AHRQ 2007 Annual Conference

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To help advance its goal of improving health care for all Americans, the Agency for Healthcare Research and Quality (AHRQ) held its first-ever annual conference September 26-28, 2007, in Bethesda, MD. This conference was designed to showcase the best of the Agency's research and provide examples of how that research is being implemented at all levels in health care delivery.

The meeting featured presentations in six major themes plus a special focus on HHS's Value-driven Health Care Initiative. This initiative featured content geared specifically toward individuals and organizations that are interested in becoming Value Exchanges.

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Contents

Data Sharing, Health Care Reporting, and the Public Trust
Medication Management and Safety
Strategies and Tools for Quality/Safety Improvement
Value and Sustainability in Health IT
Improving Health Care Decision Making
System Design and Organizational Change
HHS' Value-Driven Health Care Initiative: Strategies and Tools for Success
Video

Data Sharing, Health Care Reporting, and the Public Trust

Bridging the Gap: Empowering Caregivers with Real-Time Access to Aggregate Patient Safety Data

Bridging the Gap: Empowering Caregivers with Real Time Access to Aggregate Patient Safety Data (PowerPoint® File, 4.7 MB; Web Version)
Jeffrey Ferranti, Duke University Health System

Automated Surveillance for Adverse Drug Events at Duke University Health System (PowerPoint® File, 4 MB; Web Version)
Peter Kilbridge, Washington University School of Medicine
Emily Welebob, Regenstreif Institute

The Facts Don't Speak for Themselves: Getting the Story from Aggregate Data (PowerPoint® File, 2 MB; Web Version)
Harold Kaplan, Columbia University Medical Center

Measuring and Reporting Performance Data through Health Information Technology: Best Practices Across Different Health Care Settings

Measuring and Reporting Performance Data through Health IT (PowerPoint® File, 615 KB; Web Version)
John Blair, M.D., Taconic Independent Practice Association

Rural Hospital Collaborative for Excellence Using HIT (PowerPoint® File, 3 MB; Web Version)
Kathy Mechler, The Rural and Community Health Institute

Performance Data: From Both Sides Now (PowerPoint® File, 200 KB; Web Version)
Gail Bellamy, West Virginia Institute for Health Policy Research

Measuring Quality and Clinical Performance Indicators at Partners HealthCare System (PowerPoint® File, 3.8 MB; Web Version)
Blackford Middleton, Partners Healthcare System/Brigham and Women's Hospital

Navigating Privacy and Security Issues for Health Information Exchange

Privacy, Security, Confidentiality (PowerPoint® File, 3 MB; Web Version)
Vicki Estrin, Vanderbilt Center for Better Health
Gerald Hinkley, Davis, Wright, Tremaine, LLP
Marc Overhage, Regenstrief Institute and Indiana University School of Medicine

Navigating Privacy and Security Issues for HIE: A Consumer Perspective (PowerPoint® File, 100 KB; Web Version)
Deven McGraw, National Partnership for Women and Families

Quality Reporting Tools

Model Reports for the AHRQ Quality Indicators (PowerPoint® File, 92 KB; Web Version)
Shoshanna Sofaer, School of Public Affairs, Baruch College

Health Care Report Card Compendium (PowerPoint® File, 335 KB; Web Version)
Lise Rybowski, Severyn Group

Talking Quality: Tools for Public Reporting (PowerPoint® File, 1.7 MB; Web Version)
Dale Shaller, Shaller Consulting

Findings from AHRQ's State Privacy and Security Projects

Sharing a Clinical Abstract: Privacy Considerations in Minnesota (PowerPoint® File, 470 KB; Web Version)
Donald Connelly, University of Minnesota Medical School

Privacy and Security Solutions for Interoperable Health Information Exchange (PowerPoint® File, 335 KB; Web Version)
Linda Dimitropoulos, RTI International

Kansas Privacy and Security Update (PowerPoint® File, 920 KB; Web Version)
Robert St. Peter, Kansas Health Institute

New York Health Information Security and Privacy Collaboration (PowerPoint® File, 95 KB; Web Version)
Ellen Flink, New York State Department of Health

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Medication Management and Safety

Highlighting Recent Studies on e-Prescribing: Implications for Performance Measurement and Quality

e-Prescribing and Ambulatory Medication Reconciliation (PowerPoint® File, 323 KB; Web Version)
Doug Bell, RAND Corporation and University of California Los Angeles Medical Center

