CHIDS 2016 Pilot Grants

Feasibility Study of Telemedicine for Dialysis Patients Awaiting Transplantation - Dr. Aditya Mattoo

The main focus of our study is to improve transplant clinic efficiency and improve the patient experience by conducting routine transplant clinic assessment visits via telemedicine at dialysis.  Therefore the primary outcome, for which the study is powered, is waiting time until routine follow-up transplant clinic visit.  We hypothesize that compared to those randomized to usual care, participants randomized to a telemedicine intervention will demonstrate lower waiting times until their next routine follow-up transplant clinic visit. In addition, we will monitor other indicators of clinic efficiency, which include missed and rescheduled visits, and estimated health care delivery cost differences between study intervention arms.

A Novel Use of Low-Cost Prostheses to Improve Upper Extremity Function in Children with Cerebral Palsy - Dr. Alice Chu

Pediatric patients with spastic cerebral palsy and poorly functioning upper extremities have very few options to recover use of the arm. In recent years, three-dimensional printing has expanded to medical uses, and prostheses of the hand are being produced and proven to be functional. These prostheses which are motored by small amounts of active motion in the wrist, elbow or shoulder can enable these patients to have grasp and release capability. This can lead to increased functionality, which can in turn help with overall quality of life and ability for self-care. We will implement a prospectively-identified pilot study with age-matched experimental and control groups of cerebral palsy patients

Health System Integration of an EMR-based Health Literacy-informed Intervention to Reduce Parent Medication Errors - Dr. Shonna Yin

Our project builds on a longstanding collaboration between the Departments of Pediatrics and Emergency Medicine, and NYULMC IT, and represents a logical next step in our work to promote health system integration of a novel health literacy-informed intervention to reduce parent medication errors. Our team developed HELPix; at the core of HELPix are patient- and regimen-specific bilingual (English/Spanish), plain language, pictogram-based medication instruction sheets to facilitate provider communication of medication information. We seek to demonstrate the effectiveness and feasibility of integrating HELPix into the Epic EHR within the NYULMC health system as a starting point for large scale

A Pain Management Greaseboard - A Novel Approach to Pain Management - Dr. Sudheer Jain

The aim of this project is to improve real-time, patient reported pain scores through the implementation of a centralized, coordinated pain management status board.  We predict that better pain scores will also translate to an improvement in our institution’s pain management HCAHPS scores.  Secondary aims of the project are to improve the efficiency with which patient’s pain is managed, to standardize and coordinate pain management within the institution using best practices, and to improve clinician’s experience with the pain management process. Our project will result in the creation of a new intervention – a “greaseboard” that displays real-time information about patient’s pain scores by hospital unit will be developed in collaboration with representatives from the MCIT team. 

Pleural Disease Pathway: An Integrated, Multidisciplinary Algorithm to Ensure Effective Management of Both Benign and Malignant Pleural Disease - Drs. Jaime Bessich and Gaetane Michaud

At present, no clear pathway exists at NYU for evaluation of new or recurrent pleural disease. This lack of standardization results in delays in care, confusion on the part of patients and providers, reductions in quality of life, decreased patient/provider satisfaction, institutional leak, inefficient procedure space allocation, and potentially additional unnecessary procedures. The goal of our project is to institute a pleural pathway to ensure appropriate, effective, and efficient management and follow-up of patients with pleural disease to ensure that each patient receives the right care, at the right time, in the right place.

Palliative Care via Telemedicine - Dr. Paul Testa

We intend to conduct a needs assessment and iterative simulation for offering telemedicine visits to oncology patients.  In the course of analyzing the interpersonal, technical, financial, organizational and individual needs, we hope to achieve the triple aim or increasing health, reducing costs and improving the patient experience.  Given that this proposed intervention would be new to patients and providers, we will conduct a thorough needs assessment to evaluate stakeholder interest and input, generate awareness of the potential intervention, and attract clinical and administrative champions.  Through this assessment, we can develop a framework for telemedicine in oncology care while avoiding costly pitfalls.