Histopathology National QI Programme Annual Workshop. 10 May 2016
|
|
- Clyde Harrell
- 5 years ago
- Views:
Transcription
1 Histopathology National QI Programme Annual Workshop 10 May 2016
2 Histopathology National QI Programme Introduction & Update Dr Niall Swan, Chair Histopathology QI Programme Working Group 10 May 2016
3 Vision of National QI Programme A patient centred Quality Improvement framework within each department, which facilitates their routine review of performance and drives improvement, in key quality areas against intelligent targets.
4 Development Stage of Programme Radiology programme 39 Sites collecting Quality Data GI Endoscopy 34 sites collecting & recording data on NQAIS Histopathology programme 32 sites - public & private conducting, collecting & reporting on NQAIS Control Measure Initiation Engagement Stakeholders Design: Guidelines Data Collection LIS Data Recording NQAIS Roll-out Conducting Recording Reporting on NQAIS Data analysis Target Setting Methodology Targets set Framework set up : Guidelines Quality Data Collection Quality Data Reporting Intelligent Targets set 08/06/2016 4
5 Wisdom hierarchy WISDOM KNOWLEDGE INFORMATION DATA
6 Ongoing Stage of Programme Review by units of their own data on a regular basis against intelligent targets and appropriate learning and actions Quality Improvement by units and shared learning Histopathology programme 32 sites public and private conducting, collecting and reporting on NQAIS 08/06/2016 Annual review of Guidelines, documents, Indicators, intelligent targets, support for quality improvement and learning Relevant national framework Specialists can review their own data and act Opportunity to share learning on improvements Improved patient care 6
7 Current Status of Histopathology Programme 32 labs conducting quality activity and recording data First data report only included 15 labs Targets set for 22 out of 50 key quality indicators (minimum 12 months data required) National Aggregate Data Reports 2014, & 2016 What the hospital sees? Laboratory Hospital management What the programme sees? What difference has it made? Challenges Opportunities e.g. RCQPS research collaborative, improvements, publications
8 Data improvements The timeliness, volume and accuracy of data is improving see compliance slides. Completion of Memorandums of Understanding by hospital management seems to support departments overall. Sharing of reports and data in context outside laboratories with Clinical Directors, hospital management, etc increases profile of histopathology facilitates further quality improvement. Help to share learning through the programme and hospital groups Areas for development Areas of best practice
9 Cancer centre (C) submission rates 6 May 2016 center type Oct 2014 Nov 2014 Dec 2014 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2016 Feb 2016 Mar 2016 Upload status cc3 new upload 2M 1 cc7 new upload 1M 0 cc4 new upload 1M 1 cc1 new upload 1M 0 cc5 new upload 1M 0 cc6 new upload 2M 0 cc2 new upload 1M 1 cc8 new upload 1M 0 Total arrears in months (all labs combined) 3 Months behind = Uploaded months = new uploads since last Steering Committee Compliance Report = not applicable/hospital inactive = Upload requested for Dec 15 = months behind Overall status improved 32 sites 8 private, 28 public Including 8 cancer centers. All have uploaded December data, 28 have uploaded January data. Remaining sites have been reminded & are working through issues. 23 sites have also uploaded February 2016 data, which was due on the 1 st May.