Maximizing the Effectiveness of E-Prescribing Between Physicians and Community Pharmacies: Implementation (PowerPoint® File, 1 MB; Web Version)
Kate Lapane, Brown University

Implementing Medication Safety Tools at Critical Junctures

Medications at Transitions and Clinical Handoffs (MATCH): Multi-disciplinary Team Approach to Medication Reconciliation (PowerPoint® File, 1.5 MB; Web Version)
Kristin Gleason, Quality Leader, Clinical Quality and Patient Safety, Northwestern Memorial Hospital

Clinical Pharmacy Services in the Emergency Department (PowerPoint® File, 1 MB; Web Version)
Daniel P. Hays, Clinical Pharmacy Specialist, Department of Pharmacy/Emergency Medicine, University of Rochester Medical Center, Strong Memorial Hospital

Partners in Safety: Creating an Accurate Medication List through a Patient-Centered Approach (PowerPoint® File, 53 MB; Web Version)
Kathy Leonhardt, Patient Safety Officer and Medical Director, Care Management Aurora Health Care

Enhanced Patient-Safety Intervention to Optimize Medication Education (EPITOME) (PowerPoint® File, 125 KB; Web Version)
Carl Sirio, Associate Professor, Critical Care Medicine, University of Pittsburgh

New Approaches in Medication Management and Care Transition

Overview of Technology Approaches in Medication Management in Long Term Care (PowerPoint® File, 1.3 MB; Web Version)
Rachelle Spiro, Bpharm, R. Spiro Consulting

Barcoding and the eMAR: Status Report and Organizational Impact (PowerPoint® File, 30 MB; Web Version)
Mike Murphy, St. Joseph's Community Hospital
Timothy Stratton, University of Minnesota College of Pharmacy-Duluth

e-Prescribing Implementation

Implementing an e-Prescribing System: A Journey, Not a Solution (PowerPoint® File, 780 KB; Web Version)
Beth Devine, University of Washington Department of Pharmacy

Northeast Ohio: CMS eRX Project (PowerPoint® File, 3.3 MB; Web Version)
Robert Elson, Clinical System Designs

Creating a Standards-Based Open Source System for Safe Prescribing (PowerPoint® File, 1.8 MB; Web Version)
Gunther Schadow, Indiana University School of Medicine and Regenstrief Institute
Kate Lapane, Brown University

Medication Reconciliation across the Continuum

Medication Reconciliation: The Inpatient Hospitalist Perspective (PowerPoint® File, 146 KB; Web Version)
Peter Kaboli, Associate Professor, University of Iowa College of Medicine and Center for Research in the Implementation of Innovative Strategies in Practice, VA Iowa City Health Care System

Connecting across the Continuum of Care (PowerPoint® File, 610 KB; Web Version)
Melinda Muller, Medical Director, Legacy Clinics
Michael Bordelon, Executive Vice President, Operations, Extended Care Group, Talyst

E-Prescribing and Ambulatory Medication Reconciliation (PowerPoint® File, 325 KB; Web Version)
Doug Bell, RAND Corporation, UCLA Medical Center

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Strategies and Tools for Patient Safety/Quality Improvement

Implementation Research Methodology: Current State, Future Directions

Generalizability and Applicability of QI Research (PowerPoint® File, 640 KB; Web Version)
David Atkins, AHRQ

Multilevel and Multi-Method Designs (PowerPoint® File, 210 KB; Web Version)
Jeffrey Alexander, University of Michigan
James Battles, Agency for Healthcare Research and Quality
Donna O. Farley, RAND Corporation

Evaluating the Effects of Health Information Exchange Programs across New York State (PowerPoint® File, 55 KB; Web Version)
Rainu Kaushal, Weill Medical College of Cornell University
Stephen Mick, Virginia Commonwealth University
Brian Mittman, VA Greater Los Angeles, and Implementation Science

Implementation of a Multi-Disciplinary Simulation Based Teamwork Training in a Pediatric Emergency Department (PowerPoint® File, 6.2 MB; Web Version)
Mary Patterson, Cincinnati Children's Medical Center
Meredith Rosenthal, Ph.D., Harvard School of Public Health

Poor Research Designs in Policy Impact Studies: "Lies, Damned Lies, and Statistics" (PowerPoint® File, 105 KB; Web Version)
Stephen B. Soumerai, Harvard Medical School and Harvard Pilgrim Health Care

