2009 Conference Track C: Health Care Quality and Safety Slide presentation from the AHRQ 2009 conference. Note: Slide presentations can be accessed using a Free PowerPoint® Viewer (Plugin Software Help).Experience in Improving Health Care Decision-Making With Health IT: Impacts on Quality and Safety (Session 7)Clinical Decision Support at Partners Healthcare (PowerPoint® File, 3.8 MB; Web Version)Blackford Middleton, Partners HealthcareDevelopment and Use of Ambulatory Adverse Event Trigger Tools (PowerPoint® File, 809 KB; Web Version)Amy K. Rosen, Boston UniversityExperience in Improving Healthcare Decision-making with Health IT: Integrating Theory, Research, and Practice (PowerPoint® File, 535 KB; Web Version)Matthew Samore, University of UtahGLIDES Project: GuideLines Into DEcision Support (PowerPoint® File, 15.9 MB; Web Version)Richard Shiffman, Yale School of MedicineReducing Hospital-Associated Infections (HAIs) (Session 9)Reducing Healthcare-Associated Infections (PowerPoint® File, 5.6 MB; Web Version)Don Wright, Office of Public Health and Science, U.S. Department of Health and Human ServicesL. Clifford McDonald, Centers for Disease Control and PreventionBarry M. Straube, Centers for Medicare & Medicaid ServicesWilliam Munier, Agency for Healthcare Research and QualityResearch Informing Policy Informing Research: Continuous Quality Improvement and the AHRQ QI (Session 139)AHRQ PSIs and IQIs in National Pay for Reporting (PowerPoint® File, 355 KB; Web Version)Shaheen Halim, Centers for Medicare & Medicaid ServicesResearch Informing Policy Informing Research: Continuous Quality Improvement and the AHRQ QI (PowerPoint® File, 1.2 MB; Web Version)Kathryn M. McDonald, Center for Health Policy/Center for Primary Care and Outcomes ResearchUsing AHRQ Patient Safety Indicators to Improve Quality: The Stanford Hospital Experience (PowerPoint® File, 3.6 MB; Web Version)John Morton, Stanford UniversityIowa Healthcare Collaborative—Past, Present, and Future Use of AHRQ Quality Indicators (PowerPoint® File, 760 KB; Web Version)Lance L. Roberts, Iowa Healthcare CollaborativeTrends and Disparities in Measuring Health Care Efficiency (Session 3)NHQR Efficiency Measurement: Potentially Avoidable Hospitalization Trends & Costs (PowerPoint® File, 1.8 MB; Web Version)Roxanne Andrews, Agency for Healthcare Research and QualityHospital Readmissions: in search of potentially avoidable costs (PowerPoint® File, 797 KB; Web Version)Bernard Friedman, Agency for Healthcare Research and QualityUsing Stochastic Frontier Analysis to Measure Hospital Inefficiency (PowerPoint® File, 1 MB; Web Version)Ryan Mutter, Agency for Healthcare Research and QualityMichael Rosko, Widener UniversityAdvancing Safety and Quality: Supporting Patient Safety Organizations in Reducing Risks to Patients (Session 5)Advancing Safety and Quality: Supporting Patient Safety Organizations and Reducing Risks to Patients (PowerPoint® File, 1 MB; Web Version)Diane D. Cousins, Agency for Healthcare Research and QualityAmy Helwig, Agency for Healthcare Research and QualityWilliam Munier, Agency for Healthcare Research and QualityA Simulation Demonstration: Keeping Today's Patients Safe While Training Tomorrow's Clinicians (Session 135)Kerm Henriksen, Agency for Healthcare Research and QualityElizabeth A. Hunt, Johns Hopkins MedicineJoseph Lopreiato, Uniformed Services University of the Health SciencesVinay Nadkarni, The Children's Hospital of PhiladelphiaMary D. Patterson, Cincinnati Children's HospitalFirst Do No Harm: Ensuring the Safe and Effective Use of Health IT: A Panel Discussion (Session 109)Best HIT Manufacturing Practices: Is Regulation Necessary? (PowerPoint® File, 288 KB; Web Version)Robert Elson, Clinical Systems Design, LLCHealth IT and Patient Safety: ONC Context (PowerPoint® File, 729 KB; Web Version)David R. Hunt, Office of the National Coordinator for Health Information TechnologyFirst Do No Harm: Ensuring the Safe and Effective Use of Health IT AHRQ HIT Conference (PowerPoint® File, 1 MB; Web Version)Ross Koppel, University of PennsylvaniaFirst Do