DAY ONE – Monday, September 14, 2009
1:00 – 1:15 pm
Conference Begins – Welcome
Ann Scott Blouin, PhD, RN
Executive Vice President, Division of Accreditation and Certification Operations
The Joint Commission
1:15 – 2:15 pm
Presidential Overview – The Joint Commission’s Role in Quality and Safety
Mark R. Chassin, MD, MPP, MPH
President, The Joint Commission
2:15 – 3:30 pm
Key Note Speaker
The End of the Beginning: Patient Safety a Decade After the IOM Report on Medical Mistakes
This presentation will chronicle the efforts to prevent medical mistakes and what is working and not working a decade after the IOM report. Dr. Wachter will provide an in-depth perception for leaders in quality and safety on regulation, information technology, teamwork training, workforce issues, and accountability.
Robert M. Wachter, MD
Professor and Associate Chairman of the Department of Medicine
University of California, San Francisco
3:30 – 3:45 pm
3:45 – 5:00 pm
Quality, Technology, and the Future of Health Care
This presentation will discuss the essential relationships between technology and quality in the context of five trends that are dramatically reshaping delivery of health care services and medical marketplaces around the world. Dr. Bauer, a respected medical economist and health futurist, provides a multi-faceted overview of technology and explores how each type of technology can be optimally used to produce desired levels of health care. The presentation also presents specific guidelines for ensuring quality efficiently and effectively, and it introduces policy prescriptions for successful reform of health care delivery systems consistent with national goals.
Jeffrey C. Bauer, PhD
Partner, Management Consulting – Future Practice
ACS Healthcare Solutions
5:00 – 7:00 pm
Reception and Exhibit Hall
DAY TWO – Tuesday, September 15, 2009
7:00 – 8:00 am
Continental Breakfast in Exhibit Hall
ALL DAY OPTIONAL TRACKS
8:00 – 4:30 pm
Opening Comments by Track Moderator
Roberta Fruth, PhD, RN, FAAN
Joint Commission Resources
B. Patient/Family Centered Care
Moderator: Francine Westergaard, MSN, RN
Consultant, Joint Commission International
Joint Commission Resources
C. Quality / Patient Safety
Moderator: Deborah M. Nadzam, PhD, RN
Practice Leader, Patient Safety Services
Joint Commission Resources
D. Process Improvement/Management
Moderator: Jeannell M. Mansur, R.Ph., Pharm.D., FASHP
Practice Leader, Medication Safety
Joint Commission Resources
1A. One Organization’s Journey in Development of a Strategic Leadership Accountability Approach to Achieve 10, 5 and 1 Year Quality and Safety Goals
This session will focus on key concepts of accountability and leadership as it relates to improving an organization’s key performance indicators. Specifically, faculty will discuss how to optimize all levels of leadership and frontline staff to positively impact overall quality goal achievement on key performance indicators. Faculty will highlight the process of overall value of an integrated, strategic plan that leverages accountability at all levels to provide system-wide results in a 4,000 employee hospital.
Beth Heinz, MHA, MSW, Executive – And
Timothy Lindquist, RN, Director, Performance Improvement and Best Care Best Experience
Regions Hospital/Health Partners
1B. Designing and Practicing Patient-Center Care Based Upon the Planetree Model
Learn about the challenges and opportunities that an eighty-year old organization encountered in implementing and applying the Planetree criteria in their current facility, while concurrently designing a new, state of the art facility. Hear about the various models we have implemented to empower staff to become active participants in driving patient-centered care.
Joanne Muzzey, RN, BS
Planetree Program Director
Elmhurst Memorial Healthcare
1C. Excellence in Hand Hygiene and Best Practices
The first session will provide an in-depth overview of how Virtua Health strides for excellence and continued excellence in hand hygiene. Learn how Virtua took part in the Six Sixma Project of Hand Washing, the details of the project, and the highlights of the application of six sigma tools to quality and safety challenges.
Jim Dwyer, DO, M BA
Executive Vice President for Physician Services
1D. Web 2.0 Tools to Accelerate Organizational Decision-Making, Approval and Adoption of Quality Improvement Initiatives
This presentation discusses the use of contemporary Web 2.0 technologies and social networking tools to enhance consensus-building in healthcare provider organizations for managing and improving the governance, transparency, and accountability of quality improvement initiatives. The topic will be explored through survey results from healthcare leaders, a case study of a large health system that has deployed tools and technologies to manage quality improvement initiatives, and discussion.
