Quality Improvement: Essential Leadership
|
|
- Randolph William James
- 6 years ago
- Views:
Transcription
1 Quality Improvement: Essential Leadership Anne Matlow, September 30, 2016
2 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. Anne Matlow, September 30, 2016
3 INTRODUCTIONS
4 Learning objectives Discuss the importance of Quality improvement to everyday practice Identify an area needing process improvement Describe the 5 steps of developing a quality improvement project Apply 2 tools for process analysis Understand the role of leadership in effecting change
5 BACKGROUND WHAT IS QUALITY? Doing the right thing at the right time in the right way for the right person. 5
6 Quality is personal. ITEM My desk is always clean. I am caught up on my work. SCORE I exercise daily. I see my friends regularly. I get enough exercise. I am satisfied with my work-life balance. TOTAL 6
7 WHAT IS QUALITY? Doing the right thing at the right time in the right way for the right person.? QUALITY HEALTHCARE? Safe, effective, efficient, equitable, patient-centred, timely IOM 2001 Doing the right thing at the right time in the right way for the right person. 7
8 Quality of care: a global view Commonwealth Fund Study 2013
9 The Mission: Quality Health Care FISHBONE (Cause and Effect) DIAGRAM F QHC 9
10 Leadership and QI There is clear evidence of the link between leadership and a range of important outcomes within health services, including patient satisfaction, patient mortality, organisational financial performance, staff wellbeing, engagement, turnover and absenteeism, and overall quality of care. West M et al. Leadership in health care: a summary of the evidence base. Faculty of Medical Leadership and Management and King s Fund
11 11
12 What are you going to do about it, Mr PM? 12
13 OK,I want to make things better. 13
14 Hall Barber. Academic Medicine October
15 Personal Improvement Project Papers and books, pens and empty coffee cups ITEM My desk is never clean. I gotta get this under control! What would being in control look like? OK: Get started. My precise goal: What? by how much? Where? By when? 15
16 TOOLS OF QI Set SMART* AIM 5 why s Graph it out Fishbone diagram Walk it out Process flow map Match solution to problem, small tests of change Measurement SMART aims: specific, measurable, achievable, realistic, time-based Eg: By Nov 30, 2016 all papers on my desk will be filed by the end of each day 16
17 Assemble team Set SMART* aims 5 why s Graph it out Fishbone diagram Walk it out Process flow map QI is a team sport Match solution to problem, small tests of change Measurement SMART aims: specific, measurable, achievable, realistic, time-based 17
18 Outpatient Calls to a Tertiary Oncology Service The Quality Problem: Patients experiencing a medical issue can wait long periods of time for a callback from the on call MD. Slides courtesy of Dr.Chris Willis, McMaster U
19 Who should be on the team? Provide input to the process Perform one or more of the process steps Receive output from the process The Team Chief Resident (Team Lead) Program Director Lead MD Oncology Hospital Paging Answering Service ER Resident Outpatient RN
20 Outpatient Calls to a Tertiary Defining the problem Oncology Service
21 Outpatient Calls to a Tertiary Oncology Service Understanding the system
22 Process flow map
23 Paging Spaghetti diagram Patient Answering Service Provider
24
25 PDSA PDSA 25
26
27 Outpatient Calls to a Tertiary Oncology Service
28 Small group activity IT S YOUR TURN
29 The Change Opportunity You are a PGY3 who has just completed a two month elective in internal medicine at Elsewhere General Hospital. You were impressed by the way the weekly Morbidity and Mortality Rounds (MMRs) were conducted at Elsewhere General Hospital; the philosophy behind MMRs there was one of continuous learning and improvement, and not one of shame and blame. Now back home after your elective, you are struck by how much finger-pointing actually goes on during MMRs at your own organization, and by the reluctance of trainees to speak up lest they get blamed and/ or accused of making a stupid or irrelevant comment. At the last evaluation, 50% of trainees said they did not find MMRs useful. You would like to see the approach to MMRs improved to more closely resemble those at Elsewhere General Hospital, and are prepared to work with others to improve the process using the Model for Improvement Framework.
30 In your groups 1. Complete the project charter for this project. 2. Present your SMART aim statement. 3. Using the Model for Improvement describe how you will approach improving the MMRs at your hospital. What will you try to achieve with your first two PDSA cycles? 4. Discuss with your group leadership strategies that will help you to implement change ideas for MMRs.
