Schedule
Pre-Conference Sessions
Saturday's Pre-Conference Session is free to attend, but advance registration is required. Please visit registration for more information.
12:00 PM - 5:00 PM |
Diagnostic Researcher Workshop
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The Diagnostic Researcher Workshop is a half day workshop that will train members of the diagnosis research community about Patient Centered Outcomes Research (PCOR) and Comparative Effectiveness Research (CER) strategies. The session is free, but registration is required. Read More Presenters include experienced PCOR and CER researchers, a PCORI Program Officer and patient partners who participated in the Patients Improving Research in Diagnosis (PAIRED) project. Learning Objectives:
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Pre-Conference Sessions
8:00 AM - 12:00 PM |
Diagnosis Education - Best Practices and New Ideas
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This interactive pre-conference course will highlight best practices and emerging ideas in the field of Diagnosis Education. Read More Attendees will rotate through three stations, discussing theoretical underpinnings and rapidly implementable educational strategies. Topics will include accessible faculty development activities, emerging methods for learner assessment, and strategies for improving clinical reasoning teaching in existing educational conferences such as morning report. Learning Objectives
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8:00 AM - 12:00 PM |
The Science of Diagnostic Error - From Study Design to Publication
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The number of research studies addressing diagnostic error has increased. Studies are often interdisciplinary, and a large variety of research methods are being used. Read More This course will address the challenges and pitfalls of studying diagnostic error as well as the strengths and limitations of the most common research methods. Learning Objectives
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1:00 PM - 5:00 PM |
Patient Summit
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The Patient Summit theme focuses on disparities in diagnosis and is reducing cognitive bias and misdiagnosis through improved communication. Read More Dr. Danielle Ofri will examine the ways that refocusing conversations between doctors and their patients can lead to improved diagnoses. The Summit also will also highlight disparities and the role that age, race/ethnicity, gender, and other patient characteristics play in missed and delayed diagnosis, as well as cognitive blind spots that may be induced by unexpected or unexplained symptoms or conditions. Proactive solutions to prevent diagnostic error due to disparities and cognitive bias will be explored. Learning Objectives
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1:00 PM - 5:00 PM |
Introduction to Diagnostic Error
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This session is especially recommended for the first-time attendee. Read More Participants will gain an understanding of diagnostic error; the definition, how it impacts patients and health systems, how common factors combine to cause diagnostic error, and interventions for preventing error. Internationally recognized experts in the field will share their knowledge and answer questions. Learning Objectives
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1:00 PM - 5:00 PM |
A Workshop on Reducing Diagnostic Error in Clinical Settings
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The quality improvement activities of Healthcare systems are rarely directed at diagnostic error. Read More We are early in the development of effective interventions. In this workshop, we will share case studies of what works and in a highly interactive session, determine strategies for implementing diagnostic error quality improvement in your clinical setting now. Learning Objectives
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1:00 PM - 5:00 PM |
Introduction to Health Professions Education Research Moderator and Speaker:
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This novel pre-conference course will focus on both theoretical underpinnings and practical realities of conducting research in Health Professions Education. Read More Different types of research will be addressed, including basic approaches in cognitive psychology, development and validation of assessment tools, and comparative effectiveness studies. After an introduction, attendees will have the opportunity to engage with experts in the field to design their own educational research study. Learning Objectives:
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8:00 AM - 8:15 AM |
Opening Remarks
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8:15 AM - 9:15 AM |
Medical Error and the Human Condition
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Patient safety is a critical issue in medicine today. There is, rightly, a strong emphasis on systems approaches to improving medical care and decreasing error. Read More However, medicine is fundamentally a human endeavor. Without attention to the human aspects of the medical enterprise - emotions, cognitive abilities, biases, communication - crucial aspects of patient safety will remain beyond our grasp. Learning Objectives:
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9:15 AM - 10:15 AM |
The Modern Physical Examination - How Can we Make it Better?
