Dr. Schriefer is the Director of Quality Improvement and Patient Safety Program at the UR Medicine Golisano Children's Hospital. She is the Quality Assurance Liaison (QAL) for the Department of Pediatrics. As QAL, Jan is integrally involved in quality assurance efforts, helping to facilitate case reviews, serve on Root Cause Analysis teams, manages the daily event reporting system and better connects QA and QI efforts.

Dr. Schriefer has been an integral member of our department quality team since her arrival in 2006. Dr. Schriefer has supported many of our quality improvement efforts including the community based obesity prevention and management projects, the inpatient multidisciplinary pediatric asthma care team (IMPACT) and the acquiring diagnostics at patient-centric times (ADAPT) initiative. The IMPACT team won the 2014 URMC Board Quality Award and the 2015 Health Care Association of New York Award for Patient Safety and Quality.

Dr. Schriefer works with our pediatric surgical colleagues to help reduce surgical complications. She is the coach for the Pediatric Surgery Pursuing Excellence Initiative team that is expanding resident involvement in quality and safety. Dr. Schriefer participates on many of the children's hospital Solutions for Patient Safety (SPS) teams and coaches most of the Pediatric Unit Based Performance Program (UPP) teams. She is the on the URMC team that approves and oversees Maintenance of Certification (MOC) Part IV projects and the Department Divisional QI projects. She is a Tutor in the Mastering Medical Information course for 1st year Medical Students in the University of Rochester School of Medicine and Dentistry. She teaches QI to resident, fellows and attendings in various courses throughout the year.

Dr. Schriefer has been a faculty member and a Quality Leader for the Vermont Oxford Network (VON) Quality Improvement collaborative since 2002. She is currently the Quality Leader for a group of 9 NICUs focused on improving the care for the micro-premature infant. Dr. Schriefer works remotely for the Burlington Vermont based Vermont Oxford Network and has been instrumental in VON's Quality Improvement efforts internationally.

Dr. Schriefer has won numerous regional and national quality awards including the The USA Today / Rochester Institute of Technology Quality Cup for the UVM Early Extubation project, The Mosby Patient Safety and Quality Award, the URMC Board Quality Award, the Health Care Association of New York State Pinnacle Award for Patient Safety, the American College of Surgeons National Surgical QI Program Abstract Award, the Greater Rochester Quality Council Performance Award, the URMC Team Based Care Summit Award, the URMC Operations Excellence Lean Award and Quality and the Get Well Network Clinical Quality Innovation Award. She has a long list of peer reviewed publications and has presented at many national quality meetings.

Dr. Schriefer was nominated for the URMC Senior Leadership Education and Development (SLED) Program. The SLED Program brings together Associate Professor level Medical School faculty through evidenced-based, collaborative learning to develop transformational academic leaders. The goals of the program are to lead by developing others, set direction and vision, develop organizational efficiencies and implement strategic plans.

Faculty Appointments

Associate Professor (Part-Time) - Department of Pediatrics, Pediatric Hospitalist (SMD)

Credentials

Post-doctoral Training & Residency

Center for Advanced Pediatric Education, Stanford University, Palo Alto, CA 2004 - 2006

Education

Dr. P.H. | University of Michigan. Public Health. 2004

MSN | University of Vermont. Nursing. 1994

MBA | University of Vermont. Business or Commerce. 1990

BSN | Hartwick College. Nursing. 1985

Awards

Distinguished Service Award for Diversity, Equity and Inclusion. 2022 - 2023

2022 Performance Excellence Customer Service Award (GJ Express). 2022 - 2023

Honorific Membership Award. 2022 - 2023

Leadership Foundations Team for Safety Disparities. 2022 - 2023

URMC Summer Bootcamp Faculty Awardee. 2022

URMC Cohot I Awardee. 2022 - 2023

Health Equity Innovation NICU Follow Through Care Award. 2021 - 2022

Quality Safety and Value Award. 2020 - 2021

Team Based Care Summit Award for Pediatric Hospital Medicine LEAD QI Project. 2020

Silver Award for Operation Excellence Pursuing Excellence Initiative. 2020 - 2021

