About the Summit

The Summit on Quality Improvement, Patient Safety & Wellness is a statewide program that brings together medical care providers to focus on promotion of patient safety and enhancement of quality of patient care, along with caregiver wellness. The Summit supports Section VI of the American Conference on Graduate Medical Education (ACGME) Common Program Requirements. The requirements emphasize that all physicians share responsibility for promoting patient safety and enhancing quality of patient care. As a result, Graduate medical education training programs must prepare residents to provide clinical care with continuous focus on the safety, individual needs, and humanity of their patients. In addition, ACGME has recognized that the psychological, emotional, and physical well-being of caregivers is critical in the development of competent, caring, and resilient physicians.

Quality Improvement involves systematic and continuous actions that lead to measurable improvement in health care services and the well-being of targeted patient populations. To make improvements, organizations need to understand their own delivery system and key processes. The Michigan Summit on Quality Improvement, Patient Safety & Wellness is designed to focus on the initial steps of quality improvement by highlighting the importance of residents and fellows in the process of identifying areas of improvement. This Summit further aids health care systems by providing the tools to effectively study the targeted areas of improvement. Wellness addresses the well-being of the healthcare delivery team: from residents, fellows, attending physicians, physician assistants, nurses, aides, and graduate medical education program directors. The goal is to help caregivers establish work-life balance so that they can be effective caregivers for their patients.

The Michigan Summit on Quality Improvement, Patient Safety & Wellness is a statewide collaboration between:

 Blue Cross Blue Shield of Michigan  Center for Value Partnerships Medical Education  Michigan Area Health Education  Michigan Health & Hospital Center Association  Michigan Peer Review Organization  Wayne State University School of  Michigan Association for Medical Medicine Education

In the fourth year of the Summit, the program has been expanded: Quality Improvement/Patient Safety poster presentations by residents and fellows from across the state of Michigan continue to be a focus, with a new poster category to include projects on Caregiver Wellness. In addition, a session with slide presentations for the top submitted abstracts will be held. Awards will be given to the top posters in the quality improvement/patient safety category for residents and for fellows, and the top poster in the wellness category will receive an award. Slide presentations also will be recognized and will receive monetary awards. As in past years, the program includes a dynamic keynote speaker. The afternoon session will be comprised of four concurrent courses:

 Introductory QI Bootcamp  Advanced QI Bootcamp  QI Bootcamp for Program Coordinators  Wellness Bootcamp

The Michigan Summit on Quality Improvement, Patient Safety & Wellness

The morning session includes:

 Resident and Fellow poster presentations on Quality Improvement, Patient Safety, and Wellness projects  Three slide presentations of top Resident and Fellow projects  Keynote Address  Networking luncheon; vendors on display who provide sponsorship for the Summit  Awards ceremony

Two short sessions in the early afternoon:

 “Wellness in the Works”  “Payer Provider Partnerships”

The afternoon includes four concurrent courses:

 QI Bootcamp  Advanced QI Bootcamp  QI Bootcamp for Program Coordinators  Wellness Bootcamp

Continuing Medical Education Credit (CME)

CME will be provided.

ACCREDITATION: The McLaren Health Care is accredited by the Michigan State Medical Society Committee on CME Accreditation to provide continuing medical education for physicians.

AMA DESIGNATION STATEMENT: The McLaren Health Care designates this educational activity for a maximum of 5 MSMS PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AOA ACCREDITATION: The McLaren Health Care is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.

The McLaren Health Care designates this program for a maximum of 5 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

To receive CME credits, participants at the Summit will need to check in at the registration desk and sign-in at a computer kiosk. Upon completion of sessions, participants will need to complete an evaluation form and report the number of hours of CME activities attended. CME certificates will be emailed upon receipt of a completed evaluation form.

Conflicts of Interest

It is the policy of McLaren Health Care and the Department of Continuing Medical Education to ensure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational programs. All Program Directors, Moderators, activity planners and faculty participating in any McLaren Greater Lansing sponsored program are expected to disclose any real or apparent conflict(s) of interest that may have direct bearing on the subject matter of the continuing education program. McLaren Greater Lansing will resolve conflicts of interest prior to the program and provide a listing of any disclosures or the absence of any disclosures prior to the beginning of any activity.

Speakers

Kathryn Adair, PhD - No Conflicts of interest to disclose

Marc Cohen - No Conflicts of interest to disclose Speakers (continued)

Anne Dohrenwend, PhD - No conflicts of interest to disclose

Andrea Ernst, C-TAGME - No conflicts of interest to disclose

Robert Flora, MD, MBA, MPH - No conflicts of interest to disclose

Kathy Hinton - No conflicts of interest to disclose

Rajiv John, MD – No conflicts of interest to disclose

Pradeep Kaminoulu - No conflicts of interest to disclose

Lakshmi Swaminathan, MD – No conflicts of interest disclosed

Radhika Kakarala, MD, MS– No conflicts of interest disclosed

Lisa Miller, C-TAGME – No conflicts of interest disclosed

Vita McCabe, MD– No conflicts of interest disclosed

Lisa McLean, MD– No conflicts of interest disclosed

Dawne Vowler, C-TAGME – No conflicts of interest disclosed

Barbara Wolf, MD, MHA – No conflicts of interest to disclose

Planning Committee

Lisa Dillon, PhD – No conflicts of interest to disclose

Robert Flora, MD – No conflicts of interest to disclose

Paige Fults – No conflicts of interest to disclose

Karen H. Hagglund, MS – No conflicts of interest to disclose

Leon Hudson – No conflicts of interest to disclose

Wendy Jolivet, MBA– No conflicts of interest disclosed

Nadia Juzych, DSc, MS – No conflicts of interest to disclose

Susan Palmer - No conflicts of interest to disclose

Susan Pasqualone - No conflicts of interest to disclose

David Pieper, PhD – No conflicts of interest to disclose

Lakshmi Swaminathan, MD – No conflicts of interest disclosed

Dennis Tsilimingras, MD – No conflicts of interest to disclose

Sharon Wilson, MS – No conflicts of interest to disclose Michigan Summit on Quality Improvement, Patient Safety & Wellness Planning Committee

Lisa Dillon, PhD Academic Director Medical Center

Robert Flora, MD, MBA, MPH Chief Academic Officer and Vice President of Academic Affairs, McLaren Health Care Professor – Department of Obstetrics, Gynecology, and Reproductive Biology – Southeast Michigan Campus, Michigan State University College of Human Medicine

Paige Fults Director, Advocacy Michigan Health & Hospital Association (MHA)

Karen Hagglund, MS Medical Researcher Ascension St. John

Leon Hudson Project Manager Michigan Area Health Education Center

Wendy Jolivet, MBA Conference Manager, SEMCME

Nadia Juzych, DSc, MS Chair, Michigan QI Summit Planning Committee Project Manager, SEMCME

Susan Palmer, C-TAGME Residency Program Coordinator, Radiology Beaumont Hospital, Royal Oak

Susan Pasqualone Communications Director Michigan Peer Review Organization (MPRO)

David Pieper, PhD Former Executive Director, SEMCME

Kate Sheppard, MPH, MSW Executive Director, SEMCME

Lakshmi Swaminathan, MD Director Graduate Medical Education Patient Safety and Quality Beaumont Hospital, Dearborn

Dennis Tsilimingras, MD, MPH Associate Professor, Wayne State University School of Medicine Co-Director, Michigan Area Health Education Center

Sharon Wilson, MS President, Michigan Association for Medical Education (MAME) Operations Director, Graduate Medical Education Beaumont Hospital, Royal Oak

2019 Michigan Summit Quality Improvement, Patient Safety & Wellness

Somerset Inn, Troy, Michigan May 29th, 2019

Schedule of Events

7:00 - 8:00 am Registration, Sign-In, Poster Check-In 7:30 - 8:00 am Judges Orientation

Morning Sessions

Poster Presentation Competition - with Judges and Other Guests 8:00 - 10:00 am

Morning Break – POSTERS MUST BE REMOVED AT THIS TIME 10:00 - 10:10 am Please Visit Vendor Displays

