a summer in select medical’s quality department ilia kappenhagen thursday, august 7 th, 2014
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A Summer in SELECT MEDICAL’S Quality Department
Ilia Kappenhagen Thursday, August 7th, 2014
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About Ilia
Halifax Area High School
Temple University, Fox School of Business- Major: Risk Management and Insurance- Concentration: Healthcare Risk Management - Delta Zeta National Panhellenic Sorority- National Society of Collegiate Scholars - Pharmacy Technician at Rite Aid Pharmacy
5 Things I Love1. My family (including my puppy, Lana )2. The city of Philadelphia (Go Eagles!!)3. Cycling/ spinning classes4. Beach vacations 5. Strong coffee and sweet wine
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About the Quality Department
− “>3 million hours devoted to tracking, reporting, and analyzing key quality metrics”
− Work closely with clinicians to improve quality care to critically ill patients
− Quality indicators: Patient satisfaction, vent wean rates, infection control (UTI rates and CLABSI), regulatory compliance, and patient safety
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Corporate Quality Team
Dr. Samuel Hammerman – Chief Medical Officer
Dr. Lisa Snyder – Senior Vice President, Chief Quality Officer
Mr. Tony Grigonis – Vice President, Quality Improvement
Ms. Amanda Dawson – Director of Research
Mr. Matthew Sears – Research Analyst
Inpatient Operations LTACH
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Key ProjectsCDC Study: Barriers to CAUTI Reduction &
CAUTI Prevention Strategies
• Purpose of study: Identify barriers to reducing CAUTIs in acute care settings
• Retrospective Chart review of patients from 3 of Select Medical’s LTACHs – Approximately 150 patients – Review of Physician’s Notes/Orders– Greatest challenge faced: Physician Handwriting– Use of HMS, ImageNow, Clinical View, Onsite Nursing Notes
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Data Collection Form for Urine Cultures Meeting Criteria for Data Abstraction DATE OF URINE CULTURE COLLECTION: ___/___/___
Data Abstracter: Ilia, Julia, Amanda Facility NHSN ID: Camp Hill (12147), York (12334), Harrisburg
:
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Other Key Projects
Chronic Critical Illness (CCI)
Element Definition / Global Data Access
Nutritional Deficits DRG/ ICD-9 of malnutrition, albumin/prealbumin
Endocrine Dyfunction Insulin use
Bone Loss Anemia
Depression/ Suffering Use of antidepressants or pysch. consult
Infection Antibiotics
Wounds PUSH scores, wound presence
Polyneuromyopathy/ Myopathy MRC score
Delirium Delirium screen + or -
Amplion & Nurse Call Alarms
“The aim of this study is to examine the relationship between specific groups of clinical elements of CCI related to LOS and disposition (discharge).”
- Kelly Blake, CCI Capstone Project Approval
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Other Key Projects cont.
HAPU
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Applications
LTRAX
Clinical View
LTRAX