MARYLAND PATIENT SAFETY CONFERENCE - 14th ANNUAL
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14 th ANNUAL
MARYLAND PATIENT SAFETY
CONFERENCE
APRIL 13, 2018 | HILTON BALTIMORE
Transparency and Communication: The Gateway to Patient Safety
Opening Closing
Keynote Speaker Keynote Speaker
Rosemary Gibson Ridley Barron
Senior Advisor, Author, speaker and
The Hastings Center patient safety advocate
Ridley Barron Ministries
This educational activity is jointly provided by AXIS Medical Education and by Maryland Patient Safety Center.2018 MARYLAND PATIENT SAFETY CONFERENCE • APRIL 13, 2018 • BALTIMORE HILTON
Target Audience: This activity would most likely appeal to those with an interest or occupation in the following fields: Nursing, Pharmacy, Physician, Quality,
Patient Safety, Risk Management, Clinical, Nursing Home Administrator. Purpose: The 2018 Maryland Patient Safety Conference provides the setting for health
care professionals from across the health care continuum and the region to discuss, learn and network with like-minded colleagues about topical patient safety issues
and solutions to generate positive change within the represented organizations. Overview: The 2018 Maryland Patient Safety Conference will bring together an
estimated 1,300 healthcare workers. In its 14th year, the conference will focus on today’s most pressing safety issues and how transparency and communication are
fundamental to improving the quality and safety of patient care. Objectives and descriptions will be listed with each session.
DAY-AT-A-GLANCE
7:00am Registration, Breakfast, Visit Exhibitors and Patient Safety Poster Presentations
Key Ballroom lobby/Foyer
8:00am–8:15am Welcome & Introductions:
Key
Ballroom James Rost, MD, FAAP, Vice President, Chief Medical Officer, Washington Adventist Hospital, MPSC Board Chair.
8:15am–9:15am Opening Keynote Address: A Moment to Celebrate How Far We Have Come and Be Inspired to
Key Ballroom Take the Next Big Leap.
Rosemary Gibson, Senior Advisor, The Hastings Center.
9:15am–9:30am Recognition of the Minogue Award for Patient Safety Innovation Winner and Distinguished
Key Ballroom Achievement in Patient Safety Innovation Winner
9:30am–10:00am Break, Visit Exhibitors and Patient Safety Poster Presentations: Key Ballroom Lobby & Foyer
Key Ballroom A Key Ballroom B Key Ballroom C Key Ballroom D
Track 1 Track 2 Track 3 Track 4
10:00am–11:00am Intra-facility Patient Transfers: Communication Access: FY 17 Office of Health Care From Deny and Defend
Risky Business Improving Patient Safety by Quality Patient Safety Update to CANDOR –
Cheryl Connors, MS, RN Decreasing Communication Anne Jones, RN, BSN, MA A Comprehensive and
Patient Safety Specialist Barriers in the Nurse Program Consultant Principled Approach to
Armstrong Inst. for Patient Safety Healthcare Setting Office of Health Care Quality Responding when Patient
and Quality Denise McCall, MA, CCC-SLP Safety Events Occur
Johns Hopkins Medicine Program Director Martin Hatlie, JD
Lisa Thornburg, MA, CCC-SLP Co-Director
Dennis Jones, DNP, RN, CCNS
Assistant Director Kelly Smith, PhD
Safety & Quality Officer
SCALE@The League Senior Director, Research
Lifeline Critical Care Transport
MedStar Institute for Quality & Safety
Program, Johns Hopkins Hospital
11:00am–11:15am Break, Visit Exhibitors and Patient Safety Poster Presentations: Key Ballroom Lobby & Foyer
11:15am–12:15pm Medication Assisted The End of Life Care Journey: Minogue Award for Evidence over Ideology:
Treatment: Ensuring the Safest Care Patient Safety Aligning SUD science, policy
A Priority Response to for our Patients Innovation Winner: and practice
Maryland’s Opioid Crisis Carol Cronin S.T.A.R.T. with the Patient Tracey Myers-Preston
Kathleen Rebbert-Franklin, Executive Director Leslie Clark, RN, LBSW, MSN Strategist
LCSW-C Informed Patient Institute Director, Population Health The Maryland Addictions Directors
