AkkeNeel Talsma, PhD, RN, FAAN

Assistant Professor, School of Nursing Director, Perioperative Outcomes Initiative, University of Michigan

AkkeNeel Talsma, PhD, RN, FAAN is Assistant Professor of Nursing and Research Investigator in the School of Medicine, University of Michigan.and a graduate of the University of Michigan School of Nursing. She has worked for over fifteen years in performance improvement and optimizing patient outcomes and hospital interests. Her expertise ranges from implementing and successfully improving The Joint Commission (TJC) Core Measures, testing and measuring Patient Safety Indicator, and reviewing patient medical records to understand the healthcare delivery processes and how that related to outcomes.

Dr. Talsma has worked in healthcare industry as well as academic environments to improve measurement and outcomes of quality of patient care. She has gained extensive expertise from working in a range of organizations, including insurance, information technology, and an academic medical center. She has gained a reputation for using existing data elements for improvement of patient outcomes. Investigating the trajectory of patients included in the Failure to rescue measure highlighted the need for surveillance, through advanced technology and well prepared clinicians, and early interventions to help prevent exacerbation of patient complications.

Dr. Talsma pioneered using early versions of electronic medical records to flag cases that did not receive recommended practices (O’Reilly, 2005) or missed particular processes of care that might increase the risk of ventilator associated pneumonia (Wahl, 2005). This approach has most recently led to a “Pressure Ulcer Daily” nurses use to trend patterns and successfully identify patients at risk (Talsma, 2011). Dr. Talsma is currently involved in evaluating non-invasive technology that could be used to help prevent the development of pressure ulcers and prevention of adverse events originating in the OR.

Her research focuses on effective and efficient health care processes and optimum patient and hospital outcomes. Dr. Talsma is Director of the Perioperative Outcomes Initiative (POI), www.poi-cqi.org, a collaborative quality initiative (CQI) that consists of an innovative network of 18 hospitals in Michigan aiming to improve patient outcomes after surgeries. POI obtains perioperative process data from electronic medical records and collaborates with hospitals to optimize patient outcomes and hospital interest. Current improvement efforts include: preoperative assessment (including time outs), skin preparation, OR staffing arrangement, instrument/sponge count discrepancies, OR throughput and patient flow. Hospitals use the data for benchmarking, internal improvements, and evaluation of implementation efforts.

The Perioperative Outcomes Initiative is supported by Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN). POI is aligned with the Michigan Surgical Quality Collaborative (MSQC) at the University of Michigan.