Improving Quality of Care for Children through Health Information Technology

Improving Quality of Care for Children through Health IT: Tennessee Project for Children with Special Healthcare Needs (PowerPoint® File, 4.2 MB; Web Version)
Carmen Lozzio, University of Tennessee Graduate School of Medicine

Telemedicine Integrated in the Primary Care Medical Home: When Virtual is Better than Reality (PowerPoint® File, 5.2 MB; Web Version)
Kenneth McConnochie, Health-e-Access Telemedicine Network

Examining Implementation of a Commercial Pediatric Inpatient EMR (PDF File, 125 KB; Web Version)
Paula Edwards, Children's Hospital of Atlanta
Richard Shiffman, Yale Center for Medical Informatics

Update on Patient Safety Organizations and Implementation of the Patient Safety and Quality Improvement Act

Improving Teamwork in Health Care (PowerPoint® File, 1.7 MB; Web Version)
Amy Helwig, Medical Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality

Transformation of Healthcare Quality through Health Information Technology

Using EMRs for PM, PI, PR, and P4P: Opportunities and Lessons We're Learning (PowerPoint® File, 825 KB; Web Version)
Randall Cebul, Case Western Reserve University/Metro Health Medical Center

Massachusetts Quality e-Measure Validation Study (MQeVS) (PowerPoint® File, 840 KB; Web Version)
Eric Schneider, Harvard School of Public Health and Brigham and Women's Hospital

Strategies and Tools for Patient Safety/Quality Improvement (PowerPoint® File, 2 MB; Web Version)
Donald Crandall, Trinity Health

Using HIT to (Help) Measure Quality (PowerPoint® File, 233 MB; Web Version)
James Walker, Geisinger Health System

Factors Influencing Patient Safety in Medical Group Practices

Organizational Factors Influencing Patient Safety/Quality in Medical Group Practices (PowerPoint® File, 80 KB; Web Version)
John Kralewski, University of Minnesota

Clinical Decision Support to Improve Diabetes Care: A Search for Unintended Consequences (PowerPoint® File, 685 KB; Web Version)
Randall Cebul, Case Western Reserve University/Metro Health Medical Center

Beyond ePrescribing: Factors Influencing Patient Safety in Medical Group Practices (PowerPoint® File, 1.5 MB; Web Version)
Larry Garber, Fallon Clinic
Matthew Samore, Veteran Affairs, Salt Lake City Health Care Systems and University of Utah

Innovative Strategies and Tools for Improving Healthcare Quality

Innovative Strategies and Tools for Improving Healthcare Quality (PowerPoint® File, 850 KB; Web Version)
Judi Consalvo, AHRQ

Cross Country Road Trip: KP's Adventures in Innovations (PowerPoint® File, 3 MB; Web Version)
Chris McCarthy, Kaiser Permanente

Improving ICU Care through Teamwork (PowerPoint® File, 207 KB; Web Version)
Christine Goeschel, Johns Hopkins University

Office Redesign to Increase Prevention Services? Give "PEAs" a Chance (PowerPoint® File, 720 KB; Web Version)
Cheryl B. Aspy, Oklahoma University Health Science Center

Changing the Focus to Outcomes (PowerPoint® File, 25 MB; Web Version)
Mark Redding, Mansfield Pediatrics

Using Health Information Technology to Improve Quality of Care among Racial and Ethnic Minorities

EHR Implementation for Quality Improvement in California Rural Indian Health Clinics (PowerPoint® File, 105 KB; Web Version)
Linda Aranaydo, California Rural Indian Health Board

Transforming Quality through Health Information Technology in St. Mary and Surrounding Parishes (PowerPoint® File, 2.7 MB; Web Version)
Craig Mathews, Bayou Teche Community Health Network

Connecting to the Future: The Use of Electronic Health Information Exchange to Reduce Health Disparities (PowerPoint® File, 240 KB; Web Version)
Mark Jones, Health Improvement Collaboration in Cherokee County (SMRTNET) and Talequah City Hospital

Improving Cardiovascular Risk Using Information Technology (PowerPoint® File, 3.5 MB; Web Version)
Alfred Bove, Temple University Medical Center and Temple University Medical School

