Storyboards - IHI Home · PDF file · [email protected] IC35:...

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Institute for Healthcare Improvement · ihi.org 1 Equity E1: Addressing Equity in Health Care: Experience of Middle Eastern American Women No Organization Shaida Kalbasi [email protected] E2: Equity Care Guides: Reducing Health Disparities by Transforming Care Delivery Allina Health System Amanda Hunt [email protected] E3: Population Care Management and Team-Based Approach to Reduce Racial Disparities among Hypertensive Blacks /African Americans Kaiser Permanente Rowena Bartolome [email protected] E4: Population-Based Intervention to Reduce Disparities in Early Hospital Postpartum Readmissions at Connecticut’s Hospitals Brown University M. Natalie Achong [email protected] Storyboards The 27th Annual National Forum on Quality Improvement in Health Care December 6–9, 2015 · Orlando, FL Storyboard Reception Tuesday, Deccember 8, 4:15 PM–6:30 PM, Palms Ballroom During this reception, presenters will be standing by their boards to answer questions. SPONSORED ContextMedia:Health Jordan Armstrong Patient Engagement Consultant 312-667-1456 [email protected]

Transcript of Storyboards - IHI Home · PDF file · [email protected] IC35:...

Institute for Healthcare Improvement · ihi.org 1

EquityE1: Addressing Equity in Health Care: Experience of Middle Eastern American WomenNo OrganizationShaida [email protected]

E2: Equity Care Guides: Reducing Health Disparities by Transforming Care DeliveryAllina Health SystemAmanda [email protected]

E3: Population Care Management and Team-Based Approach to Reduce Racial Disparities among Hypertensive Blacks /African AmericansKaiser PermanenteRowena [email protected]

E4: Population-Based Intervention to Reduce Disparities in Early Hospital Postpartum Readmissions at Connecticut’s HospitalsBrown UniversityM. Natalie [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

SPONSORED

ContextMedia:HealthJordan ArmstrongPatient Engagement [email protected]

Institute for Healthcare Improvement · ihi.org 1

Improvement CapabilityIC1: The Optimization of Volume Re-Expansion Therapy for the Post-Operative Open Heart PatientGeisinger Medical CenterMichael [email protected]

IC2: 90 Days to Sustainable Margin ImprovementTexas Health ResourcesJim [email protected]

IC3: A Clinical Pathway for Guardianship at Dartmouth-Hitchcock Medical CenterCheyenne Regional Medical CenterJasper [email protected]

IC4: A Coordinated Cardiovascular-Diabetes Service Delivery Model of Integrated Complex Chronic Disease ManagementSt. Joseph’s Health Care LondonKaren [email protected]

IC5: A Data-Driven Approach to Optimizing Workplace SafetyBeth Israel Deaconess Medical CenterRoss [email protected]

IC6: A Kaizen Approach To Improving Door To Needle Times Across A System Of Stroke CentersOrlando HealthDavid [email protected]

IC7: A Lean Six Sigma Partnership — Penn State Hershey Medical Center & Cardinal HealthCardinal HealthHolly [email protected]

IC8: A M.A.P. for Improving Blood Pressure ControlAmerican Medical AssociationOmar [email protected]

IC9: A Roadmap to Sustaining a QI PortfolioCincinnati Children’s Hospital Medical CenterBetsy [email protected]

IC10: A Tool for Examining the Quality of Clinical RecordsHillel Yaffe medical centerErez [email protected]

IC11: A Unique Data Capture Tool for Quality ImprovementBoston Children’s HospitalPrerna [email protected]

IC12: Acceptability and Feasibility of a Nurse-Led Hepatitis B Tele-monitoring Service (NHMS) at Singapore General HospitalSingapore General HospitalKanchanaDevi Balasubramaniamkanchanadevi.balasubramaniam@ sgh.com.sg

IC13: Alarm Management: From Confusion to Information to WisdomNCH Healthcare SystemKevin [email protected]

IC14: Ambulatory Clinical Teaching UnitLondon Health Sciences CentreJamie [email protected]

IC15: An Innovative Approach Improving and Sustaining Outcomes in a Clinical OBG DepartmentSentara Northern Virginia Medical CenterMark R. [email protected]

IC16: Appropriate Use Criteria — Is That Echo Really Necessary?NCH Healthcare SystemLisa Davislisa.davis.org

IC17: Are We on the Right Track? Managing Staff Sign-off on Mandatory TrainingLondon Health Sciences CentreCheryl Burt-Di [email protected]

IC18: Benchmarks: An Evidence- Based Approach to Creating High Performance NursesGalen Center for Professional DevelopmentRonda [email protected]

IC19: Blueprint for a Successful Resident Quality and Safety CouncilUniversity of Wisconsin Hospital and ClinicsSarah [email protected]

IC20: BOOMR — A Medication Reconciliation (MedRec) Quality Improvement InitiativeMedical Pharmacies Group LimitedCarla [email protected]

IC21: Building Improvement Capability: A Novel Approach to Interprofessional Quality Improvement Methodology TrainingUniversity of Texas SouthwesternEleanor [email protected]

IC22: Cardiac Resuscitation: Improving Performance Measures and Patient Outcomes for In-Hospital Cardiac ArrestsNewark Beth Israel Medical CenterMichael [email protected]

IC23: Catalyzing Innovation with External Grant Funding: Measurement of Organizational Capacity to Manage Grant-Funded ProjectsHanover ResearchTeresa [email protected]

IC24: Changing Hamad MOP Physicians PracticeHamad Medical CorporationMuna Al [email protected]

IC25: Changing the World through Robust Process ImprovementCitrus Valley Health PartnersWilliam [email protected]

IC26: Clinical Pathways and Quality Improvement at CHOPThe Children’s Hospital of PhiladelphiaSarah [email protected]

IC27: Collaboration Creates a Culture of Mobility in the Neuroscience PopulationOrlando HealthSuzanne [email protected]

IC28: Combating Catheter Associated Urinary Tract Infection (CAUTI) in a Surgical Intensive Care Unit (SICU)National University HospitalBhuvaneshwari [email protected]

IC29: Compassion Fatigue Meetings Promotes Care ModelNCH Healthcare SystemCarolyn [email protected]

IC30: Conquering CLABSINCH Healthcare SystemMaria [email protected]

IC31: Continuing Education Participation Among Occupational Therapy StaffLondon Health Sciences CentreKara [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Improvement Capability

IC32: Creating A Culture Of Quality: Rooting Quality Standards in the Daily Work of Front-Line StaffSt. Joseph’s Healthcare HamiltonYelena [email protected]

IC33: Creating a Culture of Safety in Environmental & Support Services “The Amazing Safety Challenge”London Health Sciences CentreKaren [email protected]

IC34: Curating an Evidence Base in the Virtual AgeNational Health Service — Improving QualityPolly [email protected]

IC35: Data to Drive Improvement in Pediatric Peripheral IV InfiltrationsThe Children’s Hospital of PhiladelphiaSichao [email protected]

IC36: Decreasing Chest Radiography for Bronchiolitis in a Pediatric Emergency DepartmentNew York Presbyterian HospitalJohn [email protected]

IC37: Decreasing Patient Visit Turnaround Time in Family and Internal Medicine with Lean-Six Sigma MethodologyHospital Sisters Health SystemKatie [email protected]

IC38: Developing a Dashboard for Quality Improvement in a Specialty Cancer Care CenterCancer Treatment Centers of AmericaRoy [email protected]

IC39: Development and Evaluation of a Comprehensive Diabetes Management Program in Long Term CareMedical Pharmacies Group LimitedHrishikesh [email protected]

IC40: Development and Evaluation of a Scalable Healthcare Systems Engineering Regional Extension CenterNortheastern UniversityJames [email protected]

IC41: Diabetes Care Process Project- Patient Focused Healthcare in County Council of DalarnaFalu HospitalAnna [email protected]

IC42: Discharge Multidisciplinary RoundsUniversity of Colorado School of Medicine (For GME Residents and Faculty)Amy [email protected]

IC43: Do Not Hospitalize: Providing Acute Care at HomeNorth Shore-LIJKaren [email protected]

IC44: Driving Nursing Professionalism while Achieving Clinical ExcellenceEastern Cancer Treatment Centers of AmericaGerry [email protected]

IC45: Dysphagia Screening in Stroke — Measuring the Compliance with Best Practice RecommendationsLondon Health Sciences CentrePenelope [email protected]

IC46: ED Blood Culture Contamination Rates DecreaseNCH Healthcare SystemBetsy [email protected]

IC47: Effective Management of Unintended Radiotherapy Treatment Interruptions for Better Cancer Control OutcomesNational Cancer Centre SingaporeAlex [email protected]

IC48: Effective Screening and Follow-up for Depression and/or Suicidal Ideation in Adolescents with Diabetes MellitusCincinnati Children’s Hospital Medical CenterChris [email protected]

IC49: EMS Direct to CT for Possible StrokeCommunity Medical CenterDonna [email protected]

IC50: Enhancing an Organization’s Analytic CapabilityMcKessonBarbara [email protected]

IC51: Evaluation of Adherence: A Tool For Effective HIV Care, Experience of Grace Children’s Hospital, 2010–2014International Child Care — Grace Children’s HospitalRonald Jean [email protected]

