
ASQ Quality Practice Seminar Series, Sponsored
by Statit
Critical
Interventions to Improve Performance: MetroWest
Medical Center's Patient Safety Journey,
presented by Maria Hill RN, MS, Vanguard Health
System Regional VP Patient Safety & Quality,
Chicago IL; Linda Campbell RN-BC, CPHQ, Director
Quality & Patient Safety MetroWest Medical Center,
Framingham MA; Jane Pike Benton RN, MS, Executive
Director MetroWest Homecare and Hospice, Framingham
MA
- Managing
Performance Data to Improve Medication Safety,
presented by Kalev Golubjatnikov, Patient Safety
and Risk Director, Kaiser Permanente's San Rafael
Medical Center
- Designing and
Implementing Composite Performance Measures
to Accelerate Quality Improvement: A Case Study
at Doylestown Hospital Using Core Measures...and
More, presented by Dr. Kenneth Coburn, Health
Quality Partners
- Designing
and Rolling out Effective OPPE Solutions,
presented by Marion Yerxa RN , MBA, CPHQ, Kaiser
Permanente
- Healthcare Cost
of Quality—The Relationship Between Performance
Metrics and Financial Results, presented
by Dr. Brent James, Intermountain Health Care
- Mapping and
Measuring a Culture of Continuous Improvement
in Healthcare Delivery What is True North?,
presented by Dr. John Touissant, ThedaCare
- Measure, Manage,
Monitor and Improve: A Case Study on Improving
Hand Washing Compliance, presented by Colleen
O'Brien, MSN, MSMI, RN, CPHQ, Bellin Health
- Navigating The
Joint Commission OPPE Requirements, presented
by Dr. Christopher Heller, MD FACS
- Physician Profiles
- Impact on Quality, presented by Dr. Henry
Johnson, ACS Midas+
- Effective Strategies
to Overcome Accreditation Process Issues and
Achieve Tangible Quality Improvements through
the use of Information Technology, presented
by Todd Neal Fletcher, Touro Infirmary
Dynamic Learning Series, Sponsored by Midas+
Automating
Quality Reporting Using Your Existing Data
Quality departments within healthcare have
a tough challenge to meet the existing reporting
needs of Quality Indicators throughout the organization.
And that challenge is going to become ever more
difficult as more and more processes are tracked
and targeted for improvement.
Key issues include:
- Many different indicators and metrics need
to be tracked
- Indicator data is EVERYWHERE
- Need both Operational and Executive reporting
- Report generation needs to be automated or
it will consume many resources and/or be fraught
with errors
- Need objective (SPC) analysis techniques
- Different indicators available at different
times during the month/quarter
- Report distribution
- Closing the Process Improvement loop
Many organizations attempt to perform this
task using Microsoft Office products (Excel,
Word, PowerPoint), but these approaches require
considerable resources internally and have many
shortcomings. There is a much more effective
way.
In this webinar, we will explore the challenges
associated with Health Care Quality Reporting,
particularly with the use of Excel as a reporting
tool. We will look at Quality reporting issues
in healthcare and present a way to automate
reporting and distribute real time reports using
your Intranet, along with Statit piMD. Best
of all, you can continue to use your existing
data residing in Excel, MS Access and any other
databases.
The balanced scorecard is a strategic planning
and management tool that is used by organizations
to align business activities to their vision
and strategy. It helps executives and managers
to communicate internal and external goals and
targets while allowing them to track the performance
of key metrics across the organization, department
or service line to quickly identify those areas
that need attention. Things you will learn in
this presentation:
- Track key corporate metrics aligning corporate
strategies to operational procedures
- Use scorecards to monitor corporate goals
and targets
- Develop action plans to improve or correct
deteriorating processes
- Communicate process change and their effect
on the process
- Easily set up your metrics and scorecards!
There is a lot of focus within healthcare to
meet The Joint Commissions OPPE requirements
for physicians. But if you step back and look
at the bigger picture, what is really needed
are more effective tools for the physician chiefs
to understand and manage the performance of
their physician groups (specialties).
