Quality Improvement

2018-2019 Quality Improvement Award Winner

This award provides salary support to one hospitalist each year, to facilitate mentored quality improvement work.

U-M Division of Hospital Medicine, Dr. Matthew Luzum
Matthew Luzum, MD

Matthew Luzum, MD, Assistant Professor, Departments of Internal Medicine and Pediatrics and Communicable Diseases

"My project will attempt to address the quality domains of effectiveness and efficiency regarding the evaluation and management of syncope in Medicine Observation Service (MOS); i.e., providing appropriate level of services based on current medical knowledge and avoiding waste. It will create and implement a syncope decision support pathway to assist providers’ identification of patients presenting with syncope, stratify them according to their risk of adverse outcomes, and inform management decisions using the current evidence of best practices. Its goal is to reduce rates of resource overuse among patients with low risk syncope without affecting rates of adverse outcomes." - Dr. Matthew Luzum

Our Quality Improvement Initiatives

  • Survey a convenience sample of our patient population (Patient and Family Centered Care has 400 patient advisers). Through this survey, we will answer three key questions:
    • Do patients prefer to receive communication using visual tools?
    • What type of tool/s (e.g., whiteboards in patient room or pictures of providers) do patients prefer to use?
    • What aspects of the tools’ design/content (e.g., name and picture of physician, nurses, goals of care, tests/procedures planned for the day) are most important to patients?
  • Survey hospitalists and nurses on their views regarding use/limitations of such visual tools (including frequency of use, beliefs about information presentation, content and accuracy, and willingness to use this tool as a format to communicate with patients).
  • Triangulate data from these surveys with our learning from the systematic review to develop a novel, patient-informed visual tool that will be pilot-tested on select units and assess influence on patient-provider communication and satisfaction with care. Patient-provider communication and satisfaction will be measured using standardized Likert scales.


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