Cohort: CELT 14 Fridays Summer 2022
Team Members: Lironn Kraler, Shenee Laurence, Tiffany Chang, Marina Mciver, Selena Mendoza, Christina Mijalski
Team Sponsor(s): Frank Longo and Allison Kerr
The Problem: Hypertension is a principal target for secondary stroke prevention, but only a minority of patients with a history of acute stroke have blood pressure under control (less than 130/80) when seen in outpatient follow-up in Stanford Stroke Clinic.
Our analysis pointed us to the following root causes and key drivers:
Our team was able to improve the documentation of BP in clinic and the identification of HTN Patients.
There were several things that went well for our team. We had very good communication and data tracking throughout our project. This made it easy know where we stood and what we needed to do next. We also did a good job developing sustainable interventions and networking with key players of other departments.
Though our project was successful, we had a few roadblocks. There was a delay in meeting key partners involved in operations and that made it tough to completely engage our stakeholders. We also found that EPIC requests take a lot of time to complete, so we weren’t able to implement the BPA prior to the end of CELT to assess feedback.
Our advice to future improvers is:
- Review A3s of prior teams working on similar things before starting your project.
- We also wish we could have had members from EPIC working more closely with the team.
- Trust the process!! Substantive change takes time.
- Have clear updates to stakeholders.
- And review your SMART goal with people outside of your project for feedback.