Nebraska Healthcare Quality Forum Embassy Suites Hotel and Convenon Center LaVista, Nebraska Thursday May 14, 2015 CIMRO of Nebraska, part of the Great Plains Quality Innovaon Network, invites you to aend the twelſth annual Nebraska Healthcare Quality Forum, an opportunity for conversaon and sharing ideas with your colleagues, across all sengs. We encourage you to invite community partners, paent advocates, members of your board of trustees, senior management team, physician leaders and co-workers to aend as we collaborate and idenfy ways to improve care in our state and across the region. Presented by the Great Plains Quality Innovation Network & co-sponsored by... Nebraska Association for Healthcare Quality, Risk and Safety NAHQRS 1 Great Plains Quality Innovation Network 1200 Libra Drive, Suite 102 | Lincoln, NE 68512 | 402/476-1700 | www.greatplainsqin.org
Transcript
Nebraska Healthcare Quality ForumEmbassy Suites Hotel and Convention CenterLaVista, Nebraska
ThursdayMay 14, 2015
CIMRO of Nebraska, part of the Great Plains Quality Innovation Network, invites you to attend the twelfth annual Nebraska Healthcare Quality Forum, an opportunity for conversation and sharing ideas with your colleagues, across all settings. We encourage you to invite community partners, patient advocates, members of your board of trustees, senior management team, physician leaders and co-workers to attend as we collaborate and identify ways to improve care in our state and across the region.
Presented by the Great Plains Quality Innovation Network & co-sponsored by...
Nebraska Association for Healthcare Quality, Risk and Safety
NAHQRS
1
Great PlainsQuality Innovation Network
1200 Libra Drive, Suite 102 | Lincoln, NE 68512 | 402/476-1700 | www.greatplainsqin.org
Keynote SpeakerLibby Hoy ~ 9:00 - 10:00 a.m.
Bedside to Boardroom: Engaging Patients & Families Across the Organization
Patients and families are the most underutilized resource in the healthcare environment. The question is, how do we effectively engage them for better outcomes in their own care as well as engage them as partners in improvement across the organization. This presentation will explore effective strategies for engaging patients and families in care and present some solutions for the challenges in doing so and share extraordinary outcomes for patients when a team strategy
was employed. From this first person experience, the presenter will also share her experiences over the last two decades of developing structures for integrating patients and families into improvement efforts. Effective processes for developing Patient Family Advisory Councils will be shared as well. Participants will leave this session understanding the value of engaging patients and families from the bedside care giving relationship to the boardroom for co-design of effective improvement efforts.
Biography: Libby Hoy is the mother of three sons living with mitochondrial disease. Libby has 20 years of experience navigating the healthcare system. Libby began volunteering as a Parent Mentor in 1995 and has been working to improve health systems and empower patients and families to be active partners in care ever since. In her role as the first Family Advocate at Miller Children’s Hospital, she developed the Parent Advisory Board and created the structure for the long term integration of the Patient & Family voice within the organization. Libby has presented at multiple national and international conferences on subjects related to Patient & Family Centered Care practice. As a consultant, Libby strives to share the evidence, practices and methods that support PFCC culture in healthcare organizations.
In 2010, Libby founded PFCC Partners to create a community of patients, families, providers and healthcare organizations committed to the shared learning of Patient & Family Centered Care practice. PFCC Partners also established the PFANetwork, inclusive of more than 150 Patient Family Advisors working in healthcare settings across the country to partner for improvement in the quality, safety, experience and delivery of healthcare. Libby has served as an Advisor to Patient Centered Outcomes Research Institute (PCORI), Partnership for Patients, Institute of Medicine (IOM), National Quality Forum (NQF) and as Faculty for the Institute for Healthcare Improvement (IHI). In these, and all efforts, Libby strives to build the infrastructure and capacity for healthcare organizations to engage all patients and families, from the bedside to the boardroom.
Libby lives and works in Long Beach, California.
