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Summit Overview

 What's Unique About This Summit   |   The Engine of Innovation Speaker Series   |   Objectives   |   Who Should Attend   |   Summit Presentations   |   Summit Abstracts
 
Delos Cosgrove, MD - Chief Executive Officer and President, Cleveland Clinic
Delos Cosgrove, MD
Chief Executive Officer and President
Cleveland Clinic

"Quality and innovation are the central focus of the Cleveland Clinic as we believe this is the best way to keep healthcare costs low and significantly improve patient outcomes.

I invite you to attend this important Summit so we can explore options together that can make important improvements to our industry."

The 2011 Cleveland Clinic Health Care Quality Innovation Summit, was held on May 11-13, 2011, on the Cleveland Clinic campus, and was devoted to exploring novel strategies for improving the assessment and delivery of quality health care.

This 2½-day multidisciplinary conference brought together the major stakeholders in this process for in-depth discussions of the shared and sometimes competing visions through which health quality metrics can be used to advance health care outcomes. Stakeholders included patients, physicians, nurses, provider institutions, professional societies, public and private payers, regulatory agencies, nongovernment organizations, patient safety organizations, the device and pharmaceutical industry, funding agencies, as well as state and federal government agencies.

The Quality Innovation Summit examined medical and surgical care and prevention of acute and chronic disease in six major medical domains: Orthopedics and rheumatology, endocrine and digestive diseases, heart and vascular diseases, internal and family medicine, radiology and laboratory medicine.

The goal of this Summit was to enable attendees to do the following:

  • Build a shared understanding of the vocabulary, issues, and competing and common interests and visions shaping the practices of medicine and health care;
  • Participate in a dynamic forum to explore, discuss, and debate the most effective tools, contexts, and systems with which to assess the quality and value of health care in each of these medical domains;
  • Examine current best practice models and major obstacles and discuss options to address the shared challenge of implementing systems of quality metrics;
  • Critically assess current and proposed methods through which health care quality information can be used to improve health care decision making and delivery, associated business and operational models, and state and federal health policy decisions.

Click here to view videos of presentations from this Conference


 

What’s Unique About This Summit?

Most national meetings on health care quality focus their programs on the stakeholders who drive quality every day. This Summit expanded that focus to include the interactions between stakeholders, provided a forum for new ideas and innovations that can be tied to improving quality and safety in daily clinical practice. This Summit provided opportunities for all stakeholders to develop mutual awareness and to explore opportunities for leverage, collaboration, and “cross-fertilization.”

The 2011 Cleveland Clinic Health Care Quality Innovation Summit (CC-HCQIS) built on the tradition of the highly acclaimed Cleveland Clinic Innovation Summit Series. Since 2004, these Summits have provided a national and international forum to explore and advance opportunities for innovation in patient care.

During the Summit, a renowned faculty provided overviews of each topic area, moderate focused presentations, and lead robust open discussions. Emphasis was placed on articulation of the basic principles and perspectives guiding stakeholders; on understanding and confronting the varied and sometimes conflicting perspectives of key stakeholders; and on identifying and developing opportunities to better align and leverage varied interests and capabilities to achieve common benefit.

Day 1 Evaluated health care quality from the perspective of varied stakeholders and disciplines.
Day 2 Featured breakout sessions in which participants discussed best practice tools and models and evolving innovations in orthopedics and rheumatology, endocrine and digestive diseases, heart and vascular diseases, internal and family medicine, radiology and laboratory medicine. 
Day 3 Reassembled all participants to explore the national landscape of health care quality assessment and examine the different stakeholders’ visions through which health quality metrics can be used on a national scale to advance health education, general wellness, reduce cost, and preserve innovation.

Core topics included the following:

  • Evolving standards in individual patient responsibility, professional societies, and credentialing and regulatory bodies;
  • Evolving opportunities in health information technology, national registries, inter-institutional networks, and payer-provider business models;
  • Crucial components of infrastructure and culture;
  • Objective and subjective realities of health care fiscal policy and legislation.

The Engine of Innovation Speaker Series
Exploring the Anatomy and Opportunity of Innovation Partnerships

The Summit was further enriched by The Engine of Innovation Speaker Series. In these luncheon and dinner presentations, keynote speakers explored the role of stakeholders as stewards of innovation and assessed the process of translating knowledge and technology into high quality practices and products that serve patients and the medical community.

