ASHRM has it all. No matter what type of setting or size your institution is, what role you serve or how many years you’ve been in risk management, the Annual Conference provides the tools you need today. We constantly reevaluate our educational offerings to ensure we’re giving you the up-to-date subject matter that you can use when you return home.
Here’s just a glimpse at what you can expect during this year’s conference:
This track addresses both the process and the substance of claims and litigation management. Topics covered on Monday include checklists to reduce obstetrical injuries, e-discovery, E.D. triage risks, and disclosure leading to early-resolution. On Tuesday, explore negligent credentialing, innovative claims management systems, and research-related risks. Finally, reducing defense costs and results of the annual Aon/ASHRM Benchmarking study round out the Wednesday schedule.
OBJECTIVE: Risk managers who take responsibility for claims and litigation management may learn more about high volume/high severity exposures, and methods to increase productivity and efficiency.
M-01
Approaching Perinatal Injury: Three Checklists for the Risk Manager
When a perinatal injury to a mother or newborn occurs, it is critical to take steps anticipating potential litigation. The speaker will review three checklists to assist in this preparation: 1) a general checklist addressing potential systemic issues that may have contributed to the event, 2) a checklist capturing critical information immediately after the event, and 3) a checklist preventing future perinatal events. Recently introduced guidelines, medical literature and case review will verify the checklists.
Objectives: Approach perinatal injury in an organized fashion providing a detailed analysis of the event. Guide the perinatal team in gathering critical information immediately after an injury. Guide the implementation of programs to prevent future perinatal injury.
9:00-10:00 AM
Larry Veltman, MD
Risk Management and Perinatal Safety Consultant
Portland, Ore.
Phoenix Convention Center, Room 131
M-09
E-Discovery: Updates, Examples and Tools for Health Care Providers
The proliferation of electronically stored information, including electronic medical records, in the health care industry has made it necessary for healthcare providers to consider new challenges and efficiently manage new risks. This presentation will define the scope of electronically stored information and provide an overview of the Federal Rules of Civil Procedure relating to E-Discovery. It will include a discussion of legal authorities and real world e-discovery examples, and provide healthcare providers with tools for developing a framework to address e-discovery issues.
Objectives: Identify the scope of electronically stored information. Identify the risks posed by e-discovery and practical steps to minimize such risks. Grasp the cross discipline approach for that is needed for managing electronic records in risk management.
10:15-11:15 AM
John Serpe, JD
William Whitaker, JD
Serpe, Jones, Andrews, Callender & Bell, PLLC
Houston
Phoenix Convention Center, Room 131
M-17
Hospital Liability Related to ED Triage, Crowding and Boarding
A higher incidence of adverse outcomes and associated liability occurs when healthcare workers are unable to promptly treat patients presenting to the hospital emergency department. This course will address both delays in patients receiving examination or treatment in the ED, and delays in access to the inpatient setting and services. The speaker will discuss issues related to triage, crowding, boarding, failure to follow hospital policy and procedure, handoffs between physicians, the role of mid-level providers, delay in evaluating EMS patients, and liability for patients who leave. This course will change the delivery of emergency services in your hospital and improve patient safety.
Objectives: Analyze malpractice cases involving ED triage, policies and procedures, and crowding and boarding. Recognize how delay of ED care leads to adverse outcomes and civil liability. Recommend changes in policies and practices to improve patient safety and decrease litigation.
Harbor Springs, Mich.
1:45-2:45 PM
Bob Bitterman, MD, JD, FACEP
Bitterman Health Law Consulting Group Inc.
Phoenix Convention Center, Room 122
M-25
Partnerships for Disclosure and Early Resolution: Risk Managers, Clinicians, Insurers
Obstacles to full disclosure of unanticipated medical events to patients persist, despite widespread acceptance that disclosure is both the right thing to do and what patients expect. Aligning the interests of the hospital, medical staff and patient poses a challenge. This presentation will feature one health system’s experience in partnering with independent physicians and a major professional liability carrier to implement a disclosure and early resolution program. This experience will be illustrated in video and discussed by a diverse panel consisting of a health system risk manager, an obstetrician and an insurance company representative.
Objectives: Discuss the rationale for and impact of disclosure and early resolution policies in healthcare organizations. Outline approaches to engaging physicians in a disclosure and early resolution program. Discuss steps taken to align objectives of health systems and medical liability insurance providers.
3:00-4:00 PM
Jane Gale, BSN, JD, CPHRM
Ascension Health
St. Louis, Mo.
Lizabeth Brott
ProAssurance Companies
Okemos, Michigan
Karen Everitt, BSN, JD
ProAssurance Group
Birmingham, Ala.
John Edwards
St. Vincent’s Women and Children’s Hospital
Birmingham, Ala.
Phoenix Convention Center, Room 122
M-26
Children’s Chatter: Pediatric Liability Trends for Children’s Hospitals
Minor patients treated in children’s hospitals and other pediatric facilities pose distinct risks. This session will review national pediatric closed claim data from malpractice insurers for both hospital and physician claims. Special emphasis will be placed on the most common allegations, conditions, procedures and related indemnity. An attorney will review the unique practical issues associated with the defense of claims involving a major children’s hospital.
Objectives: Identify the most common causes of claims against children’s hospitals and pediatricians. Use the national claims data to filter your organization’s internal claim trends and improve quality initiatives. Use the claims defense experience of another pediatric facility to improve your facility’s experience.
3:00-4:00 PM
Paul Greve Jr., JD, RPLU, FASHRM
Willis Health Care Practice
Ft. Wayne, Ind.
Robin Canowitz, JD
Nationwide Children’s Hospital
Columbus, Ohio
Phoenix Convention Center, Room 126
T-01
Negligent Credentialing: Preparing For the Next Wave of Malpractice Claims
In recent years, more states have recognized claims for negligent credentialing. Judgments and settlements in these cases can be huge, and the inclusion of a claim for negligent credentialing can put the healthcare provider at a tactical disadvantage. This session provides an overview of the states that recognize negligent credentialing claims, those that do not, and those that are likely to recognize such claims in the future. The common elements of such claims are explored, as are potential defenses. The speakers will present real world examples from reported court decisions, and suggest best practices.
Objectives: Identify the contours of negligent credentialing claims in specific states. Identify factual scenarios that have given rise to liability. Develop a strategy to avoid and defend against negligent credentialing claims.
11:00 AM-12:00 PM
Gregory Garrett, Esq
Diane D’Aiutolo
Tydings & Rosenberg LLP
Baltimore
Phoenix Convention Center, Room 122
T-09
Privacy Liability and HITECH: Are You Prepared for a Breach?
The HITECH Act not only expands the responsibility of maintaining the privacy of personal health records, but also requires implementation of very detailed breach notification requirements. This presentation will discuss the new Business Associate Agreement requirements along with what constitutes a breach of personal health information and what actions are required from a notification standpoint to be in compliance. In addition, it will discuss case studies of personal health information breaches and some pre- and post- breach risk initiatives to minimize the potential damage.
Objectives: Discuss the new requirements of HITECH as compared to HIPAA along with breach data updates. Discuss and identify the new BAA requirements and the new breach notification requirements. Identify risk mitigation initiatives for pre and post breach of PHI.
11:00 AM-12:00 PM
Michelle M. Samadany, RN, BSN, JD
Gallagher Healthcare
Houston, TX
Phoenix Convention Center, Room 131
T-09a
Reinvention of Your In-house Claims Management Program
Creation and development of a skilled, efficient and cost effective internal professional and/or general liability claims management program can be a challenging undertaking. This session will present the skill sets that are needed in personnel, the organizational commitment requirements of structure and resources, and the leadership skills needed to build a proactive program that can deliver optimal results. As each organization may have different goals for their claims management program (such as staunch defense orientation, conflict resolution, publicity minimization, etc.) the speaker will address varying methodologies for developing a program that suits your needs.
Objectives: Demonstrate an understanding of the personnel skill sets needed for a successful claims program. Demonstrate an understanding of the organizational requirements for a successful claims program. Identify the needs of your organization to highlight the strategic focus of the claims program.
1:45-2:45 PM
Brian LaSalle, MS, ARM, CPCU
Lehigh Valley Health Network
Allentown, Pa.
Phoenix Convention Center, Room 127
T-17
Mitigating Risk in Gynecologic Care
You are invited to participate in a panel discussion designed to help identify and reduce common medical-legal risks in outpatient gynecologic care. The program will discuss a series of clinical scenarios involving common medical-legal risks in outpatient gynecologic care, including cervical cancer screening. The speaker will address how the standard of care is defined in each situation, and discuss how to deliver it in a manner that is both medically and legally sound.
Objectives:Identify opportunities to reduce medical-legal risk in outpatient gynecologic care. Define and deliver the “standard of care” in cervical cancer screening and other gynecologic care scenarios. Manage patient reluctance/refusal and other barriers to care.
