2ab and 3cd. BTS Topic Selection:
|
|
- Gavin Hines
- 5 years ago
- Views:
Transcription
1 2ab and 3cd. BTS Topic Selection: Meet Your Colleagues PG Pg. 3
2 Topic Selection Objectives By the end of this session you should be able to: List the reasons that topic selection is a critical factor in success Describe the steps in topic selection Critically analyze whether or not a specific topic should be addressed in BTS-style Collaborative Identify other BTS College members working on topics like the one you have chosen
3 The IHI Breakthrough Series An improvement method that relies on spread and adaptation of existing knowledge to multiple settings to accomplish a common aim.
4 IHI Breakthrough Series (6 to 18 Months Time Frame) Select Topic (Develop Mission) Expert Meeting Develop Framework & Changes Planning Group Participants ( Teams) Prework LS 1 A P S D A P S D LS 2 LS 3 AP1 AP2 AP3* A P S D Dissemination Publications, Congress, etc. Holding the Gains LS Learning Session AP Action Period Supports Phone Conferences Extranet Visits Assessments Sponsors Monthly Team Reports *AP3 continue reporting data as needed to document success
5 Collaborative Topic Could Be in Any of the Three Categories of Improvement * I. Eliminating quality problems that arise because we fail to meet the expectations of customers (Chapter 10, pp ) II. ADEs, SSI, Periop Care, Chronic care, Reducing costs significantly while maintaining or improving quality (Chapter 10, pp ) Cardiac surgery, supply chain, reducing c-sections III. Expanding customer expectations by providing products and services that customers perceive as unusually high in value (Chapter 10, pp ) Advanced access *Source: Langley, G, Nolan, K., Nolan, T, Norman C, Provost, L The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco: Jossey-Bass, 2009
6 Topic Selection for IHI BTS What do we look for? 1. Gap between science and practice 2. And examples of better performance exist 3. And a good business case exists for the topic On Extranet: Berwick DM. Eleven worthy aims for clinical leadership of health system reform. JAMA 1994; 272:
7 Identifying the Gap 1. The gap between science and practice Current practice deviates from best available scientific knowledge Evidence describes the gap (ideally 3-4 articles) Methods to identify gaps between your organization and best practice Environmental scan - literature What is on the clinicians minds? What is on Organization s leaders minds? Strategic plans of health care systems CMS scope of work JCAHO Goals See: Examples of Gaps on extranet
8 Example of the Gap from Service Collaborative Picker Survey: Percent of Patients Reporting Problems (Lower is Better) Dimension Low Performing Hospitals High Performing Hospitals Respect 15% 4.5% Comfort 22% 13% Emotional Support Involving Family/ Friends 21% 11% 20% 9% Source: Gerteis, Edgman-Levitan, Daley, Delbanco; Through the Patient s Eyes. San Francisco:Jossey-Bass 1993 pp
9 Example of Chronic Care Gap Disease Parameter Typical Best Diabetes HbA1c 30% < 8 70% < 8 Asthma CHF Symptom free days Hospital readmits <50% >80% >10%/mo <3%/mo Depression Follow-up <50% >80% CVD LDL< 100mg/dl <50% >70% Source ICIC
10 Example : Adult Cardiac Surgery Gap Median Best Post-op LOS 5-6 days 3 days Interval from 3-4 days < one day Cath to CABG Post-op vent time hours < 4 hours OR time / case for 4-5 hours hours 3-vessel CABG
11 Example of Access Gap Patients wait more than three weeks for a routine appointment. Same day access is achievable in primary care; 5 days for specialty care Patients are consistently dissatisfied with waits in clinics and medical offices. Delighting patients with punctuality is achievable
12 Public Health 12 Issuing Food Service Permits 41 days 14 days Percent Teens Smoking 17% 5.77% (Utah) 6.63 (CA) 6.88 (HI) 6.92 (DC) Well Child Visits by Age 26%.. > 72% Infant Mortality (US African 15.7%...7.7% (San American) Diego) Overall 4.5%
13 2. And there Is an Example of Best Performance Someone is doing it somewhere In health care in similar settings In health care in different settings Outside of health care We believe it can be done in other settings or situations
14 When Are We Ready To Run a BTS Collaborative? Degree of belief that the changes will result in improvement High Moderate Successful changes Start a Collaborative when degree of belief is moderate to high Low Getting Ideas Unsuccessful proposed changes Testing: Implement: Spread Idealized Design or other methods Adapted from IG Pg 145 Prototype (in simulated environment) or Pilot (in work setting) Make the change a permanent part of the system in location where testing Adapt to new locations or populations
