Hospital Quality Institute

(HQI) How Data Has Accelerated the Rate of Improvement of our Time Honored Practices.

28 September 2018

Presented by Alicia Munoz, FACHE, CPHQ, CPPS

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Pears & Apples- Hood River, Oregon

The Dalles, WA on the Columbia River--- Columbia River Gorge

1847 Whitman Mission & Memorial – Great Grave– Measles Epidemic

HQI Relationship with Hospital

Associations

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Hospital Quality

Institute

(HQI)

California Hospital

Association (CHA)

Hospital Association of San Diego and

Imperial Counties (HASDIC)

Hospital Association of

Southern California

(HASC)

Hospital Association of Northern and

Central California

(HC)

Who We Are

HQI's Mission To advance and accelerate patient safety and quality improvement for coordinated statewide impact, with aims to achieve zero defects, optimize clinical effectiveness, and enhance patient and family experience in health care.

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Who We Are

HQI's Vision California hospitals will lead the nation in patient safety and quality performance with high reliability and zero defects in care on behalf of the people and communities they serve. The will lead through respect for people and a culture of habitual excellence.

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Who We Are

HQI Team

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California Landscape

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1 in 5 Californians Received Hospital Care in 2017

aSource: OSHPD data request. bActual = 39,536,653

California Landscape

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aSource: OSHPD data request. bActual = 39,536,653; Source: U.S. Census Bureau. cSource: CA Department of Finance Projections.

Programs

Complete descriptions of HQI programs available at: http://www.hqinstitute.org/programs

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Ho

spit

al Q

ual

ity

Inst

itu

te HSAG HIIN

CHPSO Patient Safety Organization

HealthCare Reliability Organizing (HCRO)

Partnership for Patient Experience (P4Px)

HQI2

HSAG-HQI PARTNERSHIP HIIN

• An HQI partnership with HSAG, funded by CMS aimed at: • reducing HAC & readmissions, • engaging patients, families and eliminating disparities in care, and • promoting a culture of safety.

• Participation reflects recruitment of 275 primarily CA hospitals

• Includes 12 out of state hospitals

• Focus on 11 core areas of harm plus readmissions through education, peer-peer networks, and individualized hospital consultation:

1. Adverse drug events (ADE): opioids, anticoagulants, and hypoglycemic agent 2. Central line-associated blood stream infections (CLABSI) 3. Catheter-associated urinary tract infections (CAUTI) 4. Clostridium difficile (C. difficile) bacterial infection, including antibiotic stewardship 5. Injury from falls and immobility 6. Multi-Drug Resistant Organisms 7. Pressure Ulcers 8. Sepsis and Septic Shock 9. Surgical Site Infections (SSI): Total Hip, Total Knee, Total Hysterectomy, Colon 10. Venous thromboembolism (VTE) 11. Ventilator-Associated Events (VAE) 12. Readmissions

• Coordination with other programs expected by CMS (Other HIINs, PfP, AHRQ, QIN-QIO)

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CalHIIN

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CalHIIN

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Healthcare-Associated Infection (HAI)

DEFINITION: Potentially serious infections acquired during inpatient treatment.

MEASUREMENT: Six areas of focus: CLABSI, CAUTI, Colon Surgery SSI, Abdominal Hysterectomy SSI, MRSA, and CDI. Progress is expressed using the Standardized Infection Ratio (SIR), a summary metric that compares the number of infections that occurred to the number of infections predicted based on national referent data. Values lower than 100% in the figure indicate that the California HAI incidence was lower than expected.

TARGET: All HAI rates 10% below national baseline rates by 12/2020 (10/2021 data release); CAUTI decrease to 3% above national by 12/2018 (10/2019 data release)

STEWARD: Muñoz/Forsey

SOURCE: CMS Hospital Compare (quarterly: April, July, October, December)

DATA LAG: Data reflect performance up to 9/2017 (12 month lag)

COMMENTS: On Target. California hospitals have lower (≥2% difference from national) HAI rates for 5 of the 6 measures. CAUTI has been reliably higher (≥2% difference) than national since 2015 (currently 5.9% higher) and remains an opportunity.

