UMHS QI Projects Approved for Part IV MOC or NCCPA PI-CME

Completed QI projects documented for maintenance of certification (MOC) credit are listed for physicians by specialty then by subspecialty within specialty, and then for physician assistants. Projects involving individuals from more than one discipline, specialty, or subspecialty are listed under each relevant discipline/specialty/subspecialty along with the number of individuals in that specific group who documented MOC participation. Final reports for projects can be accessed by clicking on the project title (projects with underlined titles).

Physician Assistant Projects

Physicians

Anesthesiology

Subspecialty	Project Title	Completion Date	# with Part IV
--	Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)	08/11/2020	1

Emergency Medicine

Subspecialty	Project Title	Completion Date	# with Part IV
Adult	Advancing Responsible Opioid Prescribing (through Wave 28)	3/6/2020	1
Adult	HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project	3/26/18	1
Adult	Improving Handoffs from the ED to the Medical Observation Service	1/17/18	1
Adult	Impact of double physician coverage on patient flow during high volume evening shifts in the adult medical observation unit	12/15/13	2
Adult	Improving classification of admission status for patients seen in the emergency department	1/31/12	2
Pediatric	MEDIC individual ED physician selected QI – 2022: Reducing Overutilization of CT Scans for Minor Head Injury and Chest X-Rays for Common Respiratory Illness	10/31/2022	2
Pediatric	Michigan Emergency Department Improvement Collaborative (MEDIC): Reducing Chest X-ray (CXR) Use in Children with Asthma, Bronchiolitis or Croup	11/13/19	5
Pediatric	MEDIC CT Use for Minor Traumatic Pediatric Head Injury	10/2/18	2
Pediatric	Improved adherence to evidence-based bronchiolitis guidelines	4/1/15	2
Pediatric	Time to initial broad spectrum antibiotics in febrile oncology patients	4/30/12	3

Family Medicine

Subspecialty	Project Title	Completion Date	# with Part IV
--	Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 6)	7/1/2021	15
--	Improving the Quality and Timeliness of Primary Care Notes	7/20/2020	2
--	Smile Connect (through Wave 11)	5/4/2020	3
--	Advancing Responsible Opioid Prescribing (through Wave 28)	3/6/2020	15
--	Transforming Trauma Informed Care (through Wave 1)	12/31/19	4
--	Improving the rate of providers intervening to reduce falls in elderly patients in Family Medicine: Addressing process and individual barriers	11/4/19	100
--	IHA — Improving Diabetic Patient A1c Control	6/14/19	20
--	Improving Chlamydia Screening Rates in Family Medicine: Addressing Process and Individual Barriers	11/14/18	71
--	IHA — Improving Cervical Cancer Screening	11/7/18	16
--	Transforming Depression: A Great Lakes Practice Project (through Wave 18)	10/29/18	6
--	Assessing Opioid Fears and Anxieties in Palliative Care Consultations	5/6/18	1
--	Transforming Medication Adherence: A Great Lakes Practice Project	1/31/18	3
--	Improving Handoffs from the ED to the Medical Observation Service	1/17/18	1
--	Michigan Caries Prevention Program	11/1/17	63
--	MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital	2/24/17	1
--	Constipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated)	11/2/16	1
--	Decreasing missed opportunities for HPV vaccination in Family Medicine	10/4/16	53
--	Decreasing missed opportunities for HPV vaccination at University Health Services	09/13/2016	7
--	Improving Diabetic Patient Care by Improving Percent of Tests Up-to-Date at Time of Visit	6/30/2016	16
--	Confusion Assessment in Palliative Care Consultations	6/30/16	1
--	Improving documentation of controlled substance agreements, drug screening, and MAPS verification	10/15/15	45
--	Breast and Colon Cancer Best Practice Advisory utilization rates in Family Medicine House Officers	9/30/15	22
--	Improving chlamydia screening rates for women ages 18-24 in college health service population (University Health Service)	6/30/15	5
--	Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/21/14	23
--	Impact of double physician coverage on patient flow during high volume evening shifts in the adult medical observation unit	12/15/13	4
--	Improving diabetic foot evaluation rates in UMHS family medicine clinics	11/30/13	38
--	Reducing re-admissions by improving post-discharge follow up care (IHA physicians)	10/31/13	12
--	Eliminating early elective delivery	8/31/13	1
--	Use of point of care clinical reminders to improve Tdap vaccination rates	1/4/12	40
Sleep Medicine	Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies	4/22/19	3
Sleep Medicine	Delays in Seeing Patients in the Sleep Disorders Fellow Outpatient Clinic	5/1/18	1
Sleep Medicine	Appetite Assessment During Palliative Care Consultations	1/19/17	1
Sleep Medicine	Reducing Errors in Sleep Study Protocols	4/4/16	1
Sleep Medicine	Timely and accurate interpretation of EKGs on polysomnograms	6/1/15	2

