Mayo Clinic Key In To Quality

Quality, IT and the EHR: a Collaboration Trifecta

Host:     Timothy Morgenthaler, MD  @DrTimMorg

Guests:   

Tara Olson, Quality Data and Analytics Manager, Mayo Clinic   (32) Tara Olson | LinkedIn

Jennifer Allen, IT Lead Analyst Programmer, Mayo Clinic          (34) Jennifer Allen | LinkedIn

A typical hospital in the United States has hundreds of inpatient measures to capture and report out of their electronic health record (EHR) to validate their clinical quality. The ability to spot trends and report accurately, however, relies on effective and efficient input of data into the EHR by the care team. But it takes time and may compete with other priorities in patient care. In fact, one study found that an average of 12.5 hours of physician and staff time is spent per week entering information into the medical record. So how can hospitals adopt more efficient processes to this necessary task?

Mayo Clinic, seeing the inefficiency and wastefulness of some of its processes, went on a journey to adopt a leaner, more efficient process to obtain and report quality measurement data more effectively.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Quality or Counterfeit? The Science of Quality Measurement

Host:     Timothy Morgenthaler, MD  @DrTimMorg

Guest:    Benjamin (Ben) D. Pollock, Ph.D., M.S., Robert D. and Patricia E. Kern Scientific Director for the Science of Quality Measurement, Mayo Clinic     @Pollock_BD

When it comes to healthcare, there is rarely—if ever—a debate about whether a patient wants quality care. But how is healthcare objectively measured? Who decides what is “quality” and what isn’t? The provider? The patient? Both? Are there universal measurements for healthcare quality?  This podcast explores the science of quality measurement at Mayo Clinic and describes the work currently underway to help define quality excellence in healthcare.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Keeping Pace with Accreditation Standards

Host:     Timothy Morgenthaler, MD  @DrTimMorg

Guest:    Melanie A. Ryan, JD, Director, Accreditation and Certification, Mayo Clinic 

linkedin.com/in/melanie-ryan-2706067b

Accreditation is an important component of ensuring that hospital care is safe and well run.  The Joint Commission accredits more than 5000 hospitals.  The program includes hundreds of standards, which are revised regularly.  How do organizations keep pace and ensure they are meeting the standards and following best practices? Melanie Ryan, Mayo Clinic Director of Accreditation and Certification shares insights on the role of accreditation in healthcare quality and how Mayo manages the accreditation process.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Total Recall - what to do when devices fail

Host:     Timothy Morgenthaler, MD  @DrTimMorg

Guests: Ann West, Quality Management Services Manager, Mayo Clinic and Joe Nienow, Patient Safety Systems Manager, Mayo Clinic

Complex medical devices go through extensive development and testing before they are approved by the FDA, but—it's not a perfect process.  In fact on average, about 4500 different drugs and devices are pulled from the US shelves each year.  How would your hospital learn if a medical device has problems?  What happens when the FDA announces a safety recall?  If you work in healthcare and you don’t know the answers to these questions, listen to this podcast where we talk with two patient safety experts who have been working with reports of device failures at Mayo Clinic. 

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Opioid Prescribing Practices - Reducing the Risks and Saving Lives

Host:     Timothy Morgenthaler, MD  @DrTimMorg

Guests:  Helena Gazelka M.D., Consultant, Anesthesia-Pain Clinic, Mayo Clinic

              Benjamin Lai, M.B., B.Ch., B.A.O., Consultant, Family Medicine, Mayo Clinic  @BenjaminLaiMD

Drug overdose deaths have skyrocketed during the COVID-19 pandemic.  Many of the overdoses occur in people who were originally prescribed medications such as pain medications for acceptable clinical indications. A number of studies indicate that of those who began abusing opioids, a large number reported that their first opioid was from a prescription. Opioid abuse and addiction has become a crisis in the US and the need for standardized practices for prescribing is more important now than ever to avoid the terrible consequences of addiction. This podcast will share what Mayo Clinic is doing to reduce risks to patients, support physicians and standardize prescribing practices through an Opioid Stewardship program.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

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Antimicrobial Stewardship - It Takes a Village

Host: Timothy Morgenthaler, MD  @DrTimMorg

Guests: Abinash Virk, MD, Infectious Disease Consultant, Mayo Clinic and Ryan Stevens, Pharm.D., Mayo Clinic

Although antibiotics have transformed the medical treatment of bacterial illness and offered hope to many patients with formerly deadly infections, the mishandling and misprescription of these drugs has transformed the bacterial population such that many antibiotics have partially or entirely lost their efficacy.