Questions chiefs need to look at when effectively
managing physician groups include:
- How is my physician group performing on the
various performance measures?
- Which physicians are truly performing
differently? Volume must be considered
when identifying whose performance is different.
- Can I easily drill thru performance data in
different ways to identify underlying performance
issues? For example, a chief might look at cost
data to understand why costs are high for a
specific procedure.
- How do I identify which physicians are not
meeting targets on multiple measures? Chiefs
need the ability to click and view the details
for those physicians.
- How do I know what my OPPE tasks are this
month?
Recently, MetroWest Medical Center was awarded
the 2010 Betsy Lehman Patient Safety Recognition
Award. The Betsy Lehman Center for Patient Safety
and Medical Error Reduction was launched in
January 2004 and is named for Betsy Lehman,
a Boston Globe health news reporter who died
in 1994 as the result of a medication error
-- an overdose of chemotherapy. The Massachusetts
Coalition for the Prevention of Medical Errors,
established in 1996, serves as the Advisory
Committee to the Betsy Lehman Center.
The Betsy Lehman Center serves as a clearinghouse
for the development, evaluation, and dissemination,
including, but not limited to the sponsorship
of training and education programs, of best
practices for patient safety and medical error
reduction.
The 2010 award theme focuses on improvements
in safety through the adoption of best practices/tools
to address better patient care transitions across
the health care continuum.
Listen to leaders from Vanguard Health Systems
discuss the critical interventions employed
to improve the performance at MetroWest Medical
Center, the 2010 Betsy Lehman Patient Safety
Recognition Award recipient. Performance improvement
areas to be addressed include:
- Engagement of the Patient Family Advisory
Council in work to improve discharge
- Re-engineering of the discharge process
- Transitions in Home Health Visits
- PCP and Cardiologist Engagement
- Telephonic calls into the home and nursing
home
- Transition Coach and Web-based Care Planning
- Trials of managing the data
Maria Hill RN, MS, Vanguard Health
System Regional VP Patient Safety & Quality,
Chicago IL
Linda Campbell RN-BC, CPHQ, Director Quality
& Patient Safety MetroWest Medical Center,
Framingham MA
Jane Pike Benton, RN MS, Executive Director
MetroWest Homecare and Hospice, Framingham,
MA
As a healthcare professional, you need to measure
performance and show results now lives
depend on it. Use well-designed composite measures
in combination with Pareto charts to maximize
your improvement efforts.
- Increase the reliability of care.
- Align the work of multiple units, departments
and different members of the care team with
organizational aims.
- Help leadership identify the processes most
in need of their engagement and support.
Learn from the experience at Doylestown Hospital
a case study highlighting the techniques
and approaches that will help you harness this
powerful tool in any environment.
As most healthcare organizations begin to address
ongoing professional practice evaluation (OPPE)
mandated by The Joint Commission, there are
many obstacles as well as opportunities for
rolling this out successfully. Marion Yerxa
will share her experiences of developing / deploying
Physician Profiling to meet OPPE requirements
and, even more importantly, helping the chiefs
understand how their teams are performing.
Discussion topics will include:
- Development of different Physician Profiles
for different specialties
- Measures used within Physician Profiles will
change over time
- Experiences of working with the Chiefs to
roll out OPPE
- Thoughts / experiences of exposing physician
names to their peers for different indicators
- Involving Doctors early in the review process
by having them review their performance on the
OPPE measures before their Chief does and to
have them document any unusual performance for
specific measures. This holds the Doctor more
accountable for their performance and saves
the Chief valuable time.
Presented by: Marion
Yerxa RN, MBA, CPHQ
Assistant Administrator for Quality; Patient
Safety; Medical Staff; Credentialing; Accreditation;
Licensing
Kaiser Permanente San Diego
Effective
Strategies to Overcome Accreditation Process
Issues and Achieve Tangible Quality Improvements
through the use of Information Technology
The dynamic nature of accreditation requirements
continue to present a challenge to all organizations
resulting in the quandary, how do you effectively
manage all the quality, performance improvement,
accreditation and educational processes to ensure
your organization establishes, practices and
maintains effective compliance protocols? This
webinar discusses the high value Information
Technology (IT) based solutions provide for
acquiring and achieving such results and the
processes that Touro Infirmary underwent while
preparing for a visit from The Joint Commission.
