2nd Annual International Patient Safety Symposium
"Partnerships in Safety: Engage, Empower, Improve"
Thursday, November 10, 2011
Join Henry Ford Hospital and Hotel-Dieu Grace Hospital for our second International Patient Safety Symposium at the beautiful Atheneum Suite Hotel in downtown Detroit's Greektown district. Participants will gain a broad understanding of practical solutions to quality improvement and safety in health care, including:
Implementing team-building strategies to promote culture change
Cultivating patient, family and employee engagement
Identifying effective strategies to promote team collaboration with patients and families
Focusing on multidisciplinary teamwork to reduce harm and improve outcomes
Speakers include leading physicians and multidisciplinary health care clinicians, from both Canada and the United States. The day's keynote address will be given by Maureen Bisognano, President & CEO of the Institute for Healthcare Improvement (IHI) and a prominent authority on improving health care systems. She regularly advises health care leaders around the world on quality improvement and is a tireless advocate for change.
At the conclusion of the meeting, health care professionals will have a better understanding of effective strategies that can be implemented to promote employee engagement in quality and safety improvement efforts to promote harm reduction and improve both patient and organizational outcomes.
Meeting Location: The meeting will be held at the Atheneum Suites Hotel located at 1000 Brush, Detroit, MI. If you have any questions, please feel free to call (313) 962-2323.
7:00 - 8:00 a.m. Sign-in; Breakfast, Poster Viewing
8:00 - 8:10 a.m. Welcome
John Popovich, MD, President & Chief Executive Officer, Henry Ford Hospital
8:15 - 9:00 a.m. Keynote Speaker
Maureen Bisognano, President & Chief Executive Officer, Institute for Health Improvement
9:00 - 9:15 a.m. Q & A
9:15 - 9:35 a.m. Partnership for Patients: Your Role in Patient Safety
Jack Jordan, Deputy Director Partnership for Patients, Center for Medicare and Medicaid Innovation
9:35 - 9:45 a.m. Q&A
9:45 - 10:00 a.m. Break; Poster Viewing
10:00 - 10:20 a.m. Quality Expo: 20 years of Engagement for Recognition, Learning and Spread of Quality and Safety Improvement
William A. Conway, MD, Senior VP and Chief Quality Officer-Henry Ford Health System, Chief Medical Officer, Henry Ford Hospital
Carrie Tuskey, MHSA, RN, Director of Clinical Performance Profiling-Henry Ford Health System
10:25 - 10:45 a.m. ORTV: An Innovative Approach to Employee Engagement and Learning
Stephen Bartol, MD, MBA, FRCSC, FACS, Orthopaedic Spine Surgeon and Chief of the Spine Division-Henry Ford Hospital, Medical Director of Surgical Services-Henry Ford Health Network
10:50 - 11:10 a.m. A Safety Champion Program: Engagement and Empowerment of Frontline Staff to Promote a Culture of Safety
Jeanette Tanafranca, MSN, RN-BC, Clinical Quality Facilitator-Henry Ford Health System
Have you heard? Employee empowerment is a global indicator of safety culture. Frontline staff knows where the next injury or accident is likely to occur and, with training and support, can act to prevent harm. This presentation will describe a multi-disciplinary Safety Champion Program at a large, complex health care system and provide practical tools and resources that can be used to improve safety cultures in any setting.
11:10 - 11:25 a.m. Panel discussion
11:25 - 11:40 a.m. Break: Poster Viewing
11:40 - 12:35 p.m. Break Out Session 1.
