FOCUS Breakout Sessions 

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 Keynote: Wednesday, November 18, 2015  8:15-9:30 a.m.

 
The Policy Landscape and Transitions of Care

Cheri Lattimer

Session will look at how the implementation of the ACA have impacted transitions of care and care coordination.  New models of care, reimbursement and innovative interventions have emerged and look to improve and change health care delivery, so what are the consideration providers, payers and programs need to consider in meeting needs of patients and family caregivers.

During this presentation you will learn:
1. Articulate enacted policy drivers that may facilitate or challenge attempts to improve care transitions.
2. Define the care coordination & transitions of care performance measures and new models of care that healthcare policy changes have supported  
3.Discuss future policy developments that will affect transitions of care and offer insights into how providers can be involved.
 

  

Wednesday, November 18
Breakout Sessions: "A" Series 10-11:30 a.m.  

Choose one of the following:

A1​
One Goal, Four Approaches: One County's Strategies to Improve Care Transitions and Reduce Re-hospitalizations
Barb Beardsley
Dani Kroll
Jody Sadlon
Helen Sampson

This session is for all providers.

This panel presentation from the Kenosha County Care Transitions Coalition will provide a look at how one successful coalition was formed and developed as well as three interventions that are currently in progress: INTERACT at Brookside Care Center; Medication Packaging and Compliance through Good Value Pharmacy and use of a mid-level provider at Hospitality Nursing and Rehab.

During this presentation you will learn:
1. One model for the successful development of a community coalition - size, structure, accountability, transparency, etc.
2. Overview of the INTERACT intervention.
3. Overview of the medication intervention - compliance packaging and how they manage transitions of care and medication reconciliation on discharge.
4. Overview of NH mid-level provider successes and barriers. 

A2
Lower Hospital Readmissions through Medication Management Partnerships
 
Joe Litsey

This session is for all providers.

Proper medication management has been identified as a key focus area in improving patient outcomes and reducing hospital readmissions.  We will explore how a long term care facility, working in concert with the pharmacy can reduce hospital readmissions through improved medication management.

During this presentation you will learn: 
1. The potential implications of poor medication management during transitions of care and the impact it can have on hospital readmissions.
2. The importance of collaboration and partnership between healthcare professionals and healthcare organizations in order to improve patient outcomes and reduce hospital readmissions by improving medication management.
3. About programs and collaborative work being developed to improve medication management, reduce hospital readmissions and improve overall patient outcomes.​
 
A3 Balancing the Dignity of Risk​
Kim Marheine

This session is for all providers.

This session focuses on the intricacies of balancing rights and risk when persons express a desire to make choices that may be contrary to physician orders, plans of care or regulations.  It addresses the role of care partners, mitigating risk with informed decision-making, and the resources necessary to support desired choices.

During this presentation you will learn:
1. The balance of choices requested by persons that appear to conflict with orders, plans of care or regulations.
2. Factors used to influence best informed decision-making by residents and/or substitute decision-makers toward person-directed outcomes.
3. Available resources that mitigate risk and support person-directed choice. 

A4​ Successful Transitions after Behavioral Health Inpatient Treatment​
Linda Slaikeu
Andrew Johnson

This session is for all providers.

Successful transitions after behavioral health inpatient treatment don't just happen, they are carefully planned and implemented. Come expecting to increase your understanding of how inpatient treatment facilities, families and long term care facilities can work together to increase successful transitions, decrease inpatient re-admissions, and improve overall patient outcomes.​

During this presentation you will learn:
1. Common factors that contribute to re-hospitalization of adults after being treated in an inpatient setting.
2. How to develop an integrated care approach that supports continued healing, fewer readmissions, and reduce the reoccurrence of the process that led to inpatient treatment.
3. How to apply practice guidelines and best practices to improve overall patient outcomes.  
 
A5​
Successful Transitions for Assisted Living Residents
Maria Brenny-Fitzpatrick

This session is for Assisted Living providers.

This session provides a summary of the principles of care transitions to include what the literature says about transitions and residents of assisted living facilities. It addresses the perils of hospitalization and how to discuss the topic with the resident and family.  It also provides examples of useful transfer tools and practices.  

During this presentation you will learn:
1. Why assisted living facilities must begin to prioritize work with care transitions.
2. Principles of transition of care best practices.
3. Proven approaches to assist your organization to improve care transitions, including tools and processes being piloted locally in Madison. 

A6​
Honoring Choices Wisconsin: Improving Advance Care Planning Across the State​
John Maycroft

This session is for all providers.

