With the onset of COVID-19, primary care systems across the country are rapidly changing clinical operations to limit in-person ambulatory visits for infection-control reasons. The Primary care Academics Transforming Healthcare (PATH) collaborative quickly redesigned primary care in their institution to introduce telemedicine visits as a practical alternative to provide needed care remotely. The innovation was the rapid development and implementation of workflows to standardize billable telemedicine visits in the primary care setting.
Diabetic eye disease is the leading cause of blindness among working-age U.S. adults. Early detection and treatment can reduce the risk of blindness by over 90%, but fewer than half of adults with diabetes obtain yearly recommended eye screening. Teleophthalmology makes it easier for patients to obtain diabetic eye screening by providing convenient access to high-quality, vision saving eye care at low cost. HIP Investigator, Dr.
The HIP Model and Tools for Research with Learning Health Systems is now available on HIPxChange. This model and tools defines specific steps for projects to create sustainable change based on research conducted within the health system. The HIP Model builds a bridge between science and clinical care to ensure that high-priority questions are identified and pursued and that results are shared with the health system to support system-wide change.
Recently, healthcare has seen a sharp rise in the implementation of machine learning derived algorithms for predicting risk across a broad range of clinical scenarios. The Number Needed to Treat Thresholding Toolkit created by HIP Investigator, Dr. Brian Patterson of the BerbeeWalsh Department of Emergency Medicine, allows users to generate similar graphs, either from raw data of an algorithm’s performance in a given population, or applying an algorithm with known test characteristics at various thresholds to a theoretical population.
Predictive analytics has the potential to transform the health care system by using existing data to predict and prevent poor clinical outcomes, provide targeted care, and lower costs. A challenge for health systems is selecting and implementing predictive models within clinical and operational workflows.
To guide health systems through the process of selecting and implementing a predictive model within their system, the UW Health Applied Data Science team and the Health Innovation Program developed a toolkit to support planning for and implementation of a predictive model. This toolkit was tested through the implementation of a sepsis prediction model in the inpatient setting at UW Health, a large Midwestern academic health system with four hospitals.
The Case Management Benefit Scoring System Toolkit is now available on HIPxChange. Dr. Maureen Smith (HIP Investigator), Dr. Menggang Yu (HIP Investigator), and Dr. Jared Huling (an Assistant Professor of Statistics at The Ohio State University) partnered with the UW academic health system (UW Health) to implement a benefit scoring system that is used to identify patients for enrollment into case management.
HIP Investigator, Dr. Andrew Quanbeck published the toolkit, Decision-framing to Incorporate Stakeholder Perspectives in Implementation. Dr. Quanbeck is an assistant professor in the Department of Family Medicine and Community Health within the University of Wisconsin-Madison School of Medicine & Public Health. This toolkit contains information on how people make decisions, and how common decision-making biases can affect the success of implementation projects.
Dr. Maureen Smith recently received an AAMC Learning Health System Research Champion Award to recognize connections that were built between the UW Health, the UW Office of Continuing Professional Development, and the Health Innovation Program to link clinical quality improvement, maintenance of certification, and research. Together, these groups created a web-based resource to support clinicians in the writing and preparation of manuscripts based on their quality improvement activities, facilitating the evolution from quality improvement to generalizable knowledge.
Dr. Sally Kraft, Medical Director for Quality, Safety, and Innovation at UW Health, was awarded an AAMC Learning Health System Planning award for a project entitled, "Connecting the Dots: Building the Infrastructure Linking Patient Care to Professional Education to Scholarly Work and Back to the Patient Again." This project will be conducted in conjunction with the Health Innovation Program and the UW SMPH Office of Continuing Professional Development, and will align continuing education, quality improvement education and implementation, and practice-based learning and scholarly contributions.
The UW Primary care Academics Transforming Healthcare (PATH) collaborative was recently formed to bridge primary care clinical transformation and rigorous scientific study in order to improve the UW Health system for the benefit of patients and communities. The collaborative is a multidisciplinary coalition of physicians and change leaders, and members are experienced in clinical delivery and span all three primary care departments (family medicine, internal medicine, pediatrics), Quality, Safety, and Innovations, Population Health, and the Center for Patient Partnerships.
UW PATH will disseminate learnings locally and nationally, emphasizing scholarly contributions, and aims to enter the national discourse on primary care redesign by highlighting some of UW Health's important work to date.