Choosing and Prioritizing QI Project
|
|
- Lorena Scott
- 5 years ago
- Views:
Transcription
1 Choosing and Prioritizing QI Project July 21, 2017 Anthony T. Petrick MD Director, Minimally Invasive and Bariatric Surgery Geisinger Health System, Danville, PA Co-Chair, MBSAQIP Data and Quality Committee
2 Disclosures I have no financial disclosures related to this study
3 Objectives 1) Recognize sources for quality improvement initiatives 2) Understand available tools to help prioritize quality improvement projects 3) Attendees should have the ability to identify and design quality improvement projects at the completion of this session 3
4 Introduction 4
5 Introduction
6 Assemble CORE QI Team MBS Director Bariatric Surgeons Fellows Residents MBS Coordinator MBS Clinical Reviewer Administrative Support Any Bariatric Team Members QI Experts Operations Leaders 6
7 Assemble CORE QI Team Establish Leaders Leaders Purpose Time Commitment Physician Champion 1) Provide physician leadership 2) Remove barriers, ensuring dedicated time for the team leaders and members to work on improvement, 3) Holding team members accountable for reaching milestones. 4) Facilitate communication to the broader service line employees about the goals and successes. Variable Duration of the initiative Division of Quality and Safety Executive Champion Copyright Geisinger Health System ) Provide administrative leadership 2) Remove barriers, ensuring dedicated time for the team leaders 3) Holding team members accountable for reaching milestones. 4) Facilitate communication to the broader service line employees about goals and successes Not for reuse or distribution without permission Variable Duration of the initiative 7
8 Data Sources 1. Review Data 1. SAR Site Summary (Risk Adjusted)
9 Data Sources 1. Review Data 2. Online Benchmarking Reports (Unadjusted) 9
10 Data Sources 1. Review Data 3. Internal Data (HCAPS) 10
11 Data Sources 1. Review Data 3. Internal Data (Quality Manger, Statit ) 11
12 Data Sources 1. Review Data 3. Internal Data (Quality Manger, Statit ) 12
13 Introduction
14 Benchmark Data 2. Identify the Problem High Outlier = QI opportunity* * see Standard 7.2 for details 14
15 Benchmark Data 2. Identify the Problem Note the H indicating that this site is a high statistical outlier for this model. Center is required to do QI project to address LRYGB Reoperation. Center is needs improvement, but not a high outlier. Center may choose to to do QI project for LRYGB Leak, but is not required and may choose a different area of focus.
16 Benchmark Data 2. Identify the Problem Drill down using Case Occurrences Report 16
17 Benchmark Data 2. Identify the Problem Real-time via Online Reports (not risk-adjusted): 17
18 Benchmark Data 2. Identify the Problem HCAPS Drill Down 18
19 Benchmark Data 2. Identify the Problem 3. Internal Data (Quality Manger, Statit ) 19
20 Benchmark Data 1. Review Data If Data doesn t reveal a problem, look for 1) Gaps in resources or care services? 2) Issues regarding timeliness of care? 3) Gaps in patient compliance or follow-up? 4) Issues related to patient satisfaction or procedure effectiveness? 5) Educational gaps for patients or staff? 2. Identify the Problem 20
21 21
22 Prioritization Matrix 2. Identify the Problem POTENTIAL BENEFIT 1. High Benefit / Low Effort (low hanging fruit make highest priority!) 3. Low Benefit / Low Effort (prioritize when all goals for patient safety and satisfaction have been met) 2. High Benefit / High Effort (prioritize when necessary) 4. Low Benefit / High Effort (ignore these) EFFORT/RESOURCE UTILIZATION
23 QI Prioritization 2. Identify the Problem High Benefit / Low Effort (Rapid) 1) Shorter cycle (months) 2) Application of existing EMR tools 3) Impacts limited sites of care or number of providers High Benefit / High Effort (Comprehensive) 1) Longer time frame (1 yr +/-) 2) Multi-site, many providers 3) Complex Epic design/development needs (limited tool kit use, need for redesign) Low Benefit / Low Effort ( Light ) 1) Very rapid project cycle (< 120 days) 2) Single, simple EMR need, if any 3) Single care site or 1 3 providers impacted Low Benefit / Low Effort 1) Limited, if any, financial or quality outcomes anticipated 2) Involves wide scope of care sites and/or providers 3) Limited if any clinical and administrative leadership 4) Limited resources deployed to support projects
24 2. Identify the Problem Problem Statement 2. Identify the Problem 3. Propose Intervention Elements 1) Clearly identify a specific problem you want to solve through your QI project 2) Identify your baseline and goal metrics 3) Identify the timeline for meeting this goal 24
