HPV immunization among young adults ( HIYA! ) in family practice: A quality improvement project

2021 ◽  
Author(s):  
Lauren Eisenhauer ◽  
Bryan R. Hansen ◽  
Vinciya Pandian
Keyword(s):  
Young Adults ◽  
Quality Improvement ◽  
Family Practice ◽  
Quality Improvement Project ◽  
Improvement Project

69. A Quality Improvement Project to Increase Larc Follow-Up for Adolescents and Young Adults

2020 ◽  
Vol 66 (2) ◽  
pp. S36
Author(s):  
Sarah Pitts ◽  
Carly Milliren ◽  
Grace Berg ◽  
Danielle McPeak ◽  
Amy DiVasta
Keyword(s):  
Young Adults ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Adolescents And Young Adults ◽  
Improvement Project

scholarly journals Risk Stratification for Opioid Misuse in Children, Adolescents, and Young Adults: A Quality Improvement Project

PEDIATRICS ◽  
2016 ◽  
Vol 139 (1) ◽  
pp. e20160258 ◽  
Author(s):  
Rachel Thienprayoon ◽  
Kelly Porter ◽  
Michelle Tate ◽  
Marshall Ashby ◽  
Mark Meyer
Keyword(s):  
Young Adults ◽  
Quality Improvement ◽  
Risk Stratification ◽  
Quality Improvement Project ◽  
Adolescents And Young Adults ◽  
Opioid Misuse ◽  
Improvement Project

scholarly journals Reducing Unnecessary Coagulation Testing in Outpatients (REDUCTION): A Quality Improvement Project

Blood ◽  
2018 ◽  
Vol 132 (Supplement 1) ◽  
pp. 4703-4703
Author(s):  
Fatima Khadadah ◽  
Aziz Jiwajee ◽  
Hina Chaudhry ◽  
Paula D. James ◽  
Rosane Nisenbaum ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Family Practice ◽  
Research Funding ◽  
Oral Anticoagulants ◽  
Quality Improvement Project ◽  
Coagulation Test ◽  
Targeted Intervention ◽  
Improvement Project ◽  
Coagulation Testing

Abstract Introduction: The prothrombin time (PT) and partial thromboplastin time (PTT) are often considered 'routine' tests in the outpatient setting. They are frequently used as screening tests for bleeding disorders in unselected patients despite sensitivities ranging of 1-2 %. For the most common bleeding disorder, a negative score on a bleeding assessment tool (BAT), in the presence of a negative family history, has a NPV of 1. A recent quality improvement study conducted in the emergency department at our institution resulted in a greater than 2-fold reduction in coagulation test ordering rates and more than $6000 CAN direct cost-savings per month. Objectives: We developed a multimodal sequential quality improvement study in the outpatient family practice unit with the primary aim of minimizing unnecessary coagulation testing and maximizing the appropriate use of a BAT. Materials and Methods: We have developed four interventions using plan-do-study-act (PDSA) cycles to achieve our goal. Cycle (1) baseline assessment of ordering rates, involved stakeholder engagement, development of educational tools and addition of the BAT onto the electronic medical record (EMR). Cycle (2) involved assessment of EMR-available BAT. Cycle (3) involved an audit to determine appropriateness of coagulation testing for patients on oral anticoagulants and a subsequent targeted intervention. Cycle (4) involved alteration of the laboratory requisition and facilitating access to decision support and educational materials. Rates were calculated per 100 patient visits per month. Data were analyzed on Strata 13 using an interrupted time series analysis. Results: After Cycle 1, we saw a significant decrease in rates of PT and PTT ordering from 1.9 tests per 100 patient visits per month (for both tests) to 1.5 and 1.4 respectively; (p< 0.001 for both). However, the rate of creatinine (control) testing rate also decreased significantly (8.9 to 8; p=0.006). With Cycle 2, we found that all referrals for bleeding from the family practice unit were appropriate and only 19% of patients who had a BAT completed were referred. In Cycle 3, we identified an inappropriate PT and PTT ordering rate of 11% and 36% respectively for patients on oral anticoagulants. We also identified that PT and PTT were being tested together despite being ordered individually; further investigation revealed that they were being erroneously coupled by laboratory technicians. Finally, results of Cycle 4 showed no significant change in INR (increase by 0.05; p=0.64) or PTT (increase by 0.01; p=0.95) testing rates but a significant increase in control testing rates (0.68; p=0.016) in the first 4 months after the intervention. Conclusions: From our previous quality improvement project in the emergency department, we learned that educational interventions alone are often not sufficient and that a process change is required to achieve meaningful change in coagulation test utilization. Through EMR integration of the BAT we successfully guided hematology referrals for bleeding. We were unable to alter rates of PTT testing despite physically removing the PTT from the lab requisition. This likely reflects the strength of the cultural link between INR and PTT. Planning is underway for PDSA Cycle 5 which will consist of a lab audit of PTT testing and subsequent targeted intervention. Disclosures James: Shire: Research Funding; Bayer: Research Funding; CSL Behring: Research Funding.

