Patient Safety Curriculum Module 10: The National Landscape ...

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Variations in Care Are WidespreadThe Cost ConundrumWhat a Texas town can teach usabout health care.Atul Gawande, June 1, 20098NPSF Professional Learning Series
The Cost Landscape• Per capita healthcare costshave grown steadily for 40years• Private insurance payerssubsidize underpayments byMedicare, Medicaid, and theuninsured• Chronic disease andtechnology are the primarydrivers of cost• Proposals to extend healthinsurance coverage magnifycost pressuresPer Capita NHE in $3500300025002000150010005000Per Capita Growth In Health ExpendituresHas Increased at 2.5% Above Inflation For40 Years(adjusted for inflation)1966196819701972197419761978198019821984198619881990199219941996199820002002200420069NPSF Professional Learning Series
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Goals of this module• Upon comple
Page 5 and 6: “End result system of hospitalsta
Page 7: Patient Safety in the Popular Press
Page 11 and 12: Mounting Pressures for Transparency
Page 17 and 18: Regulatory Landscape17NPSF Professi
Page 19 and 20: Example of One Year of PotentialReg
Page 21 and 22: The Joint CommissionDPHCMSThe Regul
Page 23 and 24: Potential CMS CoP Findings• Condi
Page 25 and 26: Influences on the Joint CommissionS
Page 27 and 28: Customized Survey Process• Priori
Page 29 and 30: “Tracing” the Patient: Across S
Page 31 and 32: “Tracing” the Patient - Priorit
Page 33 and 34: Sample: Unannounced SurveySchedule
Page 35 and 36: National Patient Safety Goals(NPSGs
Page 37 and 38: 2011 Hospital NPSGs• There are si
Page 39 and 40: Goal 8: Reconcile Medications• Ac
Page 41 and 42: Managing Regulatory Visits41NPSF Pr
Page 43 and 44: The Regulatory Survey CycleMonitorc
Page 45 and 46: Survey Preparations• Develop a re
Page 47 and 48: Opening Meetings• Getting off on
Page 49 and 50: Command Central (Bull Pen)• Large
Page 51 and 52: Exit Conference• At the exit conf
Page 53 and 54: Attributes of a Well ManagedRegulat
Page 55 and 56: Regulatory ReadinessPreparing for t
Page 57 and 58: Quality and Safety FrameworkQuality
Page 59 and 60:
Culture: Communications Plan forSur
Page 61:
Final Thoughts• B Teams with A Sy
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