CalHIIN - Sepsis

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CalHIIN - Sepsis

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CHPSO

• Created in 2008 by CHA. • Largest PSO in US. • Over 1.8 MM safety event reports in CHPSO

database • Over 400 hospital members in 10 states

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CHPSO Safety Event Reports

• Hospital records details of an event that occurred at the facility

• These events include • Near Miss • Unsafe Condition • Harm to Patient

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CHPSO

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Leading Improvement Teams: • Clinical Alarm management safety • Industry transition of small bore connectors • Health information technology risks • Safe Table Forum

Leverage with medical manufacturers to mitigate risk Educational Resources and Knowledge Center • Webinars • Patient Safety Alerts • Sample policies and procedures • Root Causes and Analysis

CHPSO

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89,507

171,809

651,387

863,502

1,065,408

1,271,140

1,669,934

1,846,371

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400,000

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800,000

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Cumulative CHPSO Safety Reports: May 2012 - August 2018 (Monthly)

CumulativeReports

Be

tte

r →

2018 Target: 1,870,000

HealthCare Reliability Organizing

(HCRO)

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Lessons from Air, Water, and Space Neil Romanoff, MD, Moderator; Commander Zac Alexander, MD, Eagle Eye Radiology; Jim Bagian, MD, PE, Physician, Engineer & Former NASA Astronaut; Yvonne Cagle, MD, Physician, retired U.S. Air Force Colonel, former NASA Astronaut, Consulting Professor, Stanford University

Healthcare quality is challenged to break through and achieve reliable

performance in better care, better health and lower cost. It’s a time of

unprecedented change and we have the privilege of being a part of a new

generation of healthcare.

From Outer Space to Patient Safety

Jim Bagian, MD, PE Physician, Engineer & former NASA Astronaut Dr. Bagian- shares his experiences in safety between a variety of fields. Hear how to adopt the systems perspective and involved leadership in sustaining a culture of patient safety.

High Reliability in Outer Space, Lessons from Air, Water, Space

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TeamSTEPPS® as a Reliability

Practice

• Cultivate a team that achieves reliability

• Prevent medical errors

• Improve clinical and operational performance

• Enhance working relationships

No. California cohort: January 2019- May

So. California cohort: In session now.

HQI Conference Session: Sunday, Oct. 28th 1-4pm

Advancing Transparency in Hospital

Quality Data

A Partnership of:

• California Hospital Association

• Patient Safety Movement Foundation

• Hospital Quality Institute

To Provide Consumers with:

• Easily accessible, meaningful information about hospital

quality

Our Goal

A Quality

Transparency

Dashboard or

equivalent posted on

every California

hospital’s website by

the end of 2018

How: Quality Transparency Dashboard

HQI will:

Create dashboards of publicly-available quality data for

each acute care CHA-member hospital:

• 5 outcome measures

• 3 program status measures

• No judgment, no stars, no rankings, no grades

Quarterly email Excel file with 3 sheets to each hospital:

• Model Dashboard tab

• Raw data tab

• Explanations/notes tab

Model Quality Transparency Dashboard

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2

3

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Model QT Dashboard: Outcome Measures

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1. CLABSI - Central line-Associated Blood Stream Infection

Standardized Infection Ratio (SIR)

2. Colon SSI - Colon Surgical Site Infection SIR

3. NTSV - Nulliparous, Term, Singleton, Vertex Cesarean Birth Rate

4. Sepsis Mortality Rate

5. VTE - Potentially Preventable Venous thromboembolism Incidence

(VTE-6)

• California Level • National Level • Measure Period 31

Model QT Dashboard: Program Status

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Evidence-Based Quality of Care Practices in

Place:

1. Maternal Safety Program – Yes/No or N/A

2. Sepsis Protocol - Yes/No

3. Respiratory Monitoring Program - Yes/No

• Self-response completed by each hospital 32

Model QT Dashboard: Measure Definitions

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Definition of each outcome measure • Easy to understand, public-friendly explanation

• Simple guidelines to interpret value

Limitations of each outcome measure • Context & caveats

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Model QT Dashboard: Hospital Comments

Optional open-ended comments (section

expands)

• Responses about outcome measure performance

• Details about program status responses

• Explanation of progress

• Steps and initiatives implemented

• Future plans

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• Self-response completed by each hospital

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How: Your Hospital Can Help Advance

Quality Transparency in California

Upon receipt of Excel file from HQI, hospitals

are asked to:

• Review data for accuracy

• Provide yes/no information about their evidence-based

quality of care practices

• Provide optional comments about performance and

initiatives

• Post your dashboard (or equivalent) and let us know!

Send your link to HQIAnalytics@hqinstitute.org

Technical Advisory Group

Other ways to increase quality transparency:

• Help improve and refine the Quality Transparency

Dashboard through participation in a small technical

advisory group

• Review measure definitions

• Improve presentation for public understanding

• Set future direction and measures

• Interested in participating? Let us know at

HQIAnalytics@hqinstitute.org

Maternity Care

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Source: https://www.usatoday.com/in-depth/news/investigations/deadly-deliveries/2018/07/26/maternal-mortality-rates-preeclampsia-postpartum-hemorrhage-safety/546889002/

HQI a Collaborative Partner with CMQCC

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Maternity Care

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P4PEx Continued Focus:

HCAHPS

CA is 47th (4th from bottom)

Partnership for Patient Experience

(P4Px)

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HCAHPS scores are strongly correlated with response rates.

Call to Action: Increase statewide HCAHPS response rate by 3- percentage-points (to 28%), which will help move California scores out of the bottom-quartile.

Strategies:

Speed Up Survey Timing

Boost Sample Size

Speak the Patient’s Language

Survey Mode: Mail vs. Phone

Optimize Vendor Relationship

Tell Your Patients Their Opinion Matters

QuietNight Toolkit & App

Partnership for Patient Experience

(P4Px)

• Data analysis & benchmarking (e.g. HCAHPS ) • Evidence-based interventions (e.g. Journey to

a Quiet Night toolkit) • Engaging patients and families (e.g. ENGAGE!) • Disparities

• REaL data (Race Ethnicity and Language) • Population Health

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Other Offerings

• HQI HAI Workgroup • Hospital Quality Committee • 22 Statewide steering group and collaboratives

representing CA hospitals and health systems, and influencing healthcare directions

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Partners

• Agency for Healthcare Research and Quality (AHRQ) • American Congress of Obstetricians & Gynecologists (ACOG)

District 9 • American Hospital Association (AHA) • Association for Advancement of Medical Instrumentation

(AAMI) • Association for Professionals in Infection Control and

Epidemiology (APIC) • California Association of Healthcare Purchasing & Materials

Managers (CAHPMM) • California Association of Physicians Groups (CAPG) • California Association of Public Hospitals/ Safety Net

Institute (CAPH-SNI) • California Department of Public Health (CDPH) • California HealthCare Foundation (CHCF) • California Healthcare Performance Information System

(CHPI) of the Pacific Business Group on Health • California Maternal Quality Care Collaborative (CMQCC) • California Quality Collaborative (CQC) Steering Committee • California Surgical Safety Steering Committee • Centers for Medicare and Medicaid Services (CMS) • Collaborative Alliance for Nursing Outcomes (CalNOC) • Covered California • CUSP for Safe Surgery (SUSP) • Disparities Leadership Center (DSC) at Massachusetts

General Hospital • Food and Drug Administration • Health Research & Educational Trust (HRET) of the American