Timothy McNamara, MD, MPH
2A. Could it Happen to You? One Organization’s Commitment to Providing Safe Patient Care When Communications and Computer Systems are not Available
As health care organizations become more dependent on technology, organizations increasingly need to plan for unexpected computer/communication failures. The faculty will share their organizations experience with an unplanned communication downtime event. Included in the presentation will be the application of the FMEA process and the design of a model plan that establishes a roadmap outlining how the organization will continue to function and preserve the quality of patient care during technological failures.
Medical Administrator, Children’s Specialized Hospital, New Brunswick, New Jersey
2B. The Compassionate Care Initiative and Experience
How many people actually like being in a hospital? Hospitals tend to be impersonal, high-tech environments that induce, rather than relieve, anxiety for patients and families. Hear how this organization set out to change all that with its patient-and-family-centered focus and customer service orientation. Learn ways that this hospital focuses on compassionate care in ways large and small.
Patti Ludwig-Beymer, PhD, RN, CTN, NEA-BC
Chief Nursing Officer
2C. Medication Reconciliation Based on Innovative, Combined Inpatient and Ambulatory Paper Form in a Large Hospital Setting
High quality medication reconciliation can be performed across ambulatory and inpatient settings in a large hospital setting, using a paper form as the central tool. UMass Memorial Medical Center is a 771 bed 3 campus tertiary care academic, medical center. In 2005, they were recognized by the Betsy Lehman Center for Patient Safety and Medical Error Reduction for their inpatient, paper-based medication reconciliation form. This presentation provides and outline of the work leading up to this form, its process, and the multidisciplinary plans for further improvements.
Mitch Gitkind, MD
Clinical Associate Professor of Medicine
University of Massachusetts Medical School
Medical Director, UMass Memorial Weight Center
Physician Quality Officer
UMass Memorial Medical Center, Worcester, MA
2D. Enhancing Patient Safety and Quality Through Innovative Process Improvement
This interactive presentation will demonstrate the use of LEAN principles to improve the safety and quality of services delivered at the patient’s bedside. This project included a multitude of professional representatives and collaboration. The faculty will describe the details of a project requiring much planning to patient’s care bedside which previously had no supplies. Hear this turnaround success story to enhance ongoing practices of patient care.
Julie Benz, BS, PT, MSAS
Assistant Vice President, Ortho/Neuro/Rehab
Avera McKennan Hospital and University Health Center
3A. Using Social/Emotional Intelligence to Prevent Disruptive Behavior
A study done by the Institute for Safe Medication Practices found that 40 percent of clinicians have kept quiet or remained passive during patient care events rather than questions a known intimidator. This session will include a look at what research-based assessments and skill-building programs can do for an organization. Hear how this organization took a proactive approach to disruptive behavior and sought to create healthy personalities before a disruptive event could occur. Learn unique ideas about skill intervention systems designed to help identify and remediate the basic causes of stress in one’s life.
The Conover Company, Oshkosh, Wisconsin
3B. Putting the Patient First in Patient-Centered Care
In 2001, a comprehensive program was designed to improve relationships with acute care patients and residents of nursing homes, assisted living facilities, hospice settings and other healthcare encounters. The Living History Program is designed to get one page life stories of our customers in healthcare. The process of getting the story involves interviewing patients, residents or their families, parents, siblings, etc. This is a story of compassion and extreme loss to help attendees realize the importance of learning the story of other’s lives.
Sheila Brune, RN, BS, CPHQ, CPUR
Memorial Hospital, Carthage, Illinois
3C. BEACON the Bay Area Patient Safety Collaboration: Saving One Life at a Time
By utilizing the IHI model for improvement and the belief that if individuals from differing healthcare facilities collaborate, change will result in lives saved. Hear how this system brought together individuals from different healthcare facilities to facilitate the sharing of success stores and challenges in a non-threatening environment. Members have come to realize that sharing best practices and evidence based practice can have positive results.
