BIG ISSUES IN THE NEXT TEN YEARS OF IMPROVEMENT
|
|
- Paula Gibson
- 5 years ago
- Views:
Transcription
1 BIG ISSUES IN THE NEXT TEN YEARS OF IMPROVEMENT Academy for Health Services Research and Health Policy Annual Meeting Washington, DC: June 24, 2002 Donald M. Berwick, MD, MPP
2 Patient and Community The Chain of Effect in Improving Health Care Quality Experience Aims (safe, effective, patient-centered, timely, efficient, equitable) Micro-system Process Simple rules/design Concepts (knowledge-based, customized, cooperative) Organizational Context Facilitator of Processes Design Concepts (HR, IT, finance, leadership) Environmental Context Facilitator of Facilitators Design Concepts (financing, regulation, accreditation, education)
3 Three Levels of Aggregation Interactions between patient and care system Design of organizations Design of the environment of care
4 Patient and Community The Chain of Effect in Improving Health Care Quality Experience Aims (safe, effective, patient-centered, timely, efficient, equitable) Micro-system Process Simple rules/design Concepts (knowledge-based, customized, cooperative) Organizational Context Facilitator of Processes Design Concepts (HR, IT, finance, leadership) Environmental Context Facilitator of Facilitators Design Concepts (financing, regulation, accreditation, education)
5 Frameworks for Patient Segmentation Stratification models robust, but dynamic Not stereotyping, but a prelude to individualization Beyond age, gender, race, and diagnosis
6 Plausible Candidates for Segmentation Dimensions Predilection for self-care Attitude toward time Attitude toward continuity Need for information Social support structures
7 Incorporating Knowledge of Variation into Care Statistical process control in physiological monitoring Special and common cause Graphical methods Treatment as prediction Explicit theories Tracking across boundaries
8 Establishing Continuous Flow Engineer-clinician as a specialty Prototype systems Wait-free, defect-free, inventoryfree Involve the varsity from engineering sciences
9 Emergency Medical Services Diversion Hours -- Massachusetts JAN M AR M AY JUL SEP NOV
10 Amidst Variable Inflow, How Crowded Can Hospital Units Be? 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% M onth Predicted Blocking Rate Observed Blocking Rate Utilization As random demand meets a fixed capacity, rejections are accurately predicted by queueing theory (r = 0.9).
11 Lessons from Queueing Theory: Predictions Calculated performance measures: Utilization (% time servers are busy) Waiting time Length of waiting lines Probability of balking or rejection Response of a queueing system to increasing utilization is nonlinear As utilization rises, waits and rejections increase exponentially Lq re q u e s ts re jected % 70% 60% 50% 40% 30% 20% 10% 0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% utilization 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% utilization
12 Lessons from Queueing Theory: Observations 50% 45% 40% 35% Rejection rate 30% 25% 20% 15% 10% y = e x 5% R 2 = % 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% MICU utilization
13 Elective Surgical Requests vs Total Refusals elective surgical patients seeking ICU admission patients diverted or rejected from the ICU /1/00 4/6/00 4/11/00 4/16/00 4/21/00 4/26/00 5/1/00 5/6/00 5/11/00 5/16/00 5/21/00 5/26/00 5/31/00
14 Possibilities and Limits of Self-Care Everyone is a doctor as a concept Obstacle-free innovation settings Start with lead customers
15 Achieving a Truthful System Open the discussion: How truthful are we? Leaders must start it
16 Stages of Facing Reality: To live divided no more The data are wrong The data are right, but it s not a problem The data are right; it is a problem; but it is not my problem. I accept the burden of improvement
17 Patient and Community The Chain of Effect in Improving Health Care Quality Experience Aims (safe, effective, patient-centered, timely, efficient, equitable) Micro-system Process Simple rules/design Concepts (knowledge-based, customized, cooperative) Organizational Context Facilitator of Processes Design Concepts (HR, IT, finance, leadership) Environmental Context Facilitator of Facilitators Design Concepts (financing, regulation, accreditation, education)
18 Designing the 21 st Century Medical Record National moon shot Public-domain default option Scalable from the point of care Define quality characteristics Reduce medical record costs 50% Rediscover Larry Weed: Medical Records that Guide and Teach
19 Designs of Healing Places Innovation laboratories Avoid political correctness Substitute learning Assume nothing from the status quo
20 Placing Knowledge at the Point of Care Honor thy user Not primarily compliance, but rather human factors design Pull as well as push Create public-domain options
21 Where Is the Muda in Health Care? Models of muda in health care The business case for waste reduction Exploit international variation for learning Question habits, rules, and beliefs Involve the front line New accounting processes to unmask muda
22 Percent of Medicare Decedents Admitted to ICU During the Terminal Hospitalization ( ) 30.0 % Admitted to ICU ( ) 96)
23 Distinguish Need More from Need Different Learn from the variation Population care models should help Transparency to enlighten us W h a t i s e n o u g h?
