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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.


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]





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]



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]



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]



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]





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]


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]





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]



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]



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]



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]


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]





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]


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]





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]


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]




Institute for Healthcare Improvement · ihi.org 1*Student Storyboard Runner-Up



Student and Resident StoryboardsSR1: Increasing IHI Open School Curriculum Within Accreditation Commission for Midwifery Education ProgramsAmerican College of Nurse-MidwivesDiana [email protected]

SR2: Leveraging the Quality Standards to Achieve the National Quality StrategyAmerican College of Nurse-MidwivesDiana [email protected]

SR3: Medical Students Driving Performance Improvement: A Lean Six Sigma Approach to Inpatient Pain Control*Bassett Healthcare NetworkDaphne [email protected]

SR4: Bellin College IHI Open School ChapterBellin CollegeAbbey [email protected]

SR5: Early Experience with Implementation of the I-PASS Handoff BundleBoston Medical Center GME ProgramAravind Ajakumar [email protected]

SR6: Improving Order Sets — Creating a Standard Process to Increase Quality and UtilizationBoston Medical Center GME ProgramNandini [email protected]

SR7: Reducing Overuse of Cardiac Telemetry Through Implementation of Guideline Specific Electronic Order SetsBoston Medical Center GME ProgramRajat [email protected]

SR8: Empowering Medical Students to Improve Patient Care in the Clerkship CurriculumBoston UniversityJustin [email protected]

SR9: Improving Patient Understanding at Discharge: Medical Student Enhanced Patient EducationBoston UniversityJustin [email protected]

SR10: Addressing Health Disparity by Increasing In-person Interpreter Participation during Family-Centered Morning Rounds*Boston University School of MedicineLizzeth [email protected]

SR11: Out Smarting Trisomy 21 Standards of Care with EPIC “Smartphrases”Boston University School of MedicineMichael [email protected]

SR12: Postoperative Venous Thromboembolism Prevention in Thoracic Surgery: Implementing the Caprini RAMBoston University School of MedicineHelene [email protected]

SR13: Reducing Unnecessary Lab Orders on the Inpatient General Internal Medicine ServiceBoston University School of MedicineSherif [email protected]

SR14: IHI Open School Change Agent Network (I-CAN) International Pledge-a-ThonBrock UniversitySierra [email protected]

SR15: Implementation and Improvement of a “Pediatric Rapid Assessment Clinic” Model in a Large Community HospitalBrock UniversitySierra [email protected]

SR16: Readmissions, Preventability & the Electronic Discharge Record: Results from a Single Center Community Based HospitalCrozer-Chester Medical CenterAnna [email protected]

SR17: QI Match: Connecting People to Projects — Passion to Possibility in the 21st Century Clinical Learning EnvironmentDepartment of Internal Medicine, University of WashingtonChenwei [email protected]

SR18: Leaders in Innovative CareEast Carolina UniversityPaige [email protected]

SR19: Diabetes Passport to Health: Development and Piloting of a Self-Management Tool for High-Risk PatientsEmory UniversityJanelle [email protected]

SR20: Integrating Health Systems Science Education into Five Graduate ProgramsEmory University School of MedicineAriadne [email protected]

SR21: The Surprising Complexity of Decreasing Patient Visit Times at a Student-Run ClinicEmory University School of MedicineJulia [email protected]

SR22: Adaptive Support Ventilation and the Post-operative Open Heart PatientGeisinger Medical CenterMichael [email protected]

SR23: The Optimization of Volume Re-Expansion Therapy for the Post-Operative Open Heart PatientGeisinger Medical CenterMichael [email protected]

SR24: Georgetown University Open School Chapter UpdatesGeorgetown UniversityKatrina [email protected]

SR25: Code Status Discussion and Documentation ImprovementHenry Ford Health SystemTimothy [email protected]

SR26: Detecting Overuse of Renal Ultrasound to Diagnose Obstructive AKIIcahn School of Medicine at Mount SinaiJohn [email protected]

SR27: IHI Open School Change Agent NetworkInstitute for Healthcare ImprovementJennifer [email protected]