Improving Teamwork in Healthcare

Implementing Team Training at Duke (PowerPoint® File, 310 KB; Web Version)
Karen Frush, Chief Patient Safety Officer, Duke University Health System; Division of Pediatric Hospital and Emergency Medicine

Improving Care through Technical and Adaptive Work (PowerPoint® File, 300 KB; Web Version)
Christine Goeschel, Director, Patient Safety & Quality Initiatives, and Manager, Operations, Quality and Safety Research Group, Johns Hopkins University
Jeanne-Marie Guise, Director, State Obstetric and Pediatric Research Collaborative (STORC), and Associate Professor, Division of Maternal-Fetal Medicine Departments of Obstetrics and Gynecology, Medical Informatics, and Public Health & Preventive Medicine
Heidi King, Patient Safety Program, U.S. Department of Defense

NHQR-NHDR: National Performance Measurement and Reporting Session

Future Directions for the National Quality and Disparities Reports (PowerPoint® File, 745 KB; Web Version)
James Rohack, Medical Director, Scott and White Clinic and Chair, AHRQ National Advisory Council

Aiming High: Toward a High Performance, High Value U.S. Health System (PowerPoint® File, 2.3 MB; Web Version)
Cathy Schoen, Senior Vice President for Research and Evaluation, The Commonwealth Fund

Strategies and Tools for Patient Safety/Quality Improvement

Safety by Design Initiatives at AHRQ (PowerPoint® File, 12.7 MB; Web Version)
Kerm Henriksen, Human Factors Advisor for Patient Safety, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality

Design of Work for Patient Safety (PowerPoint® File, 3.8 MB; Web Version)
Pascale Carayon, Professor of Industrial Engineering and Director of the Center for Quality and Productivity Improvement, University of Wisconsin-Madison

Mistake-proofing: Improving the Design of Tools and Tasks (PowerPoint® File, 4 MB; Web Version)
John R. Grout, Campbell School of Business, Berry College

Evidence-Based Design for Safety and Quality (PowerPoint® File, 3.2 MB; Web Version)
Roger S. Ulrich, Director of the Center for Health Systems and Design, College of Architecture, Texas A&M University

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Value and Sustainability of Health Information Technology and Health Information Exchange

Developing the Business Case for Health Information Exchange

Massachusetts eHealth Collaborative (PowerPoint® File, 715 KB; Web Version)
Micky Tripathi, Massachusetts eHealth Collaborative
Doug Emery, eHealth Initiative
Marc Overhage, Regenstrief Institute and Indiana University School of Medicine

An HIE Business Model for Rural Areas: As Elusive as a Jackalope? Preliminary Notes from a Western Nebraska Collaborative (PowerPoint® File, 12.4 MB; Web Version)
Nancy Shank, University of Nebraska Public Policy Center

Implementing Health Information Technology in the Long-Term Care Setting

ePrescribing in Long Term Care: Challenges and Opportunities (PowerPoint® File, 165 KB; Web Version)
Shelley Grace, Achieve Healthcare Technologies

Using Clinical Decision Support Systems to Measure and Improve Quality of Care for Special Populations: The Elderly in the Long-term Care Setting (PowerPoint® File, 670 KB; Web Version)
Jerry Gurwitz, University of Massachusetts Medical School and Meyers Primary Care Institute

Implementation and Benefits of an Electronic Health Record (PowerPoint® File, 1.2 MB; Web Version)
Debbie McQuay, Citizens Memorial Healthcare
Jennie Harvell, Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services

Physician Adoption of Health Information Technology

Physician Adoption of HIT: Barriers and Strategies (PowerPoint® File, 112 KB; Web Version)
John Blair, Taconic Independent Practice Association

Rural Physicians HIT Adoption: A Report from the Trenches (PowerPoint® File, 11 MB; Web Version)
Kim Horowitz, Sierra Family Care

Physician Adoption of HIT (PowerPoint® File, 122 KB; Web Version)
Melissa Goldstein, The George Washington University Medical Center

Physician Adoption of HIT:  Implementation of EHRS as a Tool for Quality in the Safety Net (PowerPoint® File, 2.1 MB; Web Version)
Fred Rachman, Alliance of Chicago Community Health Services

New Studies on Return on Investment for Health Information Technology Adoption

Evaluating the Value of Healthcare Information Technology: New Studies on Return on Investment from HIT Adoption from the CITL (PowerPoint® File, 827 KB; Web Version)
Blackford Middleton, Partners Healthcare System, Brigham and Women's Hospital

