February 2015 PD Meeting

The February 2015 PD meeting will be held on Thursday the 26th, 6pm to 8.30pm CST.  Please REGISTER to confirm your attendance.

Dr. Andrew L. Masica, MD, MSCI, Vice President, Chief Clinical Effectiveness Officer with Baylor Scott & White Health, will give the PD presentation while Ms. Debbie Roper, the Director of Stroke and Neurovascular Services for HCA North Texas Division, Inc. will give the PD Tutorial presentation.

Tutorial Topic:     Is your data really valid and reliable?

About Debbie Roper:  Debbie Roper, MSN, RN graduated from University of Texas at Arlington. She has forty years of nursing experience ranging from staff nursing, flight nursing, Director of Nurses, Education Coordinator, Outreach Coordinator and is currently the Director of Stroke and Neurovascular Services for HCA North Texas Division, Inc. As Director of Stroke and Neurovascular services for HCANTD she was responsible for ensuring all eleven adult hospitals obtain and maintain the Joint Commission Primary Stroke Certification, with 3 hospitals with Comprehensive Stroke Certification. In addition she was responsible for standardizing stroke processes for HCANTD. She has successfully led multiple urban and rural healthcare facilities toward Joint Commission Primary Stroke Center, all within six months. Debbie shares her stroke expertise with others as a stroke consultant. She has personally educated thousands of healthcare professionals, EMS providers and members of the community about stroke. She is recognized nationally for her efforts in changing processes to treat acute stroke patients. Her disease, STROKE FEVER, has spread across the United States and is changing processes and saving brain cells.

Dinner Meeting Topic:     Facilitating the Implementation of a Bundled Care Program for ICU Delirium.

Abstract: Delirium (acute brain dysfunction) is a common complication of critical care and a significant patient safety problem, occurring in up to two-thirds of patients in the intensive care unit (ICU). ICU delirium is independently associated with increases in mortality, morbidity (including long-term cognitive impairment), and health care costs. Therapeutic interventions for ICU delirium (such as optimizing sedation management, daily awakening and breathing trials for patients on ventilators, formal delirium monitoring, and early mobility, collectively termed the “ABCDE Bundle”) have been developed and demonstrated to be effective in producing clinical benefit across a range of populations and critical care settings. Despite evidence supporting these practices, their widespread implementation has been challenging, limiting the potential reduction in iatrogenic harm if they were used consistently.

Adoption of other health care practices (e.g., prevention of central line–associated blood stream infections, venous thromboembolism prophylaxis) has been facilitated by multifaceted implementation approaches involving one or more of these elements:

  1. Consolidation of discrete practices into a single bundle of integrated care processes
  2. Engagement of champions
  3. Decision support and workflow enhancement tools.
  4. Timely feedback on process performance

Dr. Masica’s presentation will focus on practical use of these implementation tactics to deploy the ABCDE Bundle reliably throughout hospitals in the Baylor Scott & White Health System. Drawing on the experiences of a “real-world” delivery organization, specific examples of strategies and tools to promote practice uptake will be discussed, along with specific examples of successes, barriers, and applied solutions.

About Dr. Andrew L. Masica:

Andrew Masica, MD, MSCI serves as Vice-President and Chief Clinical Effectiveness Officer for Baylor Scott & White Health (BSWH). Following graduation from Harvard University, Dr. Masica received his MD from the Indiana University School of Medicine, underwent residency training at University of Texas-Southwestern Medical Center, and completed a clinical pharmacology research fellowship and a Master of Clinical Investigation program at the Vanderbilt University School of Medicine.

Since his arrival at BSWH in 2006, Dr. Masica has maintained system-level leadership roles in quality, patient safety, and health services research, while continuing to practice clinically as a board certified hospital-based internist. His main research interests are in the areas of rational use of therapeutic drugs, clinical effectiveness, and implementation science. He has received federal funding as a principal or co-investigator on several studies including one on deployment and dissemination of a bundle for ICU delirium. He has published numerous quality-related articles in peer-reviewed journals. Dr. Masica’s operational responsibilities are focused on implementation of evidence-based practices into daily patient care, particularly the design of accelerated adoption strategies and assessing impacts of those implementations.

Dr. Masica has been designated as a Senior Fellow by the Society of Hospital Medicine, and has an appointment as an Assistant Clinical Professor of Medicine at the Texas A&M Health Sciences Center (Dallas Campus). Dr. Masica was also recognized by the Dallas-Fort Worth Hospital Council as their 2012 Young Healthcare Executive of the Year.