June 12-14 San Antonio - aha.org/teamtraining 2019 AHA Team Training National Conference - AONL
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Contents 3 Welcome by Christopher Hund Director, AHA Team Training 4 Conference Information 5 Pre-Conference Agenda 6 Pre-Conference Session Descriptions 8 Main Conference Agenda 13 Conference Session Descriptions 23 Continuing Education Credits 25 Hotel Floor Plan AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 2
Welcome! Dear friends, We keep meeting like this! For 8 years we’ve had the honor of hosting this conference and having you here. I’d like to say that this year, in San Antonio, the American Hospital Association’s Team Training National Conference is bigger and better than ever before. Our aim is to make this the can’t miss event for teams in health care. If you think of something teams can do to improve performance, encourage resiliency and increase satisfaction, this should be the place to find it. We are about the entire health care experience. We want to support frontline caregivers, operations professionals, leadership, patients, families, everyone really. We are as passionate about this work as you are and with every passing year, the places we think we can collectively influence get more and more numerous. We at AHA Team Training are a part of the AHA’s Center for Health Innovation. Teams are both the most natural and most innovative aspect of health care. What we can do together, what we can build, is part of a frontier I am incredibly excited about, and hopeful about too. I am so happy to see you at the conference and I looking forward to running into old and new friends alike. Best Regards, Christopher Hund Director, AHA Team Training AHA Center for Health Innovation AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 3
Conference Information THE AHA TEAM TRAINING NATIONAL CONFERENCE is the Regular/Onsite Rate: $650 meeting point where different interdisciplinary groups from diverse Team Rate*: $550 health care settings come together to fundamentally change the Student Rate*: $425 future of health care. By combining practical techniques and tools with new ideas, our presenters and participants are working Government Rate*: $450 *If the team, student or government rate applies to you, email together to help create a culture of safety through better and more teamtraining@aha.org for the discount code. efficient team-based care. At its core, our conference is practical, interactive and experiential. SUBSTITUTIONS & CANCELLATIONS: If you cannot attend this What’s unique about this conference is the amount of collaborating conference you may send a substitute, by emailing that takes place during the sessions. You will walk away from ses- teamtraining@aha.org. If you must cancel entirely, your request for sions with useful takeaways and new connections with your peers. a refund – minus a $250 processing fee – must be made in writing to teamtraining@aha.org no later than May 31, 2019. Previously known as the TeamSTEPPS conference, this year we Refunds will be processed within two weeks of the request. are striving to move beyond a single methodology and open up a Cancellations made after May 31, 2019 will not be eligible for collaborative space to discuss not just TeamSTEPPS but many inter- a refund. In the unlikely event that the conference and/or its related twined focus areas at the forefront of team training and team-based events are cancelled, AHA Team Training will provide a refund for care. Through keynote presentations, breakout sessions, workshops registration fees but is not responsible for non-refundable items and posters, we’re exploring topics related to: such as airfare and hotel costs. Continuing Education Credits Conference attendees will earn 16 continuing education credits that cover medicine, nursing, pharmacy and allied health fields. CE credit can also be earned for pre-conference sessions. More details on the CE process will be available at the conference. Continuing education credit for the 2019 AHA Team Training National Conference and pre-conference sessions is sponsored by American Hospital Association and provided by Duke University Health System Department of Clinical Education and Professional Development. See page 23 for more information. Hotel Information Grand Hyatt San Antonio 600 E. Market St. San Antonio, TX You must be registered for the AHA Team Training National Conference to reserve a room at the Grand Hyatt San Antonio. Who Should Attend Your registration confirmation email will contain instructions on The conference is open to all - from clinical to non-clinical and novices how to book your room by phone or on the web. The conference to experts in TeamSTEPPS and patient safety. Attendees range from room block rate is $199/night. front line staff to C-suite executives, educators, students and quality improvement advisors. They come from all settings across the care continuum in addition to non-profits, public health agencies, academic Travel Discounts institutions and more. The conference is ideal in making connections AIRLINE: Special discounts are available for conference attendees on the following airlines. to others experiencing similar successes and challenges in improving the quality, safety and efficiency of health care. United Airlines: Call (800) 426-1122 or visit www.united. com/meetingtravel and use meeting code: ZFZN227273. How to Register Delta Airlines: Call (800) 328-1111 or visit www.delta. ONLINE: Register with a credit card at www.aha.org/teamtraining. com (click on “Advanced Search” to input meeting If you wish to pay by invoice, please email teamtraining@aha.org code) and use meeting code: NY2HD. before you register. RENTAL CAR: Special discounts are available for conference ONSITE: Register onsite at the Grand Hyatt San Antonio by attendees with the following rental car companies. credit card or check. All checks must be payable to Health Forum. Hertz: Call (800) 654-2240 and provide meeting number: Be sure to include the attendee(s) name on the memo line. CV#03AB0015. All checks must be submitted to the registration table. You Enterprise and National: Call (800) 261-7331 and will receive further instructions on registering at that time. provide meeting number: K2C1074. Avis: Call (800) 633-3469 and provide meeting number: REGISTRATION FEES: Registration fees includes meals (exclud- L461444. ing dinner), breakout sessions and workshops, keynote presenta- tions, networking events and continuing education credit. Fees do not include airfare or hotel costs. Conference Meeting Space All meeting space will be on the 2nd and 3rd floors, in the Lone Star, Bowie and Bonham rooms. A hotel floor plan is on page 25. AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 4