10:10 - 10:15 am Welcome and Introductions

Slide Presentation Competition

Dr. Beena Ahsan, Henry Ford Health System, “Multidisciplinary Approach for 10:15 – 11:00 am Standardized Care and Control of Opioid Administration for Pain Management Patients” Dr. Megan Cook, Henry Ford Hospital Detroit, “Hepatitis C Screening and Linkage to Care in an Urban Emergency Department” Dr. Gloria Hong, Ascension Providence Rochester Hospital, “Process to Improve Cardiac Telemetry Use in a Community Hospital”

Keynote Presentation

The Science of Burnout and Well-Being in Healthcare: 11:00 – 12:00pm How “Other People Matter”

Dr. Kathryn Adair, Assistant Director of Research Duke Patient Safety Center, Duke University School of Medicine

Awards Lunch and Short Sessions 12:00 – 12:15pm Awards Ceremony 12:15 – 1:00 pm Buffet Lunch, Networking, Vendor Displays Session #1 – Wellness In the Works Moderator Barbara Wolf, MD, MHA McLaren Health Care 1:00 – 1:30 pm Discussion of Wellness projects that are under development or currently in progress at SEMCME member institutions Session #2 – Payer-Provider Partnerships for Quality of Care Marc Cohen, Blue Cross Blue Shield of Michigan Value Partnerships program Discussion of collaborative quality initiatives (CQIs) and potential opportunities for 1:00 – 1:30 pm future QI projects Afternoon Program - Concurrent Sessions Course #1 - Quality Improvement Bootcamp The What, Why, and How of Performance Improvement 1:30 – 5:00 pm Lakshmi Swaminathan, MD; Rajiv John, MD; Pradeep Kaminoulu, MD, FACP Beaumont Hospital, Dearborn Course #2 - Quality Improvement Bootcamp – Advanced Course

Robert Flora, MD, MBA, MPH 1:30 – 5:00 pm Chief Academic Officer and Designated Institutional Official, McLaren Health Care Course #3 - Quality Improvement for Program Coordinators

The Dance of Life – Finding Your Own Work/Life Balance Dawne Vowler C-TAGME; Andrea Erns; Lisa Miller, C-TAGME Department of Internal Medicine, University of Michigan

Coaching Program Coordinators to Work with Residents and Fellows 1:30 – 5:00 pm Radhika Kakarala, MD, MS McLaren Health

American Medical Association Graduate Medical Education Competency Program Modules Kathy Hinton American Medical Association Course #4 - Wellness Bootcamp

Wellness and One Story of Impairment Vita McCabe, MD St. Joseph Mercy Hospital, Ann Arbor

The Connection Between Empathy and Self-Reflection 1:30 – 5:00 pm Anne Dohrenwend, PhD St. Joseph Hospital Mercy, Ann Arbor

Noticing Lisa Maclean, MD Henry Ford Medical Group

Please complete evaluations. Thank you!

About the Sessions

Keynote Presentation The Science of Burnout and Well-Being in Healthcare: How “Other People Matter”

Kathryn Adair, PhD, MA, Assistant Director of Research Duke Patient Safety Center, Duke University School of Medicine

Objectives: By the end of the presentation, participants will be able to  Discuss the psychology of burnout  Recognize how burnout is linked to quality  Appreciate role that our relationships play in our well-being  Use evidence-based tools to reduce burnout

Session 1 Wellness in the Works

Moderator, Barbara Wolf, MD, MHA McLaren Healthcare

Objectives: By the end of the session, participants will be able to:  Identify wellness projects that have merit  Formulate ideas for wellness projects within their own institutions

Session 2 Payer-Provider Partnerships for Quality of Care Marc Cohen, Blue Cross Blue Shield of Michigan Value Partnerships

Objectives: By the end of the session, participants will be able to:  Describe a collaborative quality initiative (CQI)  Identify potential opportunities for improving processes and outcomes in their own institutions Course 1 Quality Improvement Bootcamp The What, Why, and How of Performance Improvement Lakshmi Swaminathan, MD; Pradeep Kaminoulu, MD, FACP; Rajiv John, MD Beaumont Hospital, Dearborn

Objectives: By the end of the Bootcamp, participants will be able to:  Explain the importance of learning quality improvement (QI) during residency  Recognize importance of using frameworks for QI work & compare/ contrast commonly used QI frameworks  Discuss and apply the IHI Model for Improvement Framework for QI projects using examples  Identify key principles in using data for quality improvement  Highlight common pitfalls in implementing quality improvement projects involving trainees

Course 2 Advanced Quality Improvement Bootcamp Robert Flora, MD, MBA, MPH Chief Academic Officer and Vice President of Academic Affairs, McLaren Health Care

Objectives: By the end of the Bootcamp, participants will be able to:

 Describe IHI Model for Improvement -Seven Steps – Seven Tools -QI Macro -Introduce modified templates  Describe application of advanced tools -IHI QI Essentials Template for Cause and Effect Diagram -Driver Diagram -Failure Modes -Effect Analysis -Project Planning Form  Demonstrate the Logic Model -Align QI activities with institutional goals  Discuss the Ethics of Using Quality Improvement Methods in Health Care, Hasting Papers, Example protocols (Johns Hopkins, McLaren MCRI, etc.)

Course 3 Quality Improvement for Program Coordinators

The Dance of Life – Finding Your Own Work/Life Balance Dawne Vowler, C-TAGME Andrea Ernst, MSSW Lisa Miller, C-TAGME Department of Internal Medicine, University of Michigan Health System

Objectives: By the end of the session, participants will be able to:  Identify the difference between feeling stressed with deadlines and tasks versus being “burned-out”.  Define productivity and success; is it just checking items off a list or is it more personal?  Describe self-care and how to manage it with other responsibilities  Have strategies to advocate for yourself to program, department and institutional leadership

Coaching Program Coordinators to Work with Residents and Fellow Radhika Kakarala, MD, MS McLaren Health

Objectives: By the end of the session participants should be able to:  Discuss strategies for working with residents and fellows in difficult situations  Describe approaches for receiving cooperation from residents and fellows in fulfilling required activities American Medical Association Graduate Medical Education Competency Program Modules Kathy Hinton, MEd American Medical Association

Objectives: By the end of the session, participants should be able to:  Describe the AMA’s GME Competency Education Program (GCEP) and the value it brings in providing education essentials to demonstrate common competencies  Identify key features of GCEP that will improve resident education and training, minimize resident learner stress and ease the burden of administrative management  Highlight GCEP module topics that address Quality Improvement, Patient Safety and Wellness  Provide additional information for participation in the SEMCME GCEP group program

Course 4 Physician Wellness

Wellness and One Story of Impairment Vita McCabe, MD, MHSA, FACS, FACCP St. Joseph Mercy Hospital, Ann Arbor

The Connection Between Empathy and Self-Reflection Anne Dohrenwend, PhD, ABP St. Joseph Mercy Hospital, Ann Arbor

Noticing Lisa Maclean, MD Henry Ford Medical Group

Objectives: By the end of this session, participants will be able to: • Describe the concept of mindful practice and how it relates to quality of care and physician well-being • Develop a set of skills for cultivating mindfulness during everyday practice • Introduce RAIN • Focus on and practice paying attention About the Faculty Keynote Speaker The Science of Burnout and Well-Being in Healthcare: How “Other People Matter”

Kathryn Adair, PhD, MA Assistant Director of Research, Duke Patient Safety Center, Duke University School of Medicine

Dr. Kathryn Adair is a social psychologist who specializes in well-being for busy and stressed healthcare workers. Her research examines the psychology of burnout and well- being, enhancing relationships, mindfulness meditation, and safety culture. Dr. Adair received her PhD at UNC Chapel Hill, and she is currently the Assistant Director of Research at the Duke Center for Healthcare Safety and Quality. Within the Center, Dr. Adair conducts research, provides trainings, and develops personal and institutional strategies to enhance well-being. Dr. Adair believes that the science of resilience has much to offer those who are feeling burned out, and she enjoys sharing evidence-based strategies in her trainings.

