THE QUALITY PLAYBOOKTM 
10 Crucial Steps for Building Quality & Safety Programs 
John Byrnes, MD, Clinical Associate Professor, MSU, College of Human Medicine 
Founder & Sr. Partner, Byrnes Healthcare Group
MY BEST KEPT SECRETS 
For Building Quality & Safety Programs 
That Work
PART-TIME 
PHYSICIAN LEADERS 
ORGANIZE YOUR 
ARMY 
CMO 
0.25 
#1
#2 
YOU DON’T NEED A DATA 
VENDOR!
Potentially Avoidable Costs 
Complicaitons 
Evidence Based 
Medicine 
Over 50 
Templates
MY TRUSTED ADVISOR 
And She’s From Finance !
YOU DON’T NEED A DATA 
VENDOR!
#3 
ALL “CS” ON BOARD 
A Source of Great STRENGTH for your program
CURMUDGEON MANAGEMENT 
Several Tips
FOCUS 
the 70/30 Rule 
#4
COST SAVINGS 
• high volume dx/procedures 
• high volume complications 
• variation - practice patterns 
• readmissions* 
• los
#5 
DEMONSTRATE THE ROI 
For each FTE, physician leader, or project
#6 
KITCHEN CABINET 
The Force Behind the Scenes
#7 
THE DANGER 
OF YEAR 3 
Holding the Gains
BOARD QUALITY COMMITTEE 
#8
#9 
STRATEGIC PLAN 
& 
CORE VALUES
CIRCA 2010
#9 
STRATEGIC PLAN 
& 
CORE VALUES
MAINTAIN A BALANCED 
APPROACH 
SAFETY - High-Reliability 
Save Lives 
Save $ 
Clinical QI 
Performance 
Improvement 
Satisfaction Pothole #1 
Pothole #2 
#10
One Last Thought About the 
World We Work In …
THE END
Improving Quality & Safety Together 
Resource Page: 
www.johnbyrnesmd.org/hrtcmos 
John Byrnes MD 
Trainer, Consultant & Keynote Speaker 
Founder, Sr. Partner 
Byrnes Healthcare Group 
Phone 616-240-9686 
john@johnbyrnesmd.org 
www.johnbyrnesmd.org
QUALITY BOOTCAMPTM 
SOARING TO NEW HEIGHTS 
Loaded with “How-To” Information for 
Building Effective Q&S Programs 
Next Session, April 2015 
Santa Fe, New Mexico
WWW.JOHNBYRNESMD.ORG 
Loaded with “How-To” Information for 
Building Effective Q&S Programs

The Quality Playbook