Held April 23 and 24, 2001, the National Summit on Patient Safety Data Collection and Use was sponsored by the Patient Safety Task Force. Select to access the Task Force's Fact Sheet.
8:15 a.m.: Summit Overview and Framework
John Eisenberg, M.D.—Director, Agency for Healthcare Research and Quality (AHRQ)
8:30 a.m.: Collaborating for Patient Safety Improvement
Tommy G. Thompson—Secretary, Department of Health and Human Services
8:50 a.m.: Current Status of Patient Safety
A risk manager of a large hospital and the Director of Clinical Quality for a large consortium of hospitals discuss their experiences with encouraging reporting of adverse events within their institutions. They describe the reporting burden encountered when events must be reported outside the institution to several different organizations.
Gregg Meyer, M.D., M.Sc., Moderator—Director, Center for Quality Improvement and Patient Safety, AHRQ
Geri Amori, Ph.D.—Risk Manager, Fletcher Allen Health Care
Paul F. Conlon, Pharm.D., J.D.—Vice President, Clinical Quality, Trinity Health
9:45 a.m.: Break
10:00 a.m.: Overview—Federal Patient Safety Data Proposal
The proposed safety network is an information system designed to accumulate, integrate, and exchange patient safety data and lessons learned among private and public stakeholders in support of local efforts to protect patients and promote healthcare safety.
Julie Gerberding, M.D.—Director, Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC)
10:45 a.m.: Reactor Panel
The Federal proposal offers a model for accomplishing the dual goals of enhanced data collection and use, and the reduction in reporting burden. It will be most effective if it is useful to States, health care professionals, and health care organizations involved in similar efforts to improve patient safety. Representatives offer perspectives on the Federal proposal.
Janet Woodcock, M.D., Moderator—Director, Center for Drug Evaluation and Research, Food and Drug Administration (FDA)
Marie Dotseth, M.H.A.—Assistant to the Commissioner, Minnesota Department of Health
Tim Flaherty, M.D.—American Medical Association
Arthur Levin—Director, Center for Medical Consumers
Jonathan Teich, M.D., Ph.D.—HEALTHvision, Inc., Clinical and Patient System
Gwendolyn Johnson, M.A., R.N.C.—American Nurses Association
12:15 p.m.: Lunch and Breakout Discussions
1:15 p.m.: Plenary Panel Presentation—Perspectives on Data Use for Improvement
A first step in improving patient safety is defining the problem. Panel members, representing a large health care delivery system, a state-based reporting system, health care practitioners, and patients, will describe how they currently use data from varying sources to improve patient safety. Panel members will set out the strengths and limitations of various adverse event data collection systems with regard to usefulness for improving patient safety.
Shirley E. Kellie, M.D., M.Sc., Moderator—Medical Officer, Health Care Financing Administration (HCFA)
N. Lee Rucker, M.S.P.H.—Senior Vice President, Policy and Public Affairs, National Council on Patient Information and Education
William E. Golden, M.D.—University of Arkansas Medical Sciences
Suzanne Graham, R.N., Ph.D.—Director, Patient Safety, California Division, Kaiser Permanente
Frederick Hiegel—Director, Bureau of Hospital and Primary Care Services, The New York Patient Occurrence Reporting and Tracking System (NYPORTS), New York Department of Health
2:45 p.m.: Breakout Discussions
3:40 p.m.: Break
4:00 p.m: Plenary Panel Presentation and Discussion—Perspectives on Confidentiality issues
Patient safety improvement systems are only effective if the reporting to the system is sufficiently robust. Many have suggested that a robust data collection requires protection for the data from unintended disclosure.
This session addresses the complex issues for the providers, facilities, and organizations that participate in the reporting system. The panel begins with an overview of laws, regulations, and practices followed by perspectives from State governments, hospitals, and the provider community. While protecting the identity of the individual patient who has been injured is a complex and important issue, it is not the subject of this discussion.
Steve Solomon, M.D., Moderator—Chief, Healthcare Outcomes Branch, Division of Healthcare Quality Promotion, National Center for Infectious Diseases, CDC
James G. Hodge, Jr., LL.M.—Adjunct Professor of Law and Project Director, NIH Genetics Project, Georgetown University Law Center
John Gosbee, M.D.—Director, Patient Safety Information Systems, National Center for Patient Safety, Veterans Health Administration
Trish Riley, M.S.—Executive Director, National Academy for State Health Policy
Kasey K. Thompson—Director, Center on Patient Safety, American Society for Health System Pharmacists
5:30 p.m.: Adjournment Day One
8:15 a.m.: Plenary Panel Presentation and Discussion—Perspectives on Minimizing Data Burden
Adverse event reporting requires resources of time and effort. A system of collecting and analyzing adverse events has the potential to decrease the burden if properly developed. Speakers will address the areas of concern in having the Federal government develop such a system, and they will provide insight into functioning systems that actually make life easier for reporters.
James B. Battles, Ph.D., Moderator—Senior Service Fellow/Patient Safety, Center for Quality Improvement and Patient Safety, AHRQ
Lee H. Hilborne, M.D., M.P.H—Director, Quality Management Services, University of California at Los Angles Medical Center
Richard M. Lewis, Ph.D.—Deputy Director, Office of Blood Research and Review, Center for Biologics Evaluation and Research, FDA
Paul Schyve, M.D.—Senior Vice President, Joint Commission on Accreditation of Healthcare Organizations
10:10 a.m.: Break
10:30 a.m.: Data Use Summit Synthesis
Steven F. Jencks, M.D., M.P.H.—Director, Quality Improvement Group, HCFA
11:30 a.m.: Summit Adjournment
Current as of April 2001
Internet Citation:
Final Agenda: National Summit on Patient Safety Data Collection and Use. Agency for Healthcare Quality and Research, Rockville, MD. http://www.ahrq.gov/qual/taskforce/psagenda.htm
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