Thursday, May 21, 2009, Greater Richmond Convention Center
On Thursday, May 21, 2009, Virginians Improving Patient Care and Safety (VIPC&S) in partnership with the Virginia Business Coalition on Health (VBCH) will host its 9th Annual Conference --- “Partnering for Quality” --- in Richmond, Virginia at the Greater Richmond Convention Center. This year’s conference will also feature the 5th annual “Excellence in Patient Safety Award.” Please contact Lara Knowles by phone at 804-643-6631 or by email at lknowles@ramdocs.org with questions! 

AGENDA

7:00 AM—8:00 AM  Registration & Exhibits
--Breakfast Foods in the Exhibitor Hall
8:00 — 8:10 AM

Call to Order --- Welcome 
Welcome JOSEPH J. HILBERT
Executive Advisor to the Commissioner
Virginia Department of Health 
President, VIPC&S
Richmond, Virginia

ROBERT  L. CRAMER
Manager Human Resources Services Planning 
Norfolk Southern Corporation
Chair, Virginia Business Coalition on Health Board of Directors

8:10-8:20 AM

 

Plenary Session: Healthcare in the Commonwealth
KAREN REMLEY, MD, MBA, FAAP 
State Health Commissioner
Virginia Department of Health

Objective: At the conclusion of this presentation, attendees will be able to identify health care priorities for Virginia

8:20 - 9:05 AM

Plenary Session: National Priorities Partnership Update 
PETER V. LEE, JD
Executive Director, National Health Policy
Pacific Business Group on Health
San Francisco, California

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

  • Identify the major goals established by the National Priorities Partnership
  • Identify how goals relate to both quality and affordability
  • Describe how the attainment of the goals will require actions in a range of areas, including measurement, quality improvement, public reporting, payment
  • List the benefits of collaborative planning and action

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9:05 - 9:50 AM

Plenary Session: Patient Safety and the Just Culture
DAVID MARX, JD
Chief Executive Officer
Outcome Engineering
Plano, Texas

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

  • Identify the three manageable behaviors: human error, at-risk behavior, reckless behavior; 
  • Describe how organizations human resources and risk management practices can be enhanced to create a just culture
  • Explain the impact of societal structures that create workplace injustice, and consequently, less than optimal care.

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9:50 - 10:00 AM Q&A
10:00 - 10:30 AM Break in Exhibitor’s Hall
10:30 - 11:00 AM

Plenary Session: Excellence in Patient Safety Award Presentations  

10:30 – 10:45 AM
“Decreasing Unintended Overuse of Acetaminophen in the Ambulatory Setting”

CAROL FORSTER, MD
Director, Pharmacy and Therapeutics, Formulary Management
Physician Regional Manager, Patient Safety
Mid-Atlantic Permanente Medical Group

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

  • Discuss the incidence of accidental acetaminophen overuse in the general population
  • Raise awareness regarding the risks of using acetaminophen in higher than recommended doses
  • Review the clinical recommendations regarding safe acetaminophen use in prescription and over-the-counter medications
  • Discuss the methods whereby a health plan may encourage reduction of high-dose acetaminophen and overuse in their members
  • Highlight the various patient safety attributes of using an electronic medical record in managing medication safety issues in ambulatory patients

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10:45 – 11:00 AM
“Sepsis – Improving Outcomes through Failure Mode Effects Analysis (FMEA)”

ELIZABETH F. HURD, RN, MSN, CPHQ
Director Quality Outcomes Management 
Bon Secours Health System - Hampton Roads

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

  • Describe the use of FMEA to improve Sepsis outcomes
  • Explain the spread of FMEA analysis
  • Identify the importance of early Sepsis recognition

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11:00 – 11:45 AM

Plenary Session: All I Can Say Is “I’m Sorry!”
W. SCOTT JOHNSON 
Director
Hancock, Daniel, Johnson & Nagle, PC 
Richmond, Virginia

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

  • Identify the status of HJR101 work done by the Joint Commission on Health on early disclosure;
  • List the steps being taken by hospitals and health systems to implement disclosure policies;
  • Review House Bill 2057 – Expansion of Virginia’s I’m Sorry Statute.

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11:45 AM – 12:00 PM Wellness in the Workplace Awards
VIRGINIA BUSINESS COALITION ON HEALTH 
12:00 – 1:00 PM Lunch (Pre-function Area) and Exhibits in Exhibitors Hall
1:00 – 1:30 PM

 

 

VCU Patient Safety Fellow Presentations
 

1:00 – 1:15 PM 
Improving Handoff Communication in the Acute Care Hospital 

ORLA BRANDOS, RN, MBA, MSN, CPHQ
Director of Performance Improvement & 
Risk Management, Patient Safety Officer
Morton Hospital and Medical Center
Taunton, Massachusetts

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

  • Describe how one community hospital assessed their culture of patient safety related to handoff communication
  • Identify best practices for improving handoff communication
  • Explain the methodology used for implementing SBAR 

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1:15 – 1:30 PM
Safe Use of Vancomycin in the Children’s Hospital of Alabama: The SUV Program

ERICA L. LIEBELT, MD, FACMT
Professor of Pediatrics & Emergency Medicine
Director, Medical Toxicology Services
UAB School of Medicine
Birmingham, Alabama

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

  • List the potential dangers of antibiotic overutilization (eg multidrug resistant organisms).
  • Identify the benefits of standardizing the indications, administration, and monitoring of vancomycin.
  • Delineate evidence-based and consensus-based guidelines for the indications of vancomycin in the pediatric population.
  • Describe the potential public health impact on the safe utilization of vancomycin.

