Author(s): Mitchell Van Overloop, BSN, RN, CEN, TCRN
Quality Program Clinical Manager - Emergency Care Specialists
Mitchell Van Overloop BSN, RN, CEN is a graduate of Grand Valley State University. He has been a Certified Emergency Nurse for over 13years, with most of his clinical experience in a large, integrated, Level 1 Trauma Center Emergency Department. Mitchell has held positions as an Emergency Department Charge Nurse, Advanced Cardiac Life Support (ACLS) Instructor, Trauma Nursing Core Course (TNCC) Instructor, and a Senior Process Improvement Specialist within a Level 1 hospital system’s Trauma Service and most recently as a Quality Program Clinical Manager for a large Emergency Physician staffing group, Emergency Care Specialists.? Mitchell has a passion for education, process improvement, and is committed to supporting high quality care. He has experience with data analysis, educational content development, and implementing quality initiatives. At Emergency Care Specialists, Mitchell partners with physician leaders and the quality team to develop, execute, and sustain clinical programs and quality improvement activities. He also continues to endorse best practices that promote standardization of care across multiple quality care initiatives and value-based reimbursement programs.

Nicholas Kuhl, MD, FACEP
System Medical Director of Emergency Services - Emergency Care Specialists
Dr. Nicholas Kuhl is the System Emergency Services Medical Director for the Corewell Health West group of 11 hospitals. He leads clinical care delivery in the emergency departments, representing 205K patient visits per year. Dr. Kuhl’s focus is on guiding best practice and process alignment across facilities, including quality improvement, operational efficiency, and clinical innovation, frequently collaborating across institutions. With the Michigan Hospital Medicine Safety Consortium, he has led successful antibiotic stewardship efforts to reduce catheter associated UTIs and exposure to unnecessarily long antibiotic courses for CAP patients. Within Corewell Health he’s published numerous multispecialty collaborative clinical guidelines including outpatient blood culture management, ED based HIV screening, evidence directed behavioral health medical clearance, and ED induction of medication assisted therapy for opioid use disorder.

Andrew Scott, MSE, MHSA
Program Manager - MEDIC
Andrew Scott is the Program Manager of the Michigan Emergency Department Improvement Collaborative. Andrew works to design and measure quality improvement initiatives for the collaborative's 43 member hospitals. Andrew has experience in intraoperative neuromonitoring, hospital level quality improvement projects regarding sepsis, AMI, and head and neck surgery and is passionate about improving healthcare delivery.

Competency Domain: Population Health & Care Transitions

Description: Smoking cessation education is often looked over and brushed aside in the emergency department setting due to many factors. This affects population negatively since many patients utilize the emergency department as their primary care provider. Optimizing the effectiveness of smoking cessation education is essential to population health. This session works to find ways to utilize the multiple facets of technology and outreach that an intentional multi-modal discharge education plan can have on improving the likelihood that a patient receives pertinent, health-improving discharge education. Problem: The aim of this project is to increase the percentage of patients who received multi-modal (audio--visual, verbal, and written) smoking cessation education in order to reduce smoking habits among those with the highest risk of lung problems and Chronic Obstructive Pulmonary Disorder (COPD).Measurement: Tableau was utilized along with Microsoft Excel to produce performance data reports for each individual sites as well as collectively. Analysis: Statistical analysis was performed using the percentage of patients that received smoking cessation education compared to the total number of COPD patients that had a positive history of smoking. Manual chart audits were also performed to evaluate the accuracy of the electronically pulled data points. Implementation: Previously used written and verbal smoking cessation education was changed to include additional audio and visual components for the emergency department patient. This resulted in the implementation of a multi-modal learning opportunity in discharge education with a previously difficult to reach patient population. EHR modifications helped automate these changes. Results/Discussion During the "roll-out" period of Sep'22-Dec'22, smoking COPD patients received multi-modal education 2.2% of the time. During the implementation period of Jan'23-Dec'23, patients received multi-modal education 10.4% of the time with an increase to 14% in the last 6 months. Unblinded data sharing is utilized to spread education best practices.

Evaluation: Complete Poster Evaluation