\u2013reported health status.<\/li>\n<\/ul>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<p><strong>Key contacts for more information:<\/strong><\/p>\n<p><a href=\"mailto:kbradfor@med.unc.edu?subject=Quality Improvement\">Kathleen Bradford, MD<\/a><br \/>\nDepartment of Pediatrics, General Pediatrics and Adolescent Medicine<br \/>\nDepartment of Neurosurgery, Quality Improvement<\/p>\n<p><a href=\"mailto:casey@neurology.unc.edu?subject=Quality Improvement\">Casey Olm-Shipman, MD<\/a><br \/>\nDepartments of Neurology and Neurosurgery<br \/>\nNeurocritical Care, Child Neurology<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Management of quality improvement (QI) and safety programs within the neurosciences at UNC is a collaborative effort between the UNC Departments of Neurosurgery and Neurology. These efforts include: Oversight by the Neurosciences Quality Council, Development of educational resources and training, and Establishment of departmental QI initiatives. Key contacts for more information: Kathleen Bradford, MD Department &hellip; <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/\" aria-label=\"Read more about Quality Improvement\">Read more<\/a><\/p>\n","protected":false},"author":58435,"featured_media":0,"parent":1,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-6716","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Quality Improvement | Department of Neurosurgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quality Improvement | Department of Neurosurgery\" \/>\n<meta property=\"og:description\" content=\"Management of quality improvement (QI) and safety programs within the neurosciences at UNC is a collaborative effort between the UNC Departments of Neurosurgery and Neurology. These efforts include: Oversight by the Neurosciences Quality Council, Development of educational resources and training, and Establishment of departmental QI initiatives. Key contacts for more information: Kathleen Bradford, MD Department &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Neurosurgery\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/UNCneurosurgery\/\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-10T15:52:36+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@UNCneurosurgery\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/\",\"url\":\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/\",\"name\":\"Quality Improvement | Department of Neurosurgery\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/neurosurgery\/#website\"},\"datePublished\":\"2019-05-29T16:36:02+00:00\",\"dateModified\":\"2019-06-10T15:52:36+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.med.unc.edu\/neurosurgery\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"UNC Neurosurgery &#8211; About Us\",\"item\":\"https:\/\/www.med.unc.edu\/neurosurgery\/about\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Quality Improvement\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.med.unc.edu\/neurosurgery\/#website\",\"url\":\"https:\/\/www.med.unc.edu\/neurosurgery\/\",\"name\":\"Department of Neurosurgery\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.med.unc.edu\/neurosurgery\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Quality Improvement | Department of Neurosurgery","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/","og_locale":"en_US","og_type":"article","og_title":"Quality Improvement | Department of Neurosurgery","og_description":"Management of quality improvement (QI) and safety programs within the neurosciences at UNC is a collaborative effort between the UNC Departments of Neurosurgery and Neurology. These efforts include: Oversight by the Neurosciences Quality Council, Development of educational resources and training, and Establishment of departmental QI initiatives. Key contacts for more information: Kathleen Bradford, MD Department &hellip; Read more","og_url":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/","og_site_name":"Department of Neurosurgery","article_publisher":"https:\/\/www.facebook.com\/UNCneurosurgery\/","article_modified_time":"2019-06-10T15:52:36+00:00","twitter_card":"summary_large_image","twitter_site":"@UNCneurosurgery","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/","url":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/","name":"Quality Improvement | Department of Neurosurgery","isPartOf":{"@id":"https:\/\/www.med.unc.edu\/neurosurgery\/#website"},"datePublished":"2019-05-29T16:36:02+00:00","dateModified":"2019-06-10T15:52:36+00:00","breadcrumb":{"@id":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/quality-improvement\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.med.unc.edu\/neurosurgery\/"},{"@type":"ListItem","position":2,"name":"UNC Neurosurgery &#8211; About Us","item":"https:\/\/www.med.unc.edu\/neurosurgery\/about\/"},{"@type":"ListItem","position":3,"name":"Quality Improvement"}]},{"@type":"WebSite","@id":"https:\/\/www.med.unc.edu\/neurosurgery\/#website","url":"https:\/\/www.med.unc.edu\/neurosurgery\/","name":"Department of Neurosurgery","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.med.unc.edu\/neurosurgery\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/pages\/6716","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/users\/58435"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/comments?post=6716"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/pages\/6716\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/pages\/1"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/neurosurgery\/wp-json\/wp\/v2\/media?parent=6716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}