1:45-2:45 PM
Victor Cotton, MD, JD
Law and Medicine
Hershey, Pa.
Phoenix Convention Center, Room 127
T-17a
Research and Translational Medicine: Recognizing and Reducing Risk
As more healthcare entities conduct research, boundaries between preclinical and clinical research are blurring and academic/private partnerships are increasing. Preclinical research is often focused on emerging therapies, such as gene treatments and stem cell products. Translational medicine is an emerging field, focused on the rapid transition of basic research discoveries into clinical settings to better predict, prevent, diagnose and treat disease. While cutting edge medicine holds much promise, there is a great deal of uncertainty about associated risks. This session explores the risks associated with translational research and medicine, and the various treatments that can help reduce loss exposure.
Objectives:Describe the liability loss exposures associated with research in healthcare entities. Discuss potential loss exposures in translational medicine. Identify treatments that help reduce risk exposures in translational research and medicine.
4:15-5:15 PM
Becki Kanjirthinkal, MS, RN, CPHQ, CMQ/OE, CPHRM
CNA HealthPro
St. Joseph, Mo.
Phoenix Convention Center, Room 124
W-01
A-Team Approach to Decreasing Defense Costs
Speakers in this session will discuss different methods of cutting defense costs. Susan Robinson, an experienced hospital risk manager, will describe internal risk management techniques. Amanda Mount, a claims manager, will explain how to decrease defense costs once counsel is retained. David Young, an experienced medical malpractice attorney, will discuss methods used by counsel to conserve costs when litigating a case.
Objectives: Describe how to utilize enterprise risk and early recognition to mitigate risk early. Focus on implementation of early settlement technology and mitigating costs once counsel has been retained. Learn the benefits of defense counsel evaluating a case early, determining the direction of case, and focus discovery.
8:45-9:45 AM
Amanda Mount, RN, BSN, JD, CPHRM
Willis of Texas, Inc.
Houston, TX
David Young, JD
La Cava & Jacobson, P.A.,
Tampa, Fla.
Susan Robinson, RN, BS, CPHRM
CHRISTUS Health Risk Management
Houston
Phoenix Convention Center, Room 122
W-08
Defending Suicide: Investigating and Defending a High Profile Event
An onsite suicide is one of the most devastating events that can occur in a healthcare setting. How the event is handled, internally and externally, will determine whether the matter could be successfully defended in a malpractice action by the remaining family or estate. This session looks at the necessary investigation following a suicide, including the chain of custody of evidence, an outline for interviews of key onsite personnel, identification of industry experts on the foreseeability of suicide and forensic experts on the impact of medications and/or treatments.
Objectives: Learn case law and evidence based practice on the foreseeability of suicide. Identify key investigation steps necessary to prepare a thorough defense. Maintain secure custody and control of key evidence secured through the investigation.
8:45-9:45 AM
John Fitzpatrick
Andrew (ACE) Efaw
Wheeler Trigg O'Donnell LLP
Denver, CO
Phoenix Convention Center, Room 128
W-09
2011 Aon/ASHRM Hospital Professional Liability and Physician Liability Benchmark Analysis
The speakers will present the results of the 2011 Aon/ASHRM Hospital Professional Liability and Physician Liability Benchmark analysis, including analysis of professional liability by hospital department, state, and key demographic variables. Their presentation will include statistical (graphical) information from the study, along with insights regarding the observed trends. The speakers will explain the practical implications of the research for hospitals who self insure professional liability.
Objectives: Understand the current professional liability environment. Compare hospital professional liability cost of risk to peer group results. Use industry research in forming and adjusting your professional liability risk management strategy.
10:00-11:00 AM
Erik Johnson, FCAS, MAAA
Kristin Monopolis, FCAS, MAAA
AON
Raleigh, N.C.
Phoenix Convention Center, Room 122
Explore leading edge methodologies and tools to develop approaches to risk management. Strategize with risk leaders and trend setters to advance your personal tool box.
OBJECTIVE: Investigate the ERM approach to identify and manage a portfolio of risk issues and challenges in today’s healthcare environment.
M-02
“But You Should Have Known!” Risk Managing Trigger Tools
Trigger tools alert staff to emerging clinical risks, but also may unleash a variety of risk exposures, including liability claims, regulatory scrutiny, accreditation entanglements and quality reviews by private payers. The speakers will offer strategies to transform trigger tools into useful drivers for patient safety and risk mitigation.
Objectives: Describe trigger tool models and how these tools are applied in clinical healthcare risk management. Explain risk exposures involving trigger tools. Describe strategies for avoiding trigger tool risk exposures.
10:00-11:00 AM
Fay Rozovsky, JD, MPH, DFASHRM, Dr. PH (honorary)
The Rozovsky Group, Inc.
Bloomfield, CT
Kathy Connolly, RN, MSEd, CPHRM
KT Connolly & Associates, LLC
Charlotte, N.C.
Phoenix Convention Center, Room 122
M-03
For your convenience this session is also
offered on Tuesday from 11:00 AM-12:00 PM
Workplace Violence: One System’s Story
Hospitals, once considered safe havens, must today deal with the reality that violence can occur anywhere. As part of the organization’s enterprise risk management program, the risk manager must ensure that the hospital has the necessary protections in place. Last September, Johns Hopkins Hospital experienced workplace violence at its worst when an armed gunman injured and killed people on the floor. The immediate responses of the clinicians and patients, as well as the security and facilities staff members, have been analyzed and assessed. This in-depth analysis revealed the strengths and weaknesses of the plan that was in place. We would like to share our experiences with you.
Objectives: Attendees will understand and be able to articulate the scope and depth of workplace violence. They will receive tools to assess their organization for security risks and learn to create a comprehensive plan to address the risks associated with their workplace.
9:00-10:00 AM
Lauree Barreca, RN, JD
Margaret Garrett, MED, JD, CPHRM
The John Hopkins Health System
Baltimore
Phoenix Convention Center, Room 132
M-10
Social Media in Healthcare: Friend or Foe?
Facebook, Twitter, YouTube and other social media sites are changing the way employees interact and communicate, forcing healthcare leaders to consider a new set of risks. During this session, participants will learn about the evolving risks surrounding social media and gain practical tips to help them develop an organizational social media policy.
Objectives: Describe social media and learn how it is used in the healthcare setting. Identify the risk and legal issues that have evolved with social networking in the workplace. Discuss techniques to reduce social media-related liability.
10:15-11:15 AM
Gwen Stokes, BSN, MPH, CPHQ, CPHRM, FASHRM
Pauline Barry, BSN, MPS, FASHRM, CPHRM
Allied World Assurance Company
Farmington, Conn.
Phoenix Convention Center, Room 124
M-18
For your convenience this session is also offered on Tuesday from 4:15-5:15 PM
Dealing With a Rogue Physician
More healthcare risk managers are dealing with “rogue physician” issues in their organization. Whether the allegations involve over treatment, fraud and abuse, or a criminal act, healthcare risk managers have to manage complex and various regulatory, legal, insurance, financial and reputational issues associated with this exposure. This session will provide an overview of the types of exposures. It will explain "batch" insurance coverage, how to work with state and federal regulators, how to manage the onslaught of requests for information including e-discovery, and how to deal with the press.
Objectives: Understand different types of events that are gaining notoriety involving rogue physicians. Realize different areas of exposure for a healthcare organization involving rogue physicians. Consider elements of a claims and risk management program for incidents involving rogue physicians.
1:45-2:45 PM
Linda Jones, MHA, CPCU
RCM&D Healthcare
Towson, Md.
Susan McDonald, RN, JD
Peninsula Regional Medical Center
Salisbury, Md.
1:45-2:45 PM
Phoenix Convention Center, Room 132
M-27
Risk Modeling: Data, Information and Action
One of the most exciting tasks for risk managers today is finding and leveraging opportunities through risk modeling. Risk modeling is the process of discovering patterns in data; its purpose is to transform data into actionable information to support the strategic decision-making process. This allows risk managers to create a baseline for the current program, identify opportunities for improvement, and predict future program performance. Session participants will learn the fundamentals of risk modeling, examine common cost drivers and strategies for addressing them, and explore the latest advancements in information technology needed to elevate their programs to a new level.
Objectives: Learn the fundamentals of risk modeling. Use a data method to reduce risk in their organization. Increase operational efficiencies and decrease the healthcare organization’s overall cost of risk.
3:00-4:00 PM
Keith Higdon
Sedgwick CMS
Schaumburg, Ill.
Lynn Gmeiner
Sedgwick CMS
Troy, Mich.
Lisa Ramthun, RN, MSN, CPHRM
St. Joseph’s Health System
Orange, Calif.
