Pursuing Perfect Depression Care: A Model for Eliminating Suicide and Transforming Mental Healthcare
|
|
|
- Edwina Mosley
- 6 years ago
- Views:
Transcription
1 A Model for Eliminating Suicide and Transforming Mental Healthcare C. Edward Coffey, M.D. Henry Ford Health System Detroit, MI
2
3 Outline of Presentation Case Presentation A Health Care System in Shambles A Roadmap for Transformation The IOM Chasm Report A Model for Transformation HFHS Behavioral Health Services From Perfect Care to Perfect Health
4 The Current System is Broken In its current form, habits, and environment, the health care system is incapable of giving Americans the health care they want and deserve The current care systems cannot do the job. Trying harder will not work. Changing systems of care will.
5 There Are No Toyotas The current US system produces exactly what it was designed to highly variable care, widespread failures to implement best practices, and inability to change patterns of practice. Molly Joel Coye Health Affairs, 2001
6 Business as Usual Will Not Work The current system is in shambles a patchwork relic the result of disjointed reforms and policies that cannot be fixed by traditional reform measures.
7 The Institue of Medicine Chasm Report Six Dimensions of Perfect Care Safe Effective Patient centered Timely Efficient Equitable
8 A Roadmap for Health Care Transformation 10 Rules for Perfect Care Care = relationships Care is customized Care is patient centered Share knowledge Manage by fact Make safety a system priority Embrace transparency Anticipate patient needs Continually reduce waste Professionals cooperate
9 The Perfect Depression Care Initiative Goal: Develop a system of perfect care in 2 years Competitive Application Process Coordinated by IHI 3000 applications downloaded ~300 applications submitted semifinalists 12 finalists Henry Ford Medical Group Depression Care and Prostate Cancer Care
10 Henry Ford Health System
11 HFHS Behavioral Health Services 2 Hospitals 9 Clinics 325 Employees $40M GPR Education Programs Research Programs A system within a system
12 HFHS Behavioral Health Services
13 Why Perfection? If 99.9% accuracy is good enough 2 million records will be lost by IRS 12 babies will be given to wrong parents 18,322 pieces of mail will be mishandled in the next hour 2 landings at Detroit Airport will be unsafe today
14 Why Depression?
15 The Perfect Depression Care Initiative Form a team, and create a name and logo Map our care processes and identify high leverage OFIs (Planned Care Model) Set specific perfection goals and manage by fact Ensure the voice of the customer in care design (the Consumer Advisory Board) Develop and implement rapid tests of change (PDCA Cycles) Continuous learning Celebrate our successes
16 Pursuing Perfect Depression Care Blues Busters Team Our promise to each and every patient: "We will work with you to achieve the best possible care, always respecting your individual wants and needs."
17 Henry Ford Behavioral Health as a System of Care How We Improve Vision We will work with you to achieve perfect care, always respecting your individual wants and needs. Why We Make What We Make Customer Knowledge How they judge quality and why? Design, Redesign Planned Care Model Cognitive Behavior Therapy Medication safety Care Paths Treatment planning process Open access, DIGMA Website, Patient Registry, Home Health Page Suppliers Staff HFHS Community resources Patients Families Employers Insurers/other payers Vendors Inputs Symptoms Health care history Expectations Knowledge Skills Attitudes Plan to Improve (Themes) Improve access Improve/enhance treatment Improve IT Improve support services (for better care, better management) Prevent Leading Managing Planning Budgeting Improving Community Need Life and vitality Revenue More jobs Lower health care costs Healthier society Model of superior care How We Make What We Make Provide Access Core Processes Assess Treat Building Customer Knowledge Measuring Performance Marketing Transferring Information Support Processes Follow up Recruiting Rewarding Hiring Training Prevent Recognizing Evaluating Listening Integration Customers Patients Families Referral sources Community Employees Trainees Research scientists HFHS Employers Other payers Suppliers/vendors Outputs Therapeutic environment Plan for patient services Jobs and work environment Diagnoses Pharmacotherapy ECT Psychotherapy (Group & Individual) Education Family programs Information/reports