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This presentation will focus on evidence-based and emerging methods for improving the clinician's ability to perform high-quality, accurate and patient-centered physical examinations. Read More The speaker will highlight common challenges and deficiencies in physical examination and present the results of studies focused on improving clinicians' examination skills. Learning Objectives:
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Concurrent Session |
Oral Abstracts 1 - Diagnostic Errors in Acute and Ambulatory Care
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Concurrent Session |
Improving the Effectiveness of Communication with Radiology - Interactive Workshop
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Miscommunication in healthcare is a key source of diagnostic error and patient harm, especially important in diagnostic radiology. Read More Problems can occur when there is a misunderstanding of what would be the best imaging choice for an individual patient. Diagnostic errors can also result when the clinical history given to radiologists is miscommunicated, or when the findings of imaging studies are miscommunicated, including the significance of "incidental" findings. In this workshop, co-sponsored by the American College of Radiology (ACR), we will explore examples of these miscommunications, and discuss potential strategies for improving communication between radiologists and other caregivers, including the ACR's "Imaging 3.0" initiative. Learning Objectives:
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Concurrent Session |
What Do Age, Sex and Race/Ethnicity Have to Do with Diagnostic Errors and Diagnostic Disparities?
Speakers and Patient Partners from the SIDM/Stanford Disparities Project:
Upon presenting for medical care, a patient's age, race/ethnicity and sex are generally visible to the provider. Read More To date, little research has focused on how these factors influence diagnosis. In this session, we will summarize new findings about diagnostic performance disparities from multiple sources (literature, malpractice claims data, patient interviews) and different perspectives. Facilitated discussion will follow to address questions such as, what is missing from the knowledge base? What other data sources and perspectives are needed? What solutions are needed to avoid pitfalls? Learning Objectives:
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Concurrent Session |
Diagnose the Diagnosis: Measuring Clinical Reasoning during the Diagnostic Process
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This workshop will allow participants to work through an innovative simulated case that offers a real life "open universe" environment. Read More Clinicians must create a differential diagnosis (Ddx), then collect and analyze data that increases or decreases the probability of the diseases that are listed in their Ddx. It is difficult to measure these clinical reasoning decisions; data collection and analysis is resource heavy. Decisions you make, such as assigning data to increase or decrease the probability of diseases will be measured with high fidelity. How and when you order tests and your interpretation of the results is also measured. You will provide your level of uncertainty/confidence in your final diagnosis at the end of the case. Your decisions will be compared to expert opinion and you will receive feedback (to simulate what a learner would experience). De-identified data of all participants will be shared with the group as a demonstration of the data collection process. A discussion will follow an analysis of the data. Sample data from a real cohort of medical students will also be presented and analyzed. Learning Objectives:
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11:45 AM - 12:45 PM |
SIDM Welcome Luncheon Sponsored by Isabel Host:
Learn what DEM Presenting Sponsor and industry leader Isabel is doing in the area of diagnostic quality and safety. Hear what Digital Reasoning is doing to improve the diagnostic process. Also, learn about plans for EuroDem2020 and next year’s Diagnostic Error in Medicine Conference, #SIDM2020, taking place in Minneapolis. |
12:45 PM - 1:45 PM |
Clinical Problem Solving in Action
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This entertaining and educational session will engage leaders in clinical reasoning to discuss a case in real-time, engaging each other and the audience in working to solve the case. Read More In addition to solving the case, the presenters will identify and highlight the methods used in solving cases as well as approaches that can be put rapidly into practice. Learning Objectives:
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Concurrent Session |
Oral Abstracts 2 - Improving Diagnosis Through Communication and Patients’ Experiences
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Concurrent Session |
Leveraging Clinical Reasoning Education to Foster System-Wide Improvements in Diagnostic Reliability