Phoenix Convention Center, Room 131
T-02
For your convenience this session is also offered on Monday from 9:00-10:00 AM
Workplace Violence: One System’s Story
Hospitals were once considered safe havens; but the reality is that violence can occur anywhere. Risk managers must ensure that their organization has the necessary protections in place. Last September, Johns Hopkins Hospital experienced workplace violence at its worst when an armed gunman injured and killed people on the floor. An in-depth analysis of the immediate responses of the clinicians, security personnel and patients revealed the strengths and weaknesses of the plan in place. We would like to share our experiences with you.
Objectives: Understand and articulate the scope and depth of workplace violence. Assess your organization for security risks. Create a comprehensive plan addressing the risks associated with workplace violence.
11:00 AM-12:00 PM
Lauree Barreca, RN, JD
Margaret Garrett, MED, JD, CPHRM
The Johns Hopkins Health System
Baltimore
Phoenix Convention Center, Room 124
T-10
Risk Management/Patient Safety Approach to Support Providers After Traumatic Events
Risk management and patient safety professionals at the University of Missouri Health Care System share an interactive presentation of their program supporting second victims (care providers traumatized by an adverse event). Learn about the tools and resources UMHC used to train 100 peer-supporters, provide support coverage 24/7, and develop written material for providers and their families. UMHC is recognized internationally for its pioneering efforts in supporting providers. It has assisted other healthcare leaders in the development of a toolkit that will be available via the AHA website.
Objectives: Understand, recognize and identify providers who are second victims to an adverse event. Access publications and tools for additional information and ideas. Develop a support program to assist providers in distress.
1:45-2:45 PM
Myra McCoig
Susan Scott, RN, MSN, CLNC
University of Missouri Health Care System
Columbia, Mo.
Phoenix Convention Center, Room 124
T-18
Sharp End Risk Managers: A Method for Teaching Staff
Often risk managers feel there are things going on that we don’t know about. How do we ensure that staff are aware of potential risks and see the latent events that they encounter daily? How can we ensure they give these potential and real events the weight of recognition and action they deserve? In this presentation, you will learn a comprehensive approach to teaching sharp end staff — including transport, dietary and housekeeping staff as well as nursing and medical specialists — about the way that risk managers approach risk. This interactive presentation includes tools and creative strategies for educating staff.
Objectives: Discuss key attitudes and knowledge required by front line staff to identify and address risk. Demonstrate an approach to teaching clinical staff about key risk management concepts and activities. Demonstrate a clear and engaging strategy for teaching non-clinical staff how to identify risk.
4:15-5:15 PM
Cynthia Siders, RN, MSN, CPHRM, DFASHRM
Janelle Mickelson, RN, BSN, MSA, CPHRM
Geri Amori, PhD, ARM, CPHRM, DFASHRM
The Risk Management and Patient Safety Institute
Lansing, Mich.
Phoenix Convention Center, Room 122
T-19
For your convenience this session is also offered on Monday from 1:45-2:45 PM
Dealing With a Rogue Physician
More healthcare risk managers are dealing with “rogue physician” issues in their organization. Whether the allegations involve over treatment, fraud and abuse, or a criminal act, healthcare risk managers have to manage complex and various regulatory, legal, insurance, financial and reputational issues associated with this exposure. This session will provide an overview of the types of exposures. It will explain “batch” insurance coverage, how to work with state and federal regulators, how to manage the onslaught of requests for information including e-discovery, and how to deal with the press.
Objectives: Understand different types of events that are gaining notoriety involving rogue physicians. Realize different areas of exposure for a healthcare organization involving rogue physicians. Consider elements of a claims and risk management program for incidents involving rogue physicians.
4:15-5:15 PM
Linda Jones, MHA, CPCU
RCM&D Healthcare
Towson, Md.
Susan McDonald, RN, JD
Peninsula Regional Medical Center
Salisbury, Md.
Phoenix Convention Center, Room 132
W-02
Moving a Program Forward - Assessment, Restructure and Implementation
This session will discuss the need to periodically assess a risk management program in order to determine its sufficiency and effectiveness. The speaker will discuss the timing and logistics of a comprehensive risk program risk assessment. She will explain that once the assessment is completed, a strategic risk management plan should be created from the findings, with the ultimate result being a prioritized list of action items for completion during a 12-18 month period of time. She will utilize a case study to show the need for the assessment, the actual findings, and the resulting risk plan and action items.
Objectives: Identify criteria for when a risk assessment is needed for a risk management program. Develop a strategic risk management plan from the risk assessment findings. Learn methods to accomplish effective implementation of action items arising from the strategic plan.
8:45-9:45 AM
Pamela Popp, MA JD DFASHRM CPHRM AIM DSA
D. Richelle Heldwein, MPH, B.S., R.T. (R), CPHRM
Western Litigation
Greenwood Village, Colo.
W-10
Are You Ready for ERM? Elements of a Basic Assessment
Lead your organization into ERM more effectively. Initial ERM program development depends on several key factors. This program will discuss how you can determine whether your organization has 1) executive support at the right level, 2) a culture that allows the ERM decision-making process to work, and 3) other assets that can be leveraged to strengthen ERM. Make your initial efforts more successful by identifying pre-existing strengths. Learn how to develop other features of your structure and culture in preparation for ERM. You will receive tools to help make those first steps easier.
Objectives: Develop a plan for ERM implementation based on your organization’s current state of readiness. Evaluate existing organizational processes that could be assets and determine how they can support ERM. Examine organizational culture in the context of ERM to determine if it can support the program.
Kathryn Wire, JD, MBA, CPHRM, FASHRM
Kathryn Wire Risk Strategies
8:45-9:45 AM
St. Louis, Mo.
Mary Peter
Allison O’Connor
Eide Bailly, LLC
Minneapolis
Phoenix Convention Center, Room 131
This track features a diverse offering of topics highlighting innovative risk management sessions including; an introduction to just culture and how effective implementation can have a dramatic effect on outcomes, a step-by-step approach to innovative change management outlining the eight steps of John Kotter’s Change Model, and strategic planning to improve patient safety.
OBJECTIVE: Providing the necessary tools that will lead to risk innovation in leadership.
M-04
Integrated Risk Assessment: Compliance-Risk-Quality-CRQ
Integrated risk assessment enables enterprises to focus risk mitigation, control efforts and resources on material risks. This session will review the use of a practical Excel tool to assess integrated risk exposure, and discuss efficiency and value as they’re related to assessing risk. Examples will include quality-risk-compliance assessments (CRQ), formulas, sample graphics and reporting formats for boards and leaders (such as dashboard summaries).
Objectives: Use an integrated standardized assessment tool to identify and mitigate enterprise risk. Quantify risk in terms of control risk and residual risk. Present a dashboard review of risk to executives and board.
Liz Johnson, MT(ASCP), MBA, CHC
University Hospitals and Health Systems
Cleveland
Phoenix Convention Center, Room 124
M-11
Strategic Planning: A Process to Improve Patient Safety
Healthcare organizations today are experiencing constant changes and challenges in the delivery of safe patient care. Risk management professionals must remain knowledgeable about current and future trends that impact the success of their organizations. Integrating risk management and patient safety goals into the strategic planning process is critical in proactively supporting and guiding the organization toward successful achievement of its future goals. This session will demonstrate interactive exercises used to apply strategic thinking and planning to achieve risk management and patient safety goals.
Objectives: Describe the strategic thinking process. Analyze the strategic planning methodology. Apply the principles of strategic planning to risk management and patient safety goals.
10:15-11:15 AM
June Leigh, RN, MS, ARM, CPHRM, DFASHRM
CNA
Chicago
Phoenix Convention Center, Room 132
M-19
For your convenience this session is also
offered on Tuesday from 11:00 AM - 12:00 PM
Doing Justice to Just Culture Implementation
They say it takes seven years to change a culture. Creating a “culture of safety” is no different. Yet, many health care institutions treat their Just Culture Implementation like it is any other process improvement project. This presentation will describe why the Just Culture is vital to a successful risk management program. It also will detail the journey taken by Barnes-Jewish Hospital in fostering the Just Culture. It will provide insights for institutions that are just starting to consider the Just Culture, as well as those who have already developed an implementation plan.
Objectives: Describe the benefits of fostering a Just Culture as they relate to managing your institution’s risk. Define the major tenets of a Just Culture. Create a Just Culture implantation plan for your facility.
1:45-2:45 PM
Lisa Larson-Bunnell, JD, MHA, CPHRM
Barnes Jewish Hospital
St. Louis, Mo.
Phoenix Convention Center, Room 124
M-28
Office Assessment Benchmarking
This session will discuss the importance of performing risk management assessments for physician office practices with a focus on benchmarking data to increase patient safety and improve patient care. Risk and practice managers will find benefits in measuring change by comparing benchmarking data from sequential office assessments using both internal and external peers.
Objectives: Use benchmarking data in nine specific areas to increase patient safety and improve patient care. Demonstrate how to apply benchmarking information to reduce risk and achieve peak performance. Identify emerging liability areas associated with the implementation of an EMR in the office setting.
3:00-4:00 PM
Ann Burke, RN
Annemarie Provencher, RN
Coverys
Boston, Mass.