18 The Perfect Depression Care Initiative Safe Care: Eliminate inpatient falls & med errors Effective Care: Eliminate suicides Patient-Centered Care: % of patients will be completely satisfied with their care Timely Care: % complete satisfaction Efficient Care: % complete satisfaction Equitable Care: % complete satisfaction
19
20 Planned Care Model Community Resources and Policies Health System Health Care Organization Self- Management Support Delivery System Design Decision Support Clinical Information Systems Informed, Activated Patient Productive Interactions Prepared, Proactive Practice Team Improved Outcomes
21 Suicides per,000 Suicides per,000 HMO Patients Expected suicide rate for patients with an active mood disorder (21X) Expected rate for euthymic patients with mood disorder (4-10X) Number of suicides per,000 HAP-HFMG Patients Number of suicides per,000 US general population
22 Perfect Care in Real Time
23 Perfect Care in Real Time
24 Completely Completely Satisfied pletely Satisfied Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely pletely Satisfied % Completely % Completely Satisfied Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely % Completely Satisfied pletely Satisfied Satisfied % Completely Satisfied Completely Completely Satisfied pletely Satisfied Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely pletely Satisfied % Completely % Completely Satisfied Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely Completely Satisfied pletely Satisfied Satisfied % Completely % Completely Satisfied Satisfied Completely % Completely Satisfied Satisfied Satisfied % Completely Satisfied Pursuing Perfect Depression Care: Perfect Care in Real Time O OOverall S Safety SSafety CControl OOverall SSafety Safety CControl BL BL BL Timeliness Timeliness E EEfficiency EEfficiency EEquity EEquity BL BL BL
25 Perfect Care in Real Time Ja n u ary ry Emot Phys s Suic Hurt Oth Soc Occ cu u Saf e e Cntrl Time Ef Eff ic f ic Equi Over er Max Min Median %?? 90 90
26 The Business Case for Perfect Care Perfect Care Community Service % Service Excellence Research Productivity 0% Employee Engagement Trainee Satisfaction Growth Financial Health
27 Award Winning Care 2002 RWJ Foundation Pursuing Perfection finalist 2002 HFHS Quality Expo Quality Award 2003 APA Administrative Psychiatry Award 2003 AHRQ Nominee National Best System Practice 2004 ACMHA National Model of Care 2004 AMGA Acclaim Award Honoree 2006 APA Gold Achievement Award 2006 TJC Codman Award 2008 TJC National Model of Excellence 2009 Commonwealth Fund Case Study for Excellence Featured in JAMA May 19, 2010 Best Docs and Top Spots for many consecutive years
28 Lessons Learned and Next Steps The Chasm Report is a viable model for care Perfection is the goal Involved leadership is key Data are essential manage by fact; challenges of large databases IT support crucial workflow is next step The science of spread The business case for perfect care The toxic effects of pursuing perfection
29
30 Do We Have the Will to Change the World? If zero is not the right target, then what is?
Perfect Depression Care. M. Justin Coffey, MD Henry Ford Health System IBHI Webinar Series 2011
Perfect Depression Care M. Justin Coffey, MD Henry Ford Health System IBHI Webinar Series 2011 M. Justin Coffey, MD Behavioral Health Services Henry Ford Hospitals & Health System jcoffey1@hfhs.org 313.874.6887
Hardwiring Processes to Improve Patient Outcomes
Hardwiring Processes to Improve Patient Outcomes Barbara Adcock Mohr, Administrative Director, Rehabilitation Services Mark Prochazka, Assistant Director, Rehabilitation Services UNC Hospitals FIM, UDSMR,
21 st Century Health Care: The Promise and Potential of a Learning Health System
