Chris DeRienzo, MD, MPP
Raleigh, North Carolina, United States
7K followers
500+ connections
About
Chris DeRienzo, MD, MPP, is a neonatologist and proven physician executive with nearly…
Articles by Chris
Activity
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With thanks to Jim Molpus I got to spend the holiday weekend reading this… and it was a treat. Like many folks of a 1980’s vintage, The West Wing…
With thanks to Jim Molpus I got to spend the holiday weekend reading this… and it was a treat. Like many folks of a 1980’s vintage, The West Wing…
Shared by Chris DeRienzo, MD, MPP
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Through American Hospital Association's 501c3 affiliate, HRET, I've been fortunate to work with an incredible initiative supporting those who have…
Through American Hospital Association's 501c3 affiliate, HRET, I've been fortunate to work with an incredible initiative supporting those who have…
Liked by Chris DeRienzo, MD, MPP
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It is always a treat to hear Chris DeRienzo, MD, MPP speak! What a great way to kick off our CFO Exchange!
It is always a treat to hear Chris DeRienzo, MD, MPP speak! What a great way to kick off our CFO Exchange!
Liked by Chris DeRienzo, MD, MPP
Experience
Education
Licenses & Certifications
Volunteer Experience
Publications
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Demonstrating the relationships of length of stay, cost and clinical outcomes in a simulated NICU
Journal of Perinatology
Abstract
OBJECTIVE: Health-care leaders place significant focus on reducing the average length of stay (ALOS). We examined the relationships among ALOS, cost and clinical outcomes using a neonatal intensive care unit (NICU) simulation model.
STUDY DESIGN: A discrete-event NICU simulation model based on the Duke NICU was created. To identify the relationships among ALOS, cost and clinical outcomes, we replaced the standard probability distributions with composite distributions…Abstract
OBJECTIVE: Health-care leaders place significant focus on reducing the average length of stay (ALOS). We examined the relationships among ALOS, cost and clinical outcomes using a neonatal intensive care unit (NICU) simulation model.
STUDY DESIGN: A discrete-event NICU simulation model based on the Duke NICU was created. To identify the relationships among ALOS, cost and clinical outcomes, we replaced the standard probability distributions with composite distributions representing the best and worst outcomes published by the National Institutes of Health Neonatal Research Network.
RESULT: Both average cost per patient and average cost per 28 week patient were lower in the best NICU ($16,400 vs $19,700 and $56,800 vs $76,700, respectively), while LOS remained higher (27 vs 24 days).
CONCLUSION: Our model demonstrates that reducing LOS does not uniformly reduce hospital resource utilization. These results suggest that health-care leaders should not simply rely on initiatives to reduce LOS without clear line-of-sight on clinical outcomes as well.Other authorsSee publication -
A discrete event simulation tool to support and predict hospital and clinic staffing
Health Informatics Journal
We demonstrate how to develop a simulation tool to help healthcare managers and administrators predict and plan for staffing needs in a hospital neonatal intensive care unit using administrative data. We developed a discrete event simulation model of nursing staff needed in a neonatal intensive care unit and then validated the model against historical data. The process flow was translated into a discrete event simulation model. Results demonstrated that the model can be used to give a…
We demonstrate how to develop a simulation tool to help healthcare managers and administrators predict and plan for staffing needs in a hospital neonatal intensive care unit using administrative data. We developed a discrete event simulation model of nursing staff needed in a neonatal intensive care unit and then validated the model against historical data. The process flow was translated into a discrete event simulation model. Results demonstrated that the model can be used to give a respectable estimate of annual admissions, transfers, and deaths based upon two different staffing levels. The discrete event simulation tool model can provide healthcare managers and administrators with (1) a valid method of modeling patient mix, patient acuity, staffing needs, and costs in the present state and (2) a forecast of how changes in a unit's staffing, referral patterns, or patient mix would affect a unit in a future state.
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"Chapter 10 - Special Neonatal Perspectives" Pediatric Patient Safety and Quality Improvement
McGraw Hill
Eds. Frush K, Krug S.
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Neonatal intensive care unit handoffs: a pilot study on core elements and epidemiology of errors
J Perinatol.
We defined nine core data elements for a NICU patient handoff. We then compared residents' written and verbal handoffs against real-time, auto-populated data for each core element. Replacing residents' written handoffs with the gold-standard, auto-populated data would have prevented 92% of written errors.
Other authorsSee publication -
Using a computerized provider order entry system to meet the unique prescribing needs of children: description of an advanced dosing model
BMC Medical Informatics and Decision Makin
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The Female Athlete
Oxford American Handbook on Sports Medicine
Oxford University Press. New York. Pp 519-541
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Projects
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Member, NC IOM Task Force on Healthcare Analytics
- Present
The NCIOM Task Force on Health Care Analytics has been convened at the request of the Division of Health Benefits (DHB) at the NC Department of Health and Human Services. The Task Force will define and prioritize specific quality improvement measures of health and health care to be used by DHB to drive improvement in population health in North Carolina.
Honors & Awards
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Invited Member, The Joint Commission Physician Leader Forum
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Appleseed Teaching Award
Duke University School of Medicine
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Finalist, David C. Leach Award
ACGME
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Appleseed Teaching Award
Duke University School of Medicine
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Leadership College Member
North Carolina Medical Society
Languages
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Spanish
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More activity by Chris
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Big first day at the HealthLeaders Exchange semi-annual CFO Exchange. The kickoff came from Kyle M. Wilcox who helped us set the priorities for the…
Big first day at the HealthLeaders Exchange semi-annual CFO Exchange. The kickoff came from Kyle M. Wilcox who helped us set the priorities for the…
Liked by Chris DeRienzo, MD, MPP
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Thanks again to Jim Molpus, Abby Mathis, Julie Auton, Daniel Kim, Maggie Gagnon and the whole team at HealthLeaders Exchange for the opportunity to…
Thanks again to Jim Molpus, Abby Mathis, Julie Auton, Daniel Kim, Maggie Gagnon and the whole team at HealthLeaders Exchange for the opportunity to…
Shared by Chris DeRienzo, MD, MPP
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Share your successes and talk about your ongoing challenges to advance health equity - join us in Atlanta in May, 2025!
Share your successes and talk about your ongoing challenges to advance health equity - join us in Atlanta in May, 2025!
Liked by Chris DeRienzo, MD, MPP
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The American Hospital Association is now accepting presentation submissions for the 2025 Accelerating Health Equity Conference, taking place in…
The American Hospital Association is now accepting presentation submissions for the 2025 Accelerating Health Equity Conference, taking place in…
Shared by Chris DeRienzo, MD, MPP
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Excited to share the latest #WomenInMedtech Podcast episode featuring Chief Nursing Officer Deena Brecher MSN, RN, ACNS-BC, CEN, CPEN, FAEN! Tune…
Excited to share the latest #WomenInMedtech Podcast episode featuring Chief Nursing Officer Deena Brecher MSN, RN, ACNS-BC, CEN, CPEN, FAEN! Tune…
Liked by Chris DeRienzo, MD, MPP
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