Director, Seth Krevat, MD Lori Wilson, RN, BSN, MA Council
Health Promotion & Prevention, Palliative Medicine, MedStar Assistant VP, Patient Services Kathleen O’Brien, PhD
Behavioral Health Georgetown University Hospital UM Upper Chesapeake Chief Executive Officer
Administration Moderator Medical Center Walden Behavioral Health
Maryland Department of Health Matt Austin, PhD
Assistant Professor
Johns Hopkins University in the
Armstrong Institute for
Patient Safety & Quality
12:15pm–1:00pm Lunch, Visit Exhibitors and Patient Safety Poster Presentations: Key Ballroom Lobby & Foyer
1:00pm–2:00pm What’s next when a cup of Voices of Patients & Families: Distinguished Achievement The Safety Learning
coffee is not enough? A Panel Discussion in Patient Safety Collaborative: Redefining
Addressing the highly valued Cheryl & Paul Douglass Innovation Winner: Patient Safety
(“untouchable”?) clinician Patient & Family Advocates Reducing Opioid Prescribing: Jeanne Huddleston, MD
who undermines your culture Jack Gentry A Health System Responds President and CEO
of safety and respect. Patient & Family Advocate to the Epidemic HB Healthcare Safety, SBC
Gerald Hickson, MD Ginger Rosela Barry Meisenberg, MD Tony Calabria
Senior Vice President for Quality, Patient & Family Advocate Director, DeCesaris Cancer Institute Clinical Quality & Regulatory
Safety & Risk Prevention Moderator Anne Arundel Medical Center Programs Director
Vanderbilt University Robert Imhoff MedStar Institute for Quality & Safety
President & CEO, MPSC
2:00pm–2:30pm Break, Visit Exhibitors and Patient Safety Poster Presentations: Key Ballroom Lobby & Foyer
Key Ballroom
Closing Keynote Address: Every 1/2 Second Counts
2:30pm–3:30pm
Ridley Barron, Author and Patient Advocate, Ridley Barron Ministries
3:30pm Closing Remarks and Adjournment:
Robert Imhoff, President & CEO, Maryland Patient Safety CenterTRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY
made and their unique contributions to help ensure safer care.
Key Ballroom Open and honest communication with patients, families, and
each other is the next big leap. Participants will come away
8:15 am – 9:15 am inspired to take that big leap together!
Opening Keynote
A Moment to Celebrate How Far Learning Objectives
We Have Come and Be Inspired 1. Identify areas of progress in patient safety and reflect on the impact
their work has had on patients; and
to Take the Next Big Leap 2. State one action step you will take to improve open and honest
Substantial improvements have oc- communication.
curred in patient safety in the nearly Presenter
two decades since the IOM report, To Err is Human. During Rosemary Gibson
this presentation, participants will have the opportunity to step Senior Advisor, The Hastings Center
back from their day-to-day work and reflect on the progress
9:15 am – 9:30 am Recognition of 2018 Winners of Patient Safety Innovation Awards
9:30 am – 10:00 am Break and Visit Exhibitors and Patient Safety Poster Presentations
CONCURRENT SESSIONS
3. L ist the steps taken by the State to increase access to medications, specifi-
Track 1 (Key Ballroom A) cally buprenorphine
Presenters:
10:00 am - 11:00 am Kathleen Rebbert-Franklin, LCSW-C
Intra-facility Patient Transfers: Risky Business Director, Health Promotion & Prevention, Behavioral Health
Transporting patients to different departments and different Administration, Maryland Department of Health
caregivers can be risk-prone. The process can involve several
caregivers with varying skill sets, who may not be familiar with 12:15 pm – 1:00 pm Lunch and Visit Exhibitors and
the patient. Johns Hopkins conducted an in-depth analysis to Patient Safety Poster Presentations
identify the root causes of risk during transport. This session will
share relevant risks and strategies to improve safety for patients 1:00 pm – 2:00 pm
during transport. What’s next when a cup of coffee is not enough?
