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Innovation in Public Health

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by

Melini Gupta

on 25 July 2013

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Transcript of Innovation in Public Health

Kaiser Permanente CRC Screening Program
Take Home Points
to improve our population's health

Model for Improvement
3 Questions
:
1. AIM
2. MEASURES
3. CHANGES
Root Cause Analysis
1. Patient was discharged without referral to Quitline; 2. Discharge staff do not know that a referral was necessary; 3. Need for Quitline referral is not a part of routine discharge procedures; 4. There is no standard discharge form
Ask why 5 times
Causes
Patient Factors
Staff member Factors
Team Factors
Work Environment
Organisation/ Management factors
Institutional Context


Science of Human Factors
Simplify
Standardise
Use forcing functions and constraints
Use redundancies
Avoid reliance on memory
Take advantage of habits and patterns
Promote effective team functioning
Automate carefully
Taking advantage of habits & patterns
Avoid reliance on memory
PDSA Cycle:
Plan-Do-Study-Act
Plan
the test or observation, including a plan for collecting data
Do
: Try out the test on a small scale
Study
: Set aside time to analyse the data and study the results
Act
: Refine the change, based on what was learned from the test
Innovative system to prevent relapse on discharge?
Incentives
Staff training
Admission package
Changes to Forms
Monitoring & Reporting
Triple Aim
The three simultaneous goals of the Triple Aim are:

Improve the health of the population
Enhance the patient experience of care
(including quality, access, and reliability)
Reduce, or at least control, the per capita cost of care
Shape Up Somerville
& childhood obesity
Example
Population Health
3 main killers have emerged in the US:
Smoking
: 435,000 deaths per year
Obesity (poor diet and physical inactivity)
: 400,000 deaths per year
Alcohol consumption
: 85,000 deaths per year4
The Information Age
Our Responsibility
The Global Cancer Epidemic
Information for Different Audiences
Research 101
PDSA Cycle:
Plan-Do-Study-Act
Plan
the test or observation, including a plan for collecting data
Do
: Try out the test on a small scale
Study
: Set aside time to analyse the data and study the results
Act
: Refine the change, based on what was learned from the test
Model for Improvement
THE
University of Sydney
is putting the finishing touches to a bold $500 million initiative, aimed at tackling obesity and related diseases.
* Cancer control is OUR job.

* There are degree programs devoted to this.

* Let's be experts.
Global Cancer Epidemic
Our Responsibility
Full transcript