Using clinical data for GME. Alvin Rajkomar, MD Research Scientist at Google Brain Hos pitalis t at Univers ity of California, San Francis co
|
|
|
- Alexis Francis
- 5 years ago
- Views:
Transcription
1 Using clinical data for GME Alvin Rajkomar, MD Research Scientist at Google Brain Hos pitalis t at Univers ity of California, San Francis co
2 Disclosures
3 Grew up in Silicon Valley My background Studied computational science (chemistry and physics) Internal Medicine Residency and Hos pital Medicine Fellows hip at UCSF
4 My first time ward attending 7pm On-Call Resident to intern: Let s run down to the ED for a fresh admit: esophageal bleed Resident to me: I haven t really dealt with a massive GI bleed before
5 How often do interns not see a common diagnos is? Rajkomar, Alvin, Sumant R. Ranji, and Bradley Sharpe Using the Electronic Health Record to Identify Educational Gaps for Internal Medicine Interns. Journal of Graduate Medical Education 9 (1):
6 After (simple) analysis of clinical notes: fairly frequently! Analyzed every note written by an intern and used the EHR to discover the patient s diagnos is. Calculated the most common diagnoses (by number of hos pitalization-days ). Identified common diagnoses that interns ended up not seeing.
7 After a few months of attending I wrote a program to automatically lis t all the patients I had s een One hospitalist Could you do that for me? Another hospitalist Could you do that for our residents?
8 Interns wanted to track patient outcomes but didn t routinely Narayana, Sirisha, Alvin Rajkomar, James D. Harrison, Victoria Valencia, Gurpreet Dhaliwal, and Sumant R. Ranji What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow- Up. Journal of Graduate Medical Education, August. Accreditation Council for Graduate Medical Education. doi: /jgme-d
9 What would happen if we gave interns a list of their patients on a light rotation?
10 When given space, interns used their own data to improve their own performance
11 Could we feedback data live to help on our QI priorities? Residents picked QI priorities, and metrics were reported back periodically Done biweekly by hand (by residents), but trainees often rotated off service, making feedback stale and unactionable Could it be automated? Would it make a difference?
![The Feedback Bundle: A Novel Method of Inpatient Audit and Feedback [abstract].](/docs-images/87/95413649/images/12-1.jpg "Journal of Hospital Medicine. 2016; 11 (suppl 1). http://www.shmabstracts.")
12 We automated the process... Patel S, Harrison JD, Valencia V, Mourad M, Ranji S, Rajkomar AR. The Feedback Bundle: A Novel Method of Inpatient Audit and Feedback [abstract]. Journal of Hospital Medicine. 2016; 11 (suppl 1). Accessed October 8, 2017.
![Rajkom ar, AR; Patel, S; Va lencia, V; Ranji, SR; Harrison, J D; Prasad, P; Mourad, M. THE DATA TRIAL: A RANDOMIZED CONTROLLED TRIAL OF NEXT GENERATION AUDIT AND FEEDBACK [a bstra ct].](/docs-images/87/95413649/images/13-0.jpg "Journal of Hospital Medicine. 2017; 12 (suppl 2). http://www.shmabstracts.com/abstract/the-data-trial-a-randomized-controlled-trial-of-next-generation-audit-and-feedback/. Accessed October 8, 2017.")
13 Rajkom ar, AR; Patel, S; Va lencia, V; Ranji, SR; Harrison, J D; Prasad, P; Mourad, M. THE DATA TRIAL: A RANDOMIZED CONTROLLED TRIAL OF NEXT GENERATION AUDIT AND FEEDBACK [a bstra ct]. Journal of Hospital Medicine. 2017; 12 (suppl 2). Accessed October 8, and ran an RCT to see if had an effect It improved performance on measures picked by residents But an unexpected finding...