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1:30 – 2:15 PM

Plenary Session: Safe and Reliable Care as a Competitive Strategy
MICHAEL LEONARD, MD 
Faculty Member
Institute for Healthcare Improvement
Physician Lead for Patient Safety
Kaiser Permanente
Denver, Colorado

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

  • List two reasons to support the development of a High Reliability Organization
  • Discuss the impact a High Reliability Organization can have on “never events”
  • List two concepts, skills and/or tools that minimize errors and prevent harm
  • List three Human Factor issues that could impede safe patient care
  • List three elements that can help mitigate Human Factors Issues

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2:15 – 2:30 PM

Leapfrog Hospital Survey Recognition
by Virginia Business Coalition on Health

BERNARD A. NIEMEIER
President & Publisher
Virginia Business
Richmond, Virginia
2:30 – 3:00 PM

 

Plenary Session: From Infection Control to Infection Prevention: HCA’s “ABC’s” Strategies for addressing MRSA, C. Diff and the American Epidemic of Avoidable Infection
THE HONORABLE JONATHAN PERLIN, MD, PhD, MSHA, FACP, FACMI
President, Clinical Services & Chief Medical Officer
HCA

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

  • Describe rationale for zero-tolerance infection prevention programs
  • Understand deficiencies in traditional approaches to mitigating healthcare-acquired infections
  • Demonstrate knowledge of strategies for reducing healthcare-associated infections
  • Describe emerging business-case for safety

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3:00 - 3:30 PM Break in Exhibitor’s Hall
3:30 – 4:15 PM

Plenary Session: Panel Discussion: Patient Centered Medical Home
MODERATOR: 

BARBARA WALLACE, EDD
President and CEO
Virginia Business Coalition on Health
Virginia Beach, Virginia

PANELISTS:
PETER B. ANDERSON, MD
Hilton Family Practice
Newport News, Virginia
(The Provider Perspective: It Can be Done! Increase Practice Capacity and Improve Quality”)

Z. COLETTE EDWARDS, MD, MBA
VP & Senior Market Medical Executive
CIGNA Healthcare MidAtlantic &
National Medical Executive, Health Disparities
(The Plan Perspective: The Role of the Health Plan in Improving Patient Care)

KURT ELWARD, MD, MPH, MSUF
Medical Society of Virginia Foundation
Medical Director, TO GOAL Program
(The Provider Perspective: “TO GOAL, Best Practice Example in Virginia”)

THERESA HUDDLESTON, LPN
Fairfax Family Practice
Fairfax, Virginia
(The Nurse Perspective: “The Team Approach to Family Care”)

ANTON J. KUZEL, MD, MHPE
Chair, Department of Family Medicine
VCU Medical Center
Richmond, Virginia 
(The Provider Perspective: “Practical Strategies for Creating a PCMH”)

VICTORIA A. LUCENTE
Assistant Superintendent for Budget & Finance
Chesapeake Public Schools 
(The Purchaser Perspective: “The Role of Purchasers/Consumers in Improving Care”) 

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

  • Identify the consensus definition of the Patient-Centered Medical Home and describe the “Joint Principles” of the Patient-Centered Medical Home.
  • Explain the patient and purchasers’ perspective for supporting the Patient-Centered Medical Home concept: the magnitude of the problem, the role of purchasers; and how this can address the decline of primary care
  • List research evidence on the effectiveness of the Patient-Centered Medical Home and describe some best practice examples of patient centered primary care in Virginia
  • Demonstrate with a panel of local experts representing physicians/physician groups, health plans, consumers, and employers, the steps for creating and sustaining Patient-Centered Medical Homes in Virginia.

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4:15 – 4:45 PM Plenary Session: Virginia: Hospital & Health Systems: A Framework for Improving Health & Healthcare in Virginia
CHRISTOPHER S. BAILEY
Senior Vice President
Virginia Hospital and Healthcare Association
Richmond, Virginia
 
Objective: At the conclusion of this presentation, participants will be able to:
  • Identify how Virginia ranks among the states in broad measures of health and health care
  • Review the strategies and metrics for tracking improvement
  • Describe how Virginia plans to meet the goal of achieving top tier performance on hospital quality and safety

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4:45 PM Closing Remarks

REGISTER ONLINE


Conference Managed by

Richmond Academy of Medicine
2201 W Broad Street Suite 205
Richmond, VA 23220
(804) 643-6631
www.ramdocs.org