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Quality
Evidence-Based Medicine
- EBM and the evolving nature of quality in health care
- Examining evidence
- Applying Evidence Based Medicine
- Setting the standard - attaining Best Practice
- Includes an exercise for the group applying evidence based medicine to the issue of correcting medical error and addressing patient safety, and/or
- Includes an exercise directed toward attaining "best practice" in a clinical area or areas chosen by the group.
Addressing Medical Error
- Medical error and safety in the current healthcare environment
- Evidence Based Medicine - applying best practice to error reduction and safety
- Addressing Medical Error: focus on preventing adverse events secondary to prescribing medication
- Effecting Change: supporting the accountable implementation of best practice
- Applying best practice to error reduction and safety
- Sentinel events and root cause analysis
- Patient centered approaches to reducing error
- Setting the Standard - Achieving Improved Outcomes
Can we Define Optimal Patient Care?
During a period of unprecedented change in healthcare in the United States, reducing cost under market pressure has been the primary driver of change. As cost has come down, increasing concerns about the value of care being purchased and delivered have surfaced.
Learning Objectives:
- To provide a better understanding of the definition and application of quality measurement in a contemporary health care delivery system.
- To learn about outcomes measurement and management with particular emphasis on defining indicators of care which demonstrate optimal provision of clinical care, patient satisfaction and maintenance of health status for patients.
- To introduce clinical practice guidelines and how they can be applied in a quality delivery system.
- To explore the application of information management systems to measuring and assuring quality in care delivery.
- To understand approaches to modifying the behavior of institutions and individual providers in delivering quality care in an accountable fashion.
Measuring and Improving the Quality of Medical Care
- An overview of the key individuals and significant factors in quality improvement
- Consider implementation strategies and designs for effective management of quality
- The differences between QA & CQI
- The physician's role in continuous quality improvement
- The role of practice parameters in assuring high-quality care
- Explore the state of the art in quality measurement technologies
- Implementing TQM at the local level
- Sustaining the commitment to Quality Improvement
- The Role of Board of Trustees in Quality
- Evidence Based Medicine
- Benchmarking in Health Care
- Understanding the Sources and Remedies of Medical Error
- The Physician's Role in Patient Safety
Clinical Quality Improvement
- Explore the history and evolution of quality improvement theory in healthcare
- Gain expertise with some of the basic tools and concepts that practicing physicians can use to improve quality within their practices or hospitals
- Understand how managed care organizations and employers view quality and how physicians can benefit from improving quality of care
- Learn how medical errors can be reduced and the hospital staff can better ensure the safety of their patients
- Study the derivation of clinical guidelines and the best implementation strategies
- Explore and evaluate the outcomes of Evidence Based Medicine and Disease Management protocols
- Use this new knowledge by working through a "real life" case study and development of a "take home" template
Disease Management, Care Management, E-Health Management
- Understand the basic definitions and goals of these new types of care management strategies
- Explore the common components of each of these programs
- Explore when it makes sense to use one of these strategies or programs to improve quality or reduce the cost of care in your organization
- Examine initiatives that have succeeded and the "roadkill" in this dynamic area of the healthcare industry
- Understand the tradeoffs inherent in building vs. buying these capabilities or programs.
- Practice how to begin creating a healthcare management program using a "template" provided at the course
Using Evidence-Based Medicine and Clinical Practice Guidelines
- Importance of using evidence-based guidelines
- Defining evidence-based medicine
- Quality and cost issues around evidence-based medicine and clinical practice guidelines
- Clinical information needed by the individual provider - what is it and how to get it
- Will healthcare costs by cut by insiders using knowledge or by outsiders using a calculator
- Requirements of NCQA
- Examples of evidence-based medicine
- Using practice guidelines to improve quality while containing costs
- Model of a clinical guideline process
- Evaluation of clinical guidelines
- Implementation of clinical practice guidelines
This workshop is a combination of didactic and group learning experiences. The participants will apply a guideline evaluation tool to a practice guideline and determine the forces affecting the implementation of a guideline.
Clinical and Managerial Ethics for Physician Executives
- The Sources and Solutions to Ethical Conflicts in Organizations
- Constructing and Applying a Framework for Managing Ethical Issues
- Ethical Challenges of Health Care Delivery in a Managed Care Environment
- Ethical Considerations of Allocating Limited Resources
- Identifying and Managing Conflict of Interest
- How to Establish a Framework for Resolving Ethical Challenges
Managing Patient Expectations
Patient retention, referrals and the personal rewards of working in medicine are closely linked to the quality of relationships developed with patients and their families. How can you manage unrealistic expectations in a way that satisfies your patient and preserves your relationships?
- How to create realistic patient expectations
- Lessons learned from organization missteps
- How to manage unrealistic expectations
- Techniques that encourage patient follow-through
- The key driver of patient loyalty
Peer Review Dilemmas
Historically, the role of a hospital’s medical leadership included medical staff credentialing and quality assurance. As health care matures, the medical staff peer review role has expanded to include economic credentialing, managed care issues, evidence based medicine, and dealing with more than only the disruptive or impaired physician. This course is designed to give an overview of these topics and incorporate case studies to emphasize the important legal aspects of the expanding role physician executives play in peer review matters.
- How to ensure the physician receives adequate due process
- How to keep conflicts of interests from negating peer review sanctions
- What to do when your peer review sanction goes to court
- Medical errors and how to keep these errors from affecting you in court
Quality and Safety in Patient Care: The New Paradigms
Is your hospital as safe as it should be? As it could be? Is the quality for care provided first rate- all the time? Is your public or your board concerned about your hospital and how it measures up? Is your medical staff engaged in patient safety and quality initiatives? Do they think there is legitimate concern? Let us help you answer these questions the way that you would like to.
- Describe a context for Quality Management and Patient Safety Issues
- Define Quality and Patient Safety priorities for the organization
- Apply principles of quality and safety management to the organization
- Develop an approach to organizational assessment of quality and safety programs
- Create a framework for organizational planning around quality and safety programs
- Discuss implementation strategies for quality and safety programming and measurement within the organization
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