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QIPSS Group #1 Final - Shared screen with speaker view
Haley Manella, MD
06:43
2 minute warning
Haley Manella, MD
07:44
1 minute warning
David Larson
08:50
Nice work! You discussed the role of the intern--could this be a team effort, or does this need to always fall to the intern/resident?
Haley Manella, MD
10:28
any other questions?
Joe Hopkins
11:01
Looks like tnhere was a significant imporvemnet in 2018 What acounts for this? Did you learn anything frm thuis peiord?
Stephanie Harman
11:39
Also on Oncology multidisciplinary rounds—this became a routinely asked question
Stephanie Harman
11:45
(In 2018)
Haley Manella, MD
15:19
2 minute warning
Haley Manella, MD
16:22
1 minute warning
David Larson
16:38
Great work! Why do you think we were such outliers in the first place relative to other children's hospitals?
Paul Maggio
17:33
nice project. what other measures have you considered - eg, patient and family experience.
Joe Hopkins
17:39
Looks like a very successful pilot. Have you done a fishbone to better understand barriers?
Tricia Britt
18:28
Was there consideration of whether intermediate level of care would be appropriate? Or was it just a choice between intensive care or acute care?
Roxanne Hyke
19:22
What other measures are being taken to assist in identifying eligible patients; I.e. reports, etc.
Haley Manella, MD
23:18
2 minute warning
Haley Manella, MD
24:06
1 minute warning
David Larson
24:48
Great job! What will you be doing for incoming residents?
Joe Hopkins
25:46
Godd use of focus group. Like use ofMiller's fraamwork. Do you have a virtual version going forward, including virtual coaching?
jake mickelsen
26:18
Great job Tarini. Do you feel this could be shared to other departments?
Haley Manella, MD
30:49
2 minute warning
Haley Manella, MD
31:51
1 minute warning
David Larson
33:01
Great to see the progress you made in a short time. Do you think your current interventions will get you to the level of performance you eventually want to get to, or are there still more interventions that are needed?
Joe Hopkins
33:48
Great example of the power of interdisciplinary intervention!
Haley Manella, MD
38:45
2 minute warning
David Larson
39:24
Nice research project! What would you do to work on implementation?
jake mickelsen
39:25
Interesting analysis. How many patients mke up the data points analyzed?
jake mickelsen
40:11
Nevermind. I see this listed on the left side.
Joe Hopkins
40:49
What do feel accoujjts for the difference in service utlization
Joe Hopkins
45:27
Only two people on your team??
Haley Manella, MD
45:59
2 minute warning
Joe Hopkins
46:06
Only two people on your team??
David Larson
47:20
Who are the people who need to change their behaviors?
David Larson
47:25
Should you get them on your team?
jake mickelsen
47:51
Thanks for summarizing this so well. Was is difficult working through the different ways doctors were trained?
Haley Manella, MD
52:04
2 minute warning
Haley Manella, MD
53:04
1 minute warning
David Larson
54:02
How does one change a standard discharge instructions form? Who will maintain the standard set of discharge instructions going forward?
David Larson
54:19
Great work, by the way. This is not easy.
Joe Hopkins
55:23
One possible metric could be number of post DC phone calls from patients with questions.
Tricia Britt
55:32
was there collaboration with other disciplines, such as nursing or rehab?
Haley Manella, MD
01:00:02
2 minute warning
Haley Manella, MD
01:01:04
1 minute warning
Joe Hopkins
01:04:22
Could you assess the actual compiance with guidlines
Haley Manella, MD
01:09:46
2 minute warning
David Larson
01:10:41
Really interesting test of a national quality measure. Has this quality measure ever been validated like you have done?
Haley Manella, MD
01:10:42
1 minute warning
Joe Hopkins
01:10:56
Using the Vizient CDB - nice!
David Larson
01:12:20
This is a common problem--development and dissemination of a quality measure before it has been fully validated. Are you planning to publish this?
David Larson
01:13:06
Great! Let's validate the data before setting up the registry.
Haley Manella, MD
01:16:45
2 minute warning
Haley Manella, MD
01:17:48
1 minute warning
David Larson
01:19:15
Nice work--clearly quite extensive. Can you walk us through how your findings from your Pareto diagram relate to your interventions?
David Larson
01:20:12
You may want to do another layer in your Pareto that evaluates your process problems to help with your key driver diagram.
Haley Manella, MD
01:26:12
Dr. Shieh says to pick 3 winners 2, as long as 1 is multiD
Haley Manella, MD
01:26:23
3 winners total*