14 Attribution matters - is this your data? Interns write notes so easy to find patients they directly took care of Residents contributions may not be reflected in the EHR, so we had to merge residency scheduling data Lessons learned Accuracy matters - is this data correct? If data is inaccurate for a single patient, hard to win back trus t of a clinician Utility of analysis matters When given data in a neutral s etting (as a lis t of patients they have seen) trainees were pleased When given as feedback of performance on QI metrics, trainees had very mixed feelings
15 Arndt, Brian G., John W. Beasley, Michelle D. Watkinson, Jonathan L. Temte, Wen-Jan Tuan, Christine A. Sinsky, and Valerie J. Gilchrist Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations. Annals of Family Medicine 15 (5): Daily work will generate new types of data Voice/Conversation data Click logs
16 New analytical approaches can reveal insights......but they can veer into being invasive Voigt, Rob, Nicholas P. Camp, Vinodkumar Prabhakaran, William L. Hamilton, Rebecca C. Hetey, Camilla M. Griffiths, David J urgens, Dan Jurafsky, and Jennifer L. Eberhardt Language from Police Body Camera Footage Shows Racial Disparities in Officer Respect. Proceedings of the National Academy of Sciences of the United States of America 114 (25):
17 Use data responsibly Speculative: can coaching through AI help improve performance for trainees regardless of resources of training program? Focus on using data collection and feedback for purposes acceptable to patients and trainees Reduce administrative burden of data entry Daily work should be captured and sufficient Teach trainees how to access and analyze their own data Goals for data collection and us e of the future
Future of the Health Care Workforce: Where are we going? May 23, 2018
Future of the Health Care Workforce: Where are we going? May 23, 2018 Setting the Context Source: Various, AMA 2 Projected physician shortfall of between 42,600 and 121,300 Source: 2018 Update - The Complexities
Shark Tank: Costs of Care Edition
Helping clinicians provide better care at lower cost Shark Tank: Costs of Care Edition Neel Shah, MD, MPP, Executive Director (Harvard Medical School) Jordan Harmon, MHA, Advocacy Director (Hospital for
Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre
Barriers to Early Rehabilitation in Critically Ill Patients Shannon Goddard, MD Sunnybrook Health Sciences Centre Disclosures/Funding No financial disclosures or conflicts of interest Work is funding by
Begin 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
SO YOU WANT TO IMPROVE THE DISCHARGE PROCESS?
Who are we? Why are we here? SO YOU WANT TO IMPROVE THE DISCHARGE PROCESS? Michelle Mourad MD Arpana Vidyarthi Ellen Kynoch Oh Betty Why Betty? pulmonary edema sodium intake & daily weights What makes
PQRS and Other Incentive Programs
FAQs on Physician Quality Reporting System and Other Medicare : Eligible Professional Participation Requirements and Medicare Part B Payment Adjustments for Non-Participation NOTE: CMS extended to March
10/27/10. Michelle Mourad MD Arpana Vidyarthi Ellen Kynoch. pulmonary edema. sodium intake & daily weights
Michelle Mourad MD Arpana Vidyarthi Ellen Kynoch pulmonary edema sodium intake & daily weights 1 What makes her at risk for readmission? Why didn t she listen to her doctors about her salt intake? Did
Response to a Medication Error Tragedy and the Development of a Patient Safety Program. Dana-Farber Cancer Institute
Response to a Medication Error Tragedy and the Development of a Patient Safety Program Dana-Farber Cancer Institute Institute of Medicine December 2010 Lawrence N Shulman, MD Chief Medical Officer and
Improving the Delivery of Troponin Results to the Emergency Department using Lean Methodology
Organization: Anne Arundel Medical Center Solution Title: Improving the Delivery of Troponin Results to the Emergency Department using Lean Methodology Program/Project Description, Including Goals: What
Quality Improvement in the Advent of Population Health Management WHITE PAPER
Quality Improvement in the Advent of Population Health Management WHITE PAPER For healthcare organizations whose reimbursement and revenue are tied to patient outcomes, achieving performance on quality
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
Avoiding the Avoidable: Pathways for VTE Prevention in the Vulnerable Medically Ill
Avoiding the Avoidable: Pathways for VTE Prevention in the Vulnerable Medically Ill Critical role of the hospitalist in gaining consensus and developing protocols to maximize quality of care in the treatment
Healthcare Analytics in Action