15 3. And.a Good Business Case Exists for the Topic Positive financial impact (lower costs, revenue growth, etc) for participating organizations AND Improved outcomes OR Strong appeal to both clinicians and administration
16 Is There a Business Case? (From Improving Chronic Illness Care MacColl Institute) Questions to Ask Will the new intervention work? What will it cost? Will it increase fee-for-service revenues? Will it reduce expenses (in my lifetime)? Will it increase clientele by attracting new patients or retaining old ones? Will it impact case-mix? Answers for Chronic Illness Improvement Effective interventions in most common chronic illnesses Usually $ /pt/yr If it adds assessments or encounters not routine in usual care Yes for CHF and diabetes, maybe for asthma and for frail elderly, close for depression Patient satisfaction rises so retention should improve, unclear impacts on new enrollment May increase severity
17 Apr-99 May-99 Jun-99 Jul-99 Aug-99 Sep-99 Oct-99 Nov-99 Dec-99 Jan-00 Feb-00 Mar-00 Apr-00 May-00 Jun-00 Jul-00 Aug-00 Sep-00 Oct-00 Nov-00 Dec-00 Jan-01 Feb-01 Mar-01 Apr-01 May-01 Jun-01 Jul-01 Average Business Case Example: Good for Patients Reduction in Risk Factors for People with Diabetes Average HbA1c (Southeast Cluster) UKPDS 10 Year Study of Chronic Disease Management Findings: Month Reduction in HgbA1c in Bureau of Primary Healthcare Southeast Cluster Diabetes I Collaborative 8.0 A 1.0% reduction in HbA1c results in: 17% reduction in mortality 18% reduction in MI 15% reduction in stroke 35% reduction in cardiovascular endpoints 18% reduction in cataract extraction Describe this business case---- BMJ, 321,
18 Service Collaborative: Is Topic Ripe for Improvement? There is a gap--some health care providers can show much improved service in specific areas Best practice-- in hospitality and other industries far exceeds health care service. Almost any community has local experts Business case--improved service increases satisfaction, compliance, and increases market share
19 Example: Is Chronic Illness Ripe Topic for Improvement? There is a gap--some health care providers can show much improved short term outcomes-blood sugar control, symptom free days, etc Is there evidence of gap being closed--best practice in multiple office practices across the country-community health centers, group practices most often. Most regions have local experts Business Case?-- Improved chronic illness care improves patient outcomes, confidence and satisfaction; and reduces unnecessary acute care utilization. May increase volume and revenues through P4P and other contracts
20 Exercise: Is Your Topic Ripe for Improvement? Using the topic you have chosen (on your storyboard) list specific ways in which the topic meets the selection criteria o What is the gap? o Where are good examples of best practice? o What is the business case for this topic? Complete the Assessment of Collaborative Topic Worksheet using the 1-5 Scale. Review your spread exercise We will report to the group in 10 minutes using your storyboards to share the results of this exercise and your spread plans
21 Assessment of Collaborative Topic: Is Topic Ripe for a BTS Style Collaborative? Topic: Reviewer s Name: 21 Assessment Scale 1: Not at all 2: To a small extent 3: Somewhat 4: To a large extent 5: To a very great extent Identifying the Gap Score Element Does current practice deviate from best available scientific knowledge? Are they able to provide data to quantify the gap? Comments Does this Topic Matter to People? Does this topic matter to patients/clients? Is there a strong emotional pull for teams to join the Collaborative? Does this topic matter to clinicians? Does leadership care about this topic? Is this topic linked to the organization s strategic plan? Is there a strong business case for this topic? (financial, clinical, or reputation based) Is there Evidence that Gap can be Closed? Have others closed the gap? Do we have a list of changes that we can use in our collaborative to get good results? Comments:
22 Exercise: Building A Long-Term Spread Strategy (from Prework) Do you expect to spread the work of your Collaborative teams to the rest of your organization? What is the timetable for this? What (or who) are the appropriate "units" for adopting changes from your change package? Who will make the decision to begin using the new ideas in their practice? Some examples of potential units include physicians, surgeons, emergency departments, hospitals, nursing units in a hospital, clinics, laboratories, or pharmacists. How many total units do you intend to spread to? This could be all eligible units or some defined subset of them. How many units will you select to attend your initial Collaborative? What percentage of the total units is this? How will you select these initial units?
