HILNNY's 7th Annual Conference is brought to you by:

Poster Presentations

The following posters will be presented at HILNNY’s 7th Annual Conference.

COVID-19 Drives Unit Effort to Reduce Central Line Infections

Lynn I. Kim, RPh, SSBB, Lean, Clinical Systems Engineer, NewYork-Presbyterian Hospital

COVID-19 patients are at high risk for central line-associated bloodstream infections due to the complex nature of their illness and lack of evidence-based protocols to treat this virus. Hospitals were faced with crisis conditions that stretched staff and resources leading to increased patient risk of experiencing a central line infection.

The challenges of the COVID-19 response included:

  • staff working in new, unfamiliar environments;
  • caring for patients with complex issues that staff might not be familiar; and
  • working with limited resources.

These circumstances changed how we communicate, deliver care and perform tasks.

In the spirit of controlling the controllable and applying Lean principles, NewYork-Presbyterian targeted CLABSI as an area that could have a high impact on reducing hospital-acquired infection.

A multi-disciplinary team was formed to identify root causes for central line infections and develop strategies to address them. Interventions include visual management, rounding strategies, data collection methods and education.

A Devastating Inventory Problem: Morgue Management during the COVID-19 Pandemic

Arleigh Waring, PhD, Assistant Vice President, Transformation Management, Montefiore Medical Center

During the COVID-19 crisis in New York City, not only did hospitals have to plan to surge bed capacity, but there also was a corresponding need to create capacity in the morgue. During the height of the crisis, Montefiore Medical Center was holding over 300 decedents — almost 1000% more than capacity. This was a multi-disciplinary problem that required coordination of pathology, nursing, engineering, security and medical records to:

  • deploy additional staff;
  • design an effective workflow: and
  • manage the delivery and maintenance of refrigerated trucks.

This poster will outline the processes developed and the Lean tools used to optimize the process under extremely challenging circumstances.

A Forward Treatment Area during the COVID-19 Pandemic in NYC

Joshua Moskovitz, MD, MPH, MBA, FACEP, Associate Director of Emergency Department Operations, NYC Health + Hospitals/Jacobi

An assessment of a forward-treatment area to decant the emergency department of a large public urban hospital and its role in improving throughput, efficiency and enhancing the safety of clinical staff.

Lean and PPE in a Pandemic: Novel Approaches

Charles D. Kline, Infection Preventionist, University of Rochester Medical Center

Vicki Sage, AS, CFFR, CRCST, High Level Disinfection Coordinator, University of Rochester Medical Center, Strong Memorial Hospital

This poster will highlight how the infection prevention team, with the support from the quality and safety department, designed and implemented a program for PPE reuse in an acute care clinical environment.

Infection prevention and epidemiology principles combined with Lean principles in order to achieve the desired result:

  • safe and effective ways to reuse and conserve PPE;
  • the ability to efficiently distribute product to end-users; and
  • the ability to collect used product with a minimum of extra work for front-line healthcare workers.

The poster will focus on how we planned and managed using Lean practices to provide needed PPE and education to healthcare workers to meet their needs during this ongoing crisis.

Children's Hospital Daily Huddle Aids in Situational Awareness and Space Allocation during COVID-19 Surge

Ron Dick, MD, Pediatric Hospitalist, Albany Medical Center

The daily safety huddle has been a component of our daily Lean management at Albany Medical Center for several years. The Bernard & Millie Duker Children’s Hospital at AMC has always been represented at that huddle. During the COVID-19 surge in March, it became evident that day-to-day concerns of the CH differed significantly from those of the larger, adult-oriented side of the hospital, and that the CH's priorities might be better addressed by a CH-specific daily huddle. In mid-March, we started a daily 15-minute CH-specific huddle known as the CHuddle.

Initially, the CHuddle served mainly as a multidisciplinary communication tool to increase situational awareness around staffing and space reallocation issues needed to cope with the surge in adult COVID-19 hospitalizations. Over time, the CHuddle has proven additionally useful in:

  • tracking the flow of COVID-19-positive and COVID-19-suspected patients through the CH;
  • identifying pediatric MIS-C cases for DOH reporting; and
  • updating of staff regarding the ever-changing requirements for infection control and visitation policies for pediatric patients.

Additionally, the CHuddle has proven to be an excellent venue to discuss and resolve safety events quickly. The CHuddle has resulted in improvement in CH-wide communication and team work.

Using Telemedicine to Prevent ED Surge during COVID-19

Samrina Kahlon, MD, MPH, Associate Professor Clinical Emergency Medicine, NYC Health + Hospitals/Metropolitan

Using Lean methodology