• Restructured quality management program focused on the use of A3 thinking.• Coordinated effort to improve patient flow for hospital services including the ED to admitting process, floor-nurse patient receiving process; and patient discharge process dependent on lab orders, home oxygen needs; readiness for rehabilitation services; and arranging for charity medications -- interviews, unit tours/observations, creation of process maps.• Coached A3 projects focused on improving radiology processes; compliance with federal sepsis measure; flow in the outpatient center; patient satisfaction on the floors; as well as timely discharges – created process maps to define the current state.• Developed flow charts and standard work protocol for assessing high-fall risk in ED, adult and pediatric patients, as well as Surviving Sepsis Campaign 1-hour bundle.• Outlined new Good Catch program to encourage incident reporting.• Introduced Just Culture concept as basis for patient safety program.

• Created a comprehensive, eight-session process improvement curriculum for Quality Improvement and Patient Safety Department staff, which included coaching on six varied improvement projects.• Analyzed six months of organization-wide patient and medication barcode scanning data to identify barriers to achieving 95% compliance or higher that is required in the Leapfrog Group Hospital Patient Safety Survey; activities included assessment of all individual inpatient unit performance, working with Clinical Informatics, and individualized outreach to identify barriers and countermeasures• Analyzed data and provided recommendations for a high priority issue to identify ways to improve a major patient safety issue. Data analysis included:o Time of dayo Shifto Day of weeko Clinical unito Severity of injuryo Patient risk levelo Patient gendero Patient age• Defined clinical pathway flow chart for patient fall risk assessments including implementation of precautions based on risk assessment score• Worked with internal department team to value-stream map the current state process to provide clinician credentialing information as part of the OPPE activity; identified several opportunities for improvement which are being addressed in new PDSA projects now• Developed customized A3 and standard work templates, with a guide on how to use the A3 and which improvement tools are most often used in each box• Developed a performance improvement project prioritization and assessment tool• Created new summary report template for patient safety RCA investigations

My healthcare quality improvement consulting services include:• Scoping and organizing improvement projects• Working directly with clinical teams to facilitate improvement projects• Serving as an improvement adviser for large scale projects, such as collaboratives• Training teams in process improvement• Communicating about QI work through publication, poster and presentation• Presenting at conferences and other meetingsTo discuss, email: davidowquality@gmail.com

Served as the leader of PCPI's quality Improvement activities, including:- Training in QI methodologies and tools, such as Lean, Six Sigma, and the Model for Improvement- Leading Practices webinar series designed to share best practice and lessons among member organizations to support rapid quality improvement- Skills-building webinar series including PDSA, kaizen, value-stream mapping, root-cause analysis, project scope and building a culture of quality- Training in how to design and manage QI collaboratives - Launching the Leadership Circle, focused on helping member organizations find answers to the most challenging performance improvement challenges they face- Managing the PCPI Pew project examining the challenges to registry adoption of common data standards - Coordinating efforts with the U.S. Office of the National Coordinator for Health IT and a group of leading EHR companies to develop a minimum standard for interoperability to close the referral loop between primary care care and specialist physiciansPCPI is the recent AMA spin-off 501c3 nonprofit organization that focuses on measurement science, clinical data registries and quality improvement. The initiative was previously an unincorporated initiative known as the AMA-convened Physician Consortium for Performance Improvement. PCPI connects with a broader stakeholder group focused on performance improvement in the health care delivery system.

I serve as the program manager for the AMA-convened Physician Consortium for Performance Improvement's (PCPI) Quality improvement program, which is now developing a more robust quality improvement program to support physicians and other health care professionals in their efforts to improve the efficiency and quality of care they deliver to patients.I will also be working on The Closing Referral Loop project, which is intended to improve processes related to physician-to-physician referrals by establishing accountability and negotiating responsibility for referrals between specialists and primary care physicians and improving information transfer. The Closing the Referral Loop project will work with a small number of prototype organizations to test interventions and approaches to improve the referral loop process.

The purpose of my role at SCCM is to work closely with key stakeholders (volunteer leaders and partner organizations) to develop and support implementation of critical care quality initiatives leading to changes in health care provider behavior resulting in improved patient outcomes. The primary program I will be working on is the Surviving Sepsis Campaign, which recently posted translations of its third edition international guidelines in Chinese, Persian, Japanese, Portuguese, French, Spanish and German, in addition to English.In my role, I manage the Surviving Sepsis Campaign's quality improvement learning collaborative to move the international guidelines for the treatment and management of severe sepsis and septic shock into hospital medical, surgical and telemetry units. Our focus is on the early recognition and treatment of sepsis on hospital floors. We have 60 hospitals participating in four regional collaboratives: West Coast, Midwest and East Coast, including 10 Adventist Health System hospitals in their own collaborative. The overall initiative is funded by the Gordon and Betty Moore Foundation with support from AHS. The final outcome of the project will be the development of an international consensus statement for sepsis care outside the ICU or ED. This effort is conducted in collaboration with the Society of Hospital Medicine.I am also managing Project Dispatch, a U.S. Agency for Health Research and Quality-funded effort over two years to share patient-centered outcomes research initiatives with the society's members on topics as broad-ranging as family presence, pet therapy, improved clinician-patient communication in end-of-life care, and the use of patient or family satisfaction surveys in ICU care. The society shares this information through many communications channels including webcasts, podcasts, articles, and live programs.