Healthcare Analytics in Action Joseph Doyle Erwin H. Schell Associate Professor of Management Professor of Applied Economics #MITSloanHI MARCH 13, 2015 10 ON THE PARK NEW YORK, NY Healthcare Analytics
Shark Tank: Costs of Care Edition
L20 These presenters have nothing to disclose Helping clinicians provide better care at lower cost Shark Tank: Costs of Care Edition Neel Shah, MD, MPP, Executive Director (Harvard Medical School) September
Care Management at Mercy ACO
JANUARY 18 Care Management at Mercy ACO Case Study About Mercy Mercy ACO Care Management 01 Who they are Mercy ACO, one of the largest Accountable Care Organizations in the Midwest U.S. with 400+ service
MSTS 2018 Abstract Submission Guidelines
MSTS 2018 Abstract Submission Guidelines The MSTS Program Committee welcomes abstracts relative to all aspects of musculoskeletal oncology and limb salvage and are especially interested in the "Category"
Transcript: Affordable Care Act for TB Services in California: Assessment by the California TB Controller s Association
Transcript: Affordable Care Act for TB Services in California: Assessment by the California TB Controller s Association Julie Higashi, MD, PhD TB Controller, Disease Prevention and Control Branch, Population
Sharp HealthCare ACO. Presented by: Donald C. Balfour, M.D. President and Medical Director Sharp Rees-Stealy Medical Group
Sharp HealthCare ACO Presented by: Donald C. Balfour, M.D. President and Medical Director Sharp Rees-Stealy Medical Group Institute for Quality Leadership Annual Conference October 4, 2012 Sharp ACO Collaborations
Introduction FUJITSU APPROACH FOR TACKLING THE TECHNICAL CHALLENGES RELATED TO THE MANAGEMENT OF EHR
6/8/2018 FUJITSU APPROACH FOR TACKLING THE TECHNICAL CHALLENGES RELATED TO THE MANAGEMENT OF EHR By Albert Mercadal, Head of Advanced Analytics, Fujitsu EMEIA 0 Copyright 2018 FUJITSU Introduction 1 Introduction
A Multi-Phased Approach to Using Clinical Data to Drive Evidence-Based EMR Redesign. Kulik, Carole Marie; Foad, Wendy; Brown, Gretchen
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
Greetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE
IN THIS ISSUE: Make Sure You Are Solving the Right Problem P. 1 Are Electronic Health Records Contributing to Fraud? P. 1 Stress Ulcer Prophylaxis P. 2 Antibiotic Stewardship P. 3 APeX tips for a safe
Greetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE
IN THIS ISSUE: Create Raving Fans of Your Idea P. 1 Where is our waste? P. 1 Sepsis Update P. 3 Quality Updates P. 4 APeX quality tips P.5 Division Incentive Metrics P. 6 Focus Group Findings P. 2 The
ISOLS/MSTS 2015 Abstract Submission Guidelines
ISOLS/MSTS 2015 Abstract Submission Guidelines The ISOLS and MSTS program committees welcome abstracts relative to all aspects of musculoskeletal oncology and limb salvage and are especially interested
The Bungie Foundation
CASE STUDY Easing children s pain with ipad at the bedside The Bungie Foundation BELLEVUE, WASHINGTON Normalizing the hospital stay through entertainment Recognized worldwide for creating tthe Destiny
Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre
Barriers to Early Rehabilitation in Critically Ill Patients Shannon Goddard, MD Sunnybrook Health Sciences Centre Disclosures/Funding No financial disclosures or conflicts of interest Work is funding by
A Stepwise Approach to Quality Improvement. Michelle Mourad, MD Director of Quality and Safety, Division of Hospital Medicine UCSF Medical Center
A Stepwise Approach to Quality Improvement Michelle Mourad, MD Director of Quality and Safety, Division of Hospital Medicine UCSF Medical Center Why do we fail to do simple things that improve care? Hand
Electronic Consultation and Referral (ecr) to Achieve the Quadruple Aim
Electronic Consultation and Referral (ecr) to Achieve the Quadruple Aim Session # 307, February 21, 2017 J. Nwando Olayiwola, MD, MPH, FAAFP, Director, Center for Excellence in Primary Care, University
How 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
University of Illinois FY15 Federal Audit Corrective Action Plans. Finding Incomplete Documentation in Client Eligibility Files
University of Illinois FY15 Federal Audit Corrective Action Plans Finding 2015-004 Incomplete Documentation in Client Eligibility Files The University is seeking changes to the state s administrative code,
COMPREHENSIVE EARLY GOAL DIRECTED THERAPY IN SEPSIS ROCHESTER GENERAL. Sepsis Treatment Order Sets Sepsis Treatment Order Sets
Publication Year: 2013 COMPREHENSIVE EARLY GOAL DIRECTED THERAPY IN SEPSIS ROCHESTER GENERAL Summary: An organized accepted approach to sepsis recognition, early management in the ED including specific
Driving the value of health care through integration. Kaiser Permanente All Rights Reserved.