Advance Care Planning (ACP) is a process of understanding, reflecting on, and discussing future medical decisions, including end-of-life preferences. Through Honoring Choices Wisconsin, the Wisconsin Medical Society is working to make advance care planning a routine and standard part of care across the state, in clinical settings and the community. Participants will learn the latest in ACP strategies and how they can improve ACP in their work.


During this presentation you will learn:
1. The process of Advance Care Planning.
2. The basics of disseminating advance care planning in clinical settings and the community.
3. The role of Honoring Choices Wisconsin in implementation. 
 
A7
The Role of Case Management in Transitions of Care
Cheri Lattimer

This session is for all providers.

Case managers play a pivotal role in supporting good transitions across the continuum.  Guiding patients, their family caregivers to the care they need, when they need it, lies at the core of case management and it is critical in the new models of care aligned with the Affordable Care Act.  Case managers are part of the collaborative care team working with providers, patients and family caregivers ensuring clear communication within the care team and across the continuum.  The skills needed for this exciting role require strong-technical and interpersonal skills that drive excellent quality and patient safety during transitions and care coordination."


During this presentation you will learn:
1. The new models of care delivery emerging with the ACA.
2.  Key interactions of communication during transitions.
3.  How performance measures can support case management interventions.

A8 Defining the Best Clinical Pathway Through the Continuum of Care

Dr. Wayne Saltsman

This session is for all providers.

Patient-centered care is a complex process that demands communication, education and collaboration between a patient/family dynamic and multidisciplinary teams, at multiple disposition levels (i.e. acute care, post-acute care, and home with skilled care), to optimize quality and reduce unnecessary costs.  Although the health-care system identifies  success  as reductions in lengths of stay and readmissions rates,  success  should also mean that the patient (and family) has realized the right care at the right place at the right time.  This presentation follows the course of a real, complex patient through the continuum of care to demonstrate the considerations and challenges that need to be met in order to provide the best care within a complicated system.  

During this presentation you will learn:
1. How the healthcare system has evolved to mandate high value, high quality, patient-centered care.
2. The importance of communication and education across the different levels of care.
3. The role that skilled nursing has within the continuum of care.  
  
A9 Care Transitions: All Hands on Deck!
Stephanie Sobczak

This session is for all providers.

All providers on the care spectrum have a role in reducing readmissions and improving care transitions. This session provides an overview of the care transitions improvement work being done in Wisconsin, why it is being done and the specific interventions hospitals are applying.  

During this presentation you will learn:
1. The impact of federal programs to speed the improvement in readmissions and care transitions.
2. How the many drivers of readmissions are addressed to achieve improvement.
3. The role of long-term care in partnering with hospitals to reduce readmissions.
 
A10
Pursuit of Value Driven Healthcare Post-Acute Care Transitions​
Edward Gamache

This session is for Nursing Home providers.​

Engagement strategies present an overview of the Health and Human Services (HHS) National Quality Strategy (NQS) Triple Aim as a framework for healthcare transformation and engagement. They identify post-acute care cross cutting provider roles within the Triple Aim. They also identify strategies for supporting care transitions to meet requirements of evolving value based payment models and structures.

During this presentation you will learn:
1. The Triple Aim and NQS framework.
2. Post-acute care provider roles in context of the Triple Aim.
3. Engagement strategies in response to the Triple Aim Value Based environment.

 

Wednesday, November 18
Breakout Sessions: "B" Series 12:30-2 p.m.  

Choose one of the following:

B1 Jefferson County's Care Transitions Safe Swallowing Educational Project
Linda Detwiler
Kathleen Pazak
Cathy Roberts
Allison Schaid
Cecilia Smoniewski
Sue Torum

This session is for all providers.

This panel presentation is Jefferson County Care Transitions Coalition. It is a network of community partners working together to support seniors and persons with disabilities during transitions from hospital to home. Hospital data showed aspiration pneumonia was a frequent cause of readmission in our county. Surveys among coalition members, including assisted living providers, indicated the need for more education to prevent aspiration pneumonia.

During this presentation you will learn:

1. How we developed our project based on our root cause analysis.
2. The impact of safe swallowing issues and readmissions in Jefferson County.
3. How to launch, evaluate and maintain an educational/training trial.

B2
Medication Management During Transitions of Care
Ed Davidson

This session is for all providers.

Medication errors occur frequently during transitions in care.  It is important to understand the epidemiology of the type of errors and potential solution to make improvements in this process.  This session reviews best practices for medication reconciliation and pharmacist involvement.

