- Awarded the 2015 Berkheimer Faculty Education Scholar Grant for his work providing individualized feedback to surgical residents regarding prescription of risk-appropriate VTE. He will use the $50k award to develop a user-authenticated electronic performance feedback tool for residents in the departments of medicine and GYN/OB to provide customized education and feedback to residents about their VTE prophylaxis prescribing habits using EHR data.
Published article: Lau BD, Streiff MB, Pronovost PJ, Haider AH, Efron DT, Haut ER. Attending Physician Performance Measure Scores and Resident Physicians’ Ordering Practices. JAMA-Surgery. 2015 Jun 17. doi: 10.1001/jamasurg.2015.0891. [Epub ahead of print]
a. This article shows that residents make decisions to prescribe VTE prophylaxis with little direct oversight from attending physicians and that performance varies signficantly between residents, but not between attendings. Consequently, residents may be the ideal target for performance feedback regarding common practice habits. This is the article that was the basis for the provider feedback study described above (awarded the Berkheimer).
Elected as Co-Chair of the Information and Technology Committee and appointed to the Executive Council of the Association for Academic Surgery.
Published article: Lau BD, Haut ER, Hobson DB, Kraus PS, Maritim C, Austin JM, Shermock KM, Maheshwari B, Allen PX, Almario A, Streiff MB. ICD-9 Code-based Venous Thromboembolism (VTE) Targets Fail to Measure Up. American Journal of Medical Quality. 2015 Apr 21. pii: 1062860615583547. [Epub ahead of print]
a. Each year in the state of Maryland, 3% of the total revenue, or $90 million for JHH, is at risk as part of the Maryland Hospital Acquired Conditions pay-for-performance program that links hospital performance to penalties or rewards based on outcomes identified using ICD-9 diagnosis codes. As a result of this article, the Health Services Cost Review Commission changed the criteria for VTE MHACs for the entire state of Maryland to exclude ICD-9 codes that identify upper extremity blood clots, which are not preventable events.
Published article: Lau BD, Haider AH, Streiff MB, Lehmann CU, Kraus PS, Hobson DB, Kraenzlin FS, Zeidan AM, Pronovost PJ, Haut ER. Eliminating Health Care Disparities With Mandatory Clinical Decision Support: The Venous Thromboembolism (VTE) Example. Med Care. 2015 Jan;53(1):18-24.
a. Clinical decision support has the potential to standardize decision making processes and reduce or eliminate disparities in the care that patients provide. Before CDS, patients of different race and sex received different quality of care. After implementation of CDS, care improved for everyone and disparities were eliminated.