24 How Can Joy in Work Be Reliable? Seek joy. High quality cannot come from a demoralized workforce Ethnography, anthropology, stories Need a system-level strategy, not just a discipline-specific strategy
25 Patient and Community The Chain of Effect in Improving Health Care Quality Experience Aims (safe, effective, patient-centered, timely, efficient, equitable) Micro-system Process Simple rules/design Concepts (knowledge-based, customized, cooperative) Organizational Context Facilitator of Processes Design Concepts (HR, IT, finance, leadership) Environmental Context Facilitator of Facilitators Design Concepts (financing, regulation, accreditation, education)
26 Barriers to Quality that Lie in Health Care Financing Document the toxicities Understand the entire chain of financial flow Explore capitation. Again Define quality characteristics of payment Social experiments on payment
27 Fair, Equitable, and Open Approach to Medical Injuries Define the quality characteristics of a liability system Social experiments Consider a policy of extreme honesty Consider no-fault, enterprise liability Consider reliable compensation of victims of medical injury
28 Preparing Young Professionals for Citizenship in Improvement Separateness and fragmentation as learned skills Cooperation as a topic for study Cover the continuum (AAMC, ACGME, etc.) Team training Reconsider professional ethics
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
More informationEnhancing Patient Quality and Safety with Compliance
Enhancing Patient Quality and Safety with Compliance April 23, 2013 John Kalb, JD, CCEP, CHPC Operational Excellence Executive/ Compliance Officer Kootenai Health Content A successful compliance program
More informationAurora will expand its geographic coverage within Wisconsin to achieve its mission to: Aurora Health Care 1991 Strategic Plan
Objectives To describe the 20-year evolution of Aurora Medical Group within Aurora Health Care To identify the cultural characteristics necessary to improve patient access from the patient s perspective
More informationBegin Implementation. Train Your Team and Take Action
Begin Implementation Train Your Team and Take Action These materials were developed by the Malnutrition Quality Improvement Initiative (MQii), a project of the Academy of Nutrition and Dietetics, Avalere
More informationWhen preparing for an ACE certification exam,
Introduction to Coaching CHAPTER 1 APPENDIX B Exam Content Outline For the most up-todate version of the Exam Content Outline, please go to www.acefitness.org/ HealthCoachexamcontent and download a free
More informationApplying Critical ED Improvement Principles Jody Crane, MD, MBA Kevin Nolan, MStat, MA
These presenters have nothing to disclose. Applying Critical ED Improvement Principles Jody Crane, MD, MBA Kevin Nolan, MStat, MA April 28, 2015 Cambridge, MA Session Objectives After this session, participants
More informationSpecialty Care System Performance Measures
Specialty Care System Performance Measures The basic measures to gauge and assess specialty care system performance include measures of delay (TNA - third next available appointment), demand/supply/activity
More informationWHITE PAPER. Key Strategies for Improving Hospital Flow. Content
WHITE PAPER Key Strategies for Improving Hospital Flow BY: Kirk B. Jensen, MD, MBA, FACEP Content The ED is a part of a hospital-wide system of patient flow Every system produces the results it is designed
More informationLESSONS LEARNED IN LENGTH OF STAY (LOS)
FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus
More informationSystems Based Thinking and Practice. AAMC Jewish Healthcare Foundation MIT Sloan School
Systems Based Thinking and Practice AAMC Jewish Healthcare Foundation MIT Sloan School . Why area we interested in this? The Emerging Vision for AMC s Specialist entrepreneurs linked by a common billing
More informationCOMMUNICATION KNOWLEDGE LEADERSHIP PROFESSIONALISM BUSINESS SKILLS. Nurse Executive Competencies
COMMUNICATION KNOWLEDGE LEADERSHIP PROFESSIONALISM BUSINESS SKILLS Nurse Executive Competencies Suggested APA Citation: American Organization of Nurse Executives. (2015). AONE Nurse Executive Competencies.
