Presentation is loading. Please wait.

Presentation is loading. Please wait.

Fay Rozovsky, JD, MPH, DFASHRM Marsh Health Care Practice Richmond, VA THE BUSINESS CASE FOR PATIENT SAFETY April, 2003.

Similar presentations


Presentation on theme: "Fay Rozovsky, JD, MPH, DFASHRM Marsh Health Care Practice Richmond, VA THE BUSINESS CASE FOR PATIENT SAFETY April, 2003."— Presentation transcript:

1 Fay Rozovsky, JD, MPH, DFASHRM Marsh Health Care Practice Richmond, VA THE BUSINESS CASE FOR PATIENT SAFETY April, 2003

2 2 Michigan Presentation THE DRIVING INFLUENCES CONSUMERSPAYERS STATESFEDs ACCREDITATION TRADE ASSNs PROFESSIONAL GROUPS MEDIA UNIONS It is all about patient safety “THE COMBO”

3 3 Michigan Presentation MULTIPLE PLAYERS SETTING STANDARDS AND EXPECTATIONS STATES ENACTING “REFORMS” GEARED TO PATIENT SAFETY JCAHO – PATIENT SAFETY ACCREDITATION STANDARDS – “PERFORMANCE REPORTS” – LINK ERROR TO STAFFING THE STATE OF PATIENT SAFETY

4 4 Michigan Presentation THE PAYER PERSPECTIVE HEALTH INSURANCE PREMIUMS INCREASING DISSATISFACTION ABOUT OUTCOMES OF CARE FRUSTRATION WITH “NO ONE” DOING ANYTHING TO FIX THE SYSTEM

5 5 Michigan Presentation THE PATIENT FEAR, DISTRUST, LACK OF CONFIDENCE MORE ASSERTIVE IN MANY INSTANCES RECEIVING NEW “DATA” ON HOW HEALTHCARE ENTITIES “MEASURE UP” BEING TOLD TO “SPEAK UP” AND ASK QUESTIONS

6 6 Michigan Presentation PROFESSIONAL LIABIILTY WHAT “FIRST DOLLAR” COVERAGE? WHAT INSURANCE? LARGE PREMIUM INCREASES, LOWER LIMITS SOME CANNOT PURCHASE PROFESSIONAL LIABILITY INSURANCE

7 7 Michigan Presentation THE INSURANCE CONUNDRUM ESSENTIAL: THE ABILITY TO SHOW “HOW” PATIENT SAFETY STRATEGIES ARE WORKING JUST TO GET IN THE DOOR A NEED FOR ALTERNATE RISK FINANCING

8 8 Michigan Presentation THE STATES MORE “REFORMS” GEARED TO REPORTING INCREASE IN JUAs CAPS ON MED MAL

9 9 Michigan Presentation THE FEDs GREATER USE OF “QUALITY OF CARE” ENFORCEMENT CHALLENGING CONGRESS TO ENACT REFORMS PUT INTO A “RESPONSE MODE” BY IOM TRYING TO ENACT REFORM LEGISLATION THIS YEAR, BUT…….

10 10 Michigan Presentation AS CONSUMERS AS HEALTHCARE PROFESSIONALS PATIENT SAFETY QUALITY SAFE CARE STAFFING EFFECTIVENESS COMPETENCY TRAINING UNIONS

11 11 Michigan Presentation SYSTEM STRESS INCREASED SCRUTINY FROM ALL QUARTERS MORE UNFUNDED MANDATES STAFFING SHORTAGES LACK OF “EVIDENCE BASED” STUDIES TO JUSTIFY MAJOR SYSTEMIC CHANGES TOO MANY CHEFS IN THE KITCHEN: NQF, CMS, JCAHO, NADER GROUP. ETC.,ETC.

12 12 Michigan Presentation THE SYSTEM IS IN TRAUMA AND NEEDS AN OVERHAUL WHAT’S MISSING? COMPREHENSIVE SYSTEMTIC CHANGES COST-EFFECTIVE, EVIDENCE BASED SOLUTIONS FUNDING TO DRIVE CHANGE

13 13 Michigan Presentation PREVENTIVE HEALTHCARE COMMUNITY HEALTHCARE “GROUP” HEALTHCARE MANAGE “AT RISK” EVIDENCE BASED ACUTE CARE SERVICES COMPREHENSIVE SOLUTION THE COMPREHENSIVE SOLUTION - I A PUBLIC HEALTH REPONSE FROM RM ELIMINATE, CONTROL, MITIGATE PRECUSORS TO HIGH ACUITY - HIGH RISK SITUATIONS

