Driving Quality, Lowering Costs
Held 8-9 October 2014
Vancouver, British Columbia
See photos from this event
Do your clinicians know your financial analysts? They should.
In the Institute for Healthcare Improvement’s (IHI’s) Impacting Cost + Quality initiative, IHI worked intensely for over two years with 40 health care organizations to drive out waste, reduce operating expenses, and improve quality. IHI learned that there are several key drivers to successfully reducing operating expenses while maintaining or improving quality. These include: aligning efforts top-to-bottom and bottom-up, establishing working partnerships between clinical and financial teams, harvesting ideas from front-line staff, and viewing waste as an opportunity to improve systems.
In partnership with the BC Patient Safety Quality Council and the Health Quality Council of Saskatchewan, CFHI hosted IHI’s Driving Quality, Lowering Costs workshop seminar October 8-9 in Vancouver, British Columbia to help Canadian healthcare leaders get on the same track. This workshop was a synthesized, fast-paced version of IHI’s two-and-a-half year initiative, adapted by CFHI and IHI for the Canadian context in partnership with BC Patient and Safety Quality Council and the Health Quality Council of Saskatchewan.
With 77 people in attendance from five provinces and one territory across Canada, groups from different organizations learned how to lower their operating costs and improve care. The stellar international faculty shared their expertise on how to align organizational strategy to improve the value of care; how to identify waste and drive it out; how to create integrated clinical and financial models; how to integrate quality as a core business strategy; and how to achieve the Triple Aim results. Breakout and small group sessions allowed participants to share experiences, challenges and solutions, making this workshop a valuable networking opportunity for healthcare leaders.
- R. Sacha Bhatia, Director, Institute for Health System Solutions and Virtual Care, Women’s College Hospital
- Bonnie Brossart, CEO, Health Quality Council
- Doug Cochrane, Chair, BC Patient Safety & Quality Council
- Jill Duncan, Director, IHI
- Derek Feeley, Executive Vice President, IHI
- Peter Knox, Executive Vice President and Chief Learning and Innovation Officer, Bellin Health
- Crispin Kontz, Manager of Primary Care and Chronic Disease Management, Alberta Health Services
- Kyle Matthies, Vice President, Corporate Strategy and Communications, Five Hills Health Region
- Andrew Neuner, CEO, Health Quality Council of Alberta
- Michael Redenbach, Vice President of Integrated Health Services, Regina Qu’Appelle Health Region
- Stephen Samis, Vice-President of Programs, CFHI
- Lucy Savitz, Director of Research and Education, Intermountain Health Care
This two-day workshop was designed for clinical quality teams and finance leaders to improve their knowledge, skills, and strategies to implement measurable cost reductions while improving quality of care.
Through interactive sessions and small group coaching, the learning objectives of the workshop were as follows:
- Develop strategies to bring clinical and financial teams together to build efficient systems and establish lasting redesign for ongoing cost and quality improvement work.
- Develop a customized process to reduce cost and maintain or improve quality for the long term.
- Build a portfolio of cost reduction interventions.
- Design a tactical plan for how to get finance and quality teams working together.
- Create a set of portfolio metrics and a measurement system to capture savings.
By the end of the workshop, we aimed to equip participants with the tools and skills necessary to:
- Reduce operating expenses by 2–5% while improving quality in 12 months.
- Develop a framework for achieving strategic objectives in subsequent years that can be applied to improve quality while reducing expense.
Preparing for the workshop
Registered participants were encouraged to log into the participant resources to familiarize themselves with the tools that referenced at the workshop.
In addition, in preparation for a session hosted by Pete Knox and Crispin Kontz, we asked that participants:
- identify the top users in their system
- the top users and how teams or organizations are measuring these populations and
- bring data about the total population (the organization/department) is responsible for, with particular reference to what percent of healthcare costs are consumed by the highest 5 percent of users.