MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
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IMPROVING QUALITY & SAVING LIVES MHA Keystone: ICU Workshop Tuesday, September 29, 2015 Dearborn Inn | Dearborn This educational activity is sponsored by in-kind support from Blue Cross Blue Shield A Voluntary Collaborative to Improve Quality and Save Lives Jointly sponsored by: Beaumont Health System and Michigan Public Health Institute – Continuing Education Provider Unit
CONFERENCE OVERVIEW SPECIFICS The MHA Keystone Center will host the MHA REGISTRATION Each organization may register up to three individuals Keystone: ICU workshop Sept. 29 at the Dearborn from each ICU at no charge, additional attendees $60 Inn. Hospitals participating in MHA Keystone: per person. If you have registered for an MHA event and have your login information, you may register ICU or MHA Keystone: Sepsis are strongly online or with the paper form within this brochure. Space is limited and registration is available on a encouraged to attend. first-come, first-served basis. Confirmation will be sent via email. If you do not receive confirmation of registration, contact Tammy Nault at tnault@mha.org. VENUE & ACCOMMODATIONS The event will be hosted at the Dearborn Inn, 20301 Oakwood Boulevard, Dearborn, MI 48124. An overnight room rate of $165 has been secured for workshop attendees. Call (800) 228-9290 or (313) 271-2700 and identify the MHA Keystone: ICU workshop when making a room reservation. Room reservations are encouraged by Sept. 4, and any reservations made after this date will be confirmed based on availability. PARKING The Dearborn Inn, 20301 Oakwood Blvd., Dearborn, MI 48124-4058. Complimentary on-site parking. SPECIAL NEEDS If you have any special needs or concerns regarding program site access, dietary restrictions, or your participation in the program, contact keystone@mha.org. Please inquire in advance so we may respond to your individual needs. CANCELLATION POLICY If notice of cancellation is given 72 hours in advance of the workshop, 50 percent of the registration fee is refundable. No refunds will be issued after this time. “The Aftermath” by Gary Black CONTINUING EDUCATION OPPORTUNITIES William Beaumont Hospital designates this live activity for a maximum of 4.75 AMA PRA Category The workshop will feature presentations from 1Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in national and local critical care experts on ICU the activity. This award will expire on 9/29/16. survivorship, patient-centered care for delirium This continuing nursing education activity was prevention and management, updated best awarded a maximum 6.25 nursing contact hours. Michigan Public Health Institute – Continuing practices for sepsis identification, treatment and Education Provider Unit (OH-320, 6/1/2013) is an approval provider of continuing nursing education management, navigating difficult conversations by the Ohio Nurses Association (OBN-001-91). with patients and families, current approaches An accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. to palliative care and lung protective ventilation The ICU workshop has been awarded a maximum of in the ICU setting. 3.25 ACPE credit hours for pharmacy professionals. Partial credit can be awarded and pharmacy professionals should only check the sessions they attend. For questions regarding continuing education please contact us at keystone@mha.org 2
AGENDA | September 29, 2015 | Dearborn Inn | Dearborn, MI 7 – 8 a.m. 11 a.m. – 12 p.m. Registration and Breakfast Resting on Evidence and Experience: A Patient-Centered Approach to Sedation 8 – 8:15 a.m. and Delirium Management Welcome E. Wesley Ely, MD, MPH, pulmonary and critical care Sam Watson, senior vice president, patient safety and and health services researcher at Vanderbilt University quality, MHA and and associate director of the Tennessee Veterans Brian Peters, CEO, MHA Affairs-Geriatric Research Education Clinical Center, Nashville, TN 8:15 – 8:30 a.m. 12 - 12:30 p.m. KICU Annual Survey Results Lung Protective Ventilation – A Performance Deena Costa, PhD, RN, assistant professor, University of Michigan School of Nursing Measure in the Making Robert Hyzy, MD, professor, Department of Internal 8:30 - 8:45 a.m. Medicine and director, Critical Care Medical Unit, University of Michigan, Ann Arbor Keystone Update Phyllis McLellan, RN, MSN, CNOR, CPPS, 12:30 – 1:30 p.m. director of performance improvement, MHA Keystone Center Lunch 8:45 – 9:30 a.m. 1:30 – 3 p.m. Sepsis from the Inside Out Navigating Difficult Conversations with Patients and Families: Perspectives from the Gary Black, MEd, BSEd, and BFA. (author “Gyroscope – A Survival of Sepsis”) Fishbowl Rana Awdish, MD, senior staff physician, Department 9:30 - 10:30 a.m. of Pulmonary & Critical Care Medicine, Henry Ford Health System; Michael Mendez, MD, director, Managing Sepsis in the Era of Mandated Medical Intensive Care Unit and the medical director, Public Reporting Simulation Center, Henry Ford Hospital; and Mitchell Levy, MD, FCCM, FCCP, professor of Dana Buick, MD, consultant for the Caring medicine and division chief, Pulmonary and Critical Conversations Program, Henry Ford Health System, Care Medicine, Alpert Medical School of Brown Detroit University; medical director, MICU, Rhode Island Hospital and founding executive member of the 3 – 3:45 p.m. Surviving Sepsis Campaign, Providence, RI Understanding Palliative Care and End of 10:30 – 11 a.m. Life Issues in the ICU Joseph Bander, MD, FCCM, FCCP, director, surgical Break/Poster Presentations/Vendors ICU, St. Joseph Mercy, Ann Arbor 3:45– 4 p.m. Poster Presentation/Acknowledgement and Closing Remarks 3
