CU DHM Spring 2022 Newsletter

DHM SPRING 2022 NEWSLETTER

IN THIS ISSUE #CUDHMWins

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Faculty & DHM Highlights

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DHM Daily

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Spring Spotlight

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Stay Connected

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Stay up to date with the latest wins, recognition, and awards within the Division of Hospital Medicine (DHM).

Get to know the newest faces around DHM while learning some recent fast facts about the division.

Check in on the daily happenings with the Division of Hospital Medicine that build into our efforts to improve lives through excellence in patient care, education, and cutting edge innovation.

For this newsletter, we’re highlighting our innovation within data/analytics and how this plays into better care for our patients and team members.

Learn more about upcoming conferences that our faculty will be attending! Stay up to date with the latest Division of Hospital Medicine announcements, events, social posts and more!

A Message from Ma risha “Our dream for improving care of hospitalized patients is simple: to build the best care models, with the best people, who teach, innovate, and build the best practices! This newsletter is a part of our journey to transform care – a journey we hope to take with you as key partners, colleagues, and community members. I hope you will enjoy learning about and seeing the many efforts of our team.

Join us on this journey!”

#CUDHM WINS DHM Top 5 Quarterly Accomplishments

These are just 5 of the many accomplishments for this incredible team. Stay tuned for our next newsletter and follow us on Twitter @CUDivHospMed to hear what we are up to next!

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Our Division has developed frameworks to ensure salary equity

We have worked hard to partner with the Department of Medicine, School of Medicine, University of Colorado Hospital, and Division leadership to develop a multi-phase approach for a Division framework to ensure ongoing salary equity. Check out our publication here.

Equity in Promotion

Our Site Leaders for our Faculty Advancement team including Dr. Maria Frank, Dr. Greg Misky, Dr. Rebecca Allyn, and Dr. Katarzyna Mastalerz (plus many other incredible team members) have developed pathways to ensure equity in promotion through proactive time based alerts along with flexibility. We aim to be one of the leading Divisions in the country on salary equity and equity in promotion. We ensure we support all of our faculty! Keep track of our faculty advancement efforts.

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Clinical Scholars Program more than DOUBLES in size

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Dr. Amiran Baduashvili, the Program Director for Clinical Scholars, has an incredible vision – to build clinician skill sets that incorporate Bayesian reasoning. This program started in 2020 has nine current or graduated Scholars. Dr. Baduashvili along with Assistant Directors for the program, Dr. Carolina Ortiz-Lopez and Dr. Michelle Fleshner teach ultrasound and evidence based clinical decision making.

Building our DHM research pipeline

The Division is proud to support Dr. Amy Yu and Dr. Elizabeth Boggs in the Surgical/ sub-specialist Clinical Outcomes Research (SCORE) Fellowship. They are now in their second year!

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11 Advanced Practice Provider (APP) faculty have been promoted to Assistant Professor

The Division of Hospital Medicine is thrilled to support the advancement of our incredible APP colleagues. Our APP’s are actively engaged in all of our core mission areas and actively publish. Please see Kasey Bowden’s MSN, FNP, AG-ACNP recent first author publication!

#CUDHM WINS

Recognition

Elizabeth Boggs, MD, MS Selected to receive a one-year Colorado Clinical and Translational Sciences Institute Pilot Grant Award. She plans to study post-discharge follow up for patients with Medicaid.

Ethan Cumbler, MD, FACP, FHM Research with the American Heart Association led to a new scientific statement being released on Identifying Best Practices to Improve Evaluation and Management of In-Hospital Stroke.

Li Ngov, MD Awarded for Medical Staff Clinician of the Year for the University of Colorado Hospital (UCH).

Hillary Landau, MD Selected as one of our Department of Medicine Leaders in Informatics, Quality and Systems (LInQS) fellows for Cohort 4, beginning in July 2022.

Maria Frank, MD Invited to give the Society Hospital Medicine (SHM) Updates talk at the recent national meeting.