PRE-CONFERENCE: Tuesday, June 11 8:00 AM TeamSTEPPS Master Training Course Tulane 4:15 PM #TeamSTEPPS #LEADERSHIP Jennifer Calzada, MA, MPH #QualityImprovement N. Kevin Krane, MD Rita Preiksaitis, RN TeamSTEPPS Next Steps Workshop Duke University Health System #LEADERSHIP #TeamSTEPPS University of Washington Medicine #QualityImprovement PRE-CONFERENCE: Wednesday, June 12 8:00 AM TeamSTEPPS Master Training Course (continued) Tulane 11:30 AM #TeamSTEPPS Jennifer Calzada, MA, MPH #LEADERSHIP N. Kevin Krane, MD #QualityImprovement Rita Preiksaitis, RN TeamSTEPPS Next Steps Workshop (continued) Duke University Health System #LEADERSHIP #TeamSTEPPS University of Washington Medicine #QualityImprovement 8:00 AM Lights – Cameras – Activities: TeamSTEPPS via Nemours Children’s Health System 12:00 PM Active and Immersive Learning Kelly Carlson Eberbach, DNP, MBA, RN, CPN, CEN #STAFFSatisfaction #GAMING #Workforce Ashley Chick, RN Bill Gross, EMT-Paramedic Brittany Hoffman Martin King, BSN, RN Janet Krossman Carlos Perez Alexis Plumb, BS, CCLS University of Central Florida College of Medicine Daniel Franceschini, MSN, RN, EMT Driving Change—The Power of Activating and Providence Hood River Memorial Hospital Engaging the Frontline Voice Jan Brauer, RN, BSN, MA #Workforce #LEADERSHIP Rhonda Fischer, RN, BSN, CEN #ChangeManagement Fostering Resilience to Cultivate Change Duke Raleigh Hospital #TeamSTEPPS #STAFFSatisfaction #Resiliency Holly Bradicich, BSN, RN Alyson Gordon, CCP, MBA, SPHR, SHRM-SCP Jennifer Justice, BSN, RNC-EFM Priscilla Ramseur, DNP, RN, CNOR, NEA-BC Melissa Sullivan, MHA, BSN, RN, CPPS Duke University Health System Tammi Hicks, DNP, RN, CEN, NE-BC AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 5
Pre-Conference Session Descriptions Several pre-conference workshops will be offered prior TeamSTEPPS Next Steps Workshop to the start of the main conference. Please note that Tuesday, June 11 from 8:00 am to 4:30 pm you may only register for a maximum of one course or Wednesday, June 12 from 8:00 am to 12:00 pm workshop as they will be running concurrently. This 1.5-day immersive workshop will refresh Team- TeamSTEPPS Master Training Course STEPPS tools while using design thinking principles to Tuesday, June 11 from 8:00 am to 4:30 pm construct and refine your implementation plan. In an Wednesday, June 12 from 8:00 am to 12:00 pm exclusive first look, you will have the opportunity to work with teams and faculty from across the country TeamSTEPPS (Team Strategies and Tools to Enhance to take a deeper dive into better understanding your Performance and Patient Safety) is an evidence-based successes and challenges in order to create a critical set of teamwork tools designed to optimize team path forward. This workshop is highly interactive and function and ultimately patient outcomes. The Master you will leave as a TeamSTEPPS Influencer with tan- Training Course is a 1.5 day in-person course along gible next steps to sustain and spread TeamSTEPPS at with a 60-minute pre-training webinar led by an inter- your organization. professional faculty team from Tulane. Participants will Who Should Register: This course is best suited for experience and learn the TeamSTEPPS fundamentals, those who have attended a TeamSTEPPS Master as well as the skills required to train and coach their Training Course and/or have been implementing own staff. By the end of this course, all participants TeamSTEPPS at their organization. Teams of two are will become Master Trainers who are knowledgeable required, however, we recommend attending in inter- regarding TeamSTEPPS and the application of the professional teams of three or more that are working tools and strategies they can use to improve patient toward a common goal. safety and the delivery of safe and efficient care within Learning Objectives: their unit, division or department. Master Trainers will • Review key components of the TeamSTEPPS tools be able to perform site assessments; determine perfor- • Identify barriers and successes of the implementa- mance gaps; pitch the need for TeamSTEPPS to their tion of an improvement effort leadership; and coordinate and facilitate the imple- • Analyze the current teamwork climate/culture and mentation of TeamSTEPPS within their organization. share best practices Who Should Register: This course is best suited for • Evaluate your team’s current implementation plan novice or advanced beginners to TeamSTEPPS who • Construct a new plan or refine the current plan are looking to learn TeamSTEPPS tools and strate- • Formulate an actionable sustainability and spread gies, implement and/or coach and teach others. Both plan clinical and non-clinical staff are welcome! There are Speakers: Faculty from Duke University Health no requirements to attend this course although it is System, and University of Washington Medicine. recommended for participants to come with 2-3 team members if feasible. Pre-Conference Workshops Learning Objectives: • Describe, select and apply appropriate TeamSTEPPS Wednesday, June 12 from 8:00 am to 12:00 pm tools to address identified challenges or opportuni- ties to improve patient outcomes Lights - Cameras - Activities: TeamSTEPPS via • Create an implementation plan to address identified Active and Immersive Learning patient safety issues by using TeamSTEPPS tools to In this fun-filled, highly interactive workshop for improve teamwork and communication current and future TeamSTEPPS facilitators, you’ll • Apply TeamSTEPPS skills and tools to coach behav- experience TeamSTEPPS from various perspectives. iors that will result in improved team behaviors and First, you’ll participate in strategically-designed activi- patient outcomes ties and games modified to highlight TeamSTEPPS Speakers: Tulane Center for Advanced Medical tools, concepts and principles. Then, you’ll debrief Simulation & Team Training those activities from a participant’s perspective. Next, Jennifer Calzada, MA, MPH, Director of the you’ll keep the momentum alive with friendly competi- Tulane University School of Medicine tion and camaraderie as you participate in fast-paced, N. Kevin Krane, MD, Professor of Medicine and Vice energy-packed games in our “lightning round” format. Dean for Academic Affairs Finally, you’ll wrap-up the day with focused discussion Tulane Health System as you and your TeamSTEPPS colleagues debrief this Rita Preiksaitis, RN, Manager of Nursing Education half-day event from a facilitator’s perspective, cap- turing valuable insight, tips and takeaways from the workshop experience. Due to the active nature of this workshop, comfortable yet professional active-wear is highly encouraged. AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 6
Who Should Register: This workshop is best suited Who Should Register: Leaders of all types (formal and for those who facilitate TeamSTEPPS trainings and informal) who are looking to gain new insights and are looking for more interactive and creative methods skills to drive change through frontline staff while also to engage participants. It is recommended to have a influencing senior leadership. baseline understanding of the TeamSTEPPS tools and Learning Objectives: concepts. • The learner will correlate staff engagement Learning Objectives: with the power to drive change. • Analyze TeamSTEPPS training from both • The learner will identify the strengths of the Participant and Facilitator perspectives. coaching style of leadership. • Develop strategies to incorporate games and • The learner will explore the power of leading activities into TeamSTEPPS training sessions. “from the second chair.” • Evaluate the impact of games and activities • The learner will discover the importance of the on TeamSTEPPS knowledge retention. feedback loop when activating the power of the • Explore debrief strategies to foster a front line. TeamSTEPPS active learning environment. Speakers: Providence Hood River Memorial Hospital • Discuss potential pitfalls of TeamSTEPPS Jan Brauer, RN, BSN, MA active learning sessions. Rhonda Fischer, RN, BSN, CEN Speakers: Nemours Children’s Hospital Kelly Carlson