New Studies on Return on Investment for Health Information Technology Adoption (PowerPoint® File, 6.8 MB; Web Version)
Mark Frisse, Vanderbilt Center for Better Health

HIT Return on Investment: Evaluating Progress in a Sea of Change (PowerPoint® File, 220 KB; Web Version)
John Hsu, Kaiser Permanente Northern California

Measuring Return on Investment: Comparing Apples to Oranges (or at least Macintosh to Granny Smith) (PowerPoint® File, 450 KB; Web Version)
Yael Harris, Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

Using Clinical Health Information Exchange to Improve Population Health

Can Health Information Exchanges Improve Public Health? (PowerPoint® File, 2.8 MB; Web Version)
Farzad Mostashari, New York City Department of Health and Mental Hygiene

Population Health: A Sustainability Strategy for a Disease Registry (PowerPoint® File, 1.4 MB; Web Version)
Eleanor Littman, Health Improvement Partnership of Santa Cruz County

New Mexico Experience 2004-2007(PowerPoint® File, 205 KB; Web Version)
Robert White, Lovelace Clinic Foundation

Health Information Exchange: Linking Practitioners and Public Health for Decision Support (PowerPoint® File, 2.7 MB; Web Version)
Stephen Downs, Regenstrief Institute and Indiana University School of Medicine

Assessing Quality of Telehealth

ECHO Project: Extension for Community Healthcare Outcomes (PowerPoint® File, 5.7 MB; Web Version)
Sanjeev Arora, University of New Mexico Health Sciences Center

The Technology Exchange for Cancer Health Network (TECH-Net) (PowerPoint® File, 8.3 MB; Web Version)
Teresa Waters, University of Tennessee Health Science Center
Cynthia Scheideman-Miller, Evident Telehealth Services

Assessing Quality of Telehealth: Home Heart Failure Care: Comparing Patient-Driven Technology Models (PowerPoint® File, 9.7 MB; Web Version)
Lee Goldberg, Hospital of the University of Pennsylvania

Efficiency of Healthcare: RAND Efficiency Report

Identifying, Categorizing, and Evaluating Healthcare Efficiency Measures (PowerPoint® File, 405 KB; Web Version)
Elizabeth McGlynn, RAND Corporation;

Towards an Agenda for Measuring Efficiency in Health Care (PowerPoint® File, 94 KB; Web Version)
Michael Chernew, Harvard University

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Improving Health Care Decisionmaking

Value of Clinical Decision Support

Influencing Patient Safety in Rural Primary Care Clinics through Computerized Order Entry (PowerPoint® File, 2 MB; Web Version)
Matthew Samore, Veterans Affairs Salt Lake City Health Care Systems and University of Utah

Effective Decision Support: Lessons Learned in Community-Oriented Care (PowerPoint® File, 26.7 MB; Web Version)
David Lobach, Duke University School of Medicine

Using Clinical Decision Support to Measure Quality for Special Populations

On-Time Quality Improvement for Long Term Care (PowerPoint® File, 1 MB; Web Version)
Susan Horn, Institute for Clinical Outcomes Research

Using Clinical Decision Support to Measure Quality for Special Populations (PowerPoint® File, 11.5 MB; Web Version)
T. Bruce Ferguson, East Carolina Heart Institute

Using EMR Templates to Measure Quality of Care for Children with ADHD and Obesity (PowerPoint® File, 408 KB; Web Version)
Jeanne Van Cleave, Massachusetts General Hospital
Jerry Gurwitz, University of Massachusetts Medical School and Meyers Primary Care Institute

Using Clinical Decision Support Effectively, Lessons from the Field

Clinical Decision Support: A Population Health Approach (PowerPoint® File, 6.2 MB; Web Version)
Farzad Mostashari, NYC Department of Health and Mental Hygiene

Lessons Learned in Clinical Decision-Support: Over-alerting (PowerPoint® File, 472 KB; Web Version)
Tejal Ghandi, Brigham and Women's Hospital
David Lobach, Duke University School of Medicine

Indian Health Service Using Decision Support Effectively: Lessons from the Field (PowerPoint® File, 4.6 MB; Web Version)
Lisa Dolan-Branton, Indian Health Service

