Society of Hospital Medicine’s Center for Quality Improvement to Partner on NIH Grant

Associated Study to Identify Solutions to Reduce Preventable COPD Acute Care Revisits

The Society of Hospital Medicine (SHM) proudly announces that its award-winning Center for Quality Improvement will partner on the National Institutes of Health (NIH) National, Heart, Lung and Blood Institute (NHLBI) “Virtual Mentored Implementation to Reduce REVISITS (Reducing Respiratory Emergent Visits using Implementation Science Interventions Tailored to Setting)” Study (NIH 1 R01 HL146644). The core objective of the five-year study is to identify scalable solutions for reducing excessive, preventable chronic obstructive pulmonary disease (COPD) acute care revisits.

Under the leadership of Principal Investigator Valerie Press, MD, MPH of the University of Chicago, the study will employ rigorous implementation science methods to determine optimal strategies for implementing multi-level COPD care transition programs. To accomplish this, participants will concurrently compare the effectiveness of program delivery and mentored implementation using virtual or in-person strategies.

“The lessons learned from this study could inform care delivery strategies for millions of COPD patients across the US,” explains Jenna Goldstein, Chief of Strategic Partnerships at SHM and Director of SHM’s Center for Quality Improvement. “Additionally, the interventions implemented could be more widely translated into practice to enhance multi-level, hospital-based programs.”

The team will recruit a diverse group of hospitals participating in the Hospital Medicine Reengineering Network (HOMERuN) collaborative, which was established in 2011 to develop, evaluate and disseminate innovations in healthcare delivery that encompass the entirety of patients’ acute illness. In collaboration with participating hospitals, the team seeks to realize the following aims:

• Aim 1: (Pre-implementation): Complete contextual assessments to:
  • a) Identify baseline inter- and intra-site variation in delivery of COPD interventions.
  • b) Plan site-specific COPD care transition program implementation.
• Aim 2 (Implementation): Determine the comparative effectiveness of multi-level COPD care transition programs varying by intervention delivery and mentored implementation strategies.
• Aim 3 (Post-implementation): Evaluate sustainability of COPD care transition programs and evaluate moderators, mediators and mechanisms of the implementation approaches.

“SHM’s Center for Quality Improvement is a recognized leader in facilitating positive changes on the front lines of care delivery,” says Eric E. Howell, MD, MHM, Chief Executive Officer of SHM. “SHM is committed to the continued support of these clinical champions and are excited to see the results of the study.”

To learn more about SHM’s Center for Quality Improvement, visit hospitalmedicine.org/qi.