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"Health Care Has No Intrinsic Value," and Other Commentary from IHI

When I go through my notes at the end of every conference, I discover a number of interesting thoughts from presenters and attendees that for one reason or another never made it into any of my blog posts. Herewith is a sampling from the last four days at IHI: - “Health care has no intrinsic... [MORE]
 

What in the World is M.U.?

The federal definition of meaningful use—the jargon used to describe compliance with health information technology standards—should be released by the end of the month, David Blumenthal, the National Coordinator for Health Information and Technology for HHS, said Wednesday morning. &nbs... [MORE]
 

Patient Safety & Quality Improvements: When Rurals Collide

Theft was widely endorsed at a session today examining the challenges and opportunities of patient safety in rural hospitals. The focus was the Maine Critical Access Hospital Patient Safety Collaborative, in which 14 of the state’s CAHs have come together to work on common issues around safety... [MORE]
 

RAC-style Audits for Health IT?

Health care providers need to take some giant IT steps—quickly—if they want to cash in on $46 billion in Medicare and Medicaid incentive payments intended to promote electronic health records. Hospitals will likely be required to use CPOE for 10 percent of all patient care orders in 2011... [MORE]
 

"Harm Reduction is a Marathon, Not a Sprint"

Harm reduction is a marathon, not a sprint, Henry Ford Health System Chief Quality Officer James Conway said Tuesday. The Detroit-area system has been actively engaged in quality initiatives since 1989, when it began using performance improvement methods borrowed from general industry. So when Henry... [MORE]
 

Beyond Reform and Back to the Bedside

One of the interesting side notes that came out of Don Berwick’s wide-ranging keynote this morning was his remark that many attendees had asked him to focus on clinical issues, and not health care reform, during his remarks.   While Berwick wisely ignored that advice and gave a pretty w... [MORE]
 

Steven Spear on How Market Leaders Outdistance the Competition

Steven J. Spear is the author “Chasing the Rabbit: How Market Leaders Outdistance the Competition,” which IHI President Don Berwick called “a profoundly important book.” It examines why certain organizations, including top-tier health systems, essentially make mincemeat out o... [MORE]
 

Bringing Improvement and Health IT Together

The IHI conference keeps charging along, with lots of interactive sessions built around one of the organization’s core themes, “All Teach, All Learn.” Yesterday included 25 daylong mini-courses focusing on everything from decreasing rehospitalizations to designing a patient-centere... [MORE]
 

Nostradamus in the OR (Insights from Eugene Litvak at IHI)

I started off this year’s National Forum on Quality Improvement Sunday afternoon listening to health care systems guru Eugene Litvak preach the gospel of managing variability in the operating room. Litvak, a professor of operations management at Boston University’s Health Policy Institut... [MORE]
 

Nothing Small About CPOE (Insights from IHI)

Hospitals planning to purchase a computerized provider order entry system should be forewarned: Think big. Real Big. “CPOE is not plug and play,” Jan Gibson-Gerrity told an IHI session. “It’s a major, complex transformation for an organization, and it will take years.  ... [MORE]
 
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