Quality & Patient Safety Innovation Summit, May 22-24, 2013 Evaluation Form

Transcription

1 Quality & Patient Safety Innovation Summit, May -, 0 Evaluation Form Please print form, complete and return via to lisa@jamiebelkin.com or fax to Please tell us about yourself. Position: Health care executive/administrator Nurse manager/director/cno Medical director Nurse other Physician other Quality/safety professional Student/resident/fellow Other Industry representative Healthcare insurance representative Type of organization: Hospital/healthcare system University Healthcare technology company Health insurance company Other vendor Government agency Other:. How did you hear about the Quality & Patient Safety Innovation Summit? (check all that apply) Word of mouth Direct mail Cleveland Clinic employee Web Search/Website Cleveland Clinic website Linked-In Twitter Other:. What made you decide to attend the Quality & Patient Safety Innovation Summit? (check all that apply) Caliber of speakers Access to Cleveland Clinic staff Program topics Other networking opportunities Other:. Please take a moment to review each session: Wednesday, May Patient Safety as a Driver of Value Patients as Partners 8: am: The Imperative: The New Bottom Line is Value Delos Toby Cosgrove, MD 8: am: A Mother s Story Katie Lufkin; Shannon Phillips, MD, MPH 0: am: Teamwork and Culture: We Must Be in This Together Martin Makary, MD, MPH 0: am: Panel Discussion Michael Henderson, MD; Katie Lufkin; Martin Makary, MD. MPH; Shannon Phillips, MD, MPH; Robert Wachter, MD

2 :0 am: Engaged Employees Shannon Phillips. MD. MPH; Marilyn Dubree, MSN, RN, NE-BC; Jim Glynn; Kelly Hancock, MSN, RN; James Merlino, MD; Joe Patrnchak :0 pm: The Patient Safety Field in 0: A Decade of Successes, Failures, Surprises, and Epiphanies Robert Wachter, MD :0 pm: Panel Discussion Brian Harte, MD; Martin Makary, MD, MPH; Brian Parker, MD; Shannon Phillips, MD, MPH; Robert Wachter, MD :0 pm: National View of Safety s Role in Value: Partnership for Patients Dennis Wagner :0 pm: Panel Discussion Chuck Denham, MD; Michael Henderson, MD; Jacqueline Matthews, MS, RN; Robert Wachter, MD; Dennis Wagner :00 pm: Patient Safety Documentaries and Competency Training Chasing Zero / Surfing the Healthcare Tsunami / Healing Moments Choosing Wisely: Crucial Conversations Chuck Denham, MD; Michael Henderson, MD Thursday, May Drivers of Value in the Era of Healthcare Reform 8:00 am: Who s Driving Value? Michael McMillan; Kirsten Anderson, MD, MPH; Dena Bravata, MD, MS; Joseph Cacchione, MD; Peter Lee, MD

3 9:0 am: Impacting Real Value: The Next Generation of Scorecards Chuck Denham, MD 9:0 am: Panel Discussion Michael Henderson, MD; Chuck Denham, MD; Thomas Lee, Jr., MD; David Levin, MD; David Longworth, MD :00 am: Population Health in the Accountable Care Environment Thomas Lee, Jr. MD :00 am: Panel Discussion David Longworth, MD; Vedant Gupta, MD; Thomas Lee, Jr., MD; Andrea Sikon, MD; Brent Wallace, MD :0 pm: Care Models: Reducing Unnecessary Variability Brent Wallace, MD :0 pm: Panel Discussion Michael Modic, MD; Chuck Denham, MD; Joseph Iannotti, MD, PhD; Brent Wallace, MD :0 pm: Health IT: An Enabler of Value Peter Levin, MD :0 pm: Panel Discussion David Levin, MD; Joe Cunningham, MD; Peter DeVault; Peter Levin, MD; William Morris, MD; Divya Shroff, MD

4 Friday, May Changing the Face of Healthcare 8:0 am: Disruption in Healthcare in 0 Clayton Christensen 8: am : Confronting Overuse/Misuse/Underuse Carolyn Clancy, MD 9:0 am: Leading Change and Culture Ann Huston; Clayton Christensen; Carolyn Clancy, MD; Delos :Toby: Cosgrove, MD; David Longworth, MD; Lynn Simon, MD; Brent Wallace, MD 0:0 am: Concluding Town Hall Michael Henderson, MD; David Bronson, MD; George Muschler, MD; Shannon Phillips, MD, MPH. Comments about speakers: 6. Compared to other conferences you attend, how would you rate this Summit? Top 0% Top % Top 0% Bottom 0% Bottom % 7. What was the most valuable aspect of this Summit? 8. What was the least valuable aspect of this Summit? _ 9. Would you recommend this Summit to your colleagues? Yes No If so, would you please share contact information so that we may invite them to future Summits? Name Company Address or Phone 0. Suggested speakers and topics for the 0 Quality & Patient Safety Innovation Summit: _

5 _ COURSE EVALUATION () () () () () Facility conducive to learning of program Appropriate time for questions Length of meeting for content Overall course management Did the Summit meet your expectations: Yes No If not, what could have been done differently? How much of the Summit content was new to you? Almost All About 7% About 0% About % Almost none Comments: Thank you for taking time to complete this evaluation. Your comments will be reviewed and are appreciated. Please fax to or to lisa@jamiebelkin.com