| Delivery Network | Project | Goal | Impact |
|---|---|---|---|
| System | Rational Opioid Utilization | Optimize the use of opioids | Administered opioid MME per day down 17% |
| Lawrence + Memorial | COPD/PNACare | Reduce LOS and improve patient outcomes | PNA ICU Patient ALOS down 43% |
| Bridgeport | Behavioral Intervention Team | Optimize care of medicine patients requiring psych services. | ALOS down 10% |
| Greenwich | Multimodal Analgesia | Deployed a multimodal pain management approach | Administered opioid MME per day down 10%. |
| Yale New Haven | Outpatient Parenteral Antimicrobial Therapy | Create OPAT program to free up inpatient beds; | Patients receiving OPAT in outpatient setting |
| Delivery Network | Department | Title | Description |
|---|---|---|---|
| YNHH | Multiple | Inpatient Consultations & Provider to Provider Communication | Develop standards for inpatient consultation (ordering, response time, documentation etc.) |
| YNHHS | Obstetrics | System Cervidil Utilization | Develop guidelines for optimized use of cervidil for labor inducion |
| Delivery Network | Department | Title | Description |
|---|---|---|---|
| YNHH | Blood Bank | Sickle Cell Patient Redesign - Adult | Update Surgical Blood Ordering System and Type/Screen requirement lists to reduce unnecessary utilization. |
| YNHHS | Digestive Diseases |
Constipation & Impaction Treatment Protocol | Develop system wide constipation / impaction care protocol. |
| YNHH | Geriatrics | YNHH Palliative Care Optimization |
Implement a predictive model to trigger palliative care consultations. |
| YNHHS | Gynecology | Abnormal Pap Smear Tracking | Create standards for abnormal Pap smear test follow-up and loop closure. |
| YNHHS | Labor & Delivery | Surgical Pack Optimization | Optimize surgical packs for Women's surgical procedures |
| BH | Medicine | Reducing CHF Readmissions | Using Rothman Index to stratify CHF patients for risk of readmission & applying post-acute interventions to reduce the risk |
| BH | Medicine | Reducing post-operative pneumonia | Reduce post-operative pneumonia |
| BH | Medicine | Medication Reconciliation | Med Reconciliation: Planning deployment of Med Rec Techs at BH |
| YNHH | Multiple | Outpatient Parenteral Antimicrobial Therapy Program | Develop an Outpatient Parenteral Antimicrobial Treatment (OPAT) program to track patients and provide more antimicrobial therapy options to patients. |
| YNHH | Multiple | Non-OR Anesthesia | Optimize utilization & deployment of NORA resources. |
| YNHH | Oncology | Early Discharge of Acute Leukemia Patients | Apply evidence based methods to initiate the early discharge of patients with acute leukemia. |
| BH | Psychiatry | Behavioral Intervention Team | Plan deployment of Behavioral Intervention Team (BIT) to optimize care of patients requiring psych services. |
| YNHH | Respiratory | Nitric Oxide Utilization | Develop standards for optimized Nitric Oxide utilization. |
| BH | Surgery | Podiatry Patient LOS | Optimize care of podiatry patients admitted to the hospital |
| YNHHS | Urology | ERAS - Urology | System Deploy Enhanced Recovery After Surgery (ERAS) protocol in Urology Department |
| Delivery Network | Department | Title | Description |
|---|---|---|---|
| BH | Critical Care | Expand Intermediate Care Area | Expand the capacity and utilization of the Intermediate Care Area (Step Down Unit) at Bridgeport Hospital |
| YNHH | Digestive Diseases | Endoscopy Operational Redesign | Optimize the utilization of endoscopy services |
| GH | Emergency | Emergency Department Throughput | Improve flow to reduce ED Length of Stay |
| BH | Gynecology | ERAS - Gynecology | Deploy Enhance Recover After Surgery (ERAS) protocol for GYN surgery patients |
| YNHH | Gynecology | ERAS - Gynecology | Deploy ERAS protocol for patients undergoing gynecological surgery |
| YNHH | Heart & Vascular | Interventional Radiology Turnaround | Optimization of IR scheduling & throughput |
| YNHHS | Medicine | Palliative Care | System deployment of standardized palliative care approach |
| YNHH | Medicine | Medicine Long Stay Patients | Providing appropriate level of care for patients who medically do not require ongoing hospitalization, though do not have other safe disposition options |
| BH | Medicine | Patient Mobilization | Improve patient outcomes by increasing inpatient mobilization |
| YNHHS | Medicine | LTACH Utilization | Develop & implement criteria for identifying and referring Long Term Acute Care Hospital (LTACH) patients |
| BH | Medicine | Improve Care of Sepsis Patients | Deploy evidence-based sepsis care at Bridgeport Hospital |
| YNHH | Multiple | Virtual Hospice | Launch a Hospice within a hospital |
| YNHH | Musculoskeletal | Musculoskeletal Bundled Payments | Restructuring of bundled payments |
| YNHH | Musculoskeletal | Musculoskeletal Hip Fractures | An integrated fragility fracture program to promote the best outcomes for patients |
| YNHH | Neurology | Neuro - CT Utilization for Head Trauma Patients | Avoiding unnecessary computed tomography (CT) scans of the head in ED patients |
| YNHH | OB/GYN | LOS | Improve inpatient management of post-partum patients |
| YNHH | Pediatrics | Pediatric Sepsis Patient Care | Deploy evidence-based sepsis care in the Children's Hospital |
| YNHH | Radiology | Diagnostic Radiology Turnaround | Improve turnaround time for select diagnostic radiology tests |
| YNHH | Respiratory Therapy | Spirometry Redesign | Determine if patients admitted for COPD exacerbation have airflow obstruction |
| YNHH | Supply Chain | Surgical Low-End Physician Preference Items | Engage surgeons to reduce/standardize the numbers and types of surgical low end items |
| YNHH | Surgery | ERAS - GI / Colon | Deploy ERAS protocol for GI surgery patients |
| YNHH | Surgery | Surgical Cost per Case | Deliver procedure-specific cost per case to surgical providers |
| YNHH | Surgery | Thoracic Surgery Blood Utilization | Optimize proper screening, typing, and utilization of blood products for patients undergoing thoracic surgery |
| GH | Surgery | ERAS - GI / Colon | Deploy ERAS protocol for GI\Colon Surgery patients |