Human Factors and Patient Safety Improvement

Embracing Technology is DUMB. Embracing Well-designed Technology is Smart (PowerPoint® File, 4 MB; Web Version)
Ben-Tzion Karsh, Associate Professor, Department of Industrial and Systems Engineering, University of Wisconsin-Madison
Matthew B. Weinger, Norman Ty Smith Chair in Patient Safety & Medical Simulation, Professor of Anesthesiology, Biomedical Informatics, and Medical Education, Vanderbilt University School of Medicine

Innovative Trends in Guideline Development, Implementation, and Use

Time Tested Guideline Development and Implementation: (PowerPoint® File, 583 MB; Web Version)
Cally Vinz, Institute for Clinical Systems Improvement
Mary Barton, Agency for Healthcare Research and Quality
Vivian Coates, ECRI Institute; Eloise Clark, Cincinnati Children's Hospital Medical Center

Comparative Effectiveness Research

Comparative Effectiveness Research (PowerPoint® File, 3.7 MB; Web Version)
Scott R. Smith, AHRQ

Comparative Effectiveness: A Manufacturer's Perspective (PowerPoint® File, 520 MB; Web Version)
Peter Juhn, Johnson & Johnson, Inc.
Jennifer Bright, Society for Healthcare Epidemiology of America

The Use of Comparative Effectiveness Research in Decision Making (PowerPoint® File, 9.7 MB; Web Version)
Gail Shearer, Consumers Union

Improving Prevention in Primary Care Practice-Based Research Networks

Quitlink: A Leveraging Solution to Tobacco Counseling (PowerPoint® File, 2.3 MB; Web Version)
Stephen Rothemich, Virginia Commonwealth University

Childhood Obesity Risks and Parental Motivations to Make Changes: The Promoting Healthy Families Project (PowerPoint® File, 1 MB; Web Version)
Ardis Olson, Dartmouth Medical School

Research in the Real World: Lessons Learned from Prescription for Health (PowerPoint® File, 460 KB; Web Version)
Rebecca Etz, Prescription for Health

In the Eye of the Beholder: Patient Perspectives on Quality of Care

CAHPS® Driven Quality Improvement: Primary Care (PowerPoint® File, 220 KB; Web Version)
Susan Edgman-Levitan, Executive Director, John D. Stoekle Center for Primary Care Innovation, Massachusetts General Hospital

Using HCAHPS Data to Improve the Quality of Patient Care (PowerPoint® File, 3.4 MB; Web Version)
Cindy Larkin, Senior Director, Operations Excellence, Tenet Healthcare Corporation

What Can Patients Tell Us to Improve In-Center Hemodialysis Care? & What Can Patients Tell Us About the Cultural Competency of the Care They Receive? (PowerPoint® File, 1.5 MB; Web Version)
Margarita Hurtado, Principal Research Scientist, American Institutes for Research

A Tour of  USPSTF/AHRQ Prevention Tools for Clinicians

Using Evidence to Inform and Improve Clinical Prevention (PowerPoint® File, 1.7 MB; Web Version)
Ron Finch, National Business Group on Health

A Tour of AHRQ Prevention Tools for Clinicians (PowerPoint® File, 240 KB; Web Version)
Susan Horn, Institute for Clinical Outcomes Research

Addressing Problems in Care Coordination

Addressing Problems in Care Coordination: Experience of Care Management Plus (PowerPoint® File, 1.7 MB; Web Version)
David Door, Oregon Health and Science University

Improving Diabetes Care in Communities (PowerPoint® File, 3.3 MB; Web Version)
James Mortimer, Johns Hopkins University

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System Design and Organizational Change

Beyond Implementation: Achieving Success with Integration of Health Information Technology in Ambulatory Care

Putting the Electronic in Ambulatory Record (PowerPoint® File, 2.8 MB; Web Version)
Peggy Esch, Citizens Memorial Healthcare
Daniel Meyer, Dartmouth Medical School

Achieving Success with Integration of HIT in Ambulatory Care (PowerPoint® File, 1.2 MB; Web Version)
Donald Crandall, Trinity Health

Opportunities and Challenges for Implementing HIT (PowerPoint® File, 670 KB; Web Version)
Steve Simon, Harvard Medical School and Harvard Pilgrim Health Care

Fostering a Culture that Embraces Technology

"For Better or for Worse.".. A Case Study in Culture Change (PowerPoint® File, 8 MB; Web Version)
Kiki Nocella, University of California-Riverside
Ben-Tzion Karsh, University of Wisconsin-Madison

