As an RWJF Safety Net Value Champions Fellow, I am being supported to engage providers in reducing overuse in healthcare. I am working to improve the appropriate use of vascular access catheters for prolonged antibiotic infusions, both reducing the overall rate of these catheters and reducing catheter size if one is necessary. I chose this topic due to a high incidence of catheter-associated deep vein thrombosis at my institution. As I have been doing this work, I see additional opportunities to improve antibiotic stewardship and thus reduce complications from antibiotic overuse including C. difficile infection, central line-associated infections, while also reducing financial harm to patients. We will be tracking catheter insertions rates and concordance with national guidelines as well as the complications mentioned above.
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Dr. George Hoke earned his MD degree from the University of Maryland prior to completing an internal medicine residency at the University of Virginia in 1998. He has more than 20 years of experience practicing hospital medicine in both a community setting and in the University of Virginia Health System, serving as a practice leader for 14 years. Dr. Hoke has been actively engaged in medical education at both the UME and GME levels, served as medical director of intermediate, acute and subacute care units, and championed quality improvement projects involving anticoagulant safety, sepsis care delivery and inpatient glycemic control. Much of his current work is focused on increasing the value of care provided to patients by reducing low-value testing and reducing harm from unnecessary procedures and treatments. These efforts are facilitated through serving as Co-Chair of the Laboratory Stewardship Committee locally and being an active member of the High Value Practice Academic Alliance on a national level.