A computer-based approach to quality improvement for telephone triage in a community AIDS clinic

1994 ◽  
Vol 18 (2) ◽  
pp. 65-73
Author(s):  
Suzanne Bakken Henry ◽  
Diane Borchelt ◽  
Joseph G. Schreiner ◽  
Mark A. Musen
Keyword(s):  
Quality Improvement ◽  
Telephone Triage ◽  
Computer Based

A computer-based approach to quality improvement for telephone triage in a community AIDS clinic

1994 ◽  
Vol 18 (2) ◽  
pp. 65-73 ◽  
Author(s):  
Suzanne Bakken Henry ◽  
Diane Borchelt ◽  
Joseph G. Schreiner ◽  
Mark A. Musen
Keyword(s):  
Quality Improvement ◽  
Telephone Triage ◽  
Computer Based

A computer-based approach to quality improvement for telephone triage in a community AIDS clinic

1994 ◽  
Vol 18 (2) ◽  
pp. 65-73
Author(s):  
Suzanne Bakken Henry ◽  
Diane Borchelt ◽  
Joseph G. Schreiner ◽  
Mark A. Musen
Keyword(s):  
Quality Improvement ◽  
Telephone Triage ◽  
Computer Based

Staged Interventions to Improve Quality and Reduce Cost of Care in Patients with Suspected Heparin-Induced Thrombocytopenia

Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 2262-2262
Author(s):  
Bethany T Samuelson ◽  
Meredith Holmes ◽  
Andrew White ◽  
Emily Glynn ◽  
Daniel B Martin ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Conflicts Of Interest ◽  
Cost Of Care ◽  
Enzyme Linked Immunosorbent Assay ◽  
Intervention Period ◽  
Order Entry ◽  
Improvement Project ◽  
Heparin Induced Thrombocytopenia ◽  
Elisa Testing ◽  
Computer Based

Abstract Background Heparin induced thrombocytopenia (HIT) is a rare but often considered diagnosis that requires treatment, in the form of costly parenteral anticoagulants, while awaiting the results of confirmatory testing. We hypothesized that improving the accuracy and consistency with which a patient's risk of HIT was determined, through the use of Computer-based Provider Order Entry (CPOE) interventions, would lead to decreased cost of care. Methods This study was conducted out of two affiliated US academic medical centers with a shared electronic medical record (EMR). A series of staged interventions, including provider and pharmacist education, real-time alerts and a CPOE based decision support tool were implemented as part of a multidisciplinary quality improvement project between January 1, 2013 and December 31, 2013. All inpatients ³18 years of age who underwent laboratory testing for HIT and/or were started on bivailrudin therapy for suspected HIT between January 1, 2012 and December 31, 2014 were included. For the purposes of our study, we defined the pre-intervention period as January 1 through December 31, 2012 and the post-intervention period as January 1 through December 31, 2014. The primary outcome was mean monthly bivalirudin expenditure at each institution. The secondary outcomes were number of HIT enzyme-linked immunosorbent assay (ELISA) and serotonin release assay (SRA) tests sent per month. Results We observed a statistically significant reduction in mean monthly bivalirudin expenditures from $64,178 to $17,704 (p = 0.0002) at one of the included centers and a decrease that approached significance from $28,275 to $16,708 (p = 0.100) at the other. Statistically significant reductions were also noted in mean monthly ELISA testing rates from 38.1 to 19.8 (p=0.01) and mean monthly SRA testing rates from 9.4 to 3.1 (p=0.0001) across both centers. Discussion Our findings suggest that the use of a computer-based order entry intervention, as part of a multidisciplinary quality improvement effort, can effectively reduce cost and decrease rates of lab testing in the management of heparin-induced thrombocytopenia. Such interventions are relatively low cost and of low complexity in institutions with established order entry systems and have the potential for a lasting impact on cost and quality of care. Disclosures No relevant conflicts of interest to declare.

Data-driven quality improvement in an oncology patient-centered medical home.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 54-54
Author(s):  
John David Sprandio ◽  
Maureen Lowry ◽  
Brian Flounders ◽  
Susan Higman Tofani
Keyword(s):  
Quality Improvement ◽  
Medical Home ◽  
Learning System ◽  
Data Driven ◽  
Physician Education ◽  
Patient Centered Medical Home ◽  
Telephone Triage ◽  
Time Data ◽  
Patient Centered ◽  
Oncology Patient