During my career, I have:- Served on the planning committee for the Chicagoland Patient Safety Summit- Created the quality reporting Web pages for Loyola University Health System – the first of any academic medical center in the Chicago area.- Worked at The Joint Commission and the Medicare Peer Review Organization for New York State.- Consulted with Central Asian ministries of health on implementing quality measurement programs.- Served major employers and employer groups leading the quality movement (e.g., Ameritech, Southern California Edison, Xerox, Midwest Business Group on Health, the Buyers Health Care Action Group, Pacific Business Group on Health, and Washington Business Group on Health).- Helped the Health Outcomes Institute (now part of Stratus Health), and the Institute for Clinical Systems Integration communicate about their medical guidelines and outcomes measures. In specific performance improvement projects I have:- Used Lean, reduced lead time for outpatient occupational and neuro rehabilitation registration at one site by 95%.- Used DMAIC and Six Sigma statistical analysis, reduced ER admit time by 60% for a multi-hospital health system.- Reduced pharmacy batching and moved toward one-piece continuous flow for most orders using Lean in a community hospital system.- Applied quality improvement (QI) tools to reduce length of approval process for communications and marketing programs at the Joint Commission and Loyola University Health System.- Used value stream mapping, swim-lane diagrams, and flow charts to develop most efficient communications streams with 8 community hospitals, fire and police departments, and municipal governments for mass-casualty events.

Davidow Communications is a national health care public relations consultancy based in suburban Chicago. Clients are from all aspects of the health care industry including medical centers, health plans, associations, policy institutes, and pharmaceutical and medical device companies. Areas of expertise include strategic communications counseling, crisis communications, reputation and issues management, advocacy communications, media relations, marketing and event planning.Davidow Communications team members have many years of specialized experience in health care communications and a team of specialists is tailored to a client’s specific strategic business objectives or individual situation.

• Developed extensive media relations programs, focused on oncology, cardiovascular care, neurosciences and pediatric medicine, for two academic medical centers.• Spearheaded $200K advocacy communications program for the Nevada Hospital Association on 10 major policy issues.• Managed CEO transition communications for inner-city nonprofit hospital.• Developed a communitywide plan on communicating change in hospital trauma status. • Counseled client and prepared constituent communications for contested CON application for 160 hospital beds.• Coordinated award-winning strategic marketing communications campaigns for academic medical centers, health systems, and tertiary and community hospitals.• Developed campaigns that have increased consumer preference, improved understanding of service line offerings, and in some cases increased patient volume up to 20%.• Conducted market research, competitive analyses, and fact-gathering sessions.

• Secured extensive media coverage focused on the world’s smallest surviving baby.• Launched and completed the public education phase of the PolyHeme blood substitute clinical study with extensive local and national media coverage and community forums.• Increased frequency, depth, and context of media coverage for LUHS fourfold; garnered coverage for many other national stories enhancing the institution’s reputation in key service lines• Developed institutionwide disaster communications plan in preparation for the $16 million international exercise, TOPOFF2, coordinated by U.S. Department of Homeland Security; secured four live feeds for CNN, and the focus of PBS’ NewsHour’s roundup story on the exercise.• Oversaw eight staff members (media relations, video production, and photography) and coordinated work of outside consultants and PR firm.

• Coordinated strategic planning and business development processes.• Supported development efforts with high-impact communications. • Developed new identity and logo for HRET.• Coordinated new identity program for $10 million grant-funded program.• Wrote and produced a highly successful annual report.• Coordinated development of three Web sites—one was a $750,000 effort of Netscape, Hewlett-Packard, Informix, Fort Point, and Frontier Global Center.• Implemented a marketing campaign that increased attendance at main conference from 254 to 435 in first year, and then to more than 850 in second year.• Instituted publicity program for Health Services Research, generating coverage by the New York Times, NPR, AP, Chicago Tribune, and Washington Times. • Edited three books—The Guide to Governance for Hospital and Health System Trustees, Transforming Health Care: Lessons from Community Partnerships, and Voices from America: Ten Healthy Community Stories.

• Increased proactive media coverage by tenfold and placed stories that increased understanding and support for the organization’s mission, programs, and initiatives.• Developed and implemented campaign to assist consumers in choosing quality health care services based on series of five brochures. Distributed 25,000 sets of brochures to the public and received more than 600 million media impressions.

• Increased previous media coverage for St. Jude Children’s Research Hospital twentyfold, positioning its researchers as experts on numerous pediatric illnesses. • Developed and implemented award-winning media campaign for an ethic institute’s report on euthanasia, politics, and religion, generating coverage in the New York Times, Washington Post, Washington Times, ABC’s Good Morning America, Chicago Tribune, and Chicago Sun-Times, among others.Clients: St. Jude Children's Research Hospital, The Park Ridge Center for the Study of Health, Faith, and Ethics, Alzheimer's Association, Lutheran General Health Care System, Lederle Laboratories (Praxis Biologics), Lyphomed (Fujisawa Pharmaceuticals), Gerber, and Kraft.

• Managed society’s initiative to remove state health commissioner and improve state’s regulatory climate, generating major national and state media coverage.• Initiated and coordinated campaigns with state health department on Lyme disease and adverse drug reactions in elderly; kicked off by Governor Cuomo.• Developed physician-focused train-the-trainer programs on AIDS, sexually transmitted diseases, Lyme disease, and adverse drug reactions.• Developed and implemented successful news release program on monthly New York State Journal of Medicine; more than 70 million impressions in the first year.

• Wrote news releases and radio actualities on JAMA: Journal of the American Medical Association and the Archives journals; prepared Health & Safety PSAs for American medical Radio News• Coordinated efforts on the AMA’s federation education efforts on HIV and AIDS• Developed hospital components to AMA’s Tobacco-Free Society Physician Leadership Campaign