Learning objectives: Addressing the highly valued (“untouchable”?)
1. List the risks that may occur during patient transport clinician who undermines your culture of safety
2. Identify at least two strategies to improve safety during patient transport and respect.
3. Use a checklist to assess safety during transport
Unprofessional behavior by 2-8% of physicians and advanced
Presenters: practice professionals in virtually all medical groups is associated
Cheryl Connors, MS, RN with greater risk of patient complaints, professional liability claims,
Patient Safety Specialist, Armstrong Institute for Patient Safety post-procedure complications, impaired teamwork, symptoms of
and Quality, Johns Hopkins Medicine burnout and reduced loyalty of patients and staff.
Dennis Jones, DNP, RN Based on Vanderbilt’s 20+ years of research and experience with
Safety and Quality Officer, Lifeline Critical Care Transport medical groups now numbering more than 66,000 physicians,
Program, Johns Hopkins Hospital we’ve learned that every organization needs a plan, a tiered inter-
vention process (a “Professionalism Pyramid), and an infrastructure
11:15 am – 12:15 pm for early identification and action in support of that small propor-
Medication Assisted Treatment: A Priority Response tion of professionals who disproportionately dissatisfy their patients
to Maryland’s Opioid Crisis and/or raise concerns among their co-workers. This presentation
This presentation will provide the audience with information begins with the case of Dr. X, a highly valued (“untouchable”?)
about how Maryland is addressing the opioid crisis, particularly clinician who nevertheless undermines the organization’s culture of
through expanding access to medication-assisted treatment. Opi- safety and respect. The presentation describes how Dr. X’s leaders
oid overdose prevention is a major priority for Maryland, and learned to begin with informal feedback (“cup of coffee conver-
improving access to evidence-based services is a key component. sations”) from colleagues, but when that didn’t work, learned to
The presenter will discuss addressing stigma, expanding bu- intervene with local and national peer-comparative data and stories.
prenorphine prescribers, and partnering with hospital and other Based on a tiered intervention approach his feedback is designed
health systems to implement early intervention activities. to make Dr. X aware of her/his status vs. others both in the lo-
cal medical group and in the particular practice specialty nation-
Learning Objectives: ally. These non-directive, non-judgmental feedback sessions are
1. Identify the overarching goals of the State in addressing the opioid
overdose crisis designed to prompt physician/APP self-regulation, which occurs
2. Describe how public awareness activities can address stigma 75-80% of the time. Unfortunately, Dr. X failed to self-regulate, soTRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY
the presentation describes the next steps involving carefully tailored system, we will explore with experts in patient-centered and
interventions guided by an authority. The authorities develop ac- palliative care how the healthcare system can better ensure
tion plans involving ongoing assessment and accountability and end of life care that is both safe and follows the values and
improve results for more than 60% of intervention recipients. preferences of our patients.
As a result of interventions guided by Dr. X’s authority (Clinical
Learning Objectives:
Department Chair, Chief, VPMA, CMO or equivalent), Dr. X’s 1. Describe where patient safety concerns exist in the provision of end of life
patient and co-worker complaints fell substantially, reducing Dr. care
X’s malpractice claims and risk of other adverse outcomes to Dr. 2. Identify solutions that the health care delivery system could adopt to
X’s organization and patients. The presentation concludes with improve patient safety in end of life care
3. Describe how the health care delivery system can best incorporate the
an overview of best practices associated with our tiered interven- patient’s voice into improving the safety of end of life care
tion approach and tools leaders need that address, support, incen-
tivize, and monitor those clinical colleagues identified as high risk. Presenters:
Matt Austin, PhD
Learning Objectives: Assistant Professor, Johns Hopkins University in the Armstrong
1. Describe a range of unprofessional behaviors that increase risk of profes-
sional liability claims and adverse surgical outcomes; Institute for Patient Safety and Quality – Panel Moderator
2. L ist key elements of an organizational infrastructure required to support Carol Cronin
effective efforts to reduce unprofessional conduct among clinicians; Executive Director, Informed Patient Institute
3. Identify the levels of a model of tiered accountability for addressing single
incidents, apparent patterns, and persistent patterns of unprofessional Seth Krevat, MD
behavior; and Palliative Medicine, MedStar Georgetown University Hospital
4. Discuss how the same infrastructure and model of tiered accountability
may be implemented to increase the likelihood of successful organiza-
tional safety and quality improvement initiatives. 12:15 pm – 1:00 pm Lunch and Visit Exhibitors and
Patient Safety Poster Presentations
Presenter:
Gerald Hickson, MD 1:00 pm – 2:00 pm
Senior Vice President for Quality, Safety and Risk Prevention, Voices of Patients and Families: A Panel Discussion
Vanderbilt University This panel discussion will explore the importance of the
communication exchange between patients and clinicians.