31 Conclusions There are lots of opportunities to improve the delivery of health care (TIP: if you don t know where to start, count something) There is a 5 step framework for doing QI Medical leadership is essential
32 BACK-UP SLIDES
33
34 The main ingredient for successful QI LEADERSHIP
35 When things go wrong: STAFFORD HOSPITAL uploads/attachment_data/file/226703/berwick_report.pdf From January 2005 and March 2009, 400-1,200 patients died as a result of poor care. Public inquiry: - neglect - pain relief late or not at all. - patients unwashed - etc Exerpted from
36 36
37 When things go very well.. 37
38
39 Med Educ Jan;46(1): Educational activities 1. formal curricula that teach concepts or methods intended to facilitate trainees participation in QI activities; 2. educational activities that impart specific related skills (i.e. disclosure of medical errors), and, 3. QI initiatives that involve trainees as active or passive participants. 39
40 Academic Medicine October
41 EVALUATING YOURSELF
42 42
43 ITEM My dictated notes don t reach the GP soon enough!!! WE gotta get this under control! What would being in control look like? OK: Get started. OUR precise goal: What? by how much? Where? by when? 43
44 44
45 Leadership styles 45
46 Culture + Persistence QI IN RESIDENCY
47
48
49 SETTING AIMS
Disclosure noun dis clo sure \dis-ˈklō-zhər\ It will be one of the hardest conversations you will ever have
More than just disclosure Supporting residents following a harmful patient safety incident I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications
More information10/30/2015. Q: What is competency-based medical education (CBME)?
CanMEDS 2015 How will I teach my residents about patient safety? (Co-developed Workshop) I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization.
More informationGoal: to prepare residents to lead change in their future practices in order to provide better care to their patients
Changing Systems Curriculum Goal: to prepare residents to lead change in their future practices in order to provide better care to their patients Objectives: Team Leadership Describe basic concepts of
More informationPractical Guidelines for QI in Your Practice with Added Benefits
Practical Guidelines for QI in Your Practice with Added Benefits Disclosure Sandra Jo Ehlers, M.D. has no relationships with commercial companies to disclose. Learning Objectives At the end of this presentation
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 informationExpanding Improvement Science Competencies: Successes & Challenges Terry L. Jones RN, PhD. utexas.edu/nursing
Expanding Improvement Science Competencies: Successes & Challenges Terry L. Jones RN, PhD Objectives Review literature related to educational preparation for IS competencies. Describe an exemplar course
More informationIncreasing resident incident reporting. Michelle Brooks VCU Health Ashley Duckett MUSC Winter Williams UAB Starr Steinhilber - UAB
Increasing resident incident reporting Michelle Brooks VCU Health Ashley Duckett MUSC Winter Williams UAB Starr Steinhilber - UAB What can we help you with? An Incident... Background - Incident Reporting
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 informationHow to Initiate and Sustain Operational Excellence in Healthcare Delivery: Evidence from Multiple Field Experiments
How to Initiate and Sustain Operational Excellence in Healthcare Delivery: Evidence from Multiple Field Experiments Aravind Chandrasekaran PhD Peter Ward PhD Fisher College of Business Ohio State University
More information2. What is the main similarity between quality assurance and quality improvement?
Chapter 6 Review Questions 1. Quality improvement focuses on: a. Individual clinicians or system users b. Routine measurement of performance c. Information technology issues d. Constant training 2. What
More informationThe Health Literacy Framework will focus on people with chronic conditions and complex care needs, including people with mental illness.