During this presentation you will learn:
1.  Medication error and related problems that occur during transitions of care.
2.  Best practices for improving medication reconciliation and improving health care outcomes.
3.  Practical processes to reduce the risk of medication errors during transitions of care, including focusing on high risk patients and medications, and creating personal health records.

B3
An Evidence Based Medicine Approach for Improving the Transitions of Care for CHF, COPD and Stroke
Dr. Mark Gloth

This session is for all providers.

This session provides participants with an understanding of how the use of evidence-based treatment protocols for Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD) and Cerebrovascular accident (CVA) can be implemented to improve patient outcomes and reduce the risk of re-hospitalizations.

During this presentation you will learn:
1. The impact of COPD, CHF and CVA in the risk of rehospitalizations.
2. Basic knowledge of the pathophysiology of CHF, COPD and CVA and evidence-based intervention standards.
3. To develop an evidence-based individualized treatment protocol for patient's with CHF, COPD and CVA.

B4 Successful Transitions after Behavioral Health Inpatient Treatment
Linda Slaikeu
Andrew Johnson

This session is for all providers.

This session is a repeat, see A4 for the summary of the presentation. 

B5
INTERACT for Assisted Living
Nancy Henry

This session is for Assisted Living providers.

will be emailing this upon completion

B6
Transition from Acute Care for Elders (TACE) Program​
Marsha Vollbrecht
Dr. Soryal ​​​

This session is for Nursing Home providers.

This presentation reviews a transitions program designed to reduce avoidable re-admissions to the hospital from skilled nursing facilities.  It addresses program structure and operation, as well as successes and lessons learned.

During this presentation you will learn:
1. Factors that put seniors who transition to a skilled nursing facility (SNF) from a hospital at high risk for re-admission.
2. About a collaborative model of care to reduce avoidable re-admissions from the SNF to the hospital.
3. Lessons learned from the 'TACE' model of care.

B7
Sometimes  No  is the Correct Answer: Legal and Regulatory Issues Regarding Admissions
Brian Purtell ​​​

This session is for all providers.

Nursing home and assisted living providers can find themselves in a bind when presented with a prospective admission for whom they have concerns about their ability to provide needed services. Providers may be particularly reluctant to decline an admission for fear that the referral source may remove them from consideration for future referrals. This session addresses discuss legal, regulatory and practical considerations regarding admission referrals, including the pitfalls of accepting admissions driven by concerns of affecting referral relationships. As importantly, it also discusses the method and means to communicate your service capacities proactively, such that your saying  no  to a particular referral is received as a responsible act to protect the prospective resident and to minimize the potential for readmission and/or a future need for relocation.


During this presentation you will learn:
1. The legal and regulatory expectations and limitations regarding admission of prospective residents.
2. To proactively communicate strengths and limitations to referral sources to assure proper placements.
3. To better articulate why you cannot or should not accept a particular resident, thus minimizing concerns jeopardizing important referral sources.

B8
Repeat - Defining the Best Clinical Pathway Through the Continuum of Care
Dr. Wayne Saltsman

This session is for all providers.

This session is a repeat, see A8 for the summary of the presentation.

B9
Coordinating Transitions of Care Across Multiple Care Settings
Jessica Grabowski
Walter Rosenberg

This session is for all providers.

The Bridge Model was developed in partnership by hospitals and community-based organizations in Illinois, and over 50 hospitals and community-based organizations around the country have now been trained to replicate Bridge. Bridge focuses on developing strong partnerships across the care continuum to best support clients and their caregivers in their transitions from one care setting to another. Since 2005, the Bridge Model has been shown to positively impact 30-day readmission rates, emergency department utilization, and physician follow up at 7 and 14 days. In addition, the model results in several quality outcomes, including patient satisfaction, decreased caregiver burden, and improved understanding of the plan of care. This session explores payment models that include social workers, post-acute providers, and the Aging Network.

During this presentation you will learn:
1. The core components of the Bridge Model and its impact on healthcare outcomes.
2. The important role of community-based organizations in meeting transitional care needs of older adults.
3. About quality measures and sustainability options for a transitional care program.

B10
Defining the Best Clinical Pathway Through the Continuum of Care​
Edward Gamache

This session is for Nursing Home providers.

This session is a repeat, see A8 for the summary of the presentation.
 
B11 Bridging the Gap: Improving Transitions in Care for People with Dementia Andrea Gilmore-Bykovskyi


This session is for all providers.​


Wednesday, November 18
Breakout Sessions: "C" Series 2:30-4 p.m.  