The medical innovations that improve health care are initiated and implemented through the work of dedicated individuals and groups who ask the important questions, solve practical problems, and create the systems and opportunity to bring these innovations forward. The process is not linear or predictable, and involves a complex and often stochastic web of inspiration, creative questions, hard-nosed basic science, technology development, education, product development, process development, careful preclinical and clinical assessment, and responsible implementation.

Increasingly, innovations are products born out of the collaboration of multidisciplinary teams and institutions that inspire creative thinking, critical assessment, and leverage available opportunities, expertise, and resources rather than individuals. The success of these individuals and teams in improving patient care depends on their work environment to provide these components:

  • Access to information,
  • Opportunity and authority to act,
  • Funding to support both pilot work and key operations, and
  • Critical interdisciplinary partnerships that enable promising innovations to advance from concept to bench to bedside, throughout the broader community.

This Engine of Innovation Speaker Series explored the perspective of these partners, their current roles, and future opportunities for advancing these partnerships to greater effect.

 

Objectives

  • Describe the core principles and vocabulary of quality assessment and management practices in health care;
  • Critically appraise points of synergy and tension in the visions and perspectives of patients, physicians, institutions, third-party payers, regulatory agencies, industry, and government and nongovernment agencies;
  • Develop models of current best practices in quality assessment and management that incorporate key stakeholder perspectives;
  • Summarize the challenges and opportunities for advancing health care and cost effectiveness through collaborative programs in quality assessment and management extending across the domains of patient, physician, institution, payer, industry, and government and nongovernment organizations.

Who Did Attend

This educational activity was designed for a multidisciplinary audience of individuals involved in health care quality assessment and management that included:

  • Clinicians, scientists, nurses, health institutions, health care administrators;
  • Public and private payers, biomedical industry;
  • Government policymakers and regulators;
  • Nongovernment organizations;
  • Patient advocates and media experts

This Summit was of value to anyone looking for an intensive, intellectually demanding examination of health care quality from multiple perspectives in a forum that provided opportunities to participate in the real-world process of learning, discussion, exploration, and analysis needed to shape a future of shared responsibility and value in health care quality assessment and management.

Click here to view videos of presentations from this Conference

 


Summit Slide Presentations

Wednesday, May 11, 2011

Session 1: Defining Quality in Healthcare – Part 1: Patients, Physicians, Public
Moderator: George F. Muschler, MD, Cleveland Clinic
view presentation Welcome and Introduction - George F. Muschler, MD, Cleveland Clinic
view presentation KEYNOTE ADDRESS:
The View from the Office of Healthcare Quality: HHS - Donald Wright, MD, MPH, U.S. Department of Health and Human Services
view presentation Landscape of Quality Organizations and Public Debate – Overview - Helen Burstin, MD, MPH, National Quality Forum
view presentation Patient Perspective (Patient Advocacy) - Susan Sheridan, MBA, MIM, Consumers Advancing Patient Safety
view presentation Public Perspective (Media Perspective) - Steve Sternberg, USA Today
Session 2: Defining Quality in Health Care – Part 2: View from the Inside – Health Care Institutions
Moderator: J. Michael Henderson, MD, Cleveland Clinic
no presentation Introduction - J. Michael Henderson, MD, Cleveland Clinic
view presentation Integrated Health Systems Perspective - Catherine Keating, MD, Cleveland Clinic; Andrew Proctor, Cleveland Clinic
view presentation Challenges for Hospitals – From Community Hospital to Tertiary Care - Elliot Joseph, Hartford Healthcare and Hartford Hospital
view presentation County Hospitals - Ron J. Anderson, MD, Parkland Health and Hospital System
view presentation Medical Education for the Future - James B. Young, MD, Cleveland Clinic
view presentation Lunch and KEYNOTE ADDRESS:
Business Case for Quality - Steven J. Swenson, MD 
Session 3: Defining Quality in Health Care – Part 3: The View from the Payer Perspective
Moderator: Michael McMillan, Cleveland Clinic
view presentation Introduction - Michael McMillan, Cleveland Clinic
view presentation National Health Plan - Richard Salmon, MD, PhD, Cigna Health Care
view presentation Self-Insured Employers - Bob Ihrie, CCP, CBP, Lowe’s Companies, Inc.
view presentation Regional Health Plan - Teresa Koenig, MD, MBA, SummaCare Inc./Apex
view presentation Health Care Innovation from Medicare Advantage: Case Study of Humana - Tom James, MD, Humana, Inc.