Northern NSW Health Literacy Framework June 2016 Background The Northern NSW Local Health District (NNSW LHD) and North Coast Primary Health Network (NCPHN) have a shared commitment to creating an integrated
More informationQuality: The Race Without a Finish Line
Quality: The Race Without a Finish Line 1 Conflict of Interest Disclosure Speaker Conflict of Interest. Melanie Simpson is on the Speakers Bureau for Pacira Pharmaceutical, Inc. A conflict of interest
More informationPresentation Outline
Chronic Disease Toolkits: Spreading Quality Outcomes Simply Gerald H. Angoff, MD, FACC, MBA Steve Sarette, BA Presentation Outline It Introduction ti Setting the scene Quality Improvement Project Details
More informationImprove the Efficiency and Service of the Emergency Room at North Side Hospital
Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations
More informationGaining Experience in Practice-Based Learning and Improvement
Gaining Experience in Practice-Based Learning and Improvement Greg Ogrinc, MD, MS Dartmouth Medical School White River Junction VA Objectives for this Session Identify core content and learning objectives
More informationHealthcare Improvement Scotland. NHS Tayside
Faculty Site Visit Report Healthcare Improvement Scotland NHS Tayside 8 th June 2011 FINAL VERSION 19 July 2011 CONTENTS 1. Key Contacts... 2 NHS Tayside... 2 Site Visit Team... 2 2. SPSP Programme Key
More informationWriting Manuscripts About Quality Improvement: SQUIRE 2.0 and Beyond
Writing Manuscripts About Quality Improvement: SQUIRE 2.0 and Beyond Author Marilyn H. Oermann, PhD, RN, ANEF, FAAN Thelma M. Ingles Professor of Nursing, Duke University School of Nursing Editor, Journal
More informationSafe medication practice what can we learn from root cause analysis and related methods?
Safe medication practice what can we learn from root cause analysis and related methods? Dr David Gerrett, Senior Pharmacist Patient Safety NHS Improvement Information Day on Medication Errors 20 October
More informationContinuous Quality Improvement Made Possible
Continuous Quality Improvement Made Possible 3 methods that can work when you have limited time and resources Sponsored by TABLE OF CONTENTS INTRODUCTION: SMALL CHANGES. BIG EFFECTS. Page 03 METHOD ONE:
More informationCan Improvement Cause Harm: Ethical Issues in QI. William Nelson, PhD Greg Ogrinc, MD, MS Daisy Goodman, CNM. DNP, MPH
Session Code A4, B4 The presenters have nothing to disclose Can Improvement Cause Harm: Ethical Issues in QI William Nelson, PhD Greg Ogrinc, MD, MS Daisy Goodman, CNM. DNP, MPH December 6, 2016 #IHIFORUM
More informationQuality Improvement/Systems-based Practice. Erica L. Mitchell, M.D., MEd Professor Surgery Vice-Chair Quality, Department of Surgery
Quality Improvement/Systems-based Practice Erica L. Mitchell, M.D., MEd Professor Surgery Vice-Chair Quality, Department of Surgery Objectives Define and understand the importance of Systems Based Practice
More informationImproving teams in healthcare
Improving teams in healthcare Resource 1: Building effective teams Developed with support from Health Education England NHS Improvement Background In December 2016, the Royal College of Physicians (RCP)
More informationCROSSING 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
More informationDELAYED GASTRO EMPTYING
DELAYED GASTRO EMPTYING Quality Improvement in Patient Discharge Dr Victoria Knott CT1 Context Two, thirty bed combined Gastroenterology wards at Northern General Hospital, Sheffield. There are four medical
More informationLONG PATIENT WAITING TIME AT PRINCESS MARINA HOSPITAL OUT-PATIENT DISPENSARY BY PMH TQM TEAM
LONG PATIENT WAITING TIME AT PRINCESS MARINA HOSPITAL OUT-PATIENT DISPENSARY BY PMH TQM TEAM INTRODUCTION Total Quality Management (TQM) is a systematic; data based method for improving the quality of
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 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 informationRoot Cause Analysis. Why things happen
Root Cause Analysis Why things happen Secret There is really no such thing as a root cause There are contributing factors and there is no end to them Purpose of a Root Cause Analysis The purpose is to
More informationImproving General Practice for the People of West Cheshire
Improving General Practice for the People of West Cheshire Huw Charles-Jones (GP Chair, West Cheshire Clinical Commissioning Group) INTRODUCTION There is a growing consensus that the current model of general
More informationLaverne Estañol, M.S., CHRC, CIP, CCRP Assistant Director Human Research Protections
Laverne Estañol, M.S., CHRC, CIP, CCRP Assistant Director Human Research Protections Quality Improvement Activities and Human Subjects Research September 7, 2016 TOPICS What is Quality Improvement (QI)?