Topics covered in this complimentary
webinar include:
- Breaking the mold: What does "Continuous
Readiness" really mean?
- How do you identify deficiencies and best
practices?
- Does identifying and managing issues to keep
the HCO in the Plan-Do-Check-Act cycle of Quality
Management stretch your resources?
- Defining Measures of Success and how to gather,
analyze and trend such data
- How do you emphasize accountability and not
rely solely on responsibility?
- How do you manage the constantly evolving
processes in the HCO's accreditation practice?
- How do you capture and present data for various
audiences?
The case study: Campaign for Safety: a series
of "tracers" based on the National
Patient Safety Goals performed weekly for awareness
utilizing technology from the Midas+
JRepository Solution.
A
Guide to Choosing the Appropriate Chart
This webinar presents a step-by-step guide
to assist in your success of measuring and monitoring
key processes and outcomes through the use of
process behavior charts. With a few simple guidelines,
we can determine the most appropriate chart
to use based on the data and objective we have.
Using common healthcare data and objectives,
we will present real world examples
of the output, examining when and why certain
charts are more appropriate than others. While
measuring performance improvement efforts in
healthcare is critically important to your success,
it can be very complex and overwhelming. This
one-hour complimentary webinar will increase
your understanding while reducing your anxiety.
Here are some of the key benefits or take-aways
from the webinar:
- Learn the most common charts used in healthcare
and why
- Understand simple guidelines in the selection
of your process behavior chart
- Receive examples of several common situations
and the appropriate chart
- Discover how to distinguish between common
and special cause variation
- Realize when and how to annotate, assign,
correct and identify process phase
Healthcare
Cost of Quality—The Relationship Between
Performance Metrics and Financial Results: ASQ's
Quality Practice Seminar, sponsored by Statit
Presented by Brent C. James, M.D., M.Stat.
Executive Director, Institute for Health
Care Delivery Research
Intermountain Health Care
Background
Professionals involved in healthcare administration,
services and policy information can ill afford
to be uninformed; it puts them at too much of
a disadvantage. Policy and financial decisions
must be based on information such as data describing
the patient population or data defining appropriate
levels of care based on acuity of illness or
condition. Because medical care influences the
budget, administrators and healthcare managers
have to provide themselves with the tools and
the education to understand that care.
Dr. James, a world-renowned expert in the field
of healthcare performance improvement, will
share his unique perspective on the relationship
between performance metrics and financial results.
Unpredictable variation is best identified
using a process control chart. Sources of this
variation need root cause analysis for identification
that leads to actions to eliminate or minimize
these causes. This webinar will help one understand
the data and process needed to discern and eliminate
special cause variation.
Attendees of this complimentary webinar will
be shown how to:
- Present trend data for all periods, a range
of dates or a specific peiod in time
- Drill into hierarchical levels of data through
to the patient records
- Ascertain the cause and understand ways to
reduce and/or eliminate
- Utilize phase chart and action plans to statistically
compare before and after intervention
You'll also gain an understanding of special
cause variation through statistical process
control techniques.
In
this webinar, attendees learned why dashboards
have gained popularity amongst healthcare providers
and the importance of including continuous quality
improvement (CQI) techniques in understanding
variation.
- Are key metrics aligned with corporate goals?
- The importance of "managing what you
measure"
- All consumers of the information are not created
equal.
- What information is needed by upper management
vs. physicians and nurses vs. quality department
personnel?
- Consistency in reporting is paramount to improving
quality.
- Timely, consistent and understandable analyses
are critically important.
- Spotlight areas of opportunity.
- Provide a view of current challenges needing
immediate attention.
- A graph is a graph is a graph!
- Once we have agreed to the importance of dashboards
and CQI technology, how do we get from here
to there?