Track 2 (Key Ballroom B) Patient and family experiences from three different perspectives
will be presented. Included in the discussion around these
10:00 am – 11:00 am patient perspectives will be the importance and necessity for
Communication Access: Improving Patient Safety by transparency. An opportunity for audience interaction with
Decreasing Communication Barriers panelists will be provided.
Effective patient-provider communication is an essential com-
ponent of quality healthcare and patient safety, as well as a Learning Objectives:
1. Discuss the impact of transparent communication after medical error,
basic right of every patient. However, employees in health care including disclosing the mistake to the patient
settings are typically unaware of methods of facilitating com- 2. Describe the benefits of adverse event disclosure to patients and families
munication for individuals who have difficulty speaking, hearing, Presenters:
seeing, understand, reading, writing or remembering. This pre- Robert Imhoff
sentation will provide participants with the knowledge, training, President and CEO, Maryland Patient Safety Center – Panel
tools and resources needed to implement change in their health Moderator
care setting. Tool kits and free downloadable resources will be Cheryl and Paul Douglass, Patient and Family Advocates
presented, with action ideas for implementing these materials. Jack Gentry, Patient and Family Advocate
Learning Objectives: Ginger Rosela, Patient and Family Advocate
1. Describe the impact of ineffective patient–provider communication on
patient safety
2. Define the barriers to effective patient–provider communication
3. E xplore on-line communication tools, videos and training materials
Track 3 (Key Ballroom C)
designed to reduce safety risks
4. Name supportive communication tools and techniques to improve 10:00 am – 11:00 am
effective communication in medical settings.
FY 17 Office of Health Care Quality Patient Safety
Presenters: Update
Denise McCall, SLP This session presents adverse event cases reported through the
Program Director, SCALE @ The League Office of Health Care Quality’s mandatory hospital reporting
Lisa Thornburg, SLP system. Trends in reported events, root causes, and corrective
Assistant Director, SCALE @ The League actions will be discussed, as well as findings from submitted
RCAs and individual case studies. In addition, an in-depth look
11:15 am – 12:15 pm at the 54 preventable deaths from FY 17 will be presented.
The End of Life Care Journey: Ensuring the Safest Learning Objectives:
Care for our Patients 1. Describe the data regarding reported events for FY17.
Through the lens of a patient’s journey through the healthcare 2. Explain the context of trends and meaningful single events, andTRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY
3. Identify some commonalities among the preventable deaths from FY17 Learning Objectives:
Presenter: 1. Describe the role medically prescribed opioids play in generating and
sustaining opioid addiction.
Anne Jones, RN, BSN, MA 2. L ist the details of a multi-faceted approach to reducing opioid demand
Nurse Program Consultant, Office of Health Care Quality and prescribing within a health system.
3. Identify the major educational points and data support for prescriber
educational sessions.
