AmSECT Quality and Outcomes Conference
|
|
|
- Percival Ramsey
- 5 years ago
- Views:
Transcription
1 AmSECT Quality and Outcomes Conference Patient Blood Management: A Wise Investment for the Patient and the Health System Miriam A. Markowitz, CEO October 2, 2014, 1:45pm 2:10pm
2 AABB Introduction 2
3
4 Emerging Paradigm Shift: Transfusion Medicine Industry & Practice 3 rd level paradigm in blood transfusion marketplace Technology development advancing collection and storage knowledge: computer chips, software, nucleic acid testing, pathogen reduction strategies From Do No Harm to Safe and Effective to Better Transfusion Outcomes A new set of demands require a response Raymond Goodrich, PhD, CSO Terumo BCT 4
5 Patient Blood Management (PBM): A Working Definition "Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing the care of patients who might need transfusion." 5
6 Patient Blood Management (PBM): Another Working Definition The application of evidence-based medical and surgical concepts to achieve measurable improvements in patient safety and clinical outcomes using an interdisciplinary care team to optimize: hemoglobin hemodynamic stability tissue oxygenation hemostasis in a patient-specific manner. 6
7 Current Health Care Context: PBM s Role Triple Aim Goals Improving the patient experience of care (including quality and satisfaction) Improving the health of populations Reducing the per capita cost of health care Patient Blood Management Programs Improve Patient Outcomes Improve Patient Safety Drive out Overuse & Waste Reduce Practice Variation Improve Clinical Decision Making Drive Patient-Centered Care 7
8 Annual Cost to US Health Care System in 2011 ($ in Billions) Health Care Waste Categories Low High Overtreatment Administrative complexity Failures of care delivery Pricing failures Fraud and abuse Failures of care coordination Total % of Total Spending 21% 47% Berwick, D., Hackbarth, A. - JAMA, April 11, 2012 Vol 307, No
9 Comprehensive Patient Blood Management: What is Possible? Improved patient outcomes Increased Net Revenue from Pre-Emptive, Patient- Centered Strategies 40-50% reduction in transfusion for cardiac surgery Reduction in Practice Variation Improved Care Coordination 10 Ereth, et al, ASA Abstracts, 2013
10 Patient Blood Management Program Leadership Performance Management Accountability Systems Education Health Information Patient Flow Management Infrastructure Clinical Experts 12
11 Comprehensive PBM Components Informatics Change Management Clinical Decision Support Education 13
12 AABB s PBM Standards Structure: Activity Based 14
13 Improved Blood Utilization Using Real-Time Clinical Decision Support #1 Conclusion: Real-time CDS has significantly improved blood utilization. Overall estimated net savings for RBC units acquisition costs 2012 over 2009 $1.6m Results: % of blood ordered w/ patient Hb levels > 8g/dL August 2009 Range: 57% - 66% July 2010 Range: 52% - 66% (Education Initiative) December 2010 Range: 35% (CDS & BPA Initiative) Post 2010 Range: 30% TRANSFUSION Volume 54, May
14 Improved Blood Utilization Using Real-Time Clinical Decision Support TRANSFUSION Volume 54, May
15 Improved Blood Utilization Using Real-Time Clinical Decision Support Change Management Practice & Tools Blood utilization clinical effectiveness team Real-time CDS deployed within EMR system Best practice alert vetted via wide approval process, within quality & safety structures Strong educational initiatives TRANSFUSION Volume 54, May
16 Blood management: Reducing blood use reduces risks and lowers costs # => 2009 Program Interval Saved $2.9M implementing program 2 Unit => 1 Unite ordering policy (hospital-wide) Lowered Hemoglobin Trigger 10 g/dl => 7 g/dl Sustained Savings reports, almost 50% drop in blood cost acquisition Clinical Research and Quality Improvement teams engaged OR Manager, Vol. 28 No 1, Jan
17 Fewer Transfusions, better outcomes # => 2012 Program Interval 27% decline in overall blood transfusion, even with 20% increase of patient discharges. 19,000 transfusion units avoided CVS Program lowered transfusions by 50% 8% of procedures require transfusions, compared with 60% of cardiac surgeries nationally (2012) Kansas City University Medical Center, Advances, April 23,
