Over the last few years, there has been a significant shift throughout our health care system to move to a delivery and payment model known as value-based care (in replacement for Fee for service model). The value based is a solution to address rise in healthcare cost and focus on quality. This transition is very challenging, and the need for process improvements initiative is very imperative during the transitional period.
Presenter: Toyin Adegbonmire, MS, Blackbelt, is a Provider Reimbursement Manager at Healthfirst. She received her Bachelor’s degree in Health Administration from University of Maryland Baltimore County and Master’s in Technology Management with a concentration in Project Management degree from University of Maryland University College. She has been working in the healthcare industry for 10+ years with diverse experience in Health IT, Revenue recovery, Managed care organization and Skilled Nursing. Toyin is currently leading an improvement initiative to improve the claims auto adjudication process at Healthfirst.
Sepsis is associated with a high risk of mortality. The number of deaths in US due to sepsis has increased from 154,159 in 2000 to 207,427 in 2007. The main objective of this presentation is to demonstrate utilization of process improvement and system redesign methodologies for the purpose of improving broad spectrum antibiotics administration within 1 hour of severe sepsis/septic shock recognition, and studying its effect on mortality. Continue reading June Section Meeting: Healthcare Process Improvement – Early Sepsis Identification→
This month we will discuss how to align financial incentives, focus on important quality measures and redesign care in order to improve the health of populations. He will cover the basics and current state of the industry in its move to leverage value based payment systems; the evolution and challenges of quality metrics from strict clinical procedure outcomes to longer term care and ultimately health outcomes; and how care systems are being resigned to better promote population health.
Andrew Rein is a mission-driven senior executive with 20+ years of experience acquired in executive positions in the nation’s leading health care and public health organizations, and a proven ability to lead health system transformation and reform, population health, and organizational innovation. Andrew maximizes value by uniquely weaving strong performance and financial management, strategy development and implementation, policy priorities, and deep analytics. Continue reading March Section Meeting – Transition to Value-based Healthcare→
Proposals will be reviewed by the Committee for relevance, innovation, demonstrated application, and technical content. Priority will be given to new and unique approaches that have resulted in measurable improvements to organizational processes and customer satisfaction. The following is a list of suggested topics; however, you are not limited to the list. Feel free to send proposals in all areas that you feel are relevant to this year’s theme “Quality Takes More Than Luck.”
Some Proposed Focus Areas:
Leadership (Innovation, Change, Empowerment, Alignment to Goals)
This month’s section meeting will showcases several recent Lean Six Sigma projects, that the speaker facilitated, at local healthcare facilities where Lean Six Sigma Teams made processes faster, better and less expensive, while improving patient outcomes and satisfaction. The presentation will be interactive with comments and questions invited. Continue reading Section Meeting – Manufacturing Engineering Quality→
Bone marrow transplants are now routinely carried out worldwide to treat people with cancer and other disorders of the blood and immune system and are a prime example of a successful stem cell therapy. Stem cells from bone marrow, peripheral blood, or umbilical cord blood are used in transplantation procedures. From the first successful bone marrow transplant involving identical twins in the late 1950s to cutting edge research of today, the emphasis on quality has evolved and has led to the establishment of standards and regulations. This presentation will focus on a brief history of the development of bone marrow transplantation accreditation standards and regulations.