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Discussion Session #1 - Wellness in the Works Barbara Wolf, MD, MHA Corporate Director of Behavioral Health Education and Physician Wellness, McLaren Health Care

Dr. Wolf has been the director of Behavioral Medicine Education since 1995. She is an Assistant Professor at Michigan State University College of Human Medicine. Her clinical interests include women’s health, and the use of relaxation and meditation in practice. She has developed a required rotation in integrative medicine for the residency and is involved in research and curriculum development regarding physician well-being. ______

Course #1 - Quality Improvement Basic Bootcamp The What, Why, and How of Performance Improvement Lakshmi Swaminathan, MD, GME Director of Patient Safety and Quality,

Dr. Lakshmi Swaminathan is an active participant in the Michigan Hospital Medicine and Safety Consortium, a state- wide quality collaborative focused on improving the safety of hospitalized patients.Dr. Lakshmi Swaminathan (pronounced SWA-mee-NAAthan) currently serves as the GME Director of Patient Safety (PS), and Quality Improvement (QI) for Beaumont Health, where she oversees PS and QI education for over 900 residents and fellows across eight hospitals in Southeast Michigan. Prior to this role, Dr. Swaminathan successfully led and mentored numerous initiatives to enhance clinical quality outcomes, patient experience and healthcare value at Oakwood Health System. Dr. Swaminathan has served since 2009 as Internal Medicine faculty and academic hospitalist at Beaumont Hospital, Dearborn, MI, and as Clinical Assistant Professor at Wayne State University School of Medicine, Detroit, MI.

Dr. Swaminathan earned her Master’s in Health Services Administration (MHSA) from the School of Public Health, University of Michigan, Ann Arbor, MI, and graduated with a medical degree from the University of Mumbai Topiwala National Medical College and Nair Hospital in Mumbai, India. As part of her postgraduate training, Dr. Swaminathan completed her residency in Internal Medicine at St. Joseph Mercy Hospital, Ann Arbor, MI. In addition, she is certified in performance improvement methodologies including Lean and Six Sigma and has completed additional training in curricular development through the Society of Hospital Medicine Quality and Safety Educators Academy.

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Course #2 - Advanced Quality Improvement Bootcamp Robert F Flora, MD, MBA, MPH Chief Academic Officer/ Designated Institutional Official (DIO), McLaren Health Care

Dr. Robert F Flora, MD, MBA, MPH is the Chief Academic Office and Designated Institutional Official (DIO) of McLaren Health Care, based in Grand Blanc.

In addition to his administrative and clinical responsibilities, Dr. Flora is also a Professor and Associate Chair for Education in the Department of Obstetrics, Gynecology, and Reproductive Biology - Michigan State University College of Human Medicine.

Dr. Flora has had a long-held interest in the use of technology in medical education dating back to the Atari and Commodore 128 days. He is board certified in Obstetrics and Gynecology, as well as, Female Pelvic Medicine and Reconstructive Surgery. He utilizes technology in the education of quality improvement and patient safety and in 2006 completed a Graduate Program in Patient Safety from the Virginia Commonwealth University. Dr. Flora is currently enrolled in the Graduate Certificate Program in Educational Technology at Michigan State University. He is a faculty member for the AAMC’s Teaching for Quality (Te4Q) faculty development program. He was certified in Six Sigma and Lean through Villanova University. Other board certifications include: Physician Executive (CPE), Public Health (CPH), and Quality Improvement (HCQM 2004-14).

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Course #3 - Bootcamp for Program Coordinators

The Dance of Life – Finding Your Own Work/Life Balance Lisa M. Miller, C-TAGME, University of Michigan Andrea Ernst, MSSW, University of Michigan Dawne Vowler, C-TAGME, University of Michigan

Lisa M. Miller, C-TAGME is the Department of Internal Medicine GME Program Administrator. She has served in this role for five years and works closely with the Internal Medicine Core Program Administrator and Medicine-Pediatrics Program Administrators, plus the sixteen fellowships. Prior to this role, she was the program coordinator for U of M's psychiatry residency program for ten years. Ms. Miller will be completing her Master’s in Public Administration in early 2021 and has a BA in Political Science, with minors in Sociology and Communications; she also has completed a master’s level Certificate in the Foundations of Public Health.

Andrea Ernst, MSSW, is the GME Program Administrator for the University of Michigan's Infectious Diseases Fellowship Training Program. She has been in this position for eight years. Ms. Ernst earned a Bachelor of Arts in Behavioral Neuroscience Psychology from Purdue University and received a Master of Science in Social Work from Columbia University. Dawne Vowler, C-TAGME has spent her entire 28-year career in Health Care Administration, the vast majority of it in Graduate Medical Education. She has worked in three major healthcare organizations as an Internal Medicine Program Coordinator, a Med/Peds Coordinator, and now at the University of Michigan as the Program Administrator for the Endocrinology & Metabolism Fellowship Program. Ms. Vowler received her Bachelor of Science in Business Administration from Central Michigan University. She is TAGME Certified. She has presented at the ACGME National Meeting. She is currently volunteering on multiple national coordinator boards and projects.

Coaching Program Coordinators to Work with Residents and Fellows Radhika Kakarala, MD, MS McLaren Health

Dr. Kakarala is an internal medicine physician with 27 years of experience. She also is a Clinical Professor at Michigan State University and the Medical Director of Genesee County Free Medical Clinic. Dr. Kakarala has a Master’s Degree in clinical research design and statistical analyses from University of Michigan. Because of her passions for understanding each patient’s story and helping them to live a healthy lifestyle to enhance their wellbeing, she became certified as a health and wellness coach from Wellcoaches School. Health and wellness coaches are expert facilitators of mindset and behavior change that generates sustainable healthy lifestyles, which prevent or treat disease, and foster well-being and thriving.

She is now able to have great success with transforming her patient’s lifestyles by using coaching techniques instead of just counseling. Although she plays multiple roles in her job - faculty preceptor, primary care physician, medical director, teaching residents research, she finds helping people achieve their wellness vision most gratifying! Dr. Kakarala is excited to share these tools of self-transformation with you to enhance your wellbeing and increase your job satisfaction. American Medical Association Graduate Medical Education Competency Program Modules Kathryn Hinton, MEd

Kathryn Hinton joined the American Medical Association (AMA) in 2010 as the Account Manager for the online web- based, education series, the GME Competency Education Program (GCEP). In addition, she maintains her membership on the AMA’s CME program review committee. Prior to the AMA, Kathy worked in the CME industry for 7 years as a provider in accredited medical education and multimedia program development. Her career endeavors include 19 years of critical patient care as a Respiratory Practitioner. Kathy holds a Master degree in Adult Education, a Bachelor degree in Management and an Associate degree in Allied Health Sciences specializing in pulmonary care. Kathy currently resides within the beach community of the NW Indiana Dunes National Park. She commutes to AMA office in Chicago, and enjoys working with all GCEP account subscribers. ______Course #4 –Wellness Bootcamp

The Connection Between Empathy and Self-Reflection Anne Dohrenwend, PhD, ABP Regional Wellness Coach, St Joseph Mercy Health System

Dr. Dohrenwend has recently joined the St. Joseph Mercy Health System as the Regional Wellness Coach for Physicians. In her capacity as a coach, Dr. Dohrenwend provides counseling and consulting services for physicians at St. Joseph Mercy Hospitals in Ann Arbor, Livingston, Chelsea, Oakland and St. Mary Mercy Hospital in Livonia. Prior to working at St. Joes, Dr. Dohrenwend served as the Assistant Program Director and Director of Behavioral Medicine for McLaren-Flint Internal Medicine Residency Program and Associate Professor with Michigan State University, College of Human Medicine. During her tenure with McLaren, she also served as faculty for the Consortium of Advanced Psychological Training, the first APA approved health psychology fellowship in the country. Dr. Dohrenwend has long-standing interests in medical education, medical interviewing, empathy, the LGBTQ population, medical ethics, and narrative medicine.

Dr. Dohrenwend received her PhD in Counseling Psychology from University of North Dakota. She completed a two year fellowship in Health Psychology and Medical Education through McLaren-Flint and Michigan State University, College of Human Medicine. She is board certified in Clinical Health Psychology by the American Board of Professional Psychology.

Dr. Dohrenwend grew up in New York. She has lived in Ann Arbor for over twenty years with her wife and son. In addition to her work, she is passionate about her family, ancient numismatics, and British TV.