10 General centre (NC) Submission rates 6 May 2016 center type Oct 2014 Nov 2014 Dec 2014 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2016 Feb 2016 Mar 2016 Upload status Months behind nc1 new upload 1M 0 nc2 new upload 2M 0 nc3 new upload 2M 0 nc4 new upload 3M 0 nc5 new upload 2M 0 nc6 new upload 1M 0 nc7 new upload 2M 1 nc8 new upload 2M 0 nc9 new upload 1M 1 nc10 new upload 2M 0 nc11 new upload 1M 0 nc12 new upload 1M 0 nc13 new upload 2M 0 nc14 2 nc16 1 nc17 new upload 2M 0 nc18 new upload 1M 0 nc19 new upload 1M 0 nc20 new upload 1M 0 nc21 new upload 1M 1 nc22 new upload 1M 0 nc23 2 nc24 2 nc25 new upload 2M 0 Total arrears in months (all labs combined) 10
11 Summary of Histopathology Guidelines 1a 1b 1c Workload Key Quality Area (Monitor) Inter-institutional consultation Cases referred externally for review Inter-institutional consultation Received internally for review Inter-institutional consultation Cases referred externally for opinion Key Quality Indicators #, measure Total no of cases 2: % Cases referred, % Agreement 2: % Cases received, % Agreement 1: % Agreement 2 Intradepartmental Consultation 3 Frozen Section Correlation 3: 3-5 % Cases for Histo & Cyto FNA, 7-9% Cyto Exfoliative, 3: 97% Concordance, 5% Deferral rate >10% needs review 4 Frozen Section TAT 85% TAT < 20 minutes 5 Cytological/histological correlation 3: % Discordant, % False positive, % False negative 6a Retrospective review (Focused real time) 1: % Agreement 6b 7 Retrospective review (report completeness) Multi disciplinary Team meetings - By P- Code 1: % Completeness (POS approach cancers of Endometrium & pancreas) 2: % Agreement, % of total cases discussed - By P-Code 8 Non-conformance reporting 2: No. of non-conformances, Clinical impact 9 External Quality Assessment 2: List of Schemes, results 08/06/2016 Yellow discussing today Green targets set Blue potential target/recommendation Dark red Quality Improvement activity 11
12 Summary of Histopathology Guidelines Key Quality Area (Monitor) 10 Turnaround Time (TAT) Key Quality Indicators #, measure 6 areas 1 indicator: TAT by case type 80% day 5 i. P01 Small Biopsy ii. P02 GI Endoscopic Biopsy 80% day 7 Non Biopsy iii. P03 Cancer resection, P04 Other 80% day 5 Non gynae cytology v. P06 FNA vi.p07 Exfoliative 11 Addendum Reports 3: Quantity, Error classification, Clinical impact 12 Critical Diagnosis/Value reporting 13 Adult Autopsy Intradepartmental Consultation 1: No. of cases reported directly to clinician (audit in progress) 1: 2% all cases 14 Adult autopsy case review 1: % of total cases reviewed 15 Adult autopsy turnaround time 1: TAT by autopsy case type 16 Paediatric Autopsy extra departmental consultation 1: % of total cases reviewed at M&M 17 Paediatric autopsy retrospective review 1: % of total cases reviewed 18 Paediatric turnaround Time 1: TAT by paediatric turnaround time 19 Quality / Discrepancy Meetings participation Possible addition learning opportunities 08/06/2016 Yellow discussing today Green targets set Blue potential target/recommendation Dark red Quality Improvement activity 12
13 Targets set Set Monitor Target & Key Indicators Round 1 Round 2 Round 1 Round 2 Intradepartmental Consultation Frozen Section 3-5 % All Cases (round 1) 3-5% Histo cases (retain) 3-5% Cytology Exfoliative (retain) 7-9% Cytology FNA 97% Concordance 5 % Deferral rate, >10% <1% needs review, 85% TAT < 20 minutes Round 1 Turn around Time TAT by case type i. P01 Small Biopsy 80% day 5 ii. P02 GI Endoscopic Biopsy 80% day 5 iii. P03 Non Biopsy Cancer resection 80% day 7 iv. P04 Non Biopsy Other 80% day 7 v. P06 Non gynae cytology FNA 80% day 5 vi. P07 Non gynae cytology - Exfoliative 80% day 5 Round 2 Intradepartmental Consultation 2% Adult Autopsy All cases 10/02/ 13
14
15 QA to QI Lloyd Provost Ref: The Health Care Data Guide, learning from data for improvement. Lloyd P. Provost & Sandra Murray. Jossey Bass
16 Group 1 follows rounds 1 and 2 methodology where measures are defined and data is appropriate for national target setting. Group 2 includes quality areas where definitions are agreed but no national data has been collected. Future targets are settable but only when sufficient data is available for review. A minimum of 12 months data will be collected. Group 3 comprises quality areas where the type of data being recorded is not applicable for national target setting as agreed definitions for these KQIs are not currently achievable. A recommendation only is being suggested for local quality improvement activity. Group 4 consists of quality areas where insufficient national data is being collected through the QI programme. Some of these quality areas are captured through other routes e.g. INAB and EQA. The updated guidelines will reflect this. Group 5 sets out new key quality areas following refinement of initial measure and maturing of the data. Recommended codes will be circulated and data collected prior to any potential target setting.
