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Health Care 

Office of the Chief Quality Officer

The Office of the Chief Quality Officer, Baylor Scott & White Health (BSWH) aims to improve health care quality at BSWH as well as inform the national and international evidence base for high-quality health care. In support of these goals, the Office implements initiatives related to clinical effectiveness and disseminates the results of these initiatives in peer-reviewed publications. Its efforts align with the Institute of Medicine call for health care to become more STEEEP (Safe, Timely, Effective, Efficient, Equitable, and Patient centered).

The ongoing successes of these health care quality improvement efforts have led to the receipt of several regional and national awards including the National Quality Healthcare Award of the National Quality Forum and the Leapfrog Patient-Centered Care Award. Baylor Health Care System ranked third among 73 multi-hospital health care systems across the United States in overall quality of care according to the American Hospital Association in 2011 and was the recipient of the 2010 Preeminence Award of the American Medical Group Association.

David J. Ballard, MD, PhD, MSPH, FACP serves as chief quality officer of BSWH as well as president of the STEEEP Global Institute.

Examples of current and prior health services research initiatives with peer-reviewed funding across various disciplines (and investigators in those areas) are listed below.

Cardiovascular Care

Giovanni Filardo, PhD, MPH, Director of Epidemiology

  • 3-year, $2.3 million grant from the National Institutes of Health (NIH)/National Heart Lung Blood Institute for the study New-Onset Post-Coronary Artery Bypass Graft Atrial Fibrillation
  • 3-year, $750,000 grant from the Agency for Healthcare Research and Quality (AHRQ) for the study Large Population-Based Study of Surgery for Abdominal Aortic Aneurysms

Comparative Effectiveness and Implementation Science

Andrew Masica, MD, MSCI, Vice President of Clinical Effectiveness

  • 2-year, $590,000 grant from AHRQ for Implementing a Bundle for Intensive Care Unit Delirium - The IBID Project
  • BHCS Principal Investigator for a 3-year, $900,000 grant from AHRQ for the study Enhancing Clinical Effectiveness Research with Natural Language Processing of Electronic Medical Records
  • BHCS Principal Investigator for a 3-year, $850,000 Health Care Innovation Challenge grant awarded by Centers for Medicare & Medicaid Services (CMS)/Centers for Medicare & Medicaid Innovation for CMS High Value Healthcare Collaborative (HVHC): Engaging Patients to Meet the Triple Aim

Electronic Health Records

David Ballard, MD, PhD, MSPH, Senior Vice President and Chief Quality Officer

  • 2-year, $300,000 grant awarded by AHRQ for the study Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures in a Primary Care Setting
  • 3-year, $580,000 grant from the American Diabetes Association for the study Impact of an Ambulatory Electronic Health Record on Quality of Diabetes Care in a Primary Care Setting
  • BHCS Principal Investigator for a 5-year AHRQ-funded study, Accelerating Change and Transformation in Organizations and Networks (ACTION II)

Neil S. Fleming, PhD, Vice President, STEEEP Academy

  • 3-year, $100,000 grant awarded by AHRQ for Impact of Health IT on Primary Care Work-flow and Financial Measures
  • 18-month, $100,000 grant awarded by AHRQ for Costs of Transforming Established Primary Care Practices to Patient-Centered Medical Homes

Health Information Technology

Brett Stauffer, MD, Director of Clinical Decision Support

  • BHCS Principal Investigator for a 3-year, $240,000 grant awarded by AHRQ for Understanding Clinical Information Needs and Health Care Decision Making Processes in the Context of Health Information Technology

Patient Safety Research

Donald Kennerly, MD, PhD, Chief Quality Officer, Baylor Scott & White Health North Texas

  • Two awards from AHRQ, totaling $1 million, to develop an enhanced version of the Institute for Healthcare Improvement’s Outpatient Trigger Tool and a dissemination toolkit
  • 3-year, $870,000 grant awarded by AHRQ for Improving the Safety of Primary Care by Measuring Adverse Events

Yan Xiao, PhD, Director of Patient Safety Research

  • BHCS Principal Investigator for a 3-year, $350,000 AHRQ grant for the study Improving Physician and Nurse Communication with Serious Gaming

Shared Decision Making

Ian McCarthy, PhD, Director of Health Economics

  • 2-year, $300,000 grant awarded by AHRQ for the study Analysis and Dissemination of Patient-Centered Outcomes and its Impact on Patient and Physician Shared Decision Making

Elisa Priest, DrPH, Director of the Clinical Effectiveness Data Center

  • $200,000 grant awarded by Glaxo for the study Patient Education and Shared Decision Making in Chronic Obstructive Pulmonary Disease

Trauma Care

Shahid Shafi, MD, MPH, clinical scholar, trauma surgeon, and Baylor Institute for Rehabilitation Director of Rehabilitation Research

  • BHCS Principal Investigator, U.S. Department of Education 5-year, $2.2 million grant as a National Institute on Disability and Rehabilitation Research Model System site for traumatic brain injury for the study North Texas Traumatic Brain Injury Model
  • 3-year, $900,000 AHRQ grant for From NSQIP to TQIP - Trauma Quality Improvement Project
  • 2-year, $240,000 grant from the National Institute of Trauma for Comparative Effectiveness of Clinical Care Processes in Resuscitation and Management of Moderate to Severe Traumatic Injuries

Learn more about the Office of the Chief Quality Officer here.

Community Health Care

Baylor researchers are collaborating with community members and organizations to define community health issues, interventions and research methods to test research hypotheses.

With a three-year grant from the Centers for Disease Control and Prevention, Baylor University Medical Center at Dallas worked with HealthTexas Provider Network's Office of Community Health and Central Dallas Ministries to measure the effectiveness of a volunteer health care delivery program. Project Access works to reduce emergency department visits by patients who have historically high rates of ER visits.

One result of the study has been the creation of a community-based chronic disease management program for patients with diabetes at Central Dallas Ministries-Community Health Services.

Future community health improvement research will study the effectiveness of chronic disease management for diabetic patients enrolled in Project Access and its impact on blood glucose control, quality of life, complication rates, hospital and emergency department utilization and re-admissions.

Find more information on a research study at Baylor.