Driving the value of health care through integration February 13, 2012 Kaiser Permanente 2010-2011. All Rights Reserved. 1 Today s agenda How Kaiser Permanente is transforming care How we re updating our
Facilitating Change in the Patient Safety Culture of the Clinical Learning Environment
Facilitating Change in the Patient Safety Culture of the Clinical Learning Environment Andrew R. Buchert, MD Dept. of Pediatrics Gregory M. Bump, MD Dept. of Medicine Associate Medical Directors for GME
Analyzing Readmissions Patterns: Assessment of the LACE Tool Impact
Health Informatics Meets ehealth G. Schreier et al. (Eds.) 2016 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative
LEGAL NEEDS BY JENNIFER TROTT, MPH AND MARSHA REGENSTEIN, PHD
Issue Brief One SCREENING FOR INCOME HEALTH-HARMING EDUCATION & EMPLOYMENT HOUSING & UTILITIES LEGAL NEEDS BY JENNIFER TROTT, MPH AND MARSHA REGENSTEIN, PHD This brief is possible with support from The
How to Improve the Discharge Process. Michelle Mourad, MD Ryan Greysen, MD
How to Improve the Discharge Process Michelle Mourad, MD Ryan Greysen, MD Who are we? Why are we here? I mean BOB is the reason we are all really here. Do you have a BOB where you are? Or perhaps you like
Improving Sign-Outs in Hospital Medicine
Improving Sign-Outs in Hospital Medicine Arpana R. Vidyarthi, MD Assistant Professor of Medicine Division of Hospital Medicine Director of Quality, Division of Hospital Medicine Director, Patient Safety
Hospital Clinical Documentation Improvement
Hospital Clinical Documentation Improvement March 2016 Clinical Documentation Improvement (CDI) is a team approach to improving documentation practices through ongoing education, concurrent chart review
Describe 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
Increased situational awareness to reduce undetected deterioration
Increased situational awareness to reduce undetected deterioration SPSP Paediatric Care WebEx Patrick W. Brady, MD, MSc Associate Professor of Pediatrics Division of Hospital Medicine Objectives Understand
The Joint Commission's Performance Measurement Journey
The Joint Commission's Performance Measurement Journey 04/15/2015 Patricia A. Craig Associate Project Director - Division of Healthcare Quality Evaluation The Joint Commission DISCLAIMER: The views and
Order Source Misattribution: The Impact on CPOE Metrics
Order Source Misattribution: The Impact on CPOE Metrics Linda Catzoela, RN, BSN, Clinical Informaticist George Gellert, MD, MPH, MPA, Associate System CMIO CHRISTUS Health March 3, 2016 Co-authors and
CMS Issues 2018 Proposed Physician Fee Schedule: What Spine Surgeons Should Know
CMS Issues 2018 Proposed Physician Fee Schedule: What Spine Surgeons Should Know Overview On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment
Analysis of Nursing Workload in Primary Care
Analysis of Nursing Workload in Primary Care University of Michigan Health System Final Report Client: Candia B. Laughlin, MS, RN Director of Nursing Ambulatory Care Coordinator: Laura Mittendorf Management
Welcome to Making Sense of Accountable Care. What s in it for you?
