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

• Identify the scope of health care disparities in the U.S.;
• State the importance of increasing minority representation in training programs for health professionals;
• Explain health information technology's value in addressing health disparities;
• Identify examples of local, state and national initiatives targeting health disparities.

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Objective: At the conclusion of this presentation, participants will be able to describe seven leadership leverage points for achieving reduction in mortality rates, or other major system-level quality aims.

“Simulation-Based Patient Safety Vignettes: An Occam’s Razor Approach to Patient Safety”
Chuck Biddle, CRNA, PHD, Professor and Clinical Anesthetist, Virginia Commonwealth University

Objective: As a result of this presentation, participants will be able to describe how patient safety vignettes may function as a low cost, effective safety tool.

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“The Alliance Against Surgical Site Infections”
Elizabeth F. Hurd, MSN, RN, Clinical Data Manager, Prince William Hospital
Candace J. Kemper, RN, BSN, MHCA, CNOR, Director, Inpatient Operating Room and Inpatient Central Processing Department, Prince William Hospital

Objective: As a result of this presentation, the learner will be able to:

• Describe the impact of surgical site infections on patient safety;
• Explain that teamwork and utilizing process owners enhances sustainable change;
• Define the methods for change used at Prince William Hospital.

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“Maximize Your Potential to Decrease Hospital Acquired Pressure Ulcers”
Kathleen E. Oden, RN, BSN, CWOCN, Sentara Norfolk General Hospital

Objective: At the conclusion of this presentation, participants will be able to summarize the successful strategies implemented to reduce the number of full thickness pressure ulcers.

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Objective: As a result of this presentation, participants will be able to:

• Identify AHRQ’s organizational focus and its role, as a Federal agency, in patient safety research;
• Explain key outcomes of AHRQ’s patient safety research activities to date, and how that research can be used to improve the safety and quality of clinical care;
• Specify important dynamics in translating research into practice, and AHRQ’s efforts to partner with providers, health system leaders, and policy makers in the area of patient safety.

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

• Translate the disclosure literature;
• Describe the Childrens of Minnesota’s experience;
• Describe the impact on culture a disclosure policy makes

TRACK I
Equitable Care for Virginians--What Will it Take?
Wally R. Smith, MD, Chair, Quality Health Care, Division of Quality Health Care, Virginia Commonwealth University

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

• Explain the breadth and depth of health disparities in the US and Virginia
• Identify the breadth of approaches necessary to eliminate racial and ethnic health disparities
• Demonstrate the level of penetration of teaching about health disparities in medical school and graduate medical education
• Advocate an increased awareness of a useful framework and some principles for teaching about health disparities in medical school and residency
• Demonstrate an increased awareness of available materials and curriculum elements for teaching about health disparities in medical school and residency

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TRACK II
Local Perspective on the Sorry Works Organization
Victim Compensation Without Litigation
Steve S. Kraman, MD, Professor of Pulmonary, Critical Care & Sleep Medicine, University of Kentucky, Kentucky Clinic

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

• Explain the risk management and patient safety practices of the Lexington, Kentucky Veterans Affairs Medical Center emphasizing its use of full-disclosure;
• Evaluate the financial consequences of a full-disclosure policy on the Lexington VA Medical Center and contrast with national VA and private sector malpractice experience;
• Review the adoption of full-disclosure practices within the healthcare community during the past six years;
• Outline State and Federal legislation encouraging the adoption of these practices as an alternative to other tort reform measures;
• Identify the activities of the Sorry Works Coalition as a focal point and advocate for full disclosure practices.

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TRACK III
Local Perspective on IHI 100K Lives Campaign (Rapid Response Teams/Medication Reconciliation)

“The Challenges of Effective Medication Reconciliation” (3:10 - 3:35 PM)
Cynthia Rawlinson, Corporate Director, Performance Improvement, Valley Health System/Winchester Medical Center

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

• Define the components of effective medication reconciliation;
• Identify successful medication reconciliation strategies;
• State lessons learned from one health system's experience;
• Describe possible metrics to measure success.

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“Got MRT? - Lessons Learned During Implementation of Medical Response Teams at Sentara HealthCare” (2:45 – 3:10 PM)
Sarah L. Darwin, RN, MSN, CCRN, Director of Patient Care Services, GICU, PVSU and eICU, Sentara Healthcare

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

• Describe strategies for successful implementation of Rapid Response Teams;
• Describe metrics used to monitor Rapid Response Team outcomes.

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