11:15 am – 12:15 pm Presenter:
Minogue Award for Patient Barry Meisenberg, MD
8
Safety Innovation Winner Director, DeCesaris Cancer Institute,
S.T.A.R.T. with the Patient Anne Arundel Medical Center
The “S.T.A.R.T. with the Patient: A Safe
Transition Assessment and Risk Tool” pre-
sentation will guide the audience through Track 4 (Key Ballroom D)
the creation and implementation of University of Maryland
Upper Chesapeake Health’s START Status Board. This tool 10:00 am – 11:00 am
assesses patients for readmission risks from the time of admission From Deny and Defend to CANDOR – A
through discharge, and seeks to alert the clinical teams to obtain Comprehensive and Principled Approach to
appropriate resources and interventions for these patients. During Responding when Patient Safety Events Occur
this presentation, the audience will also learn about the process, Disclosure and apology after medical error emerged in the
collaboration and subsequent interventions that made the success 1990s as both public policy goal and risk management strategy.
of this work possible, and improve outcomes and experiences of Two decades later, CANDOR (Communication and Optimal
care transitions for their patients. Resolution) has evolved as a principled and comprehensive
Learning Objectives: approach focused on empathic communication after Patient
1. Describe the process of development and implementation of the START Safety events occur, transparency, learning & prevention, and
Status Board in the context of a collaborative interdisciplinary workgroup. fair & effective management of liability exposure. Innovators
2. Identify risk stratification methods, interventions that mitigate readmission
risk factors, and appropriate resources for patient transitions. have demonstrated impact on event reporting, practice patterns
3. Discuss sustainability strategies for the START tool to improve the quality and liability reduction. Care for healthcare workers has emerged
and experience of care transitions for patients. as important to harm prevention as well as workforce well-
Presenters: being. This session will describe CANDOR components and
Leslie Clark, RN, LBSW, MSN the rationale behind a CANDOR approach. Participants will
Director, Population Health also explore implementation opportunities and challenges
Lori Wilson, RN, BSN, MA using a case study of impact on patient safety at one large MD
Assistant VP, Patient Services health system.
UM Upper Chesapeake Medical Center Learning Objectives:
1. Describe the importance of transparency and empathy in responding
12:15 pm – 1:00 pm Lunch and Visit Exhibitors and to patient safety events, maximizing learning and managing liability
Patient Safety Poster Presentations exposure
2. Identify the opportunities and challenges for health systems in adopting
CANDOR
1:00 pm – 2:00 pm 3. Discuss one health system’s early results after embedding a CANDOR
Distinguished Achievement in Patient Safety within their comprehensive patient safety program
Innovation Winner Presenter:
Reducing Opioid Prescribing: A Health System Martin Hatlie, JD
Responds to the Epidemic Co-Director, MedStar Institute for Quality & Safety
This session will describe actions taken to reduce opioid pre- Kelly Smith, PhD
scribing within various services of a health system, including Senior Director, Research, MedStar Institute for Quality &
patient and public education, prescriber education, prescriber Safety
oversight, empowerment of medical directors with actual data
of prescribing patterns and enhanced electronic medical record 11:15 am – 12:15 pm
(EMR) tools to facilitate referrals to substance abuse services. Evidence over Ideology: Aligning SUD (Substance
Outcomes of this work include a >50% decrease in overall Use Disorder) Science, Policy and Practice
prescribing amounts both in volume and rate of opioid prescrip- Addiction is a complex social and medical issue that requires
tions. The trend has spread from initial target areas, to other well-informed and complex solutions. Our current treatment
departments, suggesting spreading culture change in approach system often fails those in need because of its entrenchment in
to prescribing these medications. Patient satisfaction with pain flawed views of the disease of addiction and approaches that are
management did not decrease during the roll-out of these inter- based on ideology rather than the science at hand. In this session,
ventions. The presentation will highlight some of the interven- participants will gain insight on dismantling the long-standing
tions used to achieve these results including the content of the and flawed assumptions that hinder high-quality addiction-
academic detailing for prescribers, the data report created for related healthcare and put science at the center of policy making
medical directors and elements of the patient education. and clinical best practices.TRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY
Learning Objectives: explore principles of high reliability that will enable them to
1. Identify effective communication strategies that raise SUD care standards look beyond peer review and toward inter-professional change.
2. Discuss how to increase transparency around data-driven decision Safety problems facing healthcare will be considered, and
making and outcomes
3. List activities that promote evidence-informed policies and practices. evidence will show that acts of omission, not commission are
the largest.