14 14 Michigan Presentation INFRASTRUCTURE CHANGE THE COMPREHENSIVE SOLUTION - II COMMUNICATIONS CONSENT AS A PATIENT SAFETY TOOL PATIENTS & FAMILY AS THE “PRIMARY” PATIENT SAFETY OFFICER CLINICAL COMPETENCY CREDENTIALING EVIDENCE BASED CLINICAL CARE SOLUTIONS

15 15 Michigan Presentation FAILURE MODE ANALYSIS ROOT CAUSE ANALYSIS SYSTEM CHANGES TIED TO MEASURABLE QUALITY, CLINICAL OUTCOMES METRICS THAT DEMONSTRATE THE “RETURN ON INVESTMENT” IN PATIENT SAFETY THE COMPREHENSIVE SOLUTION - III UTILIZING A BUSINESS MODEL FOR CHANGE

16 16 Michigan Presentation CREDENTIALING COMPETENCY PREP EVISICU OPEN DISCLOSURE “SPEAK UP” PENMANSHIP 101 MHAUS CONSENT AS PT SAFETY TOOL QUALITY OUTCOMES FROM INFRASTRUCTURE CHANGE PT/FAMILY AS “SAFETY OFFICER” COMMUNICATIONS EXAMPLES OF CHANGE

17 17 Michigan Presentation TECHNOLOGICAL SAFETY PUBLIC HEALTH RISK MANAGEMENT EXAMPLES OF CHANGE - II TIME INSENSITIVE PREDICTIVE INSTRUMENT ECG ORANGE JUICE STUDY - LOWER MORBIDITY- MORTALITY IN MFM

18 18 Michigan Presentation DOING THE BUSINESS CASE FOR CHANGE BUSINESS NEEDS RISK ASSESSMENT STRATEGIC PLAN FOR CLINICAL RM - TIED TO HCO STRATEGIC PLAN USING FMEA - RCA BUSINESS TOOLS TO IDENTIFY NEEDED PROCESS CHANGES SHOW THE ROI IN PATIENT SAFETY

19 19 Michigan Presentation HCO Cash flow problems Adjusting to capitation payments New competitors Management succession New technology New government regulations Fire, flood, windstorm General liability Medical malpractice HIPAA Compliance: Privacy Workers Compensation Unionization Employment practices Recruitment of nurses or systems analysts Financial Risk: CFO Strategic Risk: CEO Operational Risk: COO Access to capital markets Achieving net income targets Hazard Risk: RM Business Needs Risk Assessment

20 20 Michigan Presentation THE ROI OF PATIENT SAFETY FMEARCAROI IDENTIFY SIGNIFICANT FEW THAT MERIT FAILURE MODE EFFECT ANALYSIS DO A ROOT CAUSE ANALYSIS, TRACKING BEFORE AND AFTER COSTS AND PROJECTED SAVINGS DEVELOP A BUSINESS CASE FOR “WHY” CHANGE IS NEEDED AND “HOW” TO DO IT

21 21 Michigan Presentation BUILD A LOGIC TREE WITH VALIDATION OF HYPOTHESES TRACK VALIDATION COSTS ANALYZE THE EVENT

22 22 Michigan Presentation SUMMARY REPORT ROI FOR EACH RECOMMENDATION THE ROI OF ANALYSIS OUTCOMES

23 23 Michigan Presentation THE BOTTOM LINE PROVIDES A BUSINESS CASE FOR CHANGE DEMONSTRATE THE VALUE PROPOSITION FOR KEYSTAKEHOLDERS FOCUS ON MEANINGFUL CHANGE RETURN THE MONEY SAVED TO THE SYSTEM REFLECTS AN ACCOUNTABLE ORGANIZATION IN PATIENT SAFETY

24 24 Michigan Presentation WHAT IT MEANS TO THE ACCOUNTABLE ORGANIZATION A BUSINESS MODEL TO SHARE WITH THE MARKETS TO SHOW YOU ARE MAKING A DIFFERENCE A SOLID, EVIDENCE-BASED APPROACH TO SHOW PAYERS AND THE PUBLIC YOU ARE SPENDING MONEY WISELY TO PROMOTE QUALITY, PATIENT SAFE CARE AND….YOU CAN SLEEP AT NIGHT KNOWING YOU DID THE RIGHT THING


Download ppt "Fay Rozovsky, JD, MPH, DFASHRM Marsh Health Care Practice Richmond, VA THE BUSINESS CASE FOR PATIENT SAFETY April, 2003."

Similar presentations


Ads by Google