Bronze Award for Team Excellence Asthma QI. 2019 - 2020

Meliora Award for 7North Central Line Infection Prevention. 2019 - 2020

LEAN Award for Pediatric ICU Pursuing Excellence Team. 2019

URMC Strong Star. 2018

URMC Senior Leader Education and Development Program Nominee. 2018

Greater Rochester Quality Council Performance Award. 2018

High Performing Team Lean / Operations Excellence Silver Award. 2017

Team Based Care Summit Innovation Award. 2017

National Surgery Quality Improvement Program (NSQIP) Award. 2017 - 2018

URMC Bronze Strong Star Award. 2016

URMC, Strong Star. 2015

2015 Healthcare Association of New York State Pinnacle Award for Quality and Patient Safety. 2015

Distinguished Nursing Alumnus Award, Hartwick College. 2014

University of Rochester Board Quality Award - Inpatient Asthma Care. 2013

Community Health Improvement Award for Asthma Education. 2011

University of Rochester Board Quality Award - Central Line Infection Reduction. 2010

Interactive Patient Care - Pediatric Clinician Get Connected Award. 2009

Pew Charitable Trust IOM Doctoral Fellowship in Health Policy. 1996 - 2004

Research

Dr. Schriefer participates in quality improvement research studies in the following areas: care of children with respiratory illness, reduction of hospital acquired infections using quality improvement bundles, the use of simulation based team training to improve teamwork and communication between providers, the use of severity scoring tools for hospitalized patients with asthma, the use of a learning collaborative for improving quality in Neonatal Intensive Care Units (NICUs) through Vermont Oxford Network Leadership roles and in Children's Hospitals Solutions for Patient Safety (SPS) Leadership roles in Safety Disparities.

Dr. Schriefer's primary research colleagues include Jeffrey Horbar MD from Vermont Oxford Network (VON), James Gray MD from Dartmouth Medical School and Louis Halamek MD from Stanford University and the Center for Advanced Pediatric Education (CAPE). Dr. Schriefer collaborated with researchers and grant evaluators from John Snow Incorporated and Stephen Cook MD MPH. She has worked on a HRSA grant in the area of epilepsy care for children as part of a Maternal Child Health Grant. Dr. Schriefer collaborated with Rita Dadiz DO on a HRSA funded grant to study teamwork and communication in the delivery room simulation lab and the surgical delivery rooms at URMC. Dr. Schriefer was involved in a Community Partnership research grant with Julie Christiansen MSW PhD at EquiCenter in Mendon NY studying the impact of leisure activities for children with special health care needs.

Publications

Journal Articles

An Interdisciplinary Intervention to Reduce G-Tube Related Pediatric Emergency Department Visits.

Erlick, MR; Pulhamus, M; Schriefer, J; Buholtz, K; DiRaddo, M; Foito, T; Hill-Sober, C; Levatino, E; Neumeister, SK; Pizzo, A; Sosa, TK; Ruffolo, LI; Verna, S; Wakeman, DS; Martin, HA.

Journal of Pediatric Surgical Nursing. 2023; .

Evaluation of the Difficult Intravenous Access (DIVA) Scoring in Hospitalized Pediatric Patient

Kanaley, RL; Gillette, C; Schriefer, J; Gottfried, JA; Bramley, J.

British Journal of Nursing. 2023; 32(2): S18-S26.

Mitigating Pediatric Inpatient Aggression: A Quality Improvement Initiative

Keller, AR; Kanaley, RL; Starr, T; Strollo, B; Scharf, M; Massachi' S; Angell, L; Clough, CD; Schriefer J.

Hospital Pediatrics. 2022; 12(5): 499-506.

Improving the timing of laboratory studies in hospitalized children: A quality improvement study

Ramazani, S; Gottfried, J; Leonard, M; Lynn, J; Kaissi, M; Schriefer; J; Bayer, N.

Hospital Pediatrics. 2021; 11(7): 670-678.

A QI approach to decreasing acute care reutilization among children with asthma

Bracken, AE; Schriefer, J; Whalen, H; Fable, J; Solan, LE; Philip, S; Davis, C; Shipley, LJ; Barker, E; Roberts, A; Angell, L; Flannery ,M; Muoio, E; Frey, S.

Hospital Pediatrics. 2021; 11(5): 478-484.

An inter-professional, multimodal, family-centered quality improvement project for sleep safety of hospitalized infants

Erlick, M; Dutko-Fiorvanti, I; Studwell, S; Yaeger, J; Schriefer, J.

Journal of Patient Experience. 2021; 8(1): 1-10.

The Value of Family Advisors as Co-Leaders in Pediatric Quality Improvement Efforts: A Qualitative Theme Analysis

Ramazani S; Bayer ND; Gottfried JA; Wagner J; Leonard MS; Lynn J; Schriefer J.