Choose one of the following:

C1
Building Care Transitions Coalitions in a Rural Setting​
Jennifer Cohen
Janet Evans
Stephanie Haverfield
Tiffany Olson
This session is for all providers.

This panel presentation provides an overview of the creation of two care transitions coalitions in rural Wisconsin. Content includes who to have at the table, how to approach potential members, and best practices for building cohesiveness and trust. Panelists include an administrator from a care and rehabilitation center, a care transition RN, an administrator from an assisted living facility and the chairperson for both coalitions.

During this presentation you will learn:
1. Best practices used in building a rural care transitions coalition.
2. Activities used to enhance discussion/sharing among coalition members to increase cohesiveness.
3. How to use data to illustrate the need to address avoidable readmissions.

C2
Repeat - Medication Management During Transitions of Care
Ed Davidson ​​​

This session is for all providers.

This session is a repeat, see B2 for the summary of the presentation.

C3 Repeat - An Evidence Based Medicine Approach for Improving the Transitions of Care for CHF, COPD and Stroke
Dr. Mark Gloth

This session is for all providers.

This session is a repeat, see B3 for the summary of the presentation.

C4
Repeat - Care Transitions: All Hands on Deck!
Stephanie Sobczak ​​​

This session is for all providers.

This session is a repeat, see A9 for the summary of the presentation.

C5
Repeat - INTERACT for Assisted Living

Nancy Henry​​​


This session is for Assisted Living providers.

This session is a repeat, see B5 for the summary of the presentation.

C6
Repeat - Transition from Acute Care for Elders (TACE) Program
Marsha Vollbrecht ​​​
Dr. Soryal

This session is for Nursing Home providers.

This session is a repeat, see B6 for the summary of the presentation.

C7
Repeat - Sometimes  No  is the Correct Answer:
Legal and Regulatory Issues Regarding Admissions
Brian Purtell ​​​

This session is for all providers.

This session is a repeat, see B7 for the summary of the presentation.

C8
Repeat - Honoring Choices Wisconsin:
Improving Advance Care Planning Across the State
John Maycroft

This session is for all providers.

This session is a repeat, see A6 for the summary of the presentation. 

C9
Repeat - Coordinating Transitions of Care Across Multiple Care Settings
Jessica Grabowski
Walter Rosenberg

This session is for all providers.

This session is a repeat, see B9 for the summary of the presentation.

C10
Repeat: Bridging the Gap:  Improving Transitions in Care for People with Dementia​
Andrea Gilmore-Bykovskyi

This session is for all providers.​

This session is a repeat, see B11 for the summary of the presentation.
 

 



 Keynote: Thursday, November 19, 2015  8:30-9:45 a.m.

 
Safe and Effective Pain Control
Dr. Judith Paice

The under treatment of pain is common, particularly in vulnerable populations. This presentation addresses those at risk for under treatment, identify strategies to improve assessment and describe safe and effective management techniques.

 
During this presentation you will learn: 
1. Populations at risk for under treatment of pain.
2. Assessment techniques to identify pain.
3. Pharmacologic and nonpharmacologic strategies to relieve pain safely and effectively.

 
 

 


Thursday, November 19
Breakout Sessions: "D" Series 10:15-11:45 a.m.  

Choose one of the following:

 D1

You Want Me To Report What?!?
Laurie Arkens
Michelle Crockett
William Gardner
Kathy Lyons
Paul Peshek

This session is for Assisted Living providers.​

This breakout session is an interactive panel discussion which focuses on the various reporting requirements for Assisted Living Providers in DHS Chapters 83, 88, 50 and 13, including an overview of the self-reports that a provider must submit to the Bureau of Assisted Living.  This session also provides an overview of the caregiver misconduct reporting requirements that must be submitted to the Office of Caregiver Quality per Chapter 13.  By the end of this session, attendees will have a better understanding of the various reporting requirements, timeframes and processes used by both the Bureau of Assisted Living and the Office of Caregiver Quality in reviewing and investigating self-reports and/or reports of misconduct.  An overview of the Caregiver Misconduct Registry is provided to assist providers in ensuring a caregiver's eligibility to work as a caregiver. Time is allowed for questions and answers following the panel discussion.


During this presentation you will learn:
1. The role between the Bureau of Assisted Living and the Office of Caregiver Quality.
2. When a report should go to the Bureau of Assisted Living versus the Office of Caregiver Quality.
3. The processes that take place once a report is submitted to either the Bureau of Assisted Living or the Office of Caregiver Quality.
 