18 Maine Hospital Slashes Transfusions.. #4 60% reduction RBC transfusions 50% reduction Platelet transfusions 75% reductions Plasma transfusions 2 Unit => 1 Unit Orders Shift: 55% => 90% Overall Hemoglobin trigger: 8.5 => 7.8 $1.6M annual savings in blood acquisition Tools: Physician Education CPOE with alerts Physician Report Card Clinical Champion Patient Cohorts Maureen McKinney, Modern Healthcare, June 23,
19 Next Generation Patient Blood Management #5 Risk Adjusted Blood Utilization Metrics Benchmarking and comps: how do you account for year after year and across hospital outcomes? How do you adjust across surgeons and physician practice? How do we consider reimbursement models for blood products acquisition? : Five Year Trend of 3 AMCs 244K hospitalizations Findings: Reduction in mean RBCs units used Increase in proportion of hospitalized patients transfused Highest RBC utilization/admission: SCT service, followed by cardiology, critical care Highest % of admissions receiving RBCs: Internal Medicine (14%), Hematology oncology (14%), orthopedic service (13%) No downward trend in #of RBCs/admission for surgical services, cardiology, nephrology 23
20 Next Generation Patient Blood Management #6 PBM Success Dependent on Institution-Wide Change in Transfusion Practice 2011 over 2006: RBC units transfused decreased 27% overall Pre-PBM.96 units per patient discharged vs..55 units per discharge Pre-PBM 62% RBC transfusions ordered for surgical patients Post-PBM 57.5% Success attributed to Hospital Wide physician buy-in re restrictive transfusion approach. Guidelines Benchmarks Clinical Co-Chair to BUC now, BUManagementC 2 => 1 unit Transfuse and Assess Total N of units decreased; Total N of transfusion episodes did not 24
21 How Do You Build PBM Program? Determine Clinical Variation, Get Specific Detect Where You Are Develop New Tools for Old Problems & Shamelessly Adopt Others Tools and Resources Determine Where You Want to Go Set Targets Anchor within larger hospital quality, risk, financial goals 25
22 When does Wise Investments Pay Off? #1 Right Skill Sets in Place Clinical Know-How Change Management Program Management Performance Measurement Executive Leadership #2 Incentives are Aligned Program Goals and Larger Institutional Goals ACO Compatibility #3 Impact is Measured Data, Information, Feedback, Hemovigilance & Adverse Reporting, Benefits Outcomes Reporting 26
23 Transfusion Expenditures Cost-Effective Expensive Patient Blood Management: Health Systems Impact Previous Transfusion Activities Future Transfusion Activities Safe and Beneficial Transfusion Outcomes Clinical Variation & Non-Evidence Based
24 Take Home Message Read the literature Engage in research Pursue hemovigilance activities via PSO Do the math Get patient specific Get surgeon specific Anchor efforts within larger health system frame Get out of the surgical suite and share your expertise. 28
25 Thank You Questions? Contact: Office:
The Health Care Improvement Foundation 2017 Delaware Valley Patient Safety and Quality Award Entry Form 1. Hospital Name Jefferson Health
The Health Care Improvement Foundation 2017 Delaware Valley Patient Safety and Quality Award Entry Form 1. Hospital Name Jefferson Health 2. Title Of Initiative Implementation of a Patient Blood Management
Aldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1
Aldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1 Program Definition The timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin
2014/LSIF/PD/035 Optimizing Clinical Transfusion and Patient Blood Management: Singapore s Perspective
2014/LSIF/PD/035 Optimizing Clinical Transfusion and Patient Blood Management: Singapore s Perspective Submitted by: Singapore Policy Dialogue and Workshop on Attaining a Safe and Sustainable Blood Supply
Bundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
How and Why We Implemented a Preop Anemia Service as Part of our Patient Blood Management Program
How and Why We Implemented a Preop Anemia Service as Part of our Patient Blood Management Program Katie Dettenwanger, MLS (ASCP) CM Transfusion Safety Officer University of Missouri Health Care Emily Coberly,
What s Wrong with Healthcare?