Hospital Association

• Health Services Advisory Group (HSAG) • Institute for Healthcare Improvement (IHI) • International Organization for Standardization (ISO) • Lucian Leape Institute of the National Patient Safety

Foundation • National Center for Disease Control (CDC/NHSN) • National Coordinator for Health Information Technology

(ONC) • National Database of Nursing Quality Indicators (NDNQI) • National Patient Safety Foundation (NPSF) • National Quality Form (NQF) • National Surgical Quality Improvement Program/American

College of Surgeons (NSQIP/ACS) • Nationwide Alliance of Patient Safety Organizations (NAPSO) • Office of Statewide Health Planning & Development (OSHPD) • Pacific Business Group on Health/California Quality

Collaborative (PBGH/CQC) • Partnership for Health Information Technology Patient Safety • Patient & Family Centered Care Partners (PFCC) • Patient Safety Movement Foundation • PIAA – medical professional liability carriers’ trade

association • Quality Executives Forum Invitational of IHI • State Hospital Associations • The Joint Commission (TJC) • UC Davis Institute for Population Health Improvement

• CHA, HASC, HASDIC, HC

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5th Annual HQI Conference

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October 28-30, 2018

Featured Faculty Vivek Murthy, MD – Former U.S. Surgeon General Allison Massari – Patient experience and compassionate care advocate Jim Bagian, MD, PE and Yvonne Cagle, MD –former NASA astronauts Arjun Srinivasan, MD – Associate Director for Healthcare-Associated Infection Prevention Programs at the CDC

Hyatt Regency Huntington Beach Resort and Spa

SUNDAY, OCTOBER 28

12:00 – 1:00 p.m. Registrat ion

1:00 – 4:00 p.m. Sess ions (choose one):

Maternity Quality Improvement Academy

Elliott Main, MD, Medical Director, California

Maternal Quality Care Collaborative (CMQCC)

In a collaboration between the California Maternity

Quality Care Collaborative (CMQCC) and HQI,

this workshop will address building quality improvement capacity

among multi-disciplinary perinatal improvement teams at your

birthing center.

TeamSTEPPS as a Reliability Practice Julia Slininger, RN, BS, CPHQ, Vice President,

Regional Quality Network, Hospital Quality Institute

Learn how hospitals and health systems can

incorporate TeamSTEPPS strategies into their

HCRO journey and draft an implementation plan for your own

organization.

4:00 – 5:30 p.m. Welcome a n d N e t w o r k i n g

MONDAY, OCTOBER 29

7:00 – 8:30 a.m. Registration, Breakfast , Exh ib itor S h o w c a s e a n d Poster Presentat ions

8:30 – 9:00 a.m. Welcome a n d O p e n i ng Remarks

9:00 a.m. – 12:00 p.m. O p e n i ng K e y n o t e a n d Plenary Panel

From Outer Space to Patient Safety

Jim Bagian, MD, PE, Physician, Engineer & former

NASA Astronaut

Dr. Bagian – engineer, anesthesiologist, pilot,

and NASA astronaut – shares his experiences in

safety between a variety of fields. Hear how to adopt the systems

perspective and involve leadership in sustaining a culture of patient

safety.

Lessons From Air, Water, and Space Neil Romanoff, MD, Moderator; Commander Zac

Alexander, MD, Eagle Eye Radiology; Jim Bagian,

MD, PE, Physician, Engineer & Former NASA

Astronaut; Yvonne Cagle, MD, Physician, retired

U.S. Air Force Colonel, former NASA Astronaut,

Consulting Professor, Stanford University

Healthcare quality is challenged to break through

and achieve reliable performance in better

care, better health and lower cost. It’s a time of

unprecedented change and we have the privilege of

being a part of a new generation of healthcare.

