#MEQAPI – Tweetchat March 2nd 2017 3ET – HSPI Conference #SHS2017

Next tweetchat: Thursday March 2nd, 2017 3:00-4:00 PM ET

Topic: Healthcare Systems Process Improvement Conference 2017 #SHS2017

This week we will be co-hosting with the Healthcare Systems Process Improvement Conference 2017 #SHS2017 chat along with Dr. Chuck Webster.

MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare improvement, and it embraces everyone from administrators to zoologists, and includes physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.

 

The six domains of care quality (STEEEP) mapped out by the Agency for Healthcare Research and Quality (AHRQ) are foundational to healthcare improvement. All care, and by inference quality measures, should be focused on being Safe, Timely, Effective, Efficient, Equitable, and Patient Centered.

MEQAPI therefore wants to look at healthcare policy implementation, technology deployment, and workflow optimization in terms of how to monitor them, and how to evaluate if they have (a) achieved what they sought to do, (b) don’t cause unexpected harm, (c) do not cost more than anticipated,  or (d) do not take much longer than planned. During and after implementation, MEQAPI seeks to rapidly identify risks, issues, and opportunities, and to use quality assurance and process improvement methods and tools to reduce risk and waste, increase efficiency, and improve outcomes for all stakeholders.

In comparison, the HSPI conference focuses on some topics that are very dear to MEQAPI:

  • Process Improvement
  • Leadership and Change Management
  • Operations Research
  • Quality and Safety
  • Human Factors

 

Topics

To mine the experiences of HSPI conference attendees, MEQAPI regulars, and other stakeholders and interested parties, the following topics will be presented during the tweetchat:

  1. Healthcare process improvement increasingly relies on software tools: your favorites?
  2. Is “process” different from “workflow”? If so, how? If not, why do people seem to insist on using both?
  3. Is Healthcare Management/Industrial Engineering” an obsolete phrase? If so, what should replace it?
  4. Health IT increasingly *IS* healthcare workflow. What HIT applications hold greatest promise to improve workflow?
  5. How can we bridge the chasm between process improvement & health IT creation & use?
  6. Bonus question: Quick! Make up a question & tweet it out right now!

… and the numbers

 

meqapi-stats-3-mar-2017

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#MEQAPI – Tweetchat Feb 16th 2017 3ET

Next tweetchat: Thursday February 16th, 2017 3:00-4:00 PM ET

Topic: Patient Involvement in Healthcare Improvement

MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare quality, and includes everyone from administrators to zoologists, and includes physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.

We have selected a mini case study based on the BMJ paper by Lawton et al concerning a Patient Reporting and Action for a Safe Environment (PRASE) intervention.

Paper: “Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention

Url: http://qualitysafety.bmj.com/content/early/2017/02/03/bmjqs-2016-005570

The six domains of care quality (STEEEP) mapped out by the Agency for Healthcare Research and Quality (AHRQ) are foundational to healthcare improvement. All care, and by inference quality measures, should be focused on being Safe, Timely, Effective, Efficient, Equitable, and Patient Centered. A central focus of Lean Six Sigma is the need for all quality efforts to be aligned to the Voice of the Customer (VoC).

In healthcare, this means the patient’s voice, yet few quality measure in the National Quality Measures Clearinghouse (NQMC) are proxies for patient outcome, and fewer still are obtained from patient input. The lack of patient involvement in developing measures, collecting quality data, and understanding cost of noncompliance has led to missed opportunities and increased risk and waste. Lawton et al describe the use of the Patient Reporting and Action for a Safe Environment (PRASE) intervention at 33 hospital wards.

The intervention demonstrated a repeatable modality for patient involvement and participation in healthcare improvement.

Topics

  1. Have you seen opportunities for patient involvement in healthcare improvement, what were they
  2. What risks do you foresee in using patient input and participation in quality initiatives
  3. How would patient participation be kept within HIPAA boundaries
  4. What role does/should technology play in patient participation in healthcare improvement
  5. How can providers and patients work together to improve healthcare

 

thu-16-meqapi

#MEQAPI – Tweetchat Feb 9th 2017 3ET

Next tweetchat: Thursday February 9th, 2017 3:00-4:00 PM ET

Topic: Emergency Department Congestion – Patient flow and Healthcare Improvement

MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare quality, and includes everyone from administrators to zoologists, and includes physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.

The following topics will be posed this week related to patient flow and how it relates to healthcare improvement and quality:

We have selected a mini case study based on ED physician tweets about ED crowding.
Process and quality issues are often seen first in the ED, so a good place to start when looking at improving healthcare. ED crowding is very common, with over half of EDs reporting frequent boarding.

ED is also a very busy and hazardous place, you want to spend as little time in the ED in your life as possible. ED boarding creates additional patient safety risks.

For this discussion, we are defining Boarding as a length of stay (LOS) of over 2hrs for acuity 1-2, or over 6hrs for acuity 3-5. ACEP takes a more functional view of boarding

  1. In a 90 bed ED, 80 beds are boarded, and the ED census is 120. What questions would you ask, and of whom
  2. What risks do you foresee in ED crowding, what risks, issues, and missed opportunities have you experienced
  3. What opportunities do you see for reducing ED crowding, and who should grasp them
  4. What role does/should technology play in improving care workflow
  5. How can providers and patients drive reduction in ED crowding

… and the numbers

meqapi-feb-9

 

#MEQAPI – Tweetchat Feb 2nd 2017 3ET

Next tweetchat: Thursday February 2nd, 2017 3:00-4:00 PM ET

Topic: Administrative and Clinical Workflow and Healthcare Improvement

MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare quality, and includes everyone from administrators to zoologists, and include physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.

The following topics will be posed this week related to Workflow and how it relates to healthcare improvement and quality:

  1. What does care workflow mean to you, and where does care workflow start and end
  2. What care workflow risks and issues have you experienced, what harm or missed opportunity did you see
  3. How is poor care workflow contributing to the high rate of medical mistakes
  4. What role does/should technology play in improving care workflow
  5. How can providers and patients drive improvements in care workflow

Here’s some of those who attended the session:

 

meqapi-ppl

… and the Symplur analysis of the activity:

meqapi-perf