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SHM’s VTE Prevention Collaborative

Following the visits, SHM consultants provide participants with a written report of findings and recommendations. Participants also receive one follow-up telephone consultation, which will occur 60-90 days after the visit.

SHM On-site Consultation Program visits will be available starting in May 2007, though interested parties are encouraged to apply early; enrollment is limited, and available slots are expected to fill quickly.

Which Option Is Right for You?

SHM welcomes participation from hospitalists who work in all types of facilities (large and small community hospitals, academic medical centers, public hospitals, and others) and all types of practice settings, including acute care hospitals, skilled nursing facilities, and rehabilitation hospitals. Both VTE Prevention Collaborative programs are appropriate for individuals with all levels of QI experience, from the novice embarking on his or her first QI project to the seasoned QI leader. Individuals who have not yet begun working on a VTE prevention project are encouraged to apply, as are those who wish to expand or improve upon an existing project.

There are no rigid prerequisites for either program, though we expect individuals whose local VTE prevention efforts are already partially developed to derive more benefit from the On-site Consultation option than would an applicant who has yet to start his or her project. Individuals who have not yet begun working on a VTE prevention project are encouraged to apply for the Mentoring Program, which will ensure access to expert assistance during key development and implementation tasks.

How to Apply

Participation in both the Mentoring and On-site Consultation programs is open to hospitalists who are leading proposed or active VTE prevention projects. Participation is free, but enrollment is limited; interested individuals are encouraged to apply early. SHM members can apply to either program by completing the online application available on the VTE Prevention Collaborative Web site: www.hospitalmedicine.org/vte-pc.

Direct questions about VTE Prevention Collaborative programs to [email protected].

References

  1. Goldhaber SZ, Tapson VF. DVT FREE Steering Committee. A prospective registry of 5,451 patients with ultrasound-confirmed deep vein thrombosis. Am J Cardiol. 2004;93:259-262.
  2. Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology. Eur Heart J. 2000 Aug;21(16):1301-1336. Comment in: Eur Heart J. 2000 Aug; 21(16): 1289-1290.
  3. Stein PD, Huang H, Afzal A, et al. Incidence of acute pulmonary embolism in a general hospital: relation to age, sex, and race. Chest. 1999 Oct;116(4):909-913.
  4. Silverstein MD, Heit JA, Mohr DN, et al. Trends in the incidence of deep vein thrombosis and pulmonary embolism: a 25-year population-based study. Arch Intern Med. 1998 Mar 23;158(6):585-593.
  5. Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004 Sep;126(3 Suppl):338S-400S. Comment in: Chest. 2005 Jun; 127(6):2297-2298.
  6. Stratton MA, Anderson FA, Bussey HI, et al. Prevention of venous thromboembolism: adherence to the 1995 American College of Chest Physicians consensus guidelines for surgical patients. Arch Intern Med. 2000;160:334-340.
  7. Anderson FA Jr, Wheeler HB, Goldberg RJ, et al. Changing clinical practice. Prospective study of the impact of continuing medical education and quality assurance programs on use of prophylaxis for venous thromboembolism. Arch Intern Med. 1994 Mar 28;154(6):669-677.
  8. Walker A, Campbell S, Grimshaw J. Implementation of a national guideline on prophylaxis of venous thromboembolism: a survey of acute services in Scotland. Thromboembolism Prevention Evaluation Study Group. Health Bull (Edinb). 1999 Mar;57(2):141-147.

SHM Chapter reports

Philadelphia

The Philadelphia Chapter of SHM met on Wednesday, December 6, 2006, at Susanna Foo in Philadelphia. Jennifer Myers, MD, and Erik DeLue, MD, co-presidents of the chapter, began the evening by introducing themselves and greeting attendees. The evening’s featured presentation was an address on methicillin-resistant Staphylococcus aureus (MRSA).

At the conclusion of the talk, a wealth of questions were asked by interested attendees. The night began and ended with great networking opportunities and allowed those in attendance the opportunity to give their input on future plans for the chapter. The meeting had 36 attendees representing 15 hospital medicine groups and was sponsored by Pfizer.

The next Philadelphia meeting is scheduled to take place on March 13, 2007. It will feature a discussion titled, “Billing and Compliance, What Every Hospitalist Needs to Know.” Check the Philadelphia Chapter site often for additional event details.

Wisconsin

At the Wisconsin Chapter meeting on December 14, Carol Manchester, MSN, APRN, BC-ADM, CDE, a diabetes CNS from the University of Minnesota, Minneapolis, gave an interesting and informative talk on inpatient glucose control. This was a timely discussion; both of the hospital medicine groups present plan to make system changes in 2007 to improve the management of hyperglycemia. Carl Rasmussen, MD, from Affinity Health System, was nominated as the Wisconsin Chapter’s next president. The meeting was sponsored by Sanofi-Aventis.

Chicago

On Thursday, November 30, 2006, the Chicago chapter of SHM met at the Chicago Firehouse Restaurant. Approximately 30 members attended the meeting, which was headed by Chapter President Tarek Karaman, MD, and Vice President Kevin O’Leary, MD. In addition, Michael Smith, MD, of Rush University (Chicago) spoke on seizures and anticonvulsant therapy. For the first time, a second speaker was added to the meeting, and Kala Swamynathan, MD, facilitated a brief discussion on tort reform. An open forum concluded the meeting, and suggestions were made for further growth and improvement for the chapter. Our next meeting is tentatively scheduled for March 2007; details will follow.

Boston

Hospitalists from Maine, New Hampshire, and Rhode Island were present at the December Boston SHM Chapter meeting on December 7, which drew nearly 70 attendees representing 30 hospital medicine groups. Featured speakers were Jon Burstein, MD, EMS medical director and medical advisor for Emergency Preparedness for the Massachusetts Department of Public Health and associate director of the Scientific Core at HSPH-CPHP, Beth Israel Deaconess Medical Center Department of Emergency Medicine, and Lisa Stone, MD, MPH, hospital preparedness coordinator, Massachusetts Department of Public Health. Drs. Burstein and Stone discussed the state preparation plan for an influenza pandemic. The discussion was followed by the Boston Chapter’s annual job fair. The next Boston Chapter meeting is tentatively scheduled for March 28, 2007.

East Central Florida

The East Central Florida Chapter had its inaugural meeting on November 14, 2006. The chapter met in Winter Park. The meeting was well attended and drew individuals from 12 different hospital medicine groups. Philip Sanchez, MD, gave a presentation titled, “The Management of Patients with Complicated Skin and Skin Structure Infections: Balancing Empiric Coverage with Antibiotic Stewardship.” The meeting was sponsored by Wyeth Pharmaceuticals.

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