Creating a Business Case for Quality Improvement Research: Expert Views: Workshop Summary (2008)

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Appendix A Workshop Agenda Creating a Business Case for Quality Improvement and Quality Improvement Research Monday, October 15, 2007 Doubletree Hotel Crystal City, VA 8:30 am–5:30 pm 8:30 am Welcome and Overview of Workshop, Including Objectives and Goals Thomas Boat, Forum Co-Chair Paul O’Neill, Forum Co-Chair Scott Hamlin, Planning Committee Leader 9:00 am Session 1: The Business Case for Quality and Quality Improvement Research Herb Fritch, HealthSpring James Bagian, Department of Veterans Affairs Steve Spear, Massachusetts Institute of Technology and Institute for Healthcare Improvement Gary Kaplan, Virginia Mason Marita Titler, University of Iowa Moderator: Paul O’Neill, Forum Co-Chair      • Issues to Be Addressed: o  there a business case in today’s health care Is environment that is responsive and relevant to the leadership of health care and related research enterprises (including providers, payers, patients, government officials, academia, and employers)? o  so, what are the economic/financial benefits Is of pursuing quality improvements and related 49 

50 CREATING A BUSINESS CASE FOR QIR research in the field? Illustrate how quality improvement and quality improvement research can impact greater production use of plant and human assets, lead to product differentia- tion and branding, generate revenue enhance- ments, improve cost structure, and impact other core operational goals to create competitive advantages. o  hat are the characteristics of an ideal enterprise W culture and effective governance orientation that promote and accelerate improvement in quality and quality improvement research? o  hat are the business disciplines and support W structures that are essential for leadership to fully exploit the economic/financial benefits of quality improvement and quality improvement research? o  order to drive organizational improvement In from validated, well-researched data, how do you effectively measure and evaluate progress against quality improvement targets and quantify returns on investments made? What are the essential com- ponents of such a system? o  re there models in other industries such as avia- A tion and nuclear power wherein the drive for quality has transformed product outcomes and customer/public safety? How do we learn from them? 11:30 am Working Lunch 12:30 pm Session 2: The Role of Policy Makers Carolyn Clancy, Agency for Healthcare Research and Quality Barnett S. Kramer, National Institutes of Health Moderator: Denise Cardo, Centers for Disease Control and Prevention      • Issues to Be Addressed: o  hat are the fundamental public policy features W and objectives that will lead to a transformational improvement in the quality and economic viability of our health care system? 

APPENDIX A 51 o  hat role does transparency of outcomes and cost W data play in driving quality improvement? How can quality improvement research better support these efforts? What public policy features might help to unleash its potential? o  hat public policy features are essential to help W finance, promote, and reward relevant research into quality improvement sciences? 1:50 pm Break 2:00 pm Session 3: Research as a Driving Force for Quality Improvement and Broad Implementation Jeffrey Alexander, University of Michigan Patrick Romano, University of California, Davis Joel Kupersmith, Department of Veterans Affairs Moderator: Lori Melichar, The Robert Wood Johnson Foundation      • Issues to Be Addressed: o  re there effective research-oriented models in A practice aimed at the translation of outcomes from improvement research to effective operational practices? o  hat are the relevant direct research capabilities W and infrastructure support required to build and sustain this research, and what are the current and future extramural funding sources that will share the investment costs with institutions? o  hat measurements are relevant to evaluate the W return on this investment and future sustainability of quality improvement research? o  an a priority agenda for quality improvement C research be identified nationally to stimulate and validate such research efforts? 3:20 pm Breakout Groups      •  roup 1 Topic Discussion—Developing the value G proposition statement      •  roup 2 Topic Discussion—Effective intraorganiza- G tional spread of quality improvement gains      •  roup 3 Topic Discussion—Effective industrywide G spread of quality improvement gains 

52 CREATING A BUSINESS CASE FOR QIR 4:20 pm Reports Back to Group 4:45 pm Wrap-Up Session: Creating and Communicating a Value Proposition Moderator: Thomas Boat, Forum Co-Chair      • Issues to Be Addressed: o  ho generates the value proposition statement W and who is the targeted audience? o What are the targeted venues of communication? o Other “next steps” to move forward? 5:30 pm Adjourn