ASA Quality Meeting: Creating and Measuring Quality in Anesthesiology™

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Course Description

Contact Judy Jacobson to be added to the waitlist:

Cancellations are not exchangeable. Openings are offered to the next individual on the waitlist.

Are you new to Anesthesia Quality Management and interested in learning more? Have you recently been 
appointed the Quality Management Officer at your practice? This conference will provide the tools you need
to create, implement and use a 
quality management  plan. Each session will include time for discussion.

Learning Objectives:

At the conclusion of this conference, participants should be able to:

  • Discuss the relationship between quality and value
  • Discuss regulatory mandates for quality
  • Identify how registries can help drive quality and care
  • Describe how to find, collect and report quality data
  • Create a quality management plan

View Agenda


Jeffrey L. Apfelbaum, M.D.
Professor and Chair of Anesthesia and Critical Care Medicine
University of Chicago Medical Center
Chicago, Illinois




John Allyn, M.D.
Chief, Anesthesiology and Pain Management 
Maine Medical Center
Portland, Maine

Peggy Duke, M.D.
Assistant Professor of Anesthesiology
Emory University School of Medicine
Director, Quality & Risk Management
Division, Cardiothoracic Anesthesiology
Department of Anesthesiology, Emory Hospitals
Atlanta, Georgia

Beverly K. Philip, MD
Vice President for Scientific Affairs
American Society of Anesthesiologists
Professor of Anaesthesia
Harvard Medical School
Founding Director, Day Surgery Unit
Brigham and Women's Hospital
Boston, Massachusetts

Richard P. Dutton, M.D., M.B.A.
Executive Director
Anesthesia Quality Institute
Park Ridge, Illinois

Stephen M. Rupp, M.D.
Medical Director Perioperative Services
Virginia Mason Medical Center
Seattle, Washington

Stanley Stead, M.D., M.B.A.
Chair, Section of Professional Practice
American Society of Anesthesiologists
Stead Health Group, Inc.
Encino, California

Avery Tung, M.D., F.C.C.M.
Quality Chief for Anesthesia
Department of Anesthesia and Critical Care
University of Chicago Medical Center
Chicago, Illinois


Resolutions of Conflicts of Interest

In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists has implemented mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.


Last Name First Name Disclosure
Abouleish Amr ECG Consultants, Consulting Fees
Allyn John Spectrum Medical Group, Ownership
Apfelbaum Jeffrey L. University of Chicago, Salary
Berry Arnold No financial relationship with commercial interest
Duke Peggy No financial relationship with commercial interest
Dutton Richard P. No financial relationship with commercial interest
Philip Beverly K. Merck, Funded Research, Consulting Fees, Cumberland, Funded Research
Rupp Stephen M. No financial relationship with commercial interest
Stead Stanley W. Stead Health Group, Inc., Salary
Tung Avery No financial relationship with commercial interest

John Allyn, M.D.
Reporting Your Data to the Group
Many anesthesiology groups or departments lack individual or group quality reports; a method for
providing these reports will be discussed.
1. Review methods of data capture
2. Discuss the resources needed to do this work
3. Discuss different reporting templates to effectively communicate this information to the group

Dealing With the Sub‐Par Provider
Dealing with a sub‐par provider is extremely difficult and thus at times avoided; even identifying
performance issues can be difficult. Strategies for addressing providers in need of improvement will be
1. Discuss means of assessing individual provider performance
2. Recognize the challenges in providing feedback on performance

Beverly Philip, M.D.
Regulatory Mandates for Quality: Physician and Facility
Anesthesiologists and their hospital and ambulatory surgery center (ASC) practices need to understand
the federal regulatory mandates for collecting and reporting quality measures.
1. Describe the goals of physician quality reporting and how to meet them.
2. List the quality measures required for hospitals and ASCs now and for the near future.
3. Identify the requirements for reporting quality in hospital and ASC practices.

Measuring Quality for Ambulatory Surgery
Ambulatory surgery is a large percentage of the care we give.  Quality data on ambulatory anesthesia and surgery practices have been collected by several organizations.
1. Describe the growth in ambulatory surgery reported by the American Hospital Association and the CDC National Survey of Ambulatory Surgery.
2. Describe the ASA’s National Anesthesia Clinical Outcomes Registry (NACOR) and the types of data being collected.
3. Describe the advantages and disadvantages of the Society for Ambulatory Anesthesia’s Clinical Outcomes Registry (SCOR).