Eberbach, DNP, MBA, RN, CPN, CEN Fostering Resilience to Cultivate Change Ashley Chick, RN Are you embarking on TeamSTEPPS implementation Bill Gross, EMT-Paramedic to improve teamwork, communication and safety Brittany Hoffman culture? Afraid of overwhelming an already overly Martin King, BSN, RN taxed team with yet another initiative? Learn how Janet Krossman Duke Raleigh, a community hospital undergoing rapid Carlos Perez organizational change, gauged departmental readi- Alexis Plumb, BS, CCLS ness for team training and successfully used personal University of Central Florida - College of Medicine resilience-enhancing activities to positively combat Daniel Franceschini, MSN, RN, EMT staff burnout. This interactive session will provide op- portunities for participants to participate in resilience Driving Change - The Power of Activating and activities and learn practical tools to engage your team Engaging the Frontline Voice today. The pressure on leaders to quickly achieve excellence Who Should Register: This workshop is appropriate is more overwhelming than ever before. Combine for audience members with all levels of TeamSTEPPS this with challenges such as staff retention and every experience. leader is looking for effective ways to drive change. Learning Objectives: In this workshop, you will be encouraged to reevalu- • Describe the implementation plan utilized for this ate where the real power for change is…it is in the TeamSTEPPS project. Front Line. The front line has firsthand information • Share techniques for making resilience intentional and experience that can lead to innovative and lasting to sustain a positive culture. change. The challenge is how to engage their voice in • Discuss the project outcomes and the impact on the building solutions for the ever-changing health care elements of safety culture, patient experience, and environment. Including each voice can lead to higher the employee experience. staff engagement and retention of our workforce. An- Speakers: Duke University other untapped resource is the power of leading from Holly Bradicich, BSN, RN the “second chair.” Learn how to leverage influence to Alyson Gordon, CCP, MBA, SPHR, SHRM-SCP affect change from anywhere in the organization. This Tammi Hicks, DNP, RN, CEN, NE-BC requires intentionally building trust with senior leader- Jennifer Justice, BSN, RNC-EFM ship and great team building skills to bring all voices Priscilla Ramseur, DNP, RN, CNOR, NEA-BC to the table to achieve lasting change. Through inter- Melissa Sullivan, MHA, BSN, RN, CPPS active exercises and discussion, we will look at the makeup of the current workforce, the importance of coaching instead of managing, and how to lead when you are not in charge. We will explore the correlation between engagement and retention. You will learn the essential role of asking each member of the team to be partners in solutions, the importance of feedback and the role of gratitude. AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 7
Wednesday, June 12 10:00 AM Registration Desk Open 1:00 PM 1:00 PM Keynote: Pushing the Envelope COL Nicole Malachowski (USAF, RT.) 2:30 PM 2:30 PM Refreshment Break 3:00 PM 3:00 PM C’mon! Not ANOTHER Initiative - University of Washington Medicine 4:30 PM Taking TeamSTEPPS and HROs into Just Culture Ross Ehrmantraut, RN #TeamSTEPPS #LEADERSHIP #HighReliability Tonya Martino, RN, BSN, ND Do You Know What Your Patients are Thinking? UT Southwestern Medical Center Unlocking Their Unique Perspectives on Safety Susan Bowman, MS #Patient&FamilyEngagement Jason Fish, MD, MSHS, MS-MAS #QualityImprovement Pam McKinley, RN, MS-PSL, CPPS workshop. See conference app for details. Adrian White, RN, MBA, CPPS Registration required in order to attend TeamSTEPPS 101 Duke University Heath System #TeamSTEPPS Erin Eckert, MPA Kyle Rehder, MD, FCCP Margaret Sturdivant, RN, MSN, CPPS In This Moment: An Exercise in Awareness, Discovery Psychotherapy and Integrative Leadership Communication and Self-Care Healthcare Centers (Workshop) #TeamSTEPPS #Resiliency Kathleen Quinn, EDD, MSN, RN #QualityImprovement Using TeamSTEPPS with Multidisciplinary SSM Health St. Mary’s Hospital Simulation in Your High Risk Areas Paul Boeder, MD (Workshop) Nancy Patrick, MSN, RNC-OB, C-EFM #TeamSTEPPS #SIMULATION Leah Zalapa, MD * #MultidisciplinaryTeamPerformance Unsolved Mysteries of Health Care: Ursuline College Unlock the Clues with TeamSTEPPS! Laura Goliat, DNP, APRN, FNP-BC (Workshop) #TeamSTEPPS #PatientSafety Regina Prosser, DNP, RN-BC, CNE, LNHA #InterprofessionalEducation Patricia A. Sharpnack, DNP, RN, CNE, NEA-BC, ANEF #SIMULATION&GAMING 4:45 PM New! FRED Talk: Communication Challenges Brigham Young University 5:15 PM in Health Care: How to Avoid Misunderstanding Stacie Hunsaker, MSN, RN, CEN, CPEN, CNE and Enhance Collaboration Michael Thomas, DNP, APRN, PMHNP-BC #Patient&FamilyEngagement #TeamSTEPPS 5:15 PM Welcome Reception 6:45 PM AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 8
Thursday, June 13 7:00 AM Continental Breakfast 8:00 AM 7:15 AM New! FRED Talk: Diagnostic Errors: New York University Student Health Center 7:45 AM Why We Will Continue to Make Them Lewis Marshall Jr, MS, MD, JD #DiagnosticError #PatientSafety 8:00 AM Leading Together: A New Paradigm for Health American Hospital Association 10:00 AM Care (Workshop) Elisa Arespacochaga, MBA #LEADERSHIP #ChangeManagement Jay Bhatt, DO, MPH, MA, FACP #HighReliability You’re a Master Trainer...Now What?! - University of Washington Course Facilitation 101 Ross Ehrmantraut, RN #SIMULATION&GAMING #ChangeManagement Farrah Leland, JD workshop. See conference app for details. #Education Megan Sherman, MAEdHD Registration required in order to attend Strategies for Enhancing Quality through Duke University Health System Patient Education Kyle Rehder, MD, FCCP #HealthLiteracy/PatientEducation Margaret Sturdivant, RN, MSN, CPPS #Patient&FamilyEngagement #QualityImprovement Medical Unit Simulation Safety Team Training Madigan Army Medical Center (MUSSTT) in the Operating Room (Workshop) COL Mohamad Imad Haque, MD, FACS #TeamSTEPPS #PatientSafety University of Washington #SIMULATION&GAMING COL(Ret) Peter Napolitano, MD, FACOG Building a Culture of Respect to Improve Patient Beth Israel Deaconess Medical Center Safety/Outcomes, Medical Team Performance Bettina Siewert, MD and Satisfaction (Workshop) Suzanne Swedeen, RN, MSN * #PatientSafety #LEADERSHIP #Workforce Active Learning Experiences to Integrating UNT Health Science Center TeamSTEPPS Into Health Professions Curriculum Cynthia Carroll, MA, LPC (Workshop) Didi Ebert, DO, MPH, MS, FAAFP #InterprofessionalEducation #TeamSTEPPS David Farmer, PhD, LPC, LMFT, FNAP #SIMULATION&GAMING Lillee Smith Gelinas, MSN, RN, CPPS, FAAN 10:00 AM Refreshment Break 10:30 AM 10:30 AM Keynote: Steering Your Ship Through Rough Captain Richard Phillips 12:00 PM Waters: Lessons on Leadership from Captain Phillips 12:00 PM Lunch plus Meet and Greet: Captain Richard Phillips 1:30 PM AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 9