Sarguni Singh, MD Manuscript titled “Post Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to subacute nursing facility (SNF)” has been accepted for publication in the next available issue of Journal of the American Medical Directors Association (JAMDA).

Hemali Patel, MD Received the University of Colorado Hospital (UCH) Medical Staff Clinical Innovation Award for her work with the Remote Patient Monitoring Program.

Megan Spradlin, PA-C Selected as one of our Department of Medicine Leaders in Informatics, Quality and Systems (LInQS) fellows for Cohort 4, beginning in July 2022.

Sarah R Jordan, MA (Geriatrics), Hemali Patel, MD, Christine Jones, MD and co-authors recently published “Forgotten frontline workers: Environmental health service employees’ perspectives on working during the COVID‐19 pandemic” in the Journal of Hospital Medicine. They found four main themes including (1) Needs for ongoing training/education, (2) Emotional challenges of patient care, (3) Resource/ staffing barriers, and (4) Lack of recognition as frontline responders. Learn more about what they identified that could help mitigate job strain and improve the support available to EVS workers.

The COMPASS Program The COMPASS Program is a 4 year, longitudinal program comprised of 36 COMPASS Guides outstanding clinician-educators from across clinical sites and departments. Each student in the Treck curriculum will be paired with one of these faculty members who will meet regularly with their student cohorts to provide small group facilitation, foster professional identity formation, and navigate longitudinal career advising.

Larry Haber, MD - Director of the School of Medicine COMPASS Program Katarzyna Mastalerz, MD Alex Abramowicz, MD

Chris King, MD Juan Lessing, MD

Scott Saunders, MD Brian Wolfe, MD

Kelly P. Ferraro, MD Julie M. Knoeckel, MD

FACULTY & DHM HIGHLIGHTS Welcome APPs & APFs

We want to give a warm welcome to our incredible advanced practice providers (APPs) and our advanced practice fellows (APFs)!

APPs

Joesie McManamen, PA

Beth Smilkstein, PA

Alice Curchin, AP

Elizabeth Freese, PA

Julie Van Saun, PA

Kevin Fasing, PA

APFs

Laura Mattox, NP

Amanda Miller-Sarmento, NP

DHM By the Numbers Projects ongoing or completed in 2021

2

57

105

>$5Mil

Award Recognitions Since 2021

In grant funding awarded in academic year 2021

106

Medical Staff Presidents

Peer-reviewed publications in 2021.

DHM DAILY Striving for thriving teams, patients, and institution Clinical operations with a focus on #thriving

As the Omicron surge abates, we have had a moment to reflect. Since the start of the 2022 academic year, we have discharged 9,116 patients, with 17% of those patients diagnosed with COVID. Our team developed clinical care guidelines and pathways, and partnered to build our School of Medicine wide surge plan where every single clinical department participated. Now that is #community! No matter how large the surge got, the Division of Hospital Medicine was ready for the challenge and our Department of Medicine and School of Medicine colleagues were ready and willing to help! Our team is focused on data driven staffing models that drive outcomes – including thriving teams, patients, and institution! Check out our data driven surge efforts using rapid qualitative analysis, experiences of Latinx patients hospitalized with COVID, and disaster planning. https://pubmed.ncbi.nlm.nih.gov/35177114/ https://pubmed.ncbi.nlm.nih.gov/33704475/ https://pubmed.ncbi.nlm.nih.gov/30261086/

In the News Forbes Article: Getting More Out Of Your Mentoring Relationship “Remember, when your mentees succeed, you succeed. Your way of thinking, the ideas you have helped crystallize, and your legacy grows with those you mentor. The best mentoring relationships are ones where you get as much as you give!”

– Vineet Chopra, MD, MSc | Chair of Medicine, CU Anschutz

Advancing our Educational Efforts Forward we go!

While persevering through the adversities that have arisen with COVID, our faculty have been able to push forward to improve our education programs on a daily basis.

Dr. Catherine Callister, the DHM Director of Education, is keenly focused on building an incredible experience for our learners despite the pandemic. She is currently leading an effort to build a teaching curriculum for Addiction Medicine. This curriculum will give our residents, advanced practice fellows, medical students and other learners the opportunity to learn the important skill of diagnosing and treating substance dependence.

DHM DAILY Exploring Housing Insecurities for Hospitalized Patients Lack of stable housing adversely affects health outcomes. Few studies have assessed the prevalence of homelessness and housing insecurity in hospitalized patients. To address this gap, the team conducted a hospital point-in-time study to determine the prevalence of housing insecurity and homelessness among hospitalized patients at UCH and Denver Health. A total of 450 patients were screened across both hospitals; 271 consented to participate. 79 patients (29.1%) were experiencing either housing insecurity or homelessness. Demographic information was also collected. The team plans to use this information to advocate for more resources in our community for this vulnerable population. Thank you to everyone involved in this work in collaboration with Metro Denver Homeless Initiative: Ellen Sarcone MD, Julie Knoeckel MD, Sarah Stella MD, Jack Cunningham MD (in conjunction with CU team of Lauren McBeth BA, Erin Bredenberg MD, Gregory Misky MD, Elizabeth Breitbach MD, Amanda Johnson MD and led by Neelam Mistry MD).

Lack of stable housing adversely affects health outcomes. Few studies have assessed the prevalence of homelessness and housing insecurity in hospitalized patients. To address this gap, the team conducted a hospital point-in-time study to determine the prevalence of housing insecurity and homelessness among hospitalized patients at UCH and Denver Health. A total of 450 patients were screened across both The program aims to support quality improvement, medical education, and research projects hospitals; 271 consented to participate. 79 patients (29.1%) were experiencing either housing insecurity or homelessness. that help to transform care, advance the science in thefor field ofresources hospitalin Demographic information was also learner collected.experiences, The team plansand to use this information to advocate more ourmedicine. communityOur for this vulnerable faculty have led numerous important projects including the ones below! population. Thank you to everyone involved in this work in collaboration with Metro Denver Homeless Initiative: Ellen Principal Investigator Title Sarcone MD, Julie Knoeckel MD, SarahProject Stella MD, Jack Cunningham MD (in conjunction with CU team of Lauren McBeth, Erin Bredenberg MD, Gregory Misky MD, Elizabethn Breitbach MD, Amanda Johnson and led by Neelam Mistry Dr. Julia Limes Development of a formalized resident-attending teaching and MD).

DHM Small Grant Program Celebrates Awardees

feedback structure to improve the cross cover resident experience

Dr. Susan Calcaterra

In Hospital Administration of Extended-Release Naltrexone for Alcohol Use Disorder: A Pilot Study of Feasibility and Acceptability

Dr. Adrienne Mann

Better Together Physician Coaching: A Novel Approach to Trainee Burnout

Driving Quality Over the past year, Dr. Anunta Virapongse, Director of Quality for Division, and her team have been busy building data dashboards and have implemented over 35 pathways. In addition, they have mentored multiple faculty members in quality improvement projects including opioid stewardship, heart failure and sickle cell, and have made a huge impact in patient safety through their faculty driven mortality review process and the DHM Collaborative Case Review. By establishing baseline metrics and best practices, we are building the framework to drive the best outcomes!

SPRING SPOTLIGHT Meet the Data Dream Team

Angela Keniston, MSPH

Director, Data and Analytics

Lauren McBeth, BA Data Analyst

Eric Grimm, MS Data Analyst

Sarah Mann, MS

Project Coordinator

Leveraging Data & Analytics The DHM Data and Analytics team was created in 2018 to drive outstanding clinical outcomes, support quality improvement efforts, build best practices for clinical operations, and pair these efforts with our scholarship, educational, and research missions. Embedded within DHM, the team works collaboratively with any divisional faculty or staff member in the clinical, operational, quality and safety, medical education, and research setting. We believe that the team has been transformational from an operational perspective and in the growth of our programs!

Notable Projects EHR DATA ACQUISITION: Project SAFEST, a joint project with UCHealth to improve documented follow-up appointments for patients with Medicaid, a Hospital Transformation (HTP) metric.

Faculty Lead: Tara Ward NP, MS, RN & Neelam Mistry, MD DATA DASHBOARD DESIGN & IMPLEMENTATION: DHM QUACPORT PowerBI dashboard, designed to deliver hospital medicine quality, safety, and operational metrics at the division-level, teamlevel, and physician-level. Built in partnership with the DHM Quality Action Committee (QUAC). Faculty Lead: Anunta Virapongse, MD SURVEY DESIGN & IMPLEMENTATION: HMCIC Workforce Evaluation, a joint project with hospital medicine divisions across UCHealth with the goal of understanding effects of clinician staffing ratios on workforce, patient, and institutional outcomes. Faculty Lead: Marisha Burden, MD

STAY CONNECTED DHM Takes the Stage

45+

DHM Presentations & Posters at the Conferences

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Awards presented to DHM Faculty

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Society of General Internal Medicine Annual Conference

During this year’s SGIM Annual Meeting, our DHM team came in full force presenting their high impact work in Orlando, FL. The conference theme highlighted the importance of building a successful and sustainable generalist workforce.

Society of Hospital Medicine Converge

Our faculty and staff had the opportunity to reconnect with the global hospitalist community in Nashville’s Music City Center for the annual SHM Converge Conference. The DHM had a strong presence from posters to presentations to keynote talks. We were so appreciative of the opportunity to learn, engage, and network in person once again.

Attending SGIM & SHM

ICYMI: Read our wrap up blog on the two conferences by clicking here to navigate to our website.

Awards to Look out for

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2 Amira Del-Pino Jones, MD

SHM Diversity Equity & Inclusion Award

Juan Lessing, MD

SGIM Mountain West Award for Excellence in Clinician Education

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Kasey Bowden, MSN, Marisha Burden, MD SHM Clinical Leadership for FNP, AG-ACNP

SHM Clinical Leadership for Nurse Practitioners and Physician Assistants Award

Physicians Award

Stay tuned on social media for live coverage of the conferences and we will be sharing a post conference wrap up in April for anything you missed!

STAY CONNECTED Announcements

Project Speed Matching

We held our first project speed matching meeting in February where individuals shared their current project status and future hopes. This allows our DHM community to stay connected while opening up opportunities to others join the change in hospital medicine. We look forward to our next one in August!

Write With Us

Our next writing challenge begins on July 5, 2022 providing an opportunity to build the daily habit of writing. Participants are asked to complete a small amount of suggested/required words per day. All who work in healthcare are welcome! Check out the website.

Upcoming Events May 7-8

SHM POCUS Regional Course Click here for more info

May 30

Memorial Day

July 1

Start of AY23

DHM Catalyst Program

The DHM UCH Quality Action Committee (QUAC) will be accepting applications for the UCH QI Catalyst Program starting in May! The QI Catalyst program is a 1-year program intended to help give highly clinical early faculty an opportunity to receive FTE (2.5-5%), data support and 1:1 mentorship from DHM QUAC to jumpstart a career interest in quality improvement. If selected, the recipient will need to attend DHM QUAC meetings and will be expected to report out during DHM Work In Progress and at the UCH June business meeting. Applications are due on May 15th at midnight. If interested, please email Anunta Virapongse.

March Point-of-Care Ultrasound (POCUS) Skills Course

Check out our blog about the March POCUS course along with highlights on the experts who came to teach the course. Read the blog here.

A Chance to be Featured

@CUDivHospMed

For social media, newsletter or digital marketing content, please send your submission to Kelsey Hussey, BA at kelsey.hussey@cuanschutz. edu for a chance to be featured! You can also use our hashtag #CUDHM or tag us in your post.

@CUDivHospMed @CUDivHospMed