Phoenix Convention Center, Room 132
T-03
Patients as Risk Management Partners: Best Practices for Provider-Patient Communications
The changing reimbursement climate finds healthcare providers redoubling efforts to reduce hospital readmission rates and the incidence of hospital-acquired conditions. However, the impact that patients can have in managing care plans and optimizing treatment outcomes is often overlooked. Patient contributions to these risk management initiatives increase with the effectiveness of provider-patient communications. This interactive session will review current best practices for preparing patients to engage in discussions about their treatments and conditions, delivering that information to patients, and incorporating those communication practices into wider patient safety initiatives. It will provide tools and resources to make patients productive risk management partners.
Objectives: Analyze existing communication processes for performance improvement opportunities. Develop techniques for ensuring optimum patient understanding of provider-patient communications. Construct systems for incorporating patient communications into existing patient safety processes.
11:00 AM-12:00 PM
Timothy Kelly, MS, MBA
Dialog Medical
Atlanta, Ga.
Fay Rozovsky, JD, MPH, DFASHRM Dr.PH (Honorary)
The Rozovsky Group
Bloomfield, Conn.
T-04
For your convenience this session is also offered on Monday from 1:45-2:45 PM
Doing Justice to Just Culture Implementation
They say it takes seven years to change a culture. Creating a “culture of safety” is no different. Yet, many health care institutions treat their Just Culture Implementation like it is any other process improvement project. This presentation will describe why the Just Culture is vital to a successful risk management program. It also will detail the journey taken by Barnes-Jewish Hospital in fostering the Just Culture. It will provide insights for institutions that are just starting to consider the Just Culture, as well as those who have already developed an implementation plan.
Objectives: Describe the benefits of fostering a Just Culture as they relate to managing your institution’s risk. Define the major tenets of a Just Culture. Create a Just Culture implantation plan for your facility.
11:00 AM-12:00 PM
Lisa Larson-Bunnell, JD, MHA, CPHRM
Barnes Jewish Hospital
St. Louis, Mo.
Phoenix Convention Center, Room 131
T-11
For your convenience this session is also
offered on Wednesday from 10:00 AM - 11:00 AM
Patient Safety initiatives in Tough Times: Strategies for Sustained Success
Being a champion for patient safety and quality improvement is difficult. Not only has the economy put severe downward pressure on resources, but recently published studies on the lack of safety progress since the landmark IOM report (1999) have made it even harder to gain and sustain buy-in for safety initiatives. This highly interactive, rapid-fire, panel session will explore strategies for effectively communicating the value of patient safety efforts to peers and senior executives, share lessons learned, identify potential barriers to sustained success, and discuss different approaches for overcoming those barriers in this uniquely challenging economic and political environment.
Objectives: Implement a communication strategy to highlight the effectiveness of safety initiatives. Describe effective leadership approaches for sustained patient safety success. Determine which levers for change (e.g. technology, policy, behavior) are ripe for action.
1:45-2:45 PM
Colin Hung
RL Solutions
Toronto, Ontario
Phoenix Convention Center, Room 122
T-20
Leading Change and Innovation: A Step-by-Step Approach
Change is constant and inevitable in healthcare operations. Successful leaders need a holistic approach to connect with both the hearts and minds of those involved in the change effort, to bring about timely, effective and sustainable results. To improve the success rate of transformational change, and avoid common pitfalls, an evidenced-based approach methodology is needed. John Kotter’s 8-Steps to Successful Change can easily be adopted by transformational leaders.
Objectives: List the eight-steps of John Kotter’s Change model. Describe the significance of impacting feelings and not analysis. State three examples illustrating “increased urgency” and three examples of making “change stick”.
4:15-5:15 PM
Judith Sands, RN, BSN, MSL, LHRM, CPHQ, CCM, ARM, CPHRM
Raleigh, N.C.
Phoenix Convention Center, Room 131
W-03
Disclosure in Ambulatory Care: Do the Right Thing in the Right Way
Disclosing an adverse event can be a wrenching experience especially when the healthcare provider lacks organizational support. Despite positive findings regarding the benefits of disclosure, few studies have examined the transparency protocol as it relates to the physician in the office practice or in the independent surgi-center. In this interactive learning experience, the speakers will address unanswered questions about conducting disclosure discussions including the limits of apology and acknowledgment of responsibility. They will share tools for guiding a successful disclosure experience in the ambulatory care environment.
Objectives: Describe communication strategies to contain the escalation of defensive feelings. List three disclosure techniques that can be used in any office practice. Explain the patient’s perception of disclosure.
8:45-9:45 AM
Barbara Worsley, DMA
Susan Marr, CPHRM
The Doctors Company
Los Angeles
Phoenix Convention Center, Room 132
W-11
Forever Changed: Patient Safety Shared Learning
In an effort to promote patient safety, Baptist Health has instituted a process called Shared Learning. By sharing the lessons learned across the health system when a significant event occurs, it provides an opportunity to improve processes and educate all employees, leadership and its boards. The philosophy of shared learning is to prevent similar incidents from occurring. During this session you will view a video created from an adverse event which highlights the lessons learned, actions taken and relationships formed.
Objectives: Describe the philosophy and benefits in implementing a Shared Learning program. List the steps needed to implement the process of sharing lessons learned for your organization. Identify two adverse events in your organization that using a Shared Learning would have prevented.
10:00-11:00 AM
Geri Schimmel, RN, MS, LHRM
Yvonne Zawodny, RN, LHRM, CPHRM
Baptist Health South Florida
Coral Gables, Fla.
Phoenix Convention Center, Room 124
W-12
For your convenience this session is also offered on Tuesday from 1:45-2:45 PM
Patient Safety initiatives in Tough Times: Strategies for Sustained Success
Being a champion for patient safety and quality improvement is difficult. Not only has the economy put severe downward pressure on resources, but recently published studies on the lack of safety progress since the landmark IOM report (1999) have made it even harder to gain and sustain buy-in for safety initiatives. This highly interactive, rapid-fire, panel session will explore strategies for effectively communicating the value of patient safety efforts to peers and senior executives, share lessons learned, identify potential barriers to sustained success, and discuss approaches for overcoming those barriers in this uniquely challenging economic and political environment. Objectives: Implement a communication strategy to highlight the effectiveness of safety initiatives. Describe effective leadership approaches for sustained patient safety success. Determine which levers for change (e.g. technology, policy, behavior) are ripe for action.
10:00-11:00 AM
Colin Hung
RL Solutions
Toronto, Ontario
Georgene Saliba, RN, BSN, MBA, CPHRM, FASHRM, HRM
Lehigh Valley Health Network
Allentown, Pa.
Erin Graydon-Baker, MS, RRT
Partners Healthcare
Needham, Mass.
John Penrod, MBA
AHA Solutions
Chicago
Phoenix Convention Center, Room 132
This track’s sessions will provide updated information on regulatory activities, new sentinel event standards, HAI risks, wrong site surgery, data security and more.
OBJECTIVE: Acquire the information needed to keep abreast of relevant legal and regulatory issues. Obtain tools and resources to address the changing liability and regulatory influences challenging healthcare today.
M-05
Managing Risk, Liability and Loss of Reimbursements for HAIs
Tremendous changes have occurred in the area of HAI liability, resulting in a loss of reimbursement and increasingly burdensome legislation for acute as well as ambulatory care facilities. This program will identify key elements of those changes and then focus on best risk management practices, policies and procedures to achieve regulatory compliance, improved reimbursements, and a reduction in liability. The session speaker will propose solutions to computerization problems, the emerging liability pertaining to HAI intervention bundles, and the failure to comply with inadequate/poorly defined legislation. Finally, he will describe the use of an insurance mechanism to recoup loss of reimbursements.
Objectives: Identify the recent legislative, legal and reimbursement changes with respect to HAIs. Develop and implement policies and procedures to reduce liability/improve reimbursement. Create viable solutions to poorly defined HAI legislation and emerging HAI data/bundle liability.
9:00-10:00 AM
Russel Nassof, JD
RiskNomics
Scottsdale, Ariz.
Phoenix Convention Center, Room 129
M-12
Case Law Update
This session will review new cases and updates in the law of medical malpractice, informed consent, emergency medicine, negligent credentialing, vicarious liability and other cases of interest to health care risk managers.
Objectives: Discuss new cases in the law of malpractice, informed consent and credentialing.
10:15-11:15 AM
John West, JD, MHA, DFASHRM, CPHRM
Chartis Insurance
Atlanta
Phoenix Convention Center, Room 122
M-20
Legislative and Regulatory Update 2011
Several new and changed laws, at the state and federal level, affect healthcare risk managers. This course will help you identify and recognize circumstances and issues which impact healthcare risk management practice across the country.
Objectives: Better appreciate voluntary and regulatory initiatives which impact risk managers. Identify new directions and trends to improve your ability to plan and prepare for the future.