17 Clinical Governance Oversight proposal 08/06/
18 National developments - Award winning Excellence in Healthcare Management (from 18) L R: Sarah Treleaven RCPI, Maureen Flynn HSE QID, Philip Ryan RCPI, Dr Jennifer Martin HSE QID ( Steering Committee Chair), Prof Conor O Keane Faculty of Pathology, Dr Ann O Shaughnessy RCPI, Dr Niall Swan Faculty of Pathology (Working Group Chair). Missing from photo, Dr Julie McCarthy, Dr Sine Phelan, Prof Kieran Sheahan, Dr Ann Treacy (Working Group members) Mairead Guinan RCPI Programme Manager Memorandum of Understanding with participating hospitals Health Information and Patient Safety Bill due for publication in 2017
19 1. Employ more effective teamwork in the diagnostic process (DP) 2. Enhance healthcare professional education and training in the DP 3. Ensure health IT supports patients & HCP in the DP 4. Develop and deploy approaches to identify, learn from, and reduce diagnostic errors and near misses in clinical practice 5. Establish a work system and culture that supports the diagnostic process and improvements in diagnostic performance 6. Develop a reporting environment and medical liability system that facilitates improved diagnosis through learning from diagnostic errors and near misses 7. Design a payment system and care delivery environment that supports the DP 8. Provide dedicated funding for research on the DP and diagnostic errors 8 Goals from Institute of Medicine
20 Presentations - International Communications Implementation of a national patient-centred clinician-led Histopathology National Quality Improvement (QI) Programme to enhance patient care and safety, March, Grand Rounds, Dept of Pathology & Laboratory Medicine, Boston Medical Centre & Boston University School of Medicine, USA Jurisdictional Quality plans & indicators in Interpretative Pathology: experience in Canada and abroad: Implementation of a national patient-centred clinician-led Histopathology National Quality Improvement (QI) Programme to enhance patient care and safety, Canadian Laboratory Medicine Congress (CLMC), Canadian Association of Pathologists, CAP-ACP Annual Meeting Jun An Innovative System for Histopathology Quality Improvement / Assurance, Jun Meeting, UEMS Specialist Section of Pathology, European Pathology Board Set up and Implementation of a Patient-centred Clinician-led Histopathology National Quality Improvement (QI) Programme Pathsoc/BDIAP joint meeting, Jun Dissemination, stakeholder engagement and endorsement the Irish Experience Quality Initiative in Interpretive Pathology (QIIP) Meeting, Canada Jun Metric development & implementation for a patient-centred clinician-led Histopathology National Quality Improvement (QI) Programme, QIIP Workshop
21 Presentations - National Communications Implementation of a patient-centred clinician-led National Quality Assurance (QA) Programme in Histopathology to enhance patient care and safety, National Patient Safety Conference, Dublin November 2014 (12 selected from 1,07l abstracts) submitted Histopathology Quality Improvement Programme an update, Radiology QI Programme Annual Workshop, June Specialty Quality Improvement Programmes, current status and future developments, Clinical Directors Masterclass, September
22 Posters - National Communications Implementation of a patient-centred clinician-led Histopathology National QI Programme, National Office of Clinical Audit, Inaugural Annual Conference, Dublin, May Implementation of a patient-centred clinician-led National QI Programme in Histopathology, Irish Society of Surgical Pathology, Kildare, October Posters - International Implementing a National Quality Assurance Programme in Histopathology, USCAP, Seattle, USA, March 2016 Impact of Intradepartmental Consultation on Amended Report Rate: Findings from the Irish National Quality Improvement Programme in Histopathology, USCAP, Seattle, USA, March 2016 Communication with Clinicians in Anatomical Pathology, USCAP, Seattle, USA, March 2016
23 International developments /2016 Maintaining programme in Ireland is top priority. Ireland remains a world leader, as the only country to collect this data nationally across public and private sector. Other countries very interested in the Irish approach Canada, QIIP review in 2016 Presentation of three posters at USCAP meetings over past 3 years BDIAP / Path Soc (8 th Joint Meeting) - differing approach in the UK- individual poor performance focus on EQA schemes UEMS - Opportunities for consultation with Hungary and Germany
24 Opportunities for participating sites RCQPS research collaborative HSE QID /HRB / RCPI, opportunity to access funds fore research relating to quality and patient safety. Up to 280,000 over 2 years. Research question link with academic researchers, competitive rounds of funding, submit May, final decision Sept. Think about topics next round May Current topic is LEAN via Bill Bennett Can LEAN Six Sigma Methodology be used to develop integrated software tools to improve patient care in surgical pathology?