Internal Medicine

Subspecialty	Project Title	Completion Date	# with Part IV
Cardiology	Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)	08/11/2020	1
Cardiology	Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/21/14	18
Cardiology	Improving stress test safety in patients with high risk cardiovascular disease	8/31/13	1
Cardiology	Pregnancy risk assessment for women with congenital heart disease	11/1/12	4
Endocrinology	Improving rates of foot examination for patients with diabetes	10/16/15	31
Endocrinology	Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/21/14	31
Endocrinology	Improving rates of dilated retinal examination for patients with diabetes	10/31/13	6
Gastroenterology	Improving the quality of bowel prep for colonoscopy (Ann Arbor Veterans Affairs Healthcare System)	7/31/15	11
Gastroenterology	Use of family history for CRC risk assessment in outpatient colonoscopy	11/15/13	8
General Med - Ambulatory Care	Improving Geriatric Pneumococcal Vaccination Rate	9/9/2021	40
General Med - Ambulatory Care	Improving the Quality and Timeliness of Primary Care Notes	7/20/2020	26
General Med - Ambulatory Care	Advancing Responsible Opioid Prescribing (through Wave 28)	3/6/2020	11
General Med - Ambulatory Care	Improving Screening for Diabetic Nephropathy	7/11/19	20
General Med - Ambulatory Care	IHA — Improving Diabetic Patient A1c Control	6/14/19	21
General Med - Ambulatory Care	Universal Adolescent Depression Screening at HME	6/11/19	8
General Med - Ambulatory Care	IHA — Improving Cervical Cancer Screening	11/7/18	18
General Med - Ambulatory Care	Transforming Depression: A Great Lakes Practice Project (through Wave 18)	10/29/18	4
General Med - Ambulatory Care	Advancing Responsible Opioid Prescribing (through Wave 18)	11/19/18	4
General Med - Ambulatory Care	Transforming Medication Adherence: A Great Lakes Practice Project	1/31/18	1
General Med - Ambulatory Care	Screening for Obesity Hypoventilation (OH) in Obstructive Sleep Apnea (OSA) Population in Adult Patients at the University of Michigan	05/17/17	2
General Med - Ambulatory Care	Michigan Caries Prevention Program	3/31/17	1
General Med - Ambulatory Care	Constipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated)	11/2/16	3
General Med - Ambulatory Care	Improving Rates of Developmental Screening in Pediatric Primary Care Clinics	10/21/16	1
General Med - Ambulatory Care	Decreasing missed opportunities for HPV vaccination in General Medicine	10/11/16	32
General Med - Ambulatory Care	Decreasing missed opportunities for HPV vaccination at University Health Services	09/13/2016	5
General Med - Ambulatory Care	Improving Diabetic Patient Care by Improving Percent of Tests Up-to-Date at Time of Visit (IHA)	6/30/2016	9
General Med - Ambulatory Care	Improving chlamydia screening rates for women 18-24 in college health service population (University Health Service physicians)	6/30/15	6
General Med - Ambulatory Care	Improving chlamydia screening rates for women ages 16-24	5/31/15	32
General Med - Ambulatory Care	Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/21/14	44
General Med - Ambulatory Care	Reducing re-admissions by improving post-discharge follow up care (IHA physicians)	10/31/13	6
General Med - Ambulatory Care	Using combined actionable report (CAR) & combined gap report to improve LDLC testing & LDLC levels for patients with diabetes	3/31/12	8
General Med - Ambulatory Care	Improving classification of admission status for patients seen in the emergency department	1/31/12	1
General Med - Hospitalists	Hospital Medicine Safety (HMS) Consortium Antimicrobial Use (ABX) Quality Improvement Project	1/31/20	3
General Med - Hospitalists	Fever Pathways for 7-59 Day-Olds	9/25/19	2
General Med - Hospitalists	Improving the Effectiveness and Efficiency of Inpatient Medicine Rounds: Awareness of Need for DVT Prophylaxis, Satisfaction with Process	7/12/19	12
General Med - Hospitalists	HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project	3/26/18	5
General Med - Hospitalists	Improving Handoffs from the ED to the Medical Observation Service	1/17/18	4
General Med - Hospitalists	Identification of hypertension in pediatric and adult patients with nephrotic syndrome in NephCure Accelerating Cures Institute (NACI) clinical care network	9/8/2017	9
General Med - Hospitalists	MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — Cardiovascular Center	7/12/17	9
General Med - Hospitalists	Improving Documentation of an Accurate Problem List for General Pediatrics Inpatients	5/31/17	5
General Med - Hospitalists	MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital	2/24/17	59
General Med - Hospitalists	VTE prevention (UMHS lead statewide collaborative)	1/22/15	16