Wellness and One Story of Impairment Vita McCabe, MD, MHSA, FACS, FACCP Chief Wellness Officer, Trinity Health

Dr. McCabe serves as Trinity Michigan health system's first Provider Chief Wellness Officer for physicians and APPs to address the growing national epidemic of provider burnout. As Provider Chief Wellness Officer, Dr. McCabe lead the way toward making health care healthy through systems change throughout Mercy Health and Saint Joseph Mercy Health System.

She works in collaboration with executive physician leadership of Trinity Michigan’s eight hospitals and its physicians and providers, implementing program systems of change to build the most remarkable, resilient, and healthy workplace – placing the doctor-patient relationship and ease of practice into the center of these system changes.

Dr. McCabe has expertise in the spectrum of physician and provider issues, from wellness to impairment. She practiced for 11 years as a thoracic surgeon at St. Joseph Mercy Ann Arbor and now serves to guide health care provider impairment policy, statistics and management for state licensure boards as well as local boards. Since 2017, she has served in administrative innovation clinical roles breaking down silos in health care and looking to ease the burden of practice for physicians, providers and patients. She coordinated a regional lung program that combined lung cancer screening informatics, a quality lung nodule management system and multidisciplinary lung cancer care spanning inpatient to outpatient transitions in care. In addition, she has implemented systems change through development of a regional tobacco free for employees and cancer patients, which is currently being implemented.

For Trinity Health, she has led the physician and provider resilience subcommittee for the past two years and initiated a five-hospital system pilot in southeast Michigan to combat physician and provider burnout from a systemic quadruple-aim perspective. She coauthored Trinity Health’s position statement on physician and provider burnout to the National Academy of Medicine.

Dr. McCabe’s interest in provider wellness began during her senior year at the University of Chicago, Pritzker School of Medicine where she was first exposed to intervention and policy on impaired physicians and providers. After her own clinical career was reimagined due to unforeseen health problems, she realized that health care providers should "put their own oxygen masks on first” and work together to ease providers' ability to practice. Patients of providers who have lost their purpose are less likely to engage in their own health care solutions. Dr. McCabe is a passionate believer of these tenets. This passion led her to pursue a Master’s Degree in Health Care Policy and Management at University of Michigan to better understand how to mend gaps in care.

Noticing Lisa Maclean, MD, Director of Physician Wellness,

Henry Ford Health System, Detroit

Lisa MacLean, MD is the Director of Physician Wellness for the Henry Ford Health System in Detroit, Michigan where she develops programming to assist physicians and residents in optimizing healthy coping strategies, finding good life balance and delivering high quality health care. Prior to her appointment at Henry Ford Health in 2017, Dr. MacLean served as Associate Dean of Student Affairs and Career Development at Wayne State University School of Medicine. Dr. MacLean has a long relationship with Henry Ford Health System. Previously, she worked at Henry Ford Hospital where she served as Psychiatry Residency Program Director, Chair of the Graduate Medical Education Committee, and Director of Education for the Psychiatry Department. ______With great appreciation for their dedication of time and expertise to assist in the 2019 Michigan Summit on Quality Improvement, Patient Safety, & Wellness

2019 Slide Presentation Judges

Alexandra Halalau, MD Robert Flora, MD, MBA Lakshmi Swaminathan, MD

2019 Poster Judges

Bernie Adams, MD Sarwan Kumar, MD Camelia Arsene, MD, PhD, MHS Sarah Lee, MD Michelle Brock, MA Dianne McCagg, RN Teena Chopra, MD, MPH Jo Ann Mitchell, DO Bhavinkumar Dalal, MD, DNB, FACP Divya Mukhija, BDS Mark Dean, MD David Pieper, PhD J. Patricia Dhar, MD Carlos Rios-Bedoya, PhD Luisa DiLorenzo, MD P. Tyler Roskos, PhD, ABPP Jacky Duong, DO Gary Roth, DO, MBA, FACOG Susan Greenwood-Clark, MBA, RN Anan Salloum, MD Anju Goyal, MD Manveen Saluja, MD, FACP Alexandra Halalau, MD Allen Silbergleit, MD, PhD Ammar Hatahet, MD, MPH, FACP Wilbur Smith, MD Meredith Hill, DO Robert Stansfield, PhD Kedar Inamdar, MD, PhD Anupam Suneja, MD, MPH Nancy Jackson, PhD Lakshmi Swaminathan, MD Jack Jordan, PhD Sarah Syeda, MD Nadia Juzych, DSc, MS Virginia Uhley, PhD, RDN Heidi Kromrei, PhD Samuel Wedes, MD Ashok Kumar, MD

With great appreciation for their dedication of time and expertise to assist in the 2019 Michigan Summit on Quality Improvement, Patient Safety, & Wellness

2019 Abstract Reviewers

Bernie Adams, MD Mark Juzych, MD, MHSA Camelia Arsene, MD, PhD, MHS Nadia Juzych, DSc, MS Michelle Brock, MA Heidi Kromrei, PhD Mark Dean, MD Sarah Lee, MD J. Patricia Dhar, MD Dianne McCagg, RN Lisa Dillon, PhD Jo Ann Mitchell, DO Basim Dubaybo, MD Divya Mukhija, BDS Susan Greenwood-Clark, MBA, RN, FACHE David Pieper, PhD Karen Hagglund, MS P. Tyler Roskos, PhD, ABPP Alexandra Halalau, MD David Sengstock, MD, MS Ammar Hatahet, MD, MPH, FACP Anupam Suneja, MD, MPH Kedar Inamdar, MD, PhD Lakshmi Swaminathan, MD Nancy Jackson, PhD Dennis Tsilimingras, MD, MPH Jack Jordan, PhD Virginia Uhley, PhD, MS, RDN Barbara Joyce, MD Samuel Wedes, MD

Resident Quality Improvement/Patient Safety Posters Poster ID: # 1 Poster ID: # 3 Title: Implementation Of A COPD Management Plan Title: Improving Documentation Of Skin And Mucosal To Improve Compliance With Evidence-Based Lesions- Let's Keep Our Patients SAFE Initiative Guidelines Presenter (Last, First): Aldana Sierra, Maria Presenter (Last, First): Ahmad, Ali All Authors: Aldana Sierra, Maria; Hartwig, Earl All Authors: Ahmad, Ali; Adekolujo, Orimisan; Institution: Children's Hospital of Michigan Ghareebian, Hagop; Saint-Phard, Tryphene Institution: McLaren Flint Hospital Poster ID: # 4 Poster ID: # 5 Title: Education Of Resident Physicians In Order To Title: Overutilization Of Amylase And Lipase Testing In Identify Pediatric Victims Of Human Trafficking Acute Pancreatitis Presenter (Last, First): Torpoco Rivera, Diana Presenter (Last, First): Al-janabi, Laith All Authors: Torpoco Rivera, Diana; Aldana Sierra, All Authors: Al-janabi, Laith; Masso, Lina; Hamdon, Maria; Misra, Amrit; Nazer, Dena; Yurkovich, Chelsey; Mulham; Kapadia, Daniel; Tegeltija, Vesna Noble, Jennifer; Gallardo Rios, Maria; Deza Leon, Institution: Ascension Providence Rochester Maria; Castro-Camero, Pamela; Camero-Amortegui, Hospital Felipe; Dafalla, Razan; Sriram, Swetha Institution: Children's Hospital of Michigan Poster ID: # 6 Poster ID: # 7 Title: Increasing Resident Physician Confidence In Title: Evaluating The Diagnostic Value And Cost Of Proper COPD Inhaler Use MRI Knee Examinations With And Without Presenter (Last, First): Aragona, Ashley Intravenous Contrast In Patients Being Evaluated For All Authors: Aragona, Ashley; Ly, Peter; Sharif, Pain, Injury, Or Pain With Clinical Suspicion Of Zeeshan; Whittaker, Starr; Peress, Lilia; Morris, Pierre Infection Institution: Ascension Providence Rochester Hospital Presenter (Last, First): Eteer, Khalid All Authors: Eteer, Khalid; Babaa, Ahmad; Al-hihi, Maysoon Institution: Wayne State University School of Medicine Poster ID: # 8 Poster ID: # 9 Title: Improving Morning Hospital Discharges In An Title: A Quality Improvement Project Aligning With Inpatient Internal Medicine Service Institutional Goals To Reduce CLABSI SIR At Mclaren- Presenter (Last, First): Badran, Reina Flint All Authors: Badran, Reina; Aggarwal, Ankita; Bittner, Presenter (Last, First): Bahrani, Sarmad Frederick; Fityan, Mohammad All Authors: Bahrani, Sarmad; Nasir, Bilal; Dutta, Institution: Ascension Providence Rochester Hospital Arunima; Ali, Shafaqat; Khan, Hafiz; Khan, Mahin; Ali, Shagufta Institution: McLaren Flint Hospital Poster ID: # 10 Poster ID: # 11 Title: Decreasing Catheter Use In Patients With Title: Implementation Of Stress Ulcer Prophylaxis Hyperemesis Gravidarum Appropriate Use Criteria Presenter (Last, First): Bayci, Melissa Presenter (Last, First): Beattie, Michael All Authors: Bayci, Melissa; Whitten, Amy; All Authors: Beattie, Michael; Anderson, Tara; Swaminathan, Lakshmi Tauscher, Samantha; Pawlaczyk, Barbara Institution: Beaumont Hospital, Royal Oak Institution: Genesys Poster ID: # 12 Poster ID: # 13 Title: Increasing The Compliance Of Input And Output Title: Halting The July Effect. A 5 Year Project To Documentation In Patients With Decompensated Prevent Resident-Related Medication Errors Heart Failure: A Quality Improvement Initiative Presenter (Last, First): Benjamin, Ryan Presenter (Last, First): Benenati, Brian All Authors: Benjamin, Ryan; Davis, Ryan; McKelvey, All Authors: Benenati, Brian; Chukwueke, Victor; George; Hruska, Justin; Jaffar, Muhammad Fatima, Sakeena; Wu, Kristi; Zavell, Amy; Morris, Pierre Institution: DMC Harper University Hospital Institution: Wayne State University School of Medicine