What s Wrong with Healthcare? Dan Murrey, MD, MPP Chief Executive Officer Agenda What s wrong with healthcare in the US? What would make it better? How can you help? What s wrong with US healthcare? What
Getting Operational Leaders on Board to Deliver the Triple Aim
Session #37 Getting Operational Leaders on Board to Deliver the Triple Aim Lauren Anthony, MD System Medical Director Allina Health Clinical Laboratories Learning Objectives Recognize the three most important
Achieving the Triple Aim: Decreasing Use of Inappropriate Telemetry Monitoring
Achieving the Triple Aim: Decreasing Use of Inappropriate Telemetry Monitoring Marylynn Hippe, MSN, RN, ACNS-BC, CMSRN St. Luke s Health System Boise, Idaho Objectives Learners will understand the appropriate
Improving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
PATIENT BLOOD MANAGEMENT: WHY? WHAT? WHEN? HOW?
PATIENT BLOOD MANAGEMENT: WHY? WHAT? WHEN? HOW? Presented by Kathleen Sazama, MD, JD Chief Medical Officer LifeSouth Community Blood Centers, Inc. Rationale for Patient Blood Management Increased public
Patient Blood Management Certification Revisions
Issued October 3, 07 Patient Blood Management Certification Revisions Patient Blood Management (PBM) Certification Program Assessments: Internal and External (PBMAM) Chapter Standard PBMAM. The program
Presentation to the CAH Administrator Meeting January 23 24, 2013 Helena, MT
Presentation to the CAH Administrator Meeting January 23 24, 2013 Helena, MT Keith J. Mueller, Ph.D. Director, RUPRI Center for Rural Health Policy Analysis Head, Department of Health Management and Policy
2014 ANCC National Magnet Conference. Safeguarding Valuable Resources through Partnership, Technology, and Education
2014 ANCC National Magnet Conference Safeguarding Valuable Resources through Partnership, Technology, and Education Session # C707, 8:00AM 9:00AM Friday, October 10, 2014 Michelle L. Kopp, RN, MSN, AOCNS,
LVHN Sepsis Quality Improvement Project
LVHN Sepsis Quality Improvement Project Matthew McCambridge, MD, MS Chief Quality Officer 2015 Lehigh Valley Health Network Don Levick, MD, MBA Chief Medical Information Officer LVHN Sepsis Quality Improvement
Connected Care Partners
Connected Care Partners Our Discussion Today Introducing the Connected Care Partners CIN What is a Clinically Integrated Network (CIN) and why is the time right to join the Connected Care Partners CIN?
POPULATION HEALTH PLAYBOOK. Mark Wendling, MD Executive Director LVPHO/Valley Preferred 1
POPULATION HEALTH PLAYBOOK Mark Wendling, MD Executive Director LVPHO/Valley Preferred www.populytics.com 1 Today s Agenda Outline LVHN, LVPHO and Populytics Overview Population Health Approach Population
Electronic Physician Documentation: Increased Satisfaction
Electronic Physician Documentation: Increased Satisfaction Session 222, February 23, 2017 Robert (Bob) Diamond, Sr. Vice President / CIO, Health Quest Kshitij (Tij) Saxena, MD, CMIO, Health Quest 1 Speaker
Disclosure. I have no conflict of interest with this event because I have no affiliations, sponsorships, honoraria, monetary support or conflict of
The RBC Audit: What s in your closet? Yulia Lin, MD, FRCPC Transfusion Medicine & Hematology, Sunnybrook HSC Assistant Professor, Dept of LMP, University of Toronto On behalf of the RBC Audit Working Group
The Accountable Care Organization Specific Objectives
Accountable Care Organizations and You E. Christopher h Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State
Roadmap 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,
The Road to Clinical Transformation
The Road to Clinical Transformation Ann O Brien RN MSN CPHIMS Kaiser Permanente Senior Director Clinical Informatics KPIT & National Patient Care Services Learning Objectives 1. Describe strategies to
Aligning Hospital and Physician P4P The Q-HIP SM /QP-3 SM Model. Rome H. Walker MD February 28, 2008
Aligning Hospital and Physician P4P The Q-HIP SM /QP-3 SM Model Rome H. Walker MD February 28, 2008 A Concerted Effort Because the rewards are based on shared performance, the program is intended to create
Reinventing Health Care: Health System Transformation
