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10th Annual
2007 ICSI/IHI
Colloquium on Clinical Quality Improvement

Redesign for Results
Quantum Leaps in Health Care
May 16-18, 2007

DoubleTree Hotel Park Place
St. Louis Park, Minnesota

Health care has made many incremental improvements to achieve better results in patient care. The focus has typically been project by project. But it's not enough. There are still errors, and there are still improvement goals not being achieved even though health care professionals are working harder than ever. What's needed to move forward beyond the next step is transformational change - quantum leaps - in health care quality improvement. This will require leadership, changes in culture and systems design, and innovative approaches to doing things differently. The 10th annual ICSI/IHI Colloquium on Clinical Quality Improvement will lead the way in redesigning for results that bring quantum leaps in the improvement of health care.

The 10th annual ICSI/IHI Colloquium features experts in innovative redesign, leadership, culture, value-driven health care, patient centeredness and more who will share their experience and knowledge during the two-and-a-half-day conference through pre-colloquium workshops, keynote presentations and breakout sessions.

Wednesday, May 16, 2007 - 1:00-4:30 p.m.
A total of four pre-colloquium workshops will be offered simultaneously on the topics of high reliability organizations, tools for having crucial conversations, access flow in the inpatient setting, and adaptive leadership. They have been developed based on numerous suggestions from past Colloquium participants for deeper, more concentrated work sessions. The format will be didactic learning from experts as well as hands-on, experimental learning with direct coaching from them. We hope you will join us a day early to begin your quality learning experience!

High Reliability Organizations: Putting Safety Culture to Work in Healthcare
Craig Clapper, P.E., C.Q.M.
Chief Operating Officer
Healthcare Performance Improvement
Litchfield Park, Arizona

This workshop will answer the question: "We are already getting good results. Why do we need to change?" Beginning with a basic understanding of human reliability in complex systems, it will show how several health care organizations are creating cultures of safety and reducing the number of events involving patient harm by 80 percent in two years.

Crucial Conversations®: Tools for Talking When Stakes are High
Nickijo L. Hager, M.S.N., R.N.
Vice President of Mission and Organizational Development
Franciscan Skemp Health Care, Mayo Health System
La Crosse, Wisconsin

This session will provide an overview of the research-based Crucial Conversations toolkit and introduces key skills that ensure results while creating an environment of mutual respect and honesty. This engaging interactive experience will challenge you personally and professionally!

Improving Flow through Big Systems
Mark Murray, M.D., M.P.A.
Principal
Mark Murray and Associates
Sacramento, California

Waiting times and delays adversely affect system performance as work flows through complex systems of care. These delays lead to patient and staff dissatisfaction, increase cost of care and the likelihood of both internal and external diversions, and sub-optimize clinical care. System wait times are a result of system design. Learn about the proven methods to analyze flow, apply changes and measure for improved system flow performance.

Adaptive Leadership - Identifying and Narrowing the Gap
Valerie K. Ulstad, M.D.
Director of Cardiovascular Education
Hennepin County Medical Center
Minneapolis, Minnesota

Dr. Ulstad will present an overview of the model of adaptive leadership developed by Dr. Ron Heifetz. There will be three parts: the first part will be a discussion about the initial work of adaptive leadership; the second will be a presentation about the strategic framework for mobilizing adaptive work; and the third will be about staying alive while exercising leadership. There will be time for interactive learning in each part.

Thursday, May 17, 2007 - 8:30 a.m. to 4:30 p.m.

The day will feature this keynote speaker followed by breakout sessions in the morning and afternoon:

Multi-Stakeholder Alliances: Fad of the Decade or Breakthrough Quantum Leap?
Nancy J. Wilson, M.D., M.P.H.
Senior Advisor, Health and Human Services, ValueDriven Healthcare Iniatives
Agency for Healthcare Quality and Research
Rockville, Maryland

Dr. Wilson will provide an overview of the national landscape in health care. She will draw on the past, reflect on the present, and offer stories and perspectives on the challenges of making the changes necessary to redesign our health care system. This talk will provide insight into the obstacles, as well as the opportunities, to successfully negotiate the politics of creating change from both the national and local perspective.

Friday, May 18

The Triple Convergence to Redesign a Quality Practice
Joseph E. Scherger, M.D., M.P.H.
Professor of Clinical Family and Preventive Medicine
University of California, San Diego, School of Medicine
San Diego, California

In this keynote address, Dr. Scherger will describe how the historic convergence of three technologies - electronic medical records, knowledge management for clinical decision support (such as ICSI guidelines), and online communication - will transform the delivery of health care. These three technologies have been evolving separately and largely in parallel. Advanced electronic record systems combine these applications into one process at the point of care. When this happens, the delivery of care leaps forward in quality, making previous practices archaic in comparison. This presentation will also describe the quality methods that should be employed by provider teams to take the greatest advantage of these technological developments.

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