General Med - Hospitalists	Improving the appropriateness of packed red blood cell transfusions for patients admitted on the general medicine services	10/1/12	15
General Med - Hospitalists	Inpatient Adult Sleep Medicine Consultations: Taking Out the Trash	5/2/18	1
General Med - Med Peds	Improving Geriatric Pneumococcal Vaccination Rate	5/2/18	8
General Med - Med Peds	Improving Surgical Plan Development and Communication for Congenital Heart Center Patients	06/30/2020	2
General Med - Med Peds	Assessing Menstrual Status as a Vital Sign	11/8/18	3
General Med - Med Peds	Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 7)	9/10/2021	11
General Med - Med Peds	Decreasing missed opportunities for HPV vaccination in Medicine Pediatrics	9/10/16	5
General Med - Med Peds	Decreasing Missed Appointments Rates through Personalized Appointment Reminder Calls	1/26/16	1
General Med - Med Peds	Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/21/14	8
General Med - Med Peds	Using combined actionable report (CAR) & combined gap report to improve LDLC testing & LDLC levels for patients with diabetes	3/31/12	6
General Medicine	Improving medication reconciliation in primary care using web based reconciliation (Ann Arbor VA Healthcare System)	1/5/15	22
General Medicine	Enhancing access to primary care at the VA Ann Arbor Healthcare System	9/30/12	17
Geriatric Medicine	Improving the Quality and Timeliness of Primary Care Notes	7/20/2020	1
Geriatric Medicine	Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/21/14	14
Geriatric Medicine	Numerical rating of pain in the initial symptom assessment during inpatient palliative care consultations	8/30/14	3
Geriatric Medicine and Palliative Medicine	Appetite Assessment During Palliative Care Consultations	1/19/17	3
Hematology/Oncology	Tobacco Cessation Quality Improvement Project — Wave 1 (Newland Practice)	1/3/2020	1
Hematology/Oncology	Improving Multidisciplinary Discharge Planning on 8A	5/31/18	2
Hematology/Oncology	Informed consent for infusion therapy	12/15/14	6
Hematology/Oncology	Addressing durable power of attorney for health care in the Cancer Center	11/4/14	8
Hematology/Oncology	Improved efficiency of delivering outpatient cytoxan chemo with lower dose MESNA does not increase incidence of hemorrhage	12/20/12	1
Hematology/Oncology	Improving chemotherapy informed consent process for adult patients	12/5/11	4
Hospice and Palliative Medicine	Safe Opioid Prescribing in Pediatric Palliative Care	10/31/18	2
Hospice and Palliative Medicine	Assessing Opioid Fears and Anxieties in Palliative Care Consultations	5/6/18	2
Hospice and Palliative Medicine	Assessment of fall risk in patients receiving palliative care consultations	6/24/15	4
Infectious Diseases	Chlamydia Screening for patients with HIV	2/22/2021	2
Infectious Diseases	Improving colorectal cancer screening in patients with HIV	2/24/2020	3
Infectious Diseases	Improving Shingles Vaccination Rates in HIV Patients Aged 60 Years and Older	4/1/16	1
Infectious Diseases	Improving the management of staphylococcus aureus bacteremia in adult hospitalized patients	4/20/15	17
Metabolism, Endocrinology, and Diabetes	Pneumococcal Vaccine: Specialty-Focus Ambulatory Care Unit (ACU)	2/05/2020	22
Metabolism, Endocrinology, and Diabetes	Improving Blood Pressure Management in the Domino's Farms Metabolism, Endocrinology, and Diabetes (DF MEND) Clinic Population	10/31/18	8
Preventive Medicine	Improving the Quality and Timeliness of Primary Care Notes	7/20/2020	1
Pulmonary; Critical Care Medicine	Improving use of COPD Assessment Test (CAT) in clinic	2/17/2021	15
Pulmonary; Critical Care Medicine	Inpatient Adult Sleep Medicine Consultations: Taking Out the Trash	5/2/18	1
Pulmonary; Critical Care Medicine	HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project	3/26/18	1
Nephrology	Pneumococcal Vaccine: Specialty-Focus Ambulatory Care Unit (ACU)	2/05/2020	13
Nephrology	HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project	3/26/18	1
Nephrology	Improving blood pressure control in patients with Chronic Kidney Disease	10/31/17	16
Rheumatology	Tobacco Cessation Quality Improvement Project — Wave 1 (Newland Practice)	1/3/2020	1
Sleep Medicine	Improving Time from Sleep Study Report Generation to Order Signature	8/6/2020	2
Sleep Medicine	Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies	4/22/19	2
Sleep Medicine	Positive Airway Pressure (PAP) Device Cleaning Awareness in Adult Patients with Sleep-Disordered Breathing and their Caregivers	4/26/17	2
Sleep Medicine	Notifying patients of Sleep Study Results	3/9/16	1
Sleep Medicine	Reducing Errors in Sleep Study Protocols	4/4/16	1
Sleep Medicine	Improving inpatient portable sleep study requests	4/24/14	3
Sleep Medicine	Timely and accurate interpretation of EKGs on polysomnograms	6/1/15	2

