1 / 15

QUERI National Meeting – Closing Session

QUERI National Meeting – Closing Session. David Atkins QUERI Director December 11,2008. Closing Comments. Reflections on the meeting Building blocks to a new QUERI vision. Selected Lessons from the Meeting. Value of self-reflection Value of qualitative methods Managing complexity

emmert
Download Presentation

QUERI National Meeting – Closing Session

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. QUERI National Meeting – Closing Session David Atkins QUERI Director December 11,2008

  2. Closing Comments • Reflections on the meeting • Building blocks to a new QUERI vision

  3. Selected Lessons from the Meeting • Value of self-reflection • Value of qualitative methods • Managing complexity • Transactional management • Opportunities arising from crisis • Learning from other fields • Engaging stakeholders on priorities • Measuring implementation success • Engineering principles to improve implementation

  4. Fundamental Questions • Who are our customers? • What are our strengths? • What are the challenges? • What do we want to accomplish?

  5. Customers and Partners– Current or Potential • VA clinical leadership • Patient Care Services • OEHPH, ONS, OI • Quality and Safety • Other researchers • Network leadership/ Operations (10N)? • Facility leadership ?

  6. What Are Our Strengths(what can we do better than anyone) • Clinical expertise • Really understanding the data

  7. Understanding Data

  8. What Are Our Strengths(what can we do better than anyone) • Clinical expertise • Really understanding the data • Focus on what is most important • Over long term

  9. Knowing What’s Important

  10. What Are Our Strengths?(what we do better than anyone) • Understand clinical nuance and context • Really understand the data • Commitment to what is most important • Mix qualitative and quantitative methods • Independence

  11. The Importance on Independence It is difficult to get a man to understand something if his salary depends on his not understanding it. Upton Sinclair

  12. What Are Our Strengths?(what we do better than anyone) • Understand clinical nuance and context • Really understand the data • Commitment to what is most important • Mix qualitative and quantitative methods • Independence • Comprehensive view of outcomes (including unintended consequences and costs)

  13. What Are the Challenges? • Who owns QI in the VA? • Are we building what they are buying? • How do we relate to other efforts with similar goals such as system redesign? • End of flush funding environment • Changing leadership • Competing for attention absent a crisis

  14. What Do We Want To Accomplish? Smaller and Safer • Steady, marginal improvements in discrete but important clinical areas • Doable • Can make useful contribution • May be partly generalizable outside VA • Customer demand may vary

  15. What Do We Want To Accomplish? Bigger and Bolder • Contribute to transformational change in the culture of quality in the VA • Re-establish VA’s leadership in quality • Imbedding evidence-based implementation • Creating a library of tools and solutions • Promoting population based quality management • Optimizing the potential of new technology • Building value

More Related