Lee Arcement, MD, MPH

Donabedian’s Quality Triangle-It’s Relevance to Process Improvement

-Avedis Donabedian, MD, MPH (1919-2000)

Protocol Development

• Title• Background-Problem, magnitude, what is

known, unknown, hypothesis, aims• Methods-design/setting, population &

selection, intervention/measured, outcomes (1, 2) & how measured, stats

• Results-demographics, 1 & 2 outcomes• Conclusions-limitations, conclusions, clinical

implications• Bibliography

Current LSU ICON Resident Projects

• “Appropriate Antiplatelet Therapy for Heart Failure Patients” (Alexander Parr)

• “Effect of a Bundled Order Set on Quality of Care for Patients Hospitalized with Acute Decompensated COPD” (Chang Hoang)

• “Effect of American Stroke Association Guidelines on Inpatient Strokes and TIA Quality of Care” (Jiger Patel, Michael Charlet)

• “Efficacy of Diabetic Ketoacidosis Protocol in Improving Clinical Outcomes” (Diyva Narayan)

Current LSU ICON Resident Projects (cont.)

• “Appropriate DVT Prophylaxis for Heart Failure Patients” (T. Nesteruk)

• “Prevalence of Chronic Kidney Disease in Heart Failure Patients across the LSU Public Health Hospitals” (H. Dave, T. Ferguson)

• “Impact of Disease Management on Pneumovax Immunization Collateral Benefit” (S. Gladde)

Collaboration with LSU ICON Resources

• Protocol Development• Design & Analysis• Regulatory Approval• Implementation

LSU ICON CORE SERVICES

Medical Informatics Core Ronald Horswell, PhD/Connie Murla Clinical & administrative database extraction, database development

Other Administrative Services Robert Leonhard, MBA Assistance with IRB submission, assistance with protocol design around quality improvement focus

Effect of a Bundled Order Set on Quality of Care for Patients Hospitalized with Acute Decompensated COPD-Canh Hoang

• Background• Methods• Results• Conclusions• Role of ICON

Benefits to the LSU Residency Program

• Scholarly activity• Prepare house officers for CQI after training• Prepare for recertification• Recruitment tool• Resident CQI-core competencies

Overall Impact of Projects on Improvement of Health Outcomes

• Pending