University of Texas Clinical Safety
and Effectiveness Program
Second Year Evaluation
Sherry Martin, Chancellor’s Health Fellow in
Clinical Safety and Effectiveness
University of Texas Clinical Safety
and Effectiveness Program
Goal:
• To integrate quality and safety concepts into the way
we do our work everyday and enhance organizational
knowledge through disseminated successful
practices across the UT System
– The Clinical Safety and Effectiveness (CS&E)
quality improvement course
– Annual conference and recognition event
– University of Texas CS&E Fellowship Core
CS&E Course Objectives and
Related Measures
• Establish the course at each of the UT
healthcare organizations
– # of organizations achieving full
implementation
• Achieve a critical mass of graduates,
completing successful projects
– # of graduates
– # of successful projects
CSE Course Implementation
Second Year Results
• Fully implemented at MDACC, UTHSC –
Houston, UTSW, and UTHSCSA
– 608 Graduates + 81 enrolled
– 300 Completed projects + 26 underway
• UTMB - ready to implement before hurricane;
ready to resume implementation
• UT-Tyler collaborating establishing course
together with local affiliate
• All campuses have course graduates
University of Texas CS&E
Annual Conference and Recognition
Event
• Goals:
– Transfer learning and applicable best
practices across the UT health care
organizations
– Recognize exceptional individual and team
improvement efforts
– Develop ideas and concepts to drive
system-wide improvement initiatives
UT CS&E Conference
Organizational Learning Goal
Measures
• # of abstracts submitted and accepted
for presentation
• # of conference participants
• # of participants adopting CS&E project
practices
• # of projects achieving sustained results
• # of publications by CS&E graduates
First Year CS&E Conference
Results
• 60 abstracts submitted; 55 accepted
• 205 participants
– 64% physicians
– 21% nurses, pharmacists, technologists
• “Met my expectations”- 96%
“Do you intend to make a change or
apply the information learned?” – 86%
Second Year CS&E Conference
Results
• 80 abstracts submitted; 95% accepted
• Score to be considered for awards = greater
than 825
• Registration closed at 270
• No projects submitted under “Adopted ”
• Several projects demonstrated sustained
results over 2 years or more
• 18 publications by CS&E graduates in peerreviewed journals; numerous graduates
presented at national and state meetings
Course/Conference Results
Quality Pays!
The return-on-investment for the projects
presented at the 2010 conference:
• $13.4M in project savings/revenue
realized
• $7.8M projected savings/revenue if
even 50% of the projections are realized
UT System Fellowship Program
• Goal: Establish a body of healthcare
providers who demonstrate exceptional
improvement expertise and commitment
to apply these skills to make regular
improvements and to educate others
• Inducted 13 Fellows from all six UT
health care organizations
Graduate and Undergraduate
Training Programs
• Integrated quality and patient safety interprofessional education into medical and
nursing students curriculum
• Established two chapters of the IHI Open
School student quality improvement project
• Developing internal medicine residency
program focused on CS&E principles