Co-sponsored by the Nebraska Coalition for Patient Safety (NCPS) and the Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)
2Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Closing SpeakerT. Marni Vos ~ 3:40 - 4:40 p.m.
Healer, Healing and Humor
There are four attributes to our health; the physical, mental, the emotional and spiritual. Our attitudes, perceptions, as well as our chosen responses, effect not only the above attributes, but those we work with, and those that we serve. The best of humor is described, not as jokes, but anything that results in joy and laughter. Humor lifts us to our healing and assists us in our well-being.
Biography:
T. Marni Vos is a clean and refreshing humorist. She is as funny as she is inspiring. A motivational speaker, she entertains with her keynotes as she motivates and inspires her audience to be top performers at their work and as individuals. T. Marni Vos leaves her audience not only with an additional communication tool, but she leaves them laughing, free of stress, and ready for change.
T. Marni Vos became one of only seven women in 20 years to be a Finalist in the prestigious San Francisco International Stand-up Comedy Competition, where over 400 comics compete each year. She has performed on Life Time’s “Girls Night Out” and opened for Jay Leno at the Comedy and Magic Club in Hermosa Beach. Barny currently has a syndicated children’s ...wait ...wrong speaker.
A former high school instructor in a stressful environment, T. Marni Vos used humor and creativity to inspire and motivate students to go beyond their potential. Through laughter and communication she continues to educate people in all walks of life to meet their challenges with a light heart and the echo of laughter. She has earned 42 hours of instruction from the Institute for the Advancement of Human Behavior at conferences in Saratoga, New York, Chicago and Los Angeles. T. Marni Vos can complete an entire S.A.T. test in 17 minutes.
Her humor is fresh, refreshing, honest and clean. Her presentation is original in style, extremely funny and uplifting in content.
In today’s business environment, where every skill counts, humor, laughter and creativity can provide a winning edge.
Co-sponsored by the Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)
3Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Nebraska Healthcare Quality Forum2015 Program Agenda
7:30 a.m. Registration, Exhibit Show and Continental Breakfast 8:30 Welcome and Opening Comments Tina Georgy, RN, MS, Chief Executive Officer, CIMRO of Nebraska and Great Plains QIN
Ted Fraser, MS, Vice President, CIMRO of Nebraska and State Program Director, Great Plains QIN
8:45 Nebraska Coalition for Patient Safety (NCPS) Update Stephen Smith, MD, President, Nebraska Coalition for Patient Safety 9:00 Bedside to Boardroom: Engaging Patients & Families Across the Organization Libby Hoy, Founder, Patient Family Centered Care Partners 10:00 Break/Exhibit Show
10:30 - 11:15 Session A (see presentation schedule on page 5)
11:25 - 12:10 Session B (see presentation schedule on page 6)
12:15 p.m. Lunch/Exhibit Show
1:30 - 2:15 Session C (see presentation schedule on page 7)
2:25 - 3:10 Session D (see presentation schedule on page 8) 3:10 Break
3:25 Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS) Update Laura Lea Fossenbarger, CPHQ, TRS, 6σ
3:40 - 4:40 p.m. Healer, Healing and Humor T. Marni Vos, RGS
* Nebraska Coalition for Patient Safety (NCPS) tracks are designated in the program
The Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)is coordinating the Exhibit Show
4Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Track Title of Presentation Speaker/Organization Description1 How Direct Care
Staff-Led QAPI (Quality Assessment and Performance Improvement) Changed Everything
Hannah Elliott, MBA, MA, NHASutton Community Home
In 2013, QAPI was implemented at Sutton Community Home. A transparent approach was used and is the model that is currently used today. Direct Care Staff has had a monumental impact on the process and is the reason behind SCH’s increase from 2 to 5 Stars.
2
Coordinating Care- Hospital to Post-Acute with Medics at Home
Christine Daley, RN, BSCHI Health Immanuel &Tom Townsend, COO, ParamedicMedics At Home
The vision of the formation of Medics At Home was to be the first in Nebraska to actively perform a Community Paramedic service. Medics At Home has been involved in a pilot program with Immanuel. Preliminary results have been favorable in preventing 911 calls and ED return visits.