21 st Century Health Care: The Promise and Potential of a Learning Health System Carolyn M. Clancy, MD Director Agency for Healthcare Research and Quality National Science Foundation Learning Health System
CROSSING THE QUALITY CHASM: HEALTH CARE FOR THE 21 ST CENTURY
CROSSING THE QUALITY CHASM: HEALTH CARE FOR THE 21 ST CENTURY May 10, 2002 Donald M. Berwick, M.D. President & CEO Institute for Healthcare Improvement The Foundation IOM Roundtable President s Advisory
Quality Improvement. Goals & Objectives. u What is Quality Health Care. u Where are the gaps in care JOHN W. RAGSDALE, III, MD JULY 2017
Quality Improvement JOHN W. RAGSDALE, III, MD JULY 2017 DEPARTMENT OF COMMUNITY AND FAMILY MEDICINE PRIMARY CARE SEMINAR SEA PINES, SC Goals & Objectives u What is Quality Health Care u Where are the gaps
A26/B26: Goal Zero: South Carolina s Commitment to Safety
A26/B26: Goal Zero: South Carolina s Commitment to Safety Coleen Smith, RN, MBA, CPHQ, High Reliability Initiatives Director Joint Commission Center for Transforming Healthcare Thornton Kirby, FACHE, President
Deborah Perian, RN MHA CPHQ. Reduce Unplanned Hospital Admissions: Focus on Patient Safety
Deborah Perian, RN MHA CPHQ Reduce Unplanned Hospital Admissions: Focus on Patient Safety Objectives At the end of this lesson, the learner will be able to: Identify key clinical and policy issues associated
Background and Context:
Session Objectives: Practice Transformation: Preparing for a Value Based Purchasing Environment Susan Brown, MPH, CPHIMS May 2, 2016 Understand the timeline and impact of MACRA/MIPS on health care payment
Henry Ford Medical Group
Henry Ford Medical Group Radical Convenience: A New Wave of Patient Care Presented by: Diane George, DO HFMG Associate Chief Medical Officer Thomas S. Nantais HFMG Chief Operating Officer The Henry Ford
CPC+ CHANGE PACKAGE January 2017
CPC+ CHANGE PACKAGE January 2017 Table of Contents CPC+ DRIVER DIAGRAM... 3 CPC+ CHANGE PACKAGE... 4 DRIVER 1: Five Comprehensive Primary Care Functions... 4 FUNCTION 1: Access and Continuity... 4 FUNCTION
WHITE PAPER. NCQA Accreditation of Accountable Care Organizations
WHITE PAPER NCQA Accreditation of Accountable Care Organizations CONTENTS Introduction 3 What are ACOs, and what do we want them to achieve? 3 Building from patient-centered medical homes 4 Program elements
W. Douglas Weaver, MD, MACC. American College of Cardiology SENATE FINANCE COMMITTEE
Statement of W. Douglas Weaver, MD, MACC On behalf of the American College of Cardiology Presented to the SENATE FINANCE COMMITTEE Roundtable on Medicare Physician Payments: Perspectives from Physicians
HealthPartners and the Triple Aim. IHI Open School August 23, 2012 Beth Waterman, RN MBA Chief Improvement Officer HealthPartners
HealthPartners and the Triple Aim IHI Open School August 23, 2012 Beth Waterman, RN MBA Chief Improvement Officer HealthPartners HealthPartners Not for profit, consumer governed Integrated care and financing
Lab Quality Confab Process Improvement Institute. New Orleans, LA. John Waugh 11/3/2015
Implementing a Single Quality Management System Across Multiple Hospitals of the Henry Ford Health System: Combining ISO 15189 with Lean to Deliver More Value Lab Quality Confab Process Improvement Institute
NCQA WHITE PAPER. NCQA Accreditation of Accountable Care Organizations. Better Quality. Lower Cost. Coordinated Care
NCQA Accreditation of Accountable Care Organizations Better Quality. Lower Cost. Coordinated Care. NCQA WHITE PAPER NCQA Accreditation of Accountable Care Organizations Accountable Care Organizations (ACO)
Medical Home Renovations: A Patient-centered Medical Home Case Study
Medical Home Renovations: A Patient-centered Medical Home Case Study Robert Reid MD PhD, Group Health Research Institute Annual Snively Lecture, University of California Davis January 18, 2011 Medical
Improving Clinical Flow ECHO Collaborative Change Package
Primary Drivers (driver diagram) Change Concepts Change Ideas Examples, Tips, and Resources Engaged Leadership Develop culture for transformation Use walk-arounds and attendance at team meetings to talk
