Clinical Quality Fellowship Program

Class of 2013-2014

Samuel Acquah MD, FACCP, Beth Israel Medical Center

Jonathan Austrian, MD, NYU Langone Medical Center

Sandra Jean Bardsley, RN-BC, Stamford Hospital

Melencio Friginal, RN, Metropolitan Hospital Center

Chhavi Katyal, MD, The Children's Hospital at Montefiore Medical Center

Manisha Kulshreshtha, MD, St. Barnabas Hospital

AnnaRita Marcelli, MD, Memorial Sloan Kettering Cancer Center

Ninfa Mehta, MD, MPH, SUNY Downstate Medical Center

Lee Moldowsky, RN, Winthrop University Hospital

Rajiv Pant, MD, Woodhull Medical Center

Dimitrios Papanagnou, MD, MPH, Kings County Hospital Center

Maryann Julia Popiel, MD, Jacobi Medical Center

Rajiv Saini, MD, Brookdale University Hospital

Michael Serlin, MD, Harlem Hospital Center

Brijen Shah, MD, Mount Sinai Medical Center

Janet Shapiro, MD, St. Luke's-Roosevelt Hospital Center

Ravi Sharaf, MD, MS, North Shore-LIJ Health System

Toni Stern, MD, Coney Island Hospital

Pamela Watkins, RN, MSN, New York Eye and Ear Infirmary

Nejat Zeyneloglu, MD, New York Hospital Queens

Capstone Projects

One of the signature elements of the Clinical Quality Fellowship Program is the capstone project. Working with an interdisciplinary team, fellows conceptualize, design, and lead projects, endorsed by their hospital leadership, to advance a patient safety or quality improvement goal in their own hospital. The projects of the fellows who make up the 2013-2014 Class are briefly described below.

Samuel Acquah, MD, FACCP, Mount Sinai Beth Israel Medical Center, worked to develop a hospital-wide sepsis protocol to improve the timeliness and appropriateness of severe sepsis recognition and treatment on the general and medical and surgical wards, and to raise overall sepsis awareness at the hospital.

Jonathan Austrian, MD, NYU Langone Medical Center, implemented a sepsis alert system in the urgent care center, developing tools through the electronic health record to improve the timeliness of sepsis recognition and treatment.

Sandra Bardsley, RN-BC, Stamford Hospital, evaluated the possible relationship between medication use and the occurrence of falls in the hospital, and sought to develop and implement a more comprehensive falls investigation tool there.

Melencio Friginal, RN, Metropolitan Hospital Center, evaluated and promoted best practices related to violence risk assessment and prevention of inpatient assault and violence in an adult inpatient behavioral health setting, using a screening tool and preventive interventions to reduce assaults.

Chhavi Katyal, MD, The Children’s Hospital at Montefiore Medical Center, developed and implemented procedures for a standardized handoff from the surgical team to the inpatient team, making attention to this critical transition part of surgical and pediatric residents’ routine.

Manisha Kulshreshtha, MD, St. Barnabas Hospital, created and implemented procedures for placing patients with acute asthma exacerbation in observation beds, with the goals of providing appropriate care through clinical guidelines, improving clinical documentation, and decreasing admission denials.

AnnaRita Marcelli, MD, Memorial Sloan Kettering Cancer Center, examined the role of glycemic control in surgical site infections and worked to implement interventions that would lead to improve post-operative glycemic control, as part of a bundled intervention to reduce surgical site infections in the hospital's colorectal surgery service.

Ninfa Mehta, MD, MPH, SUNY Downstate Medical Center, identified factors in higher emergency department waiting times,and strategized on ways to reduce those times, including changes in staffing coverage and additional education on a triage tool.

Lee Moldowsky, MSN, RN-BC, Winthrop University Hospital, initiated a nurse-driven protocol on removing urinary catheters, with the goals of reducing the incidence of catheter-associated urinary tract infections and reducing catheter utilization.

Rajiv Pant, MD, Woodhull Medical Center, worked to foster a culture of empathy and improved doctor-patient communication in Woodhull's surgical unit, through patient surveys and staff training.

Dimitrios Papanagnou, MD, MPH, formerly at Kings County Hospital Center, worked to improve endotracheal intubations performed in the emergency department through standardization, crisis resource management strategies, pre-procedure checklists, and enhanced teamwork and communication.

Maryann Popiel, MD, Jacobi Medical Center, worked to optimize medication regimens among psychiatric inpatients by improving communication around the "as needed" psychotropic medications dispensed by clinical staff, with the goals of standardizing medication review and decreasing inpatients' average length of stay.

Rajiv Saini, MD, Brookdale University Hospital, adjusted existing discharge and follow-up procedures for patients who received stents as inpatients, with the goals of improving time to follow-up after discharge and improving stent removal time.

Michael Serlin, MD, Harlem Hospital Center, worked to improve the viral load suppression rates for HIV-positive patients through more frequent reporting and increased communication among providers, support groups, and patients.

Brijen Shah, MD, Mount Sinai Medical Center, designed and implemented an electronic system combining patient communication and data collection, with the goals of improving the communication of colonoscopy results, decreasing the follow-up interval after colonoscopies, and gathering adenoma detection rates.

Janet Shapiro, MD, Mount Sinai St. Luke's-Roosevelt Hospital Center, implemented a formal handoff and communication process between emergency medicine and critical care physicians and nurses, reducing patients' boarding time in the emergency department and improving the transfer process from emergency department to intensive care unit.

Ravi Sharaf, MD, MS, North Shore-LIJ Health System, implemented a screening protocol to help identify people who might have a predisposition to Lynch syndrome, the most common colorectal cancer syndrome.

Toni Stern, MD, Coney Island Hospital, worked to establish a protocol for the scheduling of obstetric procedures, with the goal of reducing scheduled deliveries performed before 39 weeks' gestation without a medical or fetal indication.

Pamela Watkins, RN, MSN, New York Eye and Ear Infirmary of Mount Sinai, worked to improve patient satisfaction, nurse-patient communication, and employee satisfaction in the adult ambulatory surgery unit.

Nejat Zeyneloglu, MD, New York Hospital Queens, sought to improve patient flow in a stroke unit by increasing the number of early discharges, through improved case management, engaging more closely with patients' families, and additional planning before discharge.


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