54 Background: In a 2012 abstract, Data driven transformation for an Oncology Patient-Centered Medical Home, Consultants in Medical Oncology (CMOH) demonstrated that standardized processes and enhanced IT capabilities (IRIS software app) provided a rapid learning system for the practice. Iris aggregated data became the basis for Quality Improvement Projects (QIPs) allowing CMOH to continue to improve in quality and cost measures. Deviation from performance trend is readily identifiable, providing operational direction. Methods: A review of 2012 data identified an increase in the rate of hospitalizations, initiating a QIP. We identified inconsistent processes in Telephone Triage Symptom Management at one of the three practice locations. It was determined that symptom calls in the early to mid afternoon were being directed to the ER, and a higher percentage of these evaluations resulted in admissions. Steps to restructure roles and internal processes and reinforced training followed, resulting in improvement. Results: After analysis of site specific performance, we centralized Telephone Triage services to reduce variability in execution. We addressed staffing issues, streamlined nursing and physician education around Triage related processes, revised algorithms, and improved education materials to enhance patient engagement. This resulted in resetting our trend in ER utilization and admissions, increasing the number of calls into the telephone triage service, increasing the percentage of symptoms managed at home and decreasing the number of office visits within 24 hours. Conclusions: Aggregated real-time data provides the tools to rapidly identify opportunities for improvement and conduct QIPs to enhance the quality and value of delivered services. Supportive software apps like Iris are foundational for practice transformation to future value-based cancer care models. [Table: see text]

Computer-Based Quality Improvement for Management of Functionally Monocular Patients

Ophthalmology ◽  
2020 ◽  
Vol 127 (1) ◽  
pp. 138-139
Author(s):  
Kyle A. Rogers ◽  
Andrew A. Wilson ◽  
Mark A. Wyckoff ◽  
R. Michael Siatkowski
Keyword(s):  
Quality Improvement ◽  
Computer Based

Cell morphology, volume, and surface area determinations from multilevel contouring within HVEM micrographs of serial sections and whole-cell mounts

1987 ◽  
Vol 45 ◽  
pp. 588-589
Author(s):  
M. Marko ◽  
A. Leith ◽  
D. Parsons
Keyword(s):  
Surface Area ◽  
Electron Micrographs ◽  
Cell Morphology ◽  
Individual Variation ◽  
Serial Section ◽  
Stereo Pair ◽  
Complex Structures ◽  
Serial Sections ◽  
Surface Areas ◽  
Computer Based

The use of serial sections and computer-based 3-D reconstruction techniques affords an opportunity not only to visualize the shape and distribution of the structures being studied, but also to determine their volumes and surface areas. Up until now, this has been done using serial ultrathin sections.The serial-section approach differs from the stereo logical methods of Weibel in that it is based on the Information from a set of single, complete cells (or organelles) rather than on a random 2-dimensional sampling of a population of cells. Because of this, it can more easily provide absolute values of volume and surface area, especially for highly-complex structures. It also allows study of individual variation among the cells, and study of structures which occur only infrequently.We have developed a system for 3-D reconstruction of objects from stereo-pair electron micrographs of thick specimens.

A hitchhiker’s guide to microscopy and microanalysis using telecommunications, e-mail, and the Internet

1994 ◽  
Vol 52 ◽  
pp. 390-391 ◽  
Author(s):  
Nestor J. Zaluzec
Keyword(s):  
The Internet ◽  
Information Superhighway ◽  
The World ◽  
Exchange Information ◽  
On Line ◽  
Computer Based ◽  
Software And Hardware ◽  
Communication Software ◽  
Basic Ideas ◽  
E Mail

The Information SuperHighway, Email, The Internet, FTP, BBS, Modems, : all buzz words which are becoming more and more routine in our daily life. Confusing terminology? Hopefully it won't be in a few minutes, all you need is to have a handle on a few basic concepts and terms and you will be on-line with the rest of the "telecommunication experts". These terms all refer to some type or aspect of tools associated with a range of computer-based communication software and hardware. They are in fact far less complex than the instruments we use on a day to day basis as microscopist's and microanalyst's. The key is for each of us to know what each is and how to make use of the wealth of information which they can make available to us for the asking. Basically all of these items relate to mechanisms and protocols by which we as scientists can easily exchange information rapidly and efficiently to colleagues in the office down the hall, or half-way around the world using computers and various communications media. The purpose of this tutorial/paper is to outline and demonstrate the basic ideas of some of the major information systems available to all of us today. For the sake of simplicity we will break this presentation down into two distinct (but as we shall see later connected) areas: telecommunications over conventional phone lines, and telecommunications by computer networks. Live tutorial/demonstrations of both procedures will be presented in the Computer Workshop/Software Exchange during the course of the meeting.

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