SPEAKERS GARY BLACK, MEd, BSEd, BFA, is a survivor of severe sepsis. His life and Quality. He has published more than 150 peer-reviewed articles and book chapters. changed dramatically MODERATOR on July 20th, 2009, KEYNOTE PHYLLIS McLELLAN, RN, MSN, when severe sepsis DR. E. WESELY, MD, MPH, is a CNOR, CPPS, received her Bachelor overcame him and subspecialist in of Science in Nursing brought him to Pulmonary and from Michigan State the edge of death. Critical Care Medicine University, East Inspired by a miraculous recovery, he who conducts Lansing and her wrote his first book, “Gyroscope: patient-oriented, Master of Science in A Survival of Sepsis.” “Gyroscope” health services Nursing from Walden reveals his entire harrowing experience research as a University, Naples, of cascading to the edge of death professor of medicine MN. She worked in from severe sepsis. It explores his in the division of Allergy, Pulmonary, various acute care roles for 21 years mental, physical, and spiritual traumas and Critical Care Medicine at She currently manages four and triumphs from onset to recovery. Vanderbilt University School of collaboratives at the MHA Keystone It also includes 52 illustrations that Medicine, Nashville, TN. He is also a Center, including MHA Keystone: express the pain, anguish, dreams, practicing intensivist with a focus on Obstetrics, ICU and Sepsis, and is the delirium, and personal awakenings. geriatric ICU Care, as the associate coordinating entity for the national The book also contains a brief medical director for research for the VA CUSP for Mechanically-ventilated glossary, and research references. Tennessee Valley Geriatric Research Patients — Ventilator-associated and Education Clinical Center, Pneumonia (CUSP 4 MVP-VAP) project. KEYNOTE Nashville, TN. Dr. Ely’s research has DR. MITCHELL M. LEVY, MD, focused on improving the care and DEENA COSTA, PhD, RN, focuses FCCM, FCCP, is chief medical director outcomes of critically ill patients with her research on for the Division of ICU-acquired brain disease (manifested identifying ways to Critical Care, acutely as delirium and chronically as improve outcomes Pulmonary, and long-term cognitive impairment). of critically ill adults Sleep Medicine, The He has built the ICU Delirium and by optimizing the Warren Alpert Cognitive Impairment Study Group, organization and Medical School of amassing several thousand patients management of Brown University, into cohort studies and randomized critical care services. where he is professor trials that were used to build the She is most interested in ways to of medicine, Providence, RI. He is also methodology for ICU acquired brain improve the structure and function of medical director of the Medical disease research. His team developed the ICU interprofessional care team Intensive Care Unit at Rhode Island the primary tool (CAM-ICU, translated and ICU care processes. Costa’s Hospital, Providence. Among Dr. into 25+ languages) by which delirium work integrates approaches from Levy’s professional activities, he is a and health-related quality of life epidemiology, health services member of the executive committee outcomes are measured in ICU-based methodology and systems science to of the Surviving Sepsis Campaign, trials and clinically at the bedside in provide novel solutions to critical care co-director of the Ocean State Clinical ICUs worldwide. Dr. Ely has been delivery issues. She primarily uses Coordinating Center for multi-center continuously federally funded (NIA large datasets and quantitative sepsis trials, past president of the and/or VA) for 14 years. He has over methods in her research; however, Society of Critical Care Medicine 250 peer-reviewed publications and she is expanding her work to include (2009). He was chair of The Robert over 50 published book chapters and qualitative analysis and network and Wood Johnson ICU Peer Workgroup editorials. systems science methodology. Prior to in end-of-life care and The Joint joining the University of Michigan, Commission’s ICU Core Measure DR. ROBERT C. HYZY, MD, is a Ann Arbor, faculty, Costa completed a advisory panel for quality care. professor in the pre-doctoral research fellowship at the His current research interests include Department of University of Pennsylvania Center for sepsis, end-of-life care, and knowledge Internal Medicine at Health Outcomes and Policy Research translation. Additionally, he serves on the University of and a post-doctoral fellowship in the National Quality Form and is a Michigan, Ann Arbor. Critical Care Medicine at the University technical expert for, “Closing the He is also director of of Pittsburgh in the Clinical Research, Quality Gap: Prevention of Healthcare- the Critical Care Investigations and Systems Modeling associated Infections”, which is part of Medicine Unit of Acute Illness Center, Philadelphia, the Evidence-based Practice Center of and co-chair of the Critical Care PA. the Agency for Healthcare Research Committee at the University of 4