25 Opportunities for participating sites Clinical audit easy access to information via NQAIS Build up CME points Use your data in more detail publications Application Team,Diploma in Healthcare Management & Quality Improvement (link) National data Prof Sheahan
26 Acknowledgements Programme Team: Ms. Mairéad Guinan, Mr. Philip Ryan, Ms Sarah Treleaven, Working Group: Dr. Julie McCarthy, Prof J. Conor O Keane, Dr Sine Phelan, Prof. Kieran Sheahan, Dr Ann Treacy Dr. Jennifer Martin - HSE QID (current funder) Mr. Seamus Butler & Mr. Brian Dunne - HSE OCIO Mr. Mel McIntyre & Mr. Pawel Starawz - OpenApp Dr. Howard Johnson HSE HII, Dr. Mary Hynes NCCP (initial funder), Mr. Leo Kearns & Ms. Louise Casey - RCPI
Histopathology National Quality Improvement Programme Information Governance Policy Version 3.0
Histopathology National QI Programme - Information Governance Policy Histopathology National Quality Improvement Programme Information Governance Policy Version 3.0 Developed by The Working Group of the
More informationInternal Quality Assurance Framework Anatomical Pathology
Internal Quality Assurance Framework Anatomical Pathology The Royal College of Pathologists of Australasia received funding from the Department of Health, under the Quality Use of Pathology Program (QUPP)
More informationOverview QI Radiology
Overview QI Radiology Dr Anthony Ryan Consultant Interventional Radiologist Working Group Chair, Faculty of Radiologists Why QI? Primum Non Nocere First do no harm. Identify and eradicate bad practice.
More informationCAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology
CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology Core Components of a Comprehensive Quality Assurance Program in Anatomic Pathology
More informationPerformance Improvement Bulletin
SPECIAL DELIVERY UNIT/ NATIONAL TREATMENT PURCHASE FUND Issue No.1 08/12 Performance Improvement Bulletin Featured Work underway - Maximum Waiting Time Targets 2 Case Study No. 1 Galway & Roscommon University
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 informationBIOMEDICAL SCIENTIST MEDIA INFORMATION 2017
THE BIOMEDICAL SCIENTIST IBMS.ORG MEDIA INFORMATION 2017 Highest circulation and the widest readership among medical laboratory scientists CIRCULATION 20,000 ADVERTISING FOR MORE INFORMATION AND TO BOOK,
More informationMis-reporting of Cervical Pathology by Locum Consultant Pathologist. Status: Information Discussion Assurance Approval
Report to: Trust Board Agenda item: 7 Date of Meeting: Report Title: Mis-reporting of Cervical Pathology by Locum Consultant Pathologist Status: Information Discussion Assurance Approval x Prepared by:
More informationGuidelines for the Implementation of a National Quality Assurance Programme in Radiology - Version 1.0
Guidelines for the Implementation of a National Quality Assurance Programme in Radiology - Version 1.0 Developed by The Working Group, National QA Programme in Radiology, Faculty of Radiologists, RCSI
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 informationLearning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018
Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 218 Purpose The purpose of this paper is to update the Trust Board on progress with implementing the mandatory
More informationNational Reference Laboratory Quality Dashboard. Quality Improvement Metrics Q4 2016
National Reference Laboratory Quality Dashboard Quality Improvement Metrics Q4 2016 INTRODUCTION Accreditation is an important tool used to demonstrate the commitment and competence of medical laboratories
More informationCONSULTANT PAEDIATRIC HISTOPATHOLOGIST. 21 hours Temple Street Children s University Hospital 18 hours Our Lady s Children s Hospital, Crumlin
CONSULTANT PAEDIATRIC HISTOPATHOLOGIST 21 hours Temple Street Children s University Hospital 18 hours Our Lady s Children s Hospital, Crumlin Job Specification Location of Post This is an appointment to
More informationSafer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report
To: Board of Directors Date of Meeting: 26 th July 20 Title Safer Nursing and Midwifery Staffing Responsible Executive Director Nicola Ranger, Chief Nurse Prepared by Helen O Dell, Deputy Chief Nurse Workforce
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 informationQuality Management Partnership: Pathology Quality Management Program U of T Pathology Update
Quality Management Partnership: Pathology Quality Management Program U of T Pathology Update November 13, 2015 Dr. Kathy Chorneyko, Clinical Lead, Pathology, Quality Management Partnership OBJECTIVES Overview
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationWhat happened before MMC?
