Aug 12: Quality Improvement and Patient Safety
Today I’d like to introduce you to Dr. Paul Stander, our Chief Medical Officer, who is helping lead the restructuring of Quality Improvement and Patient Safety at Banner Good Samaritan. With his more than 20 years of experience as CMO, Dr. Stander has been one of the primary drivers of Quality and Safety at Good Sam — and one of the key reasons for Good Sam’s many national recognitions in this area. We look forward to the next chapter in our continual journey of developing highly aligned structures, strategies and systems so that every patient gets the right care at the right time at the right place for the right reason …
Steve Narang, MD, is the chief executive officer at Banner Good Samaritan Medical Center.
Establishing Good Sam as a leader and academic medical center
By Dr. Paul Stander
I’m sure by now most of you have had a chance to meet individually or be present at one of the many presentations that have been given by our new CEO, Dr. Steve Narang, during the first several months of his tenure. He has outlined a vision of Good Sam as a “place of possibilities,” not only to become a nationally recognized, cutting edge Academic Medical Center in the next few years but to also establish Banner Good Sam at the forefront of Banner, Arizona and the nation as a leader in quality care, performance improvement and patient safety.
Starting this month, we should all start seeing evidence of these “possibilities” becoming realities. The first phase of these changes have been put forth by myself and Anita Hancock, QMS Director, and involve efforts to modify our infrastructure for Patient Safety, Performance Improvement and Utilization Management.
Patient Safety will focus on evidence-based practices to avoid errors and harm to patients including common events such as falls, pressure ulcers, venous thrombosis, hospital-acquired infections, perioperative safety, adverse medication events – some of which we are addressing quite well but all of which represent opportunities to improve.
Drs. Anne Galvi and Raman Dhaliwal, the two Medical Directors of Care Coordination at Good Sam, will be the new chairpersons of our utilization Management Committee. That group will focus on Length of Stay, Readmissions, Observation status (including oversight of the new designated Outpatient Observation Unit that started July 8), Clinical Documentation and Resource Utilization. All of this work will be overseen by a multidisciplinary Performance Improvement Leadership Council designed to authorize, support and monitor quality and performance improvement work done anywhere in the institution.
In talking with Dr. Narang, it is clear to me that he wants as many physicians as possible, employed or independent, primary or specialist, faculty or not, to be highly engaged and involved in these efforts.
The ultimate result will be research and publication in the science of improvement, quality management and patient safety. He welcomes participation and collaboration with physicians in these efforts – he recognizes that, without that, the chances of success for these efforts are much smaller. He has stressed the importance of rigorous methodology using a Define, Measure, Analyze, Implement and Control (DMAIC) that is also evidence-based and data driven. If you are interested in getting more involved in these efforts, please let me or Dr. Narang know.
The other change at the Medical Staff level will be the implementation of a Peer Review Council, which has been established as an ad hoc committee under the auspices of the Medical Staff Executive Committee. It will help oversee, and be a resource, for the ongoing department-specific peer review and will help to ensure more uniform scoring of cases, provide advice or additional review at the request of the department or chairperson or Executive Committee, promote a Just Culture philosophy, help address physician behavior issues and review aggregate quality outcome data and sentinel events to help drive system improvement work.
I will chair this committee that includes a broadly representative group of physicians including Akil Loli, Jason Klein, Brett Seigrist, Doug Franz, Greg Horonencko, Saima Saeed, Moneesh Bhow, Jen O’Hea, Vince Honan, Corey Detlefs, Arun Singh and an OB-GYN representative to be determined.
As the saying goes, we live in interesting times. Challenges in the health care industry also represent great opportunities for Good Sam and all of us as medical staff members, so stay tuned, get involved and help take Good Sam from a place of “Possibilities” to a place of realities and a nationally recognized Academic Medical Center.