Author(s): Christine Quindipan, RN, CPHQ
Quality Specialist Nurse - Keck Medical Center of USC
I am a Quality Specialist RN who is CPHQ certified. I began my nursing career at Keck Hospital of USC through the Versant Residency program; after which, I worked as a cardiovascular telemetry bedside nurse for two years. I then completed the Critical Care program and worked as a cardiothoracic surgery ICU nurse for three years. Since 2020, I've become a Clinical Quality Specialist nurse in the Quality and Outcomes management department. My main role is collaborating with the Department of Medicine to improve internal and nationally recognized quality measures. Additionally, I am part of an extraordinary team who have diligently strived to ensure that all patients receiving resuscitative support were provided the highest standard of care based on evidence-based practices. We would greatly appreciate the opportunity and honor of sharing our success story.

Natalie de Haas-Rowland, MSN, RN, CCNS, CCRN-CSC-CMC
Clinical Nurse Specialist - Keck Hospital of USC
I am the Clinical Nurse Specialist (CNS) for the cardiovascular surgical units and the mechanical circulatory support ICU at Keck Hospital of USC. I have 19 years of experience in critical care and cardiothoracic surgery. I've been practicing as a Clinical Nurse Specialist for nine years, prior to that I was the Clinical Educator for the cardiac ICU, stepdown and telemetry floors. At Keck Hospital of USC, I am Co-Chair of the Resuscitation Committee. As a CNS, I have advanced training in patient care, education and evidence-based practice and research. As part of my role, I utilize evidence-based practice and policies and continue to work to improve several aspects of our resuscitation response, training and tools to help improve outcomes in resuscitation care delivery and program management.

Michelle Antiporda, LVN,BA, AACC
Senior Clinical Quality Analyst - Keck Hospital of USC
Michelle Antiporda has 8+ years of experience in healthcare industry primarily with Data Abstraction and Analytics. Michelle has focused her efforts in actively delivering quality of data reports, abstraction, improving workflow, and sustainable efficiency which led to various projects and initiatives. Currently, working at Keck Medical Center of USC in Los Angeles, CA as Senior Clinical Quality Analyst primarily oversee the day-to-day operations of the Abstractors team to meet regulatory deadlines, collaborate with other multidisciplinary teams and support various registries. She presented ' A Multidisciplinary Team Approach in Improving LAAO Registry Data Collection by Utilizing Electronic Health Record at the annual NCDR conference in March 2018 and recently submitted a 'It Takes a Village: A Multidisciplinary Team Approach to Improve GWTG-Heart Failure ACE-I/ARB Medication Post Discharge' poster last November 2019 at the Hospital Quality Institute Conference.

Competency Domain: Patient Safety

Description: An interdisciplinary care model was implemented in January 2020 to improve cardiopulmonary resuscitation care outcomes. Through consistent collaboration of a Physician Champion, a Clinical Nurse Specialist (CNS), a Registered Nurse Quality Specialist, and Quality Data Abstractors, implementation of evidence-based strategies resulted in sustained improvements in nationally recognized resuscitative quality measures. The combined efforts of the team established institutional-wide awareness engaging healthcare professionals across the spectrum, from hospital administration to frontline healthcare professionals. Accomplishments included the hospital receiving award-recognition for two consecutive years from the American Heart Associations quality improvement program. Problem: The primary goals of the interdisciplinary team were to improve the workflow of data collection, standardize documentation, and ultimately increase compliance of the GWTG- Resuscitation program's cardiopulmonary resuscitation (CPR) care measures .Measurement: An Ishikawa diagram and value stream map revealed gaps in data collection. Data was collected and entered into the AHA registry, at which point compliance of the four GWTG measures were evaluated. After completion of case reviews, line graphs and column charts were created to track results. Analysis: GWTG compliance required >85% for all measures, which included: confirmation of airway, time to first shock <2 minutes for VF/pulseless VT, time to IV/IO epinephrine <5 minutes for asystole/PEA, and percent of pulseless cardiac events monitored. A slide deck was then created for the CNS to present to committees. Implementation: To decrease documentation variations, CNS and Physician Champion revised forms and created a standardized template. To improve electronic data availability, Health Information Management facilitated. CNS assigned Code roles to ICU personnel (1,2), provided education, performed monthly mock codes (1), and completed weekly form reviews contacting clinicians involved with documentation discrepancies. Results/Discussion We attained award-recognition by accomplishing >85% compliancy for all measures in 2022 and 2023. Through the interdisciplinary approach and implementation of evidence-based strategies, we established institutional-wide awareness engaging healthcare professionals across the spectrum. We will continue to improve by ensuring success through the collective actions of everyone on the team.

Evaluation: Complete Poster Evaluation