Using Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
Continuous Value Improvement in Health Care
webinar summary Continuous Value Improvement in Health Care Featuring Kedar Mate Chief Innovation and Education Officer Institute for Healthcare Improvement October 26, 2017 sponsored by webinar summary
Patient- and Family-Centered Care
Patient- and Family-Centered Care This Orientation Offers a brief overview of: Core concepts of patient- and family-centered care; Measures/outcomes impacted by patient- and family-centered care; Ways
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER PATIENT SAFETY PLAN
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER PATIENT SAFETY PLAN 2014 1 PATIENT SAFETY PLAN 2014 PROGRAM GOALS The goal of the Patient Safety Program at University of Mississippi Medical Center (UMMC) is to
Quality Improvement From the Ground Up : The Co-Design Model in Action
Quality Improvement From the Ground Up : The Co-Design Model in Action DEBBIE TAYLOR & JAMIE ARTHUR OACCAC JUNE 20, 2013 Objectives Learn 1-1-1 (and Done): 1 Organization: Vision Brand Strategy Map Vehicle
Models for Patient-centered Cancer Care
Models for Patient-centered Cancer Care Ed Wagner, MD, MPH Cancer Research Network CRN Cancer Communication Research Center Supported by: Division of Cancer Control and Population Sciences, NCI Four Perspectives
The STAAR Initiative
The STAAR Initiative A quality effort at the heart of system redesign Amy E. Boutwell, MD, MPP The Center for Innovative Healthcare Strategies amy@innovativehealthcarestrategies.org Please note: Dr Boutwell
Pursuing the Triple Aim: CareOregon
Pursuing the Triple Aim: CareOregon The Triple Aim: An Introduction The Institute for Healthcare Improvement (IHI) launched the Triple Aim initiative in September 2007 to develop new models of care that
8/10/2015. Module 1. A Fundamental Understanding of Quality. Management and its Application to Health Care
Module 1 A Fundamental Understanding of Quality Management and its Application to Health Care Addressing Physician Uncertainty about Payment Reform: Skills for Success in Value-Based Delivery Systems The
Accountable Care and Governance Challenges Under the Affordable Care Act
Accountable Care and Governance Challenges Under the Affordable Care Act The First National Congress on Healthcare Clinical Innovations, Quality Improvement and Cost Containment October 26, 2011 Doug Hastings
Design Principles for Learning and Caring in Patient-Centered Primary Care Homes
The H.R. Bob Brettell, MD, Memorial Lectureship January 29, 2013 Design Principles for Learning and Caring in Patient-Centered Primary Care Homes Judith L. Bowen, MD, FACP Professor of Medicine Oregon
Creating the Collaborative Care Team
Creating the Collaborative Care Team Social Innovation Fund July 10, 2013 Social Innovation Fund Corporation for National & Community Service Federal Funder The John A. Hartford Foundation Philanthropic
Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1
EVALUATION Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1 Research Summary No. 9 March 2012 Introduction The current model of primary care in the United States is
Leadership and Culture: Building Highly Reliable Systems of Care
Learning Objectives Leadership and Culture: Building Highly Reliable Systems of Care Michael Batchelor, CEO Baptist Easley Hospital Easley, South Carolina Discuss recent developments in health systems
Leadership for Quality A Strategy for Marketplace Success. Requirements for Transformation. Typical State of Shared Vision. It All Starts With Urgency
Virginia Mason Medical Center Leadership for Quality A Strategy for Marketplace Success Estes Park Institute January 2012 Gary S. Kaplan, MD, Chairman and CEO Virginia Mason Medical Center Seattle, Washington
Joy At Work - BellinHealth and HealthPartners
Joy At Work - BellinHealth and HealthPartners Restoring Joy in Practice through Team Based Care IHI December 2016 James Jerzak M.D. Kathy Kerscher Bellin Health Green Bay, Wisconsin 1 Agenda Crisis Emerging
