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Conference Guide
List of National Forum Attendees
Plenaries
- P01 - Plenary Presentation: Donald M. Berwick, MD, MPP, FRCP
Handout
- P02 - Plenary Presentation: Ronan Tynan
- P03 - Plenary Presentation: Stephen H. Lewis
- P04 - Plenary Presentation: John E. Wennberg, MD, MPH
Handout
Miniplenaries
- A01 - Meet in the Middle: Key Infrastructure to Drive Organizational Change
- B01 - Complete System Design Driven by the Customer: Doing It All
- C01 - Practical Strategies to Win the 100,000 Lives Campaign
- D01 - Partnering with Patients and Families to Lead Improvement
- E01 - If You Do Nothing Else, Do These Ten Things
Learning Labs
- L13 - Fixing Health Care, from the Inside, Today
Minicourses
- M01 - Taming the Tail of the Dragon: Our Experience in Acute Care Flow
- M16 - Safety at the Front Line: Training staff
- M18 - Nursing Complexity: The Impact on Staff Retention, Costs, and the Patient Experience
A and B Workshop Sessions
- A02/B02 - An Overview of an Oversight System for Hospital Flow
- A03/B03 - The Nuts and Bolts of Establishing a Medical Response Team
- A04/B04 - Reducing Health Care Associated Infections: Keys to Dramatic Improvement
- A05/B05 - For Those Who Come After: Involving Health Professions Students in Improving the Quality of Care
- A06/B06 - Using Creativity and Innovation to Improve Efficiency
- A07/B07 - The Capabilities for Innovating Health Care Delivery
- A08/B08 - Idealized Design of Perinatal Care
- A09/B09 - Clinical Quality Improvement Strategies to Maximize Reimbursement in "Pay-for-Performance" Programs
- A10/B10 - Rebuilding Organizational Trust
- A11/B11 - The Role of Health Plans in Hospital Based Quality Improvement
- A12/B12 - A Conversation with Dr. Deming on Pay for Performance
- A13/B13 - Toward Stronger Evidence on Quality Improvement: How Can Publication Guidelines Help?
- A14/B14 - The Use of the Care Model in Depression Management
- A15/B15 - Crossing the Quality Chasm in Behavioral Health Care, the Opportunities Ahead: Directions and Strategies for Accelerating Improvement
- A16/B16 - Redefining Services into Patient Relationships
- A17/B17 - The Patient is in the Room: Patient and Family Stories including Tragedy, Healing, Partnerships, and Improvement (Extended Session)
- A18/B18 - Crew Resource Management: Application in Medicine
- A19/B19 - Reducing Surgical Site Infections
- A20/B20 - Risk Management and Full Disclosure
- A21/B21 - Innovations in Nurse-Led Care: Best Practices for AHRQ Safety Indicators
- A22/B22 - 1:1 Coaching in Real Time Practice to Improve the Patient-Physician Relationship
- A23/B23 - Involving Front-Line Teams in Design: Transforming Care at the Bedside
- A24/B24 - Using Measurement to Guide Improvement:Development of a Health System Electronic Performance Management Information Technology System
C Workshop Sessions
- C02 - Extending the Chain: Investing and Coordinating Care Across All Care Settings
- C03 - Best Practices in Central Line Management
- C04 - Innovations in Reducing Mortality
- C05 - The VHA Southeast Rapid Response Team Collaborative: How 40 hospitals Jointly Saved Lives
- C06 - Successful Spread on a National Scale: the ESRD "Fistula First" Example
- C07 - Transforming Community-Wide Diabetes and Asthma Care through Second-Generation Pay-for-Performance
- C08 - Connecting the Science of Improvement with Medical Research
- C09 - Transforming National Health Systems, Fast: Lessons from Organ Donation and Transplantation
- C10 - Measuring the Business Impact of Clinical Initiatives
- C11 - Execution of Error Proofing Solutions: Sustaining Permanent Improvement!
- C12 - Building a Dashboard of Whole Systems Measures
- C13 - Managerial Malpractice: The Great Unspoken
- C14 - Improving Safety and Reliability in the Office Practice
- C15 - A.L.L. for Community: Bridging Population Based Diabetes Cardiovascular Risk Reduction in Community Based Settings
- C16 - How to get to Patient Activation
- C17 - Giving Families a Voice: Developing a Family Advisory Board
- C18 - Safety, Human Factors, and the Preoperative Safety Briefing
- C19 - Complex Adaptive Systems Culture Allowing Innovation to Emerge from the Sharp-End Influencing Leaps in Medication Reconciliation
- C20 - Trigger Tools
- C21 - Nursing Strategic Plan: Concept into Action
- C22 - Clinical Systems Engineer: A New Job Role
- C23 - Responding to the Nursing Shortage: An Innovative State-wide Strategy for Education and Workforce Development
- C24 - Healthcare Quality Improvement in the United States: Current Findings and Community Applications from the National Healthcare Quality Report
D and E Workshop Sessions
- D02/E02 - Unmanaged Patient Demand: Stress on Nurses and Threat to Patient Safety
- D03/E03 - Improving the Care and Reducing the Mortality of Septic Patients
- D04/E04 - Reliable AMI Care
- D05/E05 - Raising the Bar: Reaching Performance that Exceeds the Benchmarks
- D06/E06 - The Role of Hospital Leaders in Spreading Improvements
- D07/E07 - What Health Care Improvement Can Learn from Social Movements
- D08/E08 - Developing Physician-Hospital Partnerships in the Spread of Best Practices
- D09/E09 - Eight Take Home Tools for Being a Better Organizational Leader of Improvement
- D10/E10 - How to Build Slack into the System for Improvement
- D11/E11 - Quality as a Business Driver
- D12/E12 - Hospital Boards: No Pain, No Gain
- D13/E13 - Seeking Zero Defects: Applying the Toyota Production System to Health Care
- D14/E14 - Computerized Physician Order Entry: How to Implement Safely and Effectively
- D15/E15 - Regional Health Information Organizations: What a RHIO Can Do for You
- D16/E16 - Patient Electronic Medical Record Access: Active Patient Involvement: Anytime, Anywhere
- D17/E17 - Top Ten Improvement Ideas for Office Practices
- D18/E18 - Electronic Patient Portals
- D19/E19 - Safer Patient's Initiative: Radically Improving Safety in Four UK Countries
- D20/E20 - Applying Principles from High Risk Industries to Health Care: Lessons Learned
- D21/E21 - Reducing ADE's Using Medication Reconciliation Across Systems
- D22/E22 - Nursing Care in the 21st Century: Closing the Gap
- D23/E23 - Building the Improvement Faculty in Academic Settings
- D24/E24 - Highly Reliable Teamwork in the Operating Room and Supporting Culture Changes