Thursday, May 12, 2011 - Parallel Sessions: Maximizing Value and Preserving Innovation

 7:00 am
no presentation
KEYNOTE ADDRESS:
Quality and Patient Safety 101- Charles Denham, MD, Texas Medical Institute of Technology
Group 4A:  Musculoskeletal Care
Moderator: George F. Muschler, MD, Cleveland Clinic
view presentation Introduction - George F. Muschler, MD, Cleveland Clinic
view presentation Where / How Can We Demonstrate the Objective VALUE (efficacy/cost) of Our Care? - J. Timothy Harrington, MD, University of Wisconsin
view presentation What are the Current Best Practice Models and Opportunities for Improving EFFICIENCY (revenue/cost, work/product/time) of Our Care? - Kevin Bozic, MD, MBA, University of California, San Francisco
view presentation How Do We or Can We Identify INEFFECTIVE PRACTICES and Change Practice Patterns to Eliminate Them? - Marc F. Swiontkowski, MD, TRIA Orthopaedic Center
view presentation How Do We Preserve and Stimulate INNOVATION in an Environment of Active Management, Standardization, Efficiency, and Cost Cutting? - Regis O’Keefe, MD, PhD, University of Rochester Medical Center
no presentation Panel Discussion
Group 4B: Endocrine and Metabolic Care
Moderators: Philip Schauer, MD, Cleveland Clinic and Sangeeta Kashyap, MD, Cleveland Clinic
no presentation Introduction - Philip Schauer, MD, Cleveland Clinic
no presentation Where / How Can We Demonstrate the Objective VALUE (efficacy/cost) of Our Care? - Anne Peters, MD, University of Southern California
view presentation What are the Current Best Practice Models and Opportunities for Improving EFFICIENCY (revenue/cost, work/product/time) of Our Care? - Linda Siminerio, RN, PhD, CDE, University of Pittsburgh Diabetes Institute
view presentation How Do We or Can We Identify INEFFECTIVE PRACTICES and Change Practice Patterns to Eliminate Them? - James W. Saxton, Esq., Healthcare Litigation and Risk Management Group
view presentation How Do We Preserve and Stimulate INNOVATION in an Environment of Active Management, Standardization, Efficiency, and Cost Cutting? - Philip Schauer, MD, Cleveland Clinic
no presentation Panel Discussion / Question and Answer Period
Group 5A: Cardiovascular Care
Moderator: Steven Nissen, MD, Cleveland Clinic
no presentation Introduction - Steven Nissen, MD, Cleveland Clinic
view presentation Where / How Can We Demonstrate the Objective VALUE (efficacy/cost) of Our Care? - David J. Cohen, MD, St. Luke’s Mid America Heart Institute
view presentation What are the Current Best Practice Models and Opportunities for Improving EFFICIENCY (revenue/cost, work/product/time) of Our Care? - Charlie Lougheed, Explorys Inc. and Steve McHale, Explorys Inc.
view presentation How Do We or Can We Identify INEFFECTIVE PRACTICES and Change Practice Patterns to Eliminate Them? - Thomas Marwick, MD, PhD, Cleveland Clinic
view presentation How Do We Preserve and Stimulate INNOVATION in an Environment of Active Management, Standardization, Efficiency, and Cost Cutting? - David Cutler, PhD, Harvard University