Pat Teske, RN, MHA, Improvement Advisor
San Francisco, California
3D. How Hospitals are Using S3 Data in Their Quality and Patient Safety Efforts (Mercy Hospital, Iowa City, Iowa)
This presentation will inform leaders from hospitals of what S3 is and recent updates, as well as present case studies of how the S3 tool/information is actually being used in the field. Hear representatives from The Joint Commission provide data from S3 which has been live for over a year, complimented by representatives from Mercy Hospital, who will present how they are using S3 data and its framework in their organization, along with the results they have achieved
Accreditation Systems Data Specialist
Division of Accreditation/Certification Operations
The Joint Commission
Thomas R. Clancy, MA, MBA, PhD, RN
Vice President, Professional Services
Greg Clancy, RN, MSN
Program Coordinator for Strategic Improvement
12:15 -2:00 pm
4A. Optimizing Safety Coach Role in Establishing a Culture of Safety
Learn how this organization established a formal definition, role and parameters of safety coaches, how they empowered Microsystems to design their own process improvement to maintain divisional responsiveness and cultivate innovation, and how they demonstrate correlation between safety coach implementation and reduction in significant safety events.
Amy Bunger, PhD
Senior Director, Enterprise Learning
Judy Walsh, RN, MEd, Director, Regulatory and Safety Compliance, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
4B Improving Communication through Family and Patient Centered Care
Both communication and patient and family centered care are essential to safe, quality and satisfying health care. Patients and families are integral allies and partners with health care providers. Important and necessary communication typically occurs without patients and families, such as medical rounds, nurse change of shift report, and transitions in level of care. Welcoming patients and families when health care providers exchange information insures accuracy and understanding.
Terry Griffin, RNC, MS, NNP
Neonatal Nurse Practitioner
St Alexius Medical Center
Hoffman Estates, IL
4C. System-wide Implementation of The Joint Commission Pilot on Venous Thrombombolism Prevention
As emphasized by The Joint Commission, venous thromboembolism (VTE) is a significant cause of in-hospital morbidity and mortality. Extensive evidence indicates VTE prophylaxis and treatments are suboptimal. During 2008, Atlantic Health successfully implemented a multidisciplinary, multihospital effort to improve VTE care using NQF-endorses quality performance measures. Faculty will present lessons learned in the process including successes and remaining opportunities.
Valerie Allusson, MD
Director, Inpatient Medicine Services
Morristown Memorial Hospital, Atlantic Health
4D. From Now to WOW With Tracer Methodologym Taking a Process to Performance
This session will follow an organization’s development of a tracer tool, it’s demise and recovery. The plot is thick with internal battles, decisions by concensus, and barriers that slow the journey. Asking people to step out of their comfort zones and enter the maze of new ideas sustains confusion. Enthusiasm for the prize wears thin as the group struggles on their journey. Character roles fluctuate and the observers wonder if the heroes will triumph.
Marilyn Piek, RN, MSN, CCM, COHNS
Joint Commission Coordinator
Tri City Medical Center
5A. A Multidisciplinary Approach to Patient Safety: Using Morbidity and Mortality to Improve Systems and Processes
This presentation will discuss use of morbidity and mortality conferences to examine adverse events and to identify and remediate preventable errors. The historical origins and evolution of the M&M conference as an educational and quality improvement tool will be examined. The presenters will share their experiences in planning and implementing morbidity and mortality conferences in an academic medical center. Examples will be provided of factors found to enhance and deter quality improvement aims.
Raj Behal, MD, MPH
Associate Chief Medical Officer
Senior Patient Safety Officer
Rush University Medical Center
Omar Lateef, DO, Director, Critical Care Safety Program, Medical Director, , Medical Intensive Care Unit, Rush University Medical Center, Assistant Professor, Rush University College of Medicine
5B. Schwartz Center Rounds: Strengthening the Patient-Caregiver Relationship While Reducing Risks
The business of modern day medicine jeopardizes the practice of compassionate health care. Caregivers have less time with patients, limited opportunity for communication, and must focus on the “illness” rather than the whole person. Schwartz Center Rounds offered a forum for multidisciplinary caregivers to discuss social and emotional issues inherit in patient care.
Julie A. Rosen
The Kenneth B. Schwartz Center, Boston, Massachusetts
Beth Lown, MD, FAACH
Internist, Mount Auburn Hospital, Cambridge, MA and Asst. Professor of Medicine, Harvard Medical School
5C. Hand Hygiene and Active Surveillance of Methicillin Resistant Staph Aureus
This presentation will provide a review of the history of hand hygiene and discuss a corporate-wide program of compliance monitoring, reporting and feedback including education and marketing efforts. Attendees will understand the value of a comprehensive solution to insure overall success of a hospital’s hand hygiene campaign. Lessons learned around hand hygiene data collection methodologies will be shared.
