Director: Jeffrey Rohde, MD
The quality committee for hospital medicine serves two main functions for Hospital Medicine:
- To perform quality assurance via peer review of referred and flagged internal medicine cases cared for at University of Michigan Hospital. This includes reviewing all deaths that occur on the services.
- To help direct, inform, and implement quality improvement initiatives for the inpatient general medicine services.
Examples of Quality Improvement Projects
Data indicates that approximately 60% of patients admitted to the Medicine Faculty Hospitalist (MFH) service are actively receiving antibiotics. Studies indicate that upwards of 50% of antibiotics given to inpatients could be considered inappropriate. In coordination with the Centers for Disease Control (CDC) and Institute for Healthcare Improvement (IHI), Michigan Medicine is involved in a national initiative to improve hospitalists’ documentation of their antibiotic use which may improve clinician awareness and appropriateness of use. Appropriate documentation is particularly important at times of transitions. The goal of this project is to improve the percentage of patients on antibiotics who have indication, expected duration, and day-of-therapy/start date clearly documented. This was supported by performing antibiotic time outs with clinical pharmacists on Monday, Wednesday, and Friday.