Thursday, June 13 1:30 PM He did WHAT?!? Understanding and Addressing Duke University Heath System 3:00 PM Disruptive Behaviors in Health Care Kyle Rehder, MD, FCCP #Resiliency #PatientSafety #MultidisciplinaryTeamPerformance No Manikin Required - Team Training and Low University of Washington workshop. See conference app for details. Tech/High Fidelity Simulation (Workshop) Ross Ehrmantraut, RN Registration required in order to attend #SIMULATION&GAMING #TeamSTEPPS Farrah Leland, JD #InterprofessionalEducation Megan Sherman, MAEdHD UCLA Leslie Carranza, MD Yue Ming Huang, EdD, MHS Randy Steadman, MD, MS Movie to Movement: One Patient’s Story Health Quality Council of Alberta Inspires a Country to Change Rhonda Pouliot, BSc, MA, MLT #TeamSTEPPS #PatientSafety Greg’s Wings Projects #InterprofessionalEducation Teri Price Canadian Patient Safety Institute Tricia Swartz, RN, BScN, MSc Evidence Based Resilience Skills That Increase UC Denver, College of Nursing * Professional and Personal Effectiveness Laurra M. Aagaard, MA, MS (Workshop) #Resiliency #LEADERSHIP Physicians as Patient Safety Leaders, Start-Up US Army Medical Command Tools and Inspiration COL Bonnie Hartstein, MD, MBA, MHA, FACEP #LEADERSHIP #PatientSafety #TeamSTEPPS Phyllis Toor, BSN 3:00 PM Refreshment Break 3:30 PM 3:30 PM Leave a Lasting Legacy: Stanford Healthcare ValleyCare 5:00 PM Make TeamSTEPPS Stick Joe Carlucci, PT, MS, MBA, FAB #LEADERSHIP #PatientSafety Missy Malkin, BSN, RN-BC #MultidisciplinaryTeamPerformance Case Studies of Team Training SSM Health From Across the Country Kathleen Glenn, RN, BSN, MBA #QualityImprovement #TeamSTEPPS Christiana Care Health System Patty Blair, MSN, APRN, ACNS-BC, CEN, CNML Poster presentation session Amy Spencer, MSN, RN-BC featuring the following presenters: SSM Health, St Joseph Hospital Lake Saint Louis Karyn Fowler, MD, MHCM, FACOG Michelle Limberg, RN, BSN, MSN Laura Martin, RN, BSN, MSN Clemson University Audrey Ann Crocker Chelsea Alyce LeNoble, PhD Kathleen Wirth Northwell Health at Syosset Hospital Lori Demino, MSN, RN, CEN Richard Garcia, BSN, RN, CEN Orlando Health-Health Central Hospital Christina McGuirk, RN, BSN, MSHA, NEA-BC, CENP AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 10
Thursday, June 13 3:30 PM Learning Core Leadership: USPHS Commissioned Corps 5:00 PM Seeing the Problem We Don’t See Jason Woo, MD, MPH, FACOG #LEADERSHIP #ChangeManagement #MultidisciplinaryTeamPerformance Strategic Perioperative Performance Surgical Directions Improvement Using a Team-Based Thomas Blasco, MD, MS Leadership Model Anne Cole, MSN, CNOR, NEA-BC, CASC, CBSPD #QualityImprovement #ChangeManagement Katherine Grichnik, MD, MS, FASE #HighReliability More is Better: Improving Event Reporting in Elliot Health System Ambulatory Care Mara Aronson, MS, RN, GCNS-BC, FASCP, CPHQ #PatientSafety #QualityImprovement #StaffEngagement Let’s Go Team! Getting Nursing Faculty Onboard Northern Illinois University #QualityImprovement #ChangeManagement Marcia Cooke, DNP, RN-BC #TeamSTEPPS Deborah J. Riddell, DNP, APRN, CNM 5:00 PM Poster Reception 6:30 PM Friday, June 14 7:00 AM Continental Breakfast 8:00 AM 7:15 AM New! FRED Talk: Teach, Care, Advocate Kaiser Permanente Georgia 7:45 AM #Resiliency #TeamSTEPPS Sudha Reddy, MD, MPH 8:00 AM Creating a Culture of Safety in Four (not-so) Hospitals Insurance Company 10:00 AM Easy Steps David Feldman, MD, MBA, CPE, FAAPL, FACS #ChangeManagement #HighReliability #PatientSafety Panel on Workplace Violence Johns Hopkins Bayview Medical Center #PatientSafety #TeamSTEPPS Rona Corral, RN, MSN #MultidisciplinaryTeamPerformance Jonathan Espenancia, RN, BSN, CMSRN #Workforce Shahida Khan Griely Persia, RN, MSN, CMSRN Alphie Rahman, DNP, APRN-CNS, CCRN Jefferson Healthcare Caitlin Harrison Brandie Manuel, RN, MBA, CPHQ Chris O’Higgins AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 11
Friday, June 14 8:00 AM From Being to Becoming: Hardwiring the Northwell Health 10:00 AM Equation for Culture Change Michael Fener, CPA, MBA, EMT-B #TeamSTEPPS #ChangeManagement Catherine Galla, RN, MSN, CENP #HighReliability Lily Thomas, PhD, RN, FAAN Marianna Vazquez, MSN, RN, NE-BC workshop. See conference app for details. Registration required in order to attend The Hospital Flow Game: Building Team Skills to Quality & Accreditation Directorate, MOH Manage Patient Flow (Workshop) Kholoud Aman #TeamSTEPPS #SIMULATION&GAMING Hossam Elamir, MSc, PGDip, MD, CPHQ, CPHRM #MultidisciplinaryTeamPerformance Team Work Makes the Dream Work: Sharp HealthCare Addressing Social Determinants and Suzi K. Johnson, MPH, RN Serious Illness (Workshop) Jillian Warriner, MPH #QualityImprovement #Workforce American Hospital Association #Patient&FamilyEngagement Julia Resnick, MPH #MultidisciplinaryTeamPerformance Paradigm Shift: Building Teamwork Training for Boston Children’s Hospital/Boston Medical Center Health Education Curriculums (Workshop) Tom Kuriakose, MD #TeamSTEPPS #InterprofessionalEducation Naval Medical Center San Diego * Rick Lang, MD Rutgers Robert Wood Johnson Medical School Jared Escobar (MD Candidate, 2022) 10:00 AM Refreshment Break 10:30 AM 10:30 AM Keynote: “Who Has Responsibility for My Robert L. Smith, PhD 12:00 PM Well-Being?”— Breaking News from Positive Psychology AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 12
Conference Session Descriptions 3:00PM – 4:30PM Wednesday June 12, 2019 C’mon! Not ANOTHER Initiative - Taking TeamSTEPPS and HROs into Just Culture 1:00PM – 2:30PM Health care is a complex fast paced environment where process and human error occur despite the best KEYNOTE: Pushing the Envelope intentions of well-trained clinicians. The pendulum What does it take to be the best? The for dealing with errors in health care has moved from individuals and teams who achieve at punishing the end user, often despite system issues the highest levels have one thing in that may have set them up to make the error, to a common: they push the envelope and completely blame free environment, which leads to go to the edge of boundaries. Push- holding no one accountable for the error. Just Culture ing the envelope is an aviation term moves that pendulum back to the middle, where both for taking an aircraft to the maximum the organization and its people are held accountable limits of its abilities. In the health care for their actions - while focusing on risk, systems world, pushing the envelope means knowing yourself design, human behavior, and patient safety. Many – certainly knowing your limits – all while using every organizations are adopting the constructs and pro- bit of your ability to maximize the care you provide, cess of a Just Culture to focus on providing training be your best and be consistent. As a combat-tested to formal and informal leaders to respond to errors. fighter pilot and a member of the military’s most elite TeamSTEPPS, high reliability and Just Culture are group of aviators (1 in 2,000 USAF pilots become not exclusive of each other, and this workshop will Thunderbird pilots), Nicole Malachowski inspires audi- crosswalk the programs. Through the use of simulated ences with lessons learned from a distinguished 21- vignettes and activities, the audience will explore the year career – giving them the courage to push the en- process of an error analysis congruent with the Just velope in their own lives. That means using inevitable Culture algorithm. They will explore how each partici- failures to launch to the next level…preparing for tur- pant can role model these concepts and practices in bulence, because change is unrelenting and it is hard, their clinical practice and/or leadership roles. In addi- but you must anticipate it…trusting in teammates’ tion, participants will understand how TeamSTEPPS skill and precision while developing your own…and and high reliability organization concepts