Journal of Patient Experience. 2020; : 1-7.

A proposed technique to enhance strategic plan implementation using continuous quality improvement methodologies

Stevenson K, Brophy P, Kaczorowski J, Schriefer J.

Journal of Pediatrics. 2020; 224: 6-9.

Implementation of a gastrostomy care bundle reduces dislodgements and length of stay

Ruffolo LI , Palhamus M, Fioto T, Levatino T, Martin H, Michels J, Schriefer J, Wolcott K, Wakeman D.

Journal of Pediatric Surgery. 2020; .

The Business Case for Surgical Quality--Using a Multidisciplinary Team to Drive Pediatric Surgery Quality Improvement

Wolcott, K; Schriefer, J; Michels, J; Meyers, J; Hilt, S; Gitzelmann, C; Pegoli, W; Caserta, M; McGuire, A; Thirukumaran, C; Pulhamus, M; Foito, T; Sanders.

Journal of Pediatric Surgical Nursing. 2019; 8(1): 15-20.

Building a Pediatric Perioperative Surgical Home: One Patient, One Team

Robinson R; Schriefer J; Gloff M; Michels J; Webber A; Hilt S; Sanders J; Herman E.

Journal of Pediatric Surgical Nursing. 2018; 7 (2): 49-59.

Implementation of a pediatric orthopedic surgery bundle to reduce surgical site infections.

Schriefer, J; Sanders, J; Michels, J, Wolcott, K; Ruddy, C.; Hanson, J.

Orthopedic Nursing. 2017; 36 (1): 49-59.

Interobserver reliability of attending physicians and bedside nurses when using an inpatient paediatric respiratory score.

Biondi EA, Gottfried JA, Dutko Fioravanti I, Schriefer JA, Aligne CA, Leonard MS

Journal of clinical nursing.. 2015 May 24 (9-10):1320-6. Epub 11/25/2014.

A great idea: Staff Satisfaction Survey. Strides – Journal for the Professional Association of Therapeutic Horsemanship (Path Inc.). Summer: 46-48. http://www.omagdigital.com/publication/?i=264059

Schriefer, J; Christiansen, J; Atkinson, SA. (2015).

2015; .

Using Quality Improvement Methods to Enhance Volunteer Experiences at EquiCenter. Strides – Journal for the Professional Association of Therapeutic Horsemanship (Path Inc.). Winter: 41-4.5 http://www.omagdigital.com/publication/?i=243228

Houliares, D; Taylor-Brown, S; Werth, K;, Benotti, L; Schriefer, J; Friedlander, J. (2105).

2015; .

Quality improvement learning collaborative to examine foster care guideline. Children and Youth Services Review.

Jee, S; Szilagyi, M; Schriefer, J; Conn, A; Weld, J; Scribano, P; Sigor, L; Foreky, H; Arnold-Clark, J; Carmach, A; Chrtraus, C; LaRene, A; Harmon, D; Hodges, K; Scahill, M; Tonniges, T; Shropshire, D; Meister, S.

2015; 59: 84-89.

Continuous Quality Improvement in a Level IIIB NICU to Increase Human Milk Use at Day of Life 14, Day of Life 28, and Discharge.

Lowenstein, LM; Brown, J; Barrows, J; Foti, T; Scholer, L; LeVant, C; Schriefer, J.

ICAN: Infant, Child, & Adolescent Nutrition. 2014; 6(3): 137-143.

Respiratory Quality Improvement in the NICU

RT Magazine. 2013; : 2-3.

Development of a Multi-center Multidisciplinary Simulation -based Perinatal Team Training Program - The Vermont Oxford Network Experience

Butler, TJ; Suresh, GK; Lavin, JP; Oehlert, JW; Schriefer; JA; Halamek, LP.

Asian Journal of Clinical Pediatrics and Neonatology. 2013; .

Interdisciplinary simulation-based training to improve delivery room communication

Dadiz, R; Weinschreider, J; Schriefer, J; Arnold, C; Greves, CD; Crosby, EC; Wang, H; Pressman, EK; Guillet, R.

Simulation Healthcare. 2013; .

Quality Improvement- An Overview

Schriefer, J, Leonard, MS.

Pediatrics in Review. 2012; 33(8): 1-8.

Identification and collection of quality indicators for perinatal care.

Suresh GK, Ferguson LA, Tomlinson M, Campbell BB, Ohlinger J, Prochnicki B, Nicholas S, Warren MB, Edwards W, Chute L, Christian L, Hagen E, Sieber D, Schriefer J

Journal of nursing care quality.. 2007 22 (1):73-9. Epub 1900 01 01.