23 You and Your Collaborative in minutes! Introduce yourself and your team Describe your collaborative Topic, number of organizations, location Report on your assessment of how ripe the topic is: The Gap Who/where is the best practice The business case for participants Insights from your Assessment Scoring Worksheet Your plans for Spread Listeners role: Ask questions, provide feedback, consult
24 Let s Revisit Ovretveit Which challenges are you most concerned about? 1. Choosing the right topic 2. Ensuring participants define their objectives and assess their capacity to benefit from the collaborative 3. Defining roles and making clear what is expected 4. Ensuring team building and preparation by teams for the collaborative 5. Enabling mutual learning rather than carrying out teaching 6. Motivating and empowering teams 7. Ensuring teams have measurable and achievable targets 8. Equipping teams to deal with data and change challenges 9. Learning and planning for sustaining improvements 10. Planning and learning for spread What is your plan for addressing them? 24
25 To the Workbook Pg. 325 Please go to the Planning Guide section of the Workbook and complete the Worksheet for Topic Selection.
CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationDesigning Reliable Value-based Systems of Care for Chronic Disease and Prevention
Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Frederick J. Bloom, Jr. MD MMM President, Guthrie Medical Group 1/23/15 Where We Want to Be 1. Affordable coverage for
More informationJourney in managing practice variation in Diabetes and Hypertension (Part 2/2)
Journey in managing practice variation in Diabetes and Hypertension (Part 2/2) For Part 1 of this presentation, go to http://rightcare.berkeley.edu/sacramento-university-of-best-practices Parag Agnihotri,
More informationDoes The Chronic Care Model Work?
Does The Chronic Care Model Work? A Chartbook created by the staff of: Improving Chronic Illness Care, At Group Health s s MacColl Institute Supported by The Robert Wood Johnson Foundation Grant # 48769
More informationPerson and Family Centered Care
Mountain Pacific Quality Health Foundation August 19, 2015 Person and Family Centered Care Martha Donovan Hayward IHI Lead for Patient and Public Engagement IHI Strategy 2 Person- and Family-Centered Care
More information1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy
More informationQuality Improvement Program Evaluation
Quality Improvement Program Evaluation 2013 Care Wisconsin 2013 Quality Improvement Program Evaluation INTRODUCTION Care Wisconsin s Quality Management Program uses the Home and Community-Based Quality
More informationRichard L. Gilbert, MD, MBA. Chairman/CEO, Southeast Anesthesiology Consultants. Charlotte, NC
Can a Data Driven Continuous Quality Improvement (CQI) System Change Physician Practice to Reduce Medical Errors, Improve Outcomes, and Lower Healthcare Costs? Richard L. Gilbert, MD, MBA Chairman/CEO,
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More informationPatient-centered care - from buzz word to meaningful reality. Current Health Care System
Patient-centered care - from buzz word to meaningful reality Katie Coleman, MSPH David K. McCulloch MD Current Health Care System Traditionally, this is the only part of the health care system that is
More informationThe Minnesota Statewide Quality Reporting and Measurement System (SQRMS)
The Minnesota Statewide Quality Reporting and Measurement System (SQRMS) Denise McCabe Quality Reform Implementation Supervisor Health Economics Program June 22, 2015 Overview Context Objectives and goals
More informationUniversity of Cincinnati Patient Centered Medical Home Leadership Decisions
University of Cincinnati Patient Centered Medical Home Leadership Decisions Eric J. Warm M.D., F.A.C.P. Program Director, Internal Medicine Associate Professor of Medicine University of Cincinnati College
More information1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN
More informationCROSSING 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
More information7-8 September 2016 Sheraton Hotel & Towers Ho Chi Minh City, Vietnam
7-8 September 2016 Sheraton Hotel & Towers Ho Chi Minh City, Vietnam www.hospitalmanagementasia.com 2 Empower Hospital Quality Culture through Accreditation About Vinmec Mission To deliver world class
More informationThe Scottish Patient Safety Programme
The Scottish Patient Safety Programme Prototype, Implement, Spread Carol Haraden, PhD, and Gordon Thomson, MSc, MRPHarmS Remember a time when a change spread quickly and quite easily? Why did this happen?
