Medical education and quality: A combination for excellence

March 3, 2015

OHSU Excellence Week was held Feb. 9 to 13 and provided an opportunity to celebrate the work being done throughout OHSU in the areas of safety, quality, service and affordability. Faculty members, residents, fellows, staff and students are all involved in helping OHSU achieve its performance excellence goals for patients.

The School of Medicine’s Division of Graduate Medical Education held its second annual Performance Excellence poster symposium, during which 21 residents and fellows competed in four categories. Congratulations to the following award winners:

1st Place ServiceService

Patient Experience: Missing the Message
Authors: Nathan Schoeneck, Deanna Eichler, Shelley Plott, Nate Gay, Jake Lenington, Alicia Overstreet-Galeano, Brad Stauber, Hanna Lobingier, Stephanie Halvorson, Shona Hunsaker, Matthew DiVeronica, and Daniel Hagg (from the School of Medicine’s departments of Medicine and Family Medicine, Division of Pulmonary and Critical Care Medicine and VA Portland Health Care System)



1st Place AffordabilityAffordability

Using Pre-Health Student Volunteers to Implement Early Mobilization Through Passive Range of Motion
Makoto Uchiyama, Cody Benthin, Nancy McCully, Kelsey Priest, Hannah Lobingier, Stephanie Nonas and Daniel Hagg (from the School of Medicine Division of Pulmonary and Critical Care Medicine)




1st Place SafetySafety

Process Improvement Initiative for the Preoperative Management of
Patients with a Cardiovascular Implantable Electronic Device
  Margaret K. Menzel, Marc A. Rozner, Jamie M. Eastman, Norman
A. Cohen, Matthias J. Merkel, Eric C. Stecker, Michael F. Aziz, Peter M. Schulman (from the School of Medicine Department of Anesthesiology and Perioperative Medicine)



1st Place QualityQuality

Improving Care of Patients on Chronic Opioids
Brian Garvey, Anthony Cheng, Jessica Johnson, Erica PeDgrew, Emily Waterman, Jade Koide, Alison Herson, Tovi Anderson, Marcel Tam, Alex Zweig, Wes Baker and Brigit Hatch (from the School of Medicine Department of Family Medicine)



Honorable mentions went to:

  • Maternity Checklist Manifesto: Improving Evidence-based Prenatal Care and Resident Satisfaction and OHSU Richmond Clinic
  • Teaching Improvement to Physicians-in-Training: Lessons From the Family Medicine Residency Curriculum
  • Could "Face Time" Improve Communication between Night Time Physician and Nursing Staff and Decrease Patient Care Interruptions?
  • Decision to Incision Time: A Quality Improvement Project in OBGYN

OHSU faculty, trainees and staff can access GME grand rounds presentations on the GME O2 site.

School of Medicine students – along with their peers in the School of Nursing and Portland State University – were also active in Excellence Week. They organized a session about involving students in interprofessional quality improvement work and held a quality drive competition. Below is a summary of those efforts.

Students shed a light on programs at OHSU which they consider exemplary of student involvement in performance excellence, including the Critical Care Academic Associates Program (CCAAP). CCAAP Volunteer Coordinator and Portland State University MPH student Hannah Lobingier shared the strengths of this program where volunteers get involved with ongoing quality improvement projects. OHSU Medical Student Josiah Perez and Windy Stevenson, M.D., clinical associate professor of medicine, OHSU School of Medicine, led a discussion about the Quality Improvement Learners Team (QILT). Despite varying capacities to mentor students through quality improvement projects, the benefits from involving students in this work are clear.

Student-driven projects were in the spotlight, too:

IHI Experiential Learning: OHSU MPH student Lisa Miller presented on the IHI Open School's experiential learning program, the Practicum Project. In collaboration with a faculty advisor, learners plan and carry out a real-world quality improvement project applying the skills they learned in other Open School modules. Miller’s project focuses on incorporating social determinants of health into the medical record at an OHSU primary care clinic.

IHI Change Agent Network - Leadership & Organizing: PSU MPH student Rebekah Bally presented on the IHI Open School's newest curriculum, Leadership & Organizing to Improve Population Health. Bally was one of a small group of students from OHSU and PSU trying to improve patient-provider communication through dissemination of the Choosing Wisely campaign and relationship building to expand reach.

Quality Drive: Congratulations to the student winners of the second annual Interprofessional Quality Drive! Dario LaPoma, School of Nursing; Ashley Carlson, School of Nursing; and Elliot Harmon, School of Medicine. These lucky participants each won a $25 gift card to Powell's Books, sponsored by the School of Medicine. The Quality Drive, hosted by the PSU & OHSU Institute for Healthcare Improvement (IHI) Open School Chapter, provided an opportunity for students to ask patients one simple question: "What is one thing I could do to improve your visit today?" Responses included wants (food, shorter wait time), needs for connection (companionship, family presence), clearer communication and clinical questions. Participating students came to appreciate the simple steps it took to provide patient-centered care that made a difference.