D2
Advanced Concepts in Pain Control
Dr. Judith Paice

This session is for all providers.

Safe and effective pain control requires an understanding of the underlying etiology or cause of that individual’s pain. This information can be derived from a comprehensive assessment that includes thorough history taking and physical examination. Pharmacologic therapies provide the foundation for the management of pain associated with many syndromes, yet the risks and benefits of each of these agents must be considered when developing a treatment plan. Nonpharmacologic strategies, including cognitive-behavioral approaches along with physical measures, are also critical when developing a multimodal treatment plan.


During this presentation you will learn: 
1. Discuss key components of a comprehensive pain assessment
2. Describe pharmacologic strategies used to manage pain, including risks, benefits and essential principles to provide safe and effective use
3. List nonpharmacologic techniques that can be integrated into the plan of care

D3
How to Develop a Compliant Hospice/Nursing Home Partnership
Cherry Meier

This session is for Nursing Home providers.

Licensing and certification regulations define specific requirements to be addressed when developing a partnership. Nursing home staffs are responsible for identifying residents approaching end-of-life, initiating conversations regarding treatment decisions/advance directives, and incorporating the information into the care plan. Providers who do not comply with these requirements are subject to survey deficiencies/penalties and are prime targets from review organizations in recoupment activity. This session discusses the licensure/surveyor requirements for the partnership and provides operational guidance in developing a compliant partnership that meets the palliative care needs of nursing home residents.


During this presentation you will learn:
1. Regulations for the interface between hospice and nursing home providers.
2. How to develop operations that meet regulatory requirements.
3. Potential partnership communication and compliance issues that have been identified.
 
D4
Managing Physicians: A Special Skill
Dr. Jeffery Nichols

This session is for Nursing Home providers.

Physician participation in the care of frail and elderly patients plays a central and crucial role in patient care, yet other care team members are often frustrated by a physician's performance and apparent lack of cooperation. This session is designed to explain some of these issues and identify possible techniques to develop effective interdisciplinary teams.


During this presentation you will learn: 
1. Three ways in which managing physicians differs from managing other team members.
2. How these differences may produce conflicts.
3. Four techniques to overcome these potential conflicts.
  
D5
What is New in the 2014 Pressure Ulcer Prevention and Treatment Guidelines?
Joyce Black

This session is for Nursing Home providers.

The Guidelines on Pressure Ulcer Prevention and Treatment was revised in 2014. This presentation highlights the changes in the evidence that led to updated or new guidelines.

During this presentation you will learn: 
1. The legend of level of evidence and Level of agreement in the 2014 Guidelines.
2. Changes in the guidelines for prevention of pressure ulcers.
3. Changes in the guidelines for the treatment of pressure ulcers.
 
D6
Safety in the Workplace: Active Shooter Training
Chief David Erwin

This session is for all providers.

This session teaches participants how to individually respond to an incident and plan for their personal safety until law enforcement arrives.

 
D7
All Hands, All Hearts, All In!
Christopher Ridenhour

This session is for all providers.

The BRIGHTEST future belongs to those organizations where positive, purposeful and empathetic relationships define the quality of care for our residents and their families. Goleman, Covey, Blanchard, Collins, and others have all hinted at the solution.  Here's the question: What encourages our colleagues to leave their comfort zones toward improved teamwork and greater engagement?  Workplace relationships defined by honesty, openness, and compassion will be our goal for this session. Finally, the mysteries and science of human motivation are revealed through mass audience experimentation!  Expect real tools and real hijinx!

During this presentation you will learn:
1. Strategies to more effectively manage the professional relationships with their colleagues and direct reports for the benefit of increased  productivity, teamwork, respect, satisfaction, and workplace excellence.
2. To identify and gain the ability to remediate the key conditions that prevent colleagues from full engagement and the ability to self-motivate.
3. To build leadership skills as workplace coaches, mentors, and supporters of their peers, supervisors, and direct reports.
 
D8
Preventing Aspiration: A Team Approach
Dr. John Liantonio

This session is for all providers.

Aspiration pneumonia is a common problem among long term care residents that can lead to increased hospital transfers, morbidity and mortality.  The goal of this presentation is to address different methods that can be implemented to help prevent aspiration from occurring.  It also discusses the evidence behind the use of feeding tubes and how to manage difficult conversations with family members and patients regarding when to and when not to place a feeding tube.


During this presentation you will learn: 
1. Measures that can be used to prevent aspiration pneumonia.
2. Indications and contraindications for feeding tube placement, including discussion of benefit vs. burden.
3. How to have difficult conversations regarding management of patients with aspiration.
 