no presentation Panel Discussion / Question and Answer Period
Group 5B: Primary Care
Moderator: D. Scott Endsley, MD, MSc, Cleveland Clinic
view presentation Introduction - D. Scott Endsley, MD, MSc, Cleveland Clinic
view presentation Where / How Can We Demonstrate the Objective VALUE (efficacy/cost) of Our Care? - Paul V. Miles, MD, American Board of Pediatrics
view presentation What are the Current Best Practice Models and Opportunities for Improving EFFICIENCY (revenue/cost, work/product/time) of Our Care? - Gerri Lamb, PhD, RN, Arizona State University
view presentation How Do We or Can We Identify INEFFECTIVE PRACTICES and Change Practice Patterns to Eliminate Them? - Michael Rabovsky, MD, Cleveland Clinic
view presentation How Do We Preserve and Stimulate INNOVATION in an Environment of Active Management, Standardization, Efficiency, and Cost Cutting? - Bruce Bagley, MD, American Academy of Family Physicians
no presentation Panel Discussion / Question and Answer Period
view presentation Lunch and Panel Discussion:
The Evolving Role of Midlevel Providers Where are We Headed? Is this a Quality or Cost-saving Trend?
Sarah Sinclair, RN, BSN, MBA, Cleveland Clinic
Shannon C. Phillips, MD, MPH, Cleveland Clinic
Gerri Lamb, PhD, RN, Arizona State University
Josanne K. Pagel, MPAS, PA-C, Cleveland Clinic
Janet Fuchs, MSN, MBA, NEA-BC, Cleveland Clinic
Group 6A: Medical Imaging Services
Moderator: Mark Sands, MD, Cleveland Clinic
no presentation Introduction - Mark Sands, MD, Cleveland Clinic
view presentation How Do We Preserve and Stimulate Innovation in an Environment of Active Management, Standardization, Efficiency, and Cost Cutting?
- Michael Recht, MD, Langone Medical Center
view presentation Are Current Imaging Practices Effective and Can We Identify Ineffective Practices and Reduce Them? - Rebecca Smith-Bindman, MD, University of California, San Francisco
view presentation Clinical Care Paths and Outcomes Reporting: Impact of and Implications for Imaging - Michael Modic, MD, Cleveland Clinic
no presentation Panel Discussion / Question and Answer Period
Group 6B: Laboratory Medicine and Pathology Services
view presentation Introduction
view presentation Where / How Can We Demonstrate the Objective VALUE (efficacy/cost) of Our Care? - Franklin R. Cockerill, MD, Mayo Medical Laboratories
view presentation What are the Current Best Practice Models and Opportunities for Improving EFFICIENCY (revenue/cost, work/product/time) of Our Care? - Lisa Yerian, MD, MD, Cleveland Clinic
view presentation How Do We or Can We Identify INEFFECTIVE PRACTICES and Change Practice Patterns to Eliminate Them? - Jennifer Leigh Hunt, MD, Massachusetts General Hospital
view presentation How Do We Preserve and Stimulate INNOVATION in an Environment of Active Management, Standardization, Efficiency, and Cost Cutting? - Gary Procop, MD, Cleveland Clinic
no presentation Panel Discussion / Question and Answer Period
no presentation Summit Banquet
Keynote Address:  Health Care Quality and Cost From a National Perspective – Jay Walker, Walker Digital Management, LLC