Welcome to Making Sense of Accountable Care. What s in it for you? Lynn Barr, CEO Caravan Health Source: CMS MACRA LAN Powerpoint, October 2015 3 Step 1: Pick Your Destination MIPS Option 1: Do Nothing
Closing the Referral Loop Tool Kit: Improving Ambulatory Referral Management
Closing the Referral Loop Tool Kit: Improving Ambulatory Referral Management A joint initiative of PCPI and The Wright Center for Graduate Medical Education July 25, 2017 Agenda Introductions Environment
CROSSING THE CHASM: ENGAGING NURSES IN QUALITY IMPROVEMENT AND EVIDENCE BASED PRACTICE
CROSSING THE CHASM: ENGAGING NURSES IN QUALITY IMPROVEMENT AND EVIDENCE BASED PRACTICE Joy Goebel RN MN PhD Associate Professor of Nursing California State University Long Beach Objectives Discuss similarities
CACFP : Conducting Five-Day Reconciliation in the Child and Adult Care Food Program, with Questions and Answers
Food and Nutrition Service Park Office Center 3101 Park Center Drive Alexandria VA 22302 DATE: April 4, 2018 SUBJECT: TO: : Conducting Five-Day Reconciliation in the Child and Adult Care Food Program,
Fast-Track PCMH Recognition
Fast-Track PCMH Recognition i2i Systems integrated package of Population Health Management and reporting technology, documented processes and consulting services aligned with NCQA guidelines supports and
IHI Expedition. Today s Host 9/17/2014
September 6, 204 Begins at 3:00 PM EST These presenters have nothing to disclose IHI Expedition Expedition: Appropriate Use of Blood Products Session 3: Transfusion Safety Program Infrastructure: Measures
Changing the Way We Look at Survey Nonresponse
Changing the Way We Look at Survey Nonresponse Presented at the Federal Committee on Statistical Methodology Research Conference November 2013 Deborah H. Griffin and Dawn V. Nelson U.S. Census Bureau 1
What is CDI? 2016 HTH FL Boot Camp. HIM/Documentation: Endurance in the Clinical Documentation Improvement (CDI) Race
HIM/Documentation: Endurance in the Clinical Documentation Improvement (CDI) Race Presented By: Sandy Sage Developed by Annie Lee Sallee Endurance in the Clinical Documentation Improvement (CDI) Race Learning
Starting with the End in Mind: UW Internal Medicine & the Next Accreditation System
Starting with the End in Mind: UW Internal Medicine & the Next Accreditation System John H. Choe, MD, MPH Assoc. Program Director, UW Medicine Residency Dermatology Division Meeting September 13, 2013
Challenges of Sustaining Momentum in Quality Improvement: Lessons from a Multidisciplinary Postoperative Pulmonary Care Program
Challenges of Sustaining Momentum in Quality Improvement: Lessons from a Multidisciplinary Postoperative Pulmonary Care Program Michael R Cassidy, MD Pamela Rosenkranz, RN, BSN, MEd, and David McAneny
POSITION DESCRIPTION
Our mission Is to eliminate health disparities and foster community well-being by providing and promoting the highest quality care in South Los Angeles POSITION DESCRIPTION POSITION TITLE JOB CODE EXEMPT
Calculating Primary Care Panel Size January 2017
Calculating Primary Care Panel Size January 2017 Coleen Kivlahan, MD, MSPH Kristen Pellegrino, MD Kevin Grumbach, MD Samuel A. Skootsky, MD Naveen Raja, DO Reshma Gupta, MD Robin Clarke, MD Thomas Balsbaugh,
Harnessing the Power of MHS Information Systems to Achieve Meaningful Use of Health Information
2011 Military Health System Conference Harnessing the Power of MHS Information Systems to Achieve Meaningful Use of Health Information The Quadruple Aim: Working Together, Achieving Success Forum Moderator:
improvement program to Electronic Health variety of reasons, experts suggest that up to
Reducing Hospital Readmissions March/2017 The readmission rate for patients discharged to a skilled nursing facility is 25% within 30 days1. What can senior care providers do to reduce these hospital readmissions?