Poster ID: # 14 Poster ID: # 15 Title: Assessing Follow Up In A Residency Based Title: Reducing The Rate Of Clinically Unnecessary Family Medicine Center Antepartum Screening Orders (CUASO) With Presenter (Last, First): Siddiqui, Rehana Physician Education And Department Wide Screening All Authors: Siddiqui, Rehana; Chahine, Tarek; Cole, Guidelines Cortney; Peterson, Marco; Riley, Philip; McCready, Presenter (Last, First): Muray, Courtney Tess; Towner, Elizabeth All Authors: Muray, Courtney; Cooper, Adam; Institution: Wayne State University School of Medicine Fleming, Angela Institution: Beaumont Hospital Farmington Hills

Poster ID: # 16 Poster ID: # 17 Title: Improving Consultation Access For Patients With Title: Pre-Diabetes Quality Improvement Project In Facial Pain From Rhinologist To Headache Specialist The Internal Medicine Resident Outpatient Clinic Presenter (Last, First): Iwata, Ayaka Presenter (Last, First): Dabaja, Fauzieh All Authors: Iwata, Ayaka; Craig, John All Authors: Dabaja, Fauzieh; Nasr, Justine Institution: Henry Ford Health System Institution: Beaumont Hospital Royal Oak

Poster ID: # 18 Poster ID: # 19 Title: Radiation Dose Reduction Of CT Pulmonary Title: Pediatric Laparoscopic Gastrostomy With T- Angiography For PE By Limiting Acquisition Length: Fasteners: A Technique To Decrease Surgical Site Simple Yet Effective. Infection Presenter (Last, First): Daruwalla, Vistasp Presenter (Last, First): Lapkus, Morta All Authors: Daruwalla, Vistasp; Paidpally, Vasavi; All Authors: Lapkus, Morta; DeMare, Alexander; Shahin, Gassan; Fateh, Adnan Jones, Keri; England, Angela; Akay, Begum; Institution: DMC Harper University Hospital Brahmamdam, Pavan Institution: Beaumont Hospital Royal Oak Poster ID: # 20 Poster ID: # 21 Title: Cost-Effective Approach To The Laparoscopic Title: Evaluating Physician Adherence In Beaumont Appendectomy: Balancing Disposable Instrument Cost Health To The 2014 AHA/ACC Ticagrelor Guideline With Operative Time Presenter (Last, First): Kara Balla, Abdalla Presenter (Last, First): DeMare, Alexander All Authors: Kara Balla, Abdalla; Devaraj, Varun; All Authors: DeMare, Alexander; Long, Jordan; Kwon, Minkyung; Davila, Francisco Luehmann, Natalie; Abbott, Emily; Akay, Begum; Iacco, Institution: Beaumont Hospital Royal Oak Anthony; Brahmamdam, Pavan; Novotny, Nathan Institution: Beaumont Hospital Royal Oak Poster ID: # 22 Poster ID: # 23 Title: Improving Vitamin K Dosing In Patients With Title: Improving Cervical Cancer Screening Rates In A Supratherapeutic INR Resident Run Clinic- A QI Project Presenter (Last, First): Dhawan, Monica Presenter (Last, First): Fayyaz, Fatima All Authors: Dhawan, Monica; Al-Janabi, Laith; Hong, All Authors: Fayyaz, Fatima; Finlay, Sarah; Ammar, Gloria; Chawla, Raashi; Tegeltija, Vesna Afnan; Pfeiffer, Deana Institution: Ascension Providence Rochester Hospital Institution: St. Joseph Mercy Ann Arbor Poster ID: # 24 Poster ID: # 25 Title: Assessment Of Provider Compliance Using An Ed Title: Implementing A Standardized Measure Of Protocol To Improve Care Of COPD Patients Agitation In A Community Inpatient Rehabilitation Presenter (Last, First): Fourtounis, Joanna Unit All Authors: Fourtounis, Joanna; Dabaja, Aya; Stoyak, Presenter (Last, First): Deutscher, Russell Ben; McKechnie, Tyson; Illg, Zach; Biringer, Katie; All Authors: Deutscher, Russell; Gapinski, Robert; Ho, McKeown, Thomas Johnathan Institution: Henry Ford Wyandotte Hospital Institution: Beaumont Hospital Dearborn Poster ID: # 26 Poster ID: # 27 Title: Impact Of Enhanced Recovery Pathways In Title: Reducing Inappropriate Use Of IV Fluid Gynecology Therapy Presenter (Last, First): Glenn, Amber Presenter (Last, First): Uchel, Toribiong All Authors: Glenn, Amber All Authors: Uchel, Toribiong; Gonzalez, Victoria; Institution: St. Joseph Mercy Ann Arbor Kapadia, Daniel; Al-Fityan, Mohammad; Tegeltija, Vesna; Kumar, Sarwan Institution: Ascension Providence Rochester Hospital Poster ID: # 28 Poster ID: # 29 Title: Permissive Hypothermia: How Cold Is Cold Title: Are We Really Having This Conversation? Enough? Identifying Barriers To Addressing Advanced Presenter (Last, First): Gonzalez, Victoria Directives All Authors: Gonzalez, Victoria; Uchel, Toribiong; Ralh, Presenter (Last, First): Hammoud, Shady Neeharika; Kapadia, Daniel; Kulairi, Zain; Tegeltija, All Authors: Hammoud, Shady; Duong, Jacky; Vesna Rodriguez, Vanessa Institution: Ascension Providence Rochester Hospital Institution: St. Joseph Mercy Oakland Poster ID: # 31 Poster ID: # 32 Title: Improving Safety On Long-Term Controlled Title: Dental Care During Pregnancy - The Family Substances Via Urine Drug Screen Monitoring: An Physician's Role In Improving Quality Of Prenatal Interprofessional Approach Care And Reducing Complications Presenter (Last, First): El Abdallah, Mohamad Presenter (Last, First): Iqbal, Asif All Authors: El Abdallah, Mohamad; Ibrahim, Isra; All Authors: Iqbal, Asif; Ramos, Jason Eljack, Ammar; Rehman, Tooba; Shereef, Hammam; Institution: Pontiac General Hospital Alsudani, Najlaa; Habbal, Heba; Mohammad, Insaf; Elteriefi, Ruaa Institution: Beaumont Hospital Dearborn Poster ID: # 33 Poster ID: # 34 Title: Hospitalization Of Patients With Syncope Title: Decreasing Iatrogenic Clostridium Difficile Secondary To Orthostatic Hypotension: Length Of Stay Infections: Impact Of An Educational Module Investigated Presenter (Last, First): Jarodiya, Vijay Presenter (Last, First): Abulawi, Ayman All Authors: Jarodiya, Vijay; Singh, Tejveer; Khan, All Authors: Abulawi, Ayman; Ismail, Rana; Siddique, Zarak; Korpole, Pranay; Misra, Preeti Mohamed; Mahmoud, Heba; Eadie, Marcel; Institution: St. Mary Mercy Hospital Livonia Greenberg, Aaron; Ellison, LaTorya; Fatani, Ghadeer, Institution: DMC Sinai Grace Hospital