D9
Responding to Allegations of Abuse and Neglect
Rick Harris

This session is for all providers.

This session is an overview of the regulatory requirements surrounding incidents and allegations of abuse and neglect. The focus is on conducting thorough investigations and creating a zero-tolerance culture for abuse and neglect by responding decisively to all incidents and allegations.  A portion of the presentation covers interviewing techniques.


During this presentation you will learn: 
1. How the way top management in a facility responds to incidents and allegations of abuse affects the staff's attitude about whether abuse will be tolerated.
2. How to plan and execute a thorough investigation into an incident or allegation of abuse/neglect.
3. Specific techniques that can be deployed when interviewing witnesses.

D10
Building Community Connection
Patty Morter ​​​

This session is for all providers.

Welcoming the greater community into your care setting on an ongoing basis is a win-win for your clients and for others. Creating an atmosphere where people feel comfortable coming into your setting can be challenging.  This highly interactive session provides the how-to for leaders, co-workers and activity staff. It discusses a wide array of ideas and opportunities, including community events, social interactions, volunteer programs and inter-generational opportunities.

During this presentation you will learn: 
1. Opportunities available to build community connections.
2. Benefits of inter-generational programs and a broad range of community support.
3. How to develop a plan to empower your team leaders to increase community involvement.
 
D11
Investigating Infection Control Behaviors in Nurses
Elizabeth (Beth) Beam

This session is for all providers.

Dr. Elizabeth Beam will describe her research into the infection control behaviors of nurses.  She will discuss the application of this research to practice in caring for patients in hospitals or residents in nursing homes with infectious diseases.

During this presentation you will learn: 
1. The different types of isolation and coordinating protective gear.
2. At least two common errors in the use of personal protective equipment (PPE).
3. About research studies that examine the use of PPE and apply the research findings to practice in many types of nursing care settings and infectious diseases.
  
D12
Diversion of Controlled Substances in Long-term Care Settings​
Nicole Schriner

This session is for all providers.​

Diversion of controlled substances continues to be a problem in long-term care (LTC) settings despite increased rules and regulations.  This presentation reviews some of the state and federal regulations governing LTC facilities and pharmacies related to the prescribing, storage and handling, disposal and more.  Ultimately, the goal is to provide tools to various health care providers in LTC settings to help prevent the diversion of controlled substances and how to handle a controlled substance diversion incident.
 
During this presentation you will learn:
1. Controlled substance laws and regulations.
2. About of drug diversion.
3. Best practice tools for preventing/responding to diversion of controlled substances.
 
D13 If It is Not Pressure Could There Be Other Causes for That Skin Breakdown?​ Shawneen Schmitt

This session is for Assisted Living providers.​

This session reviews current information about wounds/ulcerations and investigates other causes of skin breakdown beyond pressure. It shows providers how to utilize a process to reduce the incidence of resident skin breakdown and utilize effective skin care management skills in order to have positive quality expected outcomes. 
 
During this presentation you will learn: 
1. At least three causes of skin breakdown other than pressure.
2. At least two points in developing a process that can be used to reduce skin breakdown.
3. At least three skin care management skills that can lead to have positive quality outcomes.


Thursday, November 19
Breakout Sessions: "E" Series 12:45-2:15 p.m.  

Choose one of the following:

E1
Raising Expectations: Empowering People with Intellectual and Developmental Disabilities for Active Involvement in Community Life
Christina Anderson
Molly Cooney
Martha Hill
Judith Quigley
Olivia Quigley
Melissa Schoenbrodt
Maria Sendick

This session is for Assisted Living providers.

People with intellectual and developmental disabilities (IDD) desire to be accepted as active members of the communities in which they live. Learning from people with IDD themselves, this panel presentations expands your knowledge of how you, as a provider, can empower the people you support to get involved in real opportunities such as personal communication and leadership development, pursuit of  post-high school education and employment.


During this presentation you will learn:
1. The value and importance of empowering people with IDD to grow, learn, and engage in communities.
2. Three personal growth and community involvement opportunities for people with IDD.
3. How to assist people with IDD to access opportunities for personal development and community involvements.

E2
Trauma Informed Behavioral Interventions
Karyn Harvey

This session is for Assisted Living providers.

This presentation outlines the sources and effects of trauma in the lives of people with intellectual and developmental disabilities (IDD). It also focuses on the ways in which individuals can recover from trauma and eventually thrive.