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Baystate Medical Center, now a regional campus of the University of Massachusetts Medical School, has developed a novel approach to teaching clinical reasoning. Read More This workshop will describe our institution's approach. As a result of the attention our educational programs garnered throughout the institution, institutional leaders became increasingly engaged in supporting additional interventions to improve diagnostic reliability in our institution including: funding for a clinical decision support system, research and performance improvement interventions to improve diagnostic outcomes, and development of a smartphone-based diagnostic error reporting App. Learning Objectives:
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Concurrent Session |
Team-Based Research: Engaging and Training Nurses and Patients to Co-Create Diagnostic Research
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Robust research teams should include the most marginalized groups in the diagnostic process: patients and nurses. Read More The National Academy of Medicine's report, Improving Diagnosis Healthcare, emphasized the need to better include patients and nurses as diagnostic team members. This session will review the efforts of the PARTNERED Project (Patients Aligned with Research Teams with Nurses and ER providers to Enhance Diagnosis), a PCORI-funded effort to train patients and nurses in partnering with diagnostic researchers to improve diagnosis. Two PARTNERED graduates will discuss the research questions or projects they developed. A research team including a diagnostic researcher, Patient Partner and Nursing Partner will discuss their experiences collaborating in a recent diagnostic research project. Learning Objectives:
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Concurrent Session |
Digital Diagnosis: Leveraging Health IT to Re-Envision the Diagnostic Process
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The IOM Quality Chasm Series began a quiet revolution in healthcare safety and quality. Read More The 2015 follow-up, Improving Diagnosis in Health Care, focused on diagnosis as key in patient safety. Advances in health IT offer the potential to reduce misdiagnosis, but many experts are concerned that they are not facilitating the diagnostic process and may even be contributing to diagnostic errors. This workshop will explore strategies to ensure that health IT in the diagnostic process exhibits usability, incorporates human factors knowledge, fits well within clinical workflow, and facilitates the timely flow of information. Case studies will be used to demonstrate the application of signal detection theory, user-centered design, and workflow analysis. Learning Objectives:
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Poster Sessions
Clinical Vignettes, Education, Practice Improvement, and Scientific
Posters submitted in the Clinical Vignette, Education, Practice Improvement, and Scientific categories will be available for viewing and participate in a judged competition. Participants may discuss cases and causes of diagnostic error directly with authors. Read More
Learning Objectives:
- Describe cutting-edge research; innovative practice improvement; and educational strategies for improving diagnosis in medicine.
- Learn about diagnostic errors and their potential causes in a series of case vignettes.
3:15 PM - 4:15 PM |
Poster Session 1
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4:15 PM - 5:15 PM |
Poster Session 2
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5:15 PM - 6:00 PM |
SIDM Annual Business Meeting
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6:00 PM - 7:30 PM |
SIDM Welcome and Networking Reception Sponsored by the American College of Radiology Remarks:
The SIDM Welcome and Networking Reception provides an opportunity for attendees to network and mingle with colleagues, make connections, and build lasting relationships with individuals committed to improving diagnostic quality and safety. |
8:00 AM - 8:15 AM |
Opening Remarks
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8:15 AM - 9:30 AM |
The Diagnostic Value Equation
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This session will present new research on the scope and scale of diagnostic error across settings and disease categories, and the opportunities it reveals for policymakers, health care executives, clinicians and patients to improve diagnostic safety and reduce costs, both human and financial. Read More We will define diagnostic value and illustrate the principle that healthcare innovations which succeed in improving diagnosis will almost invariably yield gains in quality of care and simultaneous reductions in total costs. Learning Objectives:
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9:30 AM - 10:30 AM |
Artificial Intelligence in Diagnosis: What's Coming, Who's Making Sure it Works, and is Safe?