Where Do We Go From Here? The Value of Sustaining Practice Transformation
Where Do We Go From Here? The Value of Sustaining Practice Transformation MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS ANNUAL CLINICAL CONFERENCE November 19, 2013 Nicole Van Borkulo, MEd Senior Consultant
UNITED STATES HEALTH CARE REFORM: EARLY LESSONS FROM ACCOUNTABLE CARE ORGANIZATIONS
UNITED STATES HEALTH CARE REFORM: EARLY LESSONS FROM ACCOUNTABLE CARE ORGANIZATIONS Stephen M. Shortell, Ph.D., M.P.H, M.B.A. Blue Cross of California Distinguished Professor of Health Policy and Management
New Opportunities for Case Management Leadership in our Changing Environment
New Opportunities for Case Management Leadership in our Changing Environment 2012 ACMA Kentucky/Tennessee Chapter Case Management Conference By: W. June Simmons, MSW, CEO Partners in Care Foundation September
7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
A17/B17: Addressing Diagnostic Error: Creating Reliable Systems for Diagnosis and Tracking in Primary Care
A17/B17: Addressing Diagnostic Error: Creating Reliable Systems for Diagnosis and Tracking in Primary Care Gordy Schiff, MD, Associate Director of Brigham and Women s Center for Patient Safety Research
Bundled Payments. AMGA September 25, 2013 AGENDA. Who Are We. Our Business Challenge. Episode Process. Experience
Bundled Payments AMGA September 25, 2013 Who Are We AGENDA Our Business Challenge Episode Process Experience 1 Cleveland Clinic is transforming Fee for service Fee for value 3 Fast Facts 41,200 employees
CareConcepts Integrating Payor Sponsored Disease Management into Primary Care Practice
Integrating Payor Sponsored Disease Management into Primary Care Practice Physicians Foundation for Health Systems Excellence Grant # 9600013 (2005 PFHSE Grantees) January 2006 June 2009 PO Box 762, Farmington,
August 8, :00pm to 1:00pm Pamela Lester, Molly Layton and Janeen Boswell
August 8, 2013 12:00pm to 1:00pm Pamela Lester, Molly Layton and Janeen Boswell 1) NCQA PCMH Recognition, what it means and its process. 2) Understand the rationale and benefits of becoming recognized
Building a Smarter Healthcare System The IE s Role. Kristin H. Goin Service Consultant Children s Healthcare of Atlanta
Building a Smarter Healthcare System The IE s Role Kristin H. Goin Service Consultant Children s Healthcare of Atlanta 2 1 Background 3 Industrial Engineering The objective of Industrial Engineering is
Text-based Document. Building a Culture of Safety: Aligning innovative leadership rounding and staff driven hourly rounding strategies
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
Building Evidence-based Clinical Standards into Care Delivery March 2, 2016
Building Evidence-based Clinical Standards into Care Delivery March 2, 2016 Charles G. Macias MD, MPH Chief Clinical Systems Integration Officer, Texas Children's Associate Professor of Pediatrics, Section
SWAN Alerts and Best Practices for Improved Care Coordination
SWAN Alerts and Best Practices for Improved Care Coordination IHIN and SWAN Course Overview Our Goal: To educate healthcare providers in how to manage SWAN alerts for meaningful impact at the point of
2014 Patient Centered Medical Home (PCMH) Recognition
Collaboration Catalyst Community 2014 Patient Centered Medical Home (PCMH) Recognition PRESENTED BY: Oct. 2015 RuthAnn Craven, MS Transformation Coach AHI is an independent, nonprofit organization that
Leveraging Health Care IT Investment
Leveraging Health Care IT Investment A Harvard Business Review Webinar featuring David M. Cutler and Robert S. Huckman Sponsored by OVERVIEW In recent years, health care organizations have made massive
Project ECHO: Action for Improvement Elizabeth Clewett, PhD, MBA Cory Sevin, RN, MSN December 13, 2017
D21/E21 These presenters have nothing to disclose Project ECHO: Action for Improvement Elizabeth Clewett, PhD, MBA Cory Sevin, RN, MSN December 13, 2017 Session Objectives P2 Describe how Project ECHO
Healthcare Solutions Nuance Clintegrity Quality Management Solutions. Quality. The Discipline to Win.