"Teamwork Approach to High Risk Problems: Airway Management & C. Difficile"
1. Safe Practices for Critical Airways: Challenges at a Teaching Institution
Manu Malhotra, MD, Director of Operations, Department of Emergency Medicine-HFHS
Jennifer Ritz, BSN, BAA, RN, Project Manager Surgical Quality Improvement-HFH
2. Multidisciplinary Partnerships to Reduce Clostridium Difficile Infection: A Success Story
Laura Johnson, MD, Hospital Epidemiologist, Infectious Diseases-Henry Ford Health System
Rachel Chambers, PharmD, Pharmacy Specialist, Antimicrobial Stewardship-Henry Ford Hospital
Break Out Session 2
"Safe Psychiatric Care: Tools & Approaches for Diverse Settings"
1. Perfect Depression Care
Terri Robertson, PhD, Program Manager, Depression Care, Center for Clinical Care Design-Henry Ford Health System
M. Justin Coffey, MD, Medical Director of the Electroconvulsive Therapy Service and Associate Director of the Center for Brain Stimulation Therapies, Department of Behavioral Health-Henry Ford Health System
Depression occurs in approximately 10% of patients presenting in Primary Care, but can be as high as 20-50% in those with chronic disease. Despite its high prevalence, depression often goes undetected and/or is sub-optimallly managed. Depression is associated with increased healthcare utilization and higher total health care costs, approximately two times that of patients without co morbid depression. Untreated depression results in poorer quality of life, work disability, and impaired ability for disease self-management. The financial impact of depression is significant, costing the US $44 billion annually in lost productivity. One of the unfortunate sequela of depression is risk for suicide. Given that 70% of patients committing suicide see their primary care physicians within 6 weeks of suicide suggests an opportunity for improving detection and intervention in Primary Care. Using evidenced-based approaches, the success rate for treatment of depression can be as high as 70-80%. This talk will share the experience of the Henry Ford Medical Group (HFMG) and Behavioral Health Services (BHS) partnership in developing, piloting and spreading an integrated, collaborative depression care model targeting chronic disease patients in Primary Care. Highlighting evidenced-based care quidelines and lessons learned along the way, this talk will share practical tools and strategies for improving the detection and management of clinical depression in a busy medical practice.
Upon completion of this activity, participants should be able to:
Recognize the value of including depression care into chronic disease care models
Better understand the DICE tool, a pre-implementation tool useful in gauging the potential success of your improvement project
Discuss the benefits of using standardized depression screening tools, such as the PHQ-2 and PHQ-9
Understand the key components of evidenced-based treatment for clinical depression
Develop several strategies for integrating depression screening and treatment into clinical practice
Enhance their knowledge of suicide prevention strategies.
2. Examining Safety within an Acute Mental Health Setting: Building on Lessons Learned
Sonja Grbevski, PhD, Director Mental Health, Hotel Dieu Grace Hospital
Robert Moroz, MSW, Manager Mental Health, Hotel Dieu Grace Hospital
The Mental Health Program at Hotel-Dieu Grace Hospital (HDGH) has undergone significant changes within the last 5 years both in the physical setting and care delivery model. This presentation will focus on safety risks for patients along the continuum of care starting in the Emergency Department and ending in the Mental Health Outpatient Services. Community needs required HDGH to relocate and redesign programs to align with the mandate of an acute care hospital. Throughout this transformation, the major challenge was to manage risk while responding to ever increasing demand for services.
Break Out Session 3
"Medication Safety: Acute Care & Academic Approaches to Culture Change"
1. Partnering to Suppport Safe Medication Practices with Nursing Students
Linda Patrick, PhD, RN, Dean, Faculty of Nursing-University of Windsor
Michelle Freeman, MScN, RN, Doctoral Student McMaster University, Lecturer, Faculty of Nursing, University of Windsor
Medication administration is a high risk process with many opportunities for error. The "five rights" of medication administration, taught to nursing students for generations, is no longer sufficient to ensure safe practice. From independent double checks to establishing a "just culture" for students who make medication errors, nursing schools and their faculties are challenged to adapt to these new expectations. The Faculty of Nursing at the University of Windsor has been involved in a three year journey to redesign policy, practice and integrate these changes across the curriculum through diverse strategies. A key component was a collaborative interdisciplinary Medication Safety Committee with local hospitals. The goal was to minimize risk of harm to patients from medication errors through both improving individual performance and advocating for improvements in systems where our students practice to reduce the opportunity for errors. This presentation will share why student nurses' medication administration practices are an essential component of you institution's medication safety plan and how academic partnerships can improve the safety of these practices.