The webinar helped attendees understand how
Statit and its Performance Indicator & Management
Dashboard (piMD) solution can create these in
2 easy steps:
- Connect to the data source
- Define the indicator
Presented
by: Kalev Golubjatnikov
Patient Safety and Risk Director
Kaiser Permanente's San Rafael Medical Center
Medication safety is a primary patient safety
focus of virtually all healthcare delivery organizations.
Understanding which measurements are important,
how to best collect data for the measurements,
and how the data and measurements should drive
performance improvement are critical in any
medication safety initiative. Learn how some
of the Kaiser Permanente medical facilities
are using a variety of technologies and approaches,
including a Web-based dashboard to manage data
to improve medication safety.
Mapping
and Measuring a Culture of Continuous Improvement
in Healthcare Delivery What is True North?
The key to lean transformation is to embed
continuous improvement into the fabric of your
organization and making it part of the "DNA"
of your entire workforce. Toyota coined the
term "True North Metrics" that focus
on four key metric areas. Join us to learn of
the special importance of engaging each and
every person in your organization to align with
True North.
Presented by: Dr. John Toussaint, President
and CEO emeritus, ThedaCare, Appleton WI
ASQ's Quality Practice Seminar, sponsored by
Midas+ Statit Solutions Group
Measure,
Manage, Monitor and Improve: A Case Study on
Improving Hand Washing Compliance:
ASQ's Quality Practice Seminar, sponsored by
Statit
Presented
by Colleen M. O'Brien, MSN, MSMI, RN, CPHQ
Team Leader Quality Resource
Privacy and Safety Officer
Bellin Health
Background
In 2005, Bellin's measurement control system
had over 250 system-level quality indicators.
Many of these indicators also were reported
at the department level and on varying schedules
(monthly, quarterly, annually, etc.). For example,
compliance with the Centers for Disease Control
guidelines on health care hand hygiene was measured
across the entire system, the care center level
(e.g., invasive clinical services, heart and
vascular services) and the department level
where actionable improvement plans could be
developed to address the specific departmental
environment. Although none of the current indicators
were measured at the shift level, the potential
exists to do so. It was also clear to the Quality
Resources team that the demand for quality and
safety information from both accreditation and
certification agencies, as well as the general
public, would continue to grow.
This webinar discusses the process Bellin Health
underwent while preparing for a visit from the
Joint Commission. Take
a sneak peak at the white paper co-written
by Collen O'Brien, Bellin Health, and Sue Jennings,
Healthcare Consultant.
So the buzz phrase these days in healthcare
is No dashboard/scorecard and trend information
.no
performance improvement gains. Sounds
right, doesnt it? The concept is sound
yet the real-world application doesnt
always meet the objective. How do we know if/when
our key performance metrics are being viewed
and monitored by our organization? Do we know:
- how many of our total indicators are complete
vs. under construction.
- how many indicators are released as public
vs. private?
- if indicators that have been requested are
actually being viewed?
- if and when comments/action plans are being
added or new data validated by our experts?
- how many indicators use control chart analysis
vs. business graphs?
- which indicators are being rolled up with
comparisons taking place at the class level?
- whether our objective in purchasing this type
of software is truly having the desired ROI?
If you ever wondered about how to put teeth
into your objective of performance improvement,
this is the webinar for you. If you are an administrator
in a quality management role, you will not want
to miss this one hour, complimentary
webinar on the statistics of the statistics.
Navigating
The Joint Commission OPPE Requirements
The ongoing professional practice evaluation
(OPPE) mandated by The Joint Commission in 2007
has as an objective that organizations look
at data on performance for all practitioners
with privileges on an ongoing basis rather than
at the two-year reappointment process. By doing
so, this would allow organizations and providers
to take steps to improve performance on a more
timely basis. The objective is simple enough.
Yet the practical application of data collection,
attribution, analyses, evaluations, profile
distribution, security, etc. is much more complicated.
Join us for this informative hour of understanding
and overcoming challenges that typically create
hurdles in complying with TJC mandate.