Increasing access to care for young adults with cancer: Results of a quality-improvement project using a novel telemedicine approach to supportive group psychotherapy

2016 ◽  
Vol 15 (2) ◽  
pp. 176-180 ◽  
Author(s):  
Laura Melton ◽  
Benjamin Brewer ◽  
Elissa Kolva ◽  
Tanisha Joshi ◽  
Michelle Bunch
Keyword(s):  
Young Adults ◽  
Quality Improvement ◽  
Psychological Distress ◽  
Access To Care ◽  
Geographic Area ◽  
Quality Improvement Project ◽  
Cancer Center ◽  
Supportive Psychotherapy ◽  
Improvement Project ◽  
Medically Ill

AbstractObjective:Young adults with cancer experience high levels of psychological distress. Group interventions for cancer patients have been effective in reducing levels of psychological distress but suffer from high levels of attrition and serve a limited geographic area. In a quality-improvement project, we converted an existing in-person support group to a telemedicine format in the hopes of improving attendance and reducing geographic disparities in access to care.Method:Eight young adults (18–40 years) with cancer were recruited from across Colorado. Participants received a tablet equipped with Wi-Fi and downloaded an HIPAA-compliant video-conferencing application. Participants attended six weekly supportive psychotherapy sessions.Results:Participants found the group to be beneficial: the technology worked, they enjoyed the group format, and they would recommend it to others. The novel treatment interface allowed for low attrition rates due to the flexibility of a patient's location during the intervention. It allowed for provision of services to a geographically diverse population of medically ill young adults, as participants lived an average of 148 miles from the cancer center (range = 25–406 miles).Significance of results:Internet-based mental health care is an area of growing interest for providers, but few studies have evaluated its efficacy in patients with cancer, and even fewer in young adults with cancer. Incorporating technological advances into clinical practice will increase access to care, reduce geographic health disparities, and provide more consistent services.

15. A Quality Improvement Project to Increase LARC Follow-up for Adolescents and Young Adults

2020 ◽  
Vol 33 (2) ◽  
pp. 183
Author(s):  
Sarah Pitts ◽  
Carly Milliren ◽  
Grace Berg ◽  
Danielle McPeak ◽  
Amy DiVasta
Keyword(s):  
Young Adults ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Adolescents And Young Adults ◽  
Improvement Project

100. Healthcare Access for Homeless Adolescents & Young Adults: A Quality Improvement Project

2021 ◽  
Vol 68 (2) ◽  
pp. S53
Author(s):  
Sarah Rose Heathcote ◽  
Leslie Rosenthal ◽  
Steven Ricondo ◽  
Albert Hergenroeder ◽  
Constance Wiemann
Keyword(s):  
Young Adults ◽  
Quality Improvement ◽  
Healthcare Access ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Homeless Adolescents

532 EFFORTS TO ERADICATE HELICOBACTER PYLORI IN HOSPITALIZED PATIENTS: A QUALITY IMPROVEMENT PROJECT TO RECOGNIZE AND OVERCOME THE HURDLES (POSTER PRESENTATION)

2020 ◽  
Vol 158 (6) ◽  
pp. S-107
Author(s):  
KISHORE KUMAR ◽  
Jasbir Makker ◽  
Muhammad Hassan ◽  
Chukwunonso Chime ◽  
Hassan Tariq ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Quality Improvement ◽  
Poster Presentation ◽  
Hospitalized Patients ◽  
Quality Improvement Project ◽  
Improvement Project
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