Poster ID: # 35 Poster ID: # 36 Title: A Quality Improvement Initiative For Improving Title: Restricting Fluoroquinolone Use Cardiac Rehabilitation Referral Rates After Coronary Presenter (Last, First): Kapadia, Daniel Artery Bypass Grafting And Valvular Surgery At John All Authors: Kapadia, Daniel; Zebelian, Joe; Uchel, D. Dingell VA Medical Center Torib; Fityan, Mohammad; Tegeltija, Vesna Presenter (Last, First): Kajy, Marvin Institution: Ascension Providence Rochester Hospital All Authors: Kajy, Marvin; Ramappa, Preeti Institution: DMC Detroit Receiving Hospital Poster ID: # 37 Poster ID: # 38 Title: Code White Curriculum For Internal Medicine Title: Quality Improvement Initiative To Increase Use Residents To Improve Recognition Of Stroke Of A Validated Developmental Disability Screening Presenter (Last, First): Kathi, Pradeep Tool During Well-Child Visits All Authors: Kathi, Pradeep; Schenk, MaryJean; Presenter (Last, First): Baiz, Hassan Pollock, Aron; Spalding, Ron; Juopperi, Nancy; Lee, All Authors: Baiz, Hassan; Katoch, Gypsa; Woelke, Sarah Bradford; Maynard, Benjamin; Towner, Elizabeth; Institution: Wayne State University School of Medicine McCready, Tess Institution: Ascension Providence Rochester Hospital Poster ID: # 39 Poster ID: # 40 Title: Early Prospective Evaluation Of An Evidence- Title: Patient Safety Curriculum For A Community Based Decision Tool To Assess Pediatric Blunt Residency Program Abdominal Trauma Presenter (Last, First): Khan, Mahin Presenter (Last, First): Kawak, Samer All Authors: Khan, Mahin; Kesari, Kavitha; Roskos, All Authors: Kawak, Samer; Pastewski, Jacquelyn; Steven; Kollu, Vidya Studzinski, Diane; Brahmamdam, Pavan; Akay, Begum Institution: McLaren Flint Hospital Institution: Beaumont Hospital Royal Oak

Poster ID: # 41 Poster ID: # 42 Title: Improving Continuity Of Care In A Suburban Title: Sepsis Bundle Compliance: A Quality Detroit Ambulatory Residents Clinic Improvement Initiative Presenter (Last, First): Shah, Keval Presenter (Last, First): Korpole, Pranay All Authors: Shah, Keval; Kong, Wan Yee; Yu, Eleanor; All Authors: Korpole, Pranay; Yasir, Muhammad; Yang, Xin; Chaar, David; Sharma, Akshay; Ismail, Rana; Alsayed, Randa; Aleem, Abdul; Khan, Tahir; Shah, Hettiarachchi, Malitha Julia; Singapori, Mansi; Nisar, Saqib; Subedi, Kripesh; Institution: DMC Sinai Grace Hospital Nanthabalan, Sangeetha Institution: St. Mary Mercy Hospital Livonia Poster ID: # 43 Poster ID: # 44 Title: A Pilot Study Of Radiochromic Film For The QA Title: Targeting Inappropriate Stress Ulcer Prophylaxis Of Prone Breast Irradiation (Sup) Therapy: A Multidisciplinary Approach Presenter (Last, First): Chan, Dennis Presenter (Last, First): Mahmood, Asadullah All Authors: Chan, Dennis; Loughery, Brian; All Authors: Mahmood, Asadullah; Saeed, Naba; Burmeister, Jay; Dominello, Michael Seyedtabaei, Roheila; Bani Saad, Ali; Saeidifard, Institution: Wayne State University School of Medicine Farzane; Niaz, Azra; McConachie, Sean; John, Rajiv Institution: Beaumont Hospital Dearborn

Poster ID: # 46 Poster ID: # 47 Title: Improving Management Of Diabetes During Title: Implementation Of An Interprofessional Shared Hospitalization Decision-Making Model For Patients With Presenter (Last, First): Shikh Hamdon, Mulham Uncontrolled Diabetes All Authors: Shikh Hamdon, Mulham; Masso, Lina; Presenter (Last, First): Modi, Pooja Mandalapu, Tapasya; Chawla, Raashi; Dhillon, All Authors: Modi, Pooja; Shetty, Rahul; Bangash, Shubhkarman; Hughes, Kristen; Kumar, Sarwan; Rabia; Karoofa, Zahraa; Hashim, Ahmed; Hnayni, Tegeltija, Vesna Wehbi; Tataje Rengifo, Gustavo; Swaminathan, Institution: Ascension Providence Rochester Hospital Lakshmi; Zimmerman, Jonathan; John, Rajiv; Mohammad, Insaf Institution: Beaumont Hospital Dearborn Poster ID: # 48 Poster ID: # 49 Title: Comparison Of Antibiotic Treatment Between Title: Fast Track To OR - Standardization Of Hip Infectious Disease Physicians And Other Physicians In Fracture Admissions An Inpatient Setting At A Tertiary Care Community Presenter (Last, First): Senay, Ayla Hospital All Authors: Senay, Ayla; Mourad, Maha; Boyajian, Presenter (Last, First): Moein, Hamidreza Harout; Bell, Alison; Chen, Eric; Hill, Meredith; All Authors: Moein, Hamidreza; Hajj Ahmad, Ali; Liu, Tscherne, Tiffany Jay; Chandramohan, Suganya; Siddique, Mohamed; Institution: Henry Ford Wyandotte Hospital Hafeez, Wasif Institution: DMC Sinai Grace Hospital Poster ID: # 50 Poster ID: # 51 Title: Epidural Analgesic Management Education Title: An Initiative To Improve Electronic Patient Intervention At Mclaren Oakland Hospital: A Hand-Offs Feasibility Study Presenter (Last, First): Pansare, Rahul Presenter (Last, First): Nash, Megan All Authors: Pansare, Rahul; Tabbakh, Jordan; Nartker, All Authors: Nash, Megan; Chapman, Brian; Santiago- Nathan; Paul, Jonathan; Kher, Chirag; Hile, Grace; Rivera, Olga; Kramer, Jeremy Elsherif, Ahmed; Khan, Hiba; Salah, Zahra'a Institution: McLaren Hospital Oakland Institution: St. Mary Mercy Hospital Livonia