The problem is severe enough that many experts predict that if we don’t change how we use antibiotics, existing antibiotic therapies may be ineffective in the next century.

The question is—how do we keep these incredible drugs effective so they work when we need them?  Listen in as we talk with experts who are leading the Antimicrobial Stewardship Program at Mayo Clinic.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Advancing Anticoagulation Medication Safety

Host: Timothy Morgenthaler, M.D. @DrTimMorg

Guests:   Robert McBane II, M.D., Cardiovascular Disease, Mayo Clinic and Anna Kramer, C.P.H.Q., Quality, Mayo Clinic      @MayoAntiCoag

Anticoagulants are proven life-saving therapies for individuals with cardiac and vascular disorders, however, there are also known risks with anticoagulant medications that make them one of the most common drugs involved in serious drug complications.  There are many guidelines to help doctors use anticoagulants safely, but…they are tricky, and sometimes hard to follow.  Our guests share Mayo Clinic’s journey to create a robust anticoagulant stewardship program designed to support clinicians and enhance patient safety.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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New approaches to reducing readmissions from skilled nursing facilities

Host: Timothy Morgenthaler, M.D. @DrTimMorg

Guest:  Anupam Chandra, M.D., Consultant, Internal Medicine, Mayo Clinic

Hospitals discharge more Medicare beneficiaries to skilled nursing facilities (SNFs) than to any other post-acute care setting. Approximately 25% of those patients return to the hospital within 30 days. Many of these readmissions are preventable.

In this podcast Anupam Chandra, M.D., Internal Medicine, Mayo Clinic shares how artificial intelligence is employed to determine which patients are at the highest risk for readmission and why. Dr. Chandra discusses Mayo Clinic's approach to readmission reduction for skilled nursing home patients, how it was implemented, and what factors are monitored to gain additional insights into clinical practice. 

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Improving the heart of patient experience

Host: Timothy Morgenthaler, M.D. @DrTimMorg

Guests:

Kelly Vorseth, Senior Patient Experience Director, Sheikh Shakhbout Medical City (SSMC)

Dr. Hassa Saif Al Mazrouei, Medical Director of Patient Experience, Sheikh Shakhbout Medical City (SSMC)

Patient experience has long been recognized as a domain of quality at Mayo Clinic, and there is increasing evidence that there is a strong link between patient experience and clinical outcomes. Patient experience has become one of many key metrics for measuring quality care. Organizations that succeed in improving patient experience have adopted a strategic approach that engages patients, healthcare staff, and at times, entire communities.  But how does an organization approach that, and what is involved?

The podcast features two experts who recently helped form a patient experience team and strategy at a new, unique, and growing medical center. Abu Dhabi Health Services Company (SEHA) and Mayo Clinic just recently marked the second anniversary of their joint venture that launched to operate Sheikh Shakhbout Medical City (SSMC), one of the United Arab Emirates' largest hospitals providing care for patients with serious and complex medical conditions.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

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Applying machine learning to improve patient safety

Guest:  Dr. Kannan Ramar, Patient Safety Officer and Consultant in Pulmonary and Critical Care Medicine, Mayo Clinic

Guest:  Dr. Kiril Lipatov, Resident, Pulmonary and Critical Care Medicine, Mayo Clinic

Host: Timothy Morgenthaler, M.D. @DrTimMorg

Artificial Intelligence holds the potential to be a game changer in patient safety.  So many of the historical processes to capture, track and analyze data can be automated to perform these tasks so they are no longer human dependent to complete.  AI science can mimic or do even a better job of human reasoning and analysis and can be harnessed in a way to bring new meaning to healthcare delivery.  The podcast explores one example of implementing AI to improve patient safety by developing a method to provide prospective risk analysis using data from the EHR. In particular, using this data is helping Mayo Clinic to improve the prevention of pressure injuries in hospitalized patients.

Find out more about Mayo Clinic’s Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/.

Connect with us on Twitter or Facebook using #mayokeyintoquality or at:

https://www.facebook.com/MayoClinic

https://twitter.com/MayoClinic