Reinventing Health Care: Health System Transformation Aspen Institute Patrick Conway, M.D., MSc CMS Chief Medical Officer Director, Center for Clinical Standards and Quality Acting Director, Center for
Increase Your Bottom Line by Eliminating Physician Driven Denials. Olakunle Olaniyan MD President Case Management Covenants
Increase Your Bottom Line by Eliminating Physician Driven Denials Olakunle Olaniyan MD President Case Management Covenants Escalating cost of care Physician Driven Denials Denial drivers Working with physicians
APEC Blood Supply Chain Roadmap
2015/SOM3/HLM-HE/011 Agenda item: 11 APEC Blood Supply Chain Roadmap Purpose: Information Submitted by: LSIF Planning Group Chair Fifth High Level Meeting on Health and the Economy Cebu, Philippines 30-31
Long term commitment to a new vision. Medical Director February 9, 2011
ACCOUNTABLE CARE ORGANIZATION (ACO): Long term commitment to a new vision Michael Belman MD Michael Belman MD Medical Director February 9, 2011 Physician Reimbursement There are three ways to pay a physician,
Physician Alignment Strategies and Options. June 1, 2011
Physician Alignment Strategies and Options June 1, 2011 1 Today s Discussion Review physician-hospital alignment objectives Understand the changing paradigm Evaluate alignment strategies for a new delivery
Advances in Osteopathic Medicine
Advances in Osteopathic Medicine Moving the value of osteopathic care from patients to populations Richard Snow DO, MPH Applied Health Services - Principal Choptank Community Health System Primary Care
8/10/2015. Module 1. A Fundamental Understanding of Quality. Management and its Application to Health Care
Module 1 A Fundamental Understanding of Quality Management and its Application to Health Care Addressing Physician Uncertainty about Payment Reform: Skills for Success in Value-Based Delivery Systems The
Health System Transformation. Discussion
Health System Transformation Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for Medicare & Medicaid Innovation Director, Center for
Building 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
Physician Compensation in an Era of New Reimbursement Models
2014 IHA Annual Membership Meeting Physician Compensation in an Era of New Reimbursement Models Taryn E. Stone Ice Miller LLP (317) 236-5872 taryn.stone@ Agenda Background New Reimbursement Models Trends
Perioperative Surgical Home
None Disclosures Debnath Chatterjee, M.D. Associate Professor of Anesthesiology CRASH 2015 - Vail, Colorado 2 Learning Objectives What is the PSH model? Describe the concept of the Perioperative Surgical
10/20/2016. Working within the Value-Based World
Working within the Value-Based World MGMA Annual Conference Roundtable Discussion Orthopedics Urology Surgery Monday, October 31, 2016 1 Learning Objectives Summarize key solutions used by other specialty
Health organizations integrate variety of clinical information and administrative types of information systems. These systems collect, process, and
Health organizations integrate variety of clinical information and administrative types of information systems. These systems collect, process, and distribute patient centered data to aid in managing and
C19: Patients at Home Hours After Total Joint Surgery
C19: Patients at Home Hours After Total Joint Surgery Kaiser Permanente Santa Clara Chris Boyd, Area Manager, Senior Vice President Ashima Garg, MD, PhD, Orthopedic Surgeon Session Objectives Implement
Webinar: Practical Approaches to Improving Patient Pre-Op Preparation
Webinar: Practical Approaches to Improving Patient Pre-Op Preparation Your Presenters Michael Hicks, MD, MBA, FACHE Chief Executive Officer EmCare Anesthesia Services Lisa Kerich, PA-C Vice President Clinical
Post-Acute Care. December 6, 2017 Webinar Louise Bryde and Doug Johnson
Post-Acute Care December 6, 2017 Webinar Louise Bryde and Doug Johnson Topics for Discussion Background What Is Post Acute Care? Lexicon Levels of Care Why Focus on Post Acute Care? Emerging PAC Trends
Optimizing Operations through Data Collection and Dissemination. Raymond Belles, Jr. Managing Consultant
