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Portfolio of Projects
UCLA Neurosurgical Clinical Quality Program:
Active Projects
Clinical Care Initiatives: Quality and Safety
1. Creating Clinical Pathways
- Will ensure consistent quality of care and efficiency for spine, brain tumor, pituitary tumor, deep brain stimulation, and endovascular surgeries.
2. Neurosurgery Dashboard
- Tracking metrics for overall care, quality, safety, patient satisfaction, and efficiency/throughput.
3. Command Center
- Evaluating algorithms for early detection of patient deterioration and therefore prevention of cardiopulmonary arrest.
4. ICU Quality and Safety Projects
- Include projects on medication errors, infection control and safe transitions of care.
5. Infection Control
- Focus on reduction of catheter-associated urinary tract infections, catheter-associated blood stream infections, and C. difficile, while increasing hand hygiene.
6. Epilepsy Program
7. Pediatric Neurosurgery
8. Re-designing the M&M process
Patient Centered Care and Satisfaction
9. High Performance Teams
- Implementing a standard communication tool between faculty, residents, case manager, discharge planner, charge nurse, bedside nurse and patient. The HPT (Hospitalization goal, Plan for today, Transition and discharge) reduced care coordination rounds from 40 - 60 minutes to 20 - 40 minutes with consistent and efficient communication of vital information.
10. Creating a UCLA Neurosurgery Brochure to enhance patients' understanding of our System and empower patients to participate in their care
Efficiency and Throughput
11. Discharge by Noon
- Addressing inefficiencies in the system and communication barriers with patients and providers that lead to a late discharge, creating a safety concern for patients' transition of care.
12. Health Care Sustainability and Waste Reduction
- Reducing waste by implementing the following programs: green IT, green office, green labs, water waste reduction, recycling of plastic and cardboard containers on the unit, discarding linens, re-stocking unused supplies, re-packaging intubation trays, and evaluation of lab utilization.
13. OR Efficiency
- Improving OR throughput and decreasing supply costs.
14. Santa Monica Spine
- Improving patient satisfaction and throughput.
Education and Mentorship
15. QI Education for faculty, residents, and medical students
Future Projects
16. Reducing Patient falls
17. Implementing the ABCs of Hospitalized Patients to ensure improved glycemic control, reduction of foley and central catheter use, increased DVT prophylaxis and reduced falls and decubitus ulcers
18. Integrate quality and safety discussions in the Board's agenda
19. Annual Quality Award for faculty, residents, and staff