Modernising Medical Careers: Foundation Programme Application Process Dr (Insert Name) (insert title) What happened before MMC? PRHO (F1) and SHO (F2) Applications all year round Multiple applications
More informationTCLHIN Standardized Discharge Summary
TCLHIN Standardized Discharge Summary ehealth Conference June 4, 2014 Kara Kitts Quality Improvement Manager St. Michael s Hospital Ontario Healthcare System 14 Local Health Integration Networks (LHINs)
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More information2015 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.
EHR Documentation and CDI: What to Expect and How to Successfully Handle the Transition Sam Antonios, MD, FACP, FHM, CCDS CDI and ICD 10 Physician Advisor Hospital CMIO Via Christi Health Wichita, Kansas
More information5. Quality Control in Histopathology
90 5. Quality Control in Histopathology Compilation and editing of this volume: Dr. Isha Prematilleke (Consultant Histopathologist) List of contributors Consultant Histopathologists Dr. Sujeewa Rathnayake
More informationUsing LEAN to Improve Quality, Patient Safety and Workflow
CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology Using LEAN to Improve Quality, Patient Safety and Workflow Leo Serrano, FACHE, CLSup
More informationALBERTA TRANSPORTATION North Central Region Edson Area Instrumentation Monitoring Results
ALBERTA TRANSPORTATION North Central Region Edson Area Instrumentation Monitoring Results Fall 1 Section D Data Presentation Site NC3: Hwy :3 Lazy S -15 -.5.5 15 LEGEND Initial 1 Sep 1 Sep -75-37.5 37.5
More informationHPV Vaccination Quality Improvement: Physician Perspective
HPV Vaccination Quality Improvement: Physician Perspective Discussion of efforts to raise HPV vaccine coverage using quality improvement from a physician s perspective Alix Casler, M.D., F.A.A.P. Chief
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 informationUpdated 6/9/2009 RESIDENT SUPERVISION: A. Anatomic Pathology:
Updated 6/9/2009 RESIDENT SUPERVISION: A. Anatomic Pathology: Surgical Pathology: All final diagnoses of microscopic materials in surgical pathology are established by the attending staff or reviewed by
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 31 December 2015 Publication date 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results
More informationEmergency Department Waiting Times
Publication Report Emergency Department Waiting Times (formerly Accident & Emergency Waiting Times) Quarter ending 30 June 2011 Publication date 30 August 2011 A National Statistics Publication for Scotland
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 informationRoles, Responsibilities and Patient Care Activities of Residents PATHOLOGY RESIDENCY PROGRAM ANATOMIC PATHOLOGY
Roles, Responsibilities and Patient Care Activities of Residents PATHOLOGY RESIDENCY PROGRAM ANATOMIC PATHOLOGY University of Washington Medical Center Harborview Medical Center Puget Sound VA Hospital
More informationA. Encounter Data Submission Requirements
A. Encounter Data Submission Requirements APPLIES TO: A. This policy applies to all IEHP Medi-Cal Providers. POLICY: A. As of October 1, 2015, IEHP has transitioned to ICD-10 diagnosis and procedure coding
More informationClinical Pathologist Procedure Pathologist Pathologist Analytic/Diagnostic Quality Plan
Clinical Pathologist Procedure Pathologist 001.01 Pathologist Analytic/Diagnostic Quality Plan Final Approval: August 2010 Effective: August 2010 Next Review Date: August 2014 List all stakeholder(s) and
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationInternal Quality Assurance Framework Microbiology
Internal Quality Assurance Framework Microbiology The Royal College of Pathologists of Australasia received funding from the Department of Health, under the Quality Use of Pathology Program (QUPP) to develop
More informationAndrew Kirby Director, Healthcare Solutions Microsoft Services
Andrew Kirby Director, Healthcare Solutions Microsoft Services Microsoft in Health Patient Safety Challenges The Patient Safety Principles Driving MSCUI Delivery Roadmap Review Examples of MSCUI in Use
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 informationSPRU DPhil Day : Postdoctoral Fellowships & Funding. David Rose Research & Enterprise
SPRU DPhil Day : Postdoctoral Fellowships & Funding David Rose Research & Enterprise D.A.Rose@sussex.ac.uk 27 th May 2010 Applying for Postdoctoral Fellowships & Funding What central support is available?