Neurology

Subspecialty	Project Title	Completion Date	# with Part IV
Sleep Medicine	Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies	4/22/19	2
Sleep Medicine	Delays in Seeing Patients in the Sleep Disorders Fellow Outpatient Clinic	5/1/18	2
Sleep Medicine	Improving inpatient portable sleep study requests	4/24/14	1
Sleep Medicine	Reducing Errors in Sleep Study Protocols	4/4/16	2
Sleep Medicine	Notifying patients of Sleep Study Results	3/9/16	1

Obstetrics

Subspecialty	Project Title	Completion Date	# with Part IV
--	Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 7)	9/10/2021	3
--	Advancing Responsible Opioid Prescribing (through Wave 28)	3/6/2020	2
--	Transforming Depression: A Great Lakes Practice Project (through Wave 18)	10/29/18	1
--	Decreasing missed opportunities for HPV vaccination in Ob/Gyn	10/11/16	12
--	Decreasing missed opportunities for HPV vaccination at University Health Services	9/13/16	1
--	Improving chlamydia screening rates for women ages 18-24 in college health service population (University Health Service)	6/30/15	1
--	Eliminating early elective delivery	8/31/13	12

Ophthalmology

Subspecialty	Project Title	Completion Date	# with Part IV
--	Improving Physician Adherence to Clinic Time-out Procedures	8/6/19	30
--	Implementing surgeon use of a safety checklist in ophthalmic surgery	6/30/15	24

Otolaryngology

Subspecialty	Project Title	Completion Date	# with Part IV
-	Improving Treatment Strategies for Patients with TMJ Syndrome	4/15/16	1