Friday, May 13, 2011

Session 7: Defining Quality in Health Care – Charting the Course: Is There a Common Point on the Horizon?
Moderator: J. Michael Henderson, MD, Cleveland Clinic
view presentation Opening Remarks - J. Michael Henderson, MD, Cleveland Clinic
view presentation Charting a Course to the Future: Meaningful Use- Daphne Bascom, MD, PhD, Cleveland Clinic
view presentation Charting a Course to the Future: A View from Blue Cross and Blue Shield - Allan M. Korn, MD
view presentation Charting a Course to the Future: A Clinician’s View - J. Michael Henderson, MD, Cleveland Clinic
view presentation Closing:
Panel Discussion and Town Hall Meeting -
Delos M. Cosgrove, MD, Cleveland Clinic; J. Michael Henderson, MD, Cleveland Clinic; Allan M. Korn, MD, Blue Cross and Blue Shield; Stephen Swensen, MD, MMM, FACR, Mayo Clinic; Charles Denham, MD, Texas Medical Institute of Technology
view presentation Adjourn - George F. Muschler, MD, Cleveland Clinic

 

Summit Abstracts

Poster Number Author Institution
Poster 1 A Novel Application Of Data Warehousing And Rapid-Cycle Data To Drive Improvements In 30-Day Readmission Rates
  Michael Mann Cleveland Clinic
Poster 2 Employing Industrial Engineering Techniques To Assess And Improve Nursing Care In A High Demand Medical Unit
  Ajay Jayakumar, MS University of Wisconsin - Madison
Poster 3 Role Of Information Systems In The Flow Of Information From A Hospital To Skilled Nursing Facilities
  Ajay Jayakumar, MS University of Wisconsin - Madison
Poster 4 Implementation Of Barcode Tracking Reduces Labeling Errors In Surgical Pathology
  Michael Rulffes, MBA Cleveland Clinic
Poster 5 Seven Years Of Seven Days: Our Experience With Sunday Clinic (“Home Doesn’t Close On Sundays")
  Donald Ford, MD Cleveland Clinic
Poster 6 Improve Door 2 Doc And Length Of Stay In Emergency Services Institute
  John Dockins, MBA Cleveland Clinic
Poster 7 Implementation And Evolution Of An Employee Ideas Program To Drive Engagement, Collaboration And Transparency
  Georgia Shores Cleveland Clinic
Poster 8 Perioperative Blood Management: Enhancing Patient Outcomes Through Evidence-Based Resource Utilization And Health - System Integration
  Mital Patel, MD, FACP Cleveland Clinic
Poster 9 Medical Emergency Teams: The Cleveland Clinic Model
  Thomas Tallman, DO, FACEP Cleveland Clinic
Poster 10 Balanced Scorecard - Continuous Improvements In Overall Patient Care
  Prakash Chandrasekaran, PhD Cleveland Clinic
Poster 11 Continuous Improvement Tools: Application At Multiple Organizational Levels To Improve Overall Patient Quality
  Chris Nagel Cleveland Clinic
Poster 12 Reduced Duplicate Laboratory Test Orders Through Continuous Improvement Project
  Gary Procop, MD Cleveland Clinic
Poster 13 Kaizen Event Improves Laboratory Turnaround For Emergency Department Stat Tests
  Brian Walsh Cleveland Clinic
Poster 14 Improved Workstation Design In New Laboratory Building Using Lean Techniques
  Kandice Kottke-Marchant, MD, PhD Cleveland Clinic
Poster 15 Leveraging Solutions
  Ethan Holmes, BA Cleveland Clinic
Poster 16 National Naval Medical Center Initiative To Prevent Surgical Site Infections
  Hassan A.Tetteh, MD, MPA FACS Johns Hopkins University
Poster 17 An Assessment Of The Validity Of The Leapfrog Hospital Efficiency Measure
  Matt Austin, MS University of Wisconsin – Madison
Poster 18 Establishing A Continuous Improvement Environment W/O Declaring A Specific Methodology
  Mary Jo Chrobak, MBA Cleveland Clinic
Poster 19 Making A Case For Structured Change Management In Continuous Improvement
  Mary Jo Chrobak, MBA Cleveland Clinic
Poster 20 Value Of Knee MRI In The Diagnosis And Management Of Knee Disorders
  Sunny Patel Cleveland Clinic
Poster 22 Medicine Institute Unit-Based Discharge Call-Back Program is associated with Improved HCAHPS Scores and Lower Readmission Rates
  Vicente Velez, MD Cleveland Clinic
Poster 23 Leveraging Business Intelligence To Evaluate Appropriate Blood Utilization: Decreasing Patient Exposure, Reducing Cost And Preserving A Scarce Resource
  Andrew Proctor, MS Cleveland Clinic
Poster 24 No Pain: Treat The Fifth Vital Sign! Innovating To Impact HCAHPS
  Jennifer Colwill, MSN,RN, CCNS, PCCN Cleveland Clinic
Poster 25 Prevention Of Catheter Associated Urinary Tract Infection (Ca-Uti): A Nurse Driven Protocol
  Jennifer Colwill, MSN, RN, CCNS, PCCN Cleveland Clinic
Poster 26 Emergency Preparedness; A Three-Pronged Approach for Cleveland Clinic Northeast Ohio Enterprise
  Thomas A Tallman, DO, FACEP Cleveland Clinic
Poster 27 Airway Management Skills: A Training Model that Incorporates Simulation Training
  Thomas A Tallman, DO, FACEP Cleveland Clinic
Poster 28 Reduction of Radiation During Fluoro Urodynamics: An Analysis of a Quality Assurance Protocol Limiting Fluoroscopic Images During Fluoro Urodynamic Studies
  Courtney L. Lee, MD Cleveland Clinic
Poster 29 Value-driven Engineering FOR U.S. Global Competitiveness Safe Haven Summit
  Stephen D. Fening, PhD Austen BioInnovation Institute
Poster 30 Beyond M & M: A Comprehensive Mortality Review Program
  Margie Hubman, RN, MSN, OCN Cleveland Clinic
Poster 31 The Journey To Zero: A Collaborative Approach
  Melissa Schlechte Cleveland Clinic
Poster 32 Quality Reporting/Metrics/Instruments
  Pamela Black, MBA Cleveland Clinic
Poster 33 Development and Implementation of A Pediatric Early Warning System (PEWS)
  Wendy Van Ittersum, MD Cleveland Clinic
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Cleveland Clinic Center for Continuing Education © 2001-2012. All Rights Reserved.
Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195