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