12:00 – 1:15 p.m. L u n ch w i t h Exh ib itors

1:15 – 1:45 p.m. Musical H a p pening

1:45 – 2:30 p.m. C. D u a n e D a u ner Qual ity A w a r d Presentat ion

Celebrate the winner and finalists of the C. Duane Dauner Quality

Award with a video showcase of their achievements, and lessons

learned.

2:30 – 3:30 p.m. K e y n o t e Presentat ion

Numbers and Narratives: Capturing the Human Experience

BJ Bartleson, RN, MS, NEA-BC, Vice President,

Nursing & Clinical Services, California Hospital

Association; Tracy Granzyk, MS, MFA, Director,

Center for Healthcare Narrative, MedStar Institute

for Quality and Safety

This plenary session will examine how to harness both

hard data and narrative storytelling to capture the

human experience in care, and demonstrate the

caregivers’ impact on quality and outcomes. The speakers will make

the case that the best health care is created when numbers and

narratives work in concert across the entire spectrum of care, from

patient room to the board room.

20c1on8ference agenda

3:30 – 4:45 p.m. Poster Walk a n d Exh ib itor S h o w c a s e

4:45 – 6:00 p.m. N e t w o r k i n g Recept ion w i t h Exh ib itors a n d Raff le

TUESDAY, OCTOBER 30

6:30 – 8:00 a.m. Prevent ing HAIs a n d Infect ious Diseases , a Sunrise Breakfast Panel

7:00 – 8:30 a.m. Exhib itor Showcase, Poster Presentat ions , Breakfast , a n d Raff le

8:30 – 9:00 a.m. Welcome a n d O p e n i ng Remarks

9:00 – 11:30 a.m. K e y n o t e Presentat ions

From Public Health to Patient Safety Vivek Murthy, MD, Physician, Public Health

Advocate, 19th Surgeon General of the United

States

Emotional well-being plays an important role in our

health. Dr. Murthy’s ingredients to living a connected life –

empathy, optimism, and courage – are applied not only delivering

care to patients, but in our day-to-day lives.

Personal Resilience In Healthcare Allison Massari, Burn Survivor, Patient Experience

in Healthcare

Experience being valued, respected, and honored

for your mission in healthcare while deepening

self-awareness and strengthening your resilience and passion. Join

Allison in her journey and witness the powerful results of fierce

determination and tenacity in an impossible situation.

Mission Possible: Improving Patient Experience

Shelly Buck, DNP, MBA, RN, Chief Operating

Officer, Chief Nursing Officer, WellSpan Health

Boards can serve as partners to elevate the patient

experience in healthcare organizations. Dr. Buck will provide

leadership methods to influence change in your community.

11:30 a.m. – 12:30 p.m. Exhib itor Showcase, Poster Presentat ions , L u n ch a n d Raff le

12:30 – 1:30 p.m. K e y n o t e Presentat ion

Prevention, Resistance, Resilience

Arjun Srinivasan, MD, Physician and Captain in

the US Public Heath Service, Associate Director for

Healthcare-Associated Infection Prevention

Programs, CDC

Dr. Srinivasan’s future for the U.S. is one where patients are safer

because healthcare-associated infections are non-existent and

antibiotics are properly used. Listen in on the current state of

healthcare-associated infections in the U.S. and the road ahead for

preventing infections and antibiotic resistance.

1:30 – 1:35 p.m. HQI C E O Remarks

1:45 – 2:45 p.m. Concurrent Sess ions (choose one):

Respect For People: LGBTQ Patient Centered Strategies Maurice Garcia, MD, MAS, Director, Transgender Surgery and

Health Program, Cedars-Sinai Medical Center

Dr. Garcia will describe patient strategies to optimize patient

satisfaction, safety, and cultural competence of the care

environment by identifying common potential pitfalls in the care

environment for LGBTQ individuals and identify examples of

resources available to providers.