More informationUtilizing the Fish-Bone Model to Identify Systems Errors During Pediatric Morbidity and Mortality Conference
Utilizing the Fish-Bone Model to Identify Systems Errors During Pediatric Morbidity and Mortality Conference INGA AIKMAN, MD, MPH PEDIATRIC CHIEF RESIDENT EAST CAROLINA UNIVERSITY Second Annual REACH Medical
More informationDeveloping and Action Plan: Person Centered Dementia Care and Psychotropic Medications
Developing and Action Plan: Person Centered Dementia Care and Psychotropic Medications Lisa Bridwell Program Specialist Telligen QIN-QIO March 2018 Objectives Review interpretive guidance F758 (Free from
More informationQuality Improvement 1.) Understand how to use a fishbone diagram and process map to analyze patient safety concerns 2.) Develop an AIM statement
It s not about the quantity but the quality: A QI Workshop for Dummies John Raimo, MD Sara Cerrone, MD Semie Kang, DO Sean LaVine, MD 1 Quality Improvement 1.) Understand how to use a fishbone diagram
More informationInova Health System Office of Continuing Medical Education Application for Awarding Continuing Medical Education Credit for Regularly Scheduled Series
Inova Health System Office of Continuing Medical Education Application for Awarding Continuing Medical Education Credit for Regularly Scheduled Series This application must be used to collect all of the
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 informationImproving Clinical Flow ECHO Collaborative Change Package
Primary Drivers (driver diagram) Change Concepts Change Ideas Examples, Tips, and Resources Engaged Leadership Develop culture for transformation Use walk-arounds and attendance at team meetings to talk
More informationEngaging Leaders: From Turf Wars to Appreciative Inquiry
Engaging Leaders: From Turf Wars to Appreciative Inquiry Principles of Leadership for a Quality and Safety Culture Harvard Safety Certificate Program 2010 Gwen Sherwood, PhD, RN, FAAN Gwen Sherwood, PhD,
More informationEngaging Learners Across Health Professions in Improving Care Together
Session A17 / B17 These presenters have nothing to disclose Engaging Learners Across Health Professions in Improving Care Together Tuesday December 11, 2012 Objectives After this session, participants
More informationIntegrating quality improvement into pre-registration education
Integrating quality improvement into pre-registration education Jones A et al (2013) Integrating quality improvement into pre-registration education. Nursing Standard. 27, 29, 44-48. Date of submission:
More informationUHF Quality Institute. Patient-Reported Outcomes in Primary Care New York PROPC-NY. Module 2 Webinar
UHF Quality Institute Patient-Reported Outcomes in Primary Care New York PROPC-NY Module 2 Webinar Lucy Savitz, Assistant Vice President for Delivery System Science, Intermountain Healthcare January 24,
More informationScottish Patient Safety Programme Reducing Pressure Ulcers in Care Homes Improvement Programme (SPSP-RPUCH) Induction Event June 2016
Scottish Patient Safety Programme Reducing Pressure Ulcers in Care Homes Improvement Programme (SPSP-RPUCH) Induction Event 27-28 June 2016 Health and Social Care Partnerships Argyll and Bute and Highland
More informationMental Health Screening in Pediatric Primary Care: Results from a Quality Improvement Learning Collaborative
Leandra Godoy, PhD, Melissa Long, MD, Tamara John Li, MPH, Mark Weissman, MD, Lee Savio Beers, MD April 1, 2016 Society for Behavioral Medicine Mental Health Screening in Pediatric Primary Care: Results
More informationCASE STUDY: MID-STAFFORDSHIRE NHS FOUNDATION TRUST
CASE STUDY: MID-STAFFORDSHIRE NHS FOUNDATION TRUST 1 Introduction This case study will be based on hospital management failures that occurred at the Mid- Staffordshire Foundation Trust hospital facilities.
More information13th Annual Meridian Nursing Research and Evidence Based Practice Conference 2017 General Guidelines for Abstract Submission
Hackensack Meridian Ann May Center for Nursing 13 th Annual Meridian Nursing Research and Evidence Based Practice Conference Instructions for Submission All author information and abstract contents must
More informationImproving Student Critical Thinking Skills through a Root Cause Analysis (RCA) Pilot Project
Improving Student Critical Thinking Skills through a Root Cause Analysis (RCA) Pilot Project Dana Tschannen, PhD, RN Michelle Aebersold, PhD, RN University of Michigan, School of Nursing June 3, 2010 Presentation
More informationRecognizing that there were both issues with and opportunities
BY ROSEMARIE WEISMAN AND MEREDITH B. FEINBERG, MBA Bedside Scheduling Improves Patient Access Recognizing that there were both issues with and opportunities for improvement of scheduling coordination and
More informationHealth Reform and Medicare: What Does it Mean for a Restructured Delivery System?