More informationPeripheral Arterial Disease: Application of the Chronic Care Model. Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario
Peripheral Arterial Disease: Application of the Chronic Care Model Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario Objectives Provide brief overview of PAD Describe the Chronic
More informationThe Breakthrough Series: IHI s Collaborative Model for Achieving Breakthrough Improvement
The Breakthrough Series: IHI s Collaborative Model for Achieving Breakthrough Improvement Institute for Healthcare Improvement In Brief Based on a collaborative approach, the Breakthrough Series model
More informationLeading for Patients Short-Term Integration Opportunities for Rouge Valley Health System and The Scarborough Hospital
Leading for Patients Short-Term Integration Opportunities for Rouge Valley Health System and The Scarborough Hospital April 23, 2014 Presentation to Central East LHIN Board Background March 27, 2013: The
More informationL19: Improving Transitions from the Hospital to Post Acute Care Settings
This presenter has nothing to disclose L19: Improving Transitions from the Hospital to Post Acute Care Settings Gail A. Nielsen December 8, 2013 25th Annual National Forum on Quality Improvement in Health
More informationEdmonds Family Medicine Clinic
Add your company logo here 2008-20 Best Practices in Managing Hypertension Sponsored by AMGA and Daiichi Sankyo. Wrap-Up Meeting November 18-20, 20 San Diego, CA Edmonds Family Medicine Clinic Controlling
More informationPatient Experience of Care
Minnesota Department of Health: Protecting, maintaining and improving the health of all Minnesotans Minnesota Statewide Quality Reporting and Measurement System (SQRMS): Patient Experience of Care March
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationManaging Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
More informationmeaningful reality Katie Coleman, MSPH
Patient-centered care - from buzz word to meaningful reality Katie Coleman, MSPH David K. McCulloch MD Current Health Care System T diti ll thi i th l Traditionally, this is the only part of the health
More informationUsing EHRs and Case Management to Improve Patient Care and Population Health
Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationHaringey and Islington
Haringey and Islington Wellbeing Partnership Who we are Thoughts on system leadership and on leading within complex systems Observations from our experience Recognising where we are seeing and showing
More informationComprehensive Medication Management (CMM) for Hypertension Patients: Driving Value and Sustainability
Comprehensive Medication Management (CMM) for Hypertension Patients: Driving Value and Sustainability Steven W. Chen PharmD, FASHP, FCSHP, FNAP Associate Dean for Clinical Affairs chens@usc.edu, 323-206-0427
More informationAdapting to changing times.. The challenge & the power of person-centredness
Adapting to changing times.. The challenge & the power of person-centredness The healthcare team.. Pharm. Dietician Doctor Chaplains Patient OT Physio Nurse Domestic Staff The healthcare team.. Dietician
More informationElectronic Physician Documentation: Increased Satisfaction
Electronic Physician Documentation: Increased Satisfaction Session 222, February 23, 2017 Robert (Bob) Diamond, Sr. Vice President / CIO, Health Quest Kshitij (Tij) Saxena, MD, CMIO, Health Quest 1 Speaker
More informationPatient Care: Case Study in EHR Implementation. With Help From Monkeys, Mice, and Penguins. Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007
Using Information Technology to Drive Patient Care: Case Study in EHR Implementation With Help From Monkeys, Mice, and Penguins Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007 MIT Medical Staff 122
More informationPatient safety in the NHS in England and the development of the Healthcare Safety Investigation Branch (HSIB)
Patient safety in the NHS in England and the development of the Healthcare Safety Investigation Branch (HSIB) Dr Mike Durkin NHS National Director of Patient Safety 11 May 2016 The NHS is big! Great potential
More informationAdvancing Popula/on Health and Consumerism
Advancing Popula/on Health and Consumerism 44,954 Senior Enrollees 274,345 Commercial Enrollees 66,070 Commercial ACO Members Popula/on Health Risk Stra/fica/on: Keep Pa/ents Healthy, Happy & at Home Tier
More informationImproving Clinical Outcomes The Case for Electronic ED Door to EKG Time Monitoring
Improving Clinical Outcomes The Case for Electronic ED Door to EKG Time Monitoring 2014 Distinguished Achievement Award for Clinical Excellence TM Competition October 22, 2014 St. Dominic-Jackson Memorial
More informationPRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
More informationCombining Nursing Power and Quality Metrics to Influence Policy Development
Combining Nursing Power and Quality Metrics to Influence Policy Development Patricia Nevins, MSN/Ed, RN, FANAI Baylor Scott and White Hospital Patient Advisory Nursing Department Objectives Analyze financial
