OMSS Education - Quality and Patient Safety
--Free for AMA members; $30-45 for non-members.
View webcast to earn 1.0 AMA PRA Category 1 CreditsTM
Faculty
Mark V. Williams, MD
Description
One in five elderly patients is readmitted to the hospital 30 days after leaving. That is 2.3 million rehospitalizations a year that rack up more than $17 billion in annual Medicare costs, according to an April 2, 2009, study in The New England Journal of Medicine. In today's consumer-oriented marketplace, where hospitals compete to offer better, more effective care, physicians and medical staffs must organize and work with hospital administration to achieve measurably better results. Medical staffs must strive to improve quality, reduce adverse outcomes and improve the patient experience. This program will provide steps to take to achieve these results. In particular, this program will explain how to go about reducing the readmission rate at your hospital. The program will provide insight on process improvement, organization and leadership.
Learning Objectives
- Discuss how to prevent readmissions.
- Develop strategies for reducing readmissions in a hospital.
- Examine effective transitions in hospital patient discharge.
- Identify how to enhance process improvement, organization and leadership within your hospital.
View webcast to earn 1.0 AMA PRA Category 1 CreditsTM
Faculty
Gary Roth, DO, FACOS, FCCM, FCCP
Description
This program will present a successful undertaking within the state of Michigan, which has resulted in improved patient safety among hospitals. The program will describe their efforts to improve upon the delivery of care and the outcomes of patients. In specific, the Michigan Keystone Intensive Care Unit (ICU) Project, which has had success in preventing ICU complications, will be discussed. The speaker will provide information on how the work that has been accomplished in Michigan has made an international impact on patient safety.
Learning Objectives
- Describe a successful case within a hospital that improved patient safety.
- Explain the statewide initiatives based on Evidence Based Medicine used to ultimately improve the care of patients.
- Examine the Michigan Keystone Intensive Care Unit (ICU) Project and its successes through recognizing common goals and collaboration.
- Discuss the impact the Michigan Keystone Intensive Care Unit (ICU) Project has made internationally on patient safety.
- Discuss the other Safety Initiative that the Keystone Center has launched to improve the safety of the care that is delivered to patients in the Operating Room, Emergency Department and Delivery Room.
View webcast -- Note: CME credit is no longer available for this program.
Faculty
Laura Maynard
Description
Quality improvement efforts at the clinical area level are frequently hampered by low levels of engagement and moral within a given unit. Before busy and often overwhelmed caregivers can be expected to care about quality, they need to care about their work, but they cannot sustain long term levels of engagement at work unless they take better care of themselves. The data on lack of self-care among healthcare workers is undeniable, and needs to be addressed through better awareness, training, tools, and interventions that bring joy, a sense of control, and a sense of purpose back to work. This presentation is designed to prepare leaders to enhance their level of resilience as a prerequisite for sustainable quality improvement. Moreover, when quality improvement is framed and implemented as a way to make care delivery safer, simpler, and easier for clinicians, it provides each of us with what we desperately want at work: more autonomy, a sense of mastery, and a sense of purpose. In summary, quality improvement efforts often fail to enhance caregiver resilience before expecting higher levels of care quality from dedicated but overwhelmed staff - here is what you can do to turn that around.
Learning Objectives
- Measure unit level norms that enhance vs. hinder work-life balance.
- Integrate the concepts of fatigue, social support, and familiarity with colleagues as factors which protect against or worsen the experience of a stress response (and burnout) in individuals.
- Demonstrate and implement the "learning from defects" tool to find and fix defects, influence patient outcomes, and achieve more meaning and purpose at work.
CME credit is no longer available for this program.
Faculty
Rosalio Lopez, MD
Description
As Health Care Reform continues to evolve and change, hospital medical staffs will inevitably change. In order to effectively perform in the shifting environment and to ensure patient safety and quality of care it is critical to organize your medical staff accordingly. In this educational program you will be armed with the knowledge to organize your hospital’s medical staff based on both consumerism and patient safety. This program will demonstrate how to compete and get organized in today’s challenging environment in order to successfully perform as physicians and provide quality care to your patients.
Learning Objectives
- Discuss how to organize your medical staff in the current environment.
- Demonstrate how your medical staff can compete in today’s healthcare setting.
- Create effective strategies to ensure patient safety and quality of care.
View webcast -- Note: CME credit is no longer available for this program.
Faculty
J. Bryan Sexton, PhD
Description
According to the Institute for Healthcare Improvement (IHI), "in a culture of safety, people are not merely encouraged to work toward change; they take action when it is needed." Leadership is a key ingredient in creating a culture of safety. Organizations can only improve upon their safety with direction and guidance from their leaders. Senior staff must be the driving force behind promoting a culture of safety through demonstrating their own commitment to safety of care and providing the necessary resources to foster an environment conducive to change. This program will demonstrate how healthcare professionals can work together as a team to promote a culture of safety and ultimately enhance patient care.
Learning Objectives
- Discuss the attributes of successful leaders.
- Explain how to work together as a team of healthcare professionals, e.g. nursing, administration and medical staff to ensure patient safety.
- Demonstrate how to identify problems, fashion solutions to those problems and implement changes, which ultimately improve safety.
