Join us at HAS 17 – September 12-14, 2017 in Salt Lake City

Charles G. Macias, MD, MPH

Chief Clinical Systems Integration Officer, Director of the Evidence-Based Outcomes Center / Center for Clinical Effectiveness, Texas Children’s Hospital

Boarded both in pediatrics and pediatric emergency medicine. Graduate of Stanford University, Southwestern Medical School and the UT School of Public Health. Founding and executive committee member of the global Pediatric Emergency Research Network in 99 hospitals across the globe. Medical director of the Evidence Based Outcomes Center and Center for Clinical Effectiveness at Texas Children’s Hospital, he has helped develop close to 100 evidence based guidelines and summaries. Chief Clinical Systems Integration Officer for the Texas Children's enterprise: Directs implementation strategies for clinical care delivery improvement teams and quality measurement with a foundation of an electronic data warehouse at TCH. Chairman of the Section on Emergency Medicine for the American Academy of Pediatrics (the largest pediatric emergency medicine voice in a 60,000 member professional society) where he chairs the North American Pediatric Septic Shock Collaborative of the AAP (a collaborative of 32 children's hospitals across north America) which in phase II has reduced mortality from severe sepsis in participating children’s hospitals by 8% . Health Data Management magazine’s 2014 Clinical Visionary of the Year.

15 - Improved Outcomes and a Proven ROI Model for Quality Improvement: Transforming Diabetes Care (Case Study)

Charles G. Macias, MD, MPH (Chief Clinical Systems Integration Officer, Director of the Evidence-Based Outcomes Center / Center for Clinical Effectiveness, Texas Children’s Hospital)

Session Overview

Texas Children’s Hospital is committed to improving care for diabetic patients—one of the most common diseases in school-aged children. So, when it noticed a measurable degree of variation in its management of diabetic ketoacidosis (DKA) patients, a particularly complex and serious complication of diabetes, it launched an enterprise-wide campaign to drive diabetes care improvement.

Join Texas Children’s as it describes how analytics enabled clinical and operational improvements that resulted in higher quality diabetes care in the inpatient setting while simultaneously documenting the cost effectiveness of care process improvement teams. The session will specifically review how Texas Children’s: transformed its care infrastructure and care processes—including order set utilization, timeliness of ordering and administering insulin; used patient risk stratification patient risk to improve outcomes. You will also discover a framework that Texas Children’s developed in collaboration with the school at Rice University to better understand the return on investment (ROI) of its quality improvement efforts.