Randomized QI Improvement Project Application Form

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OVERVIEW

CHIDS Randomized Quality Improvement Projects will support evaluation through randomization of existing or new interventions that are designed to increase adoption of best practice at NYU Langone Health. Often we implement interventions for quality improvement that "seem like a good idea" without a clear sense of whether they are working or whether they could be made more effective. Randomization of patients, clinicians or practices to an intervention or different versions of an intervention enables rapid assessment of outcomes with minimal bias. In this program, CHIDS faculty and staff will work with you to develop pragmatic trials embedded in usual practice that will help to rapidly improve clinical care or operations.

Examples of randomized QI projects conducted to date include testing of:
• versions of telephone scripts to encourage patients to come for routine annual physicals
• mailers to encourage patients to obtain routine preventive care
• poster messaging to encourage patients to complete patient-reported outcome surveys
• electronic health record alerts to encourage smoking cessation counseling
• post-discharge telephone calls to reduce readmissions and improve patient satisfaction
• an emergency department-based community health worker program

PROPOSED PROJECTS SHOULD:
• have a high volume of events (>100/month) to facilitate rapid testing and iteration
• be intended to encourage best practice; studies to determine clinical efficacy of new treatments are not eligible
• involve outcomes that are already captured in routine practice

SUPPORT
Applicants should be prepared to co-design a trial with the CHIDS team, and should expect to run multiple iterations of the intervention over the course of the year. Funding is in the form of CHIDS staff support. CHIDS will provide study design expertise, project management, IT support, data extraction and cleaning, statistical analysis, regulatory reporting and manuscript support.

Areas of interest include, but are not limited to:
• Reducing EHR burden and improving functionality
• Improving patient experience, MyChart use and engagement
• Zero Harm - avoiding preventable adverse events
• Novel approaches to providing clinical care such as group visits, telehealth, e-consultation, peer coaching, patient-centered decision-making tools
• Identifying and mitigating patient safety risks in ambulatory settings
• Reducing overutilization of unnecessary treatments, tests and services
• Improving medication management
• Improving clinical utility, timeliness and effectiveness of consultation and ancillary services
• Standardizing care for common conditions

ELIGIBILITY

Full-time employees of NYU Langone Health, Family Health Centers at NYU Langone, NYU Winthrop Hospital, NYU College of Nursing, or NYUPN practices, including non-physicians, students and trainees. A student or trainee applicant must also have identified an experienced mentor who commits to the project. Projects that span multiple settings are welcome; however, projects conducted solely at Bellevue or the VA are ineligible.

DEADLINES
Project duration: maximum one year

DIRECT QUESTIONS TO:

ashley.bagheri@nyulangone.org

Title of Project

* must provide value

Project Lead (Name of Project Lead, Degree, and Affiliation)

* must provide value

Project Lead NYU Email

* must provide value

Complete attached application that addresses the following [two page maximum]:

TITLE OF PROJECT

PROJECT LEAD

PROJECT COLLABORATOR(S)

DEPARTMENT AFFILIATION(S)

1) Describe the problem you are trying to solve, including what is currently being done and what the baseline outcome rate is at NYU Langone Health. (500 word maximum)

2) What is the primary outcome you seek to improve?

3) Is this outcome currently routinely captured in clinical care? (Yes/No)

4) How would you measure this outcome?

5) List intervention ideas we could test in a rapid cycle experiment (1-5 ideas)

6) Where will this project take place (e.g., Tisch, Medicine, 17 East)?

7) Approximately how many patients/events would be targeted by the intervention each month?

8) Are there any special logistical considerations (e.g., project will be affected by an upcoming workflow change)?

Attachment:Randomized QI Improvement Project Application Form Doc.docx

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