3 Ditch the Drama and Start Minding the Bedside!
Julie Jones, RN, BSN, MBABeatrice Community Hospital
Start thriving instead of surviving. Healthcare professionals face enormous challenges with difficult work that demands full presence, energy and commitment. Stress is pervasive in healthcare and even impacts the caring relationship itself. Let’s breathe and explore approaches enhancing mindfulness at the bedside & beyond, leadership strategies and mindfulness practices.
4 Holistic Interventions in Long-Term Care
Kelly Sparr, LPN &Doris Lewis, CTRSMadonna Saint Jane deChantal Long Term Care Services
Presenting a holistic program which focuses on non-pharmacological interventions to pain, stress, anxiety, behaviors and depression. Using interventions effectively we have been able to successfully reduce psychotropic drug and narcotic usage, decrease falls and behaviors, decrease depression symptoms; increase resident satisfaction and promote a more homelike environment for residents.
5 NeHII’s Community-Wide Support of Care Coordination
Connie Pratt, PMP &Rachel Houseman, PMPNeHII, Inc.
This session will provide an update on the added functionalities that support population management services via NeHII, the statewide health information exchange. With use of Admission, Discharge, Transfer (ADT) Alerting and 30 Day Readmission Reporting services, a provider can implement improved care coordination strategies to enable cost-effective population management services.
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NCPS
Using the Multi-Team System to Improve Patient Safety
Carol Kampschnieder, RN, MSNSt. Francis Memorial Hospital & Katherine J. Jones, PT, PhDUniversity of Nebraska Medical Center
Presenters will explore the use of inter-professional Multi-Team Systems (MTS) to implement and evaluate patient safety and quality objectives, with a focus on fall risk reduction. By implementing a coordinating team to be accountable for fall risk reduction structures and processes, a hospital decreased their total fall rate by 80 percent and their injurious fall rate by 50 percent from 2012 to 2014. During this session, this hospital will share the key changes implemented and how the use of the MTS has informed their thinking about management of safety and quality initiatives.
5Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Lufei Young, PhD, RN, APRN-NPBeatrice Community Hospital & Health Center &Joy Okoruwa, DNP, RN, APRN-NPNebraska Medicine
Medication reconciliation is a process to maintain a complete and accurate medication list, which is especially important when an individual receives care in different settings. The goals are to inform prescribing decisions and prevent medication errors. This presentation illustrates the different approaches used to conduct medication reconciliation in acute-care and post-acute care settings.
2 Why the Foley? Morgan Matteo, RNFaith Regional Health Services (FRHS)
This presentation describes the steps taken at FRHS to reduce catheter use. The Intensive Care Unit was above the goal utilization ratio consistently, as a result, 3 CAUTIs were obtained. This presentation highlights ways to reduce catheter utilization ratios to provide better, safer care for patients.
3 More Than “Can You Hear Me Now!”
Janie YorkGood Samaritan Millard
The presenter will help attendees understand the need for increased attention to the care and cleaning of hearing aids in an elder care facility setting. Discussion will include: supplies needed and techniques to clean aids, communication techniques and a plan for setting up your own program.
4 How Patient Education Notebooks Improved Patient Experience and Discharge
Melodie Poncik, CPHQ &Kim Sestak, MLT Banner Health/Ogallala Community Hospital
Presenters will share best practices on how/why they implemented patient education notebooks, improving the patient experience and discharge process. Presenters will explain how the shared leadership team developed/rolled out the notebooks and share data on how the notebooks have improved HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores.
5 PCMH: Partnering with Primary Care Providers to Improve Quality
Debra Esser, MD, MMM, FAAFP, Joann Schaefer, MD &Gail Brondum, LPN, BS Blue Cross and Blue Shield of Nebraska
This presentation will provide an overview of the Patient Centered Medical Home (PCMH) model of primary care delivery and its impact on quality, efficiency and outcomes. Attend this presentation to learn more.