Presenters:
Tracey Myers-Preston Learning Objectives:
Strategist, The Maryland Addictions Directors Council 1. I mplement a learning system that embodies principles of high reliability
Kathleen O’Brien, PhD — specifically, deference to expertise
2. Outline strategies to move beyond the medical model of peer review to a
Chief Executive Officer, Walden Behavioral Health process of inter-professional learning that leads to actionable information
and change
3. Define the largest safety problems facing health care today: acts of
12:15 pm – 1:00 pm Lunch and Visit Exhibitors and omission, not commission.
Patient Safety Poster Presentations
Presenters:
1:00 pm – 2:00 pm Jeanne Huddleston, MD
The Safety Learning Collaborative: Redefining President and CEO, HB Healthcare Safety, SBC
Patient Safety Tony Calabria
This session will provide learners with the information to Clinical Quality & Regulatory Programs Director, MedStar
Institute for Quality & Safety
Key Ballroom
2:30 pm – 3:30 pm Closing Keynote leave the session with practical steps to promote safety in their
Every 1/2 Second Counts culture.
What can be done in our healthcare Learning Objectives:
1. Recognize how to create consumer./user friendly environments
systems to improve overall quality? As 2. Demonstrate increased awareness of individual patient concerns in
people continue to serve in healthcare, regards to their safety
there will continue to exist a human 3. Create patient-centered care that takes place in threat free environments
through greater awareness of safety issues
component—the potential for error. In 4. E xplain concerns centered around the “second victim” (health care
this session, participants will learn from workers involved in adverse events)
the family member of one victim. They
will be challenged by seven simple Presenter:
principles that are drawn directly from Ridley Barron
his personal experience. Participants will be encouraged to Author, Speaker, Patient Advocate,
apply these principles to the own situations. Listeners will Ridley Barron Ministries
The strategic initiatives and priorities of the Maryland Patient Safety Center
Meet the Board of Directors are guided by a voluntary board of directors.
CHAIR Badia Faddoul, RN, DNP, CCR, CPHQ, Andrea M. Hyatt, CASC Sherry Perkins, PhD, RN, FACHE
James R. Rost, MD Director of Quality & Safety President Executive Vice President & Chief
Vice President & Chief Medical Officer University of Maryland Community Medical Group Maryland Ambulatory Surgery Association Operating Officer
Adventist Healthcare Dimensions Health
E. Robert Feroli, Jr., PharmD, FASHP, Robert Imhoff
Washington Adventist Hospital
FSMSO President & CEO Podge M. Reed Jr.
Gerald Abrams Medication Safety Maryland Patient Safety Center Former Hospital Administrator
Director Armstrong Institute Johns Hopkins Hospital Patient Advocate
Sen. Katherine Klausmeier
Abrams, Foster, Nole & Williams, PA
Brian J. Frankel Maryland State Senate, District 8 Del. Sheree Sample-Hughes
Kelly Corbi Assistant Fire Chief Maryland House of Delegates, District 37A
Lawrence S. Linder, MD, FACEP, FAAEM
Chief Operating Officer Prince George’s County Fire/EMS Dept.
Former President and CEO Nicole Dempsey Stallings
Northwest Hospital
Eugene A. Friedman, Esq. University of Maryland Community Medical Group Vice President, Policy & Data Analytics
Joseph DeMattos, Jr., MA, Former Corporate Counsel, 1st Mariner Bank Maryland Hospital Association
Martin A. Makary MD, MPH, FACS
President Trustee, LifeBridge Health
Professor of Surgery, Johns Hopkins School of Medicine Barbara Tachovsky, MSN, PN, NEA-BC,
Health Facilities Association of Maryland
Paul Fronstin, PhD Professor of Health Policy & Management, FACHE
Barbara Epke Director, Center for Research on Health Johns Hopkins University School of Public Health Former President
Vice President Benefits Innovation Chief, Islet Transplant Surgery Mainline Hospitals, Paoli, PA
LifeBridge Health, Inc. & Sinai Hospital Employee Benefit Research Institute Johns Hopkins Hospital
Michael R. Yochelson, MD, MBA,
of Baltimore
Jack Gentry David B. Mayer, MD FACHE
Retired Police Officer, Baltimore City Corporate Vice President, Quality & Safety Chief Medical Officer
Patient Advocate MedStar Health Shepherd Center, Atlanta GAREGISTRATION
14TH ANNUAL MARYLAND PATIENT SAFETY CONFERENCE
APRIL 13, 2018
ONLINE REGISTRATION CLOSES March 30, 2018
To Register:
• Visit MarylandPatientSafety.org. Complete all individual registration information, most
importantly the registrant’s email address (You may include a secondary email address for
others to receive correspondence regarding registration and program information).
