2012 Annual Conference

Conference Resources

ASHRM.org

Annual Conference & Exhibition: Education/Tracks


Education You Can Use To "Get To Zero™"

No matter the type or size of your institution, the role you serve or the years you’ve been in risk management, you share similar goals with your fellow conference attendees. The educational offerings at this year’s Annual Conference are designed to help all attendees reach the goal of helping to eliminate serious safety events from their organizations, and mitigating risk across healthcare organizations. ASHRM constantly reevaluates its educational offerings to ensure you have access to 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:




Claims & Litigation

This track addresses both the process and the substance of claims and litigation management. Topics covered on Monday include the risks and challenges in acquiring new physicians’ practices and reaching resolution in the face of an adverse event. On Tuesday, explore a unique approach for eliminating obstetrical claims. On Wednesday, probe into the specifics of nurse professional liability claims and get involved in the Hot Topics in Long-Term Care.

Objective: Enroll in these sessions to examine contemporary best practices in managing claims, mitigating loss and reducing adverse events in your healthcare system.


M-01
Reaching a Prompt Resolution in the Face of an Adverse Event: Dissection of a Successful Early Intervention Program
This presentation will reveal the inner workings of an early intervention program that provides emotional support to physicians and their patients following an adverse medical outcome, as well as monetary support in specific instances. It will reveal, through actual closed files, how professionalism, transparency and compassion have resulted in positive outcomes for the physician, hospital and patient, and helped prevent lawsuits.

Objectives: By the end of this session participants should be able to:

  • Effectively address patient expectations after an adverse outcome.
  • Identify the five essential components of a successful early intervention program.
  • Discuss how communication between physician risk managers and hospital risk managers can lead to successful outcomes.

Ann Whitehead, RN, JD
Cooperative of American Physicians, Inc.
Los Angeles

Location: Potomac Ballroom C


M-09
Emergency Medicine Liability and Risk Management Solutions: Stat!
Emergency Medicine continues to be a high risk area for hospital and physician malpractice claims. Healthcare reform may exacerbate the problem if there is an increase in emergency department (ED) admissions further pressuring the already stretched staff and facilities. Presenters will review national claim trends from the Physician Insurers Association of America claims database, as well as the claims and risk management experience of one of the largest writers of physicians, The Doctors Company. The leading provider of Emergency Medicine risk management services, The Sullivan Group, and Dan Sullivan, MD, will present on emerging patient safety and potential adverse events.

Objectives: By the end of this session participants should be able to:

  • Identify the leading patient conditions, diagnoses and patient injuries that cause Emergency Medicine claims including new and emerging trends.
  • Identify the most common factors and circumstances that cause Emergency Medicine claims including communication, patient noncompliance and patient perceptions of care.
  • Describe innovative patient safety and risk management solutions to managing Emergency Medicine risk for known and emerging trends.

Paul Greve, JD RPLU, DFASHRM
Willis Health Care Practice
Ft. Wayne, Ind.

Darrell Ranum, JD, CPHRM
The Doctors Company
Columbus, Ohio

Daniel Sullivan, MD, JD, FACEP
The Sullivan Group
Chicago

Location: Potomac C


M-15
Acquiring New Physicians' Practices: New Risks, New Challenges and New Approaches
The approach to new physician practices that have been acquired by hospitals and health systems may present new and unique challenges for the risk manager. Speakers in this session will discuss the nature and resources for practice assessments, as well as introduce strategies for interacting with the practice and constructing a specific curriculum for teaching risk management to physicians.

Objectives: By the end of this session participants should be able to:

  • Introduce risk management into physician practice patterns.
  • Access resources which enable the risk manager to conduct a physician practice risk assessment.
  • Use a checklist for a curriculum that teaches elements of personal risk management for physicians.

Larry Veltman, MD
Portland, Ore.

