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Track 9: Emerging Approaches to Drive Change in Healthcare

Featured Sessions | Track 1 | Track 2 | Track 3 | Track 4 | Track 5 | Track 6 | Track 7 | Track 8 | Track 9 

Track 9-I Plausibly correct, but wrong: Failure Phenotype in Health IT 

This session will use case studies to illustrate four instances when the lack of a human intermediary led to conclusions that were plausibly correct, but wrong. These scenarios show examples of what can happen when IT solutions designed to reduce error can actually become the cause of error. Panelists will also discuss how to overcome these types of errors. 

Facilitator
Robert Wears,University of Florida 

Presenters
Robert Wears
Shawna Perry
Christopher Johnson
Nick Chozos Presentation 

Monday June 5, 10:30am-12:00pm 
Auditorium 

Track 9-II Validating the AHRQ Patient Safety Indicators: Current Uses and Research 

This session focuses on the Patient Safety Indicators (PSIs), a module of the AHRQ Quality Indicators. PSIs use hospital administrative data to offer a window into the medical care delivered in the nation's hospitals. The purpose of this panel is to provide an overview of the PSIs, their development, and uses. Recent research using the PSIs will also be reviewed and discussed. 

Facilitator
Marybeth Farquhar, Agency for Healthcare Research and Quality 

Presenters
Marybeth Farquhar Presentation 
Patrick Romano Presentation 
Jeff Geppert Presentation 

Monday June 5, 1:30pm-3:00pm 
Auditorium 

Track 9-III Uses and Misuses of Technology in Creating High Reliability Hospital Systems 

This panel is comprised of members of an AHRQ-sponsored learning network of healthcare systems committed to becoming high reliability organizations. Panelists will discuss their experiences in using technology to make patient care safer, measure key safety processes and outcomes and support the redesign of important care processes. 

Facilitator
Steve Hines, Delmarva Foundation 

Presenters
Dave Munch Presentation 
Paul Conlon Presentation 
Shannon Sayles Presentation 
Robert Porter Presentation 

Monday June 5, 4:00pm-5:30pm 
Congressional Hall C 

Track 9-IV Uncovering Solutions to MRSA Transmission through Positive Deviance 

Positive deviance (PD) is a successful approach to mobilizing for behavior and social change that has only recently been applied to problems in Western healthcare organizations. This session will offer an overview of PD, results achieved at Waterbury Hospital and VAPHS, differences between PE and conventional quality improvement methodologies and opportunities for exploratory conversations. 

Facilitator
David Introcaso, Agency for Healthcare Research and Quality 

Presenters
David Introcaso Presentation 
Curt Lindberg Presentation 
Jon Lloyd Presentation 

Tuesday June 6, 1:00pm-2:30pm 
Congressional Hall C 

Track 9-V Applying Lean in Health Care: Prospects and Challenges 

In health care, as in production industries, Lean (which is derived from Toyota Production Systems) is a way of thinking and an accompanying set of techniques for continuous quality improvement. This symposium brings together three practitioners who have applied Lean in different settings and in divergent ways, along with an AHRQ researcher who led an informal scan of Lean practices. Dr. Gabow is using Lean to restructure work processes as part of a total system transformation at Denver Health, Dr. Munch has applied it to Exampla's pharmacy, and is currently preparing for its roll out across service lines, and Dr. Lloyd participated in the application of Toyota Production Systems in the MRSA reduction project at the Pittsburgh VA Healthcare System (VAPHS). 

Facilitator
Michael Harrison, Agency for Healthcare Research and Quality 

Presenters
Dave Munch Presentation 
Patricia Gabow Presentation 

Tuesday June 6, 3:30pm-5:00pm 
Auditorium 

 

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