Framing the Issues for Quality and Patient Safety

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Framing the Issues forQuality and Patient Safety

• David J. Shulkin, M.D.
• Professor and Chairman
• Chief Quality Officer
• Drexel University School of Medicine
• DrShulkin_at_aol.com

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• If you dont know where youre going , youre
  liable to end up someplace else
• Robert Mager

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The Market Model for Quality
Stage 2
Stage 3
Stage 4
Stage 1

• Reward

Innovation
Acknowledgement
Differentiation
Stages
Availability of Technology Solutions
Business Case for Quality/Safety
Data Release (IOM Report)
Regulatory Initiatives Malpractice Crisis
Drivers
Consumer Activation Pay for Performance
Adoption of Technology
Employer Response (Leapfrog) Legislation
Media Coverage Consumer Interest
Market Reactions
Learning Organization Goal Setting- Defect Free
Hospital
System (process) Redesign Culture Change
Staff Training/Education Data Collection/Analysis
Preventive Risk Strategies
Leadership Attention Organizational
Assessments
Provider Response
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Stage I- Acknowledgment
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All I know is what I read in the
newspapers. - Will Rogers
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Concerns About Safety
According to a recent Survey respondents had the
following concerns 61 being given the wrong
medicine 58 given medicines that interact in a
negative way 56 complications from a
procedure American Society of Health System
Pharmacists
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Acknowledgment

• Harvey Fineberg- President of IOM
• Arthur Miller- Harvard Law Professor, Author, and
  TV host

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Stage II- Differentiation
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Differentiation

• Suzzane Delbanco- Executive Director, The
  Leapfrog Group- Purchaser Initiatives for
  Quality and Error Reduction

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Stage III- Innovation
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Technology- Are We Doing All We Can?

• 92 of Providers believe much more can be done
  for quality than is being done
• Effectively using technology 16
• Federal efforts required 44

VHA Survey, Attendees at International Patient
Safety Symposium, 2001
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Innovation

• George Halvorson- Chairman and CEO, Kaiser
  Foundation Health Plan, Author Strong Medicine
  and Epidemic of Care

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Stage IV- Reward
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It is hard to get someone to understand
something when his salary depends on him not
understanding it.
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Are We Really Making Progress
in Patient Safety?
You can always trust the Americans. In the end
they will do the right thing, after they have
eliminated all other possibilities. - Sir
Winston Churchill