1:45-2:45 PM
Daniel Groszkruger, JD, MPH, CPHRM, DFASHRM
Loma Linda University Medical
San Bernardino, Calif.
Paul Smith, JD, CPHRM, DFASHRM
Cabell Huntington Hospital
Huntington, Va.
Risk Financing
Phoenix Convention Center, Room 131
M-29
Behavioral Health: How Safe is your Enterprise?
The rate of behavioral health patients treated and managed on non-behavioral health units is consistently rising because of the lack of appropriate settings and resources available. This session will focus on the enterprise risk management of behavioral health patients in acute care settings. The speaker will review high risk issues and present organizational mitigation strategies. She will discuss case studies and give participants a tool box for their personal use.
Objectives: Discuss the essentials of Behavioral Health Enterprise Risk Management. Describe the major behavioral health risks in the healthcare enterprise and enterprise risk strategies for behavioral health risk mitigation.
3:00-4:00 PM
Katherine M. Keefe, Esq.
Dilworth Paxson LLP
Philadelphia, PA
Theodore J. Kobus III, Esq.
Baker & Hostetler LLP
New York, NY
Phoenix Convention Center, Room 125
T-05
The Joint Commission Now – Vision for the Future
Originally planned solely as a discussion of potential changes to the Joint Commission’s Sentinel Event policy, the content of this presentation has been expanded to include other important safety-related topics critical to risk managers. Participants will gain an understanding of important new directions in the accreditation process of the nation’s oldest and largest health care accrediting body. In addition, attendees will learn about several new tools being developed that will help organizations identify systems and processes in need of improvement.
Objectives: List 3 planned enhancements to the Joint Commission accreditation process for 2012 designed to better identify system vulnerabilities that can lead to patient harm. Describe 5 principles of high reliability that can be applied to health care settings to improve quality and safety. Identify the 10 most common Joint Commission “Requirements for Improvement” and what organizations can do to avoid them. Understand 3 factors prompting efforts to improve The Joint Commission’s Sentinel Event policy.
11:00 AM-12:00 PM
Mark Crafton, MPA, MT (ASCP)
Phoenix Convention Center, Room 129
T-12
Wrong Site Surgery Update: The Pennsylvania Experience
Specific program elements have proved to decrease the occurrence of wrong site surgery (WSS) cases in Pennsylvania. In this session, speakers will present an overview of the WSS cases submitted via the Pennsylvania Patient Safety Authority reporting system, and identify common trends and factors that contribute to WSS. They also will discuss program elements to reduce the risk of WSS in general, as well as strategies and special considerations to eliminate specific types of WSS.
Objectives: Describe common factors that contribute to WSS events. Recognize program elements associated with preventing WSS. List special considerations for specific procedures to prevent WSS.
1:45-2:45 PM
Fran Charney, RN, BS, MSHA, CPHRM, CPHQ, CPSO, FASHRM
Theresa V. Arnold, DPM
Pennsylvania Patient Safety Authority
Plymouth Meeting, Pa.
Phoenix Convention Center, Room 129
T-21
Resolving the Medicare Lien, Getting to Closure
The struggles of the Centers for Medicare Services (CMS) in implementing the MMSEA continue to complicate the process of Medicare compliance. Employers are faced with millions of dollars in potential exposures and a constantly moving target. This session will enable employers to determine if they are in the right place with respect to Medicare compliance challenges as well as discuss what are becoming the new best practices in this area.
Objectives: Gain a better understanding of MMSEA and the process of Medicare compliance. Identify and overcome Medicare challenges allowing you to close files in a timely, efficient manner. Learn the new best practices in this area.
4:15-5:15 PM
Michael Merlino, III, Esq.
Sedgwick CMS
Duluth, Ga.
Tim Over, ARM, ALCM, CPSM, AIC
Sedgwick CMS
Chicago
Phoenix Convention Center, Room 129
W-04
Ethical Challenges in Healthcare Quality and Risk Management
NAHQ members are concerned about recent cases of retaliation and at least one case of criminal prosecution of healthcare quality professionals who were taking appropriate action to address significant clinical quality concerns consistent with their job responsibilities. Intimidation, retaliation against, or prosecution of healthcare quality professionals who, in the course of performing their job functions, seek to remedy significant quality issues has a profound and deleterious effect on the healthcare system. Speakers in this session will discuss the findings and recommendations of the NAHQ Ethical Dilemmas Task Team. They also will discuss their recommendations from their collaboration with other stakeholders.
Objectives: Describe current ethical challenges in healthcare quality and risk management. Recognize professional responsibility to manage ethical dilemmas impacting healthcare quality/safety. Identify available resources and carry out prudent measures if facing an ethical dilemma.
8:45-9:45 AM
Lee Hamilton, JD, MPA, RN, CPHQH, FNAHQ
Yakima Valley Farm Worker's Clinic
Toppenish, Wash.
Grena Porto, RN, MS, ARM, CPHRM, DFASHRM
Quality, Risk & Safety Healthcare Consulting, LLC
Farmington, CT
Michael Callahan, JD
Katten Muchin Rosenman LLP
Chicago, IL
Moderator
Ruth Nayko, RN, B.S.N., M.B.A., CPHQ, CPHRM
Phoenix Convention Center, Room 124
W-13
LTC Risk Considerations: Age-Related Problem Behaviors in the Elderly Resident
Age-related changes in the brain predispose elderly residents to behaviors such as noncompliance, agitation, depression and combativeness, all of which can be very difficult to manage. This program provides reasons for those behaviors; important signs and symptoms to watch for; management techniques to prevent danger to the resident and others; and family, regulatory, and legal issues to consider in the treatment of these residents.
Objectives: Describe the aging processes that can result in dementia, Alzheimer’s Disease and aberrant behavior. State how to set realistic expectations of family members. Identify regulatory prescriptive and unique legal issues that interfere with the use of restraints.
10:00-11:00 AM
Kelley Woodfin, RN, BS, DFASHRM, CPHRM
CORE Risk Services, Inc.
Sandy, Utah
Dawn Cushman, JD
Ryan, Datomi & Mosely, LLP
Glendale, Calif.
Kristen Lambert, JD, MSW, LICSW
Allied World National Assurance Co.
Boston, Mass.
Phoenix Convention Center, Room 126
This track features sessions focusing on the financial implications of risk – from the purchase of commercial insurance to the structuring of a captive, and the risk manager’s role in measures to mitigate the financial exposure to the entity and providers.
OBJECTIVE: Identify key risk identification and mitigation strategies to control financial exposure.
M-07
For your convenience this session is also offered on Tuesday from 4:15-5:15 PM
Protecting Your HCO: Know Your ACO’s Risks and Impacts
Healthcare Organizations may elect to participate in or even form their own Accountable Care Organizations to take advantage of the Shared Savings Program mandated by the Patient Protection and Affordable Care Act of 2010. An ACO will significantly change the risk profile of a HCO and may require additional insurance coverage to address new exposures. The speakers will share strategies for addressing the many risks, the potential impact of these risks and mitigation techniques that risk managers must consider when performing due diligence on the formation of an ACO.
Objectives: State three potential risks associated with forming and operating an ACO. Describe three essential insurance/risk transfer techniques for addressing ACO exposures. Educate senior leadership on the top two potential risk impacts and recommend treatments for each.
9:00-10:00 AM
Deana Allen, CPHRM, ARM, AIC
Mary Botkin, ARM
Willis
Atlanta
Phoenix Convention Center, Room 126
M-08
Living Without a Pulse: Managing VADs in Your Hospital
Approximately 7.5 million patients in the United States suffer from heart failure. Of these, 75,000 to 100,000 have end stage heart failure, are under the age of 75 and are candidates for heart transplantation. As only about 2,100 hearts are available annually for transplant, the majority of these patients should be considered for long-term mechanical circulatory support. Newer devices allow patients to travel, work and lead nearly normal lives. Problems with heart transplant patients are likely to present to non-implanting hospitals. In order to care for these patients properly until transfer to an implanting hospital can be arranged, all hospitals should have policies and procedures for the management of patients with left ventricular assist devices (VAD). This session will review common VAD emergencies and suggest ways that non-implanting hospitals can manage risk
Objectives: Describe the most common problems likely to be encountered after discharge from the implanting hospital. Describe the resources necessary to provide emergency care to MCS patients. Describe the problems unique to MCS patients undergoing medical care for non-cardiac problems.
9:00-10:00 AM
John M Herre, MD, FACC,FACP
Professor of Medicine
Eastern Virginia Medical School
Medical Director, Advanced Heart Failure
Sentara Healthcare
Norfolk, Va
Phoenix Convention Center, Room 128
M-14
Risk Management Between the Hospital and Hospital-Owned Physician Practice
IASIS Healthcare set out to develop a framework for our hospitals and physician practices to approach risk management so all risk activities are aligned. Out of this initiative, activities became seamless across the continuum of care. This continuity has fostered unprecedented system insight into areas of risk, risk financing, risk transfer and cultural barriers to removing risk. This presentation reviews the insights we gained and includes an enterprise-wide review of: 1. the operational and risk structure from physician offices to the hospitals, 2. risk management, risk transfer and risk financing successes and challenges, and 3. provider and staff challenges when integrating risk activities.