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Artificial intelligence and machine learning have great potential in improving diagnostic accuracy. Read More Recent advances in technology and big data have created opportunities, but how does one decide when to use AI in diagnosis? How does one evaluate its diagnostic accuracy and limitations? In what areas can AI be applied now and in the future? This interactive workshop will review these and other complex issues. Learning Objectives:
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Concurrent Session |
Oral Abstracts 3 - Teaching Diagnostic Reasoning
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Concurrent Session |
Moving Past the Sandwich: How to Give Effective Peer-to-Peer Feedback on Diagnostic Outcomes
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Diagnostic feedback is an important intervention to improve clinical excellence and is a key component of diagnostic calibration. However, few providers routinely provide it to colleagues. Read More In the hospital environment, peer feedback is particularly challenging given the rapid turnover of physicians and lack of long-term follow-up. Clinicians may feel uncomfortable addressing diagnoses with their colleagues. In this workshop, we will discuss the role of diagnostic feedback on personal performance calibration as well as principles of effective peer-to-peer feedback. Through the use of real cases and iterative role-play, we will practice strategies for providing feedback to colleagues and will build a set of tools to improve our performance. Learning Objectives:
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Concurrent Session |
Structured Case Analysis to Identify Missed Opportunities in Diagnosis: Translating Research to Practice Improvement
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Clinicians and safety professionals need new tools and strategies to analyze cases for missed opportunities in diagnosis (MODs). Read More In this workshop, we will describe approaches and methods to guide clinicians and safety professionals on how to analyze cases to identify diagnostic errors (defined as missed opportunities to make a correct and timely diagnosis) and related process breakdowns. This step is necessary to create a learning healthcare system around diagnosis. Learning Objectives:
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Concurrent Session |
Federal Research Initiatives to Improve Diagnosis
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The Agency for Healthcare Research and Quality recently announced that reducing harms from diagnostic error by 10 percent is one of its three new strategic priorities. Read More In addition, Congress has asked the AHRQ to convene a Federal Interagency Task-Force to help align and augment other health care research-funding agencies efforts to improve diagnostic safety and quality. Come learn how the AHRQ and its fellow agencies are thinking about funding and programming priorities for diagnosis research and the dissemination of proven strategies to improve safety. Learning Objectives:
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12:00 PM - 1:00 PM |
SIDM Awards Luncheon Sponsored by Teladoc Health This year’s SIDM Awards Luncheon recognizes leaders who have had a significant impact in improving diagnosis and reducing harm to patients. During the luncheon, the SIDM Board of Directors will award the Mark L. Graber Diagnostic Quality Award. In addition, this year’s luncheon will recognize public policy leaders who are making a difference in diagnostic quality. |
1:10 PM - 2:10 PM |
Process Measures: Innovative Strategies to Improve Diagnosis
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Measuring diagnostic errors is a major challenge: our inability to track diagnostic performance is a critical barrier to reducing diagnostic errors. Read More Leaders from the Joint Commission, National Quality Forum, and National Committee for Quality Assurance will weigh in on: 1) What process measures are needed to hold health care systems accountable for putting protocols in place to reduce diagnostic error? and 2) What innovations are already in place? Learning Objectives:
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Concurrent Session |
Oral Abstracts 4 - Innovative Tools to Help Clinicians Improve Information Integration & Interpretation
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Concurrent Session |
Oral Abstracts 5 - Identification of and Contributions to Diagnostic Error
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Concurrent Session |
SIDM Fellows Session - Updates in Diagnostic Error
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This interactive, entertaining session will focus on important updates and controversies in diagnosis and diagnostic error from the last year, including education, theory, practice and patient engagement. Read More The audience will engage with presenters in discussing the highlights from the literature and asking the "big questions and ideas" in the field. Learning Objectives:
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Concurrent Session |
Teaching, Communicating, and Teaching How to Communicate About Diagnostic Uncertainty
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Diagnostic uncertainty is common in clinical practice and can lead to stress for clinicians and patients. Read More Yet there is no unifying model of best practices for teaching and communicating about diagnostic uncertainty. This workshop will 1) Identify the complex nature of diagnostic uncertainty, and discuss its impact on clinicians and patients, 2) Propose a 2 x 2 model of diagnostic accuracy and certainty that can be used in discussions with trainees, 3) Describe an approach for communicating diagnostic uncertainty with patients and modify it on the basis of participant feedback. Learning Objectives:
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Concurrent Session |
Closing the Communication Loop: Using Health IT and Patient Engagement to Prevent Diagnostic Errors