No Harm: Ensuring the Safe and Effective Use of Health IT (PowerPoint® File, 462 KB; Web Version)Carla Smith, Healthcare Information and Management Systems SocietyRisk-Informed Interventions: Improving Quality and Reducing Harm (Session 10)Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (PowerPoint® File, 8 MB; Web Version)Michael R. Cohen, Institute for Safe Medication PracticesJudy L. Smetzer, Institute for Safe Medication PracticesRisk Reduction in Healthcare (PowerPoint® File, 1.5 MB; Web Version)Brion Hurley, Healthcare System SolutionsDeveloping Research Careers Focused on Improving Health Care Quality (Session 52)The Testing Process In Primary Care: Safety And Quality Implications For Improving Health Care (PowerPoint® File, 856 KB; Web Version)Nancy C. Elder, University of CincinnatiDeveloping a Career in Patient Safety & Quality Improvement in Ambulatory Care (PowerPoint® File, 185 KB; Web Version)Amanda G. Kennedy, General Internal MedicineGrace M. Kuo, University of California, San DiegoA Window Into the U.S. Health Care System: Measuring Quality and Implementing Change in Emergency Departments (Session 87)Michael Handrigan, U.S. Department of Health and Human ServicesDevelopment of Emergency Department Quality Indicators (QI) (PowerPoint® File, 1.4 MB; Web Version)Kathryn M. McDonald, Center for Health Policy/Center for Primary Care and Outcomes ResearchMeasuring Quality and Implementing Change in Emergency Departments: The Urgent Matters Learning Network (UMLN) II (PowerPoint® File, 805 KB; Web Version)Megan McHugh, Health Research and Educational TrustExploratory Analysis of Observation Stay (PowerPoint® File, 1.2 MB; Web Version)Pamela Owens, Agency for Healthcare Research and QualityCarol Stocks, Agency for Healthcare Research and QualityCreating Health Information That Americans Can Understand (Session 129)Creating Health Information That Americans Can Understand (PowerPoint® File, 720 KB; Web Version)Cindy Brach, Agency for Healthcare Research and QualityCreating Audience-Centered Print Materials (PowerPoint® File, 1.4 MB; Web Version)Kristin Carman, American Institutes for ResearchPam Dardess, American Institutes for ResearchSandy Robinson, American Institutes for ResearchImproving Health Literacy Online: Lessons Learned from Iterative Design (PowerPoint® File, 5.6 MB; Web Version)Sandra W. Hilfiker, U.S. Department of Health and Human ServicesHow to Get Insightful and Useful Audience Input for User Friendly Tools (PowerPoint® File, 768 KB; Web Version)Maritza E. Matheus, Matheus Marketing, LLCInnovative Efforts for Linking Transparency, Patient Safety, and Quality of Care (Session 1)Linking Transparency, Patient Safety, and Quality of Care (PowerPoint® File, 5.2 MB; Web Version)Richard C. Boothman, University of Michigan Health SystemThomas H. Gallagher, University of WashingtonTimothy McDonald, University of Illinois Medical CenterEric J. Thomas, University of Texas Medical School at HoustonUsing Collaboratives to Reduce Central Line-Associated Bloodstream Infections (CLABSI): A National Implementation Program (Session 21)Using Collaboratives to Reduce Central Line-Associated Bloodstream Infections (CLABSI): A National Implementation Program (PowerPoint® File, 2.3 MB; Web Version)John R. Combes, Center for Healthcare GovernancePeter Pronovost, Johns Hopkins UniversityOverview of STOP-BSI Program (PowerPoint® File, 1.4 MB; Web Version)Peter Pronovost, Johns Hopkins UniversityRisk-Informed Evaluation of Patient Safety Training Activities (Session 90)Patient Safety Training Evaluations: Reflections on Level 4 and more... (PowerPoint® File, 346 KB; Web Version)Eduardo Salas, University of Central FloridaRisk Informed Evaluation of Patient Safety Training (PowerPoint® File, 1.3 MB; Web Version)Anthony D. Slonim, Carilion ClinicOverview of AHRQ Resources to Improve Patient Safety (Session 19)Overview of AHRQ Resources to Improve Patient Safety (PowerPoint® File, 3.6 MB; Web Version)Jeff Brady, Agency for Healthcare Research and QualityJames B. Battles, Kerm Henriksen, Farah Englert, Agency