More informationInpatient Flow Real Time Demand Capacity: Building the System
Inpatient Flow Real Time Demand Capacity: Building the System Roger Resar, MD, Kevin Nolan, and Deb Kaczynski We would like to acknowledge the conceptual contributions of Diane Jacobsen, Marilyn Rudolph,
More informationOHSU SoM UME Competencies YourMD
Preamble: In August, 2014, Oregon Health & Science University (OHSU) School of Medicine (SoM) launched a new curriculum for its entering medical school class. This curriculum transformation was the result
More informationWebinar: Practical Approaches to Improving Patient Pre-Op Preparation
Webinar: Practical Approaches to Improving Patient Pre-Op Preparation Your Presenters Michael Hicks, MD, MBA, FACHE Chief Executive Officer EmCare Anesthesia Services Lisa Kerich, PA-C Vice President Clinical
More informationPrinciples and Values of Team-Based Care
Principles and Values of Team-Based Care An Institute of Medicine Discussion Paper The Patient-Centered Primary Care Collaborative Webinar Series February 28, 2013 The health care we want to provide for
More informationGeneral Eligibility Requirements
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 Overview General Eligibility Requirements Clinical Care Program Certification (CCPC)
More informationThe Pediatric Pathology Milestone Project
The Pediatric Pathology Milestone Project A Joint Initiative of The Accreditation Council for Graduate Medical Education and The American Board of Pathology July 2015 The Pediatric Milestone Project The
More informationTraining Regulation: Trainee Agreement
Training Regulation: Trainee Agreement 1. PURPOSE AND SCOPE This document outlines the Australian Board of Plastic and Reconstructive Surgery ( the Board") regulations and process for the signing of 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 informationA Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation
A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish
More informationEquality and Diversity Policy (originated July 2016)
Equality and Diversity Policy (originated July 2016) General The ISTD is committed to promoting an environment where all individuals are encouraged to achieve their full potential and develop their skills,
More informationBrooke 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
More informationEnterprise Continuous Improvement - Lean Improving organizational performance in Minnesota state government
Enterprise Continuous Improvement - Lean Improving organizational performance in Minnesota state government Commission on Service Innovation Sheila Reger, Commissioner of Administration September 16, 2010
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 informationVISTA COLLEGE ONLINE CAMPUS
VISTA COLLEGE ONLINE CAMPUS Page 1 YOUR PATH TO A BETTER LIFE STARTS WITH ONLINE CAREER TRAINING AT HOME BACHELOR OF SCIENCE DEGREE IN HEALTHCARE ADMINISTRATION ONLINE The online Bachelor of Science Degree
More informationAONE Nurse Executive Competencies Assessment Tool
AONE Nurse Executive Competencies Assessment Tool The AONE Nurse Executive Competencies (originally published in the February 2005 issue of Nurse Leader) describe skills common to nurses in executive practice
More informationECU Teacher s in Quality Academy Vidant Health Quality Program. Learning Session 1 March 24, 2014
ECU Teacher s in Quality Academy Vidant Health Quality Program Learning Session 1 March 24, 2014 Objectives 1. Describe organizational approach to patient safety/quality improvement at Vidant Health and
More informationPOPULATION HEALTH MANAGEMENT, PROGRAMS, MODELS, AND TOOLS A. LEE MARTINEZ DBH-C, MA, LAC, CPHQ
POPULATION HEALTH MANAGEMENT, PROGRAMS, MODELS, AND TOOLS A. LEE MARTINEZ DBH-C, MA, LAC, CPHQ Learning objectives At the conclusion of this session, the participant will be able to: Learning Objective
More informationLean Six Sigma in Healthcare. 4 Simple BFO s s that Change Everything
Lean Six Sigma in Healthcare 4 Simple BFO s s that Change Everything Presented By: Joseph Duhig Senior Vice President Juran Institute, Inc. February 23, 2008 BFO s = Blinding Flashes of the Obvious 8005
More informationHardwiring 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,
More informationPatient Advocate Certification Board. Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA)
Patient Advocate Certification Board Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA) Attribution The Patient Advocate Certification Board (PACB) recognizes the importance