IC52: Evolution of an Emergency Department Severe Sepsis Alert and Practice Protocol: Lessons LearnedOrlando HealthDarleen [email protected]

IC53: Exploring the Etiologies of Ineffective Physician-Nurse CommunicationLondon Health Sciences CentreAlan [email protected]

IC54: Florida Hospital’s Change Management Leadership TrainingFlorida HospitalKathy [email protected]

IC55: Florida Hospital’s Implementation of CHG Bathing and Perineal CareFlorida HospitalJennifer [email protected]

IC56: Getting Supplies to the Front Line Caregivers Faster!NCH Healthcare SystemSue [email protected]

IC57: Going with the Flow — The Danish Flow CollaborativeDanish Society for Patient SafetyLouise Rabø[email protected]

IC58: Hospital-Acquired Pressure Ulcer ReductionNCH Healthcare SystemJoan [email protected]

IC59: How One Individual, YOU, Can Improve Communication and Collaboration on AD HOC teams, ANYWHERE!Sunnybrook Health Sciences CentreIrene [email protected]

IC60: iDASH — In-house Dashboard for Antimicrobial Stewardship in HealthcareDepartment of Pharmacy, Singapore General HospitalLai Wei [email protected]

IC61: Identification of Factors Contributing to Prolonged Wait Times and Boarding of Medical Patients in EDHamad Medical CorporationMuhammad [email protected]

IC62: Identifying Underweight Children during Community Screening in Rural Cambodia, July–November 2014Improving Global Health, Thames Valley Leadership Academy, Wessex Deanery NHS, UKKaajal [email protected]

IC63: iLead — Building (Even More) Capacity for ImprovementSunnybrook Health Sciences CentreGuna [email protected]

IC64: Implementation and Evaluation of Infusion Pumps and Safety Practice Compliance at London Health Sciences CentreLondon Health Sciences CentreJennifer [email protected]

IC65: Implementation of Risk Screening Assessment Improves Identification of Patients at Risk for Suicide or ElopementMonmouth Medical Center Southern CampusDorathy [email protected]

IC66: Implementation of a Nurse Training program for the Extra-Corporeal Membrane OxygenatorLondon Health Sciences CentreP. [email protected]

IC67: Implementing an Electronic Buisness Platform that Supports Internal and External CustomersVHA ISO Consultation DivisionAnthony D’Eramoanthony.d’[email protected]

IC68: Implementing of a Fast Track Recovery Pathway for Pancreatic Cancer Surgical PatientsOrlando HealthPatricia [email protected]

IC69: Improving Access to Care: Community Geriatric Psychiatry ServiceHawkesbury & District General HospitalHarminder [email protected]

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Improvement Capability

IC70: Improving Hospital Flow With Open Access RadiologyKolding HospitalPica [email protected]

IC71: Improving Identification, Treatment of Observation Patients to Reduce Length of Stay at Florida HospitalFlorida HospitalDavid [email protected]

IC72: Improving Insurance Verification Processes in the EDNCH Healthcare SystemTatiana [email protected]

IC73: Improving Operating Theatre Efficiency — It’s Not Just About the NumbersTan Tock Seng HospitalVernon [email protected]

IC74: Improving Physician Documentation for Coding and Billing at at Family Medicine Residency ClinicUTRGV School of MedicineMatiana Gonzalez [email protected]

IC75: Improving Postpartum Care of Gestational Diabetes Patients at the Good Samaritan Hospital Faculty Medical CenterTriHealth CorporationDavid [email protected]

IC76: Improving Quality Measurement & Transitions Among Small and Rural Hospitals in Ontario’s NorthwestCentre for Effective PracticeLindsay [email protected]

IC77: Improving Resident Discharge Efficiency Without Compromising Quality and Safety: From Resident Coaching to Friendly CompetitionJohn D. Dingle VA Medical Center, Detroit Medical CenterPierre [email protected]

IC78: Improving Student Compliance in Mandatory Training at London Health Science CentreLondon Health Sciences CentreKathy [email protected]

IC79: Improving the Self-Management of Patients with Type II Diabetes Mellitus in a Primary Care SettingThe Wright Center for Graduate Medical Education (WCGME)Gagandeep [email protected]

IC80: Improving Theatre Efficiency — Using Data to Stimulate Improvement in a South African District HospitalNo OrganizationChinonso [email protected]

IC81: Improving Transitions of Care: Results From a Pilot Study of a Data-Driven ModelCerner CorporationMarina [email protected]

IC82: Increasing International Patient Services VolumesAnn & Robert H. Lurie Children’s Hospital of ChicagoLaurie [email protected]

IC83: Insulin Therapy for Hyperglycemia in an Acute Rehabilitation Hospital: A Retrospective StudyBurke Rehabilitation HospitalThomas [email protected]

IC84: Integrating Simulation Technology into Hemodialysis Nursing Orientation Program at LHSCLondon Health Sciences CentrePaula [email protected]

IC85: Introducing a Departmental System Strengthening Approach: Quality Improvement Projects with South African Junior DoctorsThames Valley and Wessex Leadership AcademyCharlotte [email protected]

IC86: Intrument-Based Vision Screening for Preschool-Aged Children: An Implementation StudyBoston Children’s HospitalTemitope [email protected]

IC87: It’s In Your Hands:An Educational Initiative to Improve Family Hand Hygiene ComplianceBoston Children’s HospitalCeleste [email protected]

IC88: Joint Injection Simulation Session for Family Medicine Student ReadinessLSU Health (LSUHSC)Spandana [email protected]

IC89: Keep Scheduling SimpleNationwide Children’s HospitalVeronica [email protected]

IC90: Knowledge Competency — Improving Practice Care Team Functioning Through eLearningRemedy Healthcare ConsultingSheila [email protected]

IC91: Leaders Facilitating ChangeThe Joint CommissionDawn [email protected]

IC92: Lean Six Sigma Cultural Transformation: Multi-Sites and Multi-CompaniesHospital Sisters Health SystemPeter [email protected]

IC93: Learning Conversations in Practice; Improving Patient Care OutcomesHamad Medical CorporationFiona [email protected]

IC94: Lessons from the Trenches: Transforming the Experience of People with Advanced IllnessNorth Shore-LIJLori Ann [email protected]

IC95: Low-Cost Solution to High-Risk Problem: Enhancing Communication of Emergency Physician X-Ray Interpretations to Reading RadiologistSt. Michael’s HospitalMelissa [email protected]

IC96: Make Better Ways in Healthcare Spread Like VirusCentral Denmark RegionHenrik [email protected]

IC97: Measuring Knowledge Retained by Participants of the Advanced HAZMAT Life Support Provider CourseSunnybrook Health Sciences CentreTrevor [email protected]

IC98: Measuring Preventable HarmChristus HealthLissette [email protected]

IC99: Measuring Quality in Public HealthLos Angeles County Department of Public HealthQuan [email protected]

IC100: Meatal Care: Catheter Associated Urinary Tract Infection Reduction ProjectCentegra Health SystemCarrie [email protected]

IC101: Medical Assistant Academies to Maximize Medical HomeGundersen Health SystemRobyn [email protected]

IC102: MedStar PromptCare: Creating a Data Driven CultureMedStar HealthAndrew [email protected]

IC103: Monitoring Patient’s Telemetry for NecessityNCH Healthcare SystemHeather [email protected]

IC104: Moving from Data to Knowledge to ActionWest Virginia UniversityAdam [email protected]

IC105: Nationally Recognized ASU PCMH Practicum Expands to ECUCommunity Care of North CarolinaMarianne [email protected]

IC106: Nursing Transitional Model of Care-Management of High Risk PopulationsMonmouth Medical CenterSharon [email protected]

IC107: Optimizing Timing of Inpatient Echocardiography to Improve EfficiencyLondon Health Sciences CentreS. [email protected]

IC108: Our Pain Committee: A Better Approach to Managing PainCancer Treatment Centers of AmericaTahitia [email protected]

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Improvement Capability

IC109: Our Quest to Meet the Challenge of the Triple AimSignature HealthcareVera De [email protected]

IC110: People With Diabetes Receive Better Care — At The Push of a Button!Falu HospitalKristina [email protected]

IC111: Perioperative Tracking Boards — Enhancing Communication — Peace of MindLondon Health Sciences CentreKaren [email protected]

IC112: Prematurely Discontinued Randomized Trials Are Frequently Labelled “Completed” in Trial Registries — A Systematic ReviewKing Fahad Specialist Hospital in DammamReem Al [email protected]

IC113: Process Issues That Adversely Affect C Diff Rates in NHSNFlagler HospitalWilliam [email protected]

IC114: QI Gateway: Powerful Portal for Residents to Advance Improvement WorkQI Innovation InstituteFarbod [email protected]

IC115: Quality Improvement Initiative to Improve Empirical Antibiotic Selection at the Time of AdmissionThe Wright Center Graduate Medical EducationMaryyam [email protected]

IC116: Rapid Cycle Improvement: Building Improvement Capability to Drive OutcomesThe Children’s Hospital of PhiladelphiaVirginia [email protected]

