PPT-Root Cause Analysis in Care Transitions: Chart Review Tools

Tom Ventura MS MSPH tventuracfmcorg Colorado Foundation for Medical Care wwwcfmcorgintegratingcare March 22 nd 2012 This material was prepared by CFMC PM4010094 CO 2012 the Medicare Quality Improvement Organization for Colorado under contract with the Centers for Medicare amp Medicaid Services CMS an agency of the US Department of Health and Human Services The contents presented do not necessarily reflect CMS policy . com Or, how to get your reader . to follow along. Why Do We Need Transitions Anyway?. Transitions work like bridges or a well worn path through a park; they show the reader where your essay is going and makes it easier to follow along. . A. 1. P. u. and . b. 3. S. g. -. states of C. 2. . Graduate School of Natural Science and Technology. Okayama Univ.. . Wang Chen. , Jian Tang, Kentarou Kawaguchi. Introduction . B.  . 1. S. g. Transitions and gutters in Graphic Novels. The space between the panels.. As the reader moves from one panel to the next, they predict and conclude what is happening.. Gutters. Gutters also act as barriers or borders to transitions.. Agenda. Purpose. How it works. RCA at your shop. Questions. About. Continuous Improvement. My experience. These principles working for your shop. Root Cause Analysis. PURPOSE:. . find the . causes. of a problem and implement the best . Midterm Report. Keith Heyde. Diks. et al. 2012. What Are Critical Transitions?. Early Warning Signs. Critical Slowing. Asymmetry of Fluctuation. Flickering (with stochastic magnitude). Predicting Critical Transitions: . UNIT # 3. Dr. Martha Pelaez. Basic Assumptions About Time. Time is like money. Once it is gone, it is gone.. It can be managed.. It is cumulative.. Time IS money. Time is the basic currency in education, like money time needs to be managed in order to have an efficient and effective classroom. Numerous tools available to assist with identification of root cause. Fishbone (Ishikawa) charts. Process mapping. Failure modes effect analysis. Statistical process control. The 5 Whys. Process Improvement Tools. Ken Roberts. University of Liverpool. 1. Then and now. Longer. Destandardised. Non-linear. Individualised. The transition paradigm. Origins>routes>destinations. Typologies of transition regimes. Welcome to the session!. Objectives. Learn and be able to apply a fishbone diagram. Utilize “Why” analysis technique to uncover causes. 2. 2. “Why” Analysis . Question asking technique used to explore the cause and effect relationships underlying a particular problem. Personal –Relationships– Societal. Education . –. . Work – . Military. By: . Kathleen E. High. , M.Ed.. Adjunct . Professor . , . Mt. San Antonio College. Figure 1: Man trying to decide which of two directions to take. Lauren E. Glaze, . PharmD. Assistant Professor of Pharmacy Practice. UAMS South Family Medical Center. Objectives. Define transitional care and its impact on healthcare outcomes and expenditures . Describe the development of a Transitions of Care (TOC) service . Root Cause Analysis . Agenda. . Introduction to Root Cause Analysis (RCA). Keys steps for conducting root cause analyses . Assessing potential impact and actionability of addressing root causes. ROOT CAUSE ANALYSIS TOOLKIT. Storage. Fusiform. : Swollen in the middle, gradually tapering on both ends. . E.g.Raddish. Napiform. :swollen at base, tapering at apex e.g. Beet root. Conical: Broad at base and gradually tapering towards apex. e.g. carrot.