American Society of Hematology

Policy and Practice Events

Grassroots Network Lunch

Thanks to ASH’s advocacy efforts and the ASH Grassroots Network, issues important to the future of hematology have been brought to the attention of the U.S. Congress and federal agencies. The ASH Grassroots Network Lunch provides a forum for interested members to learn how they can participate in ASH’s advocacy efforts, communicate with Congress and the White House, become effective advocates for hematology, and discuss the Society’s legislative and regulatory priorities, including funding for the National Institutes of Health (NIH). An overview of the Society’s 2017 advocacy accomplishments and a preview of the Society’s 2018 advocacy agenda will also be provided.

Please note that this session will mainly focus on ASH’s advocacy efforts related to NIH funding and research; those interested in the Society’s practice-related advocacy efforts are encouraged to attend the ASH Practice Partnership Lunch on Sunday, December 10.

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Special Symposium on Quality

Effective Implementation of Evidence-Based Pathways and Clinical Guidelines

Adhering to evidence-based clinical guidelines is recognized by both medical practitioners and administrators as a key pathway to improving quality of care, whether in complex, distributed health care systems or in community-based practices. Yet despite the demonstrated advantages that guidelines provide in the context of care delivery, implementing recommendations is fraught with potential pitfalls. Culture, cost, and complexity are chief among a variety of barriers to successful implementation of evidence-based pathways and clinical guidelines. Notwithstanding these challenges, real-world examples have established that implementation is achievable across a variety of clinical settings. These issues are especially important in hematology, as both malignant and non-malignant hematologic disorders are uncommon and complex.

This session will explore issues related to the implementation of evidence-based pathways and clinical guidelines, examine research supporting effective strategies for developing implementation methodologies, and review practical examples of successful implementation of pathways or guidelines in large-scale clinical settings. The session will include practical takeaways for immediate use by practitioners and administrators alike.

Co-Chairs:

Colleen Morton, MD
Vanderbilt University Medical Center
Nashville, TN

William A. Wood, MD
The University of North Carolina at Chapel Hill
Chapel Hill, NC

Speakers:

Craig Robbins, MD, MPH
Kaiser Permanente Care Management Institute
Oakland, CA
Health Care Quality: Overcoming Barriers to Evidence-Based Care

Anna Gagliardi
University of Toronto
Toronto, ON, Canada
Implementation Science Research for Effective Guideline Implementation

Derek Raghavan, MD, PhD
Levine Cancer Institute
Charlotte, NC
Implementation Is Not Impractical: Examples of Successful, Large-Scale Guideline Implementations

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ASH Practice Partnership (APP) Lunch

Physician Stress and Burnout

The ASH Practice Partnership is the Society’s network of practice-based hematologists with interests in practice-related policies, quality of care, new health care delivery systems, and practice management issues. The ASH Practice Partnership Lunch is a special session designed for this community.

A December 2015 study from the Mayo Clinic reported that physician burnout is on the rise; across all medical specialties, the physician burnout rate rose from 45 percent in 2011 to 54 percent in 2014. In 2015, ASH Clinical News reported in "Beating Burnout: When Clinicians Are Overworked, Overtired, and Overwhelmed" that the most common complaints among today’s practicing hematologists are delayed, inadequate, and reduced reimbursement, high staff turnover, poor recruitment and retention, and understaffing – all causes of burnout. Reports indicate that the advent of electronic health records and federal reporting mandates have added to physician burnout and that the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has the potential to create additional burden, especially for small practices lacking in administrative resources. Speakers will address the problem of physician burnout and focus on sustainability, proposing coping methods and potential solutions.

Chair:

Joseph Alvarnas, MD
City of Hope
Duarte, CA

Speakers:

Linda J. Burns, MD
National Marrow Donor Program/Be the Match
Minneapolis, MN

Beth Lown, MD
Harvard Medical School, Mount Auburn Hospital
Boston, MA

Tait Shanafelt, MD
Mayo Clinic
Rochester, MN

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