can help fos- being mindful of the over-control that leads to perfor- ter a Just Culture through situational awareness and mance malfunctions and mutes achievement. When a mutual support. This session is best suited for clinical health crisis unexpectedly ended her military career, and non-clinical staff and managers who have a basic Nicole viewed this as an opportunity to cultivate a new understanding of TeamSTEPPS and HROs. perspective and push the envelope. Nicole’s presenta- Speakers: The University of Washington tion provides an unforgettable and practical roadmap Ross Ehrmantraut, RN for individuals and organizations looking to make the Tonya Martino, RN, BSN, ND most of their talents and efforts. Speaker: COL Nicole Malachowski (USAF, RT.) Do You Know What Your Patients are Thinking? Unlocking Their Unique Perspectives on Safety Imagine unlocking your organization’s potential by knowing the true culture of safety through the eyes of the patient or caregiver. Consider how capturing that * knowledge could inform a journey of patient engage- Registration required in order to attend ment, performance improvement and cultural transfor- workshop. See conference app for details. mation. Learn from our journey as we partnered with a patient, co-created and deployed a safety survey, and captured the patients’ voices as it relates to their per- ception of safety. This session is best suited for indi- viduals at all skill or experience levels, with an interest in patient/family engagement and patient safety. Speakers: UT Southwestern Medical Center Susan Bowman, MS Jason Fish, MD, MSHS, MS-MAS Pam McKinley, RN, MS-PSL, CPPS Adrian White, RN, MBA, CPPS AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 13
TeamSTEPPS 101 Unsolved Mysteries of Health Care: Unlock the Familiarize yourself with the fundamentals, brush up Clues with TeamSTEPPS! (Workshop) on the basics, or return to your roots in this fast-paced TeamSTEPPS Master Trainers will guide participants overview of TeamSTEPPS (Team Strategies and Tools in solving the mystery of a patient event. In this to Enhance Performance and Patient Safety). Great interactive session, teams will collaborate during an for those new to team training or those looking to unfolding clinical scenario, distinguish gaps in com- dig deeper into their team training toolbox, session munication, collaboration, and teamwork, and use discussions will focus on the teachable/learnable skills TeamSTEPPS tools and strategies to improve the at the heart of TeamSTEPPS. Learn about the practical outcomes of a potential negative patient event. This is tools, hear and share examples of how they are trans- a highly interactive, problem-solving format designed lated into practice to enhance communication and to engage participants in utilization of TeamSTEPPS teamwork, and see the evidence that demonstrates tools and strategies to solve an event in a health care their value. Participants will leave “talking the talk” setting. Participants will take on a variety of characters/ and well-prepared to deeply engage in other confer- interdisciplinary roles that will gather clues and strate- ence sessions exploring how organizations are using gies to prevent an unfortunate event. Participants will TeamSTEPPS and team training to advance quality and debrief and develop a plan to integrate this interactive safety goals. learning experience into their practice or educational Speakers: Duke University Health System setting. This session is best suited for clinicians and Erin Eckert, MPA educators, from beginner to advanced. Kyle Rehder, MD, FCCP Speakers: Ursuline College Margaret Sturdivant, RN, MSN, CPPS Laura Goliat, DNP, APRN, FNP-BC Regina Prosser, DNP, RN-BC, CNE, LNHA In This Moment: An Exercise in Awareness, Patricia A. Sharpnack, DNP, RN, CNE, NEA-BC, ANEF Leadership Communication and Self-Care (Workshop) 4:45PM – 5:15PM During this workshop we will review the necessary lead edge science for exercises, activities and com- New! FRED Talk: Communication Challenges in munication techniques which create positive, safe Health Care: How to Avoid Misunderstanding education, practice, leadership and support for health and Enhance Collaboration care professionals’ self-care and patient safety. These Do you struggle when having challenging have been described in this author’s journal articles, discussions with patients and family members? Under- education workshops, leadership and personnel devel- standing their perspective may help. Stacie Hunsaker opment programs, professional learning communities and Michael Thomas, both experienced nurses and (PLC) for both nursing and interprofessional groups. professors, as well as TeamSTEPPS Master Trainers, This experiential workshop is the subject of Advances will share personal experiences communicating with in Nursing Science INNOVATION Journal published treatment teams as the parents of children struggling Spring 2019. Discovery Reflective Practice as an inte- with severe mental health disorders. While somewhat grative process always takes place in this very mo- painful, the stories provide descriptive lessons to help ment. Any learner can participate in this workshop and health care providers minimize communication barri- no previous experience or exposure to content is nec- ers and facilitate shared decision making with patients essary. Each participant will have the opportunity to and their family. This session is best suited for any create a mandala. attendee, regardless of their background or knowledge Speaker: Discovery Psychotherapy and Integrative of TeamSTEPPS. Healthcare Centers Speakers: Brigham Young University Kathleen Quinn, EDD, MSN, RN Stacie Hunsaker, MSN, RN, CEN, CPEN, CNE Michael Thomas, DNP, APRN, PMHNP-BC Using TeamSTEPPS with Multidisciplinary Simulation in your High Risk Areas (Workshop) This workshop is a hands on opportunity with the goal of equipping you to create a TeamSTEPPS based, interdisciplinary, low fidelity simulation at your institu- tion. First, learn about a successful train-the-trainer style project in which we supported MD-RN dyads in * high risk areas to create and lead TeamSTEPPS educa- tion and drill workshops. During the second portion of Registration required in order to attend the session, we will share our toolkit and start work to workshop. See conference app for details. create TeamSTEPPS based simulations at your institu- tion. We will also discuss how to successfully create MD-RN dyads and interdisciplinary training sessions as well as how to use the equipment you already have (low fidelity). You can do this! Speakers: SSM Health St. Mary’s Hospital Paul Boeder, MD Nancy Patrick, MSN, RNC-OB, C-EFM Leah Zalapa, MD AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 14
