SAGES Quality Summit Meeting

April 20, 2015
Brian J. Dunkin, MD, FACS, President, SAGES
Dimitrios Stefanidis, MD, PhD, FACS, FASMBS, Co-Chair of Quality Summit
Benjamin K. Poulose, MD, MPH, FACS, Co-Chair of Quality Summit

In February, 2015 we surveyed our membership with one question:

If I had a group of healthcare quality experts in a room together discussing how quality initiatives are going to transform healthcare, what would I would I ask them?

We had 95 responses to this survey with the following themes:

  1. Which are the most appropriate and valid metrics for quality surgical care? Who should define, measure, and collect them?
  2. What is the evidence that existing quality initiatives lead to improved patient outcomes? What level of evidence is needed for new quality initiatives before they get widely adopted?
  3. How do we best risk adjust surgical patients to avoid penalizing surgeons who take care of complex, difficult, high risk patients?
  4. What is the cost-effectiveness of quality initiatives (are cost savings higher than implementation cost?) Who should bear the implementation cost?
  5. How do we differentiate the impact the surgeon has on patient outcomes versus that of other healthcare workers and of the healthcare system in general?
  6. How do we best train surgeons in quality issues and how can we best help them improve their performance? What is the role of surgical societies such as SAGES?
  7. What are the unintended consequences of currently used quality metrics/ initiatives?
  8. How do we incentivize surgeons to participate in quality initiatives?

» SAGES is conducting a Healthcare Quality Summit May 15-16, 2015 in Washington DC at which leaders from the field and from other societies will present their efforts in quality. After the Summit, SAGES leaders will draft a strategy for our society on how we should work in the quality arena to contribute uniquely and serve our members, including focusing on the areas that you have indicated are important. We will continue to update you as the strategy evolves.

SAGES Quality Summit Meeting May 15 – 16, 2015, Grand Hyatt, Washington DC

Meeting Goals:
1. Determine the challenges and potential solutions for the development and implementation of quality initiatives in health care,
2. Define the role of surgical & endoscopic societies as facilitators in this process,
3. Inspire society-driven patient-centered quality efforts,
4. Establish new relationships and collaborations to advance the field of quality in surgery and gastrointestinal endoscopy.

15-May-15TopicSpeakerOrganization
7:30 AMIntroductions and objectives of the SummitBrian Dunkin, MD, Dimitrios Stefanidis, MD, & Benjamin Poulose, MD
Quality 2015Moderators: Anne Lidor, MD & Bradley R Davis, MD (ASCRS)
7:50 AMQuality Measurement: Past and FutureHelen Burstin, MDNational Quality Forum
8:10 AMThe Changing Quality Landscape and Hospital Value Based Purchasing- Linking Quality and Cost in Delivery System ReformLemeneh Tefera, MDCenters for Medicare and Medicaid Services
8:30 AMHow quality changes affect surgeonsFrank G. Opelka, MDAmerican College of Surgeons
8:50 AMTransition from fee for service to fee for performance; challenges and opportunitiesRoger Ray, MDCarolinas Health
9:10 AMDiscussion
9:40 AMBreak
KEYNOTE: Maryland Experience
10:00 AMClinical Quality and Outcomes from a Population Health PerspectiveJosh M. Sharfstein, MDJohn Hopkins
10:30 AMQuestions
Imperative for Changes in quality: how can medical societies help?Moderators: Brian Dunkin, MD & William Richardson, MD (SSAT)
10:45 AMPayor PerspectiveLemeneh Tefera, MDCenters for Medicare and Medicaid Services
11:05 AMPatient PerspectiveDiane PinakiewiczPatient Safety Advocate
11:25 AMHospital System perspectivePascal R. Fuchshuber, MDKaiser Permanente
11:45 AMDiscussion
12:00 PMLUNCH
15-May-15TopicSpeakerOrganization
Society based initatives in Surgery and Endoscopy (Challenges and Opportunities)Moderators: Dimitrios Stefanidis, MD & Rebecca Minter, MD (AHPBA)
1:00 PMSTSDavid Shahian, MDSociety of Thoracic Surgeons
1:20 PMACSFrank Opelka, MDAmerican College of Surgeons
1:40 PMASGEJonathan Cohen, MDAmerican Society for Gastrointestinal Endoscopy
2:00 PMASMBSStacy Brethauer, MDAmerican Society for Metabolic & Bariatric Surgery
2:20 PMDiscussion
3:00 PMBreak
Quality Improvement is all about the quality of collected dataModerators: Benjamin K. Poulose, MD
3:30 PMAn ounce (or milligram) of prevention? Data from the National Healthcare Quality and Disparities Reports on process and outcome measures of antibiotic prophylaxis seen in US adult surgical inpatients.Darryl Gray, MDAgency for Healthcare Research and Quality
3:50 PMHarnessing Data to Drive Quality ImprovementBimal Shah, MD & Carolyn C. ScottPremier, Inc.
4:10 PMEducation as a driver of quality improvementLouis Diamond, MDAlliance for Continuing Education in the Health Professions
4:30 PMDiscussion (45 min)
5:15 PMEnd of Day One RemarksBrian J. Dunkin, MD
6:30 PMDinner at Capitol City Brewing Company
16-May-15TopicSpeakerOrganization
Update on work being done by SAGESModerator: Brian J. Dunkin, MD
8:00 AMIntroductionBrian J. Dunkin, MD
8:15 AMUpdate on: Intersociety Complex GI Surgery MetricMatthew M. Hutter, MD
Surgical Quality AllianceRocco Orlando III, MD
ACS PACW. Scott Melvin, MD
Strategy Session
9:00 AMSummary from Quality 2015 sessionAnne Lidor, MDSAGES
Summary from Imperative for Change sessionBrian J. Dunkin, MDSAGES
Summary from Quality Initatives in Surgery/Endoscopy sessionDimitrios Stefanidis, MDSAGES
Summary from Quality Improvement data sessionBenjamin Poulose, MDSAGES
12:00 PMConclusion