More informationExperiential Education
Experiential Education Experiential Education Page 1 Experiential Education Contents Introduction to Experiential Education... 3 Experiential Education Calendar... 4 Selected ACPE Standards 2007... 5 Standard
More informationBIOSC Human Anatomy and Physiology 1
BIOSC 0950 3 Human Anatomy and Physiology 1 This course is designed to present students with a basic foundation in normal human anatomy and physiology. Topics covered are: cell physiology, histology, integumentary,
More informationMinnesota health care price transparency laws and rules
Minnesota health care price transparency laws and rules Minnesota Statutes 2013 62J.81 DISCLOSURE OF PAYMENTS FOR HEALTH CARE SERVICES. Subdivision 1.Required disclosure of estimated payment. (a) A health
More informationMassachusetts General Hospital Nursing & Patient Care Services Strategic Plan
Massachusetts General Hospital Nursing & Patient Care Services 2017 Strategic Plan January 2017 Mission Guided by the needs of our patients and their families, we aim to deliver the very best health care
More informationCOOK 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:
More informationRoadmap to accountable care: The chicken or the egg technology investment or clinical process improvement?
Roadmap to accountable care: The chicken or the egg technology investment or clinical process improvement? August 29, 2012 Meet the Presenters Michael Griffis CIO Innovative Practices Tucson, AZ Beth Hartquist,
More informationDalhousie School of Health Sciences. Halifax, Nova Scotia. Curriculum Framework
Halifax, Nova Scotia Approved: June 2001 Revised: May 2006 Reviewed: Sept. 06 Revised/Approved August 2010 Revised: Sept. 2016 Revised: Nov. 2017 Page 1 Preamble This document was created to provide a
More informationEvidence-Based Practice. An Independent Study Short Course for Medical-Surgical Nurses
Evidence-Based Practice An Independent Study Short Course for Medical-Surgical Nurses This module was developed by the Clinical Practice Committee of the Academy of Medical-Surgical Nurses, in accordance
More informationSchool of Nursing Philosophy (AASN/BSN/MSN/DNP)
School of Nursing Mission The mission of the School of Nursing is to educate, enhance and enrich students for evolving professional nursing practice. The core values: The School of Nursing values the following
More information2018 Optional Special Interest Groups
2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve
More informationIntegration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care
Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care WelshConfed18 Integration learning to support responding
More informationMPH Internship Waiver Handbook
MPH Internship Waiver Handbook Guidelines and Procedures for Requesting a Waiver of MPH Internship Credits Based on Previous Public Health Experience School of Public Health University at Albany Table
More informationSummary of the ABPN MOC Program: Life-Long Learning for Psychiatrists and Neurologists
Summary of the MOC Program: Life-Long Learning for Psychiatrists and Neurologists by Larry R. Faulkner, M.D. President and CEO American Board of Psychiatry and Neurology August 2016 1 I am employed by
More informationPG snapshot PRESS GANEY IDENTIFIES KEY DRIVERS OF PATIENT LOYALTY IN MEDICAL PRACTICES. January 2014 Volume 13 Issue 1
PG snapshot news, views & ideas from the leader in healthcare experience & satisfaction measurement The Press Ganey snapshot is a monthly electronic bulletin freely available to all those involved or interested
More informationMALNUTRITION QUALITY IMPROVEMENT INITIATIVE (MQii) FREQUENTLY ASKED QUESTIONS (FAQs)
MALNUTRITION QUALITY IMPROVEMENT INITIATIVE (MQii) FREQUENTLY ASKED QUESTIONS (FAQs) What is the MQii? The Malnutrition Quality Improvement Initiative (MQii) aims to advance evidence-based, high-quality
More informationPhysician Cultural Competency Independent Training Module for Simply Healthcare, Better Health and, Clear Health Alliance Providers
Physician Cultural Competency Independent Training Module for Simply Healthcare, Better Health and, Clear Health Alliance Providers Purpose of Training This Cultural Competency training aims to ensure
More informationDesign 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
More informationThe Nature of Knowledge
