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GME Quality & Safety Bonus Program


​​Welcome to the 2017-2018 GME Quality and Safety Bonus program page!

Changes in this year's program include:

  • Bonus potential increased to $1000 per resident, per Affiliated Hospitals/Dean negotiations
  • All Fellows will be included in the program as well as residents
  • 5 programs have set goals for Program-Specific Metrics: Pediatrics, Radiology, General Surgery, Pathology and Psychiatry

Because of the increase of the bonus potential to $1000, residents and fellows had the opportunity to work on four metrics, each of which will be offered at $250. Goals will be tiered to allow residents to achieve a partial and full bonus (Tier 1 will be $175 and Tier 2 will be $250).  The steering committee has selected 2 process and 2 outcome metrics or measures.

Process metrics
In general, it is helpful to think about metrics or measures as the way that we can understand whether or not our efforts are making a meaningful change. Process metrics tell us about how the system or the part of the system are working and whether or not we are on track in our efforts to improve the system.1

For this year, we have chosen to incentivize 2 process measures: safety event reporting and urinary catheter days.

What is the metric?

What is the goal?

Why was this metric chosen?

How can residents and fellows participate?

Safety event reporting: the number of safety event reports submitted by residents between August 2017 and April 2018 at UCH, DHMC, and CHCO.

Residents will submit 1800 total reports to achieve Tier 1 goal, 2400 total reports to achieve Tier 2 goal.

This averages out to 600 reports for Tier 1 and 800 reports for Tier 2 for a period of three months.

*Periods will be: 1 ) August - Oct 2017   2) Nov 2017 - Jan 2018  3) Feb - April 2018

 

 

 

This metric was chosen as a continuation of the metric from last academic year. Residents on the steering committee felt that it continued to be an important issue and that housestaff could continue to make important contributions to this goal.

Residents and fellows can submit safety net reports into the hospitals' online reporting system.

There is a different system for each hospital can be accessed via these links:

-UCH  
-CHCO
-DHMC

Instructions for each site are here:

-UCH
-CHCO (coming soon)
-DHMC (coming soon)

Urinary catheter days:

 The number of urinary catheter days per 1000 patient days at UCH, DHMC, and CHCO.

 

Decrease urinary catheter utilization ratio by 10%  (Tier 1) and 15% (Tier 2) during measurement period compared to baseline

The measurement period will be January - April 2018.

Urinary catheters are an important risk factor for catheter -  associated UTIs. Decreasing the number of urinary catheter days can decrease the number of catheter associated UTIs, which can cause significant morbidity and mortality for patients.

Residents and fellows can avoid placing catheters in patients who do not need them and can remove them as soon as they are no longer indicated.

























Outcome metrics
Outcomes are the final products or results of the healthcare activities or processes that we provide. The outcome of healthcare delivered is very important in understanding how improving is very important.

The outcome metrics that have been chosen for this year are hospital-acquired C. difficile infection and a patient experience metric measuring the quality of physician communication.

What is the metric?

What is the goal?

Why was this metric chosen?

How can residents and fellows participate?

Hospital-acquired  C. difficile infection (HACDI):

The number of  hospital-acquired C. diff infections per 10,000 patient days 

To decrease HACDI rates at UCH and DHMC by 10% for Tier 1 and 15% for Tier 2 compared to baseline rate by the end of April 30, 2018.

 

HACDI causes significant morbidity and mortality for patients.

Continue to incorporate robust infection control practices and be attentive to patients who may be at risk for HACDI.

Patient Experience - Physician Communication:

Percentage of time that patients answered the question "how often did doctors explain things in a way you could understand?" with "Always"

Improve percentage of time that patients answered "Always" is by 0.5%* and 1.0% compared to baseline in patient experience surveys.

 

The patient experience is a critical outcome for the care we provide.

Patients do recognize the care that residents and fellows provide and perceive their overall experience to be tied to effective communication with their physician providers, including residents and fellows.