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 . 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. 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 . Association for Real Change - Scotland. The Scottish Transitions Forum. The Scottish Transitions Forum began in . 2008. . It . now has over 200 members that meet every 3 to 4 months in either Glasgow or Edinburgh. . 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. 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. EQuIP. ). Equipping Louisiana with a Quality Future.. What is this and why do it?. School-wide initiative. Engage residents and fellows in systems-based quality improvement and patient safety (QI/PS. 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. Bryan K. Ford, Ph.D., MSW. Assistant Professor of Medicine. Research Associate, Comprehensive Center for Healthy Aging. University of Alabama at Birmingham . Education Program Director. Geriatric Research, Education and Clinical Center. 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 . . Adam Thompson, Regional Partner . Director. Northeast/Caribbean AIDS Education and Training Center – South Jersey Regional Partner. 1. aidsetc.org. Overview. Introduction. Transitions of Care (. The Importance of Root Cause Analysis During Incident Investigation150hy was the oil on the 30oor in the 31rst place150ere there changes in conditions processes or the environment 150hat is the source 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. QI 104: Interpreting Data: Run Charts, Control Charts, and Other Measurement Tools. Lecture Objectives. Draw a run chart that includes a baseline median, a goal line, and annotations.. Describe the difference between common and special cause variation.. Sleep Medicine. No ongoing projects, but . residents can initiate any project they are interested in with our full support. Future Project Ideas. Effects of early school start time on daytime sleepiness, high school children.