Optimizing Operations through Data Collection and Dissemination Raymond Belles, Jr. Managing Consultant rbelles@bkd.com Learning Objectives Define the changing healthcare landscape Identify trends in home
Accountability: Physician and Professional Providers. Doing the Right Thing by Maximizing Quality. Introduction
Accountability: Physician and Professional Providers Doing the Right Thing by Maximizing Quality By Richard Liliedahl, MD and Oscar Lucas, ASA, MAAA, FCA Introduction This article is part of the Inspire
Healthcare Reform Hospital Perspective
Healthcare Reform Hospital Perspective Susan DeVore President and CEO, Premier, Inc. March 8, 2010 1 The end of an illusion 2 Current landscape for healthcare reform 3 Specific policies require a paradigm
Partners in the Continuum of Care: Hospitals and Post-Acute Care Providers
Partners in the Continuum of Care: Hospitals and Post-Acute Care Providers Presented to the Wisconsin Association for Home Health Care November 3, 2017 By: Laura Rose WHA Vice President, Policy Development
Healthcare Financial Management Association October 13 th, 2016 Introduction to Accountable Care Organizations and Clinically Integrated Networks
Healthcare Financial Management Association October 13 th, 2016 Introduction to Accountable Care Organizations and Clinically Integrated Networks Agenda Define ACO, CIN, and Coordinated Care Review ACO/CIN
The Influence of Health Policy on Clinical Practice. Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center
The Influence of Health Policy on Clinical Practice Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center Disclaimer Director: Multiple Chronic Conditions Resource Center www.multiplechronicconditions.org
4/10/2013. Learning Objective. Quality-Based Payment Models
Creating Best in Class Perioperative Services under Accountable Care and Value- Based Purchasing Becker s Healthcare Jeffry Peters Learning Objective How ACA/VBP changes how we measure surgical services
The Joint Commission Blood Management Performance Measure Development Process
The Joint Commission Blood Management Performance Measure Development Process Jonathan H. Waters, MD Chief and Professor Magee-Womens Hospital of University of Pittsburgh Medical Center Medical Director,
Managing Populations to Achieve Triple Aim Outcomes
Managing Populations to Achieve Triple Aim Outcomes Pete Knox, Executive Vice-President and Chief Learning & Innovation Officer March 2014 Agenda 2 1. Overview of Bellin 2. Strategically Aligning the Work
Patient Blood Management An Overview. Denise Watson Patient Blood Management Practitioner 11 th January, 2016
Patient Blood Management An Overview Denise Watson Patient Blood Management Practitioner 11 th January, 2016 What is PBM? An evidence-based, multidisciplinary team approach to optimising the care of patients
Case Study: Decreasing Costs and Improving Outcomes Through Community- Based Care Transitions and Care Coordination Technology.
The mobile initiative of HIMSS. Case Study: Decreasing Costs and Improving Outcomes Through Community- Based Care Transitions and Care Coordination Technology March 2014 www.himss.org/mobilehealthit/roadmap
Future of Patient Safety and Healthcare Quality
Future of Patient Safety and Healthcare Quality Patrick Conway, M.D., MSc CMS Chief Medical Officer Director, Center for Clinical Standards and Quality Acting Director, Center for Medicare and Medicaid
Re: Rewarding Provider Performance: Aligning Incentives in Medicare
September 25, 2006 Institute of Medicine 500 Fifth Street NW Washington DC 20001 Re: Rewarding Provider Performance: Aligning Incentives in Medicare The American College of Physicians (ACP), representing
Successful Clinical Process Redesign in a Connected Healthcare Community. Linus Diedling Allison Foley, MD Elliot Sternberg, MD Michelle Woodley, RN
Successful Clinical Process Redesign in a Connected Healthcare Community Linus Diedling Allison Foley, MD Elliot Sternberg, MD Michelle Woodley, RN AGENDA Care Redesign from 3 Perspectives Chief Medical
Blood Management: Improving Patient Outcomes. Derek Langner MBA, MT(ASCP) Blood Bank Specialist Jackson Hospital and Clinic