Poster ID: # 52 Poster ID: # 53 Title: UTI: Are We Over Diagnosing And Treating ? Title: Effectiveness Of Lead Screening Initiative Presenter (Last, First): Abou-Rass, Hadi Employed By Honor Community Health All Authors: Abou-Rass, Hadi; Patel, Jasmin; Arce- Presenter (Last, First): Patel, Nirav Victoria, Javier; Snowden, Eric; Hendrickson, All Authors: Patel, Nirav; Hemady, Nikhil Christopher; Jerger, Michael; Mahesh, Shyam Institution: Pontiac General Hospital Institution: DMC Huron Valley Hospital Poster ID: # 54 Poster ID: # 55 Title: Assessing The Validity Of Immediate Title: An Analysis Of TBI Toxicities In A Twenty Year Postoperative ABR Following Tympanostomy With Single Institution Patient Cohort: A Quality Tube Placement: A Quality-Focused Retrospective Improvement Project Review Presenter (Last, First): Pearlman, Richard Presenter (Last, First): Patrick, Tyler All Authors: Pearlman, Richard; Hanna, Renee; All Authors: Patrick, Tyler; Gonik, Nathan Burmeister, Jay; Abrams, Judith; Dominello, Michael Institution: Children's Hospital of Michigan Institution: Wayne State University School of Medicine Poster ID: # 56 Poster ID: # 57 Title: Process Improvement To Reduce Inappropriate Title: Surgical Opioid Stratification (SOS) Tool: Use Of Total Parenteral Nutrition Standardization Of Post-Operative Opioid Prescribing Presenter (Last, First): Pochtarev, Vera Practices All Authors: Pochtarev, Vera; Mandalapu, Tapasya; Presenter (Last, First): Pytlowany, Austin Sourabh, Fnu; Hughes, Kristen; Tegeltija, Vesna; All Authors: Pytlowany, Austin; Coffman, Traci; Kumar, Sarwan Genord, Cheryl Institution: Ascension Providence Rochester Hospital Institution: St. Joseph Mercy Ann Arbor Poster ID: # 58 Poster ID: # 59 Title: Teaching Billing And Coding In A Residency Title: Improvement In Antimicrobial Stewardship With Program With A Plan For Improvement Utilization Of Safety Metrics On The Family Medicine Presenter (Last, First): Renwick, Kristin Service All Authors: Renwick, Kristin; Bartell, Stacey Presenter (Last, First): Rezik, Berta Institution: Ascension Providence Hospital All Authors: Rezik, Berta; Vemulapalli, Raghavendra; Costandi, Mariam; Davis, Susan; Mercuro, Nicholas; Kenney, Rachel; Rees, Della Institution: Henry Ford Health System Poster ID: # 60 Poster ID: # 61 Title: Developing The Severity Of Illness Clinical Key Title: Over Use of CT Angiographies In Ruling Out (SICK) Scoring System To Predict Perioperative Pulmonary Embolisms Surgical Risk Outcomes In Bariatric Patients Presenter (Last, First): Salimnia, Tanaz Presenter (Last, First): Saasouh, Wael All Authors: Salimnia, Tanaz; Peterson, Daymon; All Authors: Saasouh, Wael; Rajakaruna, Rakshika; Adusimili, Radha; Albu, Mohammad; Tegeltija, Vesna Pallekonda, Vinay; Wood, Michael; Judge, Jordan; Institution: Ascension Providence Rochester Hospital Davidson, Andrea; Bennett, Ariana; Kirupakaran, John; Yousef, John; McKelvey, George Institution: DMC Harper University Hospital Poster ID: # 62 Poster ID: # 63 Title: Improving The Use Of Intravenous Anti- Title: Rates And Risk Factors Associated With 30 And Hypertensive Medications In The Hospital Setting: A 90-Day Readmission Following Cervical Spine Quality Improvement Initiative For Patient Safety Surgery: Analysis Of The Michigan Spine Surgery Presenter (Last, First): Salman, Jacob Improvement Collaborative (MSSIC) Registry All Authors: Salman, Jacob; Sobilo, Alicja; Peterson, Presenter (Last, First): Schafer, Eric Daymon; Gjeka, Rudin; Chams, Nour; Tegeltija, Vesna; All Authors: Schafer, Eric; Bazydlo, Michael; Aleem, Ross, Ian; Kumar, Sarwan Ilyas Institution: Ascension Providence Hospital Institution: University of Michigan Health System Poster ID: # 64 Poster ID: # 65 Title: Reliability In The Random Urine Protein To Title: Identifying Predictors Of Self-Discharge: An Creatinine Ratio In The Diagnosis Of Preeclampsia As Analysis Of Patients Who Leave Against Medical An Alternative To 24-Hour Urine Protein Advice Presenter (Last, First): Scott, Julianne Presenter (Last, First): Shams, Christienne All Authors: Scott, Julianne; Gibby, Britney; Swanson, All Authors: Shams, Christienne; Fernandes, Karen; Tiffany; Wolf, David Davila, Francisco Institution: Henry Ford Wyandotte Hospital Institution: Beaumont Hospital Royal Oak Poster ID: # 66 Poster ID: # 67 Title: DVT Protocol Compliance/Quality Initiative At Title: Decreasing Inappropriete Use Of Vancomycin McLaren Oakland Presenter (Last, First): Gandhi, Ankita Presenter (Last, First): Shastri, Kinjel All Authors: Gandhi, Ankita; Shikh Hamdon, Mulham; All Authors: Shastri, Kinjel; Agarwal, Anuj; Ghuneim, Albu, Mohammad; Kumar, Sarwan; Tegeltija, Vesna George; Rizwan, Zeeshan; Lala, Vasim; Hatahet, Institution: Ascension Providence Rochester Hospital Ammar; Santiago, Olga Institution: McLaren Oakland Hospital Poster ID: # 68 Poster ID: # 69 Title: The One Team Approach To OR-PACU Handoff: Title: Ambulatory Clinic Follow-Up And Discharge A Multi-Center Trial From Hospital Presenter (Last, First): Singh, Manpreet Presenter (Last, First): Singh, Paramveer All Authors: Singh, Manpreet; Patel, Vijval; Nandwani, All Authors: Singh, Paramveer; Hettiarachchi, Malitha Swamroop; Hanumolu, Sushil; Pilehvari, Zahra; Patel, Institution: DMC Sinai Grace Hospital Padmavathi; Saleh, Khal; McKelvey, George; Pallekonda, Vinay; Walczyk, Mary Institution: DMC Harper University Hospital Poster ID: # 70 Poster ID: # 71 Title: Kaizen: Utilizing Rapid Transformational Title: Improving The Screening And Management Of Business Quality Improvement Processes To Meet Metabolic Bone Disease Management In HIV+ ACGME QI Guidelines Populations Presenter (Last, First): Stafford, Patrick Presenter (Last, First): Sreeram, Kalyan All Authors: Stafford, Patrick; Soto, Roy All Authors: Sreeram, Kalyan; Choudhary, Anita; Institution: Beaumont Hospital Royal Oak Tannous, Pierre Institution: Wayne State University School of Medicine Poster ID: # 72 Poster ID: # 73 Title: Stress Ulcer Prophylaxis: Bridging The Gap Title: Reducing Opioid Induced Respiratory Between Research And Practice Depression In Post-Operative Arthroplasty Patients Presenter (Last, First): Stefan, Vladimir Presenter (Last, First): Tang, Jie Xin All Authors: Stefan, Vladimir; Austin, Latoya All Authors: Tang, Jie Xin; Chhina, Anoop; Institution: Pontiac General Hospital Jarzebowski, Mary; Peruzzi, William; Loyd, Gary; Sibai, Nabil; Michalski, Jennifer; Boy, David Institution: Henry Ford Hospital Detroit Poster ID: # 74 Poster ID: # 75 Title: Improving Resident Error Reporting - A QI Title: Behaviors And Attitudes About Breastfeeding Initiative Study (BABY) In The Flint Community: A Proposed Presenter (Last, First): Jain, Anubhav Quality Improvement Project All Authors: Jain, Anubhav; Dmytruk, Brandon; Presenter (Last, First): Thai, Julie Wnzlick, Lucinda; Fabry, Danielle; Tegeltija, Vesna All Authors: Thai, Julie; Saghir, Hussein Institution: Ascension Providence Rochester Hospital Institution: McLaren Flint Hospital Poster ID: # 76 Poster ID: # 77 Title: Permissive Hypothermia: How Cold Is Cold Title: Educating Patients On Advanced Care Planning Enough? Presenter (Last, First): Wei, John Presenter (Last, First): Ralh, Neeharika All Authors: Wei, John; Rosa, Adrienne; Dean, Corey; All Authors: Ralh, Neeharika; Gonzalez, Victoria; Ammar, Afnan Uchel, Toribiong; Kapadia, Daniel; Tegeltija, Vesna; Institution: St. Joseph Mercy Ann Arbor Kulairi, Zain Institution: Ascension Providence Hospital Poster ID: # 78 Title: ERAS For Elderly Colorectal Surgery Patients: Perspectives From A Community Hospital Presenter (Last, First): Wei, Ting All Authors: Wei, Ting; Swiatkowski, Tim; Churchill, Tessa; Reynolds, Michael; Misra, Preeti Institution: St. Mary Mercy Hospital Livonia Fellow Quality Improvement/Patient Safety Posters Poster ID: # 79 Poster ID: # 80 Title: Barriers To Successful Outpatient Colonoscopy Title: Factors Affecting Timeliness Of Test Result In An Urban VA Medical Center Communication Presenter (Last, First): Afolabi, Olayinka Presenter (Last, First): Bond, Rebecca All Authors: Afolabi, Olayinka; Antaki, Fadi; Lilley, All Authors: Bond, Rebecca; Grover, Kavita; Siddiqi, Kirthi Ahmad; Schultz, Lonni Institution: DMC Harper University Hospital Institution: Henry Ford Health System Poster ID: # 81 Poster ID: # 82 Title: Early Recognition And Management Based On Title: A Novel Simulation And Ultrasound-Based Current Timed Guidelines At The John D. Dingell Curriculum For Shock Management In A Pulmonary & Veteran Affairs Medical Center Critical Care Medicine (PCCM) Fellowship Training Presenter (Last, First): Taha, Muhanad Program Authors: Taha, Muhanad; Culpepper, Owen; Esber, Presenter (Last, First): Ganti, Shyam Zahia; Akhras, Alaa; Daoud, Asil; Laktineh, Amir; Nas, All Authors: Ganti, Shyam; Alsunaid, Sammar; Sankari, Hala; Kanj, Amjad; Salloum, Anan; Sankari, Abdul; Lee, Abdulghani; Lee, Sarah; Schenk, Mary-Jean Sarah Institution: DMC Harper University Hospital Institution: DMC Detroit Receiving Hospital Poster ID: # 83 Poster ID: # 84 Title: Effectiveness Of Dedicated COPD Clinic And Title: Improvement Of Patient Comfort During Inhaler Education Esophagogastroduodenoscopy (EGD) With Utilization Presenter (Last, First): Ghadai, Ahmed Of Preparatory Counseling: A Randomized, Double- All Authors: Ghadai, Ahmed; Elhassan, Norma; Blind Trial Sankari, AbdulGhani; Ashraf, Humayun Presenter (Last, First): Goyal, Sachin Institution: Wayne State University School of Medicine All Authors: Goyal, Sachin; Muthusamy, Arun; Antaki, Fadi; Judd, Stephanie; Schoenfeld, Philip; Lilley, Kirthi Institution: DMC Harper University Hospital Poster ID: # 85 Poster ID: # 86 Title: Trainees Initiative To Improve Patient Care At Title: Improving Sleep Health Inquiry In Outpatient The Detroit VA Pulmonary Clinics By Utilizing Medical Clinics In A Veteran Population Practice-Based Learning Tools. Presenter (Last, First): Khorfan, Omar Presenter (Last, First): Haider, Samran All Authors: Khorfan, Omar; Jarrah, Joud; Zaheerullah, All Authors: Haider, Samran; Salloum, Anan Mohammad; Alshumrani, Ranya; Shah, Toral; Salloum, Institution: DMC Harper University Hospital Anan Institution: Wayne State University School of Medicine Poster ID: # 87 Poster ID: # 88 Title: Increasing Resident Engagement In Quality Title: Emergency Visits For Autistic Children With A Improvement Through A Multidisciplinary Community Psychiatric Disorder: Is There A Disparity Of Care? Health Quality Improvement Institute: A Proof-Of- Presenter (Last, First): Porto, Adriana Concept All Authors: Porto, Adriana; Goyal, Ashima; Kelly, Presenter (Last, First): Misra, Amrit Levasseur; Margaret, Menoch All Authors: Misra, Amrit; Kamat, Deepak; Institution: Beaumont Hospital Royal Oak Smitherman, Lynn Institution: Children's Hospital of Michigan Poster ID: # 89 Poster ID: # 90 Title: Reducing CT-Scan Utilization For Pediatric Minor Title: Implementation Of Practice Based Learning And Head Injury In The Emergency Department: A Quality Improvement Competency By Performing Self-Audit Improvement Initiative And Applying AASM Quality Measures To Improve Presenter (Last, First): Ravichandran, Yagnaram Care For Patients With Prevalent Sleep Disorders All Authors: Ravichandran, Yagnaram; Arora, Rajan Presenter (Last, First): Shah, Toral Institution: Children's Hospital of Michigan All Authors: Shah, Toral; Zaheerullah, Mohammad; Salloum, Anan; Alshumrani, Ranya; Khorfan, Omar; Jarrah, Joud; Chowdhuri, Susmita; Badr, Safwan Institution: DMC Detroit Receiving Hospital Poster ID: # 91 Title: Designing And Implementation Of Social Media Screening Questionnaire For Adolescents At WSUPG Livonia Followed By Patient Education And Assessment Of Stages Of Change To Facilitate Future Therapeutic Interventions Presenter (Last, First): Sidhu, Gurkanwal All Authors: Sidhu, Gurkanwal; Abdulhussein, Murtadha; Shakir, Tehmina Institution: Wayne State University School of Medicine Wellness Posters Poster ID: # 92 Poster ID: # 93 Title: Establishment Of A Program Wellness Title: Med/Peds Resident Physician Wellness Program: Committee: Faculty, Resident Partnership For A "Bottom-Up" Curriculum Design Addressing Wellness Presenter (Last, First): Johnson, Lamar Presenter (Last, First): Fabry, Danielle All Authors: Johnson, Lamar; Abraham, Heather; All Authors: Fabry, Danielle; Abbineni, Usha; Ido, Firas; Weekes-Kanu, Jérren; Rucker, Chyrisha; Love, Jessica; Fityan, Mohammad Ayers, Eric Institution: Ascension Providence Rochester Hospital Institution: Wayne State University School of Medicine Poster ID: # 94 Poster ID: # 95 Title: Fighting Resident Burnout. A Survey To Assess Title: Resident Wellness Wednesday Initiative Resident Wellness And Identify Strategies To Reduce Presenter (Last, First): May, Carissa Resident Burnout. All Authors: May, Carissa; Nuzzarello, Angela Presenter (Last, First): Khan, Ali Institution: Beaumont Hospital Royal Oak All Authors: Khan, Ali; Feldpausch, Brianne; Niyibizi, Auguste; Pallekonda, Vinay; Ismail, Rana; McKelvey, George Institution: DMC Sinai Grace Hospital Poster ID: # 96 Title: Recording Standardized Patient Aggression: A Novel Program For Resident Safety Training Presenter (Last, First): Truong, Xuyen All Authors: Truong, Xuyen; Smith, Wilbur; Gillespie, Michael; Adams, Reid; Gopinath, Nirupa Institution: St. Joseph Mercy Oakland