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NCPS
The Patient as Partner
Carol Wahl, RN, MSN, MBA
The importance of patient engagement in achieving health outcomes is well documented in the literature. This presentation supports a partnership model through the identification and discussion of various strategies. Specific approaches will include the implementation of a care partner program, formation of a patient/family partnership council, and early development of patient preference passport. Resources and tools are provided to support the healthcare professional with implementation.
6Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Presentation ScheduleSession C: 1:30 - 2:15 p.m.
TrackTitle of
Presentation Speaker/Organization Description1
Non-pharmacological Approaches in Dementia Care
Anna Fisher, DHA, CDPHillcrest Health Services
Treating dementia does not warrant a “one size fits all” method. There are many types of dementia resulting in a myriad of behaviors. We will explore non-pharmacological approaches in dementia care, including person-centered methods, to bring out the best in our dementia residents and help them engage and experience better quality of life.
2 The $400,000 Foley Shelly Andre, RN, BSNCHI Health Saint Elizabeth
Our organizaton implemented an evaluation and re-education for the use of Foley catheters. An insertion audit was performed. All RN’s across the entire facility were offered additional training and we transitioned to a new and improved product.
3 Transition Care Program - Reducing Readmissions through Transitional Care
Corey McGeary, LIMHP, MACCHI Lasting Hope Recovery Center
The Transition Care Program began in October 2013 at CHI Lasting Hope Recovery Center (LHRC) with the primary goal of reducing psychiatric readmissions within 30 days of discharge. There is a large adult homeless population served at LHRC and readmission rates ranged between 22 and 25 percent. Learn more about implementation of the Program and one organization’s journey.
4 Colon Cancer Screening: Tips and Tools for Practice Change
Tamara Robinson, BS, MS American Cancer Society
This presentation will provide a brief overview of the risk factors for CRC and benefits of CRC screening. Current screening barriers and practices will be discussed and evidence-based interventions will be provided to help healthcare providers address any gaps in their practice.
5 Bedside Shift Report to Improve Patient and Family Communication
Nicole Thorell, MSN, CEN &Vanji Vosler, BSN Lexington Regional Health Center
Presenters will share a team approach to bedside shift report in a critical access hospital and how that change led to improved patient and family communication.
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NCPS
We Design our Buildings and Then They Kill Us
Doug Elting, AIA, ACHA, EDAC Visions in Architecture, LLC
This presentation is the story of Evidence-Based Design and its impact on safety and patient outcomes. From Florence Nightingale to the Institute for Healthcare Improvement, we will talk about the history of the built environment on patient and staff safety.
7Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Cindy Klein, RN, BS, LNHA &Joe MiMinico, RNHillcrest Country Estates
Traditional nursing in long-term care has always been dependent upon traditional structures. What happens when administrators and directors of nursing begin to expand their vision to include new ideas in uncharted territory? Is it possible to achieve consistent positive outcomes within a socially progressive environment? This presentation will address how leading change must start with changed leaders.
2 A Comprehensive CAUTI Reduction Strategy
Kim Hayes, RN, BSNNebraska Medicine
This presentation will outline efforts to reduce incidence of CAUTI utilizing: the EMR, nurse-driven IUC removal protocol, nurse-initiated management for urinary retention, micro lab UA reflex to culture in case of pyuria, mandatory learning modules, policy changes, bedside practice changesIUC rounds on ICU/acute care units.
3 Averting Adverse Reactions in Skilled Nursing Facilites (SNFs)
Brenda Bergman-Evans, PhD, APRN-NP, APRN-CNSCHI-Alegent Creighton Health
Transitional care for SNF residents is often laden with the risk of adverse events. This presentation will address how careful attention to principles for fall prevention, antibiotic stewardship, medication management, in general, and psychotropic and high risk medications, in particular, can help to prevent these events from occurring.