Blood Management: Improving Patient Outcomes Derek Langner MBA, MT(ASCP) Blood Bank Specialist Jackson Hospital and Clinic What is Blood Management? Ensuring that every decision to transfuse blood is made
Nicholas E. Davies Enterprise Award of Excellence Clinical Value
Applicant Organization: Centura Health Organization s Address: 188 Inverness Dr. W #500, Englewood, CO 80112 Submitter: Amy Feaster, Vice President of Information Technology Email: amyfeaster@centura.org
AirStrip ONE Cardiology
AirStrip ONE Cardiology A Synchronized View of the Vital Patient Data Needed to Improve Care Heart disease is the leading cause of death in the U.S. The associated costs exceed $100 billion annually. AirStrip
Brave New World: The Effects of Health Reform Legislation on Hospitals. HFMA Annual National Meeting, Las Vegas, Nevada
Brave New World: The Effects of Health Reform Legislation on Hospitals HFMA Annual National Meeting, Las Vegas, Nevada Highlights of PPACA Requires most Americans to have health insurance Expands coverage
Improving the Health of Our Patients and Our Communities:
Jason Jones, PhD Executive Director Kaiser Permanente, Southern California Patti Harvey, RN, MPH, CPHQ Senior Vice President Kaiser Permanente, Southern California Improving the Health of Our Patients
TRENDS IN CANCER PROGRAMS
A by the Association of Community Cancer Centers 2014 TRENDS IN CANCER PROGRAMS A joint project between ACCC and Lilly Oncology, this report highlights YEAR 5 SURVEY RESULTS. WHO Took ACCC s? One hundred
VALUE BASED ORTHOPEDIC CARE
VALUE BASED ORTHOPEDIC CARE Becker's 14th Annual Spine, Orthopedic and Pain Management- Driven ASC Conference + The Future of Spine June 9-11, 2016 Swissotel, Chicago, IL LES JEBSON Administrator, Adjunct
Why Focus on Perioperative Services?
1 Why Focus on Perioperative Services? 80% 60% 40% 20% 0% Perioperative Services are key to a hospital/system's success 68% % better performers revenue from perioperative services Perioperative Services
Driving Out Clinical Variation to Drive Up Your Bottom Line
In Cooperation With: Executive White Paper Series, October 2017 Driving Out Clinical Variation to Drive Up Your Bottom Line Hospitals have always worked to be efficient. Now more than ever, it is increasingly
Healthcare Workforce to Promote
Accreditation, Certification, and Credentialing: Levers for Training the Healthcare Workforce to Promote Children s Behavioral Health Marci Nielsen, PhD, MPH President & CEO Patient-Centered Primary Care
Delivery System Reform The ACA and Beyond: Challenges Strategies Successes Failures Future
Delivery System Reform The ACA and Beyond: Challenges Strategies Successes Failures Future Arnold Epstein MSU 2018 Health Care Policy Conference April 6, 2018 The Good Ole Days 2 Per Capita National Healthcare
Succeeding in a New Era of Health Care Delivery
March 14, 2012 Succeeding in a New Era of Health Care Delivery Building Value-Based Partnerships LeadingAge Pennsylvania Kathleen Griffin, PhD, National Director Post-Acute and Senior Services 1 Your Presenter
Clint MacKinney, MD, MS. RUPRI Center for Rural Health Policy Analysis clint
1 A. Clinton MacKinney, MD, MS Deputy Director and Assistant Professor University of Iowa College of Public Health 2 Health care value Health care risk Transferring risk from payers to hospitals and physicians
Health Service Circular
Health Service Circular Series number: HSC 1998/224 Issue date: 11 December 1998 Review date: 11 December 2001 Category: Clinical Effectiveness Status: Action sets out a specific action on the part of
CLINICAL INTEGRATION DRIVERS, IMPACT, AND OPTIONS JOBY KOLSUN, D.O. MEDICAL DIRECTOR CLINICAL INTEGRATION LEE PHO
CLINICAL INTEGRATION DRIVERS, IMPACT, AND OPTIONS JOBY KOLSUN, D.O. MEDICAL DIRECTOR CLINICAL INTEGRATION LEE PHO Disclaimers My current position I am not offering advice on clinical integration Items
Patient Blood Management Certification Program. Review Process Guide. For Organizations
Patient Blood Management Certification Program Review Process Guide For Organizations 2018 What's New in 2018 Updates effective in 2018 are identified by underlined text in the activities noted below.