IC117: Rapid Recovery Services (RRS)Mississauga Halton Community Care Access CentreBobbi [email protected]

IC118: Reducing CAUTIs: A Unit- Based Education and Leadership Bundled ApproachYale New Haven Health System — Bridgeport HospitalJennifer O’Neiljennifer.o’[email protected]

IC119: Reducing Electronic Lab Order Errors to Improve Patient Care and Decrease CostStanford Family MedicineJimmy [email protected]

IC120: Reducing Pediatric Emergency Department Utilization and Barriers to Care: An Interprofessional Approach using Care CoordinationUniversity of Central Florida College of MedicineErika [email protected]

IC121: Reducing Process Errors Related to the Respiratory Care Consult ServiceNCH Healthcare SystemMegan [email protected]

IC122: Reduction in Length of Stay for Neonates with Neonatal Abstinence Syndrome Through Non-Pharmacological InterventionsYale New Haven Health SystemMatthew [email protected]

IC123: Removal of Indwelling Urinary Catheter with PCEANCH Healthcare SystemChristina [email protected]

IC124: Revolutionizing Nursing Shared Decision MakingNCH Healthcare SystemMarie [email protected]

IC125: Right Level of Care Without Waiting Time for Stroke Patients in DalarnaLandstinget DalarnaBirgitta [email protected]

IC126: Round & Round We Go — Multidisciplinary RoundsNCH Healthcare SystemJennifer [email protected]

IC127: Sanford Improvement: Unifying Improvement EffortsSanford HealthAnnette [email protected]

IC128: Scaling Data-Driven Collaborative ImprovementHealthcare Council of Western PAJane [email protected]

IC129: Scaling Up Peer Support at Beth Israel Deaconess Medical CenterBeth Israel Deaconess Medical CenterLisa [email protected]

IC130: Sepsis Code: A Decade Long Journey Towards Mortality ReductionChristiana Care Health SystemVinay [email protected]

IC131: Sepsis Screening in Out-patient Adult Oncology PatientsOrlando HealthPatricia [email protected]

IC132: So What is the Role of an Improvement Advisor?Scottish GovernmentKathryn [email protected]

IC133: Socking It to Sepsis: A Journey to Improve Quality ED Sepsis CareSt. Michael’s HospitalMelissa [email protected]

IC134: Spreading Knowledge and Learning Through Mentoring in Public Schools in ChileFundacion Educacional OportunidadMarí a Trinidad Castro Ameníá[email protected]

IC135: Statistical Thinking and Methods — Successful Adaptation of Deming’s Management MethodNorthern Sydney Local Health DistrictHelen [email protected]

IC136: Streamlining Sepsis with Novel Use of EHRLakeland Regional Health SystemRobert [email protected]

IC137: Stroke Action Plan:Using IHI Learning Collaborative Methodology across an Entire Health JurisdictionAlberta Health ServicesBlair O’[email protected]

IC138: StrokePrio, Stroke Care Process Project- Patient Focused Healthcare in County Council of DalarnaLandstinget Dalarna, County Council of DalarnaHelena de la [email protected]

IC139: Supporting Advanced Stroke Treatment through Continuous Quality Improvement in Saskatchewan Canada.Health Quality CouncilJessica [email protected]

IC140: Sustainable Morbidity Surveillance in a South African Emergency Centre: Using a Standardised Coding Reference SheetImproving Global Health through Leadership DevelopmentJudy [email protected]

IC141: Technical Assistance for the FQHC APCP DemonstrationAmerican Institutes for ResearchRobert [email protected]

IC142: The Impact of Process Re-engineering on Safety and Throughput in a Behavioral Health Crisis CenterConnectionsAZMargaret [email protected]

IC143: The Synergy among Five Key Success Factors Help to Conquer CAUTIs in Critically Ill PatientsYale New Haven HospitalSandra [email protected]

IC144: The Use of Simulation to Engage and Evaluate Personal Support Workers (PSWs)London Health Sciences CentreKaren [email protected]

IC145: To Increase 24 Hour Rooming in Rate of Postnatal Patients and Their Newborn in HospitalSingapore General HospitalLiow Peck [email protected]

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Improvement Capability

IC146: To Reduce the Processing Time for Home Delivery Service Prescriptions by 50% Within 6 MonthsSingapore General HospitalTEO Bee Hoon [email protected]

IC147: Transformative Nursing Education in the EDLondon Health Sciences CentreLucy [email protected]

IC148: Transforming the Healthcare Response to Domestic ViolenceKaiser PermanenteBrandon [email protected]

IC149: Transitioning Breast Cancer Survivors: A Formative EvaluationCancer Care OntarioMaria [email protected]

IC150: Two Hours of Simulation Training Improves Teamwork in Cardiopulmonary Arrest TeamsOrlando HealthTara [email protected]

IC151: UHN QIP Discharge Summary- Innovative Quality Improvements and Collaborative Effort to Drive Focused Organizational ChangeUniversity Health NetworkAndre D’[email protected]

IC152: Using Clinical Dashboards and Decision Support to Enable Guideline-Concordant Mental Health CareOntario Shores Centre for Mental Health SciencesSanaz [email protected]

IC153: Using Patient-Reported Outcomes to Improve Pressure Ulcer Patient EducationAlberta Health ServicesLaura [email protected]

IC154: Utilizing Lean Methods to Improve Patient Experience in the Rush University Cancer CenterRush University Medical CenterPhil [email protected]

IC155: Walk This Way — Improving a Central Transportation ProcessNCH Healthcare SystemMagaly Del [email protected]

IC156: What’s All The Whoop About- Rapid ID of PertussisNCH Healthcare SystemMaritza [email protected]

IC157: When Good Care Givers Experience Bad OutcomesBarnes Jewish HospitalMichele [email protected]

IC158: Workflow-Based Interventions to Improve Vaccination of Hepatitis C Patients in a VA Primary Care ClinicVeterans AdministrationJohn [email protected]

Institute for Healthcare Improvement · ihi.org 1

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

L1: Accelerating Innovation with Generative Change LeadershipThe Potential GroupDanny [email protected]

L2: Action Learning Projects: Three Key Elements for Building Success into Student QA ProjectsDartmouth MHCDSAdrienne [email protected]

L3: Challenges in Transparency: Telling Stories, Publishing DataGreater Baltimore Medical CenterJohn Saunders, [email protected]

L4: Deepening a Case for a Fourth AimThe Potential GroupCate [email protected]

L5: Development of a “Lean” Integrated/Enterprise Risk Management Program to Manage Organizational RisksHIROCJoanna [email protected]

L6: Doctor of Nursing Practice (DNP) Projects Associated with Triple Aim Outcomes: Implications for Academic-Community PartnershipsUniversity of MinnesotaJudith [email protected]

L7: Evaluating Accreditation ChoicesNovant HealthRomona [email protected]

L8: Fatigue in the Workforce: Where Do You Start?University of Wisconsin — Madison School of NursingBarbara [email protected]

L9: From Theory to Action: Development and Implementation of Leader Standard Work at Health Sciences NorthHealth Sciences NorthNatalie [email protected]

L10: How to Use the Media as a Driver for ImprovementDanish Society for Patient SafetyCharlotte [email protected]

L11: Improving Nurse-Physician Communication in an Urban Emergency DepartmentBoston Medical CenterCassidy [email protected]

L12: Integrating Organizational Cultures Post Merger or Post AcquisitionHotel-Dieu Grace HealthcareTerra [email protected]

L13: Leading Through a Quality CabinetSanford HealthMolly [email protected]

L14: Physician Professionalism: Definition and CommitmentAdvocate Lutheran General HospitalPam [email protected]

L15: Physician Professionalism: Doctor: For Your InformationAdvocate Lutheran General HospitalJudi [email protected]

L16: Physician Professionalism: Feed In and Feed BackAdvocate Lutheran General HospitalJudi [email protected]

L17: Promoting Research in a Busy Residency ProgramHofstra NSLIJ School of MedicineMaureen [email protected]

L18: Resident QI Clinic: A Structured Educational Intervention to Provide Quality and Safety Training and MentorshipQI Innovation InstituteFarbod [email protected]

L19: The Science of Health Care Delivery: Improving the Healthcare System through Research and EducationArizona State UniversityKristen [email protected]

L20: Transforming the Patient Safety CultureMary Lanning HealthcareCharlene [email protected]

L21: Turning Physician Complaints into Positive ActionNorthwest Community HospitalLucy [email protected]

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Patient SafetyPS1: “I Will Fall,” A Team Approach to In-Patient Fall ReductionBaylor Scott and White Medical Center At IrvingJ. Brice [email protected]

PS2: A 10-year Journey of Engaging Patients in Patient Safety Education, Research, and ImprovementMedStar Health Research InstituteKelly [email protected]

PS3: A Change in Culture to Improve Patient SafetyHotel Dieu Grace HospitalKendra [email protected]

PS4: A Study on Effective Patient Safety Education for All Staff of Medical InstitutionsJapan Association for Development of Community MedicineMasahiko [email protected]

PS5: Acute Care Toolkits: Supporting the Delivery of Acute CareRoyal College of PhysiciansKevin [email protected]

