1. Pursuing High Value Healthcare Optimizing Laboratory Testing Year 2 Kick Off September 1oth, 2-3PM 1

2. Agenda Welcome Year 2 Program and Support Team Survey NORC Update Team Reports Next Steps 2

3. Our First Collaborative: Global Aim We aim to reduce harm to patients and conserve system resources by optimizing the use of laboratory tests for patients cared for in our region’s hospitals. We will use a collaborative approach considering the best medical evidence and quality improvement science. It begins with an evaluation of current test ordering profiles and patterns followed by an organized plan to optimize testing and ends with a plan to sustain these practices. By doing this we expect to reduce cost and improve satisfaction and quality of care for patients and the health system. It is important to work on this now because as health care professionals we can play an important role in health care reform by designing more patient-centered, efficient and high value inpatient care. 3

4. Data Team Update 1. Update on data received at NORC 2. Identifying COPD patients 3. Update on NORC process and plans for Year 2

5. How many records have we received (2014)?

6. Comparison to Hospital Discharge Data

7. Total # of COPD Cases in OLT NORC 2014 Data

8. Comparison to Hospital Discharge Data

9. Update of NORC Process

10. 5 examples of data issues 1. Additional exclusion criteria applied at the individual hospital level 2. Inconsistent variable naming and formatting, between and within institutions 3. Lack of unique identifiers 4. Inconsistency with dates (what does date of admission mean?) 5. Duplicate records

11. NORC Process: Looking ahead to Year 2 1. Move to more of an automated process 2. Focus on creating one database – not individual institution files 3. Focus on data quality (good is good enough!) How can you help? Continue to submit monthly data reports!!! Thank You

12. Team Progress Reports RRMC Brattleboro NVRH Bennington Porter DHMC CVMC UVMMC  Progress over the summer  Teams next steps 4

13. 13 Learning Session 1 Oct. 15 8:30 to 3:30 Learning Session 1 Oct. 15 8:30 to 3:30 Learning Session 4 Jun. 9 TBD 8:30 to 3:30 Learning Session 4 Jun. 9 TBD 8:30 to 3:30 Learning Session 2 Jan.14, TBD 8:30 to 3:30 Learning Session 2 Jan.14, TBD 8:30 to 3:30 Kick-Off Week 1 Sept 10, 2PM Kick-Off Week 1 Sept 10, 2PM Learning Session 3 Apr. 14 TBD 8:30 to 3:30 Learning Session 3 Apr. 14 TBD 8:30 to 3:30 Action Period 5-6 weeks Action Period 5-6 weeks Conference Call / Webinar Nov 19, 2PM Conference Call / Webinar Dec 17, 2PM Conference Call/ Webinar Feb. 18, 2PM Conference Call / Webinar Mar 24, 2PM Conference Call / Webinar May 12, 2PM Continuous Coaching/Faculty Support Collaborative Timeline

14. Next Steps Action Period  Continue to review and submit data  Test change ideas  Measure results  Adjust as needed  Test again or try new change idea  Respond to Program Survey  Determine Year 2 additional Focus Support  Faculty and Data Team are here to support you! Face to Face Session- October 15, 8:30 to 3PM Location TBD 10