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This session will show how two different programs are prioritizing patients in the diagnostic process. Read More One is a national multi-stakeholder work group that developed safe practice recommendations to support technology solutions for closing the loop to mitigate misdiagnosis. The other is a statewide collaborative improving the timely communication of test results to patients and families and engaging them as partners in the care team. Learning Objectives:
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Concurrent Session |
Improving Diagnosis by Improving Competency-Based Education
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This session will review the need for competency-based diagnosis education and the progress realized to date. Read More First, we will review the patient safety competencies recently released by the AAMC. Then, results from SIDM's "Consensus Curriculum" project funded by the Macy Foundation will be presented. A large interprofessional group identified 12 key competencies that should be acquired during professional training, and these will be reviewed. Twenty different schools have implemented small pilot programs to integrate one or more of these competencies in their current training programs, and we will present highlights from these first set of trials. Learning Objectives:
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Concurrent Session |
Better Together: Complementary Approaches to Learning About Diagnostic Errors in Your Health System
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The landmark 2015 IOM/NAM Report, Improving Diagnosis in Health Care, recommended that "health care organizations monitor the diagnostic process and identify, learn from, and reduce diagnostic errors and near misses..." Read More In this workshop, participants will hear two approaches to setting up a learning system toward that end. One health system uses existing patient safety processes such as incident reporting systems, M&M conferences, and RCA as a source for identifying cases for learning. In the other, an international collaborative has instituted an identification and classification methodology across the medical records of entire patient populations. Learning Objectives:
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Concurrent Session |
Engagement of Pathology and Laboratory Medicine in Diagnostic Error Prevention
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Accurate test selection, test-result integration, and test-result communication are essential to achieving the goals of an accurate, communicated and timely diagnosis. Read More This workshop will engage in interactive discussions about how to achieve an active collaboration in test selection and interpretation among laboratory physicians and clinicians to improve the diagnostic process. A focused discussion with attendees will occur on how to best evaluate and implement diagnosis management teams, multidisciplinary diagnostic conferencing, and direct to patient reporting of significant and unexpected findings from Pathologists. Learning Objectives:
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6:15 p.m. |
Meet the Experts Dinner
Attend dinner with DEM Conference faculty members at a nearby restaurant. Reservations have been pre-arranged, but meal costs and transportation at the attendee’s own expense. Groups will meet in the lobby before leaving for their respective restaurants. Sign-up is available on a first-come, first-serve basis at Registration. |
8:00 AM - 8:15 AM |
Opening Remarks
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8:15 AM - 10:00 AM |
Best of the Best Oral Abstract Plenary
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10:00 AM - 10:45 AM |
Pedal to the Metal: Patients as Change Makers
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This session will feature real life examples from the field of patients, family members, and other who have partnered with clinicians, policy makers and other stakeholders to change healthcare policies to improve diagnostic safety and quality. Read More Learning Objectives:
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11:00 AM - 11:45 AM |
The New Rules of HIT: Will They Help Improve Diagnosis?
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This year the Center for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) proposed sweeping new rules to accelerate HIT interoperability, streamline clinical documentation requirements, require real world testing of EHRs and mandate patients' access to their personal health information - all changes called for in the 2015 NAM report, Improving Diagnosis in Health Care. Read More How -- and how much -- will these changes improve the diagnostic process for clinicians and patients? What more is needed? How long might it take? Learning Objectives:
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11:45 AM - 12:00 PM |
Poster and Abstract Awards
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12:00 PM - 12:15 PM |
Summary Remarks
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12:15 PM - 01:15 PM |
Diagnostic Quality Hill Day Training Advance registration required, lunch provided Speakers:
Diagnostic error is a leading cause of mortality/morbidity yet there is much to do to educate policymakers about the conditions and policy changes needed to address it. Read More These include more robust research funding, public awareness, optimized health IT systems, just culture for reporting, and appropriate structures and incentives for performance improvement in the diagnostic process, among others. This session will address the knowledge, attitudes, and skills needed to successfully educate public policymakers about opportunities and strategies to improve diagnosis. Lunch will be provided to attendees who will be visiting elected officials and staff later in the day. Learning Objectives:
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1:30 PM - 4:45 PM |
An Afternoon on Capitol Hill This event provides an opportunity for DEM2019 attendees to raise the visibility of diagnosis as a critical public health issue and influence the healthcare policy conversation in Washington. |