Location: Potomac C


M-21
Is Healthcare Consolidation Increasing Your Risk of Infection?
Now, more than ever before, regulatory as well as financial considerations are propelling the increased merger of a diverse group of healthcare providers. While CEOs, CFOs, attorneys, and other administrators are generally well-versed in examining financial and general corporate balance sheets, issues surrounding institutional differences in patients as well as in worker safety practices, are usually not even on the radar screen. Practices and risks associated with healthcare-associated infections (HAIs) and patient/healthcare worker safety cannot be overlooked in the rush to consolidate, unify, upgrade and rebrand. This session will examine the issues surrounding patient and healthcare worker safety. It will explain how to minimize the increased risk of infection transmission, which may result in a healthcare system that is integrating new components as part of consolidation.

Objectives: By the end of this session participants should be able to:

  • Identify leading risks relating to HAIs and patient/healthcare worker safety in the face of increased consolidation and learn how to promote a uniform system of best practice compliance throughout a network of diverse providers.
  • Discuss the legal, financial, healthcare and intangible costs of the failure to incorporate the culture of safety and infection control/prevention in the newly vertical and/or horizontally integrated healthcare organization.
  • Minimize the patient/healthcare worker safety risks and potential liabilities associated with healthcare integration.

Joseph Perz, MD
Centers for Disease Control and Prevention
Atlanta

Russ Nassof
RiskNomics
Scottsdale, Ariz.

Location: NH 2-3


T-01
Defending the Electronic Medical Record Deposition
We are now seeing the first medical malpractice depositions taking place with charts that are completely electronic and computerized. How are they different from depositions of the past, based completely on the paper chart? What kinds of questions are plaintiffs’ lawyers asking and what theories are they trying to exploit? How are the medical professionals faring in preparing for and defending their care in these new circumstances? See for yourself in a live, mock discovery deposition on issues germane to the electronic medical record.

Objectives: By the end of this session participants should be able to:

  • Prepare deponents for the deposition.
  • Determine the most critical issues faced by electronic medical records users from a plaintiffs’ perspective.
  • Formulate best defenses and objections regarding certain deposition lines of inquiry.

Matthew Keris, Esq.
Robin Snyde
r
Marshall, Dennehey, Warner, Coleman & Goggin
Scranton, Pa.

Location: Potomac Ballroom C


T-07
My Friends Would Never Believe This! A Humorous Look at The Mistakes That Get Us Into Trouble And How We Can Learn From Them
This session will provide confidential examples of liability cases faced by institutions involving such issues as documentation, communication errors and chain of command problems. As risk managers know, we must often have a keen sense of humor. This presentation will use that sense of humor to show how we can use our mistakes to educate staff and avoid future liability. Objectives: By the end of this session participants should be able to:

  • Recognize common areas of liability exposure.
  • Determine strategies for avoiding liability exposure.
  • Develop a positive framework for using the lessons learned from errors to educate staff and prevent future harm.

Teri Leonovich, JD
Darlene Skinner, JD, RN, BSN, MSN
LifeBridge Health, Inc.
Baltimore

Location: Potomac C


T-14
Getting to Zero Obstetrical Claims: A Unique Approach to Decrease Risk
Obstetrics is still the leading cause of malpractice litigation and the most costly for hospitals. Learn how one health system used obstetrical claims to analyze current processes in obstetrics; change staffing patterns; implement team training; change practices; and perform in-depth, continuous review of cases. This session will provide a real-time example of how participants’ hospitals can adopt these positive changes.

Objectives: By the end of this session participants should be able to:

  • Interpret obstetrical claims data before and after changes in processes were made.
  • Discuss how staffing patterns, supervision and clinical practice protocols can mitigate liability claims.
  • Articulate how adoption of team training techniques can help mitigate claims.

Francine Miranda, RN, BSN, FASHRM
Brian LaSalle, MS, CPCU, ARM

Lehigh Valley Health Network
Allentown, Pa.

Location: Potomac C


W-01
Understanding Nurse Professional Liability Claims
Nurses are the most trusted members of the healthcare industry. Patients and families look to nurses to provide care and comfort and to keep them safe during their healthcare experience. When patient and family expectations are not met or adverse events occur, nurses are increasingly finding themselves individually named in professional liability lawsuits undertaken by the patient and/or their family. This presentation identifies the current trends related to nurse professional liability from CNA HealthPro’s closed nurse claims during the period of January 1, 2006 through December 31, 2010. The presentation additionally provides pragmatic risk control recommendations, demonstrates the principles of risk control through an interactive discussion of two claims scenarios and provides attendees with a Risk Control Self-assessment Checklist for Nurses with which they can examine and enhance the risk control aspects of their own practice.

Objectives: By the end of this session participants should be able to:

  • Identify the greatest areas of professional liability risk within their own nursing practice.
  • Create risk control recommendations to decrease patient injuries and the risk of liability actions and provide a Risk Control Self–assessment Checklist for Nurses for their own practice.
  • Utilize two actual closed nurse professional liability claims to identify areas of risk and whether nurses managed the risks properly.

Robin Burroughs, RN, CHRM, CPHRM
Ellen Wodika, MA, MM, CPHRM

CNA HealthPro
New York, N.Y.

Location: Potomac Ballroom D


W-08
Hot Topics in Long-Term Care
This session will present the developing legal and liability issues impacting nursing homes, assisted living facilities and retirement communities. It will include information on recent trials and verdicts, as well as the impact of arbitration agreements on verdicts and settlements. The speakers will provide recommendations for preventing, managing and resolving legal and liability issues. Attendees will learn to identify practices that are working well, consider areas for improvement, and prevent exposure through education and proactive response. Participants also will be encouraged to share their experiences and best practices.

Objectives: By the end of this session participants should be able to:

  • Identify the emerging issues impacting nursing homes, assisted living facilities and retirement communities.
  • Identify ways to effectively navigate the challenges impacting their communities while continuing to provide excellent care to its residents and protecting themselves from the distractions and expense that litigation causes.
  • Initiate improved programs and best practices to continue to provide excellent care, while protecting themselves from liability exposure.

Kirsten Ullman, JD
Lewis Brisbois Bisgaard & Smith, LLP
Tampa, Fla.

Connie Cheren
Quality Care Assurance, Inc.
Alpharetta, Ga.

Location: Potomac D


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Enterprise Risk Management

The Enterprise Risk Management track is designed to provide a learning environment that extends beyond clinical risk management. Addressing trends of the increased acquisition of physician groups by hospitals and health systems, this year’s topics include the risks associated with physician practices, including credentialing and peer review. This track also reviews the implementation of a successful ERM program and provides tools to validate success in a risk management program.

Objective: As a participant in this track, you will explore an enterprise approach for assessing the collective risks of your healthcare organization to prevent and mitigate loss while creating value and a competitive advantage.


M-02
If My BMW Dealer Were My Doctor…
… and if I were my car: If something went wrong, I’d get an appointment right away. My doctor would have immediate computerized access to my entire health history and explain exactly what will be done to fix me. He’d promptly treat me and apologize for the slightest delay. He would encourage preventive care and routine testing. Do auto dealerships treat our cars with more concern and efficiency than doctors and hospitals treat their patients? As part of Indiana University Health’s enterprise risk management program, various strategies/tactics have been implemented to engage and inform patients and better manage their expectations. This has lowered liability costs as well as led to improvements in patient satisfaction, quality and safety. This session will cover strategies and tactics that IU Health has implemented to improve the patient experience before, during and after a hospital experience. The efficient use of technology will be highlighted, including use of an online patient education portal and multi-media patient engagement technology.

Objectives: By the end of this session participants should be able to:

  • Articulate the confluence of risk reduction, patient satisfaction, quality and the bottom line.
  • Discuss proven tools/strategies to engage and inform patients and manage expectations.
  • Outline actionable steps and supporting data that empower the enterprise risk management team to collaborate with patient satisfaction, quality and finance professionals to employ strategies to engage patients.

Norman Tabler Jr.
Michelle Calderon-Johns

Indiana University Health
Indianapolis

Location: NH 12-13


M-03
Credentialing, Privileging and Peer Review 2.0: Risks and Practical Solutions
Credentialing and privileging practices are undergoing dramatic changes, as is the National Practitioner Data Bank. The playing field also has changed in peer review for all care providers, including mid level providers. Speakers in this session will offer practical enterprise risk management solutions and strategies, incorporating practical tools into the presentation materials.

Objectives: By the end of this session participants should be able to:

  • Identify the major changes in healthcare credentialing, privileging and peer review generated by major developments in federal and state laws and regulations. List the enterprise risk management exposures stemming from major changes in healthcare law and regulation.
  • Discuss practical enterprise risk management strategies and solutions for revamping credentialing, privileging and peer review processes to accommodate legal and regulatory changes while managing emerging liability risk exposures.

Fay Rozovsky, DFASHRM
The Rozovsky Group, Inc.
Bloomfield, Conn.

Patricia Hughes, RN, MSN, CPHRM, NP, MSHRM
OneBeacon Professional Insurance
Farmington, Conn.

Christina Giles, RN, CPHRM
Medical Staff Solutions, LLC
Nashua, N.H.

Location: Potomac Ballroom D


M-10
Validating Success (and Showing It) in a Risk Management Program
Even the most successful risk management program can have the challenge of illustrating that success for senior management. This session will look at ways that the risk manager can identify real success, validate those results and present this information.

Objectives: By the end of this session participants should be able to:

  • Identify five criteria of a successful risk management program.
  • Review existing valuation tools for program success.
  • Utilize two ways to illustrate program results to senior management.

Pamela Popp, CPHRM, JD, DFASHRM
Western Litigation Inc.
Greenwood Village, Colo.

Deb McCracken, CPHRM, DFASHRM
Benefis Health System
Great Falls, Mont.

Location: Potomac D


M-16
ERM: Extending Risk Management Expertise Beyond the Bedside
Most clinical risk managers are now well-versed in the theory and benefits of ERM. But, if you've been a clinical risk manager for most of your career, how comfortable are you translating that knowledge to action and building credibility in an approach that includes broader risks? This session outlines practical steps to get you started and explain how your clinical risk management experience and expertise can be an asset in moving toward ERM. The session will include an overview of the initial steps and a realistic timeline for ERM development.

Objectives: By the end of this session participants should be able to:

  • Identify how an understanding of their organization's governance and management decision-making process will help them develop a successful ERM approach.
  • Identify initial steps to ERM development.
  • List a range of non-clinical risks.
  • Review an example of a project timeline used to gain organizational engagement, using benchmarking insights provided by Aon's partnership with The Wharton School (UPenn).

Barbara McCarthy, RN, MPH, CIC, CPHQ, CPHRM, FASHRM
Northeast Health System
Beverly, Mass.

Michael Joiner
Aon Global Risk Consulting
Atlanta

Location: Chesapeake D-F


M-22
m-Health: The Doctor Will Text You Now
This program will cover the use of portable computing platform applications in healthcare. Topics covered will include: an overview of the rapidly evolving world of HIT; mobile health technologies; in-patient, out-patient and DIY applications; regulatory and risk management considerations; and mitigation strategies.

Objectives: By the end of this session participants should be able to:

  • Review current uses of m-Health applications.
  • Identify three significant risks associated with m-Health and apply them to their organization.
  • Identify three m-Health risk mitigation strategies appropriate to their organization.

Sue Boisvert, BSN, RN, MHSA, MS
Katherine Dempski, BSN, JD
Medical Mutual Insurance
Portland, Maine

Location: NH 10-11


T-02
Managing Disruