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Inpatient Length of Stay Reduction - Gold Award for Team Excellence

Thursday, February 2, 2023

AwardThe URMC inpatient Neurology and Imaging Science departments were recently honored with the Gold Award for Team Excellence by the Greater Rochester Quality Council for a project which saved over 150 admissions from the ED and reduced inpatient length of stay. The GRQC, an affiliate of the Greater Rochester Chamber of Commerce, recognizes teams from a wide range of industries that are committed to quality and performance excellence.

This collaboration implemented efforts to reduce a patient’s hospital stay when awaiting an MRI prior to discharge and to prevent unnecessary admissions from the ED beginning in February of 2021 Prior to the launch, data showed that patients who were medically ready for discharge waited an average of two to three additional days in the hospital for an MRI, and many patients were admitted for the sole purpose of an expedited MRI. For improved resource utilization, efforts were made to convert inpatient MRI appointments for patients who could safely be discharged home to urgent outpatient MRI visits.

The project team evaluated inpatient populations that could safely be discharged with their MRI study converted to an outpatient order and developed an alternative workflow whereby the ordering provider could indicate to the MRI team when a patient was considered appropriate for discharge and place a STAT outpatient order for expedited imaging at one of our Ambulatory sites. These efforts have resulted in 532 fewer bed days required for the targeted patient population. This further resulted in our ability to care for 93 incrementally more patients. Tracking shows this project has had a positive financial impact to date of over $465,000. The project is ongoing, and remains extremely successful.

NINDS Delegation Tours Neurology Research and Education Programs in Zambia

Wednesday, January 18, 2023

Zambia Team

A team from the National Institutes of Neurological Disorders and Stroke (NINDS) has travelled to Zambia and met with U.S. and Zambian researchers and clinicians who have been building a decades-long partnership to address the neurological burden of diseases like cerebral malaria, HIV, and stroke.

The constellation of research, education, and clinical activities that the NINDS team reviewed during their visit owe their origin to partnerships first formed by University of Rochester Medical Center (URMC) neurologist Gretchen Birbeck, M.D., back in 1994.  Birbeck’s research in sub-Saharan Africa, primarily Zambia, aims at identifying risk factors and effective treatments for the neurological problems common in resource-limited tropical settings.  She also see patients in Zambia, where she spends five to six months per year, and serves as the director for Chikankata's Epilepsy Care Team in Zambia's rural Southern Province and principal for the Neurology Research Office at the University Teaching Hospital (UTH) in Zambia’s capital, Lusaka.

In partnership with the Zambian Ministry of Health, UTH, the University of Zambia, Johns Hopkins University, Harvard University, Michigan State University, and other institutions, these efforts have grown to include a wide range of complementary neurological research, training, and care programs based in Zambia.  The Neurology Research Office established by Birbeck on the main UTH campus serves as hub for many of these efforts, which have received more than $15 million in funding from the National Institutes of Health and other organizations and foundations over the past 29 years. 

Read More: NINDS Delegation Tours Neurology Research and Education Programs in Zambia