QUALITY & PERFORMANCE IMPROVEMENT IN HEALTHCARE
Saturday, February 6, 2016
Topic/Faculty
Articles and Cases
ME Ported & TH Lee, “The Strategy That Will
Fix Health Care,” Harvard Business Review,
October 2013. *
9:00 am Program Convenes
Context
 what is value?
 value-based purchasing
 MACRA, MIPS & APMs
P Varkey, et al., “Basics of Quality Improvement
in Health Care,” Mayo Clinic Proceedings, June
2007. *
Data & Measurement
 data requirements
 data analytics
 measurement features
 measurement uses
MJ Ward et al., “Applications of Business
Analytics in Healthcare”, Bus Horizons, 2013,
57: 571 – 82. *
“From Volume to Value: Transforming Health
Care Payment and Delivery Systems,” NRHI
Healthcare Payment Reform Series, 2009.
Lunch 12:00 – 12:45 pm
Process Improvement Tools & Methods
 systems and processes
 alternate PI approaches
 CQI tools and tactics
R Steinbrook, “The Repeal of Medicare’s
Sustainable Growth Rate for Physician Payment,”
JAMA 2015, 313: 2025-2026.
5:30 pm Program Adjourn
“CMS Measures Under Consideration for ValueBased Reimbursement,” CMS, 2015.
CME Learning Objective: I am better able to
improve clinical practice by applying the basic
tools and techniques of process improvement
and data measurement.
JC Benneyan et al., “Statistical Process Control
as a Tool for Research and Healthcare
Improvement”, Quality & Safety in Health Care,
2003, 12: 458-64.
Faculty
“Memory Jogger II: Healthcare Edition,”
GOALQPC, 2008.
Tiffany Berry, M.D.
Paul Convery, M.D., MMM
Michael J. Deegan, M.D., D.M.
Clifford T. Fullerton, M.D., M.S.
Angie Hochhalter, Ph.D.
John McCracken, Ph.D.
William Rayburn, M.D., M.B.A.
Robert Schwab, M.D.
* Included in pre-course readings
1
QUALITY & PERFORMANCE IMPROVEMENT IN HEALTHCARE
Sunday, February 7, 2016
KL Carman et al., “Patient and Family
Engagement: a Framework for Understanding
the Elements,” Health Affairs, Feb. 2013. *
8:00 am Program Convene
Patient Centered Care
 patient experience
 provider and staff experience
 clinical and operational outcomes
D Maxfield et al., “Silence Kills,” VitalSmarts,
2005. *
Lunch 12:00- 12:45 pm
RM Wachter & P Pronovost, “Balancing ‘No
Blame’ with Accountability,” NEJM, Oct 1,
2009. *
Patient Safety
 elements of safe health care
 manageable issues
 barriers to safer care
 principles of high reliability organizations
 communication tools for patient safety
C Dempsey, “The Evolution of the Patient
Experience,” Futurescan 2016 -2021.
5:30 pm Program Adjourn
CME Learning Objective: I am better able to
recognize and appropriately respond to the
multiple dimensions of the patient experience in
accessing and receiving healthcare.
Faculty
Tiffany Berry, M.D.
Paul Convery, M.D., MMM
Michael J. Deegan, M.D., D.M.
Clifford T. Fullerton, M.D., M.S.
Angie Hochhalter, Ph.D.
John McCracken, Ph.D.
William Rayburn, M.D., M.B.A.
Robert Schwab, M.D.
* Included in pre-course readings
2
T Bodenheimer & C Sinsky, “From Triple to
Quadruple Aim: Care of the Patient Requires
Care of the Provider,” Annals of Family
Medicine, Nov./Dec. 2014.
QUALITY & PERFORMANCE IMPROVEMENT IN HEALTHCARE
Monday, February 8, 2016
J Banja, “The Normalization of Deviance in
Healthcare Delivery,” Business Horizons, 2009,
53: 139 – 48. *
8:00 am Program Convene
Patient Safety, cont’d
 elements of safe health care
 manageable issues
 barriers to safer care
 HRO principles
 patient safety communication tools
“Population Health Management: A Roadmap
for Primary Care,” Care Continuum Alliance,
2012 *
WK Bleser, et al., “Strategies for Achieving
Whole-Practice Engagement and Buy-in to the
Patient-Centered Medical Home,” Annals of
Family Medicine Jan./Feb. 2014.
12:00- 12:45 pm Lunch
Care Models : PCMH & Beyond
 chronic care model
 activated patients
 shared decision making
 care teams
 “The Ideal Practice”
CA Sinsky, et al., “In Search of Joy in Practice:
A Report of 23 High-Functioning Primary Care
Practices,” Annals of Family Medicine,
May/June 2013.
5:30 pm Program Adjourn
CME Learning Objective: I am better able to
describe the underlying theories and essential
requirements for delivering safe patient care and
work toward building a safer culture based on
teamwork and communication.
Faculty
Tiffany Berry, M.D.
Paul Convery, M.D., MMM
Michael J. Deegan, M.D., D.M.
Clifford T. Fullerton, M.D., M.S.
Angie Hochhalter, Ph.D.
John McCracken, Ph.D.
William Rayburn, M.D., M.B.A.
Robert Schwab, M.D.
* Included in pre-course readings
3
QUALITY & PERFORMANCE IMPROVEMENT IN HEALTHCARE
Tuesday, February 9, 2016
8:00 am Program Convene
Cases and Exercises
Population Health Management &
Accountable Care Organizations
 payer agenda and market response
 population health
 population health management
 accountable care organizations
 “The Ideal Practice”

Lunch 12:00- 12:45 pm
Preparing the Next Generation Of Physicians
Summary & Integration
4:00 pm Program Adjourn
CME Learning Objective: I am better able to
apply the goals and principles of population health
and chronic disease management to achieve more
effective, value-based clinical outcomes.
Faculty
Tiffany Berry, M.D.
Paul Convery, M.D., MMM
Michael J. Deegan, M.D., D.M.
Clifford T. Fullerton, M.D., M.S.
Angie Hochhalter, Ph.D.
John McCracken, Ph.D.
William Rayburn, M.D., M.B.A.
Robert Schwab, M.D.
* Included in pre-course readings
4
Show Me Health Care System