Health Reform and Medicare: What Does it Mean for a Restructured Delivery System? Gary S. Kaplan, MD Chairman and CEO Virginia Mason Medical Center May 25, 2011 Our Strategic Plan Virginia Mason Medical
More informationPartnerships- Cooperation with other care providers that is guided by open communication, trust, and shared decision-making.
1 E P 7: Describe and demonstrate the structure(s) and process(es) used to engage internal experts and external consultants to improve care in the practice setting. When Riverside nurses from any level
More informationAt that moment we realized that our website wasn t optimized for mobile use; it only worked when viewed on a computer. What a mistake on our part.
We were in the process of re-designing our adolescent psychiatry unit s website. We were really pleased with how it was turning out until we asked a young woman how she might look for information about
More informationA GUIDE TO Understanding & Sharing Your Survey Results
A GUIDE TO Understanding & Sharing Your Survey Results Learning & al Development Table of Contents The 2017 UVA Health System Survey provides insight and awareness gained through team member feedback,
More informationCare service inspection report
Care service inspection report Full inspection Upper Springland Support Service Isla Road Perth Inspection completed on 08 May 2015 Service provided by: Capability Scotland Service provider number: SP2003000203
More informationA Framework for Quality Improvement
U019 - Integrating QI into the Derm Practice A Framework for Quality Improvement Margo Reeder, MD Assistant Professor Director of Quality Improvement UWSMPH July 30 2016 Quality is increasingly part of
More informationMeasure: Current State Spaghetti Diagram
Visual representation of process Measure: Current State Spaghetti Diagram Registration Triage Nursing Station Walk In Patient Total Time - 4:52 Entry to Triage 45min Triage to Bed-1:30 Bed to Disposition-2:35
More informationNational 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
More informationAnatomy of a Fatal Medication Error
Anatomy of a Fatal Medication Error Pamela A. Brown, RN, CCRN, PhD Nurse Manager Pediatric Intensive Care Unit Doernbecher Children s Hospital Objectives Discuss the components of a root cause analysis
More informationDesign Principles for Learning and Caring in Patient-Centered Primary Care Homes
The H.R. Bob Brettell, MD, Memorial Lectureship January 29, 2013 Design Principles for Learning and Caring in Patient-Centered Primary Care Homes Judith L. Bowen, MD, FACP Professor of Medicine Oregon
More information(10+ years since IOM)
Medication Errors We're Looking Down the Tunnel and Seeing Light (10+ years since IOM) Michael R. Cohen, RPh, MS, ScD Institute for Safe Medication Practices mcohen@ismp.org 1 Disclosure Information Michael
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 informationOUR COMMITMENTS TO CARE A STRATEGY FOR NURSES & ALLIED HEALTH PROFESSIONALS
OUR COMMITMENTS TO CARE A STRATEGY FOR NURSES & ALLIED HEALTH PROFESSIONALS Version: 2 Ratified by: Trust Board Date ratified: January 2014 Name of originator/author: Acting Head of Nursing Nursing & AHP
More informationThe Improvement Journey; From Beginning to Continued Improvement
The Improvement Journey; From Beginning to Continued Improvement Clemens Steinbock and Lori DeLorenzo National Quality Center Together, we can make a difference in the lives of people with HIV. NQC provides
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 informationPATIENT SATISFACTION REPORT HCAHPS 1 - Inpatient Adult Units MARCH DATA - Final Report 2
JAN FEB MAR 201-01 201-02 201-03 n=123 n=113 n=119 PATIENT SATISFACTION REPORT HCAHPS 1 - Inpatient Adult Units MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top
More informationA GUIDE TO Understanding & Sharing Your Survey Results. Organizational Development
A GUIDE TO Understanding & Sharing Your Survey Results al Development Table of Contents The 2018 UVA Health System Survey provides insight and awareness gained through team member feedback, which is used
More informationDefining PC 3/29/11 1
1 2 3 4 5 This chart shows the relationship between the wealth of 177 countries and their child survival to age 5. The size of the circle represents the population of the country. Child survival to age
More informationBuilding a Safe Healthcare System
Building a Safe Healthcare System Objectives 2 Discuss the process of improving healthcare systems. Introduce widely-used methodologies in QI/PS. What is Quality Improvement? 3 Process of continually evaluating
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 informationBlood Sample Labeling Shean Strong, QI Director Lisle Mukai, QI Coordinator