SR28: A Resident Led QI Initiative to Improve Outpatient Colorectal Cancer Screening RatesLouis Stokes VA Medical CenterLeland [email protected]

SR29: QI Workshops- Basic QI Competency for Trainees in One HourJames Haley VA Hospital/University of South FloridaNidhi [email protected]

SR30: James Madison University IHI Open School Chapter StoryboardJames Madison UniversityJake [email protected]

SR31: Improving Patient ReadinessLakeland Regional HealthSheena [email protected]



27TH ANNUAL NATIONAL FORUM STORYBOARDS: Student and Resident

*Student Storyboard Runner-Up

SR32: Reducing Surgical Site InfectionsLakeland Regional HealthSheena [email protected]

SR33: Let’s Get Talking: Enhancing Patient-Provider CommunicationLondon Health Sciences CentreK. [email protected]

SR34: Screening for and Tracking Social Determinants of Health in a Federally Qualified Health CenterOregon Health and Science University (OHSU)Lisa [email protected]

SR35: Improving Resident Code Status Discussions: A Quality Improvement ProjectLondon Health Sciences CentreStephanie [email protected]

SR36: Navigating Down the Knowledge Funnel: Applying a Quality Lens to Case Reports in AnesthesiologyLondon Health Sciences CentreBethany [email protected]

SR37: Improving Patient Medication Adherence by Training Residents to Provide Motivational Interviewing and Health Literacy-Sensitive CounselingJackson Memorial HospitalLoAnn [email protected]

SR38: A Resident-Led QI Initiative to Reduce Serum Folate Testing in a Primary Care ClinicLouis Stokes VA Medical CenterRohit [email protected]

SR39: Increasing Appropriate Statin Use in the Primary Care ClinicLouis Stokes VA Medical CenterOmer [email protected]

SR40: Implementing a System for Inferior Vena Cava Filter Retrieval: A Process to Improve Patient SafetyMayo ClinicCharles [email protected]

SR41: Principles of Quality and Patient Safety Elective: Learning and Sharing from the Perspectives of MS4sNew York Medical CollegeTracy [email protected]

SR42: Development and Evaluation of a Healthcare Systems Engineering Regional Extension CenterNortheastern UniversityJames [email protected]

SR43: Planning an Interprofessional Conference: The First West Coast Regional ConferenceOregon Health and Science University (OHSU)Kelsey [email protected]

SR44: Designing A Simulations-Based Education and Evaluation Strategy at London Health Sciences Centre Central Nursing OrientationLondon Health Sciences CentreJennifer [email protected]

SR45: Chapter Restructure & Redesign: Using Principles of Community Organizing to Support Chapter EngagementPortland State UniversityHannah [email protected]

SR46: Launching IHI Open School Purdue Chapter: An Interdisciplinary Student Organization Devoted to Healthcare ImprovementPurdue UniversityAmanda [email protected]

SR47: Trial and Error: The Challenge of Maximizing Operational Efficiency at a Student-Run Free ClinicUniversity of South Florida BRIDGE Healthcare ClinicStephanie [email protected]

SR48: Using Process Flow Analysis and Little’s Law to Improve Throughout in RadiologySaint Mary’s HospitalRichard [email protected]

SR49: Tracking Volume of Patients Seen Per-Resident Per-Day, in a Program Using Multiple EMR’s and LocationsScranton Temple Health CenterQi [email protected]

SR50: Origins of an IHI Open School Chapter: Experiences from Winthrop-University HospitalStony Brook UniversityJennifer [email protected]

SR51: Reducing Unnecessary Routine Post-Operative CBCs in the Pediatric Intensive Care Unit*The Children’s Hospital of PhiladelphiaMaya [email protected]

SR52: International Healthcare Worker Meningococcal VaccinationThe Wright Center Graduate Medical EducationGursukhmandeep [email protected]

SR53: Improving Efficacy and Cost in Heart ProcurementTulane School of MedicineJiyeon [email protected]

SR54: Surgical Team Networks as a Basis for Quality ImprovementTulane UniversityJonathan [email protected]

