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Hospital Conference 2016 Breakout Sessions 

Register Online Here!​  If you have registration questions, call our customer service department at 715-346-3838.​

Keynote: Thursday, May 12, 2016  8:15 a.m. - 9:30 a.m.

 
Silent Treatment: Safety Tools and Checklists Aren't Enough

David Nelson, VitalSmarts

This presentation is based on a research study of the same name. The Silent Treatment study details the success and limitations of current safety tools. Most of these tools work by warning caregivers of potential problems. But warnings only create safety when the caregiver who is warned is able to speak up and get others to act. The data in this study reveals that caregivers are often unable to accomplish this level of candor. As a result, they either clam up or blow up. Thus our session will focus on skills and concepts that can help them push beyond this reaction.

During this presentation you will learn:

1. How to be mindful and more aware of our Silence/Violence.
2. A method for addressing problems with 100% candor and 100% respect.
3. To create an environment in a conversation where both parties can be honest. 
 

  

Thursday, May 12, 2016
Breakout Sessions: "A" Series 9:45 a.m. to 11:00 a.m.  

Choose one from this series:

A1​ The Role of CMS in the Survey Process
Tamra Swistowicz
 

Most healthcare providers strive to provide quality care to their patients. It's the mission of CMS to ensure that Medicare & Medicaid beneficiaries receive quality healthcare by enforcing the federal regulatory requirements. Navigating through the maze of CMS Non-Long Term Care (NLTC) enforcement can be cumbersome.  Having a roadmap to navigate the enforcement process can make all the difference.​

During this presentation you will learn:

1.  To identify the types of deferral surveys for hospitals.
2.  The NLTC enforcement process for both deemed and non-deemed providers.
3.  To differentiate between condition and standard level non-compliance.
4.  The most commonly cited regulatory requirements.​ 

A2​ Diagnosis - Seeing "Sources of Influence" to Enhance Patient Engagement
David Nelson
 

Engagement is the state of being involved, enthusiastic, and committed to a task or effort.  An engaged patient is one who takes active ownership over his or her health in concert with health professionals.  While it's widely accepted that increasing patient engagement often results in better outcomes across the board, it's not always a simple proposition.  Part of the problem is that many of us carry a model in our heads of what drives patient engagement that is too simplistic to be effective. Deepening our understanding of what motivates, de-motivates, enables, and disables patients, will increase our influence on their participation in the healing process.  This session will aim to walk you through a Diagnostic tool called the "Six Sources of Influence" in order to deepen our understanding of the motivations and abilities that help or impede patient health.​

During this presentation you will learn:

1.  The definition of Engagement and what it "looks like" in others.
2.  How to use the diagnostic tool, the Six Sources of Influence.

A3​ Dementia
 
Dr. Irene Hamrick
 
 
As we live longer and healthier, we have a higher risk of developing dementia.  The presenter will discuss the latest evidence of prevention and treatment of dementia, and how to identify it.​
During this presentation you will learn:
1. To identify practical dementia screening tests.
2. The effect of medications on dementia.
3. How to be more comfortable to manage behavioral issues in dementia. 

A4​ What Happened??!! - Why Reporting Matters
 
Franchesca Charney

 

This presentation will explore how serious safety events occur and can involve the best nurses, doctors and facilities. We will explore the importance of understating human factors, Just Culture, situational monitoring and why reporting matters!

During this presentation you will learn:

1. How human factors play a role in patient safety events.
2. The importance of reporting safety events.
3. The importance of a team.

 

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Thursday, May 12, 2016
Breakout Sessions: "B" Series 11:15 a.m. to 12:30 p.m.   

Choose one from this series:

B1​ State Agency's Role in the Survey Process
Michelle Doro
Ann Hansen
Cremear Mims
Nicole Werner
 

This session will be a panel discussion regarding the survey process and the state agency's role.​

During this presentation you will learn:

1. To have a better understanding of the state agency's role in the survey process in relation to CMS.
2. About state regulation changes, review survey types and timeframes and survey guides.
3. A comprehensive understanding of the complaint intake and triaging process. 

B2 Building a Strategy for Patient and Family Centered Care
Thomas Kaster
 

In recent years the topic of Patient and Family Engagement has gained increasing focus and emphasis from multiple health care stakeholders.  Although it is a relatively new topic, Wisconsin is fortunate to have a core group of highly experienced organizations that have lead the way in terms of patient and family centered care and engagement. These hospitals have shown the significant value that incorporating the patient's voice throughout the organization can have in driving improvement and creating a patient centered culture.​

During this presentation you will learn:

1. The key drivers that improve Patient and Family Centered Care in a health care organization.
2. How Wisconsin hospitals are utilizing PFACs to improve care.
3. How to capture the patient's voice through the use of stories.
4. Strategies on how to assess the level of patient and family centeredness in each organization and prioritize what to work on. 

B3 Legal Aspects of Mental Health, Guardianship, and Protective Placement Proceedings
Robert Mueller
 

The presenter will provide an overview of the legal process and procedure relative to; Chapter 51, Mental Commitment Matters; Chapter 54, Guardianship Matters; and Chapter 55, Protective Placement Matters.​

During this presentation you will learn:

1. An overview of the legal process.
2. A differentiation of each case type.
3. The opportunities and challenges of utilizing these areas of the law, both legally, and practically. 

B4​ Antibiotic Stewardship
Dr. Arjun Srinivasan
 

This session will address the current developments in efforts to improve antibiotic use in hospitals, including measurement, education and policy issues​.

During this presentation you will learn:

1. To recognize why improving antibiotic use is important.
2. To utilize proven methods to improve antibiotic use.
3. The CDC recommendations for hospital antibiotic stewardship programs.