Quality. The Discipline to Win. Brochure 2 It s not wanting to win that makes you a winner; it s refusing to fail. Peyton Manning, the first NFL quarterback to achieve 200 career wins (regular and post-season)
Eliminating Excessive, Unnecessary, and Wasteful Expenditures: Getting to a High Performance U.S. Health System
Eliminating Excessive, Unnecessary, and Wasteful Expenditures: Getting to a High Performance U.S. Health System Karen Davis President, The Commonwealth Fund IOM Workshop Series: The Policy Agenda September
Agenda. ACMA A Strong Base
New Opportunities for Case Management Leadership in our Changing Environment 2012 ACMA Kentucky/Tennessee Chapter Case Management Conference By: W. June Simmons, MSW, CEO Partners in Care Foundation September
2010 Pittsburgh Regional Health Initiative
Pay for Performance Summit Karen Wolk Feinstein, PhD President and Chief Executive Officer Jewish Healthcare Foundation and Pittsburgh Regional Health Initiative San Francisco, California March 8, 2010
A Framework for Quality Improvement
U019 - Integrating QI into the Derm Practice A Framework for Quality Improvement Margo Reeder, MD Assistant Professor Director of Quality Improvement UWSMPH July 30 2016 Quality is increasingly part of
3/24/2016. Value of Quality Management. Quality Management in Senior Housing: Back to the Basics. Objectives. Defining Quality
Quality Management in Senior Housing: Back to the Basics Lisa Abicht-Swensen, M.H.A. Director of Home Health, Hospice and Assisted Living Services Objectives Understand the value of Quality Management
Chapter 4 Information Technology and the Design of Work
Introduction Chapter 4 Information Technology and the Design of Work Managing and Using Information Systems: A Strategic Approach by Keri Pearlson & Carol Saunders How can the automation of work lower
Improving Western NY s Population Health Using Patient Centered Medical Home
Improving Western NY s Population Health Using Patient Centered Medical Home Presented by: Dr. Riffat Sadiq Western NY Medical Center Jeanette Ball, RN BSN PCMH CCE CTG Health Solutions Session C7 IHI
Integrative Medicine In a Primary Care Clinic Setting
Integrative Medicine In a Primary Care Clinic Setting Scott V. Joy, MD, MBA, FACP Medical Director Uptown Primary Care Presbyterian/St. Luke s Medical Center Principles of Health Policy Advocacy Find Your
Pursuing Equity: The Role of Health Care
D3/E3 Pursuing Equity: The Role of Health Care Session D: 9:30 10:45am Session E: 11:15 12:30pm Berny Gould Julie Oehlert Amy Reid Michelle Schreiber Agenda 2 15 mins Framing & Overview 10 mins Case Study
Addressing Diagnostic Error: Creating Reliable Systems for Diagnosis and Tracking in Primary Care
Addressing Diagnostic Error: Creating Reliable Systems for Diagnosis and Tracking in Primary Care IHI Workshop 12/6/16 Gordon Schiff, MD, Associate Dir Brigham & Women s Ctr for Patient Safety Research
STAAR Initiative STate Action on Avoidable Rehospitalizations
Amy Boutwell, MD MPP Primary Investigator, STAAR Initiative Institute for Healthcare Improvement Commonwealth Fund-supported initiative to reduce avoidable rehospitalizations, taking states as unit of
Wisconsin Homecare Organization
Wisconsin Homecare Organization Competitive Strategies: Key Elements for Thriving in a High-Stakes Outcomes Market Lynda Laff Strategic Healthcare Programs, LLC Thursday, May 15, 2008 2:00 p.m. 3:30 p.m.
Brooke Salzman, MD Assistant Professor Department of Family and Community Medicine Division of Geriatric Medicine Thomas Jefferson University
Brooke Salzman, MD Assistant Professor Department of Family and Community Medicine Division of Geriatric Medicine Thomas Jefferson University Tuesday, March 2 nd, 2010 Health Care Delivery Reform In its
Patient Payment Check-Up
Patient Payment Check-Up SURVEY REPORT 2017 Attitudes and behavior among those billing for healthcare and those paying for it CONDUCTED BY 2017 Patient Payment Check-Up Report 1 Patient demand is ahead
Quality Management of Healthcare
Management of Healthcare Shell Conference This Session Introduction Urgency Improvement Management 1 Hello! Industrial and Systems Engineer MS in Health Systems Engineering Past Work: Hospital Based Improvement
Interactive Voice Registration (IVR) System Manual WASHINGTON STREET, SUITE 310 BOSTON, MA (800)
Interactive Voice Registration (IVR) System Manual 1000 WASHINGTON STREET, SUITE 310 BOSTON, MA 02118-5002 (800) 495-0086 www.masspartnership.com TABLE OF CONTENTS INTRODUCTION... 3 IVR INSTRUCTIONS...
Lessons Learned in Care Management. Meghan Sheridan, RD, CDE Ohio Association of Community Health Centers 2017 Annual Conference
Lessons Learned in Care Management Meghan Sheridan, RD, CDE Ohio Association of Community Health Centers 2017 Annual Conference 1 Objectives: Rationale for team-based care model Lessons learned in implementing
National ACO Summit. Third Annual. June 6 8, Follow us on Twitter and use #ACOsummit.