for Healthcare Research and QualityErin E. Hartman, University of California, San FranciscoGuide Available for Deep Vein Thrombosis (PowerPoint® File, 1 MB; Web Version)Greg Maynard, University of California, San DiegoMeasuring Improvement in Hospital Teamwork (Session 14)Measuring Improvement in Hospital Teamwork: Diffusion of Team STEPPS in Critical Access Hospitals (PowerPoint® File, 2.7 MB; Web Version)Mark Goodridge, Clarinda Regional Health CenterKatherine J. Jones, University of Nebraska Medical CenterWendi Nordhausen, Chase County Community HospitalHealth Literacy in Action: Design, Development, and Measurement (Session 57)Health Literacy in Action: Design, Development, and Measurement (PowerPoint® File, 867 KB; Web Version)Cindy Brach, Agency for Healthcare Research and QualityDeveloping a Health Literacy Universal Precautions Toolkit (PowerPoint® File, 2.9 MB; Web Version)Darren DeWalt, The University of North Carolina at Chapel HillThe CAHPS® Health Literacy Item Set (PowerPoint® File, 2.2 MB; Web Version)Beverly A. Weidmer, RAND CorporationA Universal Medication Schedule To Promote Patient Understanding And Use (PowerPoint® File, 1.9 MB; Web Version)Michael S. Wolf, Northwestern UniversityTerry Davis, Louisiana State University Health Sciences Center-ShreveportRuth Parker, Emory UniversityWill Shrank, Harvard Medical SchoolReducing Hospital-Acquired Venous Thromboembolisms: Interventions That Work (Session 11)Reducing Hospital-Acquired Venous Thromboembolisms (VTE): Interventions That Work (PowerPoint® File, 2.6 MB; Web Version)Denise Faulkner-Cameron, IPROMarcia R. Kruse, Fort Madison Community HospitalAHRQ/QIO Venous Thromboembolism (VTE) Prevention in the Hospital (PowerPoint® File, 720 KB; Web Version)Greg Maynard, University of California, San DiegoAdvancing Safety and Quality: Supporting Patient Safety Organizations in Reducing Risks to Patients (Session 6)Advancing Safety and Quality: Supporting Patient Safety Organizations and Reducing Risks to Patients (PowerPoint® File, 1 MB; Web Version)Diane D. Cousins, Agency for Healthcare Research and QualityAmy Helwig, Agency for Healthcare Research and QualityWilliam Munier, Agency for Healthcare Research and QualityA Comprehensive Unit-Based Safety Program (CUSP) as an Intervention Strategy (Session 103)Keystone Surgery: Improving Perioperative Care in Michigan (PowerPoint® File, 4.1 MB; Web Version)Chris George, MHA Keystone CenterThe Pharmacist's Role in Quality: Is the Profession Ready? (Session 122)The Pharmacist's Role in Quality: A PQA Demonstration Project (PowerPoint® File, 1.3 MB; Web Version)Mark Conklin, Highmark Blue Cross Blue ShieldMedication Management Measures: NQF and Beyond (PowerPoint® File, 1.4 MB; Web Version)Harold A. Pincus, Columbia University/New York State Psychiatric InstituteEvaluation of Phase I Demonstrations of the Pharmacy Quality Alliance (PowerPoint® File, 676 KB; Web Version)Laura T. Pizzi, Jefferson School of Population HealthJoan Sokolovsky, MedPACCollaboration Between Researchers and State Policymakers: A Model for Health Care Improvement (Session 131)Collaboration Between Researchers and State Policymakers: Models for Achieving Evidence-Informed Policy (PowerPoint® File, 509 KB; Web Version)Andrew F. Coburn, University of Southern MaineAssessing and Addressing Antipsychotic Utilization Among Medicaid Youth: A Researcher-State Policymaker Collaboration (PowerPoint® File, 456 KB; Web Version)Stephen Crystal, Rutgers UniversityCollaboration Between Researchers and State Policymakers (PowerPoint® File, 1.2 MB; Web Version)Robert St. Peter, Kansas Health InstituteAntipsychotic Medication Use in Children and Adolescents: A Resource Guide and Workbook (PowerPoint® File, 409 KB; Web Version)Jeffery N. Thompson, Health Resources and Services AdministrationReturn to Conference ContentsProceed to Track D: Improving Americans' Health Status Current as of December 2009 Internet Citation: 2009 Conference Track C: Health Care Quality and Safety. December 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2009/track-c.html