Thursday June 13, 2019 You’re a Master Trainer...Now What?! - Course Facilitation 101 By nature, those who gravitate to a career in the health 7:15AM -7:45 AM care field are often individuals ready to jump in to a situation when needed. Years of training and practice New! FRED Talk: Diagnostic Errors: often provide the confidence to perform the skills Why We Will Continue to Make Them necessary to ensure a successful outcome. However, In our quest to improve patient safety we have looked when the need shifts from the bedside to course facili- at communication, medication errors, health care as- tation for adult learners, many health care providers sociated infections, surgical complications and other can find it challenging. Making the leap from Master measures of safe practice. While diagnostic errors Trainer Trainee to full-fledged Master Trainer in your are more common than we think, we have paid little organization can be an intimidating step. The Master attention to them in the past. Diagnostic errors at the Trainer title often comes with an increased responsibil- clinician level involve how we process information to ity to teach others (perhaps an entire organization). develop a differential diagnosis and develop treat- It requires public speaking and course facilitation ment options based on our diagnosis. Systems design strategies to help translate non-clinical skills learned in plays a role in perpetuating these diagnostic errors. In a classroom setting into practical, applicable skillsets. this session we will discuss how clinicians often use This workshop aims to discuss common (and not so short cuts or rules of thumb to develop a provisional common) facilitation tips to help participants build diagnosis. We will explore the role of cognitive bias in their confidence in teaching and facilitation. This diagnostic errors and identify some potential process- session is best suited for new Master Trainers, non- es at the individual and systems level to reduce the educators, and novice instructors. likelihood of diagnostic errors and their sequela. Speakers: University of Washington This session is best suited for everyone involved in Ross Ehrmantraut, RN patient care. Farrah Leland, JD Speaker: New York University Student Health Center Megan Sherman, MAEdHD Lewis Marshall Jr., MS, MD, JD 8:00 AM - 10:00 AM Strategies for Enhancing Quality through Patient Education Leading Together: A New Paradigm for Does your patient have the capacity to obtain, process and understand basic information to form a shared Health Care (Workshop) mental model for continuation of care? How effec- This will be a collaborative session where partici- tive are you at conducting a teach-back? This session pants will learn to apply a people-focused approach will outline an organizational approach to promot- to leadership development grounded in inclusion ing health literacy to assure consistent education and honoring diverse perspectives. This program content is provided to patients thus enhancing the provides an introduction to practical tools to mobilize quality of care and the patient experience. It is known team members to tackle tough problems and thrive that patients with low health literacy are more likely in times of uncertainty. Designed to introduce adap- to make costly emergency room visits, have more tive leadership, this program is based on the premise hospital stays, are less likely to adhere to treatment that leadership is an activity not a person and can be plans and experience higher mortality rates. Creating exercised by anyone, no matter their role. This session standardized patient education materials that incorpo- is best suited for anyone who manages teams through rate plain language principles with multidisciplinary change in health care. Mid-level to senior managers, performance improvement teams and Patient Advisory clinical and administrative teams can all use these Council members have resulted in shorter patient principles. stays, reduced readmissions and increase in early Speakers: American Hospital Association mobility. Elisa Arespacochaga, MBA Speakers: Duke University Health System Jay Bhatt, DO, MPH, MA, FACP Kyle Rehder, MD, FCCP Margaret Sturdivant, RN, MSN, CPPS * Registration required in order to attend workshop. See conference app for details. AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 15
Medical Unit Simulation Safety Team Training Active Learning Experiences to Integrating (MUSSTT) in the Operating Room (Workshop) TeamSTEPPS Into Health Professions Curriculum This workshop is a focused experience in Team- (Workshop) STEPPS principle application in low incidence high The ability to assimilate effectively into an interprofes- acuity events in the operating room through a sional team is a marketable skill set for health profes- scenario and debriefing development process. Par- sions students. TeamSTEPPS provides a common ticipants will develop scenarios to demonstrate failed team development framework applicable for health team dynamics and the application of TeamSTEPPS professions education. Integrating and sustaining principles to improve and train team performance in TeamSTEPPS into health professions’ curriculum can the operating room. Workshop closing will include be a challenging process. Each health profession has points for advocacy for time and resources for train- its own needs and challenges related to scheduling, ing. This session is best suited for perioperative curriculum content and load. Interprofessional faculty professionals (surgeons, anesthesia, nurse, assistants/ development around teamwork is also vital to sustain- technicians), patient safety and administrators. ing successful TeamSTEPPS integration and devel- Speakers: Madigan Army Medical Center opment of opportunities for shared active learning COL Mohamad Imad Haque, MD, FACS experiences across programs. Design thinking and University of Washington instructional design strategies guided the creation of COL(Ret) Peter Napolitano, MD, FACOG innovative TeamSTEPPS active learning experiences for students, clinicians and faculty at the University of Building a Culture of Respect to Improve Patient North Texas Health Science Center. Innovative active Safety/Outcomes, Medical Team Performance learning like an escape room experience, simulation and Satisfaction (Workshop) exercises, an exam room of errors, competitive games Disrespectful work environments in health care repre- and simulated patient encounters help introduce and sent a risk to patient safety and have negative impact reinforce TeamSTEPPS concepts. This active learning on patient outcomes and satisfaction. In addition, workshop will allow attendees to participate in these health care employees working in disrespectful envi- innovative TeamSTEPPS active learning experiences, ronments commonly experience dissatisfaction which assess the viability of use in their programs, and share can lead to decrease in staff engagement and high in the story of the development process experiences staff turnover. All of these elements result in an in- and lessons learned at a health science center in the crease of health care costs. In this workshop, present- integration of TeamSTEPPS across five health profes- ers will discuss the frequency of disrespect in today’s sions (medicine, pharmacy, physical therapy, physician work environments and the impact of such environ- assistant and public health). This session is best suited ments on all aspect of health care. Attendees will then for administrators, faculty and preceptors involved in work in small groups using case studies to identify be- the pre-clinical and clinical education of health profes- haviors that are frequently experienced as disrespect- sions students and trainees. ful. In group discussion, we will contrast these with be- Speakers: UNT Health Science Center haviors that are recognized as respectful and develop Cynthia Carroll, MA, LPC a set of six core elements that form the foundation of Didi Ebert, DO, MPH, MS, FAAFP a culture of respect. Presenters will discuss models David Farmer, PhD, LPC, LMFT, FNAP for implementation of a culture of respect and provide Lillee Smith Gelinas, MSN, RN, CPPS, FAAN participants with a roadmap for implementation from their institution. This will be followed by brainstorming in small groups, to allow participants to develop ideas for implementation of a culture of respect that are fea- sible for their work environment. This session is suited for all health care employees. * Speakers: Beth Israel Deaconess Medical Center Bettina Siewert, MD Registration required in order to attend Suzanne Swedeen, RN, MSN workshop. See conference app for details. AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 16
