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Bridging Best Practices into Quality Improvement - 2023 Quality Summit Presentation (Non-CE)

Bridging Best Practices into Quality Improvement


Kristen Marrah, BSN, RN - Cath Lab Accreditation Coordinator, Hackensack University Medical Center

Tammy Russo, APN-C, MS, MBA - Director of Operations, Heart and Vascular Hospital, Hackensack University Medical Center

Julie Merz, MS - Quality Manager, Rush University Medical Center

Megan Hartman, DNP, APRN, ACCNS-AG, CCRN-K - Acute Care Clinical Nurse Specialist, Rush University Medical Center


Christina Koutras, BSN, RN, CPHQ - Director NCDR Registry Products, American College of Cardiology

This session will include two facilities sharing unique ways they’ve implemented processes to help improve patient care. The first presentation will focus on how standardization and implementation of protocols in multidisciplinary care settings are important to improve care coordination, safety, and patient outcomes. Come see how a mid-size academic medical center was able to utilize registry data to successfully design a multidisciplinary quality committee, implement new protocols, and quantify success for the lab.

The second presentation will explore best practices and strategies for standardizing, assessing, and addressing risk related to Cath/PCI procedures. It will focus on integrating best practices into documentation tools and then utilizing those tools to guide an individualized plan of care through all phases of care - pre, intra and post procedure. Optimizing documentation tools to capture Cath/PCI risk model elements will also be shared as a strategy to accurately reflect patient acuity and improve efficiency of data abstraction. 

Learning Objectives:

  • Explain the impact a multidisciplinary quality committee can have on patient outcomes.
  • Discuss the methods to develop a multidisciplinary quality committee.
  • Identify quality metrics that can help guide quality improvement initiatives.
  • Identify challenges and barriers to assessing and addressing Cath/PCI risk.
  • Explore the power of assessing risk as a collective using a standardized approach vs fragmented risk assessment scattered throughout the medical record.
  • Identify the role of the APN, nurse, and physician in supporting and driving risk assessment and quality.
Availability: On-Demand
Expires on Feb 07, 2027
Credit Offered:
No Credit Offered
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