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Spectrum of Opportunities

Spectrum of Opportunities. Participate Collaborate Create Lead Serve as subject Serve as co-investigator Launch project Serve as PI Part of larger project Small piece of larger project Small focused project Investigator Initiated

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Spectrum of Opportunities

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  1. Spectrum of Opportunities Participate Collaborate Create Lead Serve as subject Serve as co-investigator Launch project Serve as PI Part of larger project Small piece of larger project Small focused project Investigator Initiated Goldman cardiac risk study Opportunities with established CoE faculty CoE Funding Applying for external funding or the working under their grants “Holy Grail CoE” project Ramp up of both commitment (degree of difficulty) and potential reward The need to “own” something Make your work your play Taking it over the finish line

  2. Our 6 Aims in Quality Safety no needless death, injury, pain or suffering for patients or staff Effectiveness care and service will be based on best evidence, informed by patient values and preferences Patient Centerednessall care and service will honor the individual patient – their values, choices, culture, social context and specific needs Timeliness waste no one’s time; no unnecessary waiting Equity all care and service will be fair and equitable – the system will treat all patients equally Efficiency remove all unnecessary processes or steps in a process; streamline all activities

  3. Rich Array of Potential Data Sources for Quality and Safety Research PFACs P4P (Govt., Comm.) MESAC Safety Reports QA Staff Concerns Disparities Comm. Internal Audits Exec. WalkRounds Patient Narratives Ombuds- man HPM Close Compliance Concerns Patient Experience Surveys Leap-frog Natl. Prior. Occ. Health Potential Targets Safety Culture Surveys OPA Risk Mgmt. SVP Debriefs Quantitative and Qualitative SREs JC Findings CRICO/RMF NPSGs HAIs

  4. CY2011 Institutional Quality Goals Support PHS Care Redesign and Patient Affordability Initiatives Accelerate improvements in efficiency Improve the experience of our patients and their families Make MGH care safer through reducing adverse preventable events Continue to advance a culture of safety at the MGH

  5. Proposed CY 2011 CQS priorities Maintain regulatory readiness Implement QAPI data flow plan fully Integrate centers (e.g. Transplant Center) and satellites (e.g.—MGH/North Shore ACC) into QAPI plans Develop an QAPI integration approach for affiliated MGH sites (e.g.—Island Hospitals) and programs (e.g.—cardiac surgery at NSMC) Support improvement efforts targeted at select regulatory vulnerabilities Fill key Quality and safety measurement gaps Continue to advance functionality of the Operational Data Store Fulfill meaningful use requirements Support ACD development Fully implement Excellence Every Day regulatory readiness dashboard Continue evolution of PCAC Expand use of Just Culture tools More training on disruptive colleagues, patients and families Continue implementation support for strong recommendations for improvements Support QAPI Support MGPO Quality Incentive (QI) program Develop approach for more broadly disseminating serious safety reports

  6. Proposed CY2011 CQS priorities (2) Expand external visibility of MGH/MGPO quality and safety program Add more metrics of interest (? Occupational health, more detail on equity, etc.) to our internet site Populate every major national quality measurement committee (NQF, CMS, Leapfrog) with a MGH/MGPO Subject Matter Expert Expand quality and safety training opportunities Increase use of teamwork training and simulation as part of our response to safety events Contribute to the development of a Harvard wide Quality and Safety Fellowship program Continue the spread of Process Improvement training and tools Advance literature on the value of AMC care Publish findings to date and complete work on detailed patient level analyses ? Pilot Patient Report Outcome Measures in at least one area Support transition of care to the Lunder Building to ensure quality and safety Complete at least one FMEA related to move Develop and implement a plan for an external audit of the Center for Quality and Safety

  7. Examples of potential projects Publishing at least 10 papers related to CQS work Impact of Quality Incentive program CMS Demo Results (at least two papers) Donaghue grant analyses (at least three papers) Value of Academic Health Centers (at least two papers) Myth of Unified Payment (with Richard Bohmer) Others: Positive Sentinel Events, Using a balanced score-card in residency teaching (with Ryan Thompson), BHAGs in Healthcare (with Karen Nanji, David Torchiana and Tim Ferris)

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