2025 Imagine - T71 - Data, Dialogue, and Trust: Driving Quality Improvement - On Demand
Overview: A systemwide effort to improve performance rankings served as a catalyst for meaningful change in quality, safety, and patient outcomes. Our multi-pronged approach of organizing, communicating and driving improvement in all domains has led to excellent ranking results. We organize refreshed data on a monthly basis and communicate these results to our unit-based leadership teams, local service line stakeholders and medical staff members. Prioritizing the most heavily weighted domains and the metrics within those domains, as well as providing succinct visualizations and explanations of our performance on a monthly basis, were imperative to our success, along with routinely providing specialized reports to key stakeholders. The process resulted in a deep understanding among all stakeholders and has driven substantial improvements at our Memorial Hermann Northeast facility. We also achieved the top 5th percentile within our cohort group at our Memorial Hermann The Woodlands facility.
Target Audience
- Dietitians
- Nurses
- Pharmacists
- Pharmacy Technicians
- Physicians
- Physician Associates
- Healthcare Quality Professionals
- Other Healthcare Professionals
Learning Objectives
Identify successful strategies to collect and disseminate performance metrics using a multi-pronged approach.
Explain methods used to significantly impact performance improvement across service lines.
Troy Felix, MSNA, BSRN, RRT, Director of Quality & Patient Safety, Memorial Hermann The Woodlands & Memorial Hermann Northeast, Houston, Texas
Giridhar Vedala, MD, Regional Chief Medical Officer, Memorial Hermann The Woodlands & Memorial Hermann Northeast, Houston, Texas
Joint Accreditation Statement
In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

The Commission on Dietetic Registration (CDR) accepts nutrition-and-dietetics-related continuing education credits from Jointly Accredited Providers. After completing this activity, CDR-credentialed practitioners may claim CPEUS under Activity Type 102; 1 contact hour (60 minutes) = 1 CPEU.
Available Credit
- 0.50 AAPA CMEVizient Inc. has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria.
- 0.50 ACPE Pharmacist
- 0.50 ACPE Pharmacy Technician
- 0.50 AMA PRA Category 1 Credit™
- 0.50 ANCC
- 0.50 CDR
- 0.50 CPHQ – Certified Professional Healthcare Quality
- 0.50 General CE - Attendance
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Required Hardware/software
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