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Faculty Profiles
Faculty & Staff, Div. I
Faculty & Staff, Div. II
Faculty & Staff, Div. III
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School of Nursing Faculty
AkkeNeel Talsma , PhD, RN
Assistant Professor, Nursing Business and Health Systems
Clinical Information Analyst, Senior
Clinical Affairs, University of Michigan Hospital
 University
of Michigan School of Nursing
400 North Ingalls Building
Room 4154
Ann Arbor, MI 48109-0482
Telephone: 734-763-5199
FAX: 734-647-2416
antalsma@umich.edu
Education
PhD, University of Michigan, Ann Arbor, Michigan (1995)
MS, University
of Michigan, Ann Arbor, Michigan (1991)
BSN, Academie
voor de Gezondheidszorg, Groningen, The Netherlands (1987)
RN,
Diakonessenhuis, Leeuwarden, The Netherlands (1984)
Introduction
Dr.
Talsma has worked for ten years in the private sector, focusing on performance
measurement, clinical improvement projects and patient safety, prior to joining
the School of Nursing. She has participated in accreditation reviews
(NCQA, JCAHO) and prepared numerous performance measures, such as HEDIS measures
(including tool design, data collection from medical records, verification,
submission) and conducted focused studies to identify areas for clinical
improvement (1996). Dr. Talsma currently serves as re-elected Board member
for this HMO.
Working in the medical information industry, she has consulted with large
insurance companies and managed large HEDIS data collection and reporting
operations in a for-profit environment (1999). Dr. Talsma implemented CMS'
Sixth Scope of Work, a quality improvement program for Medicare, using an
unique approach where quality indicators were bundled and reported by hospital
and bench marking information. This information formed the baseline
for state wide quality improvement activities in Michigan hospitals (2001).
For the past 4.5 years Dr. Talsma has worked in the Office of Clinical Affairs
at the University of Michigan Hospital, implementing JCAHO Core Measures,
Surgical Infection Prevention (SIP) measures, and the AHRQ Patient Safety
Indicators. Aside from reporting the data, she is known to collaborate
with key stakeholders and bring a multi-disciplinary representation together.
The workgroup determines pertinent internal systems and processes to allow
for modifications to take place to improve performance. Dr. Talsma has been
invited to speak about the successful approaches to improve performance.
Results from successful SIP interventions have been presented at national
and state conferences. Her detailed study of the AHRQ Patient Safety
Indicators has resulted in changes within the hospital information environment
and the AHRQ has adopted a number of suggestions about ICD-9 codes and indicator
logic. Dr. Talsma has implemented an unique data collection and reporting
system, building off of existing anesthesia information systems, that captures
data elements for the Michigan Keystone ICU Project and (future) JCAHO ICU
core measures and CMS SCIP measures. The weekly reporting system allows clinicians
to act quickly if gaps in care are noticed and provides trending and bench
marking results of current ICU performance (2005).
Since 2003 Dr. Talsma is the clinical and research consultant to the Michigan
Health & Safety Coalition (MH&SC) (www.mihealthandsafety.org). The
MH&SC is a coalition of employers, insurers, State of Michigan representatives,
consumers, unions, hospital and professional associations. The MH&SC's
activities include the annual hospital survey that focuses on volumes of
high-risk procedures and includes clinical activities known to improve outcomes.
Dr. Talsma analyzes and presents the hospital data for the Coalition. As
part of the Michigan State Commission on Patient Safety, Dr. Talsma provided
analytical support and prepared a number of recommendations for safer care
in Michigan . The report will be presented to Governor Granholm early
2006.
Research Interests
Patient Safety and the Culture of Safety
Failure to Rescue, nursing sensitive
measures and multi-disciplinary factors
Peri-operative and ICU care outcomes
Annual Michigan Hospital survey. Hospital
performance of high-risk procedures and recommended care activities
Current Research
- Patient Safety Event Reporting and Health Professionals
Attitude Toward Patient Safety
- Culture of Safety and Nursing Sensitive Indicators: Failure
to Rescue Results, Nursing Staffing Levels, and High-Risk Procedure Characteristics.
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Trend Analysis of Hospital Performance of High-Risk Procedures |