Healthcare Research Project Team
ASQ Annual Quality Congress
May 20, 2003
11:15 p.m. to 2:30 p.m.
Bob King, Co-Chair GOAL/QPC
Ivy Slattery Salsbury, Slattery & Associates
Chih-Han Wang, Ph.D., Cshinese Society for Quailty
Greg Watson, Co-Chair, ASQ
Jim Farrer, MD
- Review research project background – Bob King
- Brainstorm research design – Participants
- Next Steps – Bob King
FOCUS QUESTIONS AND KEY IDEAS
What are the key issues related to the debrief of quality in the last 15 years in healthcare?
- Who are our customers and what are their needs?
- Need to develop a project charter (Who will perform the literature review? What is the scope of the project?)
- Need to identify what has actually happened in the last 15 years (what are the results)
- Need to assess root cause analyses previously performed
- Need to tie into ASQ healthcare division efforts
- Increase ASQ healthcare division members by approximately 1,000
- Need to have a clear, standard definition of quality
- Identify people/organizations outside of ASQ to partner with (those already doing research)
- Must consider the litigation climate, especially around error identification and failures (provider willingness to perform root cause and utilize quality technology)
- Need to assess healthcare organizations’ leadership and management culture and involvement in quality activities
- Improvements/best practices currently take at least 10 years to become common practice among the majority of providers
- Need to identify what quality methods are currently used in common practice
- The end research product must be written and presented by providers/physicians/practitioners to their peers for validity
- Study should include Medicare and Medicaid
- Consider a comparative study – JAHCO vs. Iso9000
- Must identify what are the 3 or 4 most important things we should be studying over the next few years.
- Consider the cultural differences of medical providers and behavioral health providers.
- Consider the relationship between providers and insurers
- Utilize complexity theory and systems theory to simplify information and regulatory overload
What is a "Debrief"?
- Focus groups and storytelling
- Listening and identifying lessons learned
- Structured survey of providers
- Must focus on failures while identifying breakthroughs and improvement opportunities
- On-site interviews/surveys with providers
- Identify key measures to define "success" vs. "failure", such as:
1. Infection rates
2. Readmission rates
3. Patient non-compliance with treatment (specifically chronic illnesses)
4. Length of stay
- Conduct an assessment of those providers who have applied Iso9000, Six sigma, etc.
- Highlight, identify, and recognize those who are doing leading edge research
- All attendees will be given personal access Ids and passwords to the ASQ Worldwide Research Program website.
- Meeting Minutes will be placed on the website under the Debrief of Quality in Healthcare project site.
- Discussion questions will be made available on the website for further project design definition.