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Attendees

Name

Affiliation

x

Jane Shellum

Mayo Clinic

x

Bill Curtis

CISQ

x

Ken Rubin

University of Utah

Tracie Berardi

OMG, BPM+ Health

x

Linda Chan

Pivotal Insight

Michael Cesino

Visible Systems Corp.

David Mendes

Mike Meier

x

Sharon Moser

x

Apurva Desai

x

Luke Jurcevic

x

Keith Salzman

Agenda and Minutes

Document any tasks here, Document any decisions on group page

Agenda Item

Lead

Minutes

Wrap up review of RAMM

Jane Shellum

GoToMeeting Recording/Transcript

9 Goals and Measurement (adoption of clinical pathway; efficacy outcomes measurement)

Level 1 Initial Inconsistent

  • Focus only on the Adoption process.

  • Inconsistent or no outcomes measurement

Level 2 Repeatable stabilized

  • Targeted organizational goals for deployment are established

  • Adjustment of work unit processes based on measures

  • Measure outcomes relevant to the work unit

Level 3-Defined Standardized

  • Defined measures (e.g. Key Performance indicators or Objectives and Key Results) of standardized adoption processes and reporting across the organization

  • Define standard outcome measures per clinical pathway

  • Adoption of quality measures, goals and quality reporting tools at an institutional level

Level 4 Quantitatively Managed

Learning really starts learning at this stage-Bill Curtis

  • Integration of consistent tooling and processes (e.g. dashboards) across the enterprises to support consistent measurement and improvement adoption processes and pathway efficacy.

  • Delete second bullet (opportunity…)

  • Continuous improvement and feedback loop through routine data collection and modification in guidelines

  • Process metrics are used to effectively control the process as well as outcome

  • Consistent review of efficacy of processes in impacting goals: Routine adjustment of process to advance outcome (moved from level 5)

Level 5 Learning Health System

  • Evaluate and continuously improve institutional capabilities informed by emerging industry best-practices

  • Measure efficacy of pilots experiments of new adoption processes and adjust accordingly

  • Conduct pilots and experiments of new adoption processes developed based on data (Moved to section 4 Process)

  • Continuous improvement and feedback look through routine data collection and submission to guideline owners (moved from level 4)

Finalized inputs from work group members and will post clean version for final review.

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