Michigan and co-chair of the University DR. MICHAEL MENDEZ, MD, DR. JOSEPH J. BANDER, MD, of Michigan Health System, Ann Abor. is the director of the FCCM, FCCP, is a fulltime intensivist Hyzy’s research interests are critical Medical Intensive and director of the care medicine, including ICU quality Care Unit and the surgical ICU at St. improvement, acute respiratory medical director of Joseph Mercy, Ann distress syndrome and ventilator- the Simulation Arbor. Bander was associated pneumonia. He is the Center at Henry residency trained project director at the University of Ford Hospital, and certified in Michigan for the National Heart, Lung Detroit, and a clinical internal medicine at and Blood Institute Clinical Trials associate professor of Medicine at the Los Angeles Network for the Prevention and Wayne State University, Detroit. His County and University of Southern Early Treatment of Acute Lung Injury. educational focus is on improvement California Medical Center, Los Angeles, He has authored multiple articles of communication between caregivers, CA. He then completed his fellowship and book chapters and edited an patients and families in the ICU. He training in critical care medicine at the edition of Critical Care Clinics titled has partnered with key faculty at University Southern California Shock “Enhancing the Quality of Care in the Henry Ford Hospital to create models Research Unit-Center for the Care of ICU.” Hyzy has been active in MHA that bridge communication education the Critically Ill under the tutelage of Keystone: ICU since its inception and from simulated settings to the Dr. Max Harry Weil. Bander has nearly presently chairs the MHA Keystone: bedside. Mendez completed his 4 decades of experience in the field of ICU steering committee and serves on pulmonary critical care training at the critical care medicine. He served many the MHA Keystone Center Board of University of Michigan, Ann Arbor. years as an ICU director at the Oregon Directors. He also chairs the Quality He attended the University of Miami Health Services University in Portland, Improvement Committee of the Medical School and completed his OR and at St. Joseph Mercy Oakland, American Thoracic Society and has undergraduate degree at MIT, Pontiac. He also was the director of spoken nationally and internationally Cambridge, MA. the MICU and Neurosciences ICU at on quality improvement in the ICU. Harper University Hospital and Wayne He is also director of the Critical Care DR. DANA BUICK, MD, is a State University, Detroit. He has been Medicine Unit and co-chair of the consultant for the a full professor of medicine at Wayne Critical Care Committee at the Caring Conversations State University medical school and University of Michigan Health System, Program. The also held the position of vice president Ann Arbor program mission is for medical affairs at Harper University to change the culture and Hutzel hospitals in Detroit. His DR. RANA L. AWDISH, MD, MS, of communication research career is quite active and it is a pulmonary in healthcare, includes special interests in sepsis hypertension making it more and septic shock, end of life care, specialist and critical patient-focused, with an undercurrent telemedicine and quality improvement. care physician at of compassion and empathy. Prior to After 25 years he left Wayne State Henry Ford Health coming to Henry Ford Health System, University to advance various MHA System, Detroit. Buick completed her family medicine Keystone: ICU projects with Trinity After suffering a training at Providence–Providence Health System. He has been critical illness, she Park Hospital in Southfield, and recognized as a pioneer in the use of has become a tireless advocate for hospice & palliative medicine training robotics and remote provision of refocusing providers on the patient at Wayne State University in Detroit. medical care in the ICU’s. Bander has experience and improving empathy She attended Wayne State University been the president of the Oregon through the use of concrete School of Medicine, and completed Society of Critical Care Medicine, the communication skills. Before coming her undergraduate degree at Reed Michigan Society of Critical Care to Henry Ford Health System, Dr. College in Portland, OR. She is Medicine, and has been chair of Awdish completed her training at board-certified in family medicine internal medicine section of Society Beth Israel in Manhattan, NY. with additional certification in of Critical Care Medicine. He is a She attended Wayne State University hospice & palliative medicine. Her member of the Keystone ICU advisory Medical School, Detroit, and completed research interests are in physician board, sits on the board of directors her undergraduate degree at the communication training and outcomes. of the Michigan Palliative Care and University of Michigan, Ann Arbor. Hospice Organization (HPCO) and is a She is board-certified in internal, clinical lead for the MHA Keystone: pulmonary and critical care medicine. Palliative Care pilot program. Her research interests include pulmonary hypertension, yoga for rehabilitation of chronic lung disease and communication training. 5
A CALL FOR POSTER PRESENTATIONS FOR ICU WORKSHOP “Success stories and lessons learned in evidence based practice in the ICU setting” This year we are offering hospitals an opportunity to highlight best practices or lessons learned in various aspects of ICU care (ABCDE implementation, communication, teamwork, HAI reduction, etc.) through poster presentations. Poster presentations provide an opportunity for you to showcase your hospital’s success and/or discuss lessons learned in quality improvement or research in the clinical setting. It will also create the opportunity for dialogue with colleagues, facilitating dissemination of knowledge and best practice. The posters will be displayed throughout the workshop and highlighted throughout the day. Each hospital will receive a special commemorative book, “Gyroscope – A Survival of Sepsis”, signed by author and special presenter, Gary Black. SUBMISSION PROCESS: Please submit a brief, 250 word abstract (including hospital, ICU, subject/category and brief description of project) to Phyllis McLellan at pmclellan@mha.org, by Friday, Sept. 4, 2015 as intent to display a poster presentation from your health system or facility. GENERAL GUIDELINES FOR POSTERS: • STANDARD POSTER SIZE: no more than 36 inches X 48 inches • LAYOUT ORIENTATION: Landscape or Portrait • MATERIALS: Paper-based (with matte finish or coated paper) or foam board (including tri-folds) • KEY INFORMATION: Include, at a minimum, the following information: Title, Name, Phone, Email, Hospital, Location, and Type of Poster: Research/Process Improvement. TITLE: _________________________________________________________________________________________ Author name: __________________________________________________________________________________ Affiliation: (Hospital and ICU):____________________________________________________________________ First author contact information: _________________________________________________________________ Background: ___________________________________________________________________________________ Objective: _____________________________________________________________________________________ Methods: ______________________________________________________________________________________ Results: _______________________________________________________________________________________ Conclusion: ____________________________________________________________________________________ 6
MHA KEYSTONE: ICU REGISTRATION FORM September 29, 2015 | Dearborn Inn | 20301 Oakwood Boulevard | Dearborn, MI 48124 Hospital/Organization Name: Registration Fees: First three attendees from each ICU at each hospital at no cost __________________________________________________________ $60 per additional attendee Registration Deadline: Sept. 22, 2015 Space is limited, and registrations received after Sept. 21 will ICU Name: be taken on a first-come, first-served basis. __________________________________________________________ On-site registrations will be accepted, room providing. Registration for four+ attendees $60 per person * These fees are only applicable if sending four or Attendee 1 Information more individuals per unit per hospital Name:____________________________________________________ Total number of people from facility registering with enclosed payment: _______________ Credentials: _______________________________________________ Total fees due and included on the check: $______________ Job Title: _________________________________________________ Check number enclosed: $______________ __________________________________________________________ Total fees to be charged: $______________ Charge to card: Email: ____________________________________________________ ■ VISA ■ MasterCard ■ American Express Phone Number: ___________________________________________ Card Information: Account Number: __________________________________________ Attendee 2 Information Expiration Date: ___________________________________________ Name:____________________________________________________ CVV Code: ________________________________________________ (3 or 4 digit security number on the card) Credentials: _______________________________________________ Cardholder Name: _________________________________________ Job Title: _________________________________________________ Cardholder Signature: ______________________________________ __________________________________________________________ Email: ____________________________________________________ Workshop Payment Policy: Following the workshop, the MHA Keystone Center will collect payment from any facility sending Phone Number: ___________________________________________ more than three attendees per hospital. If your hospital wants to pay with a credit card or check, please provide the payment information below. If you do not provide payment information on the registration form, the MHA Keystone Center will invoice Attendee 3 Information the collaborative leader (primary contact) for the additional Name:____________________________________________________ attendees following the workshop. Cancellation policy: If notice of cancellation is given 72 hours in Credentials: _______________________________________________ advance of the workshop, 50 percent of the registration fee is Job Title: _________________________________________________ refundable. No refunds will be issued after this time. The following options are available for completing registration: __________________________________________________________ • Mail: Tammy Nault, MHA Keystone Center, Email: ____________________________________________________ 2112 University Park Dr., Okemos, MI 48864 • Email: Tammy Nault, tnault@mha.org Phone Number: ___________________________________________ • Fax: (517) 703-0601 • Register online: Visit the MHA Event Registration page and scroll to the MHA Keystone: ICU Workshop 2015 event Registration confirmation will be sent via email. If you do not receive confirmation of registration or if you have questions, contact Tammy Nault at tnault@mha.org or (517) 886-8369. 7
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