4 Improving Overall Population Health
Bob Rauner, MD, MPH, Sarah Hotovy SERPA ACO and Sharon Nienhueser, RNFamily Medical Center - Hastings
Attend this session to learn more about the quality improvement efforts within the South East Rural Physicians Alliance Network (SERPA) Accountable Care Organization (ACO), including the use of care coordination case studies and presentation of actual clinic-level results.
5 Beyond Medical Home - Multiple Sclerosis At Home Access
Rebecca Wester, MD, CMD &Kathi Healey, APRN, PhDUniversity of Nebraska Medical Center
Five percent of population accounts for 50 percent of healthcare spending; it encompasses catastrophic and complex chronic debilitating illnesses. Multiple Sclerosis At Home Access (MAHA) enhances the medical home model to better manage high-cost patients and improve quality. Experienced providers (MS comprehensivist and house-call physician) will discuss real-life solutions and enduring challenges.
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NCPS
Making Care Safer for Individuals by Leveraging Leadership
Victoria Kennel, MAUniversity of Nebraska Medical Center
Implementing change to improve patient safety and quality is easier said than done and often requires support from organizational leaders. This presentation will share tips and best practices that organizational leaders can use to support the implementation of innovations that improve patient safety and quality of care.
8Register at: www.greatplainsqin.org/qualityforumDeadline to register: May 8, 2015
Continuing EducationAn application has been submitted to Iowa Western Community College Board of Nursing approved provider #6 for up to 6.0 peer reviewed continuing nursing education credit hours.
The registration booth is located in the main entrance of the Omaha - La Vista Embassy Suites Hotel & Conference Center. Sign-in sheets will be available at the registration booth at the beginning of the day. Certificates of completion will be distributed at the conclusion of the day for participants who attend the entire event.
Overall Purpose: Improve the quality of care provided to Nebraska residents. Healthcare professionals will share best practices and lessons learned.
Objective 1: Identify skills, resources and best practices that can be applied within your healthcare setting to improve care at the patient and provider levels.
Objective 2: Demonstrate ways to implement change in your healthcare setting resulting in enhanced quality improvement and patient outcomes.
Program CostThe cost to attend is $50.00, which is the cost for food and beverages during the Quality Forum. Additional details are included in the online registration form. Register at: www.greatplainsqin.org/qualityforum Deadline: Friday, May 8, 2015
Lodging/ParkingEmbassy Suites & 402.331.7400 https://resweb.passkey.com/go/CIMRO2015Courtyard by Marriot, Omaha - La Vista (Ref Code: HC5) GroupMAX room registration system12560 Westport Parkway Reservation deadline: April 12, 2015
Hampton Inn & Suites 402.895.2900 www.omahalavistasuites.hamptoninn.com12331 Southport Parkway
Directions and Hotel Parking InformationHeading either East or West on Interstate 80, take the Giles Road, Exit No. 442. Turn south onto Giles Road and take the next right onto Southport Parkway. Take the first right onto Westport Parkway and Embassy Suites is on your right. Self-parking is complimentary.
Visit www.greatplainsqin.org/qualityforum for the latest information regarding the Quality Forum.
If you have questions, please contact:Keri McDermott, Communications Director, at 402.476.1399 Ext. 502 or [email protected] or
Nikki Divis, Communications Lead, at 402.476.1399 Ext. 537 or [email protected]
This conference was funded, in whole or in part, through a contract with the Department of Health and Human Services (HHS). The views expressed in written conference materials and by speakers and moderators at this conference, do not necessarily reflect the official policies of HHS, nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
Great PlainsQuality Innovation Network
This material was prepared by the Great Plains Quality Innovation Network, the Medicare Quality Improvement Organization for Kansas, Nebraska, North Dakota and South Dakota, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11S0W-GPQIN-NE-CORP-01/0215
1200 Libra Drive, Suite 102 | Lincoln, NE 68512 | 402/476-1700 | www.greatplainsqin.org
