Concurrent Sessions
Tuesday, September 15, 2009
9:30–10:45 am
Engaging Physicians Practices in Patient Safety (701)
Barbara Rebold
Care provided in physician offices represents the largest and most widely used segment of the U.S. healthcare system. Even so, the physician office setting has not received the attention with regard to patient safety and risk management that hospitals and other healthcare institutions have received. The speaker(s) will review the patient safety and risk climate for physician practices, present the top areas of risk found in the assessments performed and benchmark information for these areas, strategies identified by healthcare systems participating in the assessments, challenges for the manager responsible for overseeing patient safety in physician practices, review the approach taken by a group of hospitals involved in a risk retention group to identifying and managing risks in patient safety in the physician office practice setting and identify strategies to incorporate the physician office practice in the organizational patient safety, quality and risk management programs.
Perspectives on Demonstrating Value of Your Organization (702)
Christine Lang
How do you demonstrate the value of your agency? With looming changes in payment and regulatory reform, it is more critical than ever for agencies to demonstrate value to critical stakeholders. Keys to success include identifying the stakeholders, understanding the specific aspects of agency performance that they see as "demonstrating value" from their perspective and putting this value in a context that they can understand. Participants in this session will walk away with critical information and new tips for demonstrating their agency's value to patients and families, payors, physicians, Board members, and others.
Evaluating Data Quality for Managed Care Quality Measurement (703)
Kathryn Clinefelter
Managed Care Organizations (MCOs) and the states that use a managed care approach for their publicly funded healthcare programs are well-positioned to let data drive their improvement efforts. Claims and encounter data, in conjunction with pharmacy, lab and other ancillary data, for the foundation for the administrative data set that can be used for ongoing evaluation and improvement of the care and services provided to enrolled members. However, the quality of the improvement efforts is directly related to the quality of the data used. This presentation will share approaches used by states and MCOs to ensure data quality and will focus on the efforts on one state's Medicaid Managed Care/SCHIP External Quality Review Organization to assess and improve the quality of data for ongoing quality and program management.
Are You Ready For ICD-10? Implications for Quality (704)
Caroline Piselli
A change is coming in the language of health care. More than just another coding update, ICD-10 will improve capture of information about the increasingly complex delivery of health care by bringing greater accuracy to coding of hospital administrative data. Not only will this allow for more precise and accurate healthcare payment, but it will also improve the value of data collected by hospitals, enhance data analytics, and support clinical research. What impact will more precise coding under ICD-10 have on public reporting? Will your hospital's coding improve the accuracy of safety and quality of care measures? Will this new information increase the validity of hospital report cards and improve the accuracy of results of public mortality reports? How can healthcare organizations capitalize on the greater specificity of coded data under ICD-10 to enhance quality improvement activities? Learn the answers to these questions and more by participating in this session.
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