Educational Innovations Project Summa Health System NEOUCOM Akron, Ohio

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Educational Innovations ProjectSumma Health
System / NEOUCOMAkron, Ohio

• Presented by
• David B. Sweet, M.D., FACP
• Program Director

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Summa Health System / NEOUCOM

• A journey of a thousand miles begins with a
  single step

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Categories of Innovations

• Systems Based CQI primarily inpatient
• Improving Chronic Care for Ambulatory Patients
• Patient Safety
• Professionalism

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Systems Based CQITeam-Based, Patient-Centered
Model of Care

• Multidisciplinary Approach to Patient Care
• Acute Care for Elders Unit
• Utilize Principles of Wagners Chronic Care Model

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Team-Based, Patient-Centered Care

• Cohort resident patients on ACE unit to one Gen
  Med Resident Team
• Increase Resident Experience with
  Interdisciplinary Teams

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Team-Based, Patient-Centered Care - Eval

• Length of Stay
• Cost per Patient
• Discharge Destinations
• Readmission Rates
• Survey Patients, Residents, Nursing, Attending
  Physicians
• Export benefits to other nursing units

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Patient Safety Resident Work Flow Redesign

• Impetus
• Implementation issues associated with ACGME Duty
  Hours regulations
• Goal
• Retain most valued Educational and Patient Care
  Activities

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Work Flow Redesign

• Call gt 24 hour
• Driving hazards
• Performance equivalent to
• ETOH 0.04 0.05
• ICU call lt 16 hour
• Fewer Errors than gt24 hour call

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Work Flow Redesign

• Retain most valued Educational and Patient Care
  Activities
• 2005 06 Target
• Maximum Call length 24 hour

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Maximum Length of Duty Shifts
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Work Flow Redesign Eval

• Actual length of resident shifts
• Resident Patient volumes
• Resident surveys
• Patient surveys of overall perception of residents

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Summa Health System / NEOUCOM

DO
PLAN
STUDY
ACT