Educational Opportunities
1. Wednesday, February 1st, Noon to 1:00 p.m. for a special Medication Reconciliation Webinar: Meg Kilcup, PharmD, Group Health Cooperative on: "Effects Across the Continuum - Group Health's journey of inter-disciplinary approaches to medication reconciliation in striving to increase patient safety while decreasing cost, adverse drug events and readmissions." To participate in the February 1st Webinar, please RSVP to sjain@qualityhealth.org no later than Friday, January 27. You will receive website log-in information approximately 48 hours prior to the start of the teleconference.
2. The next Patient Safety Network meeting will be Feburary 3, from 11:30am - 1:30 pm, in Seattle. Our topic will be "Patient identification in the ambulatory care settings: challenges and methods. Continuous process improvement tools: what are being used, and how?" RSVP to msmith@qualityhealth.org for this event by Feburary 1!
3. Wednesday, February 8st, Noon to 1:00 p.m. for our Monthly Patient Safety Webinar: Karen McNamara RN, BSN, M.Ed. presenting on "Generational differences in the healthcare work force and their effects on patient safety." To participate in the February 8th Webinar, please RSVP to sjain@qualityhealth.org no later than Friday, February 3. You will receive website log-in information approximately 48 hours prior to the start of the teleconference.
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In the area:
Check these links for FREE Training toward CEUs:
Consider CPHQ Certification!
The National Association for Healthcare Quality (NAHQ) is the parent professional association of the Healthcare Quality Certification Board (HQCB) which administers the distinctive Certified Professional in Healthcare Quality (CPHQ) certification exam.
The CPHQ certification recognizes professional and academic achievement by individuals in the field of healthcare quality management. The comprehensive body of knowledge includes quality management, quality improvement, case management, utilization management and risk management at all employment levels and in all healthcare settings. The CPHQ program is fully accredited by the National Commission for Certifying Agencies of the National Organization for Competency Assurance in Washington, DC, the only national voluntary program in the field to achieve this accreditation
Look here for a CPHQ Self-Assessment Exam. You will not believe how helpful your study for this certification will help you even if you are new to health care quality. The study makes sense of all of the puzzle pieces that you can perform at your best.
Highlights from the Fall 2011 OrAHQ Educational Conference:
Nearly forty Healthcare quality professionals from all over the state enjoyed an informative, interactive day at OrAHQ’s 2011 Educational Conference held on October 21st at Providence St. Vincent Medical Center.
Presenters included Diane Dobbes, MBA, Silverton Health’s Director of Lean Applications, on the implementation of Lean methods in healthcare; Christina Milano, MD, of OHSU’s Department of Family Medicine, on “Transforming the Traditional Residency-Based Practice into a Modern Medical Home”; NAHQ’s 2012 President Elect, Lee Hamilton, JD, MPA, CPHQ, FNAHQ, on ethics and integrity, and what is currently happening and the future plans of NAHQ; and Oregon State Hospital’s Ted Ficken, PhD, on “The Transformation of the Oregon State Hospital.”
Diane Dobbes, MBA: “Applying Lean to Healthcare.”
Lean is about flow
• Ideal Flow= Zero Waste= 100% patient /customer value.
• Most systems are a vertical model set up to function in their own right.
• Can’t manage a process unless you understand it. Check value time for you and your patients or customers.
• Horizontal flow is across the continuum: Looking at the stream flow for patients i.e. starting from patient scheduling; through primary care; through specialist; surgery; and after care.
• Through continuous improvement, the process is improved to move closer to the ideal state: ZERO WASTE, 100% customer value.
Lean is not a project it is a process tool.
Christina Milano, MD: “Renovation and Remodeling: Transforming a Traditional Residency-Based Practice into a Modern Medical Home”
OHSU Richmond Family Health Center:
Regular healthcare clinic with problems
• Faculty providers: spread too thin.
• Resident Providers sporadically scheduled, “out of the loop”
• RN’s overwhelmed with returning calls, waiting call-backs from providers.
• MA’s putting out fires and searching for paperwork
• Schedulers/PAS tearing their hair out
• Patients frustrated and confused.
Primary Care Renewal: Based on Five Pillars
• Team Based Care: Essentials open and effective communication; “Huddling” before a 
session; roles and processes are clear.
• Barrier Free Access: Expanded hours; reliable telephone access; clear plans for off-site coverage; on-site pharmacy.
• Empanelment and Proactive Panel Management: Establishing patient provider; leveling work across teams.
• Integrated Behavioral Health: Develop team concepts: focus on health behaviors (addictions, etc.); screening.
• Patient Driven Care: Listening and believing what patients perceive is right and wrong with service.
Results:
• Better health for patients and staff.
• Saving costs.
Lee Hamilton: “What’s Happening and Planned at NAHQ” Riding the Wave from Good to Great: 2011 and Beyond.
Purpose: Improve communication between NAHQ and the states, Improve healthcare quality across all points of care through education, certification, and advocacy.
Strategic plan: Pillars:
• Professional development: Creation and promotion of competencies platforms and expand educational opportunities.
• Commitment to Innovation: Focus on delivering innovative products and services with proven value and effectiveness.
• Leverage external relationships: Enhance strategic relationships that support overall membership and programmatic development.
• Enhance communication: Develop new and expanded communication platforms for our customers to increase value.
• Association Excellence: Demonstrate performance that exemplifies association best practices.
Member benefits:
• Networking
• Professional development opportunities.
• Member volunteer opportunities.
• NAHQ membership awards.
Ted Ficken, Ph.D. “The Transformation of the Oregon State Hospital”
Update:
Past
• Built in 1883
• Overcrowding: 40-45 beds, communal bathrooms
• Inadequate information systems
• Mandates and overtime
• Patients physical aggression
Future: Master plan 3 year ago
• New buildings
• Improved staffing
• Workforec Developemnt
• Well-trained staff
• Electronic medical record
• Improved patient care: Increased use of evidence-based practices.
Lean system implemented: Transforming an Organization
• Establish a sense of urgency
• Form a Powerful Guiding Coalition
• Create a Vision
• Communicate the Vision
• Empower Others to Act on the Vision
• Plan for and Create Short-Term Wins
• Consolidate Improvemnts and Produce Still More Change
• Institutionalize New Approaches
Successful CPHQ Review Session
On August 19 & 20th, 2011, OrAHQ hosted a review/preparation course for the Certified Professional in Healthcare Quality (CPHQ) exam.Dr. Susan Mellott, President and CEO of Mellot & Associates was the instructor for the course. It was approved for 13.4 CEU’s towards CPHQ recertification.
Thirty participants were preparing for their CPHQ and five were taking the course as a refresher. Overall feedback was positive, with a mean of 4.1-4.9 on a scale of 1-5, 1 being strongly disagree and 5 being strongly agree. Comments included “ Excellent refresher; I wish I could have taken this course before I took the exam. It was better than I expected!” and “Instructor was very good! she has a very good way of interacting with the audience and provides information in a way we can understand.”
Areas identified for improvement included “This course was very hospital-focused. I wish more examples could have related to other settings, i.e. insurance, mental health, etc.” “It would be helpful to work the Information Management material into the other topics.” Participant Anna Ulrich stated, “I’m so glad I came, even though I was the only one from Idaho!”
Because of the positive response to this workshop, OrAHQ intends to hold another in 2012.