Learning from Critical Incidents Michael A. Stoto, PhD Georgetown University
Learning from Critical Incidents Michael A. Stoto, PhD Georgetown University Learning from critical incidents The only way to really know how well a public health emergency preparedness system will perform
POPULATION HEALTH DIVISION SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
POPULATION HEALTH DIVISION SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING PUBLIC HEALTH IN SAN FRANCISCO DPH MISSION: To protect and promote the health of all San Franciscans. POPULATION HEALTH
Fee: The fee for the 12-month renewal is $10,000.
CHILDHOOD CANCER AND BLOOD DISORDERS NETWORK 2017 RENEWAL TOOLS HOW TO Renew To renew, simply submit a completed Childhood Cancer & Blood Disorders Network Renewal Form to Gena Paulk via email at gena.paulk@childrenshospitals.org.
2016 MEMBER SURVEY SUMMARY AND ANALYSIS
2016 MEMBER SURVEY SUMMARY AND ANALYSIS Introduction Traditionally each year ONS conducts a survey of its membership to assess their overall level of satisfaction with their membership and engagement with
Transitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy
Transitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy Scott Matthew Bolhack, MD, MBA, CMD, CWS, FACP, FAAP April 29, 2017 Disclosure Slide I have
Accreditation Preparation & Quality Improvement Demonstration Sites Project. Final Report
Accreditation Preparation & Quality Improvement Demonstration Sites Project Final Report Prepared for NACCHO by the Valley City-County Health District, ND November 2008 Brief Summary Statement City County
Artificial Intelligence Changes Evidence Based Medicine A Scalable Health White Paper
Artificial Intelligence Changes Evidence Based Medicine A Scalable Health White Paper TABLE OF CONTENT EXECUTIVE SUMMARY...3 UNDERSTANDING EVIDENCE BASED MEDICINE 3 WHY EBM?.....4 EBM IN CLINICAL PRACTICE.....6
National COPD Audit Programme
National COPD Audit Programme COPD: Working together Clinical audit of COPD exacerbations admitted to acute hospitals in England and Wales 2017 Findings and quality improvement The audit programme partnership
Using De-Identified Data: 10 practical steps. Jennifer Creasman CTSI Consultation Services
Using De-Identified Data: 10 practical steps Jennifer Creasman CTSI Consultation Services RDB De-identified Flat Files, reduced EHR data but Still A Tidal Wave of Data Number of Tables: 16 Total File Size:
The Roadmap to Reduce Disparities
The Roadmap to Reduce Disparities Marshall H. Chin, MD, MPH Richard Parrillo Family Professor Director, RWJF Finding Answers University of Chicago Disclosures / Funding AHRQ T32 HS00084, K12 HS023007,
A Study on Discharge Process of Discharged Patients of a Multispecialty Hospital Ludhiana
Volume-7, Issue-3, May-June 2017 International Journal of Engineering and Management Research Page Number: 688-694 A Study on Discharge Process of Discharged Patients of a Multispecialty Hospital Ludhiana
Progress on the AAP Quality Measures Task Force Town Hall Dialogue!
Progress on the AAP Quality Measures Task Force Town Hall Dialogue! John A. F. Zupancic MD Associate Professor of Pediatrics, Harvard Medical School Neonatologist Beth Israel Deaconess Medical Center Boston,
Using Hospital Admission, Discharge, and Transfer Data to Coordinate Care: Lessons from Tennessee and Washington
Using Hospital Admission, Discharge, and Transfer Data to Coordinate Care: Lessons from Tennessee and Washington September 6, 2018 A grantee of the Robert Wood Johnson Foundation About State Health Value
Who Cares About Medication Reconciliation? American Pharmacists Association American Society of Health-system Pharmacists The Joint Commission Agency
The Impact of Medication Reconciliation Jeffrey W. Gower Pharmacy Resident Saint Alphonsus Regional Medical Center Objectives Understand the definition and components of effective medication reconciliation
MIPS, MACRA, & CJR: Medicare Payment Transformation. Presenter: Thomas Barber, M.D. May 31, 2016
MIPS, MACRA, & CJR: Medicare Payment Transformation Presenter: Thomas Barber, M.D. May 31, 2016 Michael Porter- Value Based Care Delivery, Annals of Surgery 2008 Principals: Define Value as a Goal Care
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws.