Objectives: Define two ways to approach enterprise risk management in the hospital-owned physician practice. Define three challenges that require conquering in an integrated hospital and physician practice setting. Cite three avenues to conquer challenges in an integrated hospital and physician practice setting.
9:00-10:00 AM
Doug Mitchell
Patricia Scott
IASIS Healthcare
Franklin, Tenn.
Phoenix Convention Center, Room 125
M-15
Understanding Coverage Language: What a Risk Manager Really Needs to Know
As professional and general liability claims become more complex, it is increasingly important that a risk manager be comfortable reading and interpreting insurance coverage language. This session will look at specific coverage language examples, including case studies with examples of coverage expansion, conflict identification and several new challenges arising for self insured entities.
Objectives: Review coverage definitions found in professional and general liability policies. Identify coverage provisions that may apply to specific case examples. Review policy language while identifying conflicts, duplication and gaps in coverage. Prepare a checklist for policy language review on the risk manager's own program.
10:15-11:15 AM
Robert Blasio
Western Litigation Inc.
Houston, Texas
Kara Knowles
Western Litigation Inc.
Denver, Colorado
Phoenix Convention Center, Room 126
M-16
Captives for the Healthcare Industry:
Why You Shouldn't Trust Your Captive Manager - A Captive Manager's Perspective
The use of captives and other forms of self-insurance tools has grown within the healthcare industry. While captive managers often present the benefits of a captive formation, less attention is given to the issues of taxation and adequate reserving. The speakers will give an in-depth and balanced overview of captive feasibility. They will discuss the conceptual basics and the potential benefits to commercial businesses, associations and not-for-profits, but with a specific focus on the initial feasibility considerations. Captives are not for everyone, so the presenters will provide interested parties with questions they should be asking when considering the use of captive structures. Many captives fall into difficulties as a result of taxation or cash-flow issues, so the presenters hope to help attendees understand why independent, third-party advice is a necessity, not a luxury.
10:15-11:15 AM
Simon Owen
Folio Insurance Management Limited
British Virgin Islands
Marn Rivelle
Rivelle Consulting Services
Whittier, Calif.
Asher Harris, JD
Law Office of Asher Harris
New York, N.Y.
Phoenix Convention Center, Room 128
M-22
Financing Risk Initiatives: Finding the Buried Treasures
This interactive and fast-paced session will focus on successful strategies to find monetary support within your healthcare organization to support loss prevention, patient safety and error reduction initiatives. The panel will share first-hand experiences with strategic plan development, captive grant protocols and other creative methods of “find the buried treasure” to support risk initiatives. Sample methods, business plans and other key tools will be provided to the participants.
Objectives: Understand the importance of an HRM Strategic Plan with goals and objectives to support financing risk initiatives. Analyze proven practices at healthcare organizations to identify and secure financial support for loss prevention, patient safety and error reduction efforts. Review sample risk initiative financing “business plans” that have led to budget approval. Learn from healthcare organization case studies focused on securing funds for risk initiatives.
1:45-2:45 PM
Bill McDonough, MPAH, ARM, FASHRM
Integro Insurance Brokers
Boston
Pamela Burger
Baystate Health System
Springfield, Mass
Charles Conklin
Temple University health System
Philadelphia
Diane Salter
Jefferson Health System
Wayne, PA
Phoenix Convention Center, Room 125
M-23
Navigating The Evolving Legal, Regulatory And Cyber Liability Landscapes For Health Care Organizations
The unique, complex and evolving landscape of Medicare/Medicaid government audits, cyber liability under HIPAA/HITECH and how mid-sized Health Care organizations may expect government enforcement efforts to affect them in the near term will be examined in depth (as well as Best Practices for mitigating risk) from the vantage points of outside attorney experts specializing in Regulatory and Data Breach/Privacy Liability for Health Care organizations, as well as a Chubb Health Care Product Manager who creates coverage solutions for Mid-Sized Health Care organizations to mitigate risk and exposure in this highly scrutinized market sector.
Objectives: Understand key developments in the evolving healthcare regulatory landscape. Learn best practices to prepare for the inevitable: current status of government Medicare/Medicaid audits (RACs, ZPICs). Learn what recent amendments to the Federal False Claims Act means to your clients. Help your healthcare client navigate the evolving HIPAA/HITECH cyber liability landscape. Learn best practices to mitigate heightened cyber liability exposure for healthcare organizations. Gain insurance solutions for the unique regulatory and cyber liability exposures that healthcare organizations currently face.
1:45-2:45 PM
Kimberly B. Holmes, Esq., RPLU
Chubb Specialty Insurance
Simsbury, CT
Theodore J. Kobus III, Esq.
Baker & Hostetler LLP
New York, NY
Phoenix Convention Center, Room 128
M-24
Zero Preventable Harm: Thinking and Thinking in Teams
Ten years after publication of To Err is Human (the IOM report) experts are still debating the progress in eliminating preventable patient harm. Field data from 96 hospitals and 1,964 cases of serious patient harm during two years shows that 33.2 percent of the acts leading to harm are critical thinking breakdowns and 84.1 percent of the acts are preventable using non-technical skills for team thinking, implemented as part of safety culture. This program will explore how patient safety culture acts as a performance accelerator and makes the outcomes associated with protocol and technology better. This program also will show how several healthcare systems are using safety culture to improve quality outcomes and reduce serious events of patient harm by 48-91 percent in two years.
Objectives: Define reliability, and describe the role of system reliability in quality and patient safety. Describe, using Reason’s Swiss Cheese Effect, how human error and latent system weaknesses combine to cause loss events in healthcare. Describe, using Cook and Wood’s Sharp-End Model, how culture can shape behavior and prevent human error that contributes to loss events. Identify behaviors of people bundles, and describe the use of each behavior, for each of the three human error types in the Generic Error Modeling System.
1:45-2:45 PM
Craig Clapper, PE, CMQ/OE
Healthcare Performance Improvement
Virginia Beach, Va.
Phoenix Convention Center, Room 126
M-32
D&O Liability: 2011 and Beyond
This session will provide an understanding of the duties and emerging risks that D&Os of not-for-profit healthcare organizations face in the shifting healthcare landscape, and provide strategies on how to manage them and protect the organization. Particpants will review typical insuring agreements using situations, examples and case studies focusing on regulatory, antitrust and criminal exposures. The speaker will provide a checklist for purchasing a D&O.
Objectives: Articulate the primary responsibilities of a not-for-profit Board. Be conversant in the insurance converges available to transfer risk. Function as a resource when your organization is developing new delivery structures.
3:00-4:00 PM
Sue Chimeleski, APRN, CPHRM, DFASHRM, JD
AWAC Services
Farmington, Conn
Phoenix Convention Center, Room 128
T-08
OB Liability: Making the “Seemingly Inevitable” Financially Manageable
Obstetric risks remain at the top of the clinical liability concerns for most healthcare risk managers. While initiatives to help address risk in obstetrics exist, many of these have not proven effective in demonstrating quantifiable results. This panel session explores case studies of how transformational innovation has been used to significantly impact the cost of risk in obstetrics so that risk management leaders can draw from this experience and challenge themselves to build their own innovative approaches to address the financial risk of OB liability.
Objectives: Discover current national OB liability trends and the need for novel risk management approaches. Investigate ways to assess the value of innovation used to reduce risk and the return on investment. Devise methods for effective partnerships to support transformational innovation to reduce OB risk.
11:00 AM-12:00 PM
Dorothy Berry, RN, CPHRM, DFASHRM
PeriGen, Inc
Princeton, NJ
Larry Smith, JD
MedStar Health
Ellicott City, MD
Dale Schultz
Banner Health
Phoenix, AZ
Nat Cross
Beazley Group
London
Paul Greve, JD RPLU DFASHRM
Willis
For Wayne, IN
Phoenix Convention Center, Room 126
T-14
Mergers & Acquisitions: Is Risk Management at the Table?
In today's healthcare environment, mergers and acquisitions have become commonplace. Risk management and insurance-related issues are critical aspects of mergers and acquisitions. Assessment of risks assumed in new business transactions provides critical information for evaluation of new relationships for the health care organization. Comprehensive risk assessments allow organizations to gather necessary information, communicate key issues to appropriate leaders, ensure due diligence and direct strategic planning to successfully integrate a new entity into the organization. This presentation considers risk management’s contribution and offers processes and tools to utilize when conducting risk assessments during mergers or acquisitions.
Objectives: Describe risk management’s role in conducting risk assessments as part of mergers and acquisitions. Outline the categories of risk issues to be included in a pre-acquisition risk assessment. Adapt risk assessment tools for use in your organization’s pre-acquisition process.