Evaluation and development of potentially better practices for perinatal and neonatal communication and collaboration.

Ohlinger J, Kantak A, Lavin JP, Fofah O, Hagen E, Suresh G, Halamek LP, Schriefer JA

Pediatrics.. 2006 November 118 Suppl 2 :S147-52. Epub 1900 01 01.

Implementation and case-study results of potentially better practices for collaboration between obstetrics and neonatology to achieve improved perinatal outcomes.

Zabari M, Suresh G, Tomlinson M, Lavin JP, Larison K, Halamek L, Schriefer JA

Pediatrics.. 2006 November 118 Suppl 2 :S153-8. Epub 1900 01 01.

Attitudes of obstetric and pediatric health care providers toward resuscitation of infants who are born at the margins of viability.

Lavin JP, Kantak A, Ohlinger J, Kaempf JW, Tomlinson M, Campbell B, Fofah O, Edwards W, Allbright K, Hagen E, Suresh G, Schriefer J

Pediatrics.. 2006 November 118 Suppl 2 :S169-76. Epub 1900 01 01.

Evidence-based Quality Improvement in Neonatal and Perinatal Medicine: The Neonatal Intensive Care Quality Improvement Collaborative Experience

Horbar, J.D.; Plsek, P.E.; Schriefer, J.A.; Leahy, K.;.

Pediatrics. 2006; 118(2): S57-S64.

Perinatal simulation of emergency cesarean section in the Vermont Oxford Network.

Lavin, J.; Hendrichs, S.; Schriefer, J.A.; Meija, Y.

Vermont Oxford Network. 2006; .

Care management.

Schriefer JA, Botter ML

Outcomes management for nursing practice. 2001 5 (1):3-5. Epub 1900 01 01.

Health outcomes skills for care management.

Schriefer JA, Botter ML

Outcomes management for nursing practice. 2001 5 (4):146-9. Epub 1900 01 01.

Nurse case management skills required for care management.

Schriefer JA, Botter ML

Outcomes management for nursing practice. 2001 5 (2):48-51. Epub 1900 01 01.

Clinical pathways and guidelines for care management.

Schriefer JA, Botter ML

Outcomes management for nursing practice. 2001 5 (3):95-8. Epub 1900 01 01.

Merging clinical pathway programs as part of overall health system mergers: A ten-step guide

Schriefer, J.; Englehard, J.; Dicesare, L.; Miller, M.; Schriefer, J.H.

Journal on Quality Improvement. 2000; 26(1): 29-38.

Combining case management, pathways and report cards for cardiac prevention.

Levkneckt, L.; Schriefer, J.H.; Schriefer, J.A.; Meconis, B.

Journal on Quality Improvement. 1997; 23(3): 162-174.

Care Management - old tools in new tool kit.

Schriefer, J.A.; Bangs, T.A.

Surgical Services Management. 1997; 3(6): 12-15.

Report cards: tools for managing pathways and outcomes.

Schriefer J, Urden LD, Rogers S

Outcomes management for nursing practice. 1997 1 (1):14-9. Epub 1900 01 01.

Increasing physician interest in QI & Pathways.

Schriefer, J.; VanDam, J.

IHI Eye on Improvement. 1996; 3(23): 7-8.

Linking process improvement, critical paths and outcome data to increased profitability.

Schriefer, J.A.; Cali, R.; Sugiyama, G.; Ryan, D.

Surgical Services Management. 1996; 2(6): 46-50.

The Quality Cup winner: Fletcher Allen Health Care's early extubation team.

Blondin J, Schriefer J, Shinozaki T, Calhoun B, Leavitt B, Deane R, LaChaunce W

Quality management in health care.. 1996 4 (2):42-54. Epub 1900 01 01.

Strategies for involving physicians in continuous quality improvement.

Behr C, Mercier C, Schriefer J

Journal for healthcare quality : official publication of the National Association for Healthcare Quality.. 1996 18 (4):21-3. Epub 1900 01 01.

Chronic Obstructive Pulmonary Disease Improvement Team.

Schriefer, J.A.; Blondin, J.

Effectiveness on Quality Improvement in Healthcare.

Case Management and Clinical Pathways - Improving Outcomes for Patients.

Schriefer, J.A.; Leff, E.; Barber, S.

Inside Case Management. 1995; 2(5): 1-3.

