Special Workshop for Executive Clinical Directors 16 March 2017

We are delighted that Sandi Gulbransen, Director of the Quality & Value Engineering at University of Utah Health Care Services (UUHC), will join us to deliver the workshop Lessons from the Utah Value Revolution.  In this interactive workshop participants will learn about the award winning clinical quality improvement activities implemented at the UUHC.  Over seven years, UHHC has built a culture of transparency and has ranked among the top 10 USA Academic Medical Centres for quality, safety and accountability, achieving the Vizient #1 quality ranking award for 2016. Their results have recently been published in JAMA.  Click here for brochure

UUHC activities have not only substantially improved the quality of hospital services but also have markedly reduced costs. Unlike almost all other major US hospitals, UUHC have been able to reduce their operating costs for the last two financial years.  The UUHC value improvement initiatives are underpinned by an innovative approach to clinical costing (Value Driven Outcomes) that has led to significant improvements in clinical quality, outcomes and reduced costs.  This workshop will fully explain the approach used at UUHC as applied to Australian and New Zealand hospital issues. Click here for UHHC's Value Booklet
The workshop will cover in depth Three Healthcare Revolutions:

• ·     Volume to Value
• ·     Episode to Population
• ·      Patient to Person

 Specifically participants will find out how UUHC achieved:

• o     Organizing for Value: Value Driven Outcomes
• o     Engaging Physicians in the Revolution
• o     Accelerating Cultural Change:  Value Framework
• o     The Role of Learning in Culture:  Value University
• o     The Role of Application in Culture: Value Summary

The UUHC value improvement initiatives integrate the best principles, methods and structures drawn from other highly successful industries around the world. To name a few, these include ISO 9001 standards, process improvement methods drawn from lean/ Six Sigma/ PDCA, world-class data and analytic platforms, and safety science methods. Collectively these are all part of Utah’s Value Management System (VMS). The VMS is based on seven principles:- 1. Focus on the patient; 2. Providing leadership to the organisation; 3. Engaging and involving people; 4. Using a process approach; 5. Encouraging improvement; 6. Making data driven decisions; and 7. Managing organisational relationships.

Participants are encouraged to bring a challenging patient safety process issue (something that they have tried to fix, but continues to be an issue anyway – or something new that they are struggling with because it has so many different facets). Table work will be tailored to fit participants’ needs. Throughout the workshop, Sandi will use participants and other actual Australian and New Zealand hospital issues and data to explain how the Utah methodology can be applied locally. At the end of the workshop, participants will be able to:

· Define the steps involved in using a systems engineering approach to solve tough clinical care delivery problems.

The last afternoon session will explore the use, interpretation and role of HSMR reports in keeping hospitals safe.  In late 2016, the Health Roundtable introduced a new HSMR methodology – xHSMR which has a higher predictive value than current models. Whilst there are different views about the role of HSMR in monitoring hospital performance, it remains a highly valuable screening tool that can alert hospitals to changing trends that may warrant further analysis. During this session, the HRT’s senior statistician, Rohan Cattell, will explain the new xHSMR methodology and the results for Australian and New Zealand member hospitals. He will also help you interpret hospital results that are higher than expected.  This will be an interactive session seeking input on xHSMR and other potential measures that matter to clinical directors.  

Who should attend:  CEOs, Medical Directors, Directors of Nursing and Directors of Quality.