Objective: At the conclusion of this session, the successful learner should provide an overview of the methods through which medical institutions and clinicians are transforming both acute and chronic care, creating a new medical culture of enhanced patient communication.

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Beverley Johnson, President & CEO, Institute for Family Centered Care

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Handouts 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9

Charles Darby, Agency for Healthcare Research and Quality, Patient Perception of Care Survey Instrument

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Laurie E. Scudder, NP, Liaison, American College of Nurse Practitioners, Partnership for Clear Health Communication

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Diana Artemis, MS PULSE America (Persons United Limiting Substandards and Errors), Founding Advisor; CAPS (Consumers Advancing Patient Safety), Volunteer; Patient & Family Advisory Council, NPSF

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Objective: At the conclusion of this panel presentation, participants will be knowledgeable of recommendations to improve “patient centered care”, and resources available to providers, hospitals, and patients to engage the patient in his/her care.
 

Objective: At the conclusion of this presentation, participants will be knowledgeable of the Institute for Healthcare Improvement’s “100,000 Lives” campaign which strives to make health care safer and more effective by helping to ensure that hospitals achieve best outcomes for all patients. Participants will learn how hospitals can implement changes in care that have been proven to prevent avoidable deaths.

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“Patient Safety Truth at the Sharp End - Transforming an Organization”
Stephanie M. Dougherty, RN, BSN, Patient Safety Officer/Risk Manager, Hunterdon Medical Center

Objective: Attendees will hear a brief update of the patient safety project at Hunterdon Medical Center, “OUR PROGRESS ON GROWING PATIENT SAFETY” and be able to:

• Understand how to identify misalignments in patient safety thinking at different levels of the organization
• Understand the Steps to Build Trust with the Critical Truth - an exercise in Leadership Courage
• Define steps to uncover hidden or latent blocks to communication, listening and responding to patient safety needs
• Use tools to stimulate truth telling during patient safety rounds
• Understand how to use the new patient safety language at every level- the language of High Reliability Organizations & Evidence Based Medicine
• Be able to articulate why fear and anxiety are obstacles to listening/responding and how to foster confidence in “vulnerability”
• Articulate steps to utilize the IOM Report “Keeping Patients Safe - Transforming the Work of Nurses”

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“The Human Factors Approach to Building a High Reliability Perinatal Unit”
Anne Irving, MA, FACHE, CPHQ, CPHRM, DFASHRM Patient Safety Officer, Kaiser Permanente

Objectives: Following this presentation, participants shall be able to:

• Describe practical human factors strategies targeted to
  improve Perinatal Unit team functioning, and thereby enhance maternal and neonatal safety;
• Identify the key characteristics of a High Reliability
  Organization and those thatare suitable for incorporating into a Perinatal Unit’s practices;
• Describe the selection process for outcome metrics, and how a safety attitudes survey offers a way to evaluate the success of the project in the early stages, before other clinical outcome data are available for review.

“Product and Technology Safety: An Unappreciated Risk?”
Matthew C. Scanlon, MD, Assistant Professor, Pediatric Critical Care, Medical College of Wisconsin, Patient Safety Officer, Children's Hospital of Wisconsin

Objectives: At the conclusion of this presentation, the successful learner will be able to:

• Raise awareness of issue of product and technology safety
• Explore reasons for risk associated with products and technology
• Offer potential strategies to identifying and reducing this risk

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TRACK II
Virginia-Based Best Practices

“Reduction of Patient Falls: Application of Safety Principles from High Risk Industries”
Shannon M. Sayles, RN, MA, Director, Sentara Safety Initiative, Sentara Healthcare
Suzanne Rita, RN, MS, Quality Improvement Coordinator, Sentara Healthcare

Objectives: At the conclusion of this presentation, participants will be able to:

• Describe strategies from high-risk industries that have proven to reduce safety events including Common Cause Analysis, Behavior Based Expectations, Level I & Level II Action Planning and Focus & Simplify strategies.
• Describe key success factors to achieve significant reduction of patient falls

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“Improved ICU Outcomes by Reducing Nosocomial Infections”
William A. Brock, MD, FCCM, FCCP, FACP, Medical Director for Critical Care Quality, Sentara Healthcare

Objectives: At the end of this lecture, participants should know how to:

• Create an effective quality improvement team;
• Set appropriate quality improvement goals;
• Develop appropriate metrics to monitor the path toward those goals;
• Implement a strategy to achieve those goals;
• Assure these changes become part of the fabric of their ICU’s

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“Enhancing Medication Safety for High Hazard Medications: FMEA of Intravenous Insulin Infusion”
Patricia Selig, PHD, FNP, CDE, Diabetes Case Manager, Nurse Practitioner, Virginia Commonwealth University Medical Center
L. Dale Harvey, MS, RN
Performance Improvement Coordinator, Virginia Commonwealth University Medical Center

Objective: At the conclusion of this presentation, the successful learner will be able to apply FMEA methodology to high hazard medication safety specific to the administration of intravenous insulin infusions.

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TRACK III
Patient and Physician Reports of Problems and Harms in Primary Care – Implications for Patient Safety and Quality
Anton J. Kuzel, MD, MHPE, Professor & Chair, Department of Family Medicine, Virginia Commonwealth University

Objective: At the conclusion of this session, the successful learner will be able to compare and contrast patient and physician reports of preventable problems and harms in primary health care and discuss implications for patient safety and quality initiatives.

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TRACK IV
“Remaking American Medicine:” Expanding the Model of the New Practitioner, Hospital, and Patient to Entire Communities
Frank Christopher, Producer, Crosskeys Media
Lee Allen, Project Director, Devillier Communications, Inc.

Objective: At the conclusion of this session, the successful learner will be able to:

• Understand how “Remaking American Medicine,” a four-part, prime time PBS television series will be the cornerstone of a nationwide campaign designed to change the public’s perception of the American health care system, and create and sustain national, regional and local coalitions to reenergize and expand the burgeoning quality movement;
• Describe the tools available to maximize the involvement of National Partners and to facilitate communication among members, their local chapters and constituents;
• Implement events that will focus on community efforts to improve the quality of health care, and persuade policy makers to support health care initiatives that encourage quality improvement.

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