Improving breast-feeding support: A community health improvement project.

Leff, E.; Schriefer, J.; Hagan, J.; DeMarco, P.

Journal on Quality Improvement. 1995; 21(10): 521-529.

Managing critical pathway variances.

Schriefer J

Quality management in health care.. 1995 3 (2):30-42. Epub 1900 01 01.

Reducing cardiac surgery wound infection rates.

Schriefer, J.A.; Wenneker, M.B.

IHI Eye on Improvement. 1994; 1(4): 7-8.

Critical pathways and clinical algorithms: A winning combination.

Schriefer, J.A.

Quality Management in Health Care. 1994; 3(2): 8-9.

Building an infrastructure for successful critical pathways.

Schriefer, J.A.

Quality Connection. 1994; 3(3): 10-11.

The synergy of critical pathways and clinical algorithms. .

Schriefer, J.A.

Journal on Quality Improvement. 1994; 20(9): 485-499.

Reducing the length of stay for open-heart surgery patients.

Schriefer, J.A.

Quality Connection. 1993; 2(3): 8-9.

Heart Surgery Process Improvements.

Schriefer, J.A.

Quality Management in Health Care. 1993; 2(2): 38.

Ramazani S, Bayer ND, Gottfried JA, Wagner J, Leonard MS, Lynn J, Schriefer J. (2020) The Value of Family Advisors as Co-Leaders in Pediatric Quality Improvement Efforts: A Qualitative Theme Analysis. Journal of Patient Experience. July 10: 1-7.

Books

Changes in Health Resource Use, Quality of Life and Productivity in Patients (2004)

Authors: Schriefer JA.

Publisher: UMI, Ann Arbor, MI 2004

Current Leadership Issues in Health Care (2001)

Chapter: Integration of Settings and Services

Authors: Schriefer J.

Publisher: Joint Commission on Accreditation of Health Care Organizations, Oakbrook, IL 2001

Maintaining Quality in a Managed Care Environment (1997)

Chapter: Report Card Criteria for Outcomes Management.

Authors: Schriefer, J.A., Kirk, R.

Publisher: Aspen Publishers 1997

Managed Care's Financial Impact (1997)

Chapter: Quality, Access and Measuring System Performance

Authors: Schriefer, J.

Publisher: VHA and University of Vermont Publishing 1997

The Well-Managed Health Care Organization (3rd edition) (1996)

Chapter: Managing Critical Pathway Variances

Authors: Schriefer, J., Griffith, J.R.

Publisher: Healthcare Administration Press, Ann Arbor, MI 1996

National Directory of Healthcare Critical Pathways (2nd edition) (1996)

Chapter: Critical pathways for Butterworth Health System.

Authors: Schriefer, J.A.

Publisher: COR Healthcare Resources, Santa Barbara, CA 1996

National Directory of Healthcare Critical Pathways (1st edition) (1995)

Chapter: Critical pathways from the Medical Center Hospital of Vermont

Authors: Schriefer JA.

Publisher: COR Healthcare Resources, Santa Barbara, CA 1995

Abstracts of Clinical Care Guidelines (1995)

Chapter: Commentary on post-stroke rehabilitation AHCPR guideline

Authors: Schriefer JA.

Publisher: unknown 1995

In The Quality Letter for Healthcare Leaders CQI Annual (1995)

Chapter: Identifying leverage points in clinical processes

Authors: Schriefer, J., Behr, C., McEachern, E. J., Veatch, R.

Publisher: unknown 1995

In The Juran prescription: Clinical Quality Management (1995)

Chapter: Improving care for cardiac surgery patients

Authors: Schriefer, J.A., Goonan, K.J.

Publisher: Jossey-Bass, San Francisco, CA 1995

Achieving Pharmaceutical Care Through Personal Skills Development (1995)

Chapter: Clinical Pathways to Success

Authors: Massaud, N., Schriefer, J.A. & Weingarten, S.

Publisher: Comed Communications & Merck Publishing, West Point, PA 1995

Health Services Management (1994)

Chapter: Quality Connection Storyboards: Beth Israel Hospital Boston and Medical Center Hospital of Vermont

Authors: Schriefer, J.A., Juran, D., Kovner, A.R. & Neuhauser, D.

Publisher: unknown 1994

Framework for Improving Performance - From Principles to Practice (1994)

Chapter: Postoperative extubation of open-heart surgery patients

Authors: Schriefer, J.A.

Publisher: Joint Commission 1994