Third Annual National ACO Summit June 6 8, 2012 Follow us on Twitter at @ACO_LN and use #ACOsummit. The Engelberg Center for Health Care Reform at Brookings The Dartmouth Institute Introducing unicorns
Quality Management Building Blocks
Quality Management Building Blocks Quality Management A way of doing business that ensures continuous improvement of products and services to achieve better performance. (General Definition) Quality Management
Centralizing Multi-Hospital Mortality Reviews
December 7, 2016 Session Codes: D4 (9:30am-10:45am) & E4 (11:15am - 12:30pm) Centralizing Multi-Hospital Mortality Reviews IHI 28 th National Forum Mark P Jarrett, MD, MBA, MS SVP, Chief Quality Officer,
Patient Safety is Everyone s Responsibility Tammy Brock, MSN RN CPHRM
Patient Safety is Everyone s Responsibility Tammy Brock, MSN RN CPHRM Objectives Know TJC 2016 National Patient Safety Goals Discuss human factors on patient safety What is your role in patient safety?
Interactive Voice Registration (IVR) System Manual WASHINGTON STREET, SUITE 310 BOSTON, MA
Interactive Voice Registration (IVR) System Manual 1000 WASHINGTON STREET, SUITE 310 BOSTON, MA 02118-5002 1-800-495-0086 www.masspartnership.com TABLE OF CONTENTS INTRODUCTION... 3 IVR INSTRUCTIONS...
Formation of a High Performance Medical Group within a Hospital Centric Health Care System... De NOVO
Formation of a High Performance Medical Group within a Hospital Centric Health Care System... De NOVO Jim Boswell, MBA VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD COO / BMG Founded in 1912
Improving the Patient Experience from Admission to Discharge. Yvonne Chase Section Head Patient Access & Business Services Mayo Clinic Arizona
Improving the Patient Experience from Admission to Discharge Yvonne Chase Section Head Patient Access & Business Services Mayo Clinic Arizona A Clear Priority SOURCE: A REPORT ON THE BERYL INSTITUTE BENCHMARKING
HEALTHCARE INFORMATION SYSTEMS: ENABLERS FOR QUALITY IMPROVEMENT. Kenneth W. Kizer, M.D., M.P.H. President and CEO National Quality Forum
HEALTHCARE INFORMATION SYSTEMS: ENABLERS FOR QUALITY IMPROVEMENT Kenneth W. Kizer, M.D., M.P.H. President and CEO National Quality Forum January 14, 2002 The Paradox of American Healthcare 2003 Highly
Pennsylvania Patient and Provider Network (P3N)
Pennsylvania Patient and Provider Network (P3N) Cross-Boundary Collaboration and Partnerships Commonwealth of Pennsylvania David Grinberg, Deputy Executive Director 717-214-2273 dgrinberg@pa.gov Project
ZERO It s powerful. It s controversial. And it s the cornerstone of high reliability organizations.
ZERO It s powerful. It s controversial. And it s the cornerstone of high reliability organizations. 1 Thornton Kirby, President & CEO South Carolina Hospital Association Lorri Gibbons, RN, MSHL Vice President
Introduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
Making the Case for Quality: How to Engage Clinical Staff in QI Activities
Making the Case for Quality: How to Engage Clinical Staff in QI Activities Kelley Montague, RN Indiana Rural Health Association 2017 Annual Conference June 13-14, 2017 1 Objectives: Understand the importance
Patient-Centered Medical Home (PCMH) & Patient-Centered Specialty Practice (PCSP)
Patient-Centered Medical Home (PCMH) & Patient-Centered Specialty Practice (PCSP) Foundation for a Better Health Care System Presenter Jeanette Ikan, M.D., MHAI Objectives: Definition and benefits of PCMH,
Coastal Medical, Inc.