SR55: Formalizing Communication in Discharge PlanningTulane University School of MedicineKelly O’[email protected]

SR56: Improving Consistency and Efficiency of Medicare Annual Wellness VisitsTulane University School of MedicineIsaac [email protected]

SR57: Improving the Quality and Impact of Interdisciplinary Rounds at Tulane Medical CenterTulane University School of MedicineBeau [email protected]

SR58: Keeping the List Active: A QIP to Reduce Inactive Patients on the Kidney Transplant WaitlistTulane University School of MedicineShannon [email protected]

SR59: Lean Principles in the Anesthesiology Technician Workflow: Decreasing Waste to Improve Value Added TimeTulane University School of MedicineAditi [email protected]

SR60: The Impact of Accountable Care Organization Participation on Hospital Patient SatisfactionTulane University School of Public Health & Tropical MedicineCatherine [email protected]

SR61: Implementing QMS with Preliminary Requirements ISO 9001:2015 in a Mexican Nursery SchoolUniversidad popular autónoma del estado de PueblaJesus Enrique Cruz [email protected]

SR62: Improving Intraoperative Fluid ManagementUniversity of AlbertaCalvin [email protected]

SR63: IHI Open School Canadian Region: Early Beginnings for the Newest RegionUniversity of British ColumbiaAndrea [email protected]

SR64: Integrating patient safety, QI, and IHI Resources into UBC’s Case-Based Medical School Curriculum: IHIUBC’s StrategyUniversity of British ColumbiaRobert [email protected]

SR65: Quality Improvement Practicum Projects: Bridging the Gap between Theory and Practice*University of British ColumbiaMelissa [email protected]

SR66: Community Clinic Improves Patient Health and Enhances Interprofessional LearningUniversity of CincinnatiEsper [email protected]

SR67: Provider Accuracy of Estimated Patient Discharge Date is Improved by Interdisciplinary TeamsUniversity of Cincinnati College of MedicineRyan [email protected]




SR68: Massachusetts General Hospital Center for Perioperative Care Re-designUniversity of MichiganMinakshi [email protected]

SR69: Nursing Shift Report: Perspectives on the Handoff and the Effects on Nursing CarePurdue UniversityKatherine [email protected]

SR70: Reducing Central Line Associated Blood Stream Infection in Unfunded Dialysis PatientsUniversity of Texas SouthwesternGiang [email protected]

SR71: Impact of a Physician Dashboard on Episiotomy Utilization at William P. Clements Jr. University HospitalUniversity of Texas Southwestern Medical CenterKatherine [email protected]

SR72: Improving Access and Wait Time in an Ambulatory Endocrinology ClinicUniversity of Texas Southwestern Medical CenterBenjamin [email protected]

SR73: Improving Parent-Staff Communication in a County Neonatal Intensive Care Unit (NICU)University of Texas Southwestern Medical CenterPatty [email protected]

SR74: Is Nitrofurantoin Use Really Dangerous for Older Adults? A Deeper Dive Into Beers CriteriaUniversity of Texas Southwestern Medical CenterKarin [email protected]

SR75: An Integrated Longitudinal Curriculum at University of Toledo College of Medicine and Life SciencesUniversity Of Toledo College of Medicine and Life SciencesPamela [email protected]

SR76: Improving Communication Between Hospital and Long-Term Care During Patient TransfersUniversity of TorontoJoey [email protected]

SR77: Patient Centeredness in Malaysian HospitalsUniversity Utara MalaysiaMu’Taman [email protected]

SR78: Decreasing Patient Visit Durations at a Student-Run Free Clinic through a Clinic Flow InterventionUT Southwestern Medical CenterThomas [email protected]

SR79: Development of a Standardized Process for Review of Key Indicators Associated with Surgical Site InfectionsUT Southwestern Medical CenterChris [email protected]

SR80: Effect of a “SMaRT” Enhanced Recovery Pathway for Elective Laparoscopic Colorectal SurgeryUT Southwestern Medical CenterTaylor, Patty Roberts, [email protected]