Presentation Handouts
Presentation Handouts (9233-LMT-PBM) A Case Study in Patient Blood Management at a Private Community Hospital October 7, 2012 4:00 PM - 5:30 PM Event Faculty List 9233-LMT-PBM: A Case Study in Patient
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
MACRA for Critical Access Hospitals. Tuesday, July 26, 2016 Webinar
MACRA for Critical Access Hospitals Tuesday, July 26, 2016 Webinar MACRA presenters Harold D. Miller, President & CEO CHQPR Claudia Sanders, Sr. Vice President, Policy Development Andrew Busz, Policy Director,
The Alternative Quality Contract (AQC): Improving Quality While Slowing Spending Growth
The Alternative Quality Contract (AQC): Improving Quality While Slowing Spending Growth Dana Gelb Safran, ScD Senior Vice President, Performance Measurement and Improvement Presented at: MAHQ 16 April
Beyond the Horizon: What s Next? Session PH6, March 5, 2018 Don Calcagno, President, Advocate Physician Partners
Beyond the Horizon: What s Next? Session PH6, March 5, 2018 Don Calcagno, President, Advocate Physician Partners 1 Conflict of Interest Don Calcagno Has no real or apparent conflicts of interest to report.
From Volume to Value: Toward the Second Curve AHA Sections for Metropolitan and Small or Rural Hospitals
From Volume to Value: Toward the Second Curve AHA Sections for Metropolitan and Small or Rural Hospitals A Network Affiliation the Preserves Hospital Independence Nebraska Regional Provider Network Kimberly
How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics
Success Story How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics HEALTHCARE ORGANIZATION Accountable Care Organization (ACO) TOP RESULTS Clinical and operational
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
UNDERSTANDING THE CONTENT OUTLINE/CLASSIFICATION SYSTEM
BOARD OF PHARMACY SPECIALTIES CRITICAL CARE PHARMACY SPECIALIST CERTIFICATION CONTENT OUTLINE/CLASSIFICATION SYSTEM FINALIZED SEPTEMBER 2017/FOR USE ON FALL 2018 EXAMINATION AND FORWARD UNDERSTANDING THE
Introduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
THE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE SURGICAL SUITE OPERATING ROOM. Sarah M. Ballard Michael E. Kuhl
Proceedings of the 2006 Winter Simulation Conference L. F. Perrone, F. P. Wieland, J. Liu, B. G. Lawson, D. M. Nicol, and R. M. Fujimoto, eds. THE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE
Risk Adjustment Methods in Value-Based Reimbursement Strategies
Paper 10621-2016 Risk Adjustment Methods in Value-Based Reimbursement Strategies ABSTRACT Daryl Wansink, PhD, Conifer Health Solutions, Inc. With the move to value-based benefit and reimbursement models,
The Cost of Care: Understanding the Next Generation of Payment Models
The Cost of Care: Understanding the Next Generation of Payment Models Presented by: Debbie Welle Powell, MPA, Vice President Sisters of Charity Health System and Exempla Healthcare September 27 th, 2012
An economic - quality business case for infection control & Prof. dr. Dominique Vandijck
An economic - quality business case for infection control & prevention @VandijckD Prof. dr. Dominique Vandijck What you/we all know, (hopefully) but do our healthcare executives, and politicians know this?