More informationSFI Research Centres Reporting Requirements
SFI Research Centres Reporting Requirements December 2017 Introduction SFI s Agenda 2020 1 strategy aims to position Ireland as a global knowledge leader. A key objective of Agenda 2020 is to develop a
More information2015 OAP Pathologist Assistant Meeting, September 19 - Niagara Falls, Ontario. EQA and the Grosslab Alan Wolff, PA, MLT. Quality in the Gross Lab
Quality in the Gross Lab Lakeridge Health, Oshawa, Ontario Describe what EQA is Describe the IQMH position and requirement Be aware of the current state of EQA for grossing Have identified good methods
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 informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationSafety in Mental Health Collaborative
NHS Tayside Safety in Mental Health Collaborative Improving Safety in Mental Health Programme Aims supported by an Improvement Advisor: Dr Noeleen Devaney Support 4 UK organisations to: reduce harm improving
More informationPeraproposal for EWG Task
Peraproposal for EWG Task Attracting Hi Growth SMEs to National Programmes Andy Jones, Pera July 2014 Contents 1. Proposal to Taftie EWG 2. Hypothesis to research 3. Stakeholder benefits 4. Draft project
More informationCatherine Porto, MPA, RHIA, CHP Executive Director HIM. Madelyn Horn Noble 3M HIM Data Analyst
1 Catherine Porto, MPA, RHIA, CHP Executive Director HIM Madelyn Horn Noble 3M HIM Data Analyst University of New Mexico Hospitals» The state s only academic medical center» The primary teaching hospital
More informationTina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN
Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN
More informationNational Homecare KPI performance March 2017
National Homecare KPI performance March 2017 Foreword We are pleased to publish our latest KPI report, continuing our commitment to the transparency of the service we provide to our patients and customers,
More informationC. difficile Infection and C. difficile Lab ID Reporting in NHSN
C. difficile Infection and C. difficile Lab ID Reporting in NHSN MARY ANDRUS, BA, RN, CIC Infection Preventionist Consultant Learning Objectives Review the structure and of the MDRO/CDAD Module within
More informationUser Group Meeting. December 2, 2011
User Group Meeting December 2, 2011 1 Agenda 12:00 Welcome Christine Lavoie 12:05 Session Objectives Christine Lavoie 12:10 USC s Research Administration System Christine Lavoie 12:20 Project Overview
More informationProject Initiation Document
NORTH OF SCOTLAND PLANNING GROUP Project Initiation Document Integrated bronchoscopy (endoscopy) documentation system using Endobase for Respiratory and Gastroenterology NoS networks Author: Dr RJ Brooker
More informationBarbara De la Salle UK NEQAS
Barbara De la Salle UK NEQAS Right Blood Right Result - Right Time Every Time Right Test Right Action Right Patient Right Sample Right Result Right Experience Right Time Right Cost Systematic quality improvement
More informationWEDNESDAY APRIL 27 TH 2011 OUTREACH & PILOT RECRUITMENT
WEDNESDAY APRIL 27 TH 2011 OUTREACH & PILOT RECRUITMENT Agenda Introductions Background Opportunity for hospitals and their labs Meaningful Use, HITECH and ARRA Grant and pilot timeline Outreach and recruitment
More informationConnecting South West Ontario Program Connecting Health Service Providers. John Stoneman, Executive Lead June 3, 2015
Connecting South West Ontario Program Connecting Health Service Providers John Stoneman, Executive Lead June 3, 2015 cswo Program Connecting south west Ontario health care providers across the continuum
More informationNorth Carolina Division of Medical Assistance
North Carolina Division of Medical Assistance Medicaid Clinical Policy and Programs Update on Medicaid In-Home Personal Care Services (PCS) Presented Larry Nason, Ed.D. Chief, Medicaid Facility by: and
More informationTHE VALUE OF CAP S Q-PROBES & Q-TRACKS
THE VALUE OF CAP S Q-PROBES & Q-TRACKS Peter J. Howanitz MD Professor, Vice Chair, Laboratory Director Dept. Of Pathology SUNY Downstate Brooklyn, NY 11203, USA Peter.Howanitz@downstate.edu OVERVIEW Discuss
More informationAdministrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More informationResident Supervision and Progressive Responsibility
University of Pittsburgh Department of Pathology Residency Program Policies and Procedures: Initial RC approval: 04.07.08 Latest Revision: 06.06.11 Resident Supervision and Progressive Responsibility Purpose:
More informationImproving the Chemotherapy Appointment Experience at the BC Cancer Agency
Improving the Chemotherapy Appointment Experience at the BC Cancer Agency Ruben Aristizabal Martin Puterman Pablo Santibáñez Kevin Huang Vincent Chow www.orincancercare.org/cihrteam Acknowledgements BC
More informationClinical Safety & Effectiveness Cohort # 18
Clinical Safety & Effectiveness Cohort # 18 Surgery Delays DATE 1 The Team Division Dr. Howard Wang, Medical Director Jana Lee Normandin, Practice Manager Dr. Maureen Sheehan, Data Assist, Director of
More informationActivity Based Cost Accounting and Payment Bundling
Activity Based Cost Accounting and Payment Bundling 1 Agenda Introduction of Speakers Fast Facts about Jewish Senior Life/Jewish Home of Rochester Determining the need and uses for an Activity Based Cost
More informationSheffield Teaching Hospitals NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust @seamlesssurgery Seamless Surgery Team Sheffield Teaching Hospitals NHS Foundation Trust July 2017 PROUD TO MAKE A DIFFERENCE PROUD TO MAKE A DIFFERENCE
More informationImproving HPV Vaccination Rates in a Large Pediatric Practice: Implementing Effective Quality Improvement
Improving HPV Vaccination Rates in a Large Pediatric Practice: Implementing Effective Quality Improvement Alix Casler, M.D., F.A.A.P. Chief of Pediatrics, Medical Director of Pediatrics Orlando Health
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More informationSFI Research Centres Reporting Requirements
SFI Research Centres Reporting Requirements February 2017 Introduction SFI s Agenda 2020 1 strategy aims to position Ireland as a global knowledge leader. A key objective of Agenda 2020 is to develop a
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 informationOperations report. August 12, 2016
Operations report August 12, 216 1 HFSC at a glance: 216 compared to 215 Total Average TAT Requests Received Total Average Process Time 5% 33% 39% Total average TAT include all sections averaged from the
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 informationQuality Management Program
Quality Management Program Public Safety Committee May 26, 2015 1 Purpose Establish a program where all paramedics are evaluated for completeness and accuracy in patient care documentation and clinical
More informationPre-operative Assessment
Pre-operative Assessment Optimising Theatre Utilisation Ann-Elizabeth Bourke Suzanne Dunne 12thApril 2013 RCSI Structure of Presentation Development of the Pre-operative Assessment Service Requirements
More informationAchieving Operational Excellence with an EHR a CIO s Perspective
Achieving Operational Excellence with an EHR a CIO s Perspective Phyllis Schuck, SPHR CIO of Pinehurst Surgical HIT Session 6.02 Thursday, March 29, 2007 Pinehurst Surgical Organization Overview Founded
More informationHEALTH CARE AUTOMATION AT ASIAN INSTITUTE OF GASTROENTEROLOGY
HEALTH CARE AUTOMATION AT ASIAN INSTITUTE OF GASTROENTEROLOGY Pradeep R MS, M.Ch., D Nageshwar Reddy MD, DM, Dsc, FAMS, FRCP. About AIG Tertiary care single specialty referral center for Gastrointestinal
More informationCONJOINT BOARD IN IRELAND of the Royal College of Physicians and Royal College of Surgeons
CONJOINT BOARD IN IRELAND of the Royal College of Physicians and Royal College of Surgeons 1 Authors CUSTOM Prof Steve Patchett (Chair) Consultant Gastroenterologist, Beaumont Hospital, Dublin Mr Fiachra
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 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 informationIssue 4: October 2014
A trial to evaluate an extended rehabilitation service for stroke patients EXTRAS News Issue 4: October 2014 What has been happening since our last newsletter in March 2014.? 1. New study centres Four
More informationAvoiding the Cap Trap What Every Hospice Needs to Know. Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc.
Avoiding the Cap Trap What Every Hospice Needs to Know Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc. Overview 11% of hospices exceeded the cap in 2012 with an average overage
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 informationPatient Safety in Ambulatory Care: Why Reporting Counts. August 11, 2010 Diane Schultz, RPh and Sheila Yates, MPH
Patient Safety in Ambulatory Care: Why Reporting Counts August 11, 2010 Diane Schultz, RPh and Sheila Yates, MPH Group Health Group Health provides medical coverage and care to more than 628,000 residents
More informationWelcome and Introductions
Fiscal Matters: An Overview of Annual Head Start and Early Head Start Grant Requirements U.S. Department of Health and Human Services, Welcome and Introductions Staff Grantee Representatives 1 Goals for
More informationGuidelines for Approval of Educational Events for Continuing Professional Development (CPD) Accreditation
Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn Guidelines for Approval of Educational Events for Continuing Professional Development (CPD) Accreditation Contents What does the
More informationSMO - Histopathology
POSITION DESCRIPTION SMO - Histopathology Please delete whichever statement is untrue This position is not considered a children s worker under the Vulnerable Children Act 2014 Date Produced/Reviewed:
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationImplementation Status & Results Kazakhstan Agricultural Competitiveness Project (P049721)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Kazakhstan Agricultural Competitiveness Project (P49721) Operation Name: Agricultural Competitiveness
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 informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationBOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
More informationWhat. Make it eazy! Accommodation Work Services Tours. Courses Au Pair Packages
EazyCity is a leading agency in the hospitality sector, a local point of reference when arriving in a new city to study, work or just have a good time. For more than 10 years, we have been providing a
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 informationChildren's Hospital Group. Scoliosis Co-Design 10 Point Action Plan 2018/2019
Children's Hospital Group Scoliosis Co-Design 10 Point Action Plan 018/019 July 018 Introduction Summary of 10 Point Plan In May 017 the Children's Hospital Group established a Paediatric Scoliosis Services
More informationSutton Homes of Care Vanguard Programme
Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team
More informationHarm Across the Board Reporting: How your Hospital Can Get There
Harm Across the Board Reporting: How your Hospital Can Get There Presentation to KHA Annual Quality Conference March 19, 2014 Jackie Conrad RN, BSN, MBA Improvement Advisor Cynosure Health Objectives Upon
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 informationLean Healthcare Outcomes: Delivering Results
Presenters Lean Healthcare Outcomes: Delivering Results John Duggan Director of Real Estate Operations & Retail Subsidiaries Reliant Medical Group, Worcester, MA C01: October 2nd, 2012 Marc Margulies AIA,
More informationIssue 5: January 2015
A trial to evaluate an extended rehabilitation service for stroke patients EXTRAS News Issue 5: January 2015 Happy New Year from the EXTRAS co-ordinating centre! Here is some more EXTRAS news to share.
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 informationLearning from Deaths; Mortality Review Policy
Learning from Deaths; Mortality Review Policy Version: 4.0 New or Replacement: Replacement Policy number: CESC/2012/066 (Version 4) Document author(s): Executive Sponsor: Non-Executive Sponsor: Title of
More informationAn academic medical center is practicing wasteology to pare time, expense,
Quality improvement Practicing wasteology in the OR An academic medical center is practicing wasteology to pare time, expense, and hassle from its OR processes. Using lean thinking, the center is streamlining
More informationGRANTS.GOV Updates Federal Demonstration Partnership Meeting. Presented by Grants.gov September 7, 2017
GRANTS.GOV Updates Federal Demonstration Partnership Meeting Presented by Grants.gov September 7, 2017 RELEASE UPDATE 09/06/2017 GRANTS.GOV Updates Federal Demonstration Partnership JAD Meeting Slide 2
More informationQuality Assurance Accreditation Scheme Assignment Report 2016/17. University Hospitals of Morecambe Bay NHS Foundation Trust
Quality Assurance Accreditation Scheme Assignment Report 2016/17 Contents 1. Introduction 2. Executive Summary 3. Findings, Recommendations and Action Plan Appendix A: Terms of Reference Appendix B: Assurance
More information