Streamlining Care : Implementing 5S for Optimal OBGYN Order Sets

Piedmont has several Clinical Governance Councils (CGCs) that are responsible for setting goals and implementing work to improve overall Quality and Safety per service line. Every three years, the CGC reviews all order sets related to its dedicated service line to make updates on best practice guidelines and new technology/research. The OBGYN CGC approached its first order set review to revamp, combine, and remove order sets. The intention was to create and update order sets to mimic the patient's needs best as they move through their hospital stay.

The CGC began with over twenty-four individual order sets. Through the review process they were able to combine five order sets to create one new one. Additionally, created nine brand new order sets, and deleted eight existing order sets.

Recognizing the value of standardizing clinical care across health systems.

Understanding how to engage various stakeholder groups in the design and review process.

Authors

Nandita Jacob holds an undergraduate degree in Biotechnology Engineering from VIT University in India and a Master of Public Health degree with a focus on Health Management and Policy from Emory University, Atlanta. With six years of experience in healthcare quality and process improvement at Piedmont Healthcare, Nandita is passionate about enhancing health systems. She has a particular interest in improvement projects related to women's services and surgical safety, striving to make a positive impact in these critical areas

Patricia Moore, MD, FACOG serves as the Chair of the OBGYN Clinical Governance Council for the Piedmont Clinic as well as the OBGYN Department Chair for Piedmont Fayette Hospital. She has been a practicing OBGYN in the Atlanta area for 19 years. Prior to that, she completed her undergraduate and medical studies at Yale University. She then completed her residency at Johns Hopkins University. She moved back to the Atlanta area in 2005 to join her father and sister in their OBGYN practice, Women's Medical Center, where she has been practicing since. She is dedicated to providing compassionate and comprehensive women's healthcare.

Dr. Anna Rybka joined Atlanta Women’s Obstetrics & Gynecology, PC on September 1, 2014. She is board certified in obstetrics & gynecology and is a Fellow in the American College of Obstetricians and Gynecologists.

Dr. Rybka is from Blairsville, Georgia. She received her undergraduate degree from Emory University in Atlanta, Georgia. She recently completed her OB/GYN residency at LSU School of Medicine in New Orleans, Louisiana where she held the position of chief resident.

Dr. Rybka is married and enjoys watching movies.

Leslie Brunswick holds a Bachelor’s of Science degree in Nursing from Albany State, Darton College of Nursing. With almost 30 years of nursing experience, Leslie has dedicated over 20 years to women’s services. Her particular interest lies in improvement projects related to the delivery of evidenced-based care to this critical patient population.

Education @Emory University, 27 years in Women’s Health, Member of AWHONN, Current role as PFH Sr. Director of Women’s Health and System Clinical Governance Committee Administrative Director, Wife and mother of 4 awesome young men 😊, Hobbies include travel, reading, history, cooking and wine!

Lupe, a U.S. Army veteran, holds a master’s degree in healthcare administration and is dedicated to improving women’s health outcomes. At Piedmont Healthcare, she leads the Maternal Health Equity Task Force, managing strategic communications and driving improvements in maternal health outcomes and healthcare quality metrics.

With extensive experience in healthcare quality improvement, Lupe focuses on enhancing maternal care through process optimization, health equity initiatives, and data-driven solutions. Her expertise includes managing large-scale projects, facilitating clinical collaboration, and partnering with organizations for impactful community outreach.

Lupe’s professional interests involve analyzing legislative impacts on healthcare, implementing patient-centered care models, and utilizing real-time data to improve maternal health outcomes and safety. Passionate about healthcare excellence, she is committed to advancing the quality of care for women while ensuring compliance and patient safety across healthcare systems. She has been recognized with multiple awards for Impact, Quality Performance, and Overall Choice.