The Quality Imperative

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The Quality Imperative

• Group Members
• Marcy Bryan
• Jerry Daniel
• Maria Ghauri
• Dominic Nguyen
• Jill White

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Reed, Marie Devers, Kelly and Landon, Bruce.
Physicians and Care Management More Acceptance
than You Think. Issue Brief No. 60, Center for
Studying Health System Change. January, 2003.

• New survey Majority of physicians affected by
  care management tools see positive effect on
  quality and efficiency of care.
• Tools include
• Practice guidelines
• Patient satisfaction surveys
• Practice profiling
• More positive results with recently trained
  physicians

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Computerized Physician Order Entry Systems In
Hospitals Mandates and Incentives

• Health Affairs, July/August 2002, By David F.
  Doolan and David W. Bates
• Discusses CPOE systems as potential advancements
  in patient safety technology
• Attributes
• Application of CPOE systems
• Barriers
• Promotion of Adoption
• Mandates
• Incentives

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Variables in the system shape attitudes toward
reporting

• Lori A. Roscoe, PHD, and Thomas J. Krizek, MD,
  FACS, Tampa FloridaVolume 87, Number 9 Bulletin
  of the American College Of Surgeons, September
  2002. http//www.facs.org/fellows_info/bulletin/ro
  scoe0902.pdf
• Pilot study to access mandatory and voluntary
  reporting of adverse events, it talks about
• Medical Mistakes,which may be the best source of
  data about how systems may be improved to avoid
  them
• In addition to the mandatory reporting of errors,
  hospitals establish voluntary reporting systems
  for tracking errors that expose patients to risk
• The success of the reporting system depends on
  the willingness of healthcare professionals to
  identify and report such events
• Reporting systems may make physicians more
  vigilant
• Reporting systems makes patients feel safer

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The Slow Pace of Change

• In Health Affairs Volume 21, Number 4
• by John K. Iglehart
• Concise (only 2 pages)
• Realistic insight into snails pace of QI
• Providers responsibility and concerns
• Etiology of Quality Chasm
• Market-based competition, affordability, and
  measure of performance

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From the Field Quality Improvement By
Providers Market Developments Hinder Progress

• Health Affairs, Sept/Oct 2002, Vol. 21 No. 5, by
  Kelly J. Devers
• Describes the status of Quality Improvement (QI)
  efforts by providers (hospitals and medical
  groups)
• Describes the market forces shaping QI
• Describes the implications of QI for public and
  private policymakers
• Describes the types of QI activities that
  providers report engaging in and their assessment
  of whether these activities changed much from
  1999 to 2001
• Examines whether existing barriers to providers
  QI efforts are intensifying or receding and
  whether new facilitators are emerging
• Examines one particular QI activity efforts to
  reduce medical errors

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National Quality Forum

• www.qualityforum.org
• Not-for-profit organization
• Develops and implements a national strategy for
  healthcare quality measurement and reporting
• Represents all aspects of healthcare industry
• Involved in developing standardized set of
  healthcare quality measures for acute care
  hospitals
• Involved in compiling a compendium of evidence
  based safe practices, assessing healthcare
  quality metrics specific to minorities,
  recommending performance measures for nursing
  homes

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National Association for Healthcare
Qualitywww.nahq.org

• Membership
• Network with other professionals committed to
  healthcare quality.
• Journal for Healthcare Quality, NAHQ's
  prestigious bimonthly journal
• NAHQ News, our quarterly newsletter with member
  news and important healthcare quality
  information.
• Certification
• The National Association for Healthcare Quality
  (NAHQ) is the parent professional association of
  the Healthcare Quality Certification Board (HQCB)
  which administers the distinctive Certified
  Professional in Healthcare Quality (CPHQ)
  certification exam.
• Educational opportunities Annual Conferences
• 28th Annual Educational Conference
  InformationOn Par With Quality"September 6-9,
  2003, Marriott Desert Ridge Resort, Phoenix, AZ
• Recognition and Awards
• Job postings

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The Leapfrog Group

• http//www.leapfroggroup.org/
• A coalition of more than 130 public and private
  organizations that provide health care benefits
• Mobilizes large purchasers to alert the health
  care industry that big leaps in patient safety
  and customer value will be recognized and
  rewarded with preferential use and other
  intensified market reinforcements
• Founded by The Business Roundtable (BRT), a
  national association of Fortune 500 CEOs
• Works with medical experts throughout the U.S. to
  identify problems and propose solutions that will
  improve hospital systems
• Represents approximately 33 million health care
  consumers in all 50 states

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AHRQ

• Agency for Healthcare Research and Quality
  (http//www.ahcpr.gov/)
• Quality Assessment
• Outcome and Effectiveness
• Grants Online Database
• Newsroom
• Bilingual

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HealthGrades.Com The Healthcare Quality
Expertswww.healthgrades.org

• Very important trend in quality
• Quality ratings and profiles for
• 5,000 hospitals
• 620,000 physicians
• 16,000 nursing homes
• 7,000 home health agencies
• plus other providers
• Sells reports to consumers
• Sells quality tools to providers

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Questions ????

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