A Culture of Collaboration The Organization Physician-owned group Currently 19 offices across the state of Rhode Island and growing 85 physicians, 101 care providers The Challenge Implement a single, unified
Office of Mental Health Continuous Quality Improvement Initiative for Health Promotion and Care Coordination: 2013 Project Activities and
Office of Mental Health Continuous Quality Improvement Initiative for Health Promotion and Care Coordination: 2013 Project Activities and Expectations March 2013 Overview Welcome 2013 CQI Project Options
Executive Summary 1. Better Health. Better Care. Lower Cost
Executive Summary 1 To build a stronger Michigan, we must build a healthier Michigan. My vision is for Michiganders to be healthy, productive individuals, living in communities that support health and
The Physician s Perspective
The Physician s Perspective How the Changing Role of the PCP is Leading Healthcare Reform May 22, 2015 Carman A. Ciervo, DO Chief Physician Executive Our Vision To transform the healthcare To transform
2011 Electronic Prescribing Incentive Program
2011 Electronic Prescribing Incentive Program Hardship Codes In 2012, the physician fee schedule amount for covered professional services furnished by an eligible professional who is not a successful electronic
Building & Strengthening Patient Centered Medical Homes in the Safety Net
Blue Shield of California Foundation County Coverage Expansion Planning Workshop #2 Building & Strengthening Patient Centered Medical Homes in the Safety Net July 8, 2011 Presented by: Kathryn Phillips,
The Integration of Behavioral Health and Primary Care: A Leadership Perspective
The Integration of Behavioral Health and Primary Care: A Leadership Perspective Eboni Winford, Ph.D. Behavioral Health Consultant Cherokee Health Systems Our Mission To improve the quality of life for
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/29/2017 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
MEDICAID TRANSFORMATION PROJECT TOOLKIT
MEDICAID TRANSFORMATION PROJECT TOOLKIT Medicaid Transformation Demonstration Contents Domain 1: Health and Community Systems Capacity Building... 2 Financial Sustainability through Value based Payment...
All ACO materials are available at What are my network and plan design options?
ACO Toolkit: A Roadmap for Employers What is an ACO? Is an ACO strategy right for my company? Which ACOs are ready? All ACO materials are available at www.businessgrouphealth.org What are my network and
NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services
NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the
UC HEALTH. 8/15/16 Working Document
1) UC Health Mission Our mission is to make health care better. Each UC health system works to advance this mission in its community and as a system of health systems, we work together to catalyze innovation
Face to Face Nursing the Bedside
Face to Face Nursing Report @ the Bedside Contact: Mary Kunkel, RN kunkelme@upmc.edu Campus: Shadyside "Patient Safety First...Care Always..." Project Aim Statement Improve Press Ganey survey scores from
Systems Thinking. The Quality Academy Tutorial 18
Systems Thinking The Quality Academy Tutorial 18 Learning Objectives: You Will Learn About What a system is Importance of system change in HIV care Transforming systems with the help of quality improvement
The Importance of Quality Improvement
The Importance of Quality Improvement Mary Beth Farrell, MS, CNMT, NCT Disclosure: Director of Accreditation and Research Objectives Here s where our story begins. Review why quality is such a buzz word
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws.
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that
Patient-Centered Specialty Practice: Building the Medical Neighborhood
Patient-Centered Specialty Practice: Building the Medical Neighborhood Margaret E. O Kane President, National Committee for Quality Assurance June 6, 2014 1 Overview Central challenge: Creating systems
Community Care Coordination Cross Continuum Care IHC Medical Home Conference September 5, 2012 Des Moines IA
Community Care Coordination Cross Continuum Care IHC Medical Home Conference September 5, 2012 Des Moines IA Peg Bradke, RN, MA Director of Heart Care Services St. Luke s Hospital, Cedar Rapids, IA Session
INSERIRE LOGO CLIENTE GRANDE SERVICE FACTORY. A real office where to learn from experience
INSERIRE LOGO CLIENTE GRANDE SERVICE FACTORY A real office where to learn from experience WHAT IS THE SERVICE FACTORY? The Service Factory is a training workshop where you can learn how to improve efficiency
COOK COUNTY HEALTH & HOSPITALS SYSTEM
COOK COUNTY HEALTH & HOSPITALS SYSTEM CCHHS Board of Directors Quality and Patient Safety Committee Quality and Reliability in Health Care Krishna Das, MD, Chief Quality Officer 15 March 2016 Quality:
Care Management in the Patient Centered Medical Home. Self Study Module
Care Management in the Patient Centered Medical Home Self Study Module Objectives Describe the goals of care management Identify elements of successful care management Recognize the 5 step Care Management