Blood Sample Labeling Shean Strong, QI Director Lisle Mukai, QI Coordinator Presented at Webex Conferences: July 20, 21, & 22, 2010 Blood Sample Labeling Seminar 6255 West Sunset Blvd Los Angeles, CA Blood
More informationThe Alder Hey ImERSE Patient & Family. Regular Shadowing Events) 1) Understanding care as an experience in the context of the whole family
The Alder Hey ImERSE Patient & Family (Improving Centred Experience Model for Care through Regular Shadowing Events) 1) Understanding care as an experience in the context of the whole family 1) Understanding
More informationA 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
More informationApproaches to practice transformation to improve outcomes along the HIV Care Continuum Panel Session
Approaches to practice transformation to improve outcomes along the HIV Care Continuum Panel Session Integrating Quality Improvement and Population Health Approaches into Panel-based Care through Practice
More informationPatient Centered Medical Home The Road To MDH Health Care Home Certification
Patient Centered Medical Home The Road To MDH Health Care Home Certification Determinants of Health and Their Contribution to Premature Death. Schroeder SA. N Engl J Med 2007;357:1221-1228. Practical
More informationRaising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach
Raising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach July 18, 2016 AAMI Foundation Vision: To drive the safe
More information5D QAPI from an Operational Approach. Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Pathway Health 2013
5D QAPI from an Operational Approach Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Objectives Review the post-acute care data agenda. Explain QAPI principles Describe leadership
More informationDeveloping Entrustable Professional Activities for the ambulatory internist
Developing Entrustable Professional Activities for the ambulatory internist Author: Rupal Shah, Lindsay Melvin and Rodrigo B. Cavalcanti Date: October 1, 2016 Disclosures I do not have an affiliation (financial
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 informationReducing Length of Stay and Improving Family Centered Care for Narcotic Exposed Infants Background: Aims: Setting: Mechanisms/Drivers of Change
Reducing Length of Stay and Improving Family Centered Care for Narcotic Exposed Infants St. Vincent Healthcare (SVH) Billings, MT, USA Lacey Koenig RN, Dianne Kimm RN, Sammy Twito RN, Vicki Birkeland RN,
More informationEnsuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING
Ensuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING Contents Page 1.0 Purpose 2 2.0 Definition of medication error
More informationC157 & UNC2 REVIEW SESSION. Application of Course Content
C157 & UNC2 REVIEW SESSION Application of Course Content COMPETENCIES Competency 7004.1.1: Nursing and Inter-professional Standards Competency 7004.1.2: Evaluating and Documenting Innovations APPLICATION!!
More informationInspiring Improvement in End of Life Care. Dr Ben Lobo
Inspiring Improvement in End of Life Care Dr Ben Lobo Death is life s greatest change agent 3 Questions What care do we want and expect? What care don't we want and need to change? How will we make and
More informationNational Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions
National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More 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 informationA mechanism for measuring and improving patient experience on an acute medical unit
A mechanism for measuring and improving patient experience on an acute medical unit This Future Hospital Programme case study comes from Grantham and District Hospital, part of the United Lincolnshire
More informationWhen going Lean, Waste is the Enemy
When going Lean, Waste is the Enemy Eric S. Kastango, MBA, RPh, FASHP Clinical IQ, LLC March 31, 2009 Objectives Review the definition, elements and wastes of Lean Review the difference between Six Sigma
More informationFrom reporting incidents to ERM
From reporting incidents to ERM Philippe A. COUCKE ERM = Enterprise Risk Management Why ERM in HCS? The hard reality: it s all about numbers! Useless procedures and defensive medicine. Misdiagnosis. Systemic
More informationQAPI Plan QAPI Plan. snits: Sanitas, Denver, CO. Effective Date: 01-Jan-2018
QAPI Plan 2018 QAPI Plan snits: Sanitas, Denver, CO Effective Date: 01-Jan-2018 Design & Scope Statements and Guiding Principles: Vision We will be the premier providers in post-acute care. Mission Our
More informationAlegent Health: Accelerating Innovation for Quality and Efficiency Gains
Alegent Health: Accelerating Innovation for Quality and Efficiency Gains Fred Hosler MD, MPA Executive Vice President Mark S. Kestner MD, MBA SVP and Chief Medical Officer 1 Who Are We? Where Do We Stand?