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationImproving Pain Center Processes utilizing a Lean Team Approach
Improving Pain Center Processes utilizing a Lean Team Approach Organization Name: St. Joseph Medical Center Type: Acute Care Hospital Contact Person: Sue Mitchell Title: Nurse Mgr Pain Mgmt Center E-Mail:
More informationImprovements & Sustained Change through the Implementation of High Reliability Units
Improvements & Sustained Change through the Implementation of High Reliability Units Tammy Van Dyk, MSN, RN, CPEN Quality Management & Patient Safety Manager Objective Describe how high reliability principles
More informationExecutive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA
MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q3 2013 Executive Summary STATE OF CALIFORNIA The Centers for Medicare & Medicaid Services (CMS) has tasked Health Services Advisory
More informationWorking in partnership to improve the identification and treatment of sepsis
Identifying and Tackling Sepsis in Healthcare Tuesday 25 th April 2017 Working in partnership to improve the identification and treatment of sepsis Tracy Broom Associate Director Wessex Patient Safety
More informationQuality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance
Quality and Efficiency Support Team (QuEST) Directorate for Health Workforce and Performance A Whole System Approach to Patient Flow for Scotland Our Quality Improvement Approach Jane Murkin Programme
More informationStrategies for an Effective Structural Heart Program: Current and Future Considerations
Strategies for an Effective Structural Heart Program: Current and Future Considerations Eric L. Sarin, MD Co-Director, Structural Heart and Valve Program Co-Director, Cardiovascular Research Inova Heart
More informationLaguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017
Laguna Honda Lean Transformation Laguna Honda Strategic Performance Management November 2017 Background MAKE IT BETTER 4. 1. Performance Improvement FIX IT Do the work and make it happen 3. Create best
More informationDeveloping Work Experience Placements for Schools. Will McConnell
Developing Work Experience Placements for Schools Will McConnell Work experience Keen to encourage students from a wide range of backgrounds to consider a medical career Frustrations from consultant colleagues
More informationEnlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
More informationNational Clinical Audit & Patient Outcome Programme: An update
National Clinical Audit & Patient Outcome Programme: An update Jenny Mooney Director of Operations www.hqip.org.uk Healthcare Quality Improvement Partnership Our structure and funding The National Clinical
More informationThe 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
More informationTranslating Evidence to Safer Care
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
More informationReducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU. Change Package.
Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU Change Package January 2012 Background The ultimate goal of medication reconciliation is to prevent adverse
More informationBreathing Easy: A Case Study on Asthma Prevention
Breathing Easy: A Case Study on Asthma Prevention Bob Morrow, MD, MBA Market President, Houston & Southeast Texas Blue Cross and Blue Shield of Texas @DrBobMorrow A Division of Health Care Service Corporation,
More informationPresenter Disclosure
Improving Transitions from the Hospital to Community Settings IHI National Forum Learning Lab Sunday, December 8, 2013 Presenter Disclosure MaryAnne Elma, MPH Quality Implementation and Innovations Director
More informationDriving High-Value Care via Clinical Pathways. Andrew Buchert, MD Gabriella Butler, MSN, RN
Driving High-Value Care via Clinical Pathways Andrew Buchert, MD Gabriella Butler, MSN, RN 1 Andrew Buchert, MD Medical Director, Clinical Resource Management Children s Hospital of Pittsburgh of UPMC
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer 1. April 2010 2320 RN VACANCY RATE: Overall 2320 RN vacancy rate for
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March 2018
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing......1-2 2. Emergency
More informationCompliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
More informationNational Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions
National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,
More informationJulie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA
Julie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA Patients and Families as Care Partners April 20, 2011 Little about us Contra Costa Regional
More information3/24/2016. 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
More informationChange Management at Orbost Regional Health
Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds
More informationUtilizing FPPE and OPPE Effectively OPPE & FPPE. Joint Commission FAQs. Utilizing FPPE and OPPE Effectively. Susan Mellott PhD, RN.