1:45-2:45 PM
Rhonda Koele, RN, MS
Teri Burthay, ARM
Allina Hospitals and Clinics
Minneapolis, Minn.
Phoenix Convention Center, Room 125
T-15
Healthcare Civil Rights Violations: Are You Prepared to Pay the Price?
Civil Rights violations can be extremely expensive to your organization. Not only are defensive costs, settlements and investigations pricey, a violation can jeopardize your Medicare funding as well as your community reputation. This session will provide you with valuable information about how Title VI of the Civil Rights Act of 1964 affects healthcare organizations. The speakers will review: 1. federal requirements and how they apply to healthcare organizations, 2. tips for assessing risk at your hospital, 3. connections between language assistance and informed consent, and 4. what to expect with a federal investigation. They also will review the outcome of an actual case.
Objectives: Better understand federal language assistance requirements and their relationship to healthcare providers. Better understand the connection between language assistance and informed consent. Better understand how to avoid federal investigations related to language assistance and Title VI of theCivil Rights Act of 1964.
1:45-2:45 PM
Linda Larkin, RN, BSN, CPHRM
Memorial Health Systems
Colorado Springs, Colo.
Bruce L. Adelson, Esq
Federal Compliance Consulting, LLC Potomac, Md.
Phoenix Convention Center, Room 126
T-16
RX for Emerging Risks: Insurance Solutions
This session will touch on some of the changes in healthcare, such as ERMs, managed care plans and healthcare delivery. It will focus on how these issues can be addressed through insurance and/or risk retention and outline ways to approach them through Enterprise Risk Management.
1:45-2:45 PM
Holly Meidl
Marsh
Kirsten Faria
Allied World Assurance Co. Ltd.
Hamilton, Bermuda
Joseph Sullivan
Greg Hamlin
Zurich North America
New York
Phoenix Convention Center, Room 128
T-23
For your convenience this session is also offered on Monday from 9:00-10:00 AM
Protecting Your HCO: Know Your ACO’s Risks and Impacts
Healthcare Organizations may elect to participate in or even form their own Accountable Care Organizations to take advantage of the Shared Savings Program mandated by the Patient Protection and Affordable Care Act of 2010. An ACO will significantly change the risk profile of a HCO and may require additional insurance coverage to address new exposures. The speakers will share strategies for addressing the many risks, the potential impact of these risks and mitigation techniques that risk managers must consider when performing due diligence on the formation of an ACO.
Objectives: State three potential risks associated with forming and operating an ACO. Describe three essential insurance/risk transfer techniques for addressing ACO exposures. Educate senior leadership on the top two potential risk impacts and recommend treatments for each.
4:15-5:15 PM
Deana Allen, CPHRM, ARM, AIC
Mary Botkin, ARM
Willis
Atlanta
Phoenix Convention Center, Room 125
W-07
Chasing Your Tail: Risk Management Considerations for Employed Physicians
Hospitals continue to increase their acquisition of employed physician practices. This session will explore the reasons for the trend and also delve into the risk management and insurance issues associated with on-boarding new physicians. Speakers will discuss the implications of assuming prior liabilities of a Medical Malpractice policy versus requiring doctors to purchase a tail, and the need for creation of a separate physician risk management program. Two systems will share the lessons they have learned.
Objectives: Define the reasons why hospital systems are hiring physicians and how this compares with the past. Examine and analyze the insurance issues associated with hiring physicians. Describe risk management considerations as it relates to physician practices.
10:15-11:15 AM
Erin Eldridge, RN, MBA, CPHRM
Catholic Health Partners
Cincinnati
Mary Gutman, RN, MS, CPHRM, DFASHRM
Premier Health Partners
Dayton, Ohio
Merry Robinson
Brower Insurance Agency
Dayton, Ohio
Phoenix Convention Center, Room 125
W-15
Determine Hospital Risk Management Staffing Through Analytics
Risk managers currently have limited ability to determine required department staffing levels, based on current literature and the lack of quantifiable staffing models. The audience will understand the theoretical framework and results of an independent research project designed to establish a standardized means and quantifiable formula to objectively determine and justify staffing levels. The research project was based on the gathering of time data for essential risk management activities necessary to support the function. It was beta tested at a large multi-hospital healthcare delivery system in Texas.
Objectives: Employ tracking tools to gather time data on 24 risk management activities. Analyze time data in order to determine required staffing necessary to support risk management. Communicate required staffing necessary to support hospital risk management workload.
10:00 ;-11:00 AM
Kenneth W. Felton RN, MS, CPHRM, DFASHRM
Willis
Hartford, Conn.
Sheila Hagg-Rickert, CPHRM, DFASHRM
Christus Health
Houston
Phoenix Convention Center, Room 125
W-16
Drug Shortage Crisis
Drug shortages have increased at an unprecedented rate over the last five years, threatening public health and patient safety. Unavailability of critically needed drugs, especially injectables, has caused harm and compromised care. The session will describe the status and impact of drug shortages, describe national initiatives to improve the situation, and provide practical strategies for managing shortages.
Objectives: Describe the scope and seriousness of the drug shortage crisis. Identify at least two solutions proposed by an interdisciplinary coalition of healthcare providers. Formulate a risk management plan for drug shortages in a hospital or health-system.
10:00 ;-11:00 AM
Dan Ross, Pharm. D.
City of Hope National Medical Center
Duarte, CA
Bona Benjamin, B.S. Pharm
American Society of Health-System Pharmacists
Bethesda, MD
Phoenix Convention Center, Room 128
T-24
Alarm Fatigue: Think you don’t have a problem? Think again. Alarm safety, particularly alarm fatigue, continues to be a topic of concern for many healthcare organizations. Understanding the definition and causes of alarm fatigue, and how to combat it, will save lives and reduce injuries in your organization. Reducing alarm fatigue and improving clinical alarm management is a complex issue. A proactive system’s approach is a viable method of improving the effectiveness and efficiency of alarm coverage and patient safety.
Objectives: Understand the importance of preventing alarm fatigue. Identify several examples of alarm fatigue and their underlying causes. Understand how to take a proactive system’s approach to improving alarm management and preventing alarm fatigue. Identify several strategies to prevent alarm fatigue and improve alarm management.
4:15-5:15 PM
Mark Meyers, RN, BSN, MBA, NE-BC
ECRI
Plymouth Meeting, Pa.
Phoenix Convention Center, Room 128
This track offers new insights into traditional and nontraditional patient safety that will allow for the development of strategies to prevent harm and improve patient safety. Presentations and discussions on emergency medicine, radiology, managing behavioral choices and system design will give rise to an increased level of knowledge and provide real world skills to take back and apply.
OBJECTIVE: Obtain knowledge, tools, and safety strategies for new and traditional exposures and trends in patient safety.
M-06
Patient Safety Organizations (PSOs): Making it Work
Is your organization preparing to form its own PSO or planning to join one? The Patient Safety Act, which establishes PSOs, provides legal privilege and confidentiality to all healthcare providers who choose to participate. The Act provides numerous benefits, but the details are complex. Speakers in this session discuss key considerations associated with an organization’s decision to build its own or buy into a PSO including: planning, design, execution, leadership and physician engagement, credentials, cost, regulatory hurdles and value. The speakers highlight lessons learned and disseminated by PSOs to improve patient safety, reflect on their decision- making process to either form or join a PSO, and re-examine what to look for when evaluating a PSO.
Objectives: Understand the role of PSOs in healthcare reform legislation. Develop criteria for your organization’s decision-making process with respect to PSOs. Learn about approaches to patient safety gleaned from PSOs.
9:00-10:00 AM
Ronni Solomon, JD
ECRI Institute
Plymouth Meeting, Pa.
Jason Adelman, MD, MS
Montefiore Medical Center
Stacy W. Prince, RT, JD
Adventist Health System
Winter Park, Fla.
Phoenix Convention Center, Room 125
M-13
For your convenience this session is also offered on Monday from 3:00-4:00 PM
RCA: A 21st Century Approach
Since it was adopted by the healthcare industry in the mid-80s, RCA methodology has not evolved appreciably. This session will provide an overview of how portal technology can be used to improve the RCA process and reduce the number of required meetings. It also will detail methods for improving participation, streamlining record-keeping and report generation, and allowing for remote participation of key non-employed team members and off-shift workers. The speakers will teach you how to safeguard sensitive information while allowing for on-demand access by appropriate individuals.
Objectives: Identify three barriers to participation in the RCA process by front line clinical staff. Understand how portal technology enhances collaboration. List five ways in which portal technology can improve the RCA process.
10:15-11:15 AM
Grena Porto, RN, MS, ARM, CPHRM, DFASHRM
QRS Healthcare Consulting, LLC
Hockessin, Del.
Eric Stein
Proactive Performance Solutions
Newark, Del.
