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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
Robert Wood Johnson Foundation – Nurse Faculty Scholar
University of Michigan School of Nursing
400 North Ingalls Building, Room 4154
Ann Arbor, MI 48109-5482
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’s program of research focuses on “Systems of Care and Effectiveness on Patient Outcomes: Timelye, Effective, and Appropriate Care Delivery”. Her research focuses on outcomes effectiveness surrounding patient safety and the delivery of high quality care.
Prior to joining the faculty, Dr. Talsma worked for ten years in the private sector, focusing on performance measurement, clinical improvement projects and patient safety. She has participated in accreditation reviews (NCQA, JCAHO) and prepared numerous performance measures, such as HEDIS measures. 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. 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).
While working University of Michigan Health System, Dr. Talsma was instrumental in implementing JCAHO Core Measures (2002), Surgical Infection Prevention (SIP) measures (2003), and the AHRQ Patient Safety Indicators and develop sustainable multi-disciplinary improvement projects around these measures. Results from these projects have been presented and published. Dr. Talsma implemented a unique data collection and reporting system, building off of existing anesthesia information systems, to capture data elements for the Michigan Keystone ICU Project and monitor patient level clinical performance (2006).
From 2003-07 Dr. Talsma contributed as a 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. 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 that was presented to Governor Granholm early 2006.
Current research focuses on Failure to Rescue, the development of complications with detrimental outcomes. Her funded research involves seven hospitals (2003-05) and focuses on unit-level analysis related to nursing staffing and patient outcomes. A follow-up study aimed to validate the complications identified in medical records billing information and capture whether the complication was present on admission (POA) and the episode of care the patient experienced upon identification of signs/symptoms of a particular complication. Preliminary findings have been shared at national conferences and manuscripts are being prepared.
Previous experience using the electronic medical record (EMR) for quality improvement provided the foundation for the development of a Daily Automated Feedback report about patient risk for pressure ulcers, status based on risk scores, and interventions implemented to prevent the development of new pressure ulcers. The project received an Honorary Mention from the University of Michigan Business Intelligence Award and a RO1 was submitted (NINR, Spring 2009) to evaluate the cost effectiveness of such an intervention. Numerous graduate students have participated in this project, contributing to presentations and publications.
The most recent research activity focuses on understanding the OR Nursing processes of care and its relationship with patient outcomes. Dr. Talsma obtained data from the OR nursing electronic medical record and is developing performance measures to link with patient outcomes, as defined by the ACS NSQIP program. The project is in the first phase, developing and testing measures, with the intent to further expand this initiative into a multi-hospital collaborative.
Dr. Talsma is a fellow of the inaugural Robert Wood Johnson Foundation – Nurse Faculty Scholar Program (2008) and was recently appointed Adjunct Assistant Professor of Surgery in the University of Michigan School of Medicine (2009). Since joining the faculty in 2005, she has maintained a small appointment with the University of Michigan Health System, continuing her practice to further improve the safe and high quality care delivery.
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
Utilization of information technology to improve patient care delivery
Integration of quality of care and patient safety in curricula across campus
Current Research
- OR Nursing Processes and Patient Care Outcomes –
Failure To Rescue: Systems of Care, Patient Characteristics, and Work Environment
Pressure Ulcer Prevention: An Intervention to Reduce Incidence and Costs
Positive Deviance: The drivers behind hospitals that perform better than expected
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