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-15 Topic Speaker Organization
7:30 AM Introductions and objectives of the Summit Brian Dunkin, MD, Dimitrios Stefanidis, MD, & Benjamin Poulose, MD
Quality 2015 Moderators: Anne Lidor, MD & Bradley R Davis, MD (ASCRS)
7:50 AM Quality Measurement: Past and Future Helen Burstin, MD National Quality Forum
8:10 AM The Changing Quality Landscape and Hospital Value Based Purchasing- Linking Quality and Cost in Delivery System Reform Lemeneh Tefera, MD Centers for Medicare and Medicaid Services
8:30 AM How quality changes affect surgeons Frank G. Opelka, MD American College of Surgeons
8:50 AM Transition from fee for service to fee for performance; challenges and opportunities Roger Ray, MD Carolinas Health
9:10 AM Discussion
9:40 AM Break
KEYNOTE: Maryland Experience
10:00 AM Clinical Quality and Outcomes from a Population Health Perspective Josh M. Sharfstein, MD John Hopkins
10:30 AM Questions
Imperative for Changes in quality: how can medical societies help? Moderators: Brian Dunkin, MD & William Richardson, MD (SSAT)
10:45 AM Payor Perspective Lemeneh Tefera, MD Centers for Medicare and Medicaid Services
11:05 AM Patient Perspective Diane Pinakiewicz Patient Safety Advocate
11:25 AM Hospital System perspective Pascal R. Fuchshuber, MD Kaiser Permanente
11:45 AM Discussion
12:00 PM LUNCH
15-May-15 Topic Speaker Organization
Society based initatives in Surgery and Endoscopy (Challenges and Opportunities) Moderators: Dimitrios Stefanidis, MD & Rebecca Minter, MD (AHPBA)
1:00 PM STS David Shahian, MD Society of Thoracic Surgeons
1:20 PM ACS Frank Opelka, MD American College of Surgeons
1:40 PM ASGE Jonathan Cohen, MD American Society for Gastrointestinal Endoscopy
2:00 PM ASMBS Stacy Brethauer, MD American Society for Metabolic & Bariatric Surgery
2:20 PM Discussion
3:00 PM Break
Quality Improvement is all about the quality of collected data Moderators: Benjamin K. Poulose, MD
3:30 PM An 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, MD Agency for Healthcare Research and Quality
3:50 PM Harnessing Data to Drive Quality Improvement Bimal Shah, MD & Carolyn C. Scott Premier, Inc.
4:10 PM Education as a driver of quality improvement Louis Diamond, MD Alliance for Continuing Education in the Health Professions
4:30 PM Discussion (45 min)
5:15 PM End of Day One Remarks Brian J. Dunkin, MD
6:30 PM Dinner at Capitol City Brewing Company
16-May-15 Topic Speaker Organization
Update on work being done by SAGES Moderator: Brian J. Dunkin, MD
8:00 AM Introduction Brian J. Dunkin, MD
8:15 AM Update on: Intersociety Complex GI Surgery Metric Matthew M. Hutter, MD
Surgical Quality Alliance Rocco Orlando III, MD
ACS PAC W. Scott Melvin, MD
Strategy Session
9:00 AM Summary from Quality 2015 session Anne Lidor, MD SAGES
Summary from Imperative for Change session Brian J. Dunkin, MD SAGES
Summary from Quality Initatives in Surgery/Endoscopy session Dimitrios Stefanidis, MD SAGES
Summary from Quality Improvement data session Benjamin Poulose, MD SAGES
12:00 PM Conclusion