25 Problem Statement 2. Identify the Problem Our predicted (adjusted) observed rate for LRYGB Reoperation was 7.33% in , which makes us a high outlier in this model. Our goal is to lower our LRYGB Reoperation to the expected rate of 3.03% by July 1, Specify Problem 2 Baseline Goal & Metrics 3 Timeline
26 Introduction
27 Propose Intervention 3. Propose Intervention Gather all members of the MBS Committee to discuss all possible factors contributing to the problem Conduct literature review may reference ASMBS Guidelines and Position Statements May choose to implement a Root Cause Analysis tool such as The 5 Whys, SIPOC, or a Fishbone Diagram Document a plan for intervention 27
28 Root Cause Analysis 3. Propose Intervention 1) List all the potential causes of the problem 2) Prioritize down to a manageable size 3) Pick one of the main problems 4) Do the following steps to find the Root Cause i. State the Main Cause ii. Ask Why Main Cause happens iii. Ask Why the Cause in B happens iv. Ask why the Cause in C happens => Root Cause 28
29 Root Cause Analysis 3. Propose Intervention 1) Potential causes of the problem a) Surgeon experience b) Anastomotic technique c) Diagnostic accuracy.. 2) Prioritize down to a manageable size 3) Pick one of the main problems 4) Do the following steps to find the Root Cause Our predicted (adjusted) observed rate for LRYGB Reoperation was 7.33% in , which makes us a high outlier in this model. Our goal is to lower our LRYGB Reoperation to the expected rate of 3.03% by July 1,
30 Root Cause Analysis 3. Propose Intervention Do the following steps to find the Root Cause i. State the Main Cause => Xray studies show SBO ii. iii. iv. Why Main Cause happens => Excessive small bowel dilation Why the Cause in B happens => EGD at end of each case Why the Cause in C happens [Root Cause] => No bowel clamp and air used instead of CO 2 Our predicted (adjusted) observed rate for LRYGB Reoperation was 7.33% in , which makes us a high outlier in this model. Our goal is to lower our LRYGB Reoperation to the expected rate of 3.03% by July 1,
31 Operational Definitions 3. Propose Intervention Unambiguous Measurable and actionable Specifies the measurement method, procedures and equipment when appropriate Clinical data (chart reviews) vs. administrative data Client logs vs. a computer database Defines specific criteria for the data to be collected Define all inclusions and exclusions For percentages or rates, or ratios, define the criteria for inclusion in the numerator and denominator Always ask How might somebody be confused by this definition? Lloyd, R. Quality Health Care (2004) Jones and Bartlett
32 Measure Care Delivery Background: We have little systematic information about the extent to which standard processes involved in health care a key element of quality are delivered in the United States. Results: Participants received 54.9% of the recommended care 32
EHR Enablement for Data Capture
EHR Enablement for Data Capture Baylor Scott & White (15 min) Bonnie Hodges, RN University of Chicago Medicine(15 min) Susan M. Sullivan, RHIA, CPHQ Kaiser Permanente (15 min) Molly P. Clopp, RN Tammy
More informationSITE VISIT AGENDA Version
Pre Site Visit -- Chart Review Preparation: 1. Contact your assigned Site Surveyor to discuss paper or electronic chart preferences for the chart review. 2. In addition to the charts requested below, please
More informationAre National Indicators Useful for Improvement Work? Exercises & Worksheets
Session L5 These presenters have nothing to disclose These presenters have nothing to disclose Are National Indicators Useful for Improvement Work? Exercises & Worksheets Robert Lloyd, PhD Göran Henriks,
More informationTools & Resources for QI Success
Tools & Resources for QI Success Pediatric Hospital Medicine National Conference Kiran Kulkarni, MD Cynthia Castiglioni, MD, MS (HQPS) Sangeeta Schroeder, MD, MS (HQPS) Anu Subramony, MD MBA July 22, 2017
More informationQuality Management Program
Ryan White Part A HIV/AIDS Program Las Vegas TGA Quality Management Program Team Work is Our Attitude, Excellence is Our Goal Page 1 Inputs Processes Outputs Outcomes QUALITY MANAGEMENT Ryan White Part
More informationProgram Selection Criteria: Bariatric Surgery
Program Selection Criteria: Bariatric Surgery Released June 2017 Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 2013 Benefit Design Capabilities
More informationACS NSQIP Tools for Success. Pre-Conference Session July 25, 2015
ACS NSQIP Tools for Success Pre-Conference Session July 25, 2015 No disclosures Disclosure Slide Collect the Data Continuous Quality Improvement Implement QI ACS NSQIP Analyze the Data Utilize Tools Current
More informationINSERT ORGANIZATION NAME
INSERT ORGANIZATION NAME Quality Management Program Description Insert Year SAMPLE-QMProgramDescriptionTemplate Page 1 of 13 Table of Contents I. Overview... Purpose Values Guiding Principles II. III.
