Care Coordination Projects

Category	Project Topic	Description	Project Owners
Clinical Improvement	AMI	Patients discharged with a final diagnosis of AMI will have prescriptions for a statin/beta-blocker, ace-inhibitor, and aspirin.	Dave Stewart, MD champion Julie McDonald, RN care coordination rep
Clinical Improvement	Anticoagulation Clinic	Patients admitted to the anticoagulation clinic will have a PT within their defined target range within 30 days of initiation of the service.	Dave Stewart, MD champion Scott Jamieson, care coordination rep Team Members: Mike Mashock, Paul Grochal, Steven Maxood, MD
Patient Safety	Blood Transfusion Vital Signs Documentation	Patients receiving blood and blood products will have their vital signs documented before the transfusion, 15 minutes after the infusion begins, and at the completion of the transfusion.	Bill Monteforte, MD Champion Lisa George, care coordination rep Eli Olson, sponsor Judy Ferrel
Patient Safety	Blood Transfusion RN Double Check Verification Documentation	Patients receiving blood and blood products will have the nursing verification documented by a second set of initials on the blood administration record.	Bill Monteforte, MD Champion Lisa George, care coordination rep Eli Olson, sponsor Judy Ferrel
Clinical Improvement	Congestive Heart Failure	Patients discharged with a final diagnosis of CHF who meet eligibility criteria will have a prescription for a beta-blocker.	Dave Stewart, MD champion Julie McDonald, RN care coordination rep
Clinical Improvement	Congestive Heart Failure	Patients discharged with a final diagnosis of CHF will have a prescription for an ACE inhibitor and/or ARB (angiotensin-receptor blockers).	Dave Stewart, MD champion Julie McDonald, RN care coordination rep
Clinical Improvement	Discharge Medications	Patients discharged to the TCU (Transitional Care Unit) will have a master medication list.	Dick Rafoth, MD champion Joyce Greene, care coordination rep CMO, sponsor Don Dillinger, MD, Carol Tallman, MD, Gary Lemke
Clinical Improvement	DVT for GYN Care	GYN surgical patients will have immediate perioperative DVT prophylaxis as defined by a risk-adjusted protocol.	Cliff Rogers, MD Champion Lisa George, care coordination rep Fran Schlaefer-Wall, sponsor Jean Kull, Rob DeFrang, MD, Dana Murphy
Clinical Improvement	OB Induction Process	Scheduled, medically indicated OB inductions will occur without cancellations or delays greater than 12 hours.	Cliff Rogers, MD champion Lisa George, care coordination rep Fran Schlaefer-Wall, sponsor Alycia Wolfstone, Dolores Newell
Patient Safety	Infusion Pump Safety	For selected medications being infused with an IV pump, a double-check initial will be documented on the patient's chart prior to initiation of the infusion.	Dick Rafoth, MD champion Scott Jamieson, care coordination rep Eli Olson, sponsor
Clinical Improvement	Best Practice CV Surgery Glucose Management	Patients undergoing CV surgery will have their intraoperative glucose maintained at <150bgl.< />	Dave Stewart, MD champion Julie McDonald, RN care coordination rep
Clinical Improvement	Osteoporosis Phase II	Hip fracture patients will be evaluated and treated for underlying osteoporosis to discharge.	Clay Wertheimer, MD champion Joyce Greene, care coordination rep Eli Olson, sponsor Carol Edmisten, Cathy Faung
Clinical Improvement	Pain Management/Intervention Phase II	Reassessment after a pain intervention will be competed for all patients receiving a pain intervention as evidence by documentation on question number 3 on the 24 hour record audit form, "response to pain intervention".	Dick Rafoth, MD champion, care coordination rep Eli Olson, sponsor Heather Coleman
Patient Safety	Patient Identification	Patients will have the correct ID band in place plus have one other way of confirming ID.	Dick Rafoth, MD champion Paula Bradlee, care coordination rep Veronica Knudson, sponsor
Clinical Improvement	Stroke Care	Patients presenting to the ED with stroke symptoms who meet initial TPA administration criteria will have a door to CT time of less that ? minutes.	Jeff Wajda, MD champion Carol Tallman, MD and care coordination rep Julie Zarn, sponsor Michael Koerner, MD
Clinical Improvement	Best Practice Surgery Site Verification	Patients requiring surgery site marking per policy will have the site marking documented in pre-op holding.	Jim Brevig, MD champion Staci Garrison, care coordination rep Jean Kull, sponsor