PS6: Adverse Event Review: Reflecting on the Past to Improve the FutureMississauga Halton Community Care Access CentreBobbi [email protected]

PS7: Age Based Guidelines to Decrease Narcotic OversedationNCH Healthcare SystemAileen [email protected]

PS8: All Hazard Preparedness Through Ebola SimulationNorth Shore-LIJRobert [email protected]

PS9: Approach to Communication & Resolution Program ImplementationMedStar HealthKyle [email protected]

PS10: Appropriate Use of Antibiotic Prophylaxis in Surgical ProceduresClínica San FelipeErnesto [email protected]

PS11: Assessing Risk within the Health Care Supply ChainMedbuyChristopher [email protected]

PS12: Assessment of a Swiss Adverse Drug Event Prevention CollaborativeStat’EliteEstelle Lé[email protected]

PS13: Building Quality and Safety Checks in Implementing New Clinical ServicesNational University HospitalDiana [email protected]

PS14: Charting the Course to Patient Safety CertificationCourtemanche & AssociatesKerrie [email protected]

PS15: Code Blue: Using In-Hospital ACLS Simulation as a Multidisciplinary Quality Improvement ToolErie Family Health CenterJohn [email protected]

PS16: Comliance With Infection Control Practices Among ED Nurses During the Outbreak of MERS-COVHamad Medical CorporationBejoy [email protected]

PS17: Compliance of Surgical Handwashing Before Surgery by Remote Video AuditingThe Aga Khan University HospitalAmbreen [email protected]

PS18: Console, Coach or Discipline? The Experience and Outcomes of Implementing a Just CultureWindsor Regional HospitalRosemary [email protected]

PS19: Creating a Culture of Safety in the O.R. by Implementating a Briefing and Time-Out ToolHartford HealthCareRekha [email protected]

PS20: Creating a Safe Zone Through Fall InterventionsNCH Healthcare SystemJennifer [email protected]

PS21: Creation of an Intake Process in OB TriageBoston Medical CenterKristine [email protected]

PS22: Decreasing Healthcare Acquired Multidrug-Resistant Organisms in a Surgical Intensive Care Unit (ICU)The Mount Sinai HospitalRebecca [email protected]

PS23: Decreasing Sepsis Mortality through a Comprehensive Intervention In the Emergency Department and Inpatient SettingMount Sinai School of MedicineAllison [email protected]

PS24: Development and Implementation of Measures to Promote Early Sepsis Detection of Adult Medical InpatientsRush University Medical CenterBarbara [email protected]

PS25: Difficult Airway Identification — The Most Comprehensive ApproachCleveland Clinic Health SystemPiyush [email protected]

PS26: Effective Prevention Bundle to Eliminate Hemodialysis Catheter Related Bloodstream Infection in Ambulatory Hemodialysis facilitiesHamad Medical Corporationhicham [email protected]

PS27: Electronic Safety Checklists Reduce Severe Errors and Increase Workflow Efficiency in a Radiation Oncology DepartmentUniversity of FloridaJulie [email protected]

PS28: Eliminating Falls Across Health Care is Possible; No One Walks AloneKing Abdulaziz Medical City - National Guard Health AffairsRohana [email protected]

PS29: Emergency Department (ED) Front End Process (FEP) Redesign; Improved Door to Provider (DTP) TimeMethodist Hospital of SacramentoChasity [email protected]

PS30: Enhancing Patient Safety and Improving Organizational Culture of SafetyWellspan HealthVipul [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

Institute for Healthcare Improvement · ihi.org 2

27TH ANNUAL NATIONAL FORUM STORYBOARDS: Patient Safety

PS31: Ensure Patients Contact Details Are CorrectNational Healthcare Group PolyclinicsSerene [email protected]

PS32: Establishing Safety Event Analysis Team (SEAT) “turned ordinary people into champions”SEHA Tawam HospitalKrishnan [email protected]

PS33: Extent of Diagnostic Uncertainty Among Medical ReferralsMayo ClinicMonica Van [email protected]

PS34: First Do No HarmSt. Mary’s Hospital, SPHPVasantha [email protected]

PS35: Full Implementation and Sustainment of Project Re-Engineered Discharge at VA Palo Alto Health Care SystemVa Palo Alto Health Care SystemDavid [email protected]

PS36: Game on! Use of Gamification to Engage With and Motivate Clinicians to Improve Sepsis CareBC Patient Safety & Quality CouncilShari [email protected]

PS37: Glycemic Control in the Inpatient Hospital SettingDignity HealthHeather [email protected]

PS38: Golden Hour for Extremely Premature Infants: Improving Time to StabilityNationwide Children’s HospitalAmina [email protected]

PS39: Guidelines for the Reversal or Perioperative Cessation of Antiplatelet and Anticoagulant MedicationsHartford HealthCareBogdan [email protected]

PS40: Hand Hygiene ComplianceNCH Healthcare SystemMark [email protected]

PS41: Hand Hygiene: A Continual ChallengeThe Aga Khan Secondary Hospital, Hyderabad.Saniya Amar [email protected]

PS42: Have Mannequin, Will Travel: In Situ SimulationNovant HealthStacy [email protected]

PS43: Health Human Resource Factors: An Analysis on Patient Safety IndicatorsCritical Care Services OntarioBernard [email protected]

PS44: Healthy Babies Team Redesign: Eliminating Early Term Elective DeliveriesBon Secours St. FrancisEdward [email protected]

PS45: High Quality Care for the Older PersonHomerton University Hospital Foundation NHS TrustVictoria [email protected]

PS46: HRO Journey to Reduce Heparin ErrorsWilliam W Backus HospitalMichael [email protected]

PS47: Identifying and Reducing Code Grey Events in the Acute Care Hospital SettingNCH Healthcare SystemJeannie [email protected]

PS48: Identifying Opportunities for Improving Safety from the Bedside: A Protocol for IVIG AdministrationNorthwestern Memorial HospitalTrevor [email protected]

PS49: Impact of Influenza Like Illness on Critical Care Units: Early Findings from 206 Ontario ICUsCritical Care Services OntarioBernard [email protected]

PS50: Implementation of a Nursing-Driven Sliding Scale Electrolyte Protocol in Five Adult Intensive Care UnitsBoston Medical CenterWilliam [email protected]

PS51: Implementation of A Perioperative Nurse-to-Nurse Report Across Victoria Hospital and University HospitalLondon Health Sciences CentreKristen [email protected]

PS52: Implementation of a Surgical Safety Checklist in a Swiss University HospitalUniversity hospitalEstelle Lé[email protected]

PS53: Implementation of Transsphenoidal Pituitary Surgery Clinical Pathway to Improve Quality of Care and Patient SafetySingapore General HospitalUlina [email protected]

PS54: Improved Response to Serious Adverse Events as a Means to Culture TransformationMount Sinai School of MedicineBonnie [email protected]

PS55: Improvement of Resident Reported Patient Safety EventsUniversity of Wisconsin Hospital and ClinicsSarah [email protected]

PS56: Improving ACS Surgical Risk CalculatorClí nica San FelipeErnesto [email protected]

PS57: Improving Clinical Performance and Safety Culture through TeamSTEPPS ImplementationHCABill [email protected]

PS58: Improving Compliance with VTE Prophylaxis Assessment CompletionBoston Medical CenterAbhinav [email protected]

PS59: Improving HCW Influenza VaccinationCastle Medical CenterAnne [email protected]

PS60: Improving hospital Acquired CLABSI Rates by Culturing on Admission: An Inpatient Cancer Unit’s JourneyPenn State Hershey Medical CenterRuth [email protected]

PS61: Improving Immunization Status in Peritoneal Dialysis PopulationHamad Medical CorporationYolanda [email protected]

PS62: Improving Medication Reconciliation Accuracy in a VA Resident Primary Care Clinic Using After Visit SummariesUniversity Hospitals Case Medical Center/LSCVAMC Center of Excellence in Primary Care EducationAndrew [email protected]

PS63: Improving Patient Safety by Reducing Hypoglycemia EventsMercy Hospital St. LouisJulie [email protected]

PS64: Improving the Response of Code Blue Team in the In-Patient Pediatric Units Hamad General HospitalHamad General HospitalMagda [email protected]

PS65: Improving the Safety of Clinical Alarm SystemsNew Hanover Regional Medical CenterBillie T. [email protected]

PS66: Increased Error Reporting Through a Great Catch ProgramPenn State Hershey Medical CenterDesiree [email protected]

PS67: Inculcating Patient Safety Culture Among Junior Doctors Through Interactive TeachingNational University HospitalBhuvaneshwari [email protected]

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Patient Safety

PS68: In-Hospital Cardiac Arrest Response RedesignNorthwestern Memorial HospitalGabriel [email protected]

PS69: Innovative Ideas for Preventing Falls from Frontline StaffBoston Medical CenterKatherine [email protected]

PS70: Inpatient Glucose Management Program in the Asian Healthcare SettingSingapore General HospitalDesmond [email protected]

PS71: Inspiring a Culture of Safety through Patient Safety Event Reporting and AnalysisPenn State Hershey Medical CenterBrian [email protected]

PS72: Inventing Med Rec 2.0: Patient-centered Medication Reconciliation for ChildrenThe Mount Sinai HospitalRebecca [email protected]

