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HomeHealthcareVA ‘Surgical Pause’ Initiative Wins Eisenberg Affected person Security Award

VA ‘Surgical Pause’ Initiative Wins Eisenberg Affected person Security Award

The Joint Fee and Nationwide High quality Discussion board (NQF) have introduced the recipients of the 2023 John M. Eisenberg Affected person Security and High quality Awards, together with a Veterans Well being Administration surgical procedure initiative that decreased six-month mortality for at-risk sufferers.

The Eisenberg Awards acknowledge main achievements by people and organizations that improved affected person security and healthcare high quality. Launched in 2002, the awards honor the late John M. Eisenberg, M.D., M.B.A., former administrator of the Company for Healthcare Analysis and High quality (AHRQ) and a founding member of NQF’s board of administrators.

Annually, awards are offered for national-level innovation, local-level innovation and particular person achievement. The 2023 awardees are:
• Nationwide Degree Innovation in Affected person Security and High quality: The Surgical Pause – Veterans Well being Administration
• Native Degree Innovation in Affected person Security and High quality: Making a Tradition of High quality for Cardiovascular Care in Michigan – BMC2
• Particular person Achievement: Eduardo Salas, Ph.D., Rice College

“Annually, the Eisenberg Awards showcase modern healthcare high quality and affected person security efforts which have had a big demonstrable influence on enhancing affected person outcomes and lowering avoidable healthcare harms,” stated Dana Gelb Safran, Sc.D., president and chief govt officer of NQF, in an announcement. “The work of this 12 months’s particular person and institutional recipients embodies the legacy of Dr. Eisenberg, who was a visionary pioneer and alter maker dedicated to translating analysis into real-world supply system enhancements that guarantee secure, dependable, and efficient care for each affected person in each setting. The Joint Fee and NQF are proud to acknowledge these excellent innovators as we proceed to honor Dr. Eisenberg’s enduring contributions to our area.”

Veterans Well being Administration (VHA) is acknowledged for its initiative the Surgical Pause, which decreased six-month mortality of sufferers decided to be “frail” from 25 p.c to eight p.c at three VA medical facilities. Beneath the initiative, suppliers carried out routine frailty screening with the Threat Evaluation Index to establish sufferers on the highest threat of postoperative problems, lack of independence, and mortality. For sufferers discovered to be frail, a quick “pause” permits additional analysis. For sufferers who pursue surgical procedure, multidisciplinary care plans are carried out to scale back frailty-associated dangers earlier than surgical procedure, shifting the paradigm and energy to strengthening the frail affected person and mitigating potential problems earlier than they occur. Additional evaluation of greater than 50,000 sufferers discovered that one-year mortality declined by 4.2 p.c. On account of this success, the Surgical Pause has been replicated throughout greater than 50 medical facilities throughout VA and the personal sector.

BMC2 (Blue Cross Blue Protect of Michigan Cardiovascular Consortium) is a statewide high quality enchancment collaborative that develops and administers a portfolio of high quality enchancment interventions for sufferers who endure percutaneous coronary interventions (PCI), vascular surgical procedures, and transcatheter valve procedures in Michigan. On account of the initiative Making a Tradition of High quality for Cardiovascular Care in Michigan, BMC2 participant websites:
• Improved documentation of radiation use from 73.1 p.c in 2019 to 85.5 p.c in 2021. BMC2 websites are outperforming nationwide charges, which had been 57.5 p.c in 2019 and 74.3 p.c in 2021.
• Achieved an total 43 p.c lower in instances with high-dose radiation publicity (2.8 p.c in 2018 to 1.2 p.c in 2021) for a whole bunch of sufferers and catheterization laboratory employees members.
• Diminished opioid capsule prescribing. Information confirmed enchancment within the fee of sufferers with a prescription for fewer than 10 opioid tablets, growing from 62 p.c in 2018 to 91 p.c in 2021.

NQF stated that Eduardo Salas, Ph.D., of Rice College, is acknowledged for his physique of labor throughout 40 years designing, creating, and evaluating evidence-based ideas and instruments to assist healthcare organizations create a tradition of teamwork and security. Most notable is his improvement of TeamSTEPPS (Staff Methods & Instruments to Improve Efficiency & Affected person Security), a coordination and teamwork framework that has been adopted by 70 p.c of U.S. hospitals to assist scale back medical errors.

Salas is a prolific scholar and has revealed greater than 420 journal articles in top-tier journals and two books, edited 36 books and 247 e book chapters, and has bestowed a whole bunch of shows. His work has been cited greater than 132,000 instances.

“Congratulations to Veterans Well being Administration, BMC2, and Eduardo Salas, for his or her super achievements worthy of the 2023 John M. Eisenberg Affected person Security and High quality Awards,” stated Jonathan B. Perlin, M.D., Ph.D., president and CEO of The Joint Fee enterprise, in an announcement. “We envision a future the place all individuals all the time expertise the most secure, highest high quality healthcare throughout all settings. The accomplishments by the 2023 Eisenberg awardees function examples of inspirational, but replicable efforts enabling healthcare organizations to drive actual enhancements to affected person security and high quality.”

In August 2023 The Joint Fee and NQF introduced a strategic affiliation, with NQF becoming a member of the Joint Fee enterprise whereas sustaining its independence in convening and creating consensus-based measures, implementation steerage, and practices that profit all stakeholders. 

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Hector Antonio Guzman German
Dr. Hector A. Guzman
Graduado de Doctor en medicina en la universidad Autónoma de Santo Domingo en el año 2004. Luego emigró a la República Federal de Alemania, dónde se ha formado en medicina interna, cardiologia, Emergenciologia, medicina de buceo y cuidados intensivos.


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