Teachers of Quality Academy 3.0

January 2018 – December 2018 – Program Director: Dr. Niti Armistead

TQA 3.0 Quality Improvement Projects

TQA Fellow(s)	Department	Project Title	AIM Statement
Mott Blair & Kimberly Villanueva	VMG - Family Medicine (Wallace)	MyChart Signup and Usage in Patients with Type 2 Diabetes	Increase patient engagement through MyChart sign up and usage in our patients with Type 2 Diabetes from 24% to 35% by December 31, 2018.
Earic Bonner & Megan Booth-Mills	VMG-Internal Medicine (Edenton) & VMG - Regional Ops Administrator	Hemoglobin A1C Improvement in African-American Diabetics Through Healthy Cooking Techniques	To identify racial disparities in hemoglobin A1C control and reduce percent of African-American patients with hemoglobin A1C greater than 9%. Identify 10 VMG Edenton primary care patients with hemoglobin A1C > 9% and improve A1C control by 25% through patient education by December 2018.
Kathleen Bryant & Erika Greene	Emergency Medicine	Improvement of Quality of Care and Efficiency in Pediatric Asthma Treatment by Utilization of a Standard CED Asthma Care Pathway	To improve efficiency of care by decreasing the length of stay for asthma exacerbations by 10% over the next 90 days.
Sandra Bullock & Nichole Bradley	VH - Health Access/Home Health	Medication Reconciliation in the Home Care Setting	Improve compliance with medication reconciliation in our Greenville office from 84% compliance to 90% compliance over the next six months.
Drillious Gay & Todd Jackson	ECU Physicians	Increasing Breast Cancer Screening in the Primary Care Setting Utilizing a Team Approach	Improve breast cancer screening rates by 10% in females age 50-74 years of age seen by a provider on the Family Medicine Gold Module.
Keli Hurley & Clinton Faulk	VMC - Wound Center	Decreasing unnecessary wound visits to Vidant Emergency Department through transition of care to the Wound Healing Center	Reduce the number of ED visits for wound care.
John Kohler & Cindy Keel	NICU	Improving Mobilization Orders in Critically Ill Pediatric Patients as part of PICU Up!TM implementation in a rural, academic, combined PICU	To decrease the time to PT referral for critically ill pediatric patients in the PICU by 20% within 3 months.
Wendy Leutgens	College of Nursing	Baccalaureate Student Knowledge of Quality Improvement	Global Aim: to develop a unique partnership between the CON and VMC for the integration of quality improvement activities for baccalaureate students. Specific aim: increasing the knowledge of quality improvement methods of 3 baccalaureate students by 10% within 11 weeks.
Ryan Moore & Tara Stroud	Pediatrics	Neonatal Intubations: Standardizing care to enhance success and decrease risk factors for a high risk procedure in the Neonatal Intensive Care Unit	Standardize practice guidelines to increase number of successful non-emergent intubations on first attempt by December 31, 2018 by 10% for personnel while improving provider confidence level.
Jason Mose	Health Services and Info Management	Improving Emergency Department Utilization Risk Scoring.	Improve ED utilization prediction by assessing various risk scores to identify the more and consistent predictive risk score by November 1, 2018.
Tim Powell & Martha Dartt	Pediatrics	Diabetes Care	To improve the health of diabetic patients ages 18-74 years of age in the ECU Physicians’ Adult and Pediatric Health Care (APHC) Clinic by lowering percent of patients with HgA1c equal to or greater than 9 from 16% to 14%, increasing referrals for eye exams from 16% to 35% and increasing the percent of foot examinations done from 64% to 80% from April to November of 2018.
Michael Ritchie & Toni Holden	Cardiac ICU	IMPROVE Movement: The Supplemental Exercise Program to Enhance ICU Mobility	To identify barriers to patient mobility in the Cardiac ICU and increase the number of patients being mobilized per day by 50% over 6 months.
Mike Passwater & Susan Weiss	Pathology	Reducing Cryoprecipitate and Plasma Waste at Vidant Medical Center	Reduce cost by improving efficiency and decreasing blood waste in the TS. Specifically, reduce cryoprecipitate waste from 40% to 15% by December 2018.
Audy Whitman	Family Medicine	“Improving ACO Quality Spotlight measure performance on ECU Family Medicine clinic residency modules by incorporating formalized QI education and training into residency curriculum” – or REALQuICK “Resident Education and Application of Learning Quality Improvement Concepts and Knowledge”	Incorporate formalized QI/Process improvement curriculum into already scheduled regular monthly resident didactic time and provide a structured, module specific environment for real world application of these principles; thus creating a culture of inquiry to foster resident-physician led, multidisciplinary and interprofessional QI projects to improve patient health.
Xiaoming Zeng	Health Services and Info Management	Using Discrete Event Simulation to Identify Bottlenecks and Improve Patient Flow in a high-risk OB clinic	To build a discrete event simulation model to simulate the patient flow of a high-risk OB clinic. Identify potential solutions to address the long wait in the patient flow using the simulation model.