PS73: I-PASS with SAFETY: Standardized Nursing Bediside HandoffBoston Medical CenterKatherine [email protected]

PS74: It Takes a Village: Hospital Based Inpatient Psychiatric ServicesStanford Health CareCatherine [email protected]

PS75: Lost to Follow-up PatientsCincinnati Children’s Hospital Medical CenterJames [email protected]

PS76: Medical Student Perceptions on Patient Safety Prior to Pilot of Healthcare Leadership TrackGeorgetown UniversityOmar [email protected]

PS77: Mental Health Patient Placement MattersHealth Sciences NorthNatalie [email protected]

PS78: Mental Health Service Changes and Suicide: Examining the Impact by Age and GenderThe University of ManchesterAdam [email protected]

PS79: MISSION Asthma Modern Innovative SolutionS to Improve Outcomes in AsthmaPortsmouth Hospitals NHS TrustClaire [email protected]

PS80: Monitoring Transfusion Reaction Activity Through SurveillanceProvincial Health Services AuthorityAimee [email protected]

PS81: Nurse Led Implementation of the ABCDE BundleDignity HealthBrenda [email protected]

PS82: On a Journey to High-Reliability- A Systems Approach to Communication & Resolution Program ImplementationMedStar HealthKyle [email protected]

PS83: One Year Post Life or Limb Policy Implementation: Evaluation to Support Acute Care Quality ServicesCritical Care Services OntarioBernard [email protected]

PS84: Partnering with Patients and Families to Dispel Misconceptions of Delirium - A System ApproachMedStar Health / H2PiArmando [email protected]

PS85: Path to Develop a Toolbox for UndergraduatesRobert Gordon UniversityJennifer [email protected]

PS86: Patient Safety from Boardroom to Bedside: Clinical Red/Green MeetingsWindsor Regional HospitalKaren [email protected]

PS87: Patient-Involved Structured Debriefings after Cesareans Improve Labor and Delivery Team Perception of Communication and SafetyThe University of Kansas School of Medicine - WichitaTaylor [email protected]

PS88: Patients as Partners in High Reliability- A Case Study of We Want to KnowMedStar Health Research InstituteCaitlin [email protected]

PS89: Pediatric Catheter Associated Urinary Tract Infection ReductionNationwide Children’s HospitalMike [email protected]

PS90: Pharmacy Presence in the Pediatric Emergency Center- Cultivating Safer PracticeAll Children’s HospitalPamela [email protected]

PS91: Pressure Ulcer Incidence in Six Intensive Care Units — Data for ImprovementsUniversity of Michigan Health SystemCandace [email protected]

PS92: Preventing Avoidable Death — An EMR-Powered Chief Quality OfficerHouston Methodist Medical CenterStuart [email protected]

PS93: Preventing Delays by Promptly Dealing Urgency of Cesarean Sections — The Implementation of Color CodesThe Aga Khan University HospitalSidrah [email protected]

PS94: Preventing Falls in Outpatient RehabNCH Healthcare SystemVince [email protected]

PS95: Preventing Insulin Dispensing ErrorsHamad Women’s Hospitalhanan [email protected]

PS96: Preventing Kernicterus in Canadian HospitalsHIROCJoanna [email protected]

PS97: Prevention of Catheter-Associated Urinary Tract Infections (CAUTI’S) Utilizing a Patent-Safe Automatic Bladder Management SystemFoundation Fighting Fatal Infection & DiseaseDavid [email protected]

PS98: Promoting a Culture of Safety In A Multi-Site Pediatric Hematology/Oncology PracticeAll Children’s Hospital John’s Hopkins MedicineTracy [email protected]

PS99: Promoting an Ambulatory Care Culture of Safety with an Interdisciplinary Preventative Falls Program (Falling Leaves)Penn State Hershey Medical CenterPaula [email protected]

PS100: Protecting Patients From Risks Associated With The Use of Electrosurgical Unit (ESU)National University HospitalSandhya [email protected]

PS101: Providing Early Definitive Care: A Mitigating Measure for Patients Waiting for Beds at Emergency DepartmentNational University HospitalSandhya [email protected]

PS102: Pulse Oximetry Alarms: Can We Take Alarms Down Another NotchBoston Medical CenterDeborah [email protected]

PS103: Pump In & Pump Out: Increasing Hand Hygiene Compliance and Observations through Mobile FormAdventist HealthCare Physical Health and RehabilitationMarya De La Cruz [email protected]

PS104: Quality Improvement Initiative of Pediatric Inpatient Discharge SummaryMetropolitan Hospital CenterVisalakshi [email protected]

PS105: Rapid Start Up of a Large Scale Patient Safety OrganizationHCARuth [email protected]

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Patient Safety

PS106: rapID-PASS: An Emergency Department Standardized HandoffBoston Medical CenterAnton [email protected]

PS107: Reducing Bottleneck Delays in a South African Emergency CentreThames Valley and Wessex Leadership AcademyLucy [email protected]

PS108: Reducing Falls: A Critical Access Hospital Approach to Reducing FallsRumford HospitalBecky [email protected]

PS109: Reducing Harm from OpioidsSouthern District Health BoardLucia [email protected]

PS110: Reducing Hospital-Acquired Pressure Ulcers at Florida HospitalFlorida HospitalNamrata [email protected]

PS111: Reducing Hyperglycaemia in Fasting Diabetic Patients Awaiting ProceduresSingapore General HospitalStephanie Chung Shuk [email protected]

PS112: Reducing Radiation Dose During CT ExamsNCH Healthcare SystemLindsey [email protected]

PS113: Reducing the Risk of Venous Thromboembolism (VTE) Events: An Interprofessional ApproachPenn State Hershey Medical CenterMary [email protected]

PS114: Reducing Urinary Catheters at The Ottawa Hospital: Experience from the medicine wardThe Ottawa Hospital Research InstituteKrista [email protected]

PS115: Reduction in Post Prostate Biopsy InfectionsSt. Luke’s Regional Medical CenterJohn [email protected]

PS116: Reduction of Adverse Events (AEs) in an AMC Over a Decade — The NUH ExperienceNational University HospitalSucharita [email protected]

PS117: Respiratory Therapist and Nurses Collaborate to Prevent Respiratory Device- Related Pressure UlcersOrlando HealthTara [email protected]

PS118: Risk-Scoring Systems Improve Patient SafetySignature Healthcare Brockton HospitalCheryl [email protected]

PS119: Safe Passage: Optimizing Transitions of Care to Labor and DeliveryUniversity of Pennsylvania HospitalDaniel [email protected]

PS120: Safety and Savings: Improve Obstetric Hemorrhage-Screening Decreases Massive Transfusion RequirementsWinnie Palmer Hospital: Arnold Palmer Medical Center a part of Orlando HealthSharon [email protected]

PS121: Safety by Design: Creating the Prototype for Design Thinking in Patient Safety at StanfordLucile Packard Children’s HospitalL. Krisa Hoyle [email protected]

PS122: Safety Initiatives Implemented on an Inpatient Unit for Patients with Substance Use DisordersThe Ohio State University Medical CenterJulie [email protected]

PS123: Save a Life — Call an RRT!New Hanover Regional Medical CenterSteve [email protected]

PS124: Saving Sacrums: Reducing Pressure UlcersNCH Healthcare SystemErin [email protected]

PS125: Screening for Anxiety and Depression in Cancer Patients: A Nursing InterventionHamad Medical CorporationFiona [email protected]

PS126: Sentinel Events Eliminated by Implementation of Direct Admission PolicySaint Michael’s Medical CenterSusanna [email protected]

PS127: Shining a Light on Patient SafetyMercy Hospital St. LouisDebbie [email protected]

PS128: Standardizing and Tightening Home Leave Process to Ensure Patient SafetyNational University HospitalBhuvaneshwari [email protected]

PS129: Standardizing Total Parenteral Nutrition (TPN) to Reduce ErrorsAll Children’s Hospital Johns Hopkins MedicineJacquelyn [email protected]

PS130: Sticking it to the FluNCH Healthcare SystemPaul [email protected]

PS131: Strengthen the Hand Over ProcessThe Aga Khan University HospitalAmbreen [email protected]

PS132: Surgical Antibiotic Prophylaxis: Choice and Dose Matters!Yale New Haven HospitalNicole [email protected]

PS133: Surgical Leadership Huddle to Review DebriefingThomas Jefferson University HospitalMonica [email protected]

PS134: Sustaining the Gain in Reducing FallsNewark Beth IsraelSheri [email protected]

PS135: Systems & Human Factors Engineering Approach to Reducing System-wide CAUTI at an Academic Medical CenterUniversity of Texas SouthwesternEleanor [email protected]

PS136: TeamSTEPPS and Surgical Safety Checklist: Improving Patient SafetyMount Sinai Medical CenterYessenia [email protected]

PS137: The Addition of Cranberry and Bacitracin to the Standard Foley Bundle Significantly Reduced/Eliminated CAUTISignature Healthcare Brockton Hospitalkhaled [email protected]

PS138: The Development of an Anesthesia Department Communications CompactH Lee Moffitt Cancer CenterJonathan [email protected]