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Thursday, May 12, 2016
Breakout Sessions: "C" Series 1:30 p.m. to 2:45 p.m.   

Choose one from this series:

C1​ Plans of Correction
Jessica Tomczak
 

Participants will learn best practice techniques from the DQA acute care nurse consultant to assist them in writing acceptable Plans of Correction (PoC) based on the guidance provided from the Centers for Medicare & Medicaid Services (CMS) and the State Operations Manual (SOM).

During this presentation you will learn:

1. The four main components of a Plan of Correction (PoC).
2. The top reasons why PoCs are returned to the provider as unacceptable.
3. PoC writing requirements as directed by CMS in the SOM. 

C2​ A Story of Harm and Beyond
Rosie Bartel
 

The presenter will share her story of how Methicillin-Resistant Staphylococcus Aureus (MRSA) changed her life forever and will share how she is fulfilling the dream of a world without MRSA.  She will share how she has been able to use her story to support change.

During this presentation you will learn:

1. How to share stories to create change.
2.
To develop a plan to use patient stories to support a culture of change.
3. That just one case of harm is one case too many.​ 

C3 Navigating Compliance with EMTALA and State Laws During Mental Health Emergencies
Kerry Moskol
Jennifer Hennessy
 

This presentation will provide a brief refresher on EMTALA requirements and analyze in detail the interplay between EMTALA and Wisconsin's mental health laws, including emergency detention. You will learn about the ongoing conflicts between EMTALA and state law, and practical ways to help address those conflicts and maintain compliance.

During this presentation you will learn:

1. Guidance from the State Attorney General regarding consent for treatment during a mental health emergency.
2. The scope of compliance obligations under EMTALA and state law for patients with mental health emergencies.
3. How to comply with conflicting requirements under EMTALA and state law. 

C4 How to Positively Influence Individuals in Health Care
DeAnn Richards
 

Tired of the same results from the same conversations? Try a different approach and method to influencing individuals who do not conform by using a culture of safety, motivational interviewing, and components of TeamSTEPPS to make a difference in your organization. The presenter will highlight how to influence others.

During this presentation you will learn:

1.  How culture of safety impacts interactions.
2.  Components of influencing co-workers.
3.  The best communication tool to utilize for the best outcome. 

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Thursday, May 12, 2016
Breakout Sessions: "D" Series 3:00 p.m. to 4:15 p.m.    

Choose one from this series:

D1​ Life Safety Code - Knowing, Understanding, and Applying It
David Soens
 

The Life Safety Code is a lot more than just a matter of egress. The presenter will briefly highlight applicable construction, protection, and operational features and some relevant code changes designed to provide safety from fire, smoke, and panic. Building services and maintenance activities and  how these features dovetail into the current survey protocols, interpretive guidelines, and how to best prepare for surveys, will also be discussed.

During this presentation you will learn:

1. Policies and/or practices within their facility/community that are in need of being upgraded, updated and/or strengthened.
2. To describe specific changes that could/should/will be made in the areas of construction, protection and operations to improve the overall safety of the facility's/community's fire safety program.
3. To demonstrate to facility/community stakeholders the importance of adopting the identified changes. 

D2​ Engaging the Personal Health Record (PHR) to Create a Unified Medical Record
Sarah Hatchett
 

With the proliferation of self-service tools across many customer-driven industries, patients are looking to healthcare organizations to provide the same technologies, access, and level of communication as they receive elsewhere. How do you begin to engage patients, knowing the limitations of data sharing, health literacy, and lack of usable tools? The presenter will share how empowering the patient to participate in PHR usage can help round out our incomplete understanding of important aspects of their care, both in the inpatient and outpatient setting.​

During this presentation you will learn:

1. The importance of Electronic Health Record (EHR)/Personal Health Record (PHR) data ownership for hospitals and patients.
2. Options for leveraging EHR data and EHR portals to build an effective PHR.
3. How the use of PHR tools increase patient engagement and overall health literacy. 

D3 Evidence-Based Withdrawal Management of Alcohol and Opioid Use Disorders
Dr. David Galbis-Reig
 

Opioid and Alcohol use disorders are very prevalent in Wisconsin and are associated with significant withdrawal symptoms. Hospital admission for acute detoxification from these substances presents an opportunity to engage patients in long-term treatment to achieve last abstinence. In this presentation, attendees will learn about the evidence-based treatment of withdrawal from these substances and strategies to help engage patients in ongoing outpatient treatment for substance use.​

During this presentation you will learn:
1. How to disseminate the evidence that supports use of an alcohol withdrawal protocol and opioid withdrawal protocol for acute detoxification from these substances.
2. How initiation of substance-specific pharmacotherapy in the hospital prior to discharge can improve engagement in long-term, ongoing outpatient treatment for substance use disorders.
3. The FDA-approved pharmacotherapeutic treatment options to prevent relapse to opioids and/or alcohol. 

D4 Bridging the Gaps:  Improving the Safety and Quality of Transitions of Care
Kathy Clark
 

Integrating care across healthcare settings is an important aspect of providing safe, quality patient care.  Effective discharge planning and transitions of care to other settings need to address the patient’s medical factors as well as the patient’s and family’s psychosocial and environmental factors during the post-discharge period. The integration of all of these factors allows for a comprehensive approach to transitions of care.  The presentation will address the identification of "gaps" in the organization's discharge planning process, the importance of addressing the "seven foundations" (identified by The Joint Commission) to provide safe and effective care transitions and effective strategies used by organizations to improve the transitions of care process.

​​During this presentation you will learn:

1. The three root causes that have been identified as reasons for poor care transitions.
2. To identify the seven foundations needed for effective care transitions.
3. Successful strategies that support safe, quality care transitions.
4. The three key areas to monitor in order to improve your organization’s discharge planning process​. 




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