Pediatrics

Subspecialty	Project Title	Completion Date	# with Part IV
Behavioral Peds	Project F.U.N. (Fun Universally in cliNic): Improving patient access to developmentally-appropriate toys in clinic	1/2/18	2
Behavioral Peds	Decreasing Missed Appointments Rates through Personalized Appointment Reminder Calls	1/26/16	1
Behavioral Peds	Improving the rate of returning Conner’s Scales for patients who may have ADHD	12/21/16	6
Behavioral Peds	Monitoring side effects psychostimulant in patients with ADHD	4/30/14	4
Cardiology	Improving Referral Rates to the Cardiac Neurodevelopment Follow-up Program	12/6/2016	13
Cardiology	A best-practice bundle for postoperative patients > 18 years old in the pediatric cardiothoracic unit	1/20/14	7
Emergency Medicine	MEDIC individual ED physician selected QI – 2022: Reducing Overutilization of CT Scans for Minor Head Injury and Chest X-Rays for Common Respiratory Illness	10/31/2022	24
Emergency Medicine	Minimizing Staff Exposure to COVID-19 during Intubation in the Pediatric Emergency Room	9/24/2021	10
Emergency Medicine	Michigan Emergency Department Improvement Collaborative (MEDIC): Reducing Chest X-ray (CXR) Use in Children with Asthma, Bronchiolitis or Croup	11/13/19	26
Emergency Medicine	MEDIC CT Use for Minor Traumatic Pediatric Head Injury	10/31/2022	24
Emergency Medicine	Improved adherence to evidence-based bronchiolitis guidelines	4/1/15	11
Endocrine	Improving Clinical Management and Communication with Pediatric Diabetes Patients and Caregivers through Utilization of the MiChart Patient Portal	11/15/16	10
General Pediatrics	Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 9)	9/10/2021	86
General Pediatrics	Smile Connect (through Wave 11)	5/4/2020	37
General Pediatrics	Pneumococcal Vaccine: Specialty-Focus Ambulatory Care Unit (ACU)	2/05/2020	3
General Pediatrics	Transforming Trauma Informed Care (through Wave 1)	12/31/19	2
General Pediatrics	IHA — Improving Diabetic Patient A1c Control	6/14/19	5
General Pediatrics	IHA — Improving Rate of Pediatric Well Visits 3-18 Years	4/16/19	42
General Pediatrics	BMi2+ Population Effects of Motivational Interviewing on Childhood Obesity	11/18/18	9
General Pediatrics	IHA — Improving Cervical Cancer Screening	11/7/18	3
General Pediatrics	Transforming Depression: A Great Lakes Practice Project (through Wave 18)	10/29/18	10
General Pediatrics	Transforming Medication Adherence: A Great Lakes Practice Project	1/31/18	1
General Pediatrics	Project F.U.N. (Fun Universally in cliNic): Improving patient access to developmentally-appropriate toys in clinic	1/2/18	4
General Pediatrics	Improving Communication with Families by providing patient-specific written instructions regarding medication management, laboratory evaluation and follow-up	12/4/17	4
General Pediatrics	Michigan Caries Prevention Program	11/1/17	174
General Pediatrics	Identification of hypertension in pediatric and adult patients with nephrotic syndrome in NephCure Accelerating Cures Institute (NACI) clinical care network	09/08/2017	14
General Pediatrics	Outpatient Treatment Guidelines for Typical Pathogens of Community Acquired Pneumonia (typical CAP)	8/14/17	24
General Pediatrics	IHA—Improving Care of Pediatric Asthma Patients	3/1/17	35
General Pediatrics	Improving Rates of Developmental Screening in Pediatric Primary Care Clinics	10/21/16	13
General Pediatrics	Decreasing missed opportunities for HPV vaccination in General Pediatrics	9/10/16	15
General Pediatrics	Decreasing missed opportunities for HPV vaccination in Medicine Pediatrics	9/10/16	2
General Pediatrics	Constipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated)	11/2/16	3
General Pediatrics	Decreasing Missed Appointments Rates through Personalized Appointment Reminder Calls	1/26/16	2
General Pediatrics	Assessment and Documentation of Influenza Vaccination in a Subspecialty Outpatient Clinic	2/4/16	8
General Pediatrics	Improving chlamydia screening rates for women ages 16-24	6/1/15	25
General Pediatrics	Improving pharyngitis management by incorporating guideline recommendations into an EMR SmartSet	10/21/14	24
General Pediatrics	Reduce pediatric primary care sensitive ER admissions (IHA physicians)	8/25/14	29
General Pediatrics	Improvement in patient engagement in multidisciplinary weight management program for pediatrics	3/30/13	1
General Pediatrics	Identifying overweight and obese patients in pediatric primary care clinics	2/28/12	22
General Pediatrics - Hospitalist	Improving the Effectiveness and Efficiency of Inpatient Medicine Rounds: Awareness of Need for DVT Prophylaxis, Satisfaction with Process	7/12/19	1
General Pediatrics - Hospitalist	Improving Handoffs from the ED to the Medical Observation Service	1/17/18	1
General Pediatrics - Hospitalist	Improving Documentation of an Accurate Problem List for General Pediatrics Inpatients	5/31/17	16
General Pediatrics - Hospitalist	MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital	2/24/17	4
General Pediatrics - Hospitalist	Improved adherence to evidence-based bronchiolitis guidelines	4/1/15	16
Hematology/Oncology	Improving Communication with Families by providing patient-specific written instructions regarding medication management, laboratory evaluation and follow-up	12/4/17	7
Hematology/Oncology	Improving Pneumococcal Vaccine Assessment and Counseling for At-Risk Patients in the Pediatric Hematology/Oncology Clinic	10/19/16	18
Hematology/Oncology	Compliance with informed consent documentation requirements in cooperative group clinical trials	11/12/14	15
Hematology/Oncology	Time to initial broad spectrum antibiotics on febrile oncology patients	4/30/12	22
Nephrology	Improving blood pressure control in patients with Chronic Kidney Disease	10/31/17	2
Nephrology	Identification of patients who are obese or underweight in pediatric nephrology clinics	8/14/15	8
Nephrology	CKD staging assessment and documentation	6/9/14	8
Neurology	Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies	4/22/19	1
Neurology	Documenting and assessing head circumference in children	3/31/14	6
Pulmonology	Improvement of Asthma Follow-up Post-hospitalization	10/2/18	5
Pulmonology	Hard to control and refractory asthma in children	12/15/14	2
Pulmonology	Improvement of pediatric asthma wellness center clinic attendance	9/15/12	2
Sleep Medicine	Improving Time from Sleep Study Report Generation to Order Signature	8/6/2020	2
Sleep Medicine	Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies	4/22/19	2