2. Creating a Culture of Safety to Reduce Medication Harm
Megan Winegardner, PharmD, Medication Safety Coordinator, Department of Pharmacy Services-Henry Ford Hospital
The Institute of Medicine (IOM) has estimated at least 1.5 million preventable adverse drug events occur in the United States each year. In the landmark report to "Err is Human", the IOM established several recommendations to improve patient safety, including the encouragement of voluntary incident reporting and creating safety sustems in health care organizations. This presentation will describe methods to create a culture of safety by establishing a non-punitive enviroment, increasing voluntary incident reporting, analyzing internal adverse drug event data, and engaging frontline staff and management to reduce medication harm.
12:35 - 1:30 p.m. Lunch
1:30 - 1:50 p.m. I will make errors......you probably will too!!
Gord Vail, M.Sc., MD, Chief of Staff, Hotel-Dieu Grace Hospital
1:55 - 2:15 p.m. 6P's: A Fall Prevention Program
Colleen Dougan, RN, CNS, Henry Ford Hospital
2:20 - 2:40 p.m. Culture Change in the Department of Emergency Medicine: Improvement in Patient's Door to Provider Time
Suzanne Schlacht, RN, Department of Emergency Medicine, Henry Ford Hospital
Judy Ranger, RN, Department of Emergency Medicine, Henry Ford Hospital
Kelly Strawser, RN, Department of Emergency Medicine, Henry Ford Hospital
By applying Lean concepts and methods to the triage process, four emergency department staff nurses reduced the door to provider time by over 25 minutes. Success of the project was dependent upon leadership commitment, frontline staff engagement and viewing the process through the eyes of the patient. Six months after implementation 60% of the patients who present to the emergency department are seen by a medical provider within 30 minutes compared to 30% of patients one year ago. Improvements inpatient satisfaction are reflected in rising Press Ganey scores and frontline staff continue to be engaged in improvement of processes which impact patient satisfaction and safety.
2:45 - 3:00 p.m. Panel discussion
3:00 - 3:15 p.m. Break; Poster Viewing
3:15 - 3:40 p.m. Transplant Patient Centered Care: The Henry Ford Experience
Marwan Abouljoud, MD, FACS, Chair, Board of Governors, Benson Ford Chair, Transplant and Hepatobiliary Surgery Director, Henry Ford Transplant Institute
Pat Kosel-Rozanski,BSN, RN, Manager Transplant Unit, Henry Ford Hospital
Elizabeth Rubinstein, Transplant Living Community Volunteer Coordinator, Patient Ambassador
3:45 - 4:05 p.m. Meeting the Challenge of Patient Centered Care: Diabetes Education
Pam Milan, RD, MBA, CDE, Henry Ford Health System
Roberta Eis, RN, Henry Ford Health System
This presentation offers an overview of how the Henry Ford Medical Group Diabetes Self-Management Education (DSME) program transformed from an instructor-led, didactic model to an open and interactive approach that partners with patients using the Conversation Map(R) tool. "Early adopters" amongst the staff were pivotal in transcending perceptions and providing training and support to the other educators, who now act as group facilitators. As a result of implementing the revised educational style, patient engagement and program completion rates significantly increased. In addition, clinical metrics improved and a noted reduction occurred in health disparities within African American and Caucasian populations.
4:05 - 4:20 p.m. Panel discussion
4:25 - 4:50 p.m. An International Myocardial Infarction Network: The Detroit-Windsor Story
Roland Mikhail, MD, FRCP - Hotel Dieu Grace Hospital
Akshay Khandelwal, MD, FACC, FSCAI, Director, Outpatient Cardiovascular Services; Chair, Henry Ford Hospital STEMI Committee; Clinical Assistant Professor, Wayne State University; Senior Staff, Interventional Cardiology-Henry Ford Hospital
4:50 - 5:00 p.m. Closing Remarks
Gord Vail, M.Sc., MD, Chief of Staff, Hotel-Dieu Grace Hospital
Accreditation and Designation Statement: Henry Ford Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Henry Ford Health System designates this live course for a maximum of 6.5 AMA PRA Category I Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Faculty/Planning Committee Disclosure Statement: In Compliance with the ACCME Standards for Commercial Support, all individuals in a position to control/influence the content of this activity are required to disclose relevant financial interests of their own or spouse or partners with any commercial interests and/or non-FDA approved use of a drug or a device that is included in the presentation.
General Information: If you have any registration questions, please contact, Shelley L. Helton, CME Representative at (313) 916-8354 or email: email@example.com