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

• Discuss the role of quality in health care reform;
• Give the employer view of value-driven health care.

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

• Identify the Institute for Healthcare Improvements’ 5 Million Lives Campaign;
• Identify a framework for executing the campaign in their hospital;
• Discuss the roles and responsibilities for clinicians, managers and executives for a successful execution of the campaign.

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

• Appreciate the history of quality measurement and improvement;
• Outline key current challenges to quality improvement;
• Describe a governance structure to improve quality.

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PRESENTATION #2: “Implementation of Simple, Low-Cost Interventions to Reduce Nosocomial Infections in the Critical Care Setting)
(1:05 – 1:25 PM)
Michael Edmond, MD, MPH, MPA, Professor of Internal Medicine, Epidemiology and Community Health Hospital Epidemiologist and Medical Director of Performance Improvement, VCU Medical Center

Objective: At the conclusion of this presentation, the successful learner will be able to demonstrate the utility of low-cost interventions to reduce nosocomial infections in the critical care setting.

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PRESENTATION #3: “Implementation and Impact of an Electronic Medication Reconciliation Program in a Community Hospital”
(1:25 – 1:45 PM)
Katherine R. Rawls, RPH, MSA, Clinical Pharmacist, Sentara Obici Hospital

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PRESENTATION #4: “Achieving Serious Safety Event Reduction through a Culture of Safety and Behavior Accountability”
(1:45 – 2:05 PM)
Shannon M. Sayles, RN, MA, Director of Safety and Performance Excellence, Sentara Healthcare

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

• Describe components of an effective culture of safety that can achieve serious event rate reduction
• Describe the elements of a behavior accountability system
• Identify success factors and lessons learned in building and sustaining a culture of safety

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Objective: After completing this session, the attendee will be able to:

• Describe the aviation industry’s influence on health care’s increasing focus for more effective communication and teamwork;
• Relate two factors essential in driving more effective communication and teamwork.

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TRACK I
Root Cause Analysis vs. Shallow Cause Analysis: What’s the Difference?
Robert J. Latino, Executive Vice President, Reliability Center, Inc.

Objective: At the conclusion of this presentation, conference attendees will be able to:

• Contrast the technical differences between tools that are commonly referred to as “root cause analysis” ;
• Demonstrate, with a common case history, how the outcomes vary when these tools are applied.

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TRACK II
Quality Measurement and Reporting Landscape: Plate Tectonics
James J. Pfeffer, MBA, MPP, Director, Quality Programs for Clinical Affairs, Partners HealthCare

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

• Understand current and future pay for performance (P4P) and pay for reporting (P4R) quality measures for hospitals and integrated delivery systems;
• Describe recent changes in national pay for performance methodologies;
• Describe many sources of public information on hospital and health system quality measures.

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TRACK III
VCU Patient Safety Fellow Presentations

“Diversity Competence: Opportunities in Patient Safety to Benefit Underserved Patients”
Candace J. Kemper, RN, BSN, CNOR, MHCA, Director, Perioperative Services, Prince William Hospital

Objective: At the conclusion of this presentation, the learner will be able to enhance patient safety for underserved patients by:

• Knowing the criteria for diversity competence;
• Recognizing the importance of accurate communications;
• Recognizing the importance of patient identification within the difficult naming construct.

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“Improving Anticoagulant Safety at Virginia Commonwealth University Health System”

Susan A. Miller, MD, Adjunct Clinical Professor, Virginia Commonwealth University Health System

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

• Describe how an institution improved anticoagulation safety in their institution through the use of proven quality improvement techniques;
• Understand how to centralize and standardize anticoagulation management, monitoring, coordination, and research collaboration to ensure safe, effective, efficient, timely and patient centered clinical services.

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