Physical Medicine and Rehabilitation

Subspecialty	Project Title	Completion Date	# with Part IV
Pain Medicine	Advancing Responsible Opioid Prescribing (through Wave 25)	12/6/19	1

Psychiatry

Subspecialty	Project Title	Completion Date	# with Part IV
--	Improving Chlamydia Screening Rates in Family Medicine: Addressing Process and Individual Barriers	11/14/18	1
--	MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital	2/24/17	1
Child Neurology	Implementing a Standardized Outpatient Seizure Action Plan for Patients with Seizures and Epilepsy	3/24/17	4
Epilepsy	Inpatient Adult Sleep Medicine Consultations: Taking Out the Trash	5/2/18	1
Epilepsy	Implementing a Standardized Outpatient Seizure Action Plan for Patients with Seizures and Epilepsy	3/24/17	5
Sleep Medicine	PAP Supply Refill Process Optimization in the Med Inn Building Adult Sleep Medicine Clinic	4/7/2021	3
Sleep Medicine	Delays in Seeing Patients in the Sleep Disorders Fellow Outpatient Clinic	5/1/18	1
Sleep Medicine	Screening for Obesity Hypoventilation (OH) in Obstructive Sleep Apnea (OSA) Population in Adult Patients at the University of Michigan	5/17/2017	2
Sleep Medicine	Positive Airway Pressure (PAP) Device Cleaning Awareness in Adult Patients with Sleep-Disordered Breathing and their Caregivers	4/26/17	2
Sleep Medicine	Notifying patients of Sleep Study Results	3/9/16	1
Sleep Medicine	Timely and accurate interpretation of EKGs on polysomnograms	6/1/15	1

Surgery

Subspecialty	Project Title	Completion Date	# with Part IV
Colorectal Surgery	Colorectal Surgery ACTIVATE (Advancing Care, Treatment efficiency, Innovation, Value, And Teamwork for Colorectal Episodes)	3/9/2021	1
Orthopaedic Surgery	Rx Card Collection to decrease discharge delay	6/8/16	1
Palliative Care	Assessing Opioid Fears and Anxieties in Palliative Care Consultations	5/6/18	1
Palliative Care	Appetite Assessment During Palliative Care Consultations	1/19/17	1
Palliative Care	Confusion Assessment in Palliative Care Consultations	6/30/16	1
Palliative Care	Assessment of fall risk in patients receiving palliative care consultations	6/24/15	1
Palliative Care	Numerical rating of pain in the initial symptom assessment during inpatient palliative care consultations	8/30/14	1
Palliative Care	Improving process of laxative therapy recommendation at the time of initiating opioid therapy during palliative care consult	2/2/13	1
Palliative Care	Identifying spiritual or religious concerns during palliative care consultations	2/2/13	1
Palliative Care	Identifying dyspnea as a major physical symptom during palliative care consultations	2/2/13	1
Thoracic Surgery	MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — Cardiovascular Center	7/12/17	3
Thoracic Surgery	Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)	08/11/2020	5
Trauma Surgery	Advancing Responsible Opioid Prescribing (through Wave 25)	12/6/19	4