Phoenix Convention Center, Room 129
M-30
Behavioral Health: How Safe is your Enterprise?
The rate of behavioral health patients treated and managed on non-behavioral health units is consistently rising because of the lack of appropriate settings and resources available. This session will focus on the enterprise risk management of behavioral health patients in acute care settings. The speaker will review high risk issues and present organizational mitigation strategies. She will discuss case studies and give participants a tool box for their personal use.
Objectives: Discuss the essentials of Behavioral Health Enterprise Risk Management. Describe the major behavioral health risks in the healthcare enterprise and enterprise risk strategies for behavioral health risk mitigation.
3:00-4:00 PM
Monica Cooke, BSN, MA, RNC, CPHQ, CPHRM
Quality Plus Solutions LLC
Edgewater, Md.
Phoenix Convention Center, Room 125
M-31
For your convenience this session is also offered on Monday from 10:15-11:15 AM
RCA: A 21st Century Approach
Since it was adopted by the healthcare industry in the mid-80s, RCA methodology has not evolved appreciably. This session will provide an overview of how portal technology can be used to improve the RCA process and reduce the number of required meetings. It also will detail methods for improving participation, streamlining record-keeping and report generation, and allowing for remote participation of key non-employed team members and off-shift workers. The speakers will teach you how to safeguard sensitive information while allowing for on-demand access by appropriate individuals.
Objectives: Identify three barriers to participation in the RCA process by front line clinical staff. Understand how portal technology enhances collaboration. List five ways in which portal technology can improve the RCA process.
3:00-4:00 PM
Grena Porto, RN, MS, ARM, CPHRM, DFASHRM
QRS Healthcare Consulting, LLC
Hockessin, Del.
Eric Stein
Proactive Performance Solutions
Newark, Del.
Phoenix Convention Center, Room 124
T-06
Radiology Risk Assessment: Safety Improvement in Radiology
Radiation safety has been put in the spotlight by regulators, The Joint Commission, patient safety organizations, and others. Excessive radiation doses, burns and other skin injuries are the subject of investigations and highlighted by the media. Numerous concerns impact patient safety and increase liability including: breakdowns in communication of test results and during patient handoffs; credentialing and proficiency; and set up, use and monitoring of imaging technologies. This session describes techniques for identifying potential risk issues in this critical area. Risk management professionals from an independent, nonprofit applied health services research agency, an RRG, and an acute care hospital will discuss what can be learned, improvements that can be made, and challenges to sustainability. Speakers will provide sample tools and resources.
Objectives: Identify key safety risks in diagnostic radiation services. Select appropriate improvements for identified risks in your organization. Modify practices or processes to facilitate patient safety improvements.
West Chester, Pa.
11:00 AM-12:00 PM
Amy Goldberg-Alberts, MBA, FASHRM, CPHRM
ECRI Institute
Plymouth Meeting, Pa.
Marilyn Owens, MBA, CPHRM, ARM
Cassatt RRG Holding Company
Berwyn, Pa.
Kathleen Shostek, RN, ARM, BBA, FASHRM, CPHRM
ECRI Institute
Plymouth Meeting, Pa.
Carli Meister, M.Sc (A), RN
The Chester County Hospital
West Chester, Pa.
Phoenix Convention Center, Room 125
T-07
Boomer Risk: Patient Safety Solutions for the ED Geriatric Patient
With nearly half the population projected to be older than 65 by 2020, medical providers must understand the unique needs and risks associated with these elderly patients and begin to identify and adopt alternative patient safety and risk management strategies. This program will focus on the unique issues specific to the geriatric patient that places this population at greater risk in the ED for a serious safety event. Participants learn how to modify the care delivery methods and operational work plans for the ED to prepare for the large influx of elderly patients.
Objectives: Recognize the unique issues specific to the geriatric patient that place them at greater risk. Define the top three risks for the geriatric patient in the ED and develop risk mitigation strategy. Demonstrate how to modify the care delivery methods and operational work plans for elderly patients.
11:00 AM-12:00 PM
Graham Billingham, MS, FACEO, FAAEM
Emergency Physicians Insurance Company
Roseville, Calif.
Phoenix Convention Center, Room 128
T-13
Perinatal Safety: What Can You Learn from a Perinatologist?
Healthcare specialists at the North Shore LIJ Health System have implemented documentation tools and risk reduction techniques to enhance obstetrical patient safety and care. In this session, speakers will highlight specific techniques and strategic planning used to reduce risk. They will outline methods to ensure better patient outcomes through improved communication, documentation, enhanced privacy and staff education. They also will present mechanisms to integrate liability reduction with quality and patient safety initiatives, and review the dashboard for obstetrical performance improvement. Patient scenarios will be used to illustrate these principles.
Objectives: Identify specific risk factors in obstetrical patients that increase liability. Utilize proven techniques to reduce risk to both the patient and institution. Understand the importance of documentation and communication in obstetrical practice.
1:45-2:45 PM
Victor Klein, MD
North Shore LIJ Health System
Manhasset, N.Y.
Phoenix Convention Center, Room 132
T-22
Safety Alert Management in the Modern Healthcare Enterprise
In this session you will learn how Baptist Memorial Health Care Corporation worked to develop a strong and effective safety alert management program across their system. Speakers will focus on hazard and safety alert management best practices, challenges and typical pitfalls to avoid, and observations on effective programs. They also will provide a review of ECRI Institute’s top ten healthcare technology hazards for 2011, along with guidance and recommendations to help you ensure that your hospital is not at risk.
Objectives: Promote healthcare product safety alerts management as an essential patient safety initiative. Assemble/develop a network of safety champions throughout the hospital or health system. Identify the inherent risks of certain healthcare technologies in order to help prevent risk.
Maria Garrity
4:15-5:15 PM
ECRI Institute
Plymouth, Pa.
Lauren Hollenbeck
Baptist Memorial Healthcare
Memphis, Tenn.
Phoenix Convention Center, Room 126
W-05
Code Blue: Communication Breakdown Drives Diagnostic Failure in the ED
CRICO/RMF Strategies medical malpractice database, the largest of its kind, ranks ED in the top five for all medical lawsuits from 2005 to 2009 (8,000 cases, $2 billion in damages). ED physicians and nurses from 15 hospitals met to discuss these claims and look at issues leading to medical errors in their EDs. They learned that failure to obtain/communicate critical information is a key contributor to diagnostic failure. In this session, participants will learn: communication breakdowns that contribute to the primary driver of malpractice claims, five areas of critical information that mitigate diagnostic failure, and solutions for improving RN/MD communications that support diagnostic success.
Objectives: Learn critical communication breakdowns that contribute to the primary driver of malpractice claims. Define the five areas of critical information that mitigate diagnostic failure. Evaluate potential solutions for improving RN/MD communications that support diagnostic success.
8:45-9:45 AM
Dana Siegal, RN, CPHRM
CRICO/RMF Strategies Cambridge, Mass.
Phoenix Convention Center, Room 129
W-06
Demystifying the CMS Hospital Conditions of Participation Changes 2011
Hospitals that accept Medicare or Medicaid reimbursement, which includes most hospitals in the U.S., are required to follow the Center for Medicare and Medicaid Services (CMS), Conditions of Participation. The Conditions of Participation must be followed on every patient—not just Medicare or Medicaid patients. Due to significant changes to the program in 2011, hospitals are finding it difficult to keep up. CMS activities for both complaint surveys and validation surveys have increased and hospital administrators do not want to be found out of compliance. This can’t-miss session will discuss the changes and proposed changes to Conditions of Participation. It also will cover the anesthesia changes (for the fourth and final change), visitation, advance directives, patient rights, IV medication, pharmacy, blood and blood products, telemedicine, respiratory and rehab.
8:45-9:45 AM
Sue Dill Calloway RN Esq. CPHRM
AD, BA, BSN, MSN, JD
Patient Safety and Health Care Consulting
Dublin, OH
Phoenix Convention Center, Room 126
W-14
Where are the Fireworks? Managing Difficult Patient/Family Behaviors
In today’s world, poor coping skills, financial stress and serious illness often combine to produce a recipe for unpredictable violence and crisis situations. The University of Michigan Health System has developed a team with representatives from risk management, psychiatry and security that provides a rapid response to situations that have historically resulted in sentinel/adverse events. This session presents the health system’s protocol, offers specific details and covers characteristics of the program that will assist staff in recognizing behaviors and personality types that lead to these events. It provides concrete suggestions and proven methods of intervention to halt the escalation of events.
Objectives: Recognize those patients/families that create situations that will escalate despite typical interventions. Describe strategies and interventions that contain behaviors. Discuss individual staff and team responses to critical incidents.
8:45-9:45 AM
Karen Adkins-Bley, RN, BSN, MSA, JD
Barbara Shaw, LMSW
Joshua Smith
University of Michigan Health Systems
Ann Arbor, Mich.
Phoenix Convention Center, Room 131