Notes

Slide Show

Outline

1	Medicare and Patient Safety A Journey of Three Blessings
2	Three Blessings May you live in interesting times May you come to the attention of those in authority May you find what you are looking for
3	May you live in interesting times…
4	"Between 44,000-98,000 Americans die from..." Between 44,000-98,000 Americans die from medical errors annually
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7	American health care "gets it right" 54.9% of the time. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348(26):2635-45 (June 26).
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10	Strategic Inflection Point “…is a time in the life of a business when its fundamentals are about to change. That change can mean an opportunity to rise to new heights. But it may just as likely signal the beginning of the end.”
11	May you come to the attention of those in authority…
12	Executive Order- August 22, 2006 “By the authority vested in me as President…to ensure that health care programs administered or sponsored by the Federal Government promote quality and efficient delivery of health care…”
13	Deficit Reduction Act “Secretary shall report quality measures of process, structure, outcome, patients' perspectives on care, efficiency, and costs of care that relate to services furnished in inpatient settings ..…”
14	HAI State Legislative Activity
15	Annual Address in Medicine, Yale University Tuesday, June 27, 1904 “We need a system, and surely we shall have it!”
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18	May you what you are looking for…
19	Where are we...?
20	MPSMS Goal: Establish, within the Medicare population, the incidence of adverse events in selected measures
21	Patient Safety: the condition or act of freeing patients from the risk of harm, injury, or loss inherent from their interaction with the health care delivery system independent of the risk of harm, injury, or loss imposed from their particular disease process
22	Fault Tolerance “We cannot change the human condition, but we can change the conditions under which humans work”
23	Internal Operations Data Stream 90,000+ charts reviewed Chart abstraction time < 60 min. IQC > 90%
24	Clinical Topics Blood Stream Infections CVC adverse events Hip Joint adverse events Knee Joint adverse events Postoperative pneumonia Postoperative DVT/PE Postoperative UTI Ventilator Associated Pneumonia Adverse Drug Events Pressure Ulcers Postoperative Cardiac Events
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26	SCIP Goal To reduce preventable surgical morbidity and mortality 25% by 2010.
27	“Not everything that can be counted counts, and not everything that counts can be counted.” Albert Einstein
28	Cass: Men at some time are masters of their fates; The fault, dear Brutus, is not in our stars, but in ourselves… Julius Caesar I. ii
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