Culture Clash: The Informatics Immigrants versus the Natives (PowerPoint® File, 1.5 MB; Web Version)
Patricia Abbott, John Hopkins University School of Nursing

HANDS: Culture, Change, and Standardization of Key Care Information (PowerPoint® File, 420 KB; Web Version)
Gail Keenan, University of Illinois Chicago, College of Nursing

Reducing Waste and Enhancing Value in Health Care Delivery

Reducing Waste and Improving Health Care Processes through the Application of Lean (PowerPoint® File, 63 KB; Web Version)
Sheri Eisert, Denver Health

Implementation of Lean in Laboratory Medicine Services (PowerPoint® File, 215 KB; Web Version)
Steve Raab, University of Pittsburgh School of Medicine

Cost of Waste/Poor Quality (PowerPoint® File, 76 KB; Web Version)
Lucy Savitz, Abt Associates

Redesigning Work Processes to Improve Patient Safety and Quality

Door-to-Doc (D2D) Reduces ED Patient "Walkout" Rate (PowerPoint® File, 908 KB; Web Version)
Twila Burdick, System Director, Organizational Performance, Banner Health

Using HIT to Improve Outcomes for Elderly Nursing Home Residents (PowerPoint® File, 270 KB; Web Version)
Susan D. Horn, Senior Scientist, Institute for Clinical Outcomes Research

The Impact of Computerized Physician Order Entry Session on Redesigning Work Processes to Improve Patient Safety and Quality (PowerPoint® File, 3.3 MB; Web Version)
Ross Koppel, Lecturer and Adjunct Professor, Department of Sociology, University of Pennsylvania

On-Time Quality Improvement for Long Term Care: Redesigning Workflow (PowerPoint® File, 295 KB; Web Version)
Siobhan Sharkey, Managing Director, Health Management Strategies, Institute for Clinical Outcomes Research

Working Conditions, Organizational Culture, and Health Care Quality

Effects of Traditional 24-hour Work Shifts on Physician and Patient Safety (PowerPoint® File, 2.6 MB; Web Version)
Christopher P. Landrigan, Director, Sleep and Patient Safety Program, Brigham and Women's Hospital and Assistant Professor of Pediatrics and Medicine, Harvard Medical School

Staff Nurse Fatigue and Patient Safety (PowerPoint® File, 1.1 MB; Web Version)
Ann Rogers, Associate Professor of Nursing, University of Pennsylvania

Nurse Working Conditions and Patient Safety: The Outcomes of ICU Working Conditions Study (PowerPoint® File, 180 KB; Web Version)
Patricia W. Stone, Associate Professor of Nursing, Columbia University

"Working Conditions and Patient Safety" (PowerPoint® File, 690 KB; Web Version)
Joel Weissman, Assistant Professor, Institute for Health Policy, Partners Healthcare Systems, Inc

Driving Innovations in Health Services Delivery

Kaiser Permanente's Nurse Knowledge Exchange (PowerPoint® File, 3.5 MB; Web Version)
Chris McCarthy, Kaiser Permanente

Driving Innovations in Health Service Delivery: Key Concepts (PowerPoint® File, 136 KB; Web Version)
Paul Plsek, Directed Creativity™

Shifting Gears—Linking People and Ideas in the Military Health System (PowerPoint® File, 112 KB; Web Version)
Patricia Collins, TRICARE Management Activity, U.S. Department of Defense

Mile Markers on the Service Innovation Journey: A Four-Year Study of the Discipline of Service Innovation (PowerPoint® File, 1.2 MB; Web Version)
Tim Ogilvie, Peer Insight

Systems Approaches to Reducing Disparities in Healthcare Quality

Improving Health Care, Improving Lives (PowerPoint® File, 535 KB; Web Version)
Frederick P. Cerise, Louisiana Department of Health and Hospitals

Implementing Quality Improvement to Reduce Disparities: The Case of Health Disparities Collaboratives (PowerPoint® File, 111 KB; Web Version)
Marshall Chin, University of Chicago

Addressing Racial and Ethnic Disparities in Health Care (PowerPoint® File, 2.5 MB; Web Version)
Rhonda M. Johnson, Highmark, Inc.