• I f you will be submitting a check request through your organization, please choose the
“Register and Pay Later” option.
• You will receive correspondence immediately following your submission of the registration
online.
• I f you do not receive a confirmation email or if you have any questions regarding our
registration process, please contact Lorie Catsos at 410.540.9210 or
lcatsos@marylandpatientsafety.org.
FEE for all participants
FREE with Maryland Patient Safety Center membership (Register by March 30, 2018).
Early Registration and payment received by Friday, March 16, 2018: $299
Late Registration and payment received between March 17–March 30, 2018: $345
On-site Registration and payment (including those not yet paid): $399
Full-time Student: $99 (student ID required)
“No shows” and cancellations received after April 3 will be subject to a $125 cancellation fee
per the Center’s policy
All attendees, including Maryland Patient Safety Center member organizations and
non-members, must register by March 30, 2018 to receive special pricing. All on-site
registrations must provide payment of $399.
Breakfast and lunch Weather Policy: Special Note:
will be provided. In the event of adverse weather The Maryland Patient Safety Center wishes to en-
While we do provide a vegetarian conditions, the decision to cancel sure that no individual with a disability is excluded,
option, please contact Lorie Catsos or delay the Conference will be denied services, segregated or otherwise treated
if you have any other dietary made by 5:00 a.m. the morning of differently from other individuals because of the
restrictions at the Conference. To find out if the absence of auxiliary aids and services. If you need
lcatsos@marylandpatientsafety.org. Conference is delayed or cancelled, any of the auxiliary aids or services identified in
please call 410-540-9210 after the Americans With Disabilities Act, please contact
5:00 a.m. on April 13. Lorie Catsos at lcatsos@marylandpatientsafety.org.CONTINUING EDUCATION
Accreditation Statement Matt Austin, PhD Nothing to disclose
In support of improving patient care, AXIS Medical Education is jointly Carol Cronin Nothing to disclose
accredited by the Accreditation Council for Continuing Medical Education Seth Krevat Nothing to disclose
(ACCME), the Accreditation Council for Pharmacy Education (ACPE), and Kathleen Rebbert-Franklin Nothing to disclose
the American Nurses Credentialing Center (ANCC), to provide continuing Leslie Clark, RN, LBSW, MSN Nothing to disclose
education for the healthcare team. Lori Wilson, RN, BSN, MA Nothing to disclose
Tracey Myers-Preston Nothing to disclose
Credit Designation for Physicians
AXIS Medical Education designates this live activity for a maximum of 5.0 Kathleen O’Brien, PhD Nothing to disclose
AMA PRA Category 1 Credits™. Physicians should claim only the credit com- Gerald Hickson, MD Nothing to disclose
mensurate with the extent of their participation in the activity. Cheryl Douglass Nothing to disclose
Paul Douglass Nothing to disclose
Credit Designation for Pharmacists Jack Gentry Nothing to disclose
This knowledge based activity is approved for 5.0 contact hours of continuing Ginger Rosela Nothing to disclose
pharmacy education credit ( JA4008106-9999-18-013-L05-P). Robert Imhoff Nothing to disclose
Barry Meisenberg, MD Nothing to disclose
Credit Designation for Nursing Jeanne Huddleston, MD Nothing to disclose
AXIS Medical Education designates this continuing nursing education Richard (Tony) A. Calabria, Jr. Nothing to disclose
activity for 5.0 contact hours.