View webcast to earn 1.5 AMA PRA Category 1 CreditsTM
Faculty
Elizabeth A. Snelson, Esq.
Description
Hospitalists aren't the only ones becoming employed with the hospitals; increasingly, physicians seeking shelter from the hassle factors of private practice or needing coverage after malpractice insurance evaporates or believing that hospital employment will provide a more livable lifestyle are being hired by hospitals. Should the medical staff treat employees differently from the "unemployed" physicians? Can the medical staff sort out the conflicts of interests of physcians whose relationship with the hospital is primarly financial? How are credentialing, hearing rights and other peer review issues affected? Should employees serve in medical staff leadership? These issues and more are critical to those who are not employed with the hospital. Organized Medical Staffs need to be aware of the conflicts of interests that are presented with these two groups.
Learning Objectives
- Identify the conflicts of interest issues that are presented by hospital employment of physicians.
- Explain how to adjust bylaws to address physician employment.
- Demonstrate why self-governing medical staff is more vital than ever for both "employed" and unemployed" physicians' patients.
CME credit is no longer available for this program.
Faculty
- John A. Fromson, MD
- Betsy White Williams, PhD, MPH
- David Weber, MD
Description
The well-documented impending physician workforce shortage, coupled with the recent economic downturn, points to the need for physicians to work beyond traditional retirement age. Organizations interested in successfully keeping senior physicians in practice will recognize there are many aspects to consider such as competency, adjusting to changing lifestyles, energy levels, and call. All these factors affect practice productivity, scheduling, coverage and more. This program will help attendees understand the value that senior physicians bring to a practice; the most common age related issues to be aware of; and practical solutions and environmental adjustments to address those issues. Keynote speaker, John A. Fromson, MD, Assistant Clinical Professor of Psychiatry at Harvard Medical School, is a nationally recognized expert on physician health. A reaction panel including Betsy White Williams, PhD, MPH and David Weber, MD will discuss three real-life scenarios involving senior physicians in practice.
Learning Objectives
- Recognize the most common age-related changes affecting physicians.
- Integrate the knowledge of age-related changes with practical tips for either adjusting the practice environment, revising a senior physician's areas of responsibility, consideration of recertification, or recommendation for retirement.
Download lecture materials:
CME credit is no longer available for this program.
Faculty
- S. Jay Jayasankar, MD
- Elizabeth Snelson, Esq.
- Robert A. Wise, MD
Description
Peer review is an essential tool in maintaining patient safety and quality of care: through learning and evaluating a physician’s past performance. In this program Dr. Jayasankar will discuss the Massachusetts Principles of Peer Review, of which many were adopted by the American Medical Association (AMA). This information will provide physicians with a guide to developing standards for peer review programs in their hospitals. Dr. Wise will introduce and discuss the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE), The Joint Commission’s standards on peer review. Finally Ms. Snelson will present information to aid physicians in understanding peer review pitfalls and to educate them on the legal problems surrounding peer review within hospital medical staffs.
Learning Objectives
- Apply the work of the Massachusetts Medical Society to develop appropriate parameters for medical peer review.
- Define The Joint Commission’s standards on peer review by organized medical staffs in hospitals.
- Discuss the pitfalls and legal problems surrounding peer review and educate practitioners on effective peer review processes.
Download lecture materials:
CME credit is no longer available for this program.
Faculty
- Molly Sandvig, JD
- John R. Harvey, MD
Description
How we provide and how patients receive healthcare today is changing rapidly. Answers to the questions of who controls growth, how and to whom money is distributed, and most importantly who influences patient care are shifting – and rightly so. The small but influential physician owned and operated hospital industry is playing a dramatic role in that shift and will continue to do so no matter the format, with strong, independent physicians leading the charge.
Learning Objectives
- Describe the status of the physician hospital industry and projections for its future.
- Distinguish how physician hospitals in partnership with tax-exempt, general hospitals are creating an integrated approach to healthcare, allowing for better physician-hospital relations and long term success for all involved.
- Assess out how physicians in this industry are making a difference in patient care, hospital performance, and community and industry involvement.
Download lecture materials:
CME credit is no longer available for this program.
Faculty
Mark V. Williams, MD
Description
Care coordination at the time of hospital discharge represents an often stressful and sometimes dangerous process for older adults. Discontinuity and fragmentation yields risks of harm to the patient. The current discharge process significantly impacts patient satisfaction, potentially impacts health outcomes, and lacks a consistent, coordinated and safe approach. With the relatively recent development of the specialty of hospital medicine and growth to more than 20,000 hospitalists in the U.S. caring for hospitalized patients, patients' transition from hospital to home or other health care facilities requires attention and modification to optimize quality of care and patient safety.
A review of findings from recent AHRQ-funded research projects focused on the discharge process and the efforts of The John A. Hartford Foundation funded Society of Hospital Medicine BOOST project (Better Outcomes for Older adults through Safe Transitions) provide a foundation for new approaches to improving the hospital discharge process.
Learning Objectives
- Identify the common potential adverse events that can occur after hospital discharge.
- Recognize process measures relevant to hospital discharge.
- List the major components of an ideal discharge transition.
- Propose a revised process for discharge at their hospital to enhance patient satisfaction and diminish adverse events following the transition from the hospital to the community.
