Clinical Quality Fellowship Program

Class of 2015-2016

Nada Abou-Fayssal, MD — NYU Lutheran

Yasir Al-qaqaa, MD — NYU Langone Medical Center

Fouad Atallah, MD — Maimonides Medical Center

John Babineau, MD — NewYork-Presbyterian Hospital / Morgan Stanley Childrens Hospital

Hyung (Harry) Cho, MD — Mount Sinai Hospital

Daniel Crossman, MD — NewYork-Presbyterian Hospital / Lower Manhattan Hospital

Karen DeLorenzo, MSN, RN, CHCR — NYU Lutheran

Kenneth Feldhamer, MD — Northwell Health, North Shore University Hospital

Robert Freeman, MSN, RN-BC — Mount Sinai Beth Israel

Barbara Gatton, MD — NewYork-Presbyterian Brooklyn Methodist Hospital

Amrita Gupte, MD, MPH — Mount Sinai Hospital Queens

Glenn Kashan, MD — Mount Sinai Beth Israel

Chhavi Kumar, MD — Memorial Sloan Kettering Cancer Center

Roxana Lazarescu, MD — NewYork-Presbyterian / Queens

Daniel Lombardi, DO, FACEP — SBH Health System Bronx

Jeffrey Rabrich, DO, FACEP — Mount Sinai St. Lukes Hospital

Raghad Said, MD — NYU Langone Medical Center

Lisa Tank, MD, FACP — Hackensack University Medical Center

Maria Teresa (Tess) Timoney, CNM — Bronx-Lebanon Hospital

Jean Versace, RN, CCM — NewYork-Presbyterian / 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 goals of the 2015–2016 fellows capstones are briefly described below.

Nada Abou-Fayssal, MD (NYU Lutheran): Develop a transition-in-care model for stroke patients, focused on discussing risk factors (smoking status and blood pressure control) and improving the percentage of 7- and 30-day follow-up visits scheduled upon discharge

Yasir Al-qaqaa, MD (NYU Langone Medical Center): Decrease morbidity and mortality by improving the timely administration of appropriate antibiotics to pediatric patients within the first hour of recognition of severe sepsis and septic shock

Fouad Atallah, MD (Maimonides Medical Center): Improve the overall culture on a labor and delivery unit by reducing the rate of staff and clinician burnout, focusing on positive emotions, communication, narrative medicine, and physical environment

John Babineau, MD (NewYork-Presbyterian / Morgan Stanley Children’s Hospital of New York): Decrease the mean time to analgesia administration for pediatric patients with sickle cell crisis pain to 30 minutes from arrival in the pediatric emergency department

Hyung (Harry) Cho, MD (Mount Sinai Hospital): Increase clinical staff awareness of the relationship between service overuse and patient harm by developing an Overuse Clinical Case Morbidity and Mortality Conference, with the ultimate goal of reducing service overuse

Daniel Crossman, MD (NewYork-Presbyterian / Lower Manhattan Hospital): Improve surgical service efficiency by reducing delays in surgery start time, with a goal of first-case start times within ten minutes of scheduled time

Karen DeLorenzo, MSN, RN, CHCR (NYU Lutheran): Reduce delays in discharge time and improve communication with patients and families about the plan of care by developing a team-based, patient-centered model for interdisciplinary daily rounds

Kenneth Feldhamer, MD (Northwell Health, North Shore University Hospital): Improve the care of patients with sickle cell disease through earlier pain management, by having hospitalists administer PCA pumps starting in the emergency department

Robbie Freeman, MSN, RN-BC (Mount Sinai Beth Israel): Improve care by gathering actionable and timely data in the form of unit-level “quality dashboards,” starting with a focus on central line-associated bloodstream infections and catheter-associated urinary tract infections

Barbie Gatton, MD (NewYork-Presbyterian Brooklyn Methodist Hospital): Improve the timely administration of antibiotics within the first hour of recognition of severe sepsis and septic shock, to reach 95% within six months of project’s start

Amrita Gupte, MD (Mount Sinai Hospital Queens): Increase the percent of patients admitted from the emergency department who are transferred to a bed within two hours, and decrease, by 25% within six months, the median ED length of stay for medicine patients on two units

Glenn Kashan, MD (Mount Sinai Beth Israel): Develop a new reporting system to monitor and record near-miss events, to be analyzed and given to relevant clinicians to act upon, and identify opportunities to avoid future near misses

Chhavi Kumar, MD (Memorial Sloan Kettering Cancer Center): Develop a comprehensive quality improvement training program/curriculum, including didactics and engagement in a QI project, beginning with radiation oncology residents, to satisfy ACGME requirements and develop quality leadership potential and skills

Roxana Lazarescu, MD (NewYork-Presbyterian / Queens): Decrease catheter-associated urinary tract infections on a renal floor per 1,000 Foley catheter days by 25% within six months

Daniel Lombardi, DO, FACEP (SBH Health System Bronx): Decrease “wrong patient, right order” near-miss events in the emergency department by 20% within three months, using an order-based patient identification system within the electronic health record

Jeffrey Rabrich, DO, FACEP (Mount Sinai St. Luke’s Hospital): Redesign the handoff process for patients admitted from the emergency department to the medicine service by developing a standardized handoff tool in the electronic health record capturing critical issues at transitions

Raghad Said, MD (NYU Langone Medical Center): Decrease inappropriate use of albumin by the cardiovascular surgery service by developing and implementing a revised albumin order set in the electronic health record

Lisa Tank, MD (Hackensack University Medical Center): Reduce the incidence of delirium throughout hospitalization by using the Confusion Assessment Method (CAM) to improve screening for delirium in high-risk patients 70 years and older

Tess Timoney, CNM (Bronx-Lebanon Hospital): Improve screening for HIV risk in women seen in an OB/GYN service, adding a question on partner status to the medical history section of the electronic health record template, and creating an algorithm for appropriate testing and evaluation for prophylaxis of women with past or ongoing exposure

Jean Versace, RN, CCM (NewYork-Presbyterian / Queens): Improve care processes to reduce punctures and lacerations by developing a system for detection, identification, and review of patients with the relevant AHRQ Patient Safety Indicator, with a focus on improving clinical documentation and coding



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