Take-aways:
- Learn why OPPE is important; its not
just for TJC
- Understand current Barriers
- Receive information on steps necessary to
complete OPPE
- Gain recommendations for physician "buy-in"
- Ask questions of an expert in the field of
OPPE
Presented by: Dr. Christopher Heller, MD
FACS
ASQ's Quality Practice Seminar, sponsored by
Midas+ Statit Solutions Group
This webinar shows you a new way to track Never
events (e.g. Falls with Serious Injury). Rather
than just counting how many events you have
in a quarter, a powerful new technique being
deployed by many hospitals is to measure the
time between these events.
In this session you will learn:
- How to easily look at the time between events
- How users / managers can be automatically
notified when an event occurs
- How users can drill into the event details
- How you can easily configure and automate
these indicators within Statit
piMD
Performance
Improvement - Compare & Contrast
Efforts to incorporate the principles of continuous
quality improvement (CQI) into health care have
been underway for about 10 years. In order to
be successful with CQI, many things must come
together in a profound, organization-wide recognition
of the need for change.
In this webinar, attendees learned some effective
Comparison techniques and their effect on system-wide
quality metrics:
- How are we performing now?
- Between internal targets and benchmarks
- Who is performing differently?
- Amongst facilities, departments, units, physicians
etc.
- Was there a real change in performance?
- The process was changed - did it really improve?
...while at the same time, understanding difference
(Contrast) between solutions that taut performance
improvement benefits but come up short on value.
Quality departments within hospitals have a
tough challenge to meet the existing reporting
needs of Quality Indicators throughout the organization.
And that challenge is becoming ever more difficult
as more and more processes are tracked and targeted
for improvement.
Challenges include:
- Many different indicators and metrics need
to be tracked
- Indicator data is EVERYWHERE
- Need both Operational and Executive reporting
- Need objective (SPC) analysis techniques to
report on unusual variation for an indicator
- Different indicators available at different
times during the month/quarter
- Report distribution
- Easily automate your Quality Scorecards using
your existing data
- Incorporate live indicator displays in your
intranet pages
- Automatically notify users as soon as new
data is available for indicators that they are
monitoring closely
- Close the Process Improvement Loop by using
Process Experts and providing them with the
tools they need to drive performance improvement
We look at quality reporting issues in healthcare
and present a simple way to automate reporting
and distribute real time reports using your
Intranet, along with Statit
piMD. Best of all, you can continue to use
your existing data residing in Excel, MS Access
and any other databases.
Physician profiles are becoming increasingly
important as part of initial hospital appointment,
reappointment, and ongoing professional practice
evaluation (OPPE), as now required by The Joint
Commission. This session will describe the steps
to create your own profiles, including potential
pitfalls, and how to avoid them.
Attendees of this complimentary webinar will
be shown how to:
- Design measures, including quality performance
measures, that are required by both The Joint
Commission and your medical staff
- Look for data that is accurate, reliable,
valid - and affordable!
- Build profiles based on physician specialty
- Begin implementation in a step-wise fashion
to minimize risk of failure
You will also see how profiles can be displayed
and distributed to your medical staff via secure
web access.
Presented by Henry Johnson, MD MPH. Dr.
Johnson is Medical Director of the Midas+ software
division of ACS Healthcare Solutions, in Tucson,
Arizona, where he supports safety/quality software
development and client relations, with special
emphasis on decision support.
Physician
Profiles - "Quality" Reports for the
Enterprise
The entire healthcare industry is under siege
from internal and external sources. The days
of laboriously gathering data which result in
suspect and vague interpretations, is a thing
of the past. Statit has teamed with its clients
in the healthcare industry to improve healthcare
performance by improving critical processes
including physician performance.
Key issues include:
- Many different physicians and physician metrics
need to be tracked
- Data is EVERYWHERE on the network
- Different reporting needs/schedules for management
and physicians
- Interactive chart annotation (comment, action
plans & phases/real-time analysis of significance,
etc.)
