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Automate Consent to Comply with a New IQR Quality Measure

Automate Consent to Comply with a New IQR Quality Measure

Automate Consent to Comply with a New IQR Quality Measure

Aaron S. Fink, MD and Timothy Kelly, MS, MBA
Aaron S. Fink, MD and Timothy Kelly, MS, MBA
on behalf of Healthcare Information and Management Systems Society

$30.00 $ 30.00 $ 30.00

$30.00 $ 30.00 $ 30.00

$ 30.00 $ 30.00 $ 30.00
$ 30.00 $ 30.00 $ 30.00
Normal Price: $30.00 $30.00

Review:

Launch date: 13 Jun 2018
Expiry Date:

Last updated: 23 Aug 2018

Reference: 189839

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Course Availability

This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

Description

CMS released the “Quality of Informed Consent Documents for Hospital-Performed, Elective Procedures” measure in late 2016. That measure is presently slated for inclusion in the Hospital Inpatient Quality Reporting (IQR) program. Measures in the Hospital IQR program are published on the Hospital Compare website and are reflected in a hospital’s “star ratings.” This measure presents several challenges to hospitals. It requires that consent forms spell out a detailed procedure description; the reason for the procedure; a listing of risks, benefits and alternatives; and a quantitative risk specific to the patient. In addition, the measure requires that consents for elective procedures be completed at least one day prior to the scheduled surgery. This session will present a roadmap to compliance by demonstrating the NSQIP surgical risk calculator developed by the American College of Surgeons and by examining the automated informed consent process employed at all VA Medical Centers.

Objectives

Describe the developmental history of the “Quality of Informed Consent Documents for Hospital-Performed, Elective Procedures” measure along with CMS’ rationale for adding the measure to the Hospital IQR Program
On completion of this course, the learner will be able to describe the developmental history of the “Quality of Informed Consent Documents for Hospital-Performed, Elective Procedures” measure along with CMS’ rationale for adding the measure to the Hospital IQR Program.
Explain the eight elements that comprise the measure as codified in the abstraction tool for the “Quality of Informed Consent Documents for Hospital-Performed, Elective Procedures” measure
On completion of this course, the learner will be able to explain the eight elements that comprise the measure as codified in the abstraction tool for the “Quality of Informed Consent Documents for Hospital-Performed, Elective Procedures” measure.
Demonstrate how the American College of Surgeons NSQIP Surgical Risk Calculator can be used to prepare quantitative, patient- and procedure-specific surgical risks in under one minute in support of the measure requirement
On completion of this course, the learner will be able to demonstrate how the American College of Surgeons NSQIP Surgical Risk Calculator can be used to prepare quantitative, patient- and procedure-specific surgical risks in under one minute in support of the measure requirement.
Evaluate the Electronic Support for Patient Decisions (ESPD) initiative – the automated informed consent process employed across all VA Medical Centers as a model for creating detailed, procedure-specific consents within an organization’s EHR
On completion of this course, the learner will be able to evaluate the Electronic Support for Patient Decisions (ESPD) initiative – the automated informed consent process employed across all VA Medical Centers as a model for creating detailed, procedure-specific consents within an organization’s EHR.
Design an electronic strategy for aligning the documentation of consent with the time of the consent discussion – in remote physician practices and in the clinic setting – in order to meet the strict timing requirement set forth in the “Quality of Informed Consent Documents” measure
On completion of this course, the learner will be able to design an electronic strategy for aligning the documentation of consent with the time of the consent discussion – in remote physician practices and in the clinic setting – in order to meet the strict timing requirement set forth in the “Quality of Informed Consent Documents” measure.
Aaron S. Fink, MD and Timothy Kelly, MS, MBA

Author Information Play Video Bio

Aaron S. Fink, MD and Timothy Kelly, MS, MBA
on behalf of Healthcare Information and Management Systems Society