Utilizing FPPE and OPPE Effectively Susan Mellott PhD, RN, CPHQ, FNAHQ OPPE & FPPE For the sake of this presentation, OPPE and FPPE will be discussed as it pertains to physicians. However, all information
More informationThe Case for Optimal Staffing: A Call to Action
The Case for Optimal Staffing: A Call to Action 2015 ANCC National Magnet Conference October 7, 2015 2:30 3:30pm Session C721 Mary Jo Assi, DNP, RN, NEA BC, FNP BC Director of Nursing Practice and Work
More informationEnsuring Patient Safety and Quality Measures for RRT in AKI 2. Eileen Lischer MA, BSN, RN, CNN University of California, San Diego
Ensuring Patient Safety and Quality Measures for RRT in AKI 2 Eileen Lischer MA, BSN, RN, CNN University of California, San Diego Today we may be doing what we can, but tomorrow we can improve Hughes,
More informationQuality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals
Quality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals DMC Harper- Hutzel Hospital The DMC is an 8 facility academic medical center Harper-Hutzel is
More informationNorthumberland Frail Elderly Pathway. Dr David Shovlin Fiona Brown
Northumberland Frail Elderly Pathway Dr David Shovlin Fiona Brown What s special about the Frail Elderly Pathway Patient centered joint working across the entire health and social care system for over
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationBOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013
Borders NHS Board BOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013 Aim The aim of this report is to provide the Board with an overview of progress in the areas of: Patient Safety Person Centred Health
More informationTransforming to Value: One Way Forward
Transforming to Value: One Way Forward Intermountain Healthcare s Value-Based Reimbursement and Change Management Strategy Mark Briesacher, MD Senior Administrative Medical Director Intermountain Medical
More informationSt Paul s Way Medical Centre. Patient Participation Group Event September 2013
St Paul s Way Medical Centre Patient Participation Group Event September 2013 Welcome and introductions Dr Joe Hall Lead GP Dr Emma Murphy Lead GP Luthfur Rahman Patient Advisor Rukshana Parvez - Receptionist
More informationWorkshop D/E 28: Improving Access and Surgical Quality in the US Military. December 13, 2017
Workshop D/E 28: Improving Access and Surgical Quality in the US Military December 13, 2017 MHS Strategic Partnership with IHI 2 Objective A: Learn from International Network of Strategic Partners Objective
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department
More informationIntegrating Community and Primary Care: the eyes and ears of general practice
re Integrating Community and Primary Care: the eyes and ears of general practice Context and Evidence Increasing numbers of people over 65 with chronic conditions being managed in primary care. Acute exacerbations
More informationIHI Expedition. Improving Care for Frail Older Adults with Complex Needs Session 3
Wednesday, October 30, 2013 These presenters have nothing to disclose IHI Expedition Improving Care for Frail Older Adults with Complex Needs Session 3 Joanne Lynn, MD, MA, MS Holly Stanley, MD Karen Baldoza,
More informationVASCULAR HEALTH QI TOOLKIT
VASCULAR HEALTH QI TOOLKIT DECEMBER 2016 VASCULAR HEALTH QI TOOLKIT TABLE OF CONTENTS 1. Determining Readiness for Change... 3 a) Assessing for team/practice capacity b) Assessing for measurement capacity
More informationEnhancing Communication Skills: A Catalyst for Organizational Cultural Transformation Presented by William Maples, MD, Chief Medical Officer,
Enhancing Communication Skills: A Catalyst for Organizational Cultural Transformation Presented by William Maples, MD, Chief Medical Officer, Professional Research Consultants and Executive Director, The
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. 2320 RN Vacancy Rates for the Month of January 2013
More informationImproving Children s Health Together
Improving Children s Health Together Improvement is our business. Committed professionals and organizations across the U.S. are working hard every day to make it easier for children and families to live
More informationOutline. I Love My Intern! How can we involve residents in patient satisfaction?