- Encourage adoption of evidence based medicine
- Convenient access
In this webinar, we explore the challenges
associated with physician profiling reporting,
tracking and measuring performance, comparisons
to peer group and drilling down to encounter
level detail. Automating your physician profiling
reports with accurate and statistically significant
analyses to physicians is the first step in
driving the hospital's overall quality and financial
well being.
Since the webinar presented by Dr.
Henry Johnson, of Midas+, we've received
an overwhelming number of requests for demos
of the Statit Physician Profile & Review
application. As we all know, physician profiles
are becoming increasingly important as part
of initial hospital appointment, reappointment,
and ongoing professional practice evaluation,
as now required by The Joint Commission. Statit
has teamed with its clients in the healthcare
industry to improve healthcare performance by
improving critical processes including physician
performance.
This product demo will describe the steps to
create your own profiles, perform and schedule
physician reviews, and explore the challenges
associated with physician profile reporting,
tracking and measuring performance, comparisons
to peer group and drilling down to encounter
level detail.
Attendees of this complimentary demonstration
will be shown:
- Design quality performance measures, that
are required by both The Joint Commission and
your medical staff
- Different reporting needs/schedules for management
and physicians
- Interactive chart annotation (comment, action
plans & phases/real-time analysis of significance,
etc.)
- How to encourage adoption of evidence based
medicine
- How to Build profiles based on physician specialty
- Convenient access to diverse data source
In this webinar, attendees learned why and
how their process expert plays a critical role
in driving strategic improvements throughout
the organization.
- What is a "Process Expert"?
- What are their key responsibilities?
Practicing Continuous Process Improvement:
- Providing ongoing Assessment and Action
Plans for the processes they are responsible
for
- Identifying changes to the process and
communicating if the changes had a real
impact on the outcome
- Validating the data of key processes that
they are responsible for
- What tools are needed to help the process
expert with their responsibilities?
- How is the information disseminated in "real
time"?
The webinar helped attendees understand how
Statit and its Performance Indicator & Management
Dashboard (piMD) solution provides the tools
necessary for "process expert accountability"
and meaningful performance improvement success.
Dynamic
Learning Series - Quality Track, Session 2:
Physician Profiles—A Recipe for Success
Physician profiles are becoming increasingly
important as part of initial hospital appointment,
reappointment, and ongoing professional practice
evaluation (OPPE), as now required by The Joint
Commission. This session will describe the steps
to create your own profiles, including potential
pitfalls, and how to avoid them.
Attendees of this complimentary webinar will
be shown how to:
- Design measures, including quality performance
measures, that are required by both The Joint
Commission and your medical staff
- Look for data that is accurate, reliable,
valid and affordable!
- Build profiles based on physician specialty
- Begin implementation in a step-wise fashion
to minimize risk of failure
You will also see how profiles can be displayed
and distributed to your medical staff via secure
web access
Presented by: Henry Johnson MD MPH, Medical
Director - ACS Midas+
Dan Schober, Systems Development Manager - Midas+
Statit Solutions Group
Midas+ Dynamic Learning Series, Quality Track
- Many different indicators and metrics need
to be tracked
- Indicator data is EVERYWHERE
- Need both Operational and Executive reporting
- Report generation needs to be automated or
it will consume many resources and/or be fraught
with errors
- Need objective (SPC) analysis techniques
- Different indicators available at different
times during the month/quarter
- Report distribution
- Closing the Process Improvement loop
Many organizations attempt to perform this
task using Microsoft Office products (Excel,
Word, PowerPoint), but these approaches require
considerable resources internally and have many
shortcomings. There is a much more effective
way.
In this webinar, we will explore the challenges
associated with Health Care Quality Reporting,
particularly with the use of Excel as a reporting
tool. We will look at Quality reporting issues
in healthcare and present a way to automate
reporting and distribute real time reports using
your Intranet, along with Midas+ Statit piMD.
Best of all, you can continue to use your existing
data residing in Midas+, Excel, MS Access SQL
databases, etc.
Presented by: Tom Simas, Vice President
Operations - Midas+ Statit Solutions Group
Midas+ Dynamic Learning Series, Quality Track
For more information on these and other webinars,
contact us at
.
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