Aaron Fink, MD is Professor Emeritus of Surgery, Emory University and Attending Surgeon, Atlanta VA Medical Center. Dr. Fink received a doctor of medicine from Johns Hopkins University and completed Clinical Fellowships at the University of Western Ontario and Middlesex Hospital, London. In 1989, he assumed Directorship of the Surgical Endoscopy program, University of Cincinnati and from 1993 to 2009 served as Chief of the Surgical Service, Atlanta VA Medical Center. Until 2011, he served as Chief Surgical Consultant, VA Southeast Network. A member of the National Executive Committee, Veterans Administration National Surgical Quality Improvement Program (NSQIP), Dr. Fink, devoted significant attention to studies involving assessment of surgical outcome. Those efforts included two grants to assess the role of the NSQIP in the private sector. Dr. Fink was instrumental in the Department of Veterans Affairs pilot of an automated informed consent tool as part of the VA's Electronic Support for Patient Decisions (ESPD) Initiative - the Atlanta VA Medical Center was one of five ESPD Initiative pilot facilities. Among his numerous research awards and grants, Dr. Fink received a $900,000 VA HSRD Merit Review Award for the study, “Benefits of repeat back within a computerized informed consent program.” He served as co-principal investigator of that seven-site, prospective, randomized, controlled trial of the technique of repeat back during informed consent - the largest study ever of that patient safety practice. A past Governor in the American College of Surgeons and past President of the Association of VA Surgeons, Dr. Fink has published over 120 research papers, review articles and book chapters. The results of his landmark research on informed consent have been published in the Journal of the American College of Surgeons and in Annals of Surgery.

Timothy Kelly is a Director at Taylor Healthcare and prior to that he served as Vice President of Dialog Medical. He holds master’s degrees in biomedical engineering from Drexel University and business administration from Mercer University. Tim has spent 25 years in the medical device medical software industries and two years as a Fellow with the Biomedical Engineering and Science Institute of Drexel University. His areas of interest include patient safety, engagement strategies and shared decision-making. An avid researcher, Tim helped orchestrate the largest-ever study of the practice of teach-back to confirm patient understanding during the informed consent process. Those efforts lead to a 575-patient, seven-site, prospective, randomized controlled trial. More recently, Tim was the first to automate the Medicare Outpatient Observation Notice (MOON) as an electronic acknowledgement instrument to be used for Medicare beneficiaries who are admitted for observation services as outpatients. Presently he is designing systems to ensure full compliance with the ‘Quality of Informed Consent Documents for Hospital-Performed, Elective Procedures’ measure. Tim is a member of HIMSS, ASHRM and ACRP. He is a frequent contributor to numerous publications, including: Hospitals & Health Networks, Becker’s Hospital Review, Healthcare IT News, Government Health IT and Medscape News. His instructional article on the Quality of Informed Consent Documents measure, which has been proposed for inclusion in the Hospital Inpatient Quality Reporting program, was among the most viewed on-line pieces Becker’s Hospital Review in 2017. Tim has presented at diverse national conferences, including HIMSS, ASHRM and ACRP. He has presented on the topic of informed consent and automation at two Texas HIMSS Chapters (Austin and Houston) in 2017. Tim holds two U.S. patents.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • Accreditation Council for Continuing Medical Education (ACCME)
  • 1.00 Credits
  • American Nurses Credentialing Center (ANCC)
  • 1.00 Hours

Faculty and Disclosures

Aaron Fink, MD

Aaron Fink, MD

Salary: Dr. Fink serves as the Chief Medical Officer for Taylor Healthcare in a part-time capacity.

No other real or apparent conflicts of interest to report.
Timothy Kelly, MS, MBA

Timothy Kelly, MS, MBA

Consulting Fees: Mr. Kelly's out-of-pocket travel expenses to attend HIMSS18 are being reimbursed by Taylor Healthcare.

No other real or apparent conflicts of interest to report.

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:

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