SHM Converge Scientific Abstract ePoster Gallery-Design-and-Dissemination of an Inpatient-Care-Guidelines-Infrastructure to Support Consistent, High-Quality, Equitable Care

Pdf Summary

Northwell Health, New York State’s largest health care provider and private employer, focuses on improving community health through high-quality clinical care, education, research, and equitable service regardless of ability to pay. The document describes a system-wide initiative led by the Division of Hospital Medicine to create an infrastructure for designing and disseminating inpatient care guidelines.<br /><br />Built from lessons learned during the COVID-19 pandemic, the effort aims to reduce unnecessary variation in care and support consistent, high-quality, equitable treatment across Northwell’s 16 acute-care hospitals. The team develops user-centric guidelines that reflect evolving evidence, internal expertise, and local resources, then embeds them into electronic medical record order sets. So far, this has produced guidelines for bacterial pneumonia, decompensated heart failure, and acute pain.<br /><br />The process follows four main phases: convene stakeholders and subject-matter experts; distill practical, context-specific recommendations; create a consensus guideline, user-friendly order set, education plan, and interactive dashboard; and circulate the materials through broad outreach while emphasizing that guidelines do not replace clinical judgment.<br /><br />The initiative also uses dashboards to track adherence, outcomes, and process metrics across sites, allowing leaders to monitor variation and improve implementation. Ongoing governance supports timely review and updates based on feedback and data changes. A centralized digital repository stores all guidelines for easy access.<br /><br />Overall, the project establishes a scalable framework to spread evidence-based inpatient best practices across the health system, strengthen equity, and improve care efficiency.

Asset Subtitle

Vasavi R. Devireddy

Meta Tag

Author List Joshua Case, Sadia Arshad, Vasavi R. Devireddy

Category Innovations

Concept Inpatient Care Guidelines

Concept Practice Variation

Concept Equitable Care

Concept Quality of Care

Concept Evidence-Based Medicine

Distinguished Non-Finalist

Presenter Organization Northwell Health / Donald and Barbara Zucker School of Medicine at Hofstra/Northwell

Presenting Author Vasavi R. Devireddy

Track Translating Research into Practice

Keywords

Northwell Health

inpatient care guidelines

clinical care standardization

health equity

electronic medical record order sets

COVID-19 pandemic lessons

hospital medicine

evidence-based practice

care variation reduction

quality improvement

Inpatient Care Guidelines

Practice Variation

Equitable Care

Quality of Care

Evidence-Based Medicine

Joshua Case, Sadia Arshad, Vasavi R. Devireddy

Innovations

Non-Finalist

Northwell Health / Donald and Barbara Zucker School of Medicine at Hofstra/Northwell

Vasavi R. Devireddy

Translating Research into Practice