More informationWhat Your Patient Experience Data is Telling You Kris White, RN, BSN, MBA The Patient Experience: Improving Safety, Efficiency, and CAHPS
This presenter has nothing to disclose. What Your Patient Experience Data is Telling You Kris White, RN, BSN, MBA The Patient Experience: Improving Safety, Efficiency, and CAHPS April 23, 2013 This presenter
More informationVisit to download this and other modules and to access dozens of helpful tools and resources.
This is the third module of Coach Medical Home a six-module curriculum designed for practice facilitators who are coaching primary care practices around patient-centered medical home (PCMH) transformation.
More informationIntroduction 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
More informationThe Future of Aged Care: What can we learn about Clinical Governance in a changing landscape? Adjunct Professor Alan Lilly Chief Executive, BlueCross
The Future of Aged Care: What can we learn about Clinical Governance in a changing landscape? Adjunct Professor Alan Lilly Chief Executive, BlueCross Thursday 21 September 2017 @ceobluecross Acknowledgment
More informationTHE ROLE OF HUMAN FACTORS FOR INFECTION PREVENTION IN THE EMERGENCY DEPARTMENT
THE ROLE OF HUMAN FACTORS FOR INFECTION PREVENTION IN THE EMERGENCY DEPARTMENT Connie Savor Price, MD Director, Infection Prevention and Chief, Division of Infectious Diseases Denver Health and Hospital
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 informationProcess Mapping Tool Kit
Process Mapping Tool Kit You may wish to print out this tool kit and use it to plan your process map. We will cover all the key ingredients for your process mapping exercise: 1. 2. 3. 4. People Detail
More informationSNF REHOSPITALIZATIONS
SNF REHOSPITALIZATIONS David Gifford MD MPH SVP Quality & Regulatory Affairs National Readmission Summit Arlington VA Dec 6 th, 2013 Use of Long Term Care Services 19% 4 35% 2 20% 1 23% 1 20% 3 1. Mor
More informationMonitoring and improving quality through clinical audit
Monitoring and improving quality through clinical audit Mandy Smith Quality Improvement Facilitator Clinical Audit for Improvement 5 th October 2016 www.hqip.org.uk Who are HQIP? What is Clinical Audit?
More informationPrimer on Quality Improvement and Integrating MOC into my Practice. Erik Stratman, MD
Primer on Quality Improvement and Integrating MOC into my Practice Erik Stratman, MD PRIMER ON QUALITY IMPROVEMENT AND INTEGRATING MOC INTO MY PRACTICE DISCLOSURE I, Erik Stratman, MD FAAD have no relevant
More informationTOP 10 IDEAS TO INVOLVE ALL STAFF IN ADVANCING EXCELLENCE
TOP 10 IDEAS TO INVOLVE ALL STAFF IN ADVANCING EXCELLENCE Advancing Excellence Long-Term Care Collaborative (AELTCC) is a not-for-profit organization made up of over 30 national stakeholders involved with
More informationProMedica Toledo Hospital Family Medicine Residency Program
Heather M. Joseph-Chupp, CPC Financial Examiner IV Billing & Coding Educator for PTHFMR ABR-OE ID No.: 10574 David W. Oram MD, FAAFP Associate Director, PTHFMR ProMedica Toledo Hospital Family Medicine
More informationWPSC Teleconference Avoiding Never Events. Linda Furkay, PhD, RN Patient Safety Adverse Event Officer
Linda Furkay, PhD, RN Patient Safety Adverse Event Officer Share Findings from adverse events surgical errors, pressure ulcers, & falls Successful patient safety strategies here in Washington & from other
More information