Physician Assistants

Project Title	Completion Date	# with AAPA PI-CME
Colorectal Surgery ACTIVATE (Advancing Care, Treatment efficiency, Innovation, Value, And Teamwork for Colorectal Episodes)	3/9/2021	4
Cardiovascular Center Structural Heart ACTIVATE: Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes	10/14/2020	12
Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)	08/11/2020	13
Improving Surgical Plan Development and Communication for Congenital Heart Center Patients	06/30/2020	1
Smile Connect (through Wave 11)	5/4/2020	1
Advancing Responsible Opioid Prescribing (through Wave 28)	3/6/2020	2
IHA — Improving Cervical Cancer Screening	11/7/18	1
Transforming Medication Adherence: A Great Lakes Practice Project	1/31/18	2
Michigan Caries Prevention Program	11/1/17	25
Improving blood pressure control in patients with Chronic Kidney Disease	10/31/17	1
MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — Cardiovascular Center	7/12/17	9
MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital	2/24/17	22
Rx Card Collection to decrease discharge delay	6/8/16	4
Improving Treatment Strategies for Patients with TMJ Syndrome	4/15/16	3
Improving Referral Rates to the Cardiac Neurodevelopment Follow-up Program	12/6/2016	1
Timing of pre-operative antibiotics in cardiac surgery patients	12/2/15	7
Improving chlamydia screening rates for women ages 18-24 in college health service population	6/30/15	1
Improving chlamydia screening rates for women ages 16-24 in general medicine	5/31/15	1
Improvement of LDL screening rates for patients with ischemic vascular disease, diabetes, and CKD through use of MI-Chart BPA	10/31/14	4

COVID-19 Projects

	COVID-19-driven Expansion of Virtual Visits at Michigan Medicine Wave 1	COVID-19-driven Expansion of Virtual Visits at Michigan Medicine Wave 2	Minimizing Staff COVID-19 Exposure at Michigan Medicine	COVID-19-driven Expansion of Virtual Visits at MidMichigan Health	Minimizing Occupational Exposure to COVID-19 at VA Ann Arbor	COVID-19-driven Further Expansion of Virtual Care at Ann Arbor, VA	COVID-19-Driven Expansion of Virtual Care (Telehealth) at IHA Pediatrics
Department	# received credit	# received credit	# received credit	# received credit	# received credit	# received credit	# received credit
Anesthesiology	4	2	6		2
Dermatology	3	3	4
Emergency Medicine			3
Family Medicine	78	35	72	12
Internal Medicine
-- Allergy and Immunology	2
-- Cardiology	9	2	1
-- Endocrinology	17	2	5		2	1
-- Gastroenterology	15	1	5		7	8
-- General Medicine	79	15	42	3	15	8
-- Geriatric Medicine	4	3	4		2
-- Hematology / Oncology	20	2
-- Hospice & Palliative Medicine	5		3
-- Infectious Diseases	8		14	1
-- Nephrology	17		1
-- Pulmonary / Critical Care	22	2	8	1	9	6
-- Rheumatology	18		3
-- Sleep Medicine					1	1
-- Sports Medicine	2	1	1
Medical Genetics & Genomics	3	3	5			1
Obstetrics	4	3	3	2
Ophthalmology	27	9	19		2
Pediatrics	107	37	80	2			32
Physical Medicine & Rehabilitation	18		3		1	1
Psychiatry	48	16	40	2	4	4
Radiology			1
Surgery	8			1		1
Urology	19	2	5		1
Physician Assistants	56	8	23	10
Totals by project	593	146	351	34	46	31	32