I Love My Intern! How can we involve residents in patient satisfaction? APDIM Fall Meeting October 2012 Outline Pre Assessment Introduction Small Groups Small Group Presentations G.U.I.D.E. TM Conclusions
More informationNurse Led End of Life Care. Catherine Malia- St Gemma s Hospice, Leeds Lynne Symonds- St Catherine s Hospice, Scarborough
Nurse Led End of Life Care Catherine Malia- St Gemma s Hospice, Leeds Lynne Symonds- St Catherine s Hospice, Scarborough SETTING THE SCENE Preferences for Place of Death 2014 Home 72% Hospice 10% Care
More informationCreating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Eileen Sacco MSN, RN, CNRN, ONC
More informationMBQIP Measures Fact Sheets December 2017
December 2017 This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1RRH29052, Rural Quality
More informationINSTITUTIONAL/INSTITUTIONAL EQUIVALENT (I/IESNP) DUAL SPECIAL NEEDS PLAN (DSNP) CHRONIC SPECIAL NEEDS PLAN (LSNP)
SNP MODEL OF CARE ANNUAL EVALUATIONS FOR 2013 INSTITUTIONAL/INSTITUTIONAL EQUIVALENT (I/IESNP) DUAL SPECIAL NEEDS PLAN (DSNP) CHRONIC SPECIAL NEEDS PLAN (LSNP) 1 7 0 1 P O N C E D E L E O N B L V D, S
More information712CD. Phone: Fax: Comparison of combat casualty statistics among US Armed Forces during OEF/OIF
712CD 75 TH MORSS CD Cover Page If you would like your presentation included in the 75 th MORSS Final Report CD it must : 1. Be unclassified, approved for public release, distribution unlimited, and is
More informationThe New Clinical Research Landscape Incentives, Opportunities and Support Offered by the NIHR
The New Clinical Research Landscape Incentives, Opportunities and Support Offered by the NIHR 1 September 2011 Dr Jonathan Gower Assistant Director CCRN The National Institute of Health Research - A real
More informationMinicourse Objectives
Session M1 This presenter has nothing to disclose SINAI-GRACE HOSPITAL Vanguard Health Systems/Detroit Medical Center Peggy Segura RN, MSN, FNP-BC Nurse Practitioner, Quality & Safety/Clinical Effectiveness
More informationAnn Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence
Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Background Outline Innovative strategies to develop
More informationWorkflow. Optimisation. hereweare.org.uk. hereweare.org.uk
Workflow Optimisation Dr. Paul Deffley & Jaivir Pall Clinical Lead & Commercial Lead About Here Not-for-profit social enterprise Membership organisation (our members are local GPs, Practice Managers, Practice
More informationKey Steps in Creating & Sustaining Excellence
Key Steps in Creating & Sustaining Excellence 1. Create a context for excellence 2. Enroll others (starting with leaders) in the vision for excellence 3. Create alignment, ownership and transparency to
More informationPACE Performance on Post-Discharge Primary Care Evaluations from Jan-Jun 2012 PACE. By: Rocio Solano Padilla PCLP-NMF/GE Scholar Jul 23, 2012
PACE Performance on Post-Discharge Primary Care Evaluations from Jan-Jun 2012 PACE By: Rocio Solano Padilla PCLP-NMF/GE Scholar Jul 23, 2012 2 INTRODUCTION Who am I? Physician Assistant student Towson/CCBC
More informationExecutive Director s Report: Customer Experience Update
Executive Director s Report: Customer Experience Update Board of Directors Meeting, November 12, 215 Seconds Calls Service Center Performance 2, 18, 16, 14, 12, 1, 8, 6, 4, 2, Calls Offered Jan 215 Sept
More informationMaternity and Family Education
2014 Maternity and Family Education Phone: 980-487-3983 email: crmcmaternityandfamilyeducation@carolinashealthcare.org 1 2 Maternity and Family Education Programs When it comes to having a baby, you can
More informationFast Facts 2018 Clinical Integration Performance Measures
IMPORTANT: LHP providers who do not achieve a minimum CI Score in 2018 will not be eligible for incentive distribution and will be placed on a monitoring plan for the 2019 performance year. For additional
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationPart 4. Change Concepts for Improving Adult Cardiac Surgery. In this section, you will learn a group. of change concepts that can be applied in
Change Concepts for Improving Adult Cardiac Surgery Part 4 In this section, you will learn a group of change concepts that can be applied in different ways throughout the system of adult cardiac surgery.
More informationOverview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy
Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010
BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the
More information