Martha H. Musselman, BSN, CIC, CPHQ
Manager, Public Reporting, Infection Preventionist
Novant Health/Thomasville Medical
Sandy Cox, RN
Manager, Presbyterian Healthcare, Infection Prevention
5D. Spotlight on Success: Building a Hospital From the Ground Up – A Vision for More than Renovation
Learn how this COO was charged with preparing the facility and how she pulled together her “dream team” of leaders from around the country to design and implement the hospital’s systems and processes.
Mary Krueger, RN, MS
President and Chief Operating Officer
Saint Claire’s Hospital,
Conference Day Ends
4:00 – 6:00 pm
DAY THREE – Wednesday, September 16, 2009
Optional Breakfast Briefing
The Standards. Your Access. Your Way.
Joint Commission Resources Today it's all about access. That's why Joint Commission Resources is giving your more access solutions than ever. That includes the new E-dition online database and the powerful new Accreditation Manager Plus (AMP) electronic toolkit. Come find out more about the options for electronic access to the Joint Commission standards.
Sara L. Randall
Software Product Manager, Joint Commission Resources
8:00 – 8:15 am
Opening Comments/Recap of Previous Day Tracks by Moderator
Putting Patients First: Designing and Practicing Patient-Centered Care
Learn how hospitals around the world have embraced and implemented patient-centered care in a comprehensive manner. In a patient-centered approach to healthcare, providers partner with patients and their family members to identify and satisfy the full range of patient needs and preferences. In addition to improving the patient experience, patient-centered organizations also focus on supporting the professional and personal aspirations of their staff members, who can more effectively care for patients if they are cared for themselves.
Jeanette Michalak, MSN, APRN, BC
Vice President, Planetree
What Would a World-Class Patient Safety Management System Look Like?
Many high-risk industries have developed detailed safety management systems. Additionally, the American National Standards Institute published ANSI Z10 in 2005, which defined the minimal standards for an occupational health and safety management system. This presentation will pull together applicable information from these sources as well as fundamentals from high reliability organizations, risk management and resilience engineering to propose a world-class patient safety management system.
Bill Wightkin, Pharm.D., R.Ph
Manager of Pharmacy Clinical Operations
11 am - 1 pm
12:00 – 1:00 pm
Lunch and Learn with Special Guest Speaker
The Worker Safety/Patient Safety Nexus
Safety climate is a necessary component of both worker safety and patient safety systems. It includes the expectation that frontline worker input is valued and that identifying and correcting mistakes takes place best in a culture of committed leadership that fosters openness and learning, as well as follow-up and accountability. Examples of problems and solutions that impact patients and workers help to highlight this connection.
Rosemary K. Sokas, MD, MOH
Director, Office of Occupational Medicine
Occupational Safety and Health Administration
Disruptive Behavior: Management and Remediation of a Heterogeneous Population (Team Presentation)
This panel discussion will focus on disruptive behavior from a quality and safety perspective. Using an evidence-based foundation archetypal cases are developed. These cases are then employed to discuss: identification, documentation, intervention, referral, treatment, return-to-work, and monitoring of the disruptive individual and how it varies by disruptive type and etiology. Through this discussion, methods, processes, and management tools will be presented that can support a quality control approach to behavioral management in the healthcare workplace.
Michael V. Williams, Ph.D
Professional Renewal Center
Betsy White Williams, PhD, MPH
Assistant Professor, Psychiatry and Behavioral Sciences
Rush University Medical Center
Donald P. Wilcox, JD
Vice President and General Counsel
Texas Medical Association
Anthony D. Whittemore, MD
Chief Medical Officer
Brigham and Women’s Hospital
Professor of Surgery, Harvard Medical School
Robert Bondurant, RN, LCSW
Program Coordinator, Missouri Physician’s Health Program
Closing Inspirational Keynote
Spreading Contagious Enthusiasm™ – Creating an Environment Where Employees Want to Do Their Best
In order for an organization to be “first class,” it must have a great product or service, people who have the desire and skills to serve the customers well, and a culture that encourages and supports that spirit of service. The most important persons in creating that culture are the leaders. This session will whack leader’s thinking, give them a personal sense of mission of their importance as service leaders, and share many no cost or low cost ideas for how to create a service culture using the elements of a spirited workplace:
C = Creative Communication
A = Atmosphere and Appreciation for All
R = Respect and Reason for Being
E = Empathy and Enthusiasm
Come and explore ways that you can model servant leadership and, as a result, raise morale, enhance creativity, and raise productivity to new levels.
Barbara A. Glanz, CSP
Closing Comments by Moderator
*Agenda subject to change. Last updated on August 4, 2009.