Richard Dutton, M.D., M.B.A.
National Registries and External Benchmarks
Anesthesiologists and/or their practices should report quality data from their practice to a
qualified PQRS registry.
1. List the PQRS anesthesia measures.
2. Identify how individuals and practices can submit their data to NACOR.
3. Develop a strategy for reviewing benchmarking data from NACOR to improve quality in your practice.

Where to Find Your Data
1. Describe tactics for assembling quality management data.
2. List sources of existing data within hospitals and anesthesia practices.
3. Review the need for new data elements and what they might be.

Jeffrey Apfelbaum, M.D.
ASA Practice Parameters
The American Society of Anesthesiologists has over 20 evidence‐based Practice Parameters to provide
guidance to improve decision making and promote beneficial clinical outcomes in the practice of
1. Differentiate between a review article and practice parameter
2. Explain the methodology of developing an evidence based practice parameter

How Do You Individualize National Practice Parameters, Standards and Guidelines to Fit Your Practice
1. Differentiate between national practice parameters, standards and guidelines and those developed to fit their practice
2. Explain the process used to develop policies for patient care from standards and guidelines

Stephen Rupp, M.D.
Why Anesthesiologists Should Be Vigorously Engaged in the Quality and Safety Activities of the Parent
Organization—the VMMC Experience
Anesthesiologists should ensure that quality improvements are embedded in their work flow.
Anesthesiologists should synergize with their administrative counterparts to improve the quality of care
that is delivered.
1. Review how Virginia Mason is developing a culture where quality and safety is #1
2. Describe how lean production tools can embed quality care steps in the flow of the anesthesiologist
3. Discuss how defect analysis can lead to mistake‐proofed care
4. Demonstrate how anesthesiologists as problem‐solvers can become indispensable to their parent organizations
and support the specialty vision of enhanced perioperative, hospital and organizational leadership

Stanley Stead, M.D., M.B.A.
Making Quality Pay: How Do You Value Your Quality Program and Your Group to the Facility, Payers, and
the Patient
Anesthesiologists and/or their practices currently receive little payment for their quality programs.
1. Describe the different types of quality data relevant to anesthesia practice that may be used for
hospital reporting
2. Provide examples of types of data that can be reported to the hospital and their potential role in
improving care quality
3. Describe tools that can facilitate collecting and reporting of anesthesia quality data to the Hospital

Avery Tung, M.D.
Reporting Your Data to the Hospital

Root Cause Analysis of a Sentinel Event: Interactive Session
Strategies for Meeting Quality Mandates
Anesthesia Adverse Event Reporting: Lessons From the AIRS Database
Peggy Duke, M.D.
Performance Measurement: Quality Metrics, Pay For Performance and My Practice

Registration is open to ASA members only. Quality managers are welcome to attend if accompanied by a registered ASA member. Instructions for registering your quality professional are provided on the ASA member's meeting receipt.

Early-Bird Registration                                                            Regular Registration
On or before March 12, 2014                                                 After March 12, 2014

$525                                                                                             $625.00

ASA Quality Meeting
April 12-13, 2014
Grand Hyatt DFW
2337 So. International Pkwy.
Dallas, TX


Make your hotel reservations now to receive the $179/per night group rate. Select: Grand Hyatt DFW Reservations or call 1-972-973-1234.

Notice of cancellation of ASA Quality Meeting registration - and any request for refund of meeting registration fees - must be made in writing and received by March 12, 2014. All refund requests received after this date will be denied. A $25 administrative fee will be deducted from each request. Refund payments will not be processed until after the ASA Quality Meeting is over. Cancellation and refund requests should be e-mailed to Judy Jacobson, ASA, 520 N. Northwest Highway, Park Ridge, IL  60068. Cancellations over the phone will not be accepted.

Core Competencies:

Quality improvement

Target Audience:

Anesthesiologists in clinical practice.

CME Credit:

12.00 AMA PRA Category 1 Credit™

The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this live activity for a maximum of 12.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

12.00 Non-physician Credit

Non-physicians may receive a Certificate of Completion stating that this activity was designated for 12.00 AMA PRA Category 1 Credit(s)™.