Healthcare Delivery System Redesign
Scientists in the Center for Healthcare Innovation and Delivery Science (CHIDS) conduct interventions to improve healthcare systems at NYU Langone and nationally, and to advance the science of healthcare delivery. Our work involves close collaborations with frontline staff and clinicians, with whom we co-develop interventions.
Rapid Randomized Quality Improvement Projects
CHIDS collaborates with clinicians and administrators to improve outcomes for patients by iterating changes in routine clinical and operational practices. This program is supported by philanthropic funding from Allen Thorpe. The goal of this program is to transform NYU Langone into a learning health system by using rapid-cycle randomization to test simple and pragmatic ideas that can quickly change practice and that have the potential for national scalability. We achieve this through the aegis of our Rapid Randomized Controlled Trial Lab.
We have focused on the following areas to date:
- improving the efficacy of post-discharge telephone follow-up
- improving rates of preventive care uptake
- improving uptake of clinical decision support reminders in the electronic health record
- improving completion of patient-reported outcome surveys
- improving intensive outpatient management of patients at high risk of adverse outcomes
Healthcare Redesign Pilot Grants
CHIDS provides one-year pilot grant funding to clinicians, care providers, students, and staff across NYU Langone to redesign an aspect of care delivery or conduct a rigorous evaluation of an existing redesign project. Selected projects should result in quantifiable improvements in one or more quality domains: efficiency, effectiveness, safety, timeliness, equity, and patient-centeredness. Learn more about the array of past projects we’ve funded.
Patient Imaging Quality and Safety Laboratory
Funded by the Agency for Healthcare Research and Quality, the Patient Imaging Quality and Safety Laboratory (PIQS Lab) is working to optimize ordering of radiology studies to avoid over- and underutilization; improve the care of patients undergoing interventional radiology studies while hospitalized; and improve follow-up of incidentally identified lesions such as pulmonary nodules. Leora Horwitz, MD, MHS, is the principal investigator.
Selected Healthcare Delivery System Redesign Publications
Mann DM … Nov O. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc. 2020. DOI
Austrian JS ... Blecker S. The financial and clinical impact of an electronic health record integrated pathway in elective colon surgery. Appl Clin Inform. 2019. DOI.
Chatfield SC … Horwitz LI. Bending the cost curve: Time series analysis of a value transformation programme at an academic medical centre. BMJ Qual Saf. 2019. DOI.
Horwitz LI, Kuznetsova M, and Jones SA. Creating a learning health system through rapid-cycle, randomized testing. N Engl J Med. 2019. DOI.
Mann DM … Egger H. Building digital innovation capacity at a large academic medical center. NPJ Digit Med. 2019. DOI.
Tauber J … Thiel CL. Quantification of the cost and potential environmental effects of unused pharmaceutical products in cataract surgery. JAMA Ophthalmol. 2019. DOI.
Thiel C and Horwitz LI. Improving value in health care through comprehensive supply optimization. JAMA. 2019. DOI.
Chokshi SK and Mann DM. Innovating from within: A process model for user-centered digital development in academic medical centers. JMIR Hum Factors. 2018. DOI.
Desai S … McWilliams JM. Consequences of the 340B drug pricing program. N Engl J Med. 2018. DOI.
Liu J, Zhang Z, and Razavian N. Deep EHR: Chronic disease prediction using medical notes. Proceedings of the 3rd Machine Learning for Healthcare Conference. 2018. 85:440–464.
Jubelt LE … Horwitz LI. Early lessons on bundled payment at an academic medical center. J Am Acad Orthop Surg. 2017. DOI.
Desai NR … Horwitz LI. Association between hospital penalty status under the hospital readmission reduction program and readmission rates for target and nontarget conditions. JAMA. 2016. DOI.