PS139: The Impact of Influenza Like Illness on Critical Care Units: Early Findings from Ontario ICUsCritical Care Services OntarioBernard [email protected]

PS140: The Journey Continues, Using Lean Methodology,an A3 Status UpdateNew Hanover Regional Medical CenterSandy [email protected]

PS141: The Role Of A Naloxone Task Force In Improving SafetyH Lee Moffitt Cancer CenterDiane [email protected]

PS142: The Role of HeROs in the Creation of a Culture of ReliabilityMednaxJeffrey [email protected]

PS143: The Telluride Experience: A New Approach to Patient Safety EducationMedStar HealthStacey [email protected]

PS144: To Improve Design of Limb RestrainerSingapore General HospitalShanmugavalli [email protected]

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27TH ANNUAL NATIONAL FORUM STORYBOARDS: Patient Safety

PS145: To Improve Hand Hygiene Compliance Among DoctorsSingapore General HospitalShuwei [email protected]

PS146: Toronto Western Hospital Emergency Department Bed Utilization ProjectUniversity Health NetworkLucas [email protected]

PS147: Tracheostomy Care OptimizationAnn & Robert H. Lurie Children’s Hospital of ChicagoRowsha [email protected]

PS148: Unsuitable Communication with Older People Declines the Heart FunctionEGPRN; NAPCRG / memberSofica [email protected]

PS149: Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient FallsMayo ClinicApril [email protected]

PS150: Using Common Cause Analysis on the Journey to Zero Patient HarmMemorial Hermann Health SystemAnne-Claire [email protected]

PS151: Using Fake Mommies to Change Real Patient CareNovant HealthLindsey [email protected]

PS152: Using Medication Safety Data to Drive Performance ImprovementPharmacy Systems, Inc.Steven [email protected]

PS153: Using Mindfulness for Critical Thinking and Patient Safety During Medication AdministrationUniversity of Illinois at ChicagoMarianne [email protected]

PS154: Using the Global Trigger Tool to Identify Adverse Events in a Brazilian HospitalACSC - Associação Congregação de Santa CatarinaCamila [email protected]

PS155: Using Tracers to Evaluate Implementation of an Improvement StrategyCenter for QualityInge [email protected]

PS156: Utilizing Electronic Triggers to Identify Adverse Events, Harm, and Improvement Opportunities in a Pediatric HospitalCook Childrens Health Care SystemShana [email protected]

PS157: Utilizing Slow-Pressure Volume Loops to Determine Optimal PEEP and Improve Patient OutcomesGeisinger Medical CenterMichael [email protected]

PS158: VA Palo Alto Health Care System Nursing Service Project RED Implementation of Teach BackVa Palo Alto Health Care SystemDenise [email protected]

PS159: Venous Thromboembolism: Establishing a Quality System for Hospital-wide Identification and PreventionNationwide Children’s HospitalSheilah [email protected]

PS160: Ventilator-Associated Pneumonia: Using Evidence, Interdisciplinary Teamwork & Continuous Rapid Improvement to Drive Culture ChangeThe Children’s Hospital of PhiladelphiaLouise [email protected]

PS161: Virtual Monitors Reduces Fall Rate in Hospital Intermediate Care UnitsBrigham and Women’s HospitalEscel [email protected]

PS162: Weighing in on Patient SafetyNovant HealthJohn Gardella [email protected]

PS163: Working Towards Zero, No Pressure: Preventing Pediatric Pressure UlcersAll Children’s Hospital John’s Hopkins MedicineKris [email protected]

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Person- and Family-Centered CarePFCC1: “What Matters to You?” Bringing the Patient’s Voice into Quality and AffordabilityPalo Alto Medical FoundationLaura [email protected]

PFCC2: A Patient Driven Approach to Endoscopy Shift DesignMayo ClinicErin [email protected]

PFCC3: A Person-Centered Approach to Survey DesignCancer Care OntarioHeidi [email protected]

PFCC4: An Approach to Increase Depression Screening RatesUNM Truman Health ServicesMarlinda [email protected]

PFCC5: An Exploration of Patient Experience At London Health Sciences CentreLondon Health Sciences CentreTheresa Malloy [email protected]

PFCC6: An Innovative Way to Improve Quality by Engaging Patients and FamiliesNSLIJ Forest Hills HospitalViviane [email protected]

PFCC7: Approach to a Chronic Care Problem in Canada: Evaluative Results from the Atlantic Healthcare CollaborationCanadian Foundation for Healthcare ImprovementClaudia [email protected]

PFCC8: Are Families Part of Your Team?Danish Society for Patient SafetyBritt [email protected]

PFCC9: At the Heart of Care Redesign: Patient EngagementStanford Hospital and ClinicsChristine [email protected]

PFCC10: Becoming Conversation Ready: Tracking Process and Policy Improvements on Discharged to ICU and Hospice RatesSpaulding Hospital CambridgeSusan [email protected]

PFCC11: Better Together: Partnering with Families CampaignInstitute for Patient- and Family-Centered CareBeverley [email protected]

PFCC12: Care Coordination Challenges Among the Sickest IndividualsOptumInsightTimothy [email protected]

PFCC13: Care Management Call Center Voicemail Reduction ProjectCancer Treatment Centers of AmericaLouise [email protected]

PFCC14: Communicating for Better Care: Proactive Communication StrategiesSingapore General HospitalTan Hui [email protected]

PFCC15: Communication Challenges in Partnering with PatientsDatixDaniel [email protected]

PFCC16: Compassionate, Collaborative CareSchwartz Center for Compassionate HealthcareBeth [email protected]

PFCC17: From Great Intentions to Great Implementation: Standardizing Best Practices for Family MeetingsThe Children’s Hospital of PhiladelphiaRachel [email protected]

PFCC18: From Principle to Practice: Implementing a Person-Centred Care Guideline in the Ontario cancer systemCancer Care OntarioSimron [email protected]

PFCC19: Gaps in the Use of Palliative Care in US HospitalsUniversity HealthSystem Consortium (UHC)Jocelyn [email protected]

PFCC20: Impact of an Integrated Health Home for SMI on Wait Times and First Appointment AdherenceBarnabas HealthStanley [email protected]

PFCC21: Implementation of a Pet Assisted Therapy at University Hospital, London Health Sciences CentreLondon Health Sciences CentreCraig [email protected]

PFCC22: Implementing a Collaborative Care Model for Hospitalized Medical Patients: a Pilot StudyUniversity of Texas Health Science Center San AntonioKanapa [email protected]

PFCC23: Improving Care Delivery by Performing Electromyography Prior to Hand Surgery Evaluation for Carpal Tunnel SyndromeMayo Clinic ArizonaKatharine [email protected]

PFCC24: Improving Patient Experience and Clinical Throughput in the Epilepsy Monitoring UnitLondon Health Sciences CentreSusan [email protected]

PFCC25: Improving Post-Discharge Follow-Up of Pediatric Asthma Patients at Harlem Hospital: A Resident-Led QI ProjectHARLEM HOSPITAL PEDIATRICSNkeiruka [email protected]

PFCC26: Improving the Patient Experience in a Radiation Therapy Department by Minimizing Daily Wait TimesCancer Care OntarioLaurie [email protected]

PFCC27: Increasing Trichomonas Testing in the Pediatric Emergency DepartmentNationwide Children’s HospitalDon [email protected]

PFCC28: Kapi’olani Medical Center for Women & Children Emergency Department Project in Patient SatisfactionJohn A Burns School of MedicineAnik [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

Institute for Healthcare Improvement · ihi.org 2

27TH ANNUAL NATIONAL FORUM STORYBOARDS: Person- and Family-Centered Care

PFCC29: Measuring What Matters: Patient Reported Experience in Real Time as part of Quality Improvement CycleCancer Care OntarioSimron [email protected]

PFCC30: MEDS Chart: Eliciting Patient Voice to Address Medication TraumaCareOregonPaul [email protected]

PFCC31: Mindfulness for Care Providers: A Salutogenic Win-WinSt. Joseph’s HealthcarePeter [email protected]

PFCC32: Patient Counselling From Compliance to ConcordanceHamad Women’s Hospitalsuha [email protected]

PFCC33: Patient/Family Centered Care Experience at St. Mary’s Hospital Endoscopy UnitSaint Mary’s Hospital Of TroyAnnmarie [email protected]

PFCC34: Patients as Partners in Co-designing ImprovementCanadian Foundation for Healthcare ImprovementJessie [email protected]

PFCC35: Physician Shadowing Impact on Doctor-Patient CommunicationRush University Medical CenterFrancis [email protected]

PFCC36: Real-Time Patient Advisory Groups: Novel Opportunities for Learning and ImprovementToronto Rehabilitation InstituteCarol [email protected]

PFCC37: Reproductive Health — In an Advanced Welfare StateDanish Society for Patient SafetyBeth [email protected]

PFCC38: Saving Lives of Little Angels and Their Mothers in The High Alps of Chitral, PakistanAga Khan Health Service, PakistanShireen [email protected]

PFCC39: Self-Care Texts Support Long Term ConditionsMansfield & Ashfield Clinical Commissioning GroupSian [email protected]