During this presentation you will learn:
1. Three sources of trauma for people with IDD.
2. Four symptoms groups of PTSD and how they might manifest in individuals with IDD.
3. The positive identity approach to recovery.

E3
Social Media: Ethical, Safe and Effective Practical Standards
Brian Purtell

This session is for all providers.

While some long term care providers were cautious about wading into the social media arena, more and more the provider community has begun to embrace the communication, marketing and recruitment opportunities through the various forms and formats of social media. While powerful and potentially effective, there are ethical, compliance and liability issues that providers should be vigilant to keep in mind as they enter or expand their social media presence. This session addresses legal, regulatory and practical considerations for nursing home and assisted living providers, including development or revision of policies, appropriate response to comments (positive or negative), maintaining separation between professional and personal worlds; as well as legal and regulatory pitfalls to avoid. This lively and practical session will be of interest to all SNF/AL leadership team members, including social services, business office and marketing personnel.

During this presentation you will learn:
1. The important of having a clearly articulated social media policy.
2. The legal, regulatory and practical pitfalls to avoid in the social media arena.
3. To provide practical and concise training to staff members, residents and visitors. 

E4
Repeat - Managing Physicians: A Special Skill
Dr. Jeffery Nichols

This session is for Nursing Home providers.

This session is a repeat, see D4 for the summary of the presentation.


E5
Repeat - What is New in the 2014 Pressure Ulcer Prevention and Treatment Guidelines?
Joyce Black

This session is for Nursing Home providers.

This session is a repeat, see D5 for the summary of the presentation.

E6
Repeat - Safety in the Workplace: Active Shooter Training
Chief David Erwin

This session is for all providers.

This session is a repeat, see D6 for the summary of the presentation.

E7
Update on Immunizations for the Older Adults
Dr. David Nace

This session is for Nursing Home providers.​

Using a case based approach, this presentation focuses on vaccinations important to the older adult population. It summarizes the epidemiology of the most common vaccine preventable diseases in the older adult population, reviews recent recommendations regarding vaccinations against these diseases, and discusses strategies to overcome barriers to improved vaccination performance.

During this presentation you will learn: 
1. The impact of selected vaccine preventable diseases most frequently affecting older adults.
2. The importance of healthcare worker vaccination in preventing disease in older adults.
3. Current vaccine recommendations for protection against influenza, pneumonia, hepatitis B, herpes zoster, and pertussis.
 
E8
Repeat - Preventing Aspiration: A Team Approach
Dr. John Liantonio

This session is for all providers.

This session is a repeat, see D8 for the summary of the presentation.


E9
Mistakes are Inevitable, Bad Outcomes are Not
Rick Harris

This session is for all providers.

This session identifies systems errors when things go wrong, fixing them so they don't happen again, and creating a culture that minimizes their occurrence.

During this presentation you will learn:
1. How to use the regulatory method for determining avoidability as a self-measure of optimal care.
2. How to create monitoring systems that anticipate human error.
3. How to fix problems when they occur in a way that minimizes recurrence.

E10
Proactive Approaches to Changing Behaviors: Positive Behavior Management
Matt Welch
Sarah Hardison ​​​

This session is for all providers.

This session addresses how to implement proactive strategies to prevent the occurrence of challenging behaviors and teach functionally appropriate replacement behaviors to improve quality of life.

During this presentation you will learn: 
1. How to define behavior.
2. How to identify the function of behavior.
3. How to define reinforcement.
 
E11
Implementation of an Antibiotic Stewardship Program to Improve the Management of Respiratory Infections in a Long Term Care Facility
Dr. Joe Boero
Paula Kock ​​

This session is for Nursing Home providers.

This presentation is a case review of a nursing home antibiotic stewardship project that decreased inappropriate antibiotic use to treat respiratory infections. It addresses how a long term care facility changed their infection prevention culture regarding use of antibiotics. 

During this presentation you will learn: 
1. Basic antibiotic stewardship principles
2. Methods of implementation of antibiotic stewardship functions in the long term care setting 
3. To conceptualize implementation of an antibiotic stewardship program and a Quality Assurance and Performance Improvement (QAPI) project to decrease inappropriate antibiotic use in your skilled nursing facility.
 
E12
Repeat - Investigating Infection Control Behaviors in Nurses
Elizabeth (Beth) Beam

This session is for all providers.

This session is a repeat, see D11 for the summary of the presentation.  
 
 
E13 Suicide Prevention: Question, Persuade and Refer (QPR) Gatekeeper Training
Brad Munger
Michael Izzo

This session is for all providers.​

QPR stands for Question, Persuade, and Refer - 3 simple steps that anyone can learn to help save a life from suicide. Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone to help.

