Quality Presentation
How we are utilizing Trello
• Presented By: Daniel Applefield, M.D. QI Champion
• Peter Paik, M.D. Resident & Cheryl Quinn RN ACQR
• Date: November 26, 2018
St Joseph Mercy Oakland is a 443 Bed Hospital
with an attached Outpatient Surgery Center
• We have averaged 930 surgeries monthly over
the past 7 months.
• 410 Inpatient & 520 Outpatient per month.
• Our Anesthesia Staff Consists of :
• 24 MDA’s
• 18 Residents
• 28 CRNA’s
• OB and Endo are not currently included in MPOG
data.
Let’s Integrate MPOG’s initiatives with our Anesthesia
Resident’s Quality Improvement requirements!
• After seeing Dr. Traci Coffman’s MPOG presentation on Trello
in Lansing this summer: What a great platform (FREE Web-
based) to use for integration!
• Commonly used information all at your fingertips.
• Endless possibilities.
• Start with P4P measures.
• Adding MPOG Toolkits for Resident education & Quality
projects.
• Perioperative Management of Diabetes in Non-Cardiac
patients.
• ASA fasting Guidelines.
• ASA difficult Airway Algorithm.
Our Trello Board
Using Trello for Teaching and
Quality Improvement
• Design Resident Quality Improvement Projects to encompass
the Aspire measures.
• Lead resident will present the Toolkit to the resident group
and instruct them on navigating the reference material on our
Department’s Trello Board. (Project started this past October)
• Lead resident will review failed cases with the resident outliers
whose Dashboard measures need to improve to meet the
target values set by MPOG.
• Residents with failed cases will submit in writing why the case
failed to lead resident.
• Lead resident will either accept the reason or have the
resident review the toolkit and pdf that defines the measure
in detail.
• We are trying to create an instructional curriculum for the
Anesthesia Residents where they police and educate themselves on
monitoring the success of Quality Measures defined by MPOG.
• Eventually, this learning tool can be applied across multiple
measures and be utilized with subsequent Anesthesia Resident
Classes.
• We are in the process of working with a Lead CRNA to help with the
education, implementation, and monitoring of MPOG measures
with regard to our CRNA’s. We hope to be able to utilize the
instructional curriculum developed by our Residents in the
education of our CRNA practitioners
.
Our Trello Board is easy to navigate the referenced
Aspire measures and other information for Quality
Improvement Success!
View Toolkits
PONV -01
ASPIRE ONE PAGE
HOSPITAL GUIDELINES
PONV-01
TRAN-02
TRAN-02
PUL-01
WORKING ON FOR 2019
MPOG Transition of Care
PUL-01
Currently on each anesthesia machine
We have arranged our dashboard in order of importance and
frequently used information
Cards are easily moved
Information is easily added and updated.
Algorithms and Videos are at our fingertips!
Easy access referencing
Easy to find and reference