PFCC40: Sleep-Deprived: Overlooked and Undertreated an Update on ScreeningCancer Treatment Centers of AmericaDavid [email protected]

PFCC41: Success: Reducing Admissions by Care NavigationUniversity of Michigan Health SystemMargaret [email protected]

PFCC42: System Level Quality Indicators for Palliative Care in OntarioOntario Palliative Care Network SecretariatSara [email protected]

PFCC43: Systems Leadership for Person-Centered CareDentaQuest FoundationMatthew [email protected]

PFCC44: The Impact of Collaborative Care on the Healthy Workplace environment of the Bedside NurseUniversity HospitalSean, Jennifer Moore, [email protected] and [email protected]

PFCC45: The Standardization of Care for the Cystic Fibrosis PatientGeisinger Health SystemLaurie [email protected]

PFCC46: Transitions in Healthcare Delivery: Provider-Patient Communication in the New EraUniversity of IllinoisEric [email protected]

PFCC47: Using Six Sigma Methodology to Improve Patient SatisfactionNewark Beth Israel Medical CenterMaryellen [email protected]

PFCC48: Utilizing Communication Boards to Improve the Discharge ProcessUniversity Of WashingtonReiko [email protected]

PFCC49: What Do Primary Care Patients Value?Indiana University Purdue University IndianapolisMalgorzata Anna Fialkowska [email protected]

PFCC50: What Matters Most for Those Living with Dementia During Their Stay on an Orthopaedic UnitPortsmouth Hospitals NHS TrustRoss [email protected]

Institute for Healthcare Improvement · ihi.org 1

Quality, Cost, and ValueQVC1: A Health System’s Transformational Approach in Creating a Quality Focused Environment in Ambulatory Practice SettingsUT Southwestern Medical CenterAdrian [email protected]

QVC2: A Multi-Dimensional Contextualization of QualityThe George Washington UniversityWayne [email protected]

QVC3: A Multidisciplinary Approach to Improving Heart Failure Care: A Never Ending PDSA CycleIntermountain HealthcareJose [email protected]

QVC4: Antimicrobial Stewardship Initative Significantly Reduces Antibiotic Use By Using Serial Procalcitonin Measurements to Guide TherapyFive Rivers Medical CenterMike [email protected]

QVC5: Application of 6S in a Pediatric Emergency MedicineSUNY Downatate Medical Center at Long Island College HospitalVirteeka [email protected]

QVC6: Applying Discrete Event Simulation (DES) Modeling to Optimize Hemodialysis Scheduling in SW OntarioLondon Health Sciences CentreMonica Mamut Chuck [email protected]

QVC7: Applying LEAN to Improve Time to Provider in a Pediatric Emergency DepartmentKings County Hospital CenterJacqueline [email protected]

QVC8: Biohazard Sharp Box Disposal Cost Savings Through The Introduction of Glass RecyclingNational University Health SystemYiling [email protected]

QVC9: Blood ConservationNovant HealthSantosh R. Goplai, [email protected]

QVC10: CHOP is Opening 6 Ambulatory Sites Within 12 MonthsThe Children’s Hospital of PhiladelphiaEileen [email protected]

QVC11: Communicating Health Care Efficiency to ConsumersAmerican Institutes for ResearchKourtney [email protected]

QVC12: Comparisons of Spine Data Cohorts: Cohorts defined by Billing Code vs. Cohorts Clinically DefinedIntermountain HealthcareKristy [email protected]

QVC13: Consultant ProsthodonticsHamad Rumailah HospitalSuhayla [email protected]

QVC14: Decreasing Operating Room Time Turn-Around Time: One Service at a TimeThe Children’s Hospital of PhiladelphiaCristina [email protected]

QVC15: Decreasing Unnecessary Transfusions: Implementing & Sustaining High Value CareRush University Medical CenterAmanda [email protected]

QVC16: Does a Central Population Health Coordinator Enhance Effective Population Management in Primary Care?Massachusetts General HospitalDaniel [email protected]

QVC17: Economic Impact of the Referral of Low Level Paraproteins to a Haematology DepartmentThe Ipswich Hospital NHS TrustFinella [email protected]

QVC18: Enhanced Recovery After Surgery (ERAS) Collaborative in OrthopaedicsKo AwateaMataroria [email protected]

QVC19: Enhanced Recovery After Surgery Decreases Length of Stay and Post-operative CostsUniversity of Wisconsin Hospital and ClinicsSarah [email protected]

QVC20: Ensuring Intensive Lifestyle Education for Newly Developed Diagnosed Pre-Diabetic PatientsNational healthcare Group PolyclinicsZiliang [email protected]

QVC21: Establishing ‘Toyota Specifications’ for System Level MeasuresKo AwateaMataroria [email protected]

QVC22: Establishing an Acute Medical Assessment Unit to Improve In-Patient Quality in Hamad General Hospital, QatarHamad Medical CorporationMuhammad [email protected]

QVC23: Evaluating direct medical costs of Adverse Events (AEs) in hospitalized patients in National University HospitalNational University HospitalSucharita [email protected]

QVC24: Evaluating Impact of Harm on Hospital Financial Outcomes: A Practical ApproachFlorida HospitalDavid [email protected]

QVC25: Evaluation of a Novel Structured Continence Care Program in a Long Term Care FacilityMedical Pharmacies Group LimitedDenis O’[email protected]

QVC26: Exploring the Variables That Impact on Self Reported Back in Nurses in Critical CareHamad Medical CorporationFiona [email protected]

QVC27: Fecal Occult Blood Tests: Valuable for Screening, Wasteful for DiagnosticsOrlando HealthOmid [email protected]

QVC28: First-Dollar Medigap Plans and Healthcare QualityOptumInsightTimothy [email protected]

QVC29: Geriatric Hip Fracture Care: Fixing a Fragmented SystemUniversity of Colorado School of Medicine (For GME Residents and Faculty)Mary [email protected]

QVC30: Going Green: Reducing Amount of Charge Forms Used in Specialist Outpatient ClinicSingapore General HospitalJunhong [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

Institute for Healthcare Improvement · ihi.org 2

27TH ANNUAL NATIONAL FORUM STORYBOARDS: Quality, Cost, and Value

QVC31: Gynecologic Robotic Surgery in a Community Institution with Focus on OR Efficiency, Quality, and CostGundersen Health SystemDana [email protected]

QVC32: Implementation of a Standard Approach to Diagnosis and Management of Obstetric HemorrhageGundersen Health SystemDana [email protected]

QVC33: Implementation of Antimicrobial Stewardship in a Rural Community HospitalHannibal Regional HospitalJessica [email protected]

QVC34: Improve Patient Access to Appointment Information and Effectively Manage Non-Appt Related CallsSingapore National Eye CentreCHERYL [email protected]

QVC35: Improving Outcomes for Joint Replacement Patients: One Hospital’s JourneyOrlando HealthLaura [email protected]

QVC36: Improving Pain Management in the Pediatric Emergency Department for Dislocations and FracturesBoston University School of MedicineSara [email protected]

QVC37: Improving Pharmaceutical Waste ManagementGundersen Health SystemMarilu [email protected]

QVC38: Improving Utilization of Head CT for head Pediatric Injury in Hamad General Hospital, QatarHamad Medical CorporationAmr [email protected]

QVC39: Improving Value in Pediatric T&A Through a Private Performance Feedback ReportIntermountain HealthcareKatie [email protected]

QVC40: Interoperability: A Demonstration of Seamless Information SharingCerner CorporationMarina [email protected]

QVC41: Leading Change in a Publicly-Funded System Through a System Wide Approach to Quality Improvement PlansHealth Quality OntarioDanyal [email protected]

QVC42: Medication Adherence Patterns and Targeted InterventionsAdvocate HealthcareDarcy [email protected]

QVC43: Missouri Baptist Medical Center Surgical HomeDartmouth MHCDSDavid [email protected]

QVC44: Optimising Management of Patients on Warfarin in General Practice, through Collaboration with Pharmacist-Led Anti-Coagulation ClinicsNational healthcare Group PolyclinicsKhai Wei [email protected]

QVC45: Optimizing Surgical Patient Flow from the Post Anesthesia Care Unit to the Inpatient UnitsBoston Children’s HospitalManneh [email protected]

QVC46: Overcoming Barriers to Continuity of Care by Reducing the No-Show of DeliveryThe Aga Khan University HospitalSaba [email protected]

QVC47: Payer and Provider as Partners Driving the Triple AimAnthemDebra [email protected]

QVC48: Percuteaneous Coronary Intervention Through Radial Technique - Quality IndicatorFundacion Cardioinfantil Istituto de CadiologiaMaria Angelica Torres Silva

[email protected]

QVC49: Preventing Bouncebacks with a Triple T StrategyGundersen Health SystemMichelle [email protected]

QVC50: Primary Care Innovations (PCI)Gundersen Health SystemDavid [email protected]

QVC51: Redesign of Massive Transfusion Processes to Improve Efficiency, Reliability and Reduce WastePenn State Hershey Medical CenterScott [email protected]

QVC52: Reducing Cancellations on the Day of Scheduled Surgery at a Children’s HospitalCincinnati Children’s Hospital Medical CenterJ. Nick [email protected]