Ridley Barron Nothing to disclose
Learners are advised that accredited status does not imply endorsement by the provider or
ANCC of any commercial products displayed in conjunction with an activity.
The planners and managers reported the following financial relationships
Quality Professionals or relationships they or their spouse/life partner have with commercial inter-
This program has been approved by the National Association for Healthcare ests related to the content of this continuing education activity:
Quality for 5.0 CPHQ continuing education hours.
Name of Planners Reported Financial Relationship
Risk Management Dee Morgillo, MEd., CHCP Nothing to disclose
This program is pending approval for a total of 5.0 contact hours of continu- Ronald Viggiani, MD Northing to disclose
ing education credit toward fulfillment of the requirements of ASHRM Bonnie DiPietro, MS, RN, NEA-BC, FACHE Nothing to disclose
designations of fellow (FASHRM) and distinguished fellow (DFASHRM) Robert Imhoff Nothing to disclose
and towards certified professional in healthcare risk management (CPHRM)
renewal.
Disclaimer
Respiratory Therapists Participants have an implied responsibility to use the newly acquired informa-
Application has been made to the American Association for Respiratory Care tion to enhance patient outcomes and their own professional development.
(AARC) for continuing education contact hours for respiratory therapists. The information presented in this activity is not meant to serve as a guideline
for patient management. Any procedures, medications, or other courses of di-
Long Term Care Administrators agnosis or treatment discussed in this activity should not be used by clinicians
This program has been submitted (but not yet approved) for Continuing without evaluation of patient conditions and possible contraindications on
Education for 5.0 total clock hours from NAB/NCERS. dangers in use, review of any applicable manufacturer’s product information,
and comparison with recommendations of other authorities
AXIS Contact Information
For information about the accreditation of this program please contact AXIS Disclosure of Unlabeled Use
at info@axismeded.org. This educational activity may contain discussion of published and/or inves-
tigational uses of agents that are not indicated by the FDA. The planners of
Disclosure of Conflicts of Interest this activity do not recommend the use of any agent outside of the labeled
AXIS Medical Education requires instructors, planners, managers and other indications.
individuals and their spouse/life partner who are in a position to control the
content of this activity to disclose any real or apparent conflict of interest they The opinions expressed in the educational activity are those of the faculty
may have as related to the content of this activity. All identified conflicts of and do not necessarily represent the views of the planners. Please refer to the
interest are thoroughly vetted by AXIS for fair balance, scientific objectivity official prescribing information for each product for discussion of approved
of studies mentioned in the materials or used as the basis for content, and indications, contraindications, and warnings.
appropriateness of patient care recommendations Americans with Disabilities Act
The faculty reported the following financial relationships or relationships In compliance with the Americans with Disabilities Act, we will make every
they or their spouse/life partner have with commercial interests related to the reasonable effort to accommodate your request. For any special requests,
content of this continuing education activity: please contact Maryland Patient Safety Center at 410-540-9210 or at
lcatsos@marylandpatientsafety.org before the meeting date.
Name of Faculty/Presenter/Planner Reported Financial Relationship
Rosemary Gibson Nothing to disclose Requirements for credit:
• Attend/participate in the educational activity and review all course
Cheryl Connors Nothing to disclose
materials.
Dennis Jones, DNP, RN, CCNS Nothing to disclose
• Complete the CE Declaration/Evaluation form online by 11:59 pm ET on
Martin Hatlie Speakers Bureau: MedStar Health,
May 13, 2018. Instructions will be provided. If you do not complete the
Vizient Inc. online evaluation by this date, you will not be able to get CME/CE credit
Kelly Smith Nothing to disclose for this event.
Anne Jones, RN, BSN, MA Nothing to disclose • Upon successful completion of the online form, your statement of comple-
Denise McCall, MA, CCC-SLP Nothing to disclose tion will be presented to you to print. Pharmacists, your record will be
Lisa Thornburg, MA, CCC-SLP Nothing to disclose automatically uploaded to CPE Monitor.You can also read
