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Quality
Current Projects

UTMB Internal Medicine quality current projects banner - doctor giving a patient a shot

Current Quality Improvement Projects:

  1. Development of a quality improvement curriculum for Internal Medicine residents modeling the IHI open school. – C Clark, DO; MN Luna, MD
  2. Focused educational activity to reduce the use of routine chest radiograph in mechanically ventilated patients – G Sharma, MD
  3. Implementing a longitudinal quality and patient curriculum for the UTMB Medical Students – C Clark, DO; MN Luna, MD; S Quach, MD
  4. Improving the care transition of patients hospitalized with copd or chf exacerbation to reduce early readmission – C Clark, DO; G Sharma, MD; L Sonstein, MD
  5. Improving compliance with evidence based medicine management of patients hospitalized with copd exacerbation. – G Sharma, MD
  6. Improving discharge documentation for the core measures using a documentation reminder system. – L Sonstein, MD; G White, MD
  7. Improving DVT prophylaxis rates in hospitalized patients – G Sharma, MD; S Quach, MD; L Sonstein, MD
  8. Improving length of stay on the IM Ward Services – L Sonstein, MD
  9. Improving MICU throughput – G Sharma, MD
  10. Improving Patient Satisfaction in IM clinics using a provider communication tool (AVS) – C Clark, DO
  11. Improving pneumovax administration rates in the outpatient Internal Medicine and Geriatric Clinics – E. Hommel, MD; G Reep, MD; L Sonstein, MD
  12. Improving resident satisfaction and efficiency with the "Resident Admit Note" – L Sonstein, MD; G White, MD
  13. Improving Smoking Cessation rates in the IM Resident's clinic – C Clark, DO
  14. Improving the transition of care for patients on chronic Warfarin therapy – C Clark, DO; L Sonstein, MD
  15. Teaching quality improvement core knowledge to faculty and fellows using an interactive half day workshop – C Clark, DO; MN Luna, MD; L Sonstein, MD

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU
  • 111 - Stroke Alert
  • 112 - Stroke Activation
  • 300086 - Stroke Floor Admission
  • 3000000001 -  Stroke Critical care without tPA
  • 300088 Stroke - Transfer from Critical care to floor
  • 3004002 - Stroke Discharge

All protocols can be found in the EPIC order set section.

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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