Nurse Practitioner Impact on Patient Health Outcomes A P R IL N. KAPU, D NP, A P R N, ACNP - B C, FA A NP, F CCM
Nurse Practitioner Impact on Patient Health Outcomes A P R IL N. KAPU, D NP, A P R N, ACNP - B C, FA A NP, F CCM NORTH CAROLINA NURSES ASSOCIAT ION NP SPRING SYMPOSIUM 20 17 Objectives Value Outcomes Strategies
Workhorse or Unicorn: Incentive Realignment and Health Improvement After One Year of ACOs. Objectives
Session L23 These presenters have nothing to disclose Workhorse or Unicorn: Incentive Realignment and Health Improvement After One Year of ACOs By James E. Orlikoff and Len Nichols Sunday, December 9,
Moving the Dial on Quality
Moving the Dial on Quality Washington State Medical Oncology Society November 1, 2013 Nancy L. Fisher, MD, MPH CMO, Region X Centers for Medicare and Medicaid Serving Alaska, Idaho, Oregon, Washington
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
Advancing Quality & Improving Care: Getting to the Results that Matter. Shantanu Agrawal, MD, MPhil October 9, 2018
Advancing Quality & Improving Care: Getting to the Results that Matter Shantanu Agrawal, MD, MPhil October 9, 2018 Results with National Impact Lives saved Drop in early elective delivery rates 2010-2016
Health Care Evolution
Health Care Evolution Patient-Centered Medical Home to Clinical Integration & Accountable Care Ken Bertka, MD bertka@mindspring.com 419-346-8719 Agenda Top 3 Challenges of Health Care Reform PCMH & ACO
Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq.
Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq. There are many opportunities for physicians and hospitals to affiliate and clinically integrate so as to enable
March Data Jam: Using Data to Prepare for the MACRA Quality Payment Program
March Data Jam: Using Data to Prepare for the MACRA Quality Payment Program Elizabeth Arend, MPH Quality Improvement Advisor National Council for Behavioral Health CMS Change Package: Primary and Secondary
Re: The Impact of Consolidation Trends in the Healthcare Sector on Physician Practices
February 14, 2018 The Honorable Gregg Harper, Chairman U.S. House of Representatives Committee on Commerce Subcommittee on Oversight and Investigations Washington, D.C. 20201 Re: The Impact of Consolidation
Transfusion Safety in Practice. Ana Lima Transfusion Safety Nurse Sunnybrook Health Sciences Centre Toronto, Ontario CANADA
Transfusion Safety in Practice Ana Lima Transfusion Safety Nurse Sunnybrook Health Sciences Centre Toronto, Ontario CANADA The Evolving Role of Nurses in Transfusion Hong Kong: 1 December 2017 Nurses and
Bundled Episode Payment & Gainsharing Demonstration
Bundled Episode Payment & Gainsharing Demonstration Tom Williams, Dr.PH, Integrated Healthcare Association (IHA) Principal Investigator AHRQ Grantees Meeting September 9, 2013 Project Objectives Test feasibility/scalability
2013 Physician Inpatient/ Outpatient Revenue Survey
Physician Inpatient/ Outpatient Revenue Survey A survey showing net annual inpatient and outpatient revenue generated by physicians in various specialties on behalf of their affiliated hospitals Merritt
How Data-Driven Safety Culture Changes Can Lower HAC Rates
How Data-Driven Safety Culture Changes Can Lower HAC Rates Session #226, February 23, 2017 Holly O Brien & Abby Dexter Children s Hospital of Wisconsin 1 Speaker Introduction Holly O Brien, MSN RN Safety
WELCOME. Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association
WHAT IS MACRA? WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association WELCOME Anthony Pudlo, PharmD, MBA, BCACP Vice President of Professional Affairs Iowa Pharmacy Association
Transforming Payment and Care Models for Total Joint Replacement. Stephen J. Zabinski, MD
Transforming Payment and Care Models for Total Joint Replacement Stephen J. Zabinski, MD Stephen John Zabinski, M.D. Director of the Division of Orthopaedic Surgery and Total Joint Replacement Services
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
Tomorrow s Healthcare: Better Quality, More Affordable, More Accessible
Tomorrow s Healthcare: Better Quality, More Affordable, More Accessible Victor J Dzau, MD President, National Academy of Medicine September 23, 2016 Fung Healthcare Leadership Summit Global Challenges
Informatics, PCMHs and ACOs: A Brave New World
Informatics, PCMHs and ACOs: A Brave New World R. Clark Campbell, MSN, RN-BC, CPHIMS, FHIMSS Kathleen Kimmel, RN, BSN, MHA, CPHIMS, FHIMSS Engagement Executive with Health Catalyst Objectives - Define