QVC53: Reducing Central Line Associated Blood Stream Infection (CLABSI): By Bundle ApproachPrince Sultan Military Medical CityMuhammad Kashif [email protected]

QVC54: Reducing Clostridium Difficile: Choose Your Poo, A Visual AidNorth Shore University HospitalStephanie [email protected]

QVC55: Reducing Disaster Field Hospital Computing Infrastructure Activation Times Through Improving Human FactorsSunnybrook Health Sciences CentreTrevor [email protected]

QVC56: Reducing IVH in a Level III NICUUniversity Of PennsylvaniaLori [email protected]

QVC57: Reducing Patient Harm and Improving Outcomes Using TechnologyMount Sinai Beth IsraelRobbie [email protected]

QVC58: Reducing Surgical Site Infection after Major Gynecologic Cancer Surgery: Current Success and Future OpportunitiesMayo Clinic

Sara [email protected]

QVC59: Responding to high users of emergency services.Hotel Dieu Grace HealthcareRobert [email protected]

QVC60: Separating Emergency and Theatre PACU at CHUBCentre Hospitalo-Universitaire de ButareOSWALD [email protected]

QVC61: Surgical Performance Improvement in a Health System- Surgical Council as a Driver for ChangeHartford HealthCareRekha [email protected]

QVC62: System Level MeasuresKo AwateaMataroria [email protected]

QVC63: Targeting The Heart of ReadmissionsEast Alabama Medical CenterLisa [email protected]

QVC64: The Outcome Effect of Converting an Acuity Adaptable Cardiac Unit into Acuity Specific Cardiac UnitsGeisingerEric [email protected]

QVC65: Towards Excellent Care for AllHealth Quality OntarioLee [email protected]

QVC66: Using Personalized Reports to Fuel Quality CareHealth Quality OntarioJonathan [email protected]

QVC67: Using Technology to Improve Sepsis CareMiddlesex HospitalTerri [email protected]

QVC68: Walk-In Hospital: A Successful Experience in an Overcrowded Emergency DepartmentFundacion Cardioinfantil Instituto de CariologiaMaria Andrea Jaramillo [email protected]

Institute for Healthcare Improvement · ihi.org 1

Triple Aim for PopulationsTAP1: A Multi-stakeholder Approach to Improving Quality of Care for Hospitalized Older Adults with MalnutritionAvalere HealthEleanor [email protected]

TAP2: Addressing Prescription Opiates: An Alternative Design to Addressing the Opiate EpidemicCare OregonSafina [email protected]

TAP3: Assessing and Building a Culture of Safety Through Multi-Channel ProcessVestagenBen [email protected]

TAP4: Community-Based Health & Wellness Coaching: 320,000,000 PathsAmmonoosuc Community Health Services, Inc.Edward Shanshala [email protected]

TAP5: Development of an Outpatient Transfusion Program to Reduce Avoidable HospitalizationsHebrew Home at RiverdaleZachary [email protected]

TAP6: Getting With The Guidelines: System-Level Sepsis InitiativeMedStar HealthVishal [email protected]

TAP7: Improving Care Access at Lurie Children’sAnn & Robert H. Lurie Children’s Hospital of ChicagoSteve [email protected]

TAP8: Improving Care for Epilepsy Patients Reducing Hospital Utilization Following QI InterventionsNationwide Children’s HospitalEric [email protected]

TAP9: Improving Care for Patients with Complex Conditions through Health Links: An Ontario ApproachHealth Quality OntarioMonique [email protected]

TAP10: Improving Quality of Care for Adult Survivors of Childhood Cancer Through a Survivorship Transition ClinicUniversity of Kansas Medical CenterEyad [email protected]

TAP11: Improving Transitions Across the Continuum From an Acute Care Hospital to HomeNortheast Medical GroupJohn [email protected]

TAP12: Innovative Approach to Increasing Access to Primary Care at Virginia Garcia Memorial Health CentersCareOregonJacquelyn [email protected]

TAP13: Introducing a New Approach to Care: Health Link Coordinated Care Planning in South West LHINSouth West LHINKelly [email protected]

TAP14: Key Performance Indicators in Post-Acute CareThe Camden GroupTina [email protected]

TAP15: LeBonheur CHAMP: Changing High Risk Asthma in Memphis Through PartnershipLe Bonheur Children’s HospitalChristie [email protected]

TAP16: Managing High-Risk Patients in a Value-Based WorldBaycare Health SystemEdward [email protected]

TAP17: Patient Family Advisors and Hospital GovernanceFort Belvoir Community HospitalKenneth L. [email protected]

TAP18: Population Health in a Rural HospitalHannibal Regional Healthcare SystemStephanie [email protected]

TAP19: Population Health Management 2.0: The Future of Population Health Managementi2i SystemsJanice [email protected]

TAP20: Reducing Severity of Comorbid Psychiatric Symptoms in an Epilepsy Clinic Using a Co-location ModelCheyenne Regional Medical CenterJasper James “JJ” [email protected]

TAP21: Sleep Apnea: If Your Patient is at Risk, So Are YouUrsuline CollegeLisa [email protected]

TAP22: Sustaining Staff and Patient Engagement for Behavioral Health IntegrationUniversity of Texas Health Science Center at TylerCarolyn [email protected]

TAP23: Transforming the Safety Net in TexasUniversity of Texas Medical BranchSusan [email protected]

TAP24: Improving Population Health — Team-Based Approach to Optimal Diabetes CareSanford Health West RegionTessi Ross, BSN, MPA, RN, [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.

Institute for Healthcare Improvement · ihi.org 1

Triple Aim for PopulationsTAP1: A Multi-stakeholder Approach to Improving Quality of Care for Hospitalized Older Adults with MalnutritionAvalere HealthEleanor [email protected]

TAP2: Addressing Prescription Opiates: An Alternative Design to Addressing the Opiate EpidemicCare OregonSafina [email protected]

TAP3: Assessing and Building a Culture of Safety Through Multi-Channel ProcessVestagenBen [email protected]

TAP4: Community-Based Health & Wellness Coaching: 320,000,000 PathsAmmonoosuc Community Health Services, Inc.Edward Shanshala [email protected]

TAP5: Development of an Outpatient Transfusion Program to Reduce Avoidable HospitalizationsHebrew Home at RiverdaleZachary [email protected]

TAP6: Getting With The Guidelines: System-Level Sepsis InitiativeMedStar HealthVishal [email protected]

TAP7: Improving Care Access at Lurie Children’sAnn & Robert H. Lurie Children’s Hospital of ChicagoSteve [email protected]

TAP8: Improving Care for Epilepsy Patients Reducing Hospital Utilization Following QI InterventionsNationwide Children’s HospitalEric [email protected]

TAP9: Improving Care for Patients with Complex Conditions through Health Links: An Ontario ApproachHealth Quality OntarioMonique [email protected]

TAP10: Improving Quality of Care for Adult Survivors of Childhood Cancer Through a Survivorship Transition ClinicUniversity of Kansas Medical CenterEyad [email protected]

TAP11: Improving Transitions Across the Continuum From an Acute Care Hospital to HomeNortheast Medical GroupJohn [email protected]

TAP12: Innovative Approach to Increasing Access to Primary Care at Virginia Garcia Memorial Health CentersCareOregonJacquelyn [email protected]

TAP13: Introducing a New Approach to Care: Health Link Coordinated Care Planning in South West LHINSouth West LHINKelly [email protected]

TAP14: Key Performance Indicators in Post-Acute CareThe Camden GroupTina [email protected]

TAP15: LeBonheur CHAMP: Changing High Risk Asthma in Memphis Through PartnershipLe Bonheur Children’s HospitalChristie [email protected]

TAP16: Managing High-Risk Patients in a Value-Based WorldBaycare Health SystemEdward [email protected]

TAP17: Patient Family Advisors and Hospital GovernanceFort Belvoir Community HospitalKenneth L. [email protected]

TAP18: Population Health in a Rural HospitalHannibal Regional Healthcare SystemStephanie [email protected]

TAP19: Population Health Management 2.0: The Future of Population Health Managementi2i SystemsJanice [email protected]

TAP20: Reducing Severity of Comorbid Psychiatric Symptoms in an Epilepsy Clinic Using a Co-location ModelCheyenne Regional Medical CenterJasper James “JJ” [email protected]

TAP21: Sleep Apnea: If Your Patient is at Risk, So Are YouUrsuline CollegeLisa [email protected]

TAP22: Sustaining Staff and Patient Engagement for Behavioral Health IntegrationUniversity of Texas Health Science Center at TylerCarolyn [email protected]

TAP23: Transforming the Safety Net in TexasUniversity of Texas Medical BranchSusan [email protected]

TAP24: Improving Population Health — Team-Based Approach to Optimal Diabetes CareSanford Health West RegionTessi Ross, BSN, MPA, RN, [email protected]

StoryboardsThe 27th Annual National Forum on Quality Improvement in Health Care

December 6–9, 2015 · Orlando, FL

Storyboard ReceptionTuesday, Deccember 8, 4:15 PM–6:30 PM, Palms BallroomDuring this reception, presenters will be standing by their boards to answer questions.