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that
My Birth Control: Engaging patients and providers in shared decision making around contraception
My Birth Control: Engaging patients and providers in shared decision making around contraception Reiley Reed, MPH Whitney Wilson, MPH PI: Christine Dehlendorf, MD, MAS Program in Woman-Centered Contraception
From Data To Action. Putting Data to Work in Today s Hospital
From Data To Action Putting Data to Work in Today s Hospital Growing Challenges In today s uncertain environment, hospitals face many pressures. For some, future financial sustainability is becoming a
9/28/2011. Learning Agenda. Meaningful Use and why it s here. Meaningful Use Rules of Participation. Categories, Objectives and Thresholds
Coding on the River 10/01/2011 Christina Catalano University of Florida Jacksonville Healthcare Inc. Director, EHR Compliance and Meaningful Use Learning Agenda Meaningful Use and why it s here Meaningful
Global Budget Revenue. October 8, 2015
Global Budget Revenue October 8, 2015 Goals Understand GBR s connection to the goals of Maryland s Demonstration Understand impact on budgeting and planning for RFP and future phases Answer questions that
Hematology and Oncology Physician Coverage (HO-PC) Service
Purpose / Principle: Set objectives and expectations for Hematology and Oncology Physician Coverage (HO-PC) on nights and weekends. 1. Background 1.1. Team 1.1.1. Chief: Michael E. Williams, MD 1.1.2.
H2H Mind Your Meds "Challenge. Webinar #3- Lessons Learned Wednesday, April 18, :00 pm 3:00 pm ET. Welcome
H2H Mind Your Meds "Challenge Webinar #3- Lessons Learned Wednesday, April 18, 2012 2:00 pm 3:00 pm ET 1 Welcome Take Home Messages Understand how to implement the Mind Your Meds strategies and tools in
Patients Experience of Emergency Admission and Discharge Seven Days a Week
Patients Experience of Emergency Admission and Discharge Seven Days a Week Abstract Purpose: Data from the 2014 Adult Inpatients Survey of acute trusts in England was analysed to review the consistency
Polling Question #1. Why You Need an Educator. Do you have a CDI educator? Yes No
1 Why You Need an Educator Melissa Maguire, BSN, RN Educator, Clinical Documentation Improvement Penn State Hershey Medical Center Hershey, PA 2 Polling Question #1 Do you have a CDI educator? Yes No 3
PATIENT PRIVACY: RIGHT TO ACCESS PROTECTED HEALTH INFORMATION IN THE DESIGNATED RECORD SET POLICY
PATIENT PRIVACY: RIGHT TO ACCESS PROTECTED HEALTH INFORMATION IN THE DESIGNATED RECORD SET POLICY PURPOSE The purpose of this policy is to: Define the components of information that comprise the patient
Introduction to the Malnutrition Quality Improvement Initiative (MQii)
Introduction to the Malnutrition Quality Improvement Initiative (MQii) Presentation Outline Business Case for the Malnutrition Quality Improvement Initiative (MQii) Background on the MQii and Learning
Using EHRs and Case Management to Improve Patient Care and Population Health
Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker
Improving Transitions to Home & Community- Based Care Settings
This presenter has nothing to disclose. Improving Transitions to Home & Community- Based Care Settings Eric Coleman September 29, 2015 Session Objectives Participants will be able to: Describe the role
Kathleen Kerr, BA Kerr Healthcare Analytics July 18, 2017
Estimating the number of individuals eligible for SB1004 palliative care and appreciating baseline utilization patterns and costs toward the end of life Kathleen Kerr, BA Kerr Healthcare Analytics July
Accepted Manuscript. Hospitalists, Medical Education, and US Health Care Costs,