Stemming the Tide of the Opioid Epidemic: Compassionate Opioid De-Prescribing and Treatment

Donna Smith, MD, Medical Director, Virginia Mason Medical

Center; Hannah Snyder, MD, Project Lead, Support for Hospital

Opioid Use Treatment (SHOUT), Addiction Medicine Fellow, UCSF

at Zuckerberg San Francisco General, and Mark Vrahas, MD,

Founding Chairman, Department of Orthopaedics, Cedars-Sinai

Medical Center.

Healthcare workers will learn about compassionate communication

techniques, treatment support for hospitalized patients with opioid

use disorder and using virtual reality as a tool to offer alternative

interventions.

Making Data Sing Judith Berg, PhD, RN, FAANP, Education and Training in

Resuscitation and Trauma, Rady Children’s Hospital San Diego; Glenn

Billman, MD, Chief Medical Safety Officer, Rady Children’s Hospital

San Diego; Kathleen Sweeney, DNP, CNS, CPNP, Manager of

Clinical Education and Magnet Program, Rady Children’s Hospital

San Diego; Seema Shah, MD, FAAP, FACEP, Clinical Director,

Emergency Department, Rady Children’s Hospital San Diego

This team from Rady Children’s Hospital San Diego will provide rapid

fire tools on how to avoid double-dealing data displays, write a

winning abstract, and how to present a poster with pizazz.

3:30 – 4:45 p.m. Poster Walk a n d Exh ib itor S h o w c a s e

4:45 – 6:00 p.m. N e t w o r k i n g Recept ion w i t h Exh ib itors a n d Raff le

TUESDAY, OCTOBER 30

6:30 – 8:00 a.m. Prevent ing HAIs a n d Infect ious Diseases , a Sunrise Breakfast Panel

7:00 – 8:30 a.m. Exhib itor Showcase, Poster Presentat ions , Breakfast , a n d Raff le

8:30 – 9:00 a.m. Welcome a n d O p e n i ng Remarks

9:00 – 11:30 a.m. K e y n o t e Presentat ions

From Public Health to Patient Safety Vivek Murthy, MD, Physician, Public Health

Advocate, 19th Surgeon General of the United

States

Emotional well-being plays an important role in our

health. Dr. Murthy’s ingredients to living a connected life –

empathy, optimism, and courage – are applied not only delivering

care to patients, but in our day-to-day lives.

Personal Resilience In Healthcare Allison Massari, Burn Survivor, Patient Experience

in Healthcare

Experience being valued, respected, and honored

for your mission in healthcare while deepening

self-awareness and strengthening your resilience and passion. Join

Allison in her journey and witness the powerful results of fierce

determination and tenacity in an impossible situation.

Mission Possible: Improving Patient Experience

Shelly Buck, DNP, MBA, RN, Chief Operating

Officer, Chief Nursing Officer, WellSpan Health

Boards can serve as partners to elevate the patient

experience in healthcare organizations. Dr. Buck will provide

leadership methods to influence change in your community.

11:30 a.m. – 12:30 p.m. Exhib itor Showcase, Poster Presentat ions , L u n ch a n d Raff le

12:30 – 1:30 p.m. K e y n o t e Presentat ion

Prevention, Resistance, Resilience

Arjun Srinivasan, MD, Physician and Captain in

the US Public Heath Service, Associate Director for

Healthcare-Associated Infection Prevention

Programs, CDC

Dr. Srinivasan’s future for the U.S. is one where patients are safer

because healthcare-associated infections are non-existent and

antibiotics are properly used. Listen in on the current state of

healthcare-associated infections in the U.S. and the road ahead for

preventing infections and antibiotic resistance.

1:30 – 1:35 p.m. HQI C E O Remarks

1:45 – 2:45 p.m. Concurrent Sess ions (choose one):

Respect For People: LGBTQ Patient Centered Strategies Maurice Garcia, MD, MAS, Director, Transgender Surgery and

Health Program, Cedars-Sinai Medical Center

Dr. Garcia will describe patient strategies to optimize patient

satisfaction, safety, and cultural competence of the care

environment by identifying common potential pitfalls in the care

environment for LGBTQ individuals and identify examples of

resources available to providers.

