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Challenges of Changing Behavior: Engaging Physicians in Improvement (901)
Dr. Allen R. Wenner, MD
Health care information systems are the only practical path to improving health care quality. Understanding why physicians have resisted adoption of information systems in clinical practice must precede changing behavior. The barriers to electronic health record implementation will be addressed from the physician's perspective. This session will introduce concepts of change management as it applies to physicians, understanding the changes required in workflow for clinicians to adopt electronic health records, and review the benefits physicians can expect from the transformation.
Not All Doctors Are Equal (902)
Becky J. Cherney, President/CEO
Health care problems in the United States did not occur overnight and there will not be any quick fixes. The Florida Health Care Coalition is addressing the problems by focusing on cost containment rather than discounts. Working together, businesses, physicians, hospitals and other health care providers can ensure quality of care while instituting cost containment measures. The Florida Healthcare Coalition's mission is to reduce the rate of increase in the cost of health care services without compromising quality and to educate health care consumers.
External Quality Review: Different Dance, Different Song (903)
Robert B. Carroll, CPHQ
2004 signifies another new beginning for review of Medicaid managed care programs in the states. Managed care entities that contract with state Medicaid programs will be effected by the regulatory requirements of the Balanced Budget Act of 1997 and the External Quality Review protocols published by CMS. External Quality Review Organizations (EQROs) have been around for some time, but the role and functions of EQROs may change as a result of the BBA and demanding budgetary constraints. This session will present an overview of the BBA, EQR protocols, potential impacts to states, managed care entities, and others.
Patient Satisfaction Assessment Revisited (904)
Jacqueline Fowler Byers, PhD RN CNAA
Traditional patient satisfaction assessment methods have major psychometric limitations. Widely used tools combine "hotel" and medical aspects of care and lack adequate sensitivity and specificity to truly capture the patient's health care experience. Achievement of 100% overall satisfaction with care yields little insight into which processes are working and which ones are not. A new paradigm is needed. This session proposes innovative alternatives to traditional patient assessment methods and describes their usefulness to healthcare quality improvement.
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