JS1910D-Parkland Annual Clinical Quality Training

This 90 minute training on selected clinical quality and patient safety topics is required for all Parkland clinicians, including physicians (Active Medical Staff, residents, fellows). It is Parkland-specific; learners will be able to articulate Parkland policies and procedures and follow Parkland's standards for quality and patient care to improve patient outcomes, improve efficiency and decrease unwanted variability and risk.

Target Audience

All Parkland clinicians, including physicians (Active Medical Staff, residents, fellows)

Learning Objectives

After completing this activity, the participant will be able to:

Behavioral Healthcare at Parkland
• Discuss the prevalence of behavioral health issues in the American population
• Describe the status of behavioral health resources in Dallas & surrounding counties
• Explain Parkland’s role in behavioral health care and treatment
• Identify and locate tools and resources available to Parkland staff to aid care of patients with behavioral health diagnoses
• Differentiate between 3 types of involuntary hold for behavioral health patients

Quality-Based Payment Overview
• Describe performance measurement by external entities and its impact on Parkland  
• Identify how each role contributes to the metrics
• Discuss how proactive process improvement can have a positive influence on payment programs

Research at Parkland
• Discuss the importance of research
• Define what generally happens during the course of a clinical trial and a data research study
• Explain how patients are identified as research participants and what should be included in the electronic health record
• Describe when the Office of Research Administration should be contacted for research-related questions
Safe Patient Hand-offs
• Define patient hand-off and the various types of care transitions
• Discuss relevant regulations related to patient hand-off
• Apply key components of the hand-off process
• Identify high-risk situations for care transitions and ways to mitigate risk

Moderate and Deep Sedation
• Differentiate between pain management and sedation
• Describe who is able to administer sedation at Parkland

Clarifying the DNR Ordering Process
• Explain the process for initiating DNR or partial code status
• Describe required documentation related to initiation of DNR or partial code orders
• Discuss responsibilities by role for Resident, Attending and/or Nurse
• Select appropriate actions to take in special situations related to DNR

The Journey to High Reliability
•  Explain what “high reliability” means for healthcare organizations
• Discuss principles of high reliability organizations
• Examine evidence of the 5 key characteristics in Parkland processes
• Describe the concept of “just culture”




Course summary
Available credit: 
  • 1.50 AMA
  • 1.50 Attendance
  • 1.50 Ethics
Course opens: 
Course expires: 
Dallas, TX
United States

Planning/Content Committee


Martha (Marti) Butlar, MBA, BSN, RN-BC, CPHQ
Director of Clinical Learning Operations
Parkland Health & Hospital System


Jennifer Ragabalia, MD, MSc, FACS
Associate Chief Medical Officer
Chief Quality and Safety Officer
Parkland Health & Hospital System


Celeste Johnson, DNP, APRN, PMH, CNS
Vice President of Nursing, Behaviorial Health
Parkland Health & Hospital System


Susan Partridge MBA, BSN
Vice President, Research Administration
Parkland Health & Hospital System


Jill Benns, MSN, MBA/HCM, C-ENP, RN-BC
Director of Clinical Education
Parkland Health & Hospital System
Jeffrey Metzger, MD
Associate Professor
UT Southwestern Medical Center
Pamela Fox, MD
Associate Professor
UT Southwestern Medical Center
Jennifer Wimberly, MD, MA
Staff Physician, Community Medicine
Parkland Health & Hospital System
John Sadler, MD
UT Southwestern Medical Center
Roberto De La Cruz, MD
Executive Vice President and Chief Medical Officer
Parkland Health & Hospital System
Brett Moran, MD
Chief Medical informatics Officer
Parkland Health & Hospital System

Accreditation and Credit Designation Statements

This enduring activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Texas Southwestern Medical Center and Parkland Health and Hospital System.  The University of Texas Southwestern is accredited by the ACCME to provide continuing medical education for physicians

The University of Texas Southwestern Medical Center designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity, the 2019 Annual Clinical Quality Training, has also been designated by The University of Texas Southwestern Medical Center for 1.5 credits in medical ethics and/or professional responsibility.

Available Credit

  • 1.50 AMA
  • 1.50 Attendance
  • 1.50 Ethics


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