Stemming the Tide of the Opioid Epidemic: Compassionate Opioid De-Prescribing and Treatment

Donna Smith, MD, Medical Director, Virginia Mason Medical

Center; Hannah Snyder, MD, Project Lead, Support for Hospital

Opioid Use Treatment (SHOUT), Addiction Medicine Fellow, UCSF

at Zuckerberg San Francisco General, and Mark Vrahas, MD,

Founding Chairman, Department of Orthopaedics, Cedars-Sinai

Medical Center.

Healthcare workers will learn about compassionate communication

techniques, treatment support for hospitalized patients with opioid

use disorder and using virtual reality as a tool to offer alternative

interventions.

Making Data Sing Judith Berg, PhD, RN, FAANP, Education and Training in

Resuscitation and Trauma, Rady Children’s Hospital San Diego; Glenn

Billman, MD, Chief Medical Safety Officer, Rady Children’s Hospital

San Diego; Kathleen Sweeney, DNP, CNS, CPNP, Manager of

Clinical Education and Magnet Program, Rady Children’s Hospital

San Diego; Seema Shah, MD, FAAP, FACEP, Clinical Director,

Emergency Department, Rady Children’s Hospital San Diego

This team from Rady Children’s Hospital San Diego will provide rapid

fire tools on how to avoid double-dealing data displays, write a

winning abstract, and how to present a poster with pizazz.

3:00 – 4:00 p.m. Concurrent Sess ions (choose one) :

kNOw Sepsis: From Detection To Recovery

Trish Cruz, RN, BSN, PHN; Andre Vovan, MD, MBA, Critical

Care Medicine Specialist, Hoag Memorial Hospital Presbyterian,

and St. Joseph Hoag Health

Sepsis prevention is a significant challenge for patients and

healthcare patient safety programs. This team will review their

journey to decrease sepsis mortality and will provide the specifics

that led to their sustainable improvements.

Frontiers in Personalized Medicine Stephen Kingsmore, MD, DSc, President & CEO, Institute for

Genomic Medicine, Rady Children’s Hospital San Diego

Rady Children’s Institute for Genomic Medicine is transforming

Pediatric Intensive Care through genetic analysis to deliver exact

diagnosis and targeted treatments. Learn about Rapid Whole

Genome Sequencing (rWGS), bio-informatics analysis and clinical

interpretation. Learn about this compelling and cutting edge work

that aims to deliver precision pediatric medicine throughout

children’s hospitals.

A Health Equity Lens On Patient Safety And Quality Kirsten Bibbins-Domingo, PhD, MD, MAS, Chair of

Epidemiology and Biostatistics, Vice Dean for Population Health

and Health Equity, UCSF School of Medicine

The session will provide a framework for health equity, explore the

relationship between equity and quality, and offer approaches to

improving health equity through a focus on quality and patient

safety.

For complete conference highlights and speaker bios,

please visit the HQI website: www.hqinstitute.org/event/

hqi2018

HQI would like to thank their 2017 advertisers and exhibitors:

Patient Safety Movement Foundation, The Masimo Foundation

for Ethics, Innovation, and Competition in Healthcare

Medtronic

The Gordon and Betty Moore Foundation

Kaiser Permanente Northern California

Anthem Blue Cross

California Healthcare Foundation

Freedom Medical

GOJO

The Joint Commission

Sharp Healthcare

Wipfli – HFS Consultants

American Heart Association

Cambridge Sound Management

Clorox Healthcare

Dimensional Insight

DNV GL Healthcare

Mallinckrodt Pharmaceuticals

NextPlane Solutions

Novo Nordisk

Objectivity Plus

Quantros

RL Solutions

Vynca

Xenex

To learn more about how your organization can support and

exhibit at the HQI Annual Conference, contact

info@hqinstitute.org

Thank you!

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