SR81: Epidemiological Study of Methicillin-Resistant Staphylococcus aureus Among Patients in a Burn ICUUT Southwestern Medical CenterBayless [email protected]

SR82: Improving Patient Handoffs in OR-ICU and OR-OR SettingsUT Southwestern Medical CenterJim [email protected]

SR83: Can Early Structured Communication Improve End-of- Life-Care in the ICU?UW Health and St. Mary’s HospitalAnne [email protected]

SR84: Wayne State University School of Medicine Curriculum Development TeamWayne State UniversityKelsea [email protected]

SR85: Integrating Patient Safety and Quality Improvement (PSQI) into Undergraduate Medical EducationWestern UniversityJuliya [email protected]




Storyboard Walkaround SessionsStoryboard Walkaround 1; Workshop A; Early Years

SWA1 Building Blocks for a Healthy BeginningAnne Edwards, MD, Chair of Pediatrics, Park Nicollet Health Services

SWA2 Making Things Better for Scotland’s Wee OnesKathryn Paterson, Improvement Advisor, Early Years Collaborative

SWA3 Using Technology to Engage Kids in Health OutcomesJulia Lodge, Pediatric Nurse Navigator, St. Charles Health System

SWA4 Fit to Play, Fit to Learn. The Daily MileElaine Wyllie, Headteacher, St. Ninian’s Primary School

Storyboard Walkaround 2; Workshop A; Community Partnerships

SWA5 Community and Clinical Partnerships-Lessons from the Prevention Wellness Trust Fund ProjectSai Cherala, Assistant Professor of Family Medicine and Community Health, University of Massachusetts Medical School

SWA6 Partnering on the Triple Aim: Better HealthLeigh Caswell, Manager of Community Health at Presbyterian Healthcare Services

SWA7 Empowering Women to Partner in their HealthcareStacey E. Rosen MD, Vice President for the Katz Institute for Women’s Health

SWA8 Community-based Health & Wellness Coaching: 320,000,000 PathsChad Proulx, Health Education Specialist, Ammonoosuc Community Health Services, Inc.

Storyboard Walkaround 3; Workshop B; Behavioral Health

SWB1 I Am “Joe” and I Am Behavioral HealthJohn Santopietro, Chief Clinical Officer of Behavioral Health, Carolinas HealthCare System

SWB2 Transforming Care: Integrating Behavioral HealthAmy Armata, Senior Quality Consultant, Boston Children’s Hospital

SWB3 Outcomes from Integrated Behavioral Health CareKristin Powers, Manager, Health Integration, Saint Charles Health System Oregon

SWB4 Fully Integrated Co-Located Behavioral Health in Primary Care: Can it Be Done?Andy Melton, Director of Integrated Behavioral Health, Ross Behavioral Group

Storyboard Walkaround 4; Workshop B; Chronic Conditions

SWB5 I-CAN breathe easier: pediatric asthma populationStephen Kennedy, Physician, All Children’s Hospitalist Program, John Hopkins

SWB6 Improving Memory and Quality of Life in Epilepsy Tracie Caller, Physician, Cheynne Regional Medical Center

SWB7 Supporting value centered care for chronic diseaseCraig Syrop, IVF Physician, University of Iowa Carver College of Medicine

SWB8 Advancing Asthma Treatment Beyond the ClinicSai Cherala, Assistant Professor of Family Medicine and Community Health, University of Massachusetts Medical School

Storyboard Walkaround 5; Workshop C; Student Improvement Project Winners

SR28 A Resident Led QI Initiative to Improve Outpatient Colorectal Cancer Screening RatesLeland Hull, Resident, Louis Stokes VA Medical Center

SR34 Screening for and Tracking Social Determinants of Health in a Federally Qualified Health CenterLisa Miller, Student, Oregon Health and Science University

SR15 Implementation and Improvement of a “Pediatric Rapid Assessment Clinic” Model in a Large Community HospitalSierra Barrett, Student, Brock University

SR47 Trial and Error: The Challenge of Maximizing Operational Efficiency at a Student-Run Free ClinicStephanie Hudey, Student, University of South Florida BRIDGE Healthcare Clinic

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