Slide Competition Slide Competition Slide Competition Title: Multidisciplinary Approach For Standardized Title: Hepatitis C Screening And Linkage To Care In Care And Control Of Opioid Administration For Pain An Urban Emergency Department Management Patients Presenter (Last, First): Cook, Megan Presenter (Last, First): Ahsan, Beena All Authors: Cook, Megan; Manteuffel, Jacob; All Authors: Ahsan, Beena; Hogan, Kathryn; Totten, Sabagha, Noor; Ross, Jacob; Bussa, Rebecca; Amanda; Mehlberg, Lori; Copeland, Jacqueline; Theoharis, Thomas; Klausner, Howard; Miller, Joseph Varney, Ruan; Crow, Joseph; Shah, Vinay; Cook, Institution: Henry Ford Hospital Detroit Bernard, Institution: Henry Ford Health System Slide Competition Title: Process To Improve Cardiac Telemetry Use In A Community Hospital Presenter (Last, First): Hong, Gloria All Authors: Hong, Gloria; Chams, Sana; Patel, Manishkumar; Aggrawal, Ankita; Bal, Jasmeet; Tegeltija, Vesna; Kulairi, Zain Institution: Ascension Providence Rochester Hospital 4th Annual Michigan Summit on Quality Improvement, Patient Safety & Wellness

We gratefully acknowledge the following organizations for their support

Collaborators: . Blue Cross Blue Shield of Michigan Performance Partnerships program . Michigan Area Health Education Center (AHEC) . Michigan Association for Medical Education (MAME) . Michigan Health and Hospital Association (MHA) . Michigan Peer Review Organization (MPRO) . Southeast Michigan Center for Medical Education (SEMCME) . Wayne State University School of Medicine

Sponsors: . AstraZeneca . American Medical Association (GME Competency Education Program) . Merck & Co., Inc. . Novartis . Pfizer