The Importance of Data Analytics in Physician Practice Massachusetts Medical Society March 30, 2012 James L. Holly, MD CEO, SETMA, LLP www.setma.com Adjunct Professor Department of Family and Community
More informationUnscheduled care Urgent and Emergency Care
Unscheduled care Urgent and Emergency Care Professor Derek Bell Acute Medicine Director NIHR CLAHRC for NW London Imperial College London Chelsea and Westminster Hospital Value as the overarching, unifying
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 informationPANELS AND PANEL EQUITY
PANELS AND PANEL EQUITY Our patients are very clear about what they want: the opportunity to choose a primary care provider access to that PCP when they choose a quality healthcare experience a good value
More informationSTUDY OF PATIENT WAITING TIME AT EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL IN INDIA
STUDY OF PATIENT WAITING TIME AT EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL IN INDIA *Angel Rajan Singh and Shakti Kumar Gupta Department of Hospital Administration, All India Institute of Medical
More informationComparative Effectiveness Research and Patient Centered Outcomes Research in Public Health Settings: Design, Analysis, and Funding Considerations
University of Kentucky UKnowledge Health Management and Policy Presentations Health Management and Policy 12-7-2012 Comparative Effectiveness Research and Patient Centered Outcomes Research in Public Health
More informationThe Milestones provide a framework for assessment
The Medical Genetics Milestone Project The Milestones provide a framework for assessment of the development of the resident physician in key dimensions of the elements of physician competency in a specialty
More informationAccountable Care Organizations. What the Nurse Executive Needs to Know. Rebecca F. Cady, Esq., RNC, BSN, JD, CPHRM
JONA S Healthcare Law, Ethics, and Regulation / Volume 13, Number 2 / Copyright B 2011 Wolters Kluwer Health Lippincott Williams & Wilkins Accountable Care Organizations What the Nurse Executive Needs
More informationUsing Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting
Using Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting How many times have we heard that it s easy to apply Lean and Six Sigma techniques to hospital processes, and specifically
More informationComplexities & Progress in Graduate Medical Education
Complexities & Progress in Graduate Medical Education NHPF Meeting on GME Atul Grover, M.D., Ph.D., FACP, FCCP Chief Public Policy Officer, AAMC September 6, 2013 Key Principles of Accountability Measures
More informationA strategy for building a value-based care program
3M Health Information Systems A strategy for building a value-based care program How data can help you shift to value from fee-for-service payment What is value-based care? Value-based care is any structure
More informationTransforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
More informationACHIEVING THE TRIPLE AIM THROUGH LARGE SCALE IMPROVEMENT EFFORTS JASON FOLTZ, D.O. TEACHERS OF QUALITY ACADEMY QI SYMPOSIUM MARCH 2, 2016
ACHIEVING THE TRIPLE AIM THROUGH LARGE SCALE IMPROVEMENT EFFORTS JASON FOLTZ, D.O. TEACHERS OF QUALITY ACADEMY QI SYMPOSIUM MARCH 2, 2016 OVERVIEW: WHAT, WHO, HOW? What: How do you move a large multi-specialty
More informationThree C s of Change in the Value-Based Economy: Competency, Culture and Compensation. April 4, :45 5:00 pm
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation April 4, 2014 3:45 5:00 pm 1 Introduction Kevin McCune, MD Chief Medical Officer Advocate Medical Group Peg Stone Vice
More informationBackground and Issues. Aim of the Workshop Analysis Of Effectiveness And Costeffectiveness. Outline. Defining a Registry
Aim of the Workshop Analysis Of Effectiveness And Costeffectiveness In Patient Registries ISPOR 14th Annual International Meeting May, 2009 Provide practical guidance on suitable statistical approaches
More informationMerced College Registered Nursing 34: Advanced Medical/Surgical Nursing and Pediatric Nursing
Merced College Registered Nursing 34: Advanced Medical/Surgical Nursing and Pediatric Nursing Course Description, Student Learning Outcomes and Competencies, Clinical Evaluation Tool, and Clinical Activities
More informationUsing System Dynamics to study Army Reserve deployment sustainability
22nd International Congress on Modelling and Simulation, Hobart, Tasmania, Australia, 3 to 8 December 2017 mssanz.org.au/modsim2017 Using System Dynamics to study Army Reserve deployment sustainability