10:30AM – 12:00PM No Manikin Required - Team Training and Low Tech/High Fidelity Simulation (Workshop) KEYNOTE: Steering Your Ship For over a decade, a didactic and lecture-based intro- Through Rough Waters: duction to TeamSTEPPS and team training concepts Lessons on Leadership from prevailed as the key training technique. This traditional Captain Phillips educational methodology allows for baseline estab- While we all aspire to live bravely in lishment of foundational knowledge, however learners the face of life’s significant challenges, require an opportunity for hands-on and experiential few of us are tested to live bravely be- practice to solidify understanding and application fore the guns of hostile Somali pirates of the tools and concepts presented. Simulation, in who threaten our leadership and authority, our lives, various forms, can play a key component in a success- and the lives of our colleagues. Before Somali pirates ful TeamSTEPPS implementation program. However, hijacked his cargo ship and held him captive for five simulation centers are a large commitment for health days, making him the center of a riveting international care systems, financially and resource-wise, making it drama which played out live on television, Captain difficult to conduct simulations in a controlled environ- Richard Phillips was as normal as each of us doing ment. This workshop will demonstrate how low tech/ our best at work and home. Audiences connect with high fidelity simulation can be done in both clinical Captain Phillips on a personal level, become friends and non-clinical scenarios with minimal amount of re- with him by the evening’s end, and leave lifted by his sources. Identifying opportunities to do low tech/high inspirational message. fidelity simulations without the associated high costs Speaker: Captain Richard Phillips of high tech simulation will help ingrain the Team- STEPPS tools and concepts in any clinical and non- 1:30PM - 3:00PM clinical setting. This workshop will focus on utilizing resources and personnel already available to develop He did WHAT?!? Understanding and Addressing a low tech/high fidelity simulation program to practice Disruptive Behaviors in Health Care and reinforce TeamSTEPPS tools in the ambulatory, Incivility and disruptive behaviors are common in administrative and inpatient setting. Six facilitators health care, and are often accepted as part of the from the University of Washington and UCLA will underlying culture. Yet these behaviors have far-reach- walk participants through the process of developing ing, insidious impacts on patients, health care provid- a simulation – from first developing a set of learning ers, medical teams and health care organizations. objectives and key learning points, to designing the Even when the risk of these behaviors are recognized, simulation to meet those learning objectives. Partici- providers are less likely to confront these behaviors pants will be able to leave with a small tool kit and the than other traditional safety risks. This session will in- beginnings of a design for a simulation they can use in vestigate the prevalence and causes for disruptive be- their own organization. This session is best suited for havior by health care providers, and will also include anyone interested in TeamSTEPPS training. unpublished data demonstrating a significant associa- Speakers: University of Washington tion between disruptive behaviors and safety climate, Ross Ehrmantraut, RN teamwork climate, burnout and work-life balance. We Farrah Leland, JD will then learn and practice techniques to address this Megan Sherman, MAEdHD behavior, utilizing both TeamSTEPPS strategies as well UCLA as the Vanderbilt professionalism model described by Leslie Carranza, MD Hickson et al. Based on prior experience presenting Yue Ming Huang, EdD, MHS this content, we expect a robust question and answer Randy Steadman, MD, MS discussion where we will also share Duke’s experience implementing the Vanderbilt model and other efforts to address disruptive behaviors. This session is best suited for administrators, managers and team leaders * with any level of knowledge of TeamSTEPPS Speaker: Duke University Health System Registration required in order to attend Kyle Rehder, MD, FCCP workshop. See conference app for details. AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 17
Movie to Movement: One Patient’s Story Reliability Organization by simplifying, standardizing Inspires a Country to Change and institutionalizing leadership and safety practices. Falling Through the Cracks: Greg’s Story is a Cana- Focusing on a top-down approach with full leader- dian film on Greg Price’s journey through the health ship engagement at every level, all US Army facilities care system. The Price Family, the Canadian Patient focused on data driven goals founded in TeamSTEPPS Safety Institute (CPSI), and the Health Quality Coun- strategies. The session will describing the Army plan, cil of Alberta (HQCA) have teamed-up to share this explain the “Top 6” including the practices adopted incredible story and how it’s being used to advance by leaders, individuals and teams to operate as a TeamSTEPPS implementation across Canada. Through high reliability organization. Each of the six goals and this interactive presentation attendees will watch this measures of success will be explained, to include incredible film, debrief the content and learn how this the Army health care system’s accountability condi- tool has been used in Canadian TeamSTEPPS mas- tions for organizational success. The team will show ter training. The presentation will create a platform examples, outcomes, and tracking strategies for major for dialogue and provide guidance on using patient medical centers, smaller community hospitals, clinics stories to accelerate overall health care improvement and dental facilities. efforts. Through this presentation, attendees will feel Speakers: US Army Medical Command empowered to challenge the status quo of the current COL Bonnie Hartstein, MD, MBA, MHA, FACEP health care system creating better health care with im- Phyllis Toor, BSN proved outcomes. Attendees will leave energized and equipped to use their own patient stories to advance 3:30PM – 5:00PM local improvement efforts. This session is best suited for anyone working within the health care sector who Leave a Lasting Legacy: Make TeamSTEPPS is passionate about creating safer care. Stick Speakers: Health Quality Council of Alberta Maya Angelou said, “If you are going to live, leave Rhonda Pouliot, BSc, MA, MLT a legacy. Make a mark on the world that can’t be Greg’s Wings Projects erased.” Since TeamSTEPPS was released in 2006 in Teri Price response to the IOM publication of “To Err is Human”, Canadian Patient Safety Institute organizations