Target Audience

This activity is appropriate for physicians in all specialties.  Content may also be valuable to practice managers, consultants, or other professionals with an interest in trending issues related to U.S. health care.

Goals and Objectives

Traditional physician training provides a good background in the art and science of medicine but very little formal training is provided as to the business aspects of health care. Physicians are left to "learn on the job". The goal of this activity is to provide knowledge in the leadership and management aspects of healthcare so that physicians can acquire the skills necessary for effective leadership in the complex environment of the healthcare industry. Quality improvement is a strategic and business imperative in health care. Because physicians are present both at the "blunt" and "sharp" ends of health care there is a need to clearly understand the history as well as the current expectations pertaining to quality. Memorial Hermann Health System has a robust clinical integration model that allows clinicians to meet current expectations of quality and patient safety. Upon completion of this activity, learners should be better prepared to:

  1. Explain the history and scope of quality improvement in health care.
  2. Define and explain the Role of Robust Process Improvement in Quality and High Reliability
  3. Compare types of Quality Measures.
  4. Define CMS MACRA: MIPS & APM Payment Programs.
  5. Identify Physician Engagement in Quality Measures.
  6. Explain how quality and patient safety is embedded in Memorial Hermann Health System’s (MHHS) mission and strategic framework.
  7. Articulate the organizational matrix of high reliability and clinical integration at MHHS.
  8. Define the centralized Quality and Patient Safety functions, including Registry Reporting and Performance Improvement, at MHHS.
  9. Examine the physician leadership commitment in moving from patient safety as a priority to a culture of high reliability at MHHS.
  10. Share examples of successes and achievements at MHHS.
  11. Identify key elements of the MHHS structure of safety.
  12. Demonstrate cause mapping methodology.

Course Information

CME Release Date: April 22, 2019
Valid for credit through: April 22, 2020
Course type:  Video lecture

Credits Available 

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Southern Medical Association and Auburn University’s Raymond J. Harbert College of Business.  The Southern Medical Association is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

Southern Medical Association designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Healthcare Professionals

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit

To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • View the educational video of the lecture.
  • Study the educational references.
  • Online, choose the best answer to each test question. Learners must receive a passing score of 80%.
  • Complete the activity evaluation and outcomes.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from [email protected] within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Click the Disclosure Tab above for Faculty Information

Disclosure of Relevant Financial Relationships

As an organization accredited by the ACCME, Southern Medical Association requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest.

Southern Medical Association encourages Speakers/Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

Georgia L. Thomas, RN, MBA, HACP, FACHE, is Associate Vice President of the Memorial Hermann Health System Central/West Region and Accreditation where she has oversight for clinical quality, patient safety, infection prevention, accreditation, registry reporting, clinical quality review, quality data management, patient safety methodology training along with Joint Commission Accreditation across all Memorial Hermann hospitals. In this role, she works to advance Memorial Hermann’s commitment to patient safety and exceptional end to end care for patients. Prior to Memorial Hermann, Georgia began her nursing career in the Cardiovascular ICU in the Rio Grande Valley and soon moved to The Methodist Hospital in the Texas Medical Center.


The following individuals have stated that they have no relevant financial relationships occurring within the past 12 months to disclose.

Georgia L. Thomas, RN, MBA, HACP, FACHE

Dianne B. Love, PhD
Waldon Garriss, III, MD, MACP

Jennifer Price, MA

Course Materials


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