Peer-to-Peer Sessions

Thursday, October 1, 2009

9:15 a.m. – 10:15 a.m.
Breaking the Cycle: Reducing Rehospitalization for CHF Patients
Steven Bergeson M.D., Medical Director Quality, Allina Medical Clinic; and William Dickey M.D., Medical Director of Quality and Patient Safety, Abbott Northwestern Hospital
This interactive session will describe how a multidisciplinary team at Abbott Northwestern Hospital in Minneapolis has reduced the number of rehospitalizations for patients with a principal diagnosis of HF within 30 days of discharge by 30 percent in an area of the country known to have lower readmission rates than the US average. The changes put in place build on models put forward by Institute for Healthcare Improvement’s Five Million Lives campaign and what is known about transitions from hospital to home. This project involved rapid testing of ideas and involvement of all members of the care team, including primary care. The hospitalist and outpatient clinicians are a part of the Allina Medical Clinic. Drs. Bergeson and Dickey will share key lessons learned about the involvement of hospitalists to make transitions successful.

10:45 a.m. – 11:45 a.m.
Creation of a New Primary Care Delivery Model Through Lean Transformation in a System that Fosters Innovation and Continuous Improvement
Jennifer Redman-Schell, Vice President, Physicians Services and Orthopedics Plus
ThedaCare Physicians’ “New Delivery Model” initiative grew out the implementation of Lean production principles, which led to critical changes throughout the organization. The group strategically initiated a comprehensive redesign of the primary care office flow by implementing a New Delivery Model of care that radically changed the patients experience from the initial call for an appointment, through the office visit, and continuing on through follow-up care. The results associated with the redesigned office visit were most notable in the areas of safety, quality, access, patient/provider/staff satisfaction, timelines of results, and productivity.

1:00 p.m. – 2:00 p.m.
Measuring E-Prescribing to Sustain Adoption and Support P4P
R. David Allard, M.D., Physician-in-Charge, Henry Ford Medical Center Royal Oak, Henry Ford Medical Group
The Henry Ford Medical Group rolled out e-prescribing to more than 700 doctors in just over two years with gains in safety, improvements in generic use rate, and realized efficiencies in workflow. This session describes how the Henry Ford Medical Group measures the use of e-prescribing both to continue to guide adoption and to measure use for pay for performance.

2:00 p.m. – 3:00 p.m.
Improving Quality and Reducing Cost for 30,000 Patients: The Medical Home and Health Navigator
Thomas R. Graf, M.D., Chairman, Community Practice Service Line; and Frederick J. Bloom, Jr., M.D., M.M.M., Assistant Chief Quality Officer, Geisinger Health System
Advanced Medical Home has been proposed for decades and recently has moved to the forefront in the discussion as a means to control the explosive cost of medical care in an era of economic challenge and record budget deficits. Drs. Graf and Bloom will describe how two years of experience using a primary care medical home model, Proven Health Navigator, allowed Geisinger to review how to develop, implement, and expand a 21st century care model, resulting in enhanced provider compensation and satisfaction, improved patient loyalty, improved comprehensive quality measures, and reduced costs.

3:30 p.m. – 4:30 p.m.
An Unbeatable Story of Patient Experience and Quality
Stephen Beeson, M.D., Family Physician and Physician Champion for Service Excellence, Sharp Rees-Stealy Medical Group and Medical Director, The Studer Group; and Jerry Penso, M.D., M.B.A., Associate Medical Director, Quality Programs, Sharp Rees-Stealy Medical Group
Too often, patient experience and clinical quality improvement efforts are on parallel tracks, leading to the perception that these two goals are not interconnected. The Sharp Experience is the group’s quest to become the best place to work, the best place to practice medicine, and the best place to receive care. This presentation will demonstrate Sharp Rees-Stealy’s journey by highlighting how they embed objective measurement, accountability, and behavioral change into execution of this strategy. Leadership at Sharp Rees-Stealy Medical group has determined that these aims are synergistic, and combining successful tactics and processes best promotes excellence in the healthcare delivery system.

Friday, October 2, 2009

8:00 a.m. – 9:00 a.m.
Strengthening Patient-Physician Medical Home Relationships with Outreach Programs
David R. Smith, M.D., M.P.H., Medical Director for Quality and Care Management, Aurora Health Care
Dr. Smith will share Aurora Medical Group’s strategy to enhance their care management, medical home efforts through multiple interventions, emphasizing a recent intervention using automated, proactive patient outreach. The presentation will cover common barriers practices encounter, the structure of the Aurora program, how leadership prepared the practice and patients, outcomes, and lessons learned.

9:00 a.m. – 10:00 a.m.
Embedding a Culture of Improvement with Physicians: A Road to Success
Beth Averbeck, M.D., Associate Medical Director, Primary Care; and J. Daniel Nelson, M.D., Associate Medical Director, Specialty Care, HealthPartners Medical Group
HealthPartners Medical Groups’ primary and specialty care physician leaders partnered to identify a collaborative path for improvement that has shown positive results in physician behavior, patient experience, and clinical care. Drs. Averbeck and Nelson will describe how they engage physicians and local leaders in improvement approaches that involve care teams within their sites.

10:30 a.m. – 12:00 p.m.
Panel Discussion: Enhancing the Patient Experience: Past, Present, and Potential
Past Acclaim Award Recipients
In honor of the 10th Anniversary of the AMGA Acclaim Award, a panel of past recipients will discuss the changing landscape of the quality movement in health care, how it has changed and where it is going. These trailblazers will also offer updates on their organization’s quality journey.

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