Accepted Manuscript Hospitalists, Medical Education, and US Health Care Costs, James E. Dalen MD, MPH, ScD (hon), Kenneth J Ryan MD, Anna L Waterbrook MD, Joseph S Alpert MD PII: S0002-9343(18)30503-5
TELLIGENCE. Workflow Solutions. Integrated Workflow Intelligence. Ascom
Ascom TELLIGENCE Workflow Solutions Integrated Workflow Intelligence Ascom Telligence workflow solutions The next evolution in nurse call systems is here: designed to help staff be more productive, enhance
Understanding the Implications of Total Cost of Care in the Maryland Market
Understanding the Implications of Total Cost of Care in the Maryland Market January 29, 2016 Joshua Campbell Director KPMG LLP Matthew Beitman Sr. Associate KPMG LLP The concept of total cost of care is
Rehabilitative Care Alliance
Rehabilitative Care Alliance Provincial Webinar January 10, 2018 12:00 1:00 p.m. For audio, you must call in by phone: (416) 764-8673 or Toll Free: 1-888-780-5892 Passcode: 7677451# Telephone lines open
U.S. Healthcare Problem
U.S. Healthcare Problem U.S. Federal Spending GDP (%) Source: Congressional Budget Office This graph shows that government has to spend a lot of more money in healthcare in the future and it is growing
CMS QUALITY MEASURES, COULD MEAN TO YOU MALNUTRITION, AND WHAT IT. Part I of Nutrition Division Webinar Series
CMS QUALITY MEASURES, MALNUTRITION, AND WHAT IT COULD MEAN TO YOU Part I of Nutrition Division Webinar Series Welcome! During the webinar, the phone lines will be muted. There will be a 15 minute Q&A session
New Strategies for Preventing Pulmonary Embolism, DVT, and Stroke Pivotal Role of the Hospitalist in VTE and Stroke Prevention
New Strategies for Preventing Pulmonary Embolism, DVT, and Stroke Pivotal Role of the Hospitalist in VTE and Stroke Prevention HMS Joseph B. Martin Conference Center Monday, November 27, 2017 Ebrahim Barkoudah,
INTEGRATED DATA ANALYTICS AND CARE WORKFLOW OPTIMIZATION
INTEGRATED DATA ANALYTICS AND CARE WORKFLOW OPTIMIZATION CASE STUDY October 2016 1 AGENDA 1 2 3 INTRODUCTIONS Speaker and System 4 Q+A VALUE OF INTEGRATED DATA Why effective ACOs require EHR, Claims, and
Infectious Diseases, Mental Health & Substance Abuse Maricopa County Department of Public Health, Office of Epidemiology Phoenix, Arizona
Infectious Diseases, Mental Health & Substance Abuse Maricopa County Department of Public Health, Office of Epidemiology Phoenix, Arizona Assignment Description Maricopa County, Arizona, is home to approximately
What works to reduce low value care?
What works to reduce low value care? November 2016 Harriet Hiscock Paediatrician NHMRC Career Development Fellow, Co-lead Community Health Services Research Group, MCRI Director Health Services Research
The Impact of Physician Quality Measures on the Coding Process
The Impact of Physician Quality Measures on the Coding Process The Impact of Physician Quality Measures on the Coding Process by Mark Morsch, MS; Ronald Sheffer, Jr., MA; Susan Glass, RHIT, CCS-P; Carol
Administrative Dashboards: Excellence in Data Driven Decision-Making
Administrative Dashboards: Excellence in Data Driven Decision-Making Kathryn M. Ward-Presson, MSN, RN, CNAA, BC Kathryn G. Sapnas, PhD, RN, CCRN, CNOR Phillip E. Rosen, BS Candido Pezon, BS Miami VA Healthcare
INSPIRED Collaborative Workshop Capturing the Cost of Doing Improvement & Return on Investment
INSPIRED Collaborative Workshop Capturing the Cost of Doing Improvement & Return on Investment February 11, 2015 11:15am-12:00pm PST cfhi-fcass.ca Presenters Dr. Nicole Mittmann Executive Director, Health
Patient Referrals to Self-Management Programs
October 26, 2016 Patient Referrals to Self-Management Programs Janet Tennison PhD, MSW, LCSW Senior Project Manager HealthInsight Quality Innovation Network (QIN) Quality Improvement Organization (QIO)