27 Reconcile Medications Accurately and completely reconcile medications across the continuum of care.
28 Risk Assessment NPSG.15.01.01: Identify patients at risk for suicide. Applies to: Behavioral Health Care, Hospital (applicable to psychiatric organizations and patients being treated for emotional or behavioral disorders in general organizations)
29 Risk AssessmentNPSG : Identify risks associated with home oxygen therapy such as home fires.Applies to: Home Care
30 CROSSING THE QUALITY CHASM: HEALTH CARE FOR THE 21ST CENTURY Donald Berwick, MDWilliam Richardson, PhD
31 Roundtable’s Categories Overuse (of procedures that cannot help)Underuse (of procedures that can help)Misuse (errors of execution)
33 Core Conclusions There are serious problems in quality The problems come from poor systems…not bad peopleWe can fix it… but it will require changes
34 Tell examples of clinical population eg: high volume = ac appendicitis , IIH high cost = CA high risk = trauma still need improvement = cancer recurence high rate , poor cosmesis, quality of life ……