During this presentation you will learn: 
1. The warning signs of suicide.
2. How to offer hope.
3. How to get help and save a life.


Thursday, November 19
Breakout Sessions: "F" Series 2:30-4 p.m.  

Choose one of the following:

 
F1
Emergency Preparedness: Fires and Tornados and Floods Oh My!
Janet Devore
Jennifer Laack
Paul Peshek
Tod Pritchard
David Seebart
Kelly Terrab

This session is for all providers.

Ensuring that your facility’s staff is knowledgeable and ready to act in the event of an emergency is absolutely critical for assuring the health and safety of the people you serve. During this panel presentation , emergency preparedness experts provide essential information and tools to help improve your facility’s emergency preparedness plan and assure alignment with regulatory standards.

During this presentation you will learn:
1. The risks and impact of deficient emergency preparedness.
2. The concept of and issues related to sheltering.
3. How to apply templates and tools to effectively improve emergency preparedness plans in nursing homes and/or assisted living facilities.

F2
Repeat - Trauma Informed Behavioral Interventions​
Karyn Harvey

This session is for Assisted Living providers.

This session is a repeat, see E2 for the summary of the presentation.

F3
Repeat - Social Media: Ethical, Safe and Effective Practical Standards
Brian Purtell

This session is for all providers.

This session is a repeat, see E3 for the summary of the presentation.

F4
Food Safety in Assisted Living
Vickie Bergquist

This session is for Assisted Living providers.

Food Safety crosses the entire spectrum of assisted living and everyone needs to know what it takes to protect elderly and individuals with a compromised immune system from a foodborne illness.

During this presentation you will learn: 
1. What a foodborne illness is and how dangerous it is for elderly and individuals with a compromised immune system.
2. The five major risk factors related to employee behavior and food preparation practices as contributing to foodborne illness.
3. How to prevent these five major risk factors from occurring.
 
F5
Repeat - How to Develop a Compliant Hospice/Nursing Home Partnership
Cherry Meier

This session is for Nursing Home providers.

This session is a repeat, see D3 for the summary of the presentation.

F6
Repeat - All Hands, All Hearts, All In!
Christopher Ridenhour

This session is for all providers.

This session is a repeat, see D7 for the summary of the presentation.

F7
Repeat - Update on Immunizations for the Older Adults
Dr. David Nace

This session is for Nursing Home providers.

This session is a repeat, see E7 for the summary of the presentation.

F8
Bed Bugs: Best Practices 
Randy Rupert

This session is for all providers.

This session reviews current best practices for dealing with bed bugs.  It addresses available monitoring products and successful Intergraded Pest Management (IPM) techniques.

During this presentation you will learn:
1. About bed bugs and mistakes associated with them.
2. Common bed bug myths.
3. About self-monitoring products and Integrated Pest Management techniques.

 F9

Trauma-Informed Care: Empowering. Engaging. Effective

Scott Webb


This session is for all providers.

This session provides basic information about trauma, adverse childhood experiences and the need for trauma-informed systems of care.

During this presentation you will learn:
1. The different types of trauma and its prevalence with individuals with intellectual disabilities and the elderly. 
2. The significance of the adverse childhood experiences study.
3. What Trauma-Informed Care (TIC) is, what it looks like and the next steps needed to become more trauma-informed. 

F10
Working to Change Acute Behavior
Matt Welch
Sarah Hardison

This session is for all providers.

This session addresses how to employ a team-based, data driven, person-centered model to guide assessment and treatment when persons we care for are showing acute problem behaviors.

During this presentation you will learn: 
1. A process for team-based assessment and treatment of acute behavior.
2. How to assess and treat behavior through function.
3. Tips for effective treatment implementation.

F11
Repeat - Implementation of an Antibiotic Stewardship Program to Improve the Management of Respiratory Infections in a Long Term Care Facility
Dr. Joe Boero
Paula Kock

This session is for Nursing Home providers.

This session is a repeat, see E11 for the summary of the presentation.


F12 Repeat - Diversion of Controlled Substances in Long-term Care Settings​ Nicole Schriner

This session is for all providers.

This session is a repeat, see D12 for the summary of the presentation.

F13 Repeat - If It is Not Pressure Could It Be Other Causes for That Skin Breakdown?​​ Shawneen Schmitt

This session is for Assisted Living providers.​

This session is a repeat, see D13 for the summary of the presentation.


Register Online

 

 Sponsored by: 
The Department of Health Services, Division of Quality Assurance​