across the country have worked to re- Tricia Swartz, RN, BScN, MSc duce medical errors through improved communication methods. But what happens when the first genera- Evidence Based Resilience Skills That Increase tion of TeamSTEPPS safety professionals moves on? Professional and Personal Effectiveness Whether due to relocation, new job roles and responsi- (Workshop) bilities, or other factors, how does the first generation This workshop will review domains of resilience and work with the next generation to ensure that a culture ways to increase resiliency by reserving and sav- of safety at their institution remains in place, or even ing mental and emotional energy. Techniques will grows? How do you make your mark on your institu- be shared that are being implemented by the DOD, tion to ensure the legacy continues? This session will multidisciplinary teams and individuals, to increase take you through a succession planning template (via situational awareness, improve reaction times and discussion and small group activities) that will assist coordination by reducing personal and professional you in creating your own succession plan and provide stress and the symptoms of fatigue, confusion and you with concrete steps to enhance sustainment of sleep disturbance. Application of these techniques can your program. This session is best suited for practitio- be monitored by checking Heart Rate Variability and ners currently implementing a TeamSTEPPS program coherence levels. Heart Rate Variability has a direct and those who will be assuming responsibility. correlate to mental clarity, individual and team perfor- Speakers: Stanford Healthcare ValleyCare mance. Joe Carlucci, PT, MS, MBA, FAB Speaker: UC Denver, Anschutz Medical Campus, Missy Malkin, BSN, RN-BC College of Nursing Laurra M. Aagaard, MA, MS Just Six Things: What Leaders Can do to Hardwire a Culture of Safety, Improve Teamwork * and Reduce Harm This session will explain how the Army leadership Registration required in order to attend rolled out a work-wide standardized safety campaign workshop. See conference app for details. operationalizing six key practices spanning each hospital’s C-suite to the front lines of care. Branded the “Top 6” each component hospital system (total of 34) incorporated orders from the Army Medical Command to redesign the approach becoming the premier High AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 18
Learning Core Leadership: Seeing the Problem inclusion strategies will be emphasized throughout We Don’t See the presentation. Outcomes that facilities, hospitals There are plenty of resources available to help us and health care systems can anticipate from success- improve ourselves and our organizations. However, ful perioperative transformations include: improved after an initial improvement, if any, we often find our HCAHPS and CAHPS scores, overall perioperative organizations falling back into the same challenges service line fiscal improvement, reduction in waste in communications, collaboration, team work and and success in bundles of care and other payer driven culture. So, why is this? We as leaders wake up each bundles. morning, wanting to help our organizations, teams, Speakers: Surgical Directions each other be happy and valued. What is it that keeps Thomas Blasco, MD, MS us from successfully creating the changes needed for Anne Cole, MSN, CNOR, NEA-BC, CASC, CBSPD lasting success? What we as leaders don’t see is the Katherine Grichnik, MD, MS, FASE problem. All the technical, process and subject matter expertise, knowledge and experience that gets us to More is Better: Improving Event Reporting in the positions we are in are important and valuable, Ambulatory Care yet they also can distort our vision and our ability The fact that medical errors and near-misses are to see the problem clearly and truthfully. When this under reported is well documented. Although there is happens, emotional intelligence is not enough; nor little research that examines patterns of reporting in are all the latest strategies, techniques or methods ambulatory care, we recognized that the small number that are often promoted as the “way” out, to help of events reported by the nearly fifty ambulatory care us address this core challenge. This session offers practices in our health system was likely an indica- participants an opportunity to understand the cause tion that our ambulatory care colleagues were not of their distorted view. Through vignettes, individual recognizing and/or not reporting medical mishaps, and group exercises, participants explore the cause of process or system lapses and near-misses consistent- their self-deception, leaving with a clearer vision and ly. As the research on event reporting predicted, the mindset to improve their individual and team results most fruitful method to gather this information was in a more lasting way. This session is best suited for through discussions with colleagues in each of the any team member, supervisor or executive who wants practices. Using the gathered information, strategies to improve their own, their team, or their organiza- were designed and in the fall of 2017, implemented to tion’s performance and impact efforts. The material breakdown the identified barriers. With implementa- presented is applicable to everyone in their personal tion of those changes, the number of events reported and professional lives irrespective of their place in an rose dramatically and has remained high in the year organizational hierarchy. The material will leverage since. This presentation will include how our team: their current knowledge of TeamSTEPPS competencies identified barriers to reporting events; designed and and skills. implemented strategies to reduce those barriers; and Speaker: USPHS Commissioned Corps engaged staff to achieve and sustain consistent report- Jason Woo, MD, MPH, FACOG ing of all events. Throughout the presentation, empha- sis will be placed on the importance of empowering Strategic Perioperative Performance staff to participate in identification of opportunities for Improvement using a Team-Based Leadership improvement throughout ambulatory care practices. Model Novice and experienced team leaders will find value in This session will focus on performance success for this presentation. hospitals, facilities and health care systems in peri- Speaker: Elliot Health System operative and procedure-based service lines. These Mara Aronson, MS, RN, GCNS-BC, FASCP, CPHQ include but are not limited to hospital based OR suites, out of OR procedural areas (e.g. Endoscopy, Electro- physiology and Interventional Radiology), Ambulatory Surgical Services, and office-based procedural ser- vices. All segments of a service line must be integrated * to achieve efficiency, quality, safety and the ideal patient centric experience. The session will focus on Registration required in order to attend the team-based process to achieve success in periop- workshop. See conference app for details. erative services as a whole and through discussion of disease specific surgical services. For example, dis- cussion of Musculoskeletal, Gastrointestinal, Cardiac or other Surgical service lines. Success metrics and the processes needed to achieve those metrics will be discussed. Leadership, change management and AHA Team Training National Conference 2019 | June 12-14 | San Antonio TX 19
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