More informationHow Allina Saved $13 Million By Optimizing Length of Stay
Success Story How Allina Saved $13 Million By Optimizing Length of Stay EXECUTIVE SUMMARY Like most large healthcare systems throughout the country, Allina Health s financial health improves dramatically
More informationHow 2018 Will Be The Year You Embrace Continuous Connectivity. NERSI NAZARI, PHD Chief Executive Officer
How 2018 Will Be The Year You Embrace Continuous Connectivity NERSI NAZARI, PHD Chief Executive Officer WE ARE CONTINUOUSLY CONNECTED Socially Friends and community Financially Balances and bills Parenting
More informationDoctor of Nursing Practice (DNP) Project Handbook 2016/2017
www.nursing.camden.rutgers.edu Doctor of Nursing Practice (DNP) Project Handbook Introduction: 2016/2017 The DNP scholarly project should demonstrate a process of rigorous systematic inquiry to generate
More informationOutline. Disproportionate Cost of Care. Health Care Costs in the US 6/1/2013. Health Care Costs
Outline Rochelle A. Dicker, MD Associate Professor of Surgery and Anesthesia UCSF Critical Care Medicine and Trauma Conference 2013 Health Care Costs Overall ICU The study of cost analysis The topics regarding
More informationEXECUTIVE ASSOCIATE DEAN OF NURSING SCHOOL OF HEALTH PROFESSIONS AND EDUCATION UTICA COLLEGE
EXECUTIVE ASSOCIATE DEAN OF NURSING SCHOOL OF HEALTH PROFESSIONS AND EDUCATION UTICA COLLEGE THE SEARCH Utica College - - a young, small, vibrant, entrepreneurially- minded institution - - invites applications
More informationLeadership for Transforming Health Care
Presenters have nothing to disclose. Leadership for Transforming Health Care Partnerships with Patients and Families Barbara Balik, RN, EdD Kris White, RN, MBA November 4, 2014 This presenter has nothing
More informationCERRITOS COLLEGE HEALTH OCCUPATIONS DIVISION ASSOCIATE DEGREE NURSING PROGRAM INFORMATION PACKET
CERRITOS COLLEGE HEALTH OCCUPATIONS DIVISION ASSOCIATE DEGREE NURSING PROGRAM INFORMATION PACKET www.cerritos.edu/ho DEAR APPLICANT, Thank you for your interest in the Associate Degree Nursing Program,
More informationExecutive Summary. This Project
Executive Summary The Health Care Financing Administration (HCFA) has had a long-term commitment to work towards implementation of a per-episode prospective payment approach for Medicare home health services,
More informationIntegrated leadership for physicians, health care executives, hospitals and health systems
Integrated leadership for physicians, health care executives, hospitals and health systems J. James Rohack MD FACC FACP Texas Care Alliance Clinician/Trustee/CEO Conference April 30, 2016 Learning Objectives
More informationChest Pain Accredited. Transplant Program-Heart, Kidney, Liver. Hear Transplant Program serving San Antonio area for 25 years
PUTTING THE PATIENT FIRST IN PATIENT PLACEMENT 8 Hospital System, 1 Freestanding ED Provide healthcare to 26 surrounding counties within South Texas International Transfer Services Methodist Healthcare
More informationSummary of recommendations
Summary of recommendations Improving Safety Through Education and Training Report by the Commission on Education and Training for Patient Safety www.hee.nhs.uk/the-commission-on-education-and-training-for-patient-safety
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation
More informationThe Perfusionist s Role in a Diversified Healthcare Leadership Environment
The Perfusionist s Role in a Diversified Healthcare Leadership Environment David Kouri, MA, RN, CCP, LP Chief Cardiovascular Perfusionist Loyola University Medical Center U.S. News and World Reports 2014-15
More informationStrategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections
C10 This presenter has nothing to disclose Strategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections David Renfro, MS, RN NE BC Kelly Farnam, BSN, RN Gloria Martinez, MS, RN, NEA
More informationCenter for Health and Technology Telehealth Education Program. Executive Overview
Executive Overview 1. Technology-Enabled Health Understand the rationale for the use of advanced IT in healthcare Identify elements of a technology-enabled health care system Learn of the legal, regulatory
More informationMonthly and Quarterly Activity Returns Statistics Consultation
Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:
More informationA Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned
A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned Stephen Rosenthal, MBA President and COO, Montefiore Care Management
More informationAsian Professional Counselling Association Code of Conduct
2008 Introduction 1. The Asian Professional Counselling Association (APCA) has been established to: (a) To provide an industry-based Association for persons engaged in counsellor education and practice
More informationDelivering Great Care with High Reliability The Orlando Health Journey
FE5 These presenters have nothing to disclose Delivering Great Care with High Reliability The Orlando Health Journey December 11, 2017 Frank Federico, RPh Vice President Patricia McGaffigan, RN, MS, CPPS
More informationHITT1345 Health Care Delivery Systems
Course Syllabus HITT1345 Health Care Delivery Systems Catalog Description: Examination of delivery systems including organization, financing, accreditation, licensure, and regulatory agencies. Lecture
More information8/10/2015. 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
More informationThe Milestones provide a framework for the assessment
The Transitional Year Milestone Project The Milestones provide a framework for the assessment of the development of the resident physician in key dimensions of the elements of physician competency in a
More informationHIMSS Submission Leveraging HIT, Improving Quality & Safety
HIMSS Submission Leveraging HIT, Improving Quality & Safety Title: Making the Electronic Health Record Do the Heavy Lifting: Reducing Hospital Acquired Urinary Tract Infections at NorthShore University
More informationBuilding 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
More informationThe influx of newly insured Californians through
January 2016 Managing Cost of Care: Lessons from Successful Organizations Issue Brief The influx of newly insured Californians through the public exchange and Medicaid expansion has renewed efforts by
More informationEthical Standards of Human Service Workers
Ethical Standards of Human Service Workers Preamble Human Services is a profession developing in response to and in anticipation of the direction of human needs and human problems in the late twentieth
More informationGME FINANCING AND REIMBURSEMENT: NATIONAL POLICY ISSUES
GME FINANCING AND REIMBURSEMENT: NATIONAL POLICY ISSUES Tim Johnson, Senior Vice President Association of Hospital Medical Education (AHME) Institute May 18, 2016 2 About GNYHA Greater New York Hospital
More informationWhat is Orthopedic Certification?
ORTHOPEDIC CERTIFICATION Pathways to excellence in patient care 1 2 What is Orthopedic Certification? Joint Commission orthopedic certifications provide structure for programs to improve their patient
More informationTHE AMERICAN BOARD OF PATHOLOGY PATIENT SAFETY COURSE APPLICATION
THE AMERICAN BOARD OF PATHOLOGY PATIENT SAFETY COURSE APPLICATION Requirements: Component I Patient Safety Self-Assessment Program Programs must meet the following criteria to be an ABP approved Patient
More informationGetting the right outcome for 000 patients: Revising AV s Operating Model. Sue Cunningham Thursday 17 th October 2013
Getting the right outcome for 000 patients: Revising AV s Operating Model Sue Cunningham Thursday 17 th October 2013 Agenda AV s Challenges Current Operating Model Revising Our Operating Model - what are
More informationREASSESSING THE BED COORDINATOR S ROLE SHADY GROVE ADVENTIST HOSPITAL
Publication Year: 2008 REASSESSING THE BED COORDINATOR S ROLE SHADY GROVE ADVENTIST HOSPITAL Summary: Creation of Bed Coordinator position to improve patient flow throughout the entire hospital Hospital:
More informationStaffing and Scheduling
Staffing and Scheduling 1 One of the most critical issues confronting nurse executives today is nurse staffing. The major goal of staffing and scheduling systems is to identify the need for and provide
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 informationBossier Parish Community College Master Syllabus
Course Prefix and Number: STEC 101 Credit Hours: 1 Bossier Parish Community College Master Syllabus Course Title: Orientation to Surgical Technology Course Prerequisites: BLGY 110, 120/120L or 224/224L,
More informationCWE FB MC project. PLEF SG1, March 30 th 2012, Brussels
CWE FB MC project PLEF SG1, March 30 th 2012, Brussels 1 Content 1. CWE ATC MC Operational report 2. Detailed updated planning 3. Status on FRM settlement 4. FB model update since last PLEF Intuitiveness
More information