Critical Access Hospitals and Health Care Delivery

The Effects of Critical Hospital Access Conversion on Patient Safety (PowerPoint® File, 220 KB; Web Version)
Ryan Mutter, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality
Pengxiang (Alex) Li, Division of General Internal Medicine, University of Pennsylvania

Impact of Critical Access Hospital Conversion on Other Rural Hospitals (PowerPoint® File, 188 KB; Web Version)
Laura Morlock, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

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HHS's Value-Driven Health Care Initiative: Strategies and Tools for Success

Consumers' Use of Health Care Quality Information

Pay-for-Performance: A Decision Guide for Purchasers (PowerPoint® File, 425 KB; Web Version)
R. Adams Dudley, University of California, San Francisco
Farah Englert, Office of Communications, Agency for Healthcare Research and Quality

"We Can Do Better" (PowerPoint® File, 130 KB; Web Version)
Debra L. Nixon, Your Partners in Quality, LLC

Community Leadership and Building Multi-Stakeholder Coalitions

Driving Health System Change at the Regional Level (PowerPoint® File, 795 KB; Web Version)
Margaret Stanley, Pacific Sound Health Alliance

Implementation of Pay-for-Performance Arrangements and Quality Improvement

Designing and Implementing Pay-for-Performance Programs: Ongoing Challenges (PowerPoint® File, 150 KB; Web Version)
Foster C. Gesten, State of New York Department of Health
David E. Kelley, Pennsylvania Department of Public Welfare
Meredith B. Rosenthal, Harvard School of Public Health

Aiming High Designing and Implementing Pay-for-Performance Programs: Ongoing Challenges (PowerPoint® File, 150 KB; Web Version)
Gary Young, Boston University School of Public Health and U.S. Department of Veterans Affairs

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Video

Value and Sustainability in Health IT (Flash video®, 28 minutes, 169 MB; Download Flash®) (Transcript)
Health and Human Services Secretary Michael O. Leavitt (1/05-1/09) at the 2007 AHRQ Annual Meeting, September 28, 2007.

Dr. Carolyn Clancy at 2007 AHRQ Annual Meeting (Flash video®, 10 minutes, 66 MB; Download Flash®) (Transcript)
Introduction and opening comments by AHRQ Director Carolyn Clancy, M.D., September 27, 2007.

Maria Carolina Hinestrosa at 2007 AHRQ Annual Meeting (Flash video®, 13 minutes, 89 MB; Download Flash®) (Transcript)
Executive Vice President of the National Breast Cancer Coalition, September 27, 2007.

Jill Berger at 2007 AHRQ Annual Meeting (Flash video®, 14 minutes, 88 MB; Download Flash®) (Transcript)
Vice President, Health and Welfare Plan Management, Marriott Corporation, September 27, 2007.

Dan Varga at 2007 AHRQ Annual Meeting (Flash video®, 12 minutes, 39 MB; Download Flash®) (Transcript)
Chief Medical Officer, SSM Healthcare, St. Louis, September 27, 2007.

Jeffrey Rich at 2007 AHRQ Annual Meeting (Flash video®, 11 minutes, 37 MB; Download Flash®) (Transcript)
President, Society of Thoracic Surgeons, September 27, 2007.

Thomas Kline at 2007 AHRQ Annual Meeting (Flash video®, 15 minutes, 50 MB; Download Flash®) (Transcript)
Medical Director, Iowa Medicaid Enterprise, September 27, 2007.

Q&A at Town Hall Meeting, 2007 AHRQ Annual Meeting (Flash video®, 16 minutes, 53 MB; Download Flash®) (Transcript)
Questions and answers with panelists, September 27, 2007.

Barry Straube at Joint Plenary Session, 2007 AHRQ Annual Meeting (Flash video®, 19 minutes, 59 MB; Download Flash®) (Transcript)
Chief Medical Officer, Centers for Medicare & Medicaid Services, September 28, 2007.

Joint Plenary Session Comments, 2007 AHRQ Annual Meeting (Flash video®, 19 minutes, 63 MB; Download Flash®) (Transcript)
Comments by Dr. Clancy, followed by questions and answers with Dr. Clancy and Dr. Straube, September 28, 2007.

Questions and Answers, Joint Plenary Session of the 2007 AHRQ Annual Meeting Meeting (Flash video®, 19 minutes, 64 MB; Download Flash®) (Transcript)
HHS Secretary Leavitt, Dr. Clancy, and Dr. Straube, with closing by Dr. Clancy, September 28, 2007.

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Current as of August 2008