More informationBuilding Evidence-based Clinical Standards into Care Delivery March 2, 2016
Building Evidence-based Clinical Standards into Care Delivery March 2, 2016 Charles G. Macias MD, MPH Chief Clinical Systems Integration Officer, Texas Children's Associate Professor of Pediatrics, Section
More informationMOCQI APPROVAL PROCESS AND REQUIREMENTS FOR QUALITY IMPROVEMENT PROJECTS
MOCQI APPROVAL PROCESS AND REQUIREMENTS FOR QUALITY IMPROVEMENT PROJECTS Maintenance of Certification (MOC) Part IV: As an American Board of Medical Specialties (ABMS) MOC Part IV Portfolio Program Sponsor,
More informationEvidence for Accreditation in Bariatric Surgery Hospitals
Evidence for Accreditation in Bariatric Surgery Hospitals John Morton, MD, MPH, FASMBS, FACS Chief, Bariatric and Minimally Invasive Surgery Stanford School of Medicine President,American Society for Metabolic
More informationFinancial Disclosure. Learning Objectives. Reducing GI Surgery Re-Admissions, While Increasing Patient Satisfaction
Reducing GI Surgery Re-Admissions, While Increasing Patient Satisfaction Michelle Guibault, BSN, BS, RN Co-Author: D. Leigh Webb, MPH, CTR WellStar Health System, Marietta, GA Nothing to disclose Financial
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 informationLean Six Sigma DMAIC Project (Example)
Lean Six Sigma DMAIC Project (Example) Green Belt Project Objective: To Reduce Clinic Cycle Time (Intake & Service Delivery) Last Updated: 1 15 14 Team: The Speeders Tom Jones (Team Leader) Steve Martin
More information3/30/2015. Objectives. Cooking Up a QAPI: Recipe for Success Under the new COPs Part 1
Cooking Up a QAPI: Recipe for Success Under the new COPs Part 1 Catherine Gill, MS, PT, MHA Director, North Kansas City Hospital Home Health Teresa Northcutt, BSN, RN, COS-C, HCS-D Consultant Objectives
More informationUniversity of Michigan Health System Analysis of Wait Times Through the Patient Preoperative Process. Final Report
University of Michigan Health System Analysis of Wait Times Through the Patient Preoperative Process Final Report Submitted to: Ms. Angela Haley Ambulatory Care Manager, Department of Surgery 1540 E Medical
More informationRoot Cause and Data Analysis
Root Cause and Data Analysis Michelle Synakowski LeadingAge NY Policy Analyst/Consultant 2 1 3 Systemic Analysis and Action Systematic approach to problem analysis Thorough Highly organized Structured
More informationMaximizing the Power of Your Data. Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker
Maximizing the Power of Your Data Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker Objectives Explore selected LTC Trend Tracker reports & features including: re-hospitalization,
More informationFinding and Evaluating Events, Developing an Action Plan 9:55-10:15AM
Session: (GS05) Statistics: Common Core Saturday, July 22, 2017 9:00 AM 10:15 AM Finding and Evaluating Events, Developing an Action Plan 9:55-10:15AM Bruce L. Hall, MD, PhD, MBA Professor of Surgery,
More informationQI Project Application/Report for Part IV MOC Eligibility
QI Project Application/Report for Part IV MOC Eligibility Instructions Complete the project application/report to apply for UMHS approval for participating physicians to be eligible to receive Part IV
More informationImproving Rates of Foot Examination for Patients with Diabetes
Report on a QI Project Eligible for Part IV MOC Instructions Improving Rates of Foot Examination for Patients with Diabetes Determine eligibility. Before starting to complete this report, go to the UMHS
More informationQUALITY OPERATIONALIZED! Is your facility prepared?
Performance Improvement Boot Camp For Assisted Living QUALITY OPERATIONALIZED! Is your facility prepared? Presented by: Barb Jezorski, RN, MSN & Brian R. Purtell WiCAL Executive Director 1 Objectives Describe
More information3. Does the institution have a dedicated hospital-wide committee geared towards the improvement of laboratory test stewardship? a. Yes b.
Laboratory Stewardship Checklist: Governance Leadership Commitment It is extremely important that the Laboratory Stewardship Committee is sanctioned by the hospital leadership. This may be recognized by
More information2017 Participation Guide
2017 Participation Guide The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) has been approved as a Qualified Clinical Data Registry (QCDR) for 2017 facs.org/quality-programs/mbsaqip/resources/data-registry
More informationQuality Improvement in Neonatology. July 27, 2013
Quality Improvement in Neonatology July 27, 2013 Disclosure Nothing to disclose Nothing off label No commercial products No financial affiliation Objectives Key components of Quality Improvement work Advances
More informationIS YOUR QAPI COP READY?
IS YOUR QAPI COP READY? Lisa Meadows/MSW Clinical Compliance Educator Accreditation Commission for Health Care OBJECTIVES Review the CMS requirements for the Medicare Condition of Participation: Quality
More informationHealth Quality Management
Western Technical College 10530161 Health Quality Management Course Outcome Summary Course Information Description Career Cluster Instructional Level Core Abilities Total Credits 3.00 Explores the programs
More informationReport on a QI Project Eligible for Part IV MOC
Report on a QI Project Eligible for Part IV MOC Instructions Determine eligibility. Before starting to complete this report, go to the UMHS MOC website [ocpd.med.umich.edu], click on Part IV Credit Designation,
More informationBlue Distinction Centers for Bariatric Surgery 2017 Provider Survey
Blue Distinction Centers for Bariatric Surgery 2017 Provider Survey Printed version of this document is for reference purposes only. A completed Provider Survey will need to be submitted via the BD Link
More informationCommunication Challenges Overcoming the Barriers to Improve Quality. Presented by: Christy Brinkman LNHA Laura Seleen RN
Communication Challenges Overcoming the Barriers to Improve Quality Presented by: Christy Brinkman LNHA Laura Seleen RN 6-16-16 Objectives The participant will be able to identify a process to follow to
More informationImplementing Surgeon Use of a Patient Safety Checklist in Ophthalmic Surgery
Report on a QI Project Eligible for Part IV MOC Implementing Surgeon Use of a Patient Safety Checklist in Ophthalmic Surgery Instructions Determine eligibility. Before starting to complete this report,
More informationTelehealth: Overcoming the challenges of implementing innovative health care solutions
Telehealth: Overcoming the challenges of implementing innovative health care solutions NRTRC 5 TH ANNUAL CONFERENCE MARCH 22, 2016 ROKI CHAUHAN, MD, FAAFP Disclaimer 2 The material presented here is being
More informationQI Project Application/Report for Part IV MOC Eligibility
QI Project Application/Report for Part IV MOC Eligibility Instructions Complete the project application/report to apply for UMHS approval for participating physicians to be eligible to receive Part IV
More informationWorld Health Organization Male Circumcision Quality Assurance Workshop 2010
Male Circumcision Quality Assurance Workshop World Health Organization 1 DAY 3 2 Giving Feedback: The Debriefing Assessment team determines information to share Relate comments to the specific standard
More informationSelecting Measures. Presented by: Rebecca Lash, PhD, RN Collaborative Outcomes Council July 2016
Selecting Measures Presented by: Rebecca Lash, PhD, RN Collaborative Outcomes Council July 2016 Content adapted from Robert Martin, PsyD, Performance Excellence & Dr. Moira Inkelas Methods for Improvement
More informationI-PASS tool enhances verbal handover on Pediatric General Surgery team
I-PASS tool enhances verbal handover on Pediatric General Surgery team Lapidus-Krol E, Fallon E, Wolinska J, Kolivoshka Y, Fecteau A Division of General and Thoracic Surgery, Hospital For Sick Children,
More informationMeasuring Patient Reported Outcomes
Putting the Patient First: Measuring Patient Reported Outcomes Matt Hutter, MD, MPH Director, The Codman Center for Clinical Effectiveness in Surgery Codman- Warshaw Endowed Chair in Surgery ASMBS Secretary/Treasurer
More informationAdvanced Measurement for Improvement Prework
Advanced Measurement for Improvement Prework IHI Training Seminar Boston, MA March 20-21, 2017 Faculty: Richard Scoville PhD; Gareth Parry PhD Thank you for enrolling in IHI s upcoming seminar on designing
More informationExpanding Your Pharmacist Team
CALIFORNIA QUALITY COLLABORATIVE CHANGE PACKAGE Expanding Your Pharmacist Team Improving Medication Adherence and Beyond August 2017 TABLE OF CONTENTS Introduction and Purpose 1 The CQC Approach to Addressing
More informationBuilding a Lean Team. Using Lean Methodology to Develop a Collaborative Rounding Model. April 28 th, 2010
Building a Lean Team Using Lean Methodology to Develop a Collaborative Rounding Model April 28 th, 2010 Faculty APD, Internal Medicine Residency Program Co-Sponsor, LEAN Improvement Team APD, Internal
More informationMSQC Quality Improvement Initiative Summary- EXAMPLE
MSQC CQI Performance Index and Scoring 2014 Attachment D MSQC Quality Improvement Initiative Form MSQC Quality Improvement Initiative Summary- EXAMPLE Goal (Based on MSQC data) Decrease MSQC VTE rate of
More informationReport on a QI Project Eligible for Part IV MOC
Report on a QI Project Eligible for Part IV MOC Instructions Determine eligibility. Before starting to complete this report, go to the UMHS MOC website [ocpd.med.umich.edu], click on Part IV Credit Designation,
More informationQAPI Making An Improvement
Preparing for the Future QAPI Making An Improvement Charlene Ross, MSN, MBA, RN Objectives Describe how to use lessons learned from implementing the comfortable dying measure to improve your care Use the
More informationTiming of Pre-operative Antibiotics in Cardiac Surgery Patient
Report on a QI Project Eligible for Part IV MOC Instructions Timing of Pre-operative Antibiotics in Cardiac Surgery Patient Determine eligibility. Before starting to complete this report, go to the UMHS
More informationAMERICAN COLLEGE OF SURGEONS Inspiring Quality: Highest Standards, Better Outcomes
AMERICAN COLLEGE OF SURGEONS Inspiring Quality: Highest Standards, Better Outcomes SSI Measure Harmonization ACS NSQIP and CDC NHSN Bruce Lee Hall, MD, PhD, MBA, FACS 2012 ACS NSQIP National Conference
More informationPointRight: Your Partner in QAPI
A N A LY T I C S T O A N S W E R S E X E C U T I V E S E R I E S PointRight: Your Partner in QAPI J A N E N I E M I M S N, R N, N H A Senior Healthcare Specialist PointRight Inc. C H E R Y L F I E L D
More information2017 Quality Incentive Program (QIP) Quality Improvement Activity (QIA) Improving Kt/V Comprehensive Measure Score
2017 Quality Incentive Program (QIP) Quality Improvement Activity (QIA) Improving Kt/V Comprehensive Measure Score Tish Lawson Team Leader February Kick Off Meeting Overview Facility Selection QIP-QIA
More informationThe Importance of Quality Improvement
The Importance of Quality Improvement Mary Beth Farrell, MS, CNMT, NCT Disclosure: Director of Accreditation and Research Objectives Here s where our story begins. Review why quality is such a buzz word
More informationUNC2 Practice Test. Select the correct response and jot down your rationale for choosing the answer.
UNC2 Practice Test Select the correct response and jot down your rationale for choosing the answer. 1. An MSN needs to assign a staff member to assist a medical director in the development of a quality
More informationQuality Management and Accreditation
Quality Management and Accreditation Lina Mekawi, RPh, MS Epidemiology, CPHQ, Senior Quality Analyst, Quality, Accreditation and Risk Management Department, AUBMC November 2017 Disclosure Slide I, Lina
More informationQAPI- CREATING A CULTURE FOR IMPROVMENT Guide to the Basic Principles of Quality Improvement. Patty Austin, RN, CPHQ Project Coordinator
QAPI- CREATING A CULTURE FOR IMPROVMENT Guide to the Basic Principles of Quality Improvement Patty Austin, RN, CPHQ Project Coordinator QA + PI = QAPI QAPI takes a systematic, comprehensive, and data-driven
More informationBasic Skills for CAH Quality Managers
Basic Skills for CAH Quality Managers MARCH 20, 2014 THE BASICS OF DATA MANAGEMENT Data Management Systems COLLECTION AGGREGATION ASSESSMENT REPORTING 1 Some Data Management Terminology Objective data
More informationDeveloping a Curriculum in Patient Safety and Quality Improvement for Your Clerkship
Developing a Curriculum in Patient Safety and Quality Improvement for Your Clerkship Diane Levine, Wayne State University Allison Heacock, The Ohio State University Amy Shaheen, University of North Carolina
More informationThe Power of Quality. Lindsay R. Smith, MSN,RN Quality Manager Vanderbilt Transplant Center
The Power of Quality Lindsay R. Smith, MSN,RN Quality Manager Vanderbilt Transplant Center What do you think of when you hear the word quality? LEAN RCA PDSA QAPI SIX SIGMA PIP TQM 5s Objectives Transplant
More informationClinical Program Cost Leadership Improvement
Clinical Program Cost Leadership Improvement December 2017 Presbyterian recently developed a rapid-cycle process for integrating sustainable cost and quality improvements within clinical programs. Population
More informationElectronic Surgical Scheduling Improves Patient Safety and Productivity
Electronic Surgical Scheduling Improves Patient Safety and Productivity Katrina Spears, MA, Manager Business & Informatics Surgical Services Lina Munoz, BSN, RN, CPAN Manger Presurgical Testing, PACU,
More informationQualityPath Cardiac Bypass (CABG) Maintenance of Designation
QualityPath Cardiac Bypass (CABG) Maintenance of Designation Introduction 1. Overview of The Alliance The Alliance moves health care forward by controlling costs, improving quality, and engaging individuals
More informationGantt Chart. Critical Path Method 9/23/2013. Some of the common tools that managers use to create operational plan
Some of the common tools that managers use to create operational plan Gantt Chart The Gantt chart is useful for planning and scheduling projects. It allows the manager to assess how long a project should
More informationConstipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated)
Report on a QI Project Eligible for MOC ABMS Part IV and AAPA PI-CME Constipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated) Instructions
More informationUniversity of Michigan Health System
University of Michigan Health System Program and Operations Analysis Analysis of the Orthopedic Surgery Taubman Clinic Final Report To: Andrew Urquhart, MD: Orthopedic Surgeon Patrice Seymour, Administrative
More informationSurgical Performance Tracking in a Multisource Data Environment
Surgical Performance Tracking in a Multisource Data Environment Kiley B. Vander Wyst, MPH Jorge I. Arango, MD Madison Carmichael, BS Shelley Flecky, PA P. David Adelson, MD, FACS, FAAP Disclosures No conflicts
More informationQuality Assurance & Data Quality
Quality Assurance & Data Quality Barbara Ritter, Michigan Statewide HMIS & Spokane WA. Tom Albanese, Community Shelter Board, Columbus/Franklin County OH. September 14th and 15th, 2004 Chicago, IL Sponsored
More informationA Publication for Hospital and Health System Professionals
A Publication for Hospital and Health System Professionals S U M M E R 2 0 0 8 V O L U M E 6, I S S U E 2 Data for Healthcare Improvement Developing and Applying Avoidable Delay Tracking Working with Difficult
More informationNew York State Critical Access Hospital Performance Improvement Network. July 31, 2017
New York State Critical Access Hospital Performance Improvement Network July 31, 2017 July 31, 2017 2 Outline New York State Flex Program Background Flex Program Current Activities Data Reporting LAN Concept
More informationPractical Quality Improvement Strategies in a Busy Community Clinic
Practical Quality Improvement Strategies in a Busy Community Clinic Jenny Bartlett-Prescott, MS Senior Director of Integrated Health Church Health Memphis, TN Quality define it Fostering a culture of excellence
More informationIndianapolis Transitional Grant Area Quality Management Plan (Revised)
Indianapolis Transitional Grant Area Quality Management Plan 2017 2018 (Revised) Serving 10 counties: Boone, Brown, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, Putnam and Shelby 1 TABLE OF CONTENTS
More informationA Successful Patient Rounding Redesign: Staff Empowerment Blended With a Research Project
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing A Successful Patient Rounding Redesign: Staff Empowerment Blended With a Research Project Jody Shigo RN, CMSRN Lehigh Valley
More informationPage 1 of 26. Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014
Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014 Clinical Quality Service Page 1 of 26 Print Date:18/11/2014 Clinical Governance
More information9/27/2017. Getting on the Path to Excellence. The path we are taking today! CMS Five Elements
Getting on the Path to Excellence QAPI DESIGN AND IMPLEMENTATION Demi Haffenreffer, RN, MBA www.consultdemi.net The path we are taking today! The requirements at F944 (formerly F520) Key elements Survey
More informationuncovering key data points to improve OR profitability
REPRINT March 2014 Robert A. Stiefel Howard Greenfield healthcare financial management association hfma.org uncovering key data points to improve OR profitability Hospital finance leaders can increase
More informationBalancing State, Federal and Internal Bundle Payment Initiatives
Balancing State, Federal and Internal Bundle Payment Initiatives Vanderbilt University Medical Center Brittany Cunningham, MSN, RN, CSSBB Director, Episodes of Care Key Take Aways What are the different
More informationUsing Predictive Analytics to Improve Sepsis Outcomes 4/23/2014
Using Predictive Analytics to Improve Sepsis Outcomes 4/23/2014 Ryan Arnold, MD Department of Emergency Medicine and Value Institute Christiana Care Health System, Newark, DE Susan Niemeier, RN Chief Nursing
More informationAmerican Medical Group Association Optimizing a Patient-Focused Approach to Primary Care
American Medical Group Association Optimizing a Patient-Focused Approach to Primary Care May 6, 2015 Today s Speakers 1 Today s Speakers Cailin Purcell Senior Director Cailin Purcell is the Senior Director
More informationUniversity of Michigan Health System Part IV Maintenance of Certification Program [Form 12/1/14]
Report on a QI Project Eligible for Part IV MOC: Improving Medication Reconciliation in Primary Care Instructions Determine eligibility. Before starting to complete this report, go to the UMHS MOC website
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 informationThe Palliative Care Quality Network s Quality Improvement Collaborative. Kara Bischoff, MD PCQN Spring Conference May 13, 2015
The Palliative Care Quality Network s Quality Improvement Collaborative Kara Bischoff, MD PCQN Spring Conference May 13, 2015 Agenda: Session 1 The QI landscape in PC How the PCQN can help you excel The
More informationSample Exam Questions. Practice questions to prepare for the EDAC examination.
Sample Exam Questions Practice questions to prepare for the EDAC examination. About EDAC EDAC (Evidence-based Design Accreditation and Certification) is an educational program. The goal of the program
More informationD Masina 1, J Ndirangu 1, I Choge 2, L Dayanund 3, C Bonnecwe 3, E Njeuhmeli 4, D Jacobs 1. Abstract no. WEPEE489
Abstract no. WEPEE489 Improving client follow up in Voluntary Medical Male Circumcision (VMMC) programs through Continuous Quality Improvement (CQI): Experiences from South Africa D Masina 1, J Ndirangu
More informationEnhanced Recovery Implementing Meaningful Change
Enhanced Recovery Implementing Meaningful Change Jeff Simmons MD Associate Professor UAB Department of Anesthesiology and Perioperative Medicine I have no relevant financial relationships to disclose.
More informationMeasure #389: Cataract Surgery: Difference Between Planned and Final Refraction - National Quality Stategy Domain: Effective Clinical Care
Measure #389: Cataract Surgery: Difference Between Planned and Final Refraction - National Quality Stategy Domain: Effective Clinical Care 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY DESCRIPTION:
More informationOB Advisory Workgroup. January 12, :30 1:30 PM
OB Advisory Workgroup January 12, 2014 12:30 1:30 PM Overview HTN Initiative Subcommittee Update to OB Advisory group from subcommittee EED Initiative BC Initiative Process and Timeline Next Steps HTN
More informationCarol Peden MB ChB, MD, MPH. on behalf of the. Emergency Laparotomy Collaborative (ELC)
C3: Four of the Best from the IHI Scientific Symposium The Emergency Laparotomy Collaborative: Scaling up an Improvement Bundle for High Risk Surgical Patients Carol Peden MB ChB, MD, MPH on behalf of
More informationDirecting and Controlling
NUR 462 Principles of Nursing Administration Directing and Controlling (Leibler: Chapter 7) Dr. Ibtihal Almakhzoomy March 2007 Dr. Ibtihal Almakhzoomy Directing and Controlling Define the management function
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 informationWhen the Best Surprise is No Surprise
PROVIDER ENGAGEMENT When the Best Surprise is No Surprise Managing Margins and Efficiency in Outpatient Surgery Sarah Wald Dedicated Advisor Impetus for Outpatient Expansion 2 Continued Outpatient Volume
More informationInpatient to Outpatient Transitions: Admissions, Discharges & Transfers
Inpatient to Outpatient Transitions: Admissions, Discharges & Transfers Care Coordination Matters 15 th Annual Case Management Conference November 10, 2015 Christopher Kim, MD, MBA, SFHM Associate Medical
More informationQ I. Quality Improvement Work Plan FY
Q I Quality Improvement Work Plan FY 2015-2016 Health & Human Services Department Mental Health & Substance Use Services Division Suzanne Tavano, PHN, PhD, Behavioral Health Director Dawn Kaiser, LCSW,
More informationOperational Excellence at Lifespan. Sharon Tripp RN, MS, CPHQ Director of Clinical Excellence
Operational Excellence at Lifespan Sharon Tripp RN, MS, CPHQ Director of Clinical Excellence Objectives Discuss Lifespan s approach to establishing a system-based quality structure Describe the organization
More informationHospital Utilization: Hospitalization and Emergent Care
Hospital Utilization: Hospitalization and Emergent Care SHP for Agencies Complete analysis of hospitalizations, rehospitalizations, and emergent care occurrences is available in the Agencies> Hospital
More informationDegree to which expectations of participants were met regarding the setting and delivery of the educational activity
Outcomes Framework Miller s Framework Description Data Sources and Methods Participation LEVEL 1 Number of learners who participate in the educational activity Attendance records Satisfaction LEVEL 2 Degree
More informationRapid-Learning Healthcare Systems
Rapid-Learning Healthcare Systems in silico Research and Best Practice Adoption in Promoting Rapid Learning Sharon Levine MD July 11, 2012 NIH Training Institute for Dissemination and Implementation Rapid-Learning
More informationTransforming Clinical Practices Initiative
Transforming Clinical Practices Initiative Overview CMS through its Center for Medicare & Medicaid Innovation is launching its Transforming Clinical Practices Initiative (TCPI), which over a four-year
More informationStrengthening Primary Care for Patients:
Strengthening Primary Care for Patients: Geisinger Health Plan Danville, Pa. Background Geisinger Health Plan (GHP) is a nonprofit health maintenance organization serving the health care needs of more
More informationSES B38 Integrating the Health Care Matrix into your Transitional Year Quality and Safety Curriculum
SES B38 Integrating the Health Care Matrix into your Transitional Year Quality and Safety Curriculum AHME Institute May 15, 2015 Objectives At the conclusion of this session, the learner should be able
More informationDescribe the process for implementing an OP CDI program
1 Outpatient CDI: The Marriage of MACRA and HCCs Marion Kruse, RN, MBA Founding Partner LYM Consulting Columbus, OH Learning Objectives At the completion of this educational activity, the learner will
More informationPERIOPERATIVE CONSULTING SERVICES
SPT Sourcing PERIOPERATIVE CONSULTING SERVICES Improve efficiency and financial savings. Surgical Supply Management Solutions Keep everyone in-sync and in control with THE RIGHT SUPPLIES AT THE RIGHT TIME.
More informationTransforming The Process Industries
The requested format for all proposals submitted to RAPID is outlined here. There is a 12-page limit to each proposal, excluding the title page and Supplemental Information section. Proposals should retain
More informationMalnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum. May 2015 avalere.com
Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum May 2015 avalere.com Malnutrition Has a Significant Impact on Patient Outcomes MALNUTRITION IS ASSOCIATED WITH
More informationAdverse Events: Thorough Analysis
CMS TRANSPLANT PROGRAM QUALITY WEBINAR SERIES Adverse Events: Thorough Analysis James Ballard, MBA, CPHQ, CPPS, HACP Eileen Willey, MSN, BSN, RN, CPHQ, HACP QAPI Specialist/ Quality Surveyor Educators
More informationLANCASTER GENERAL HEALTH
Lori Abel RN, M.Ed. NO DISCLOSURES Penn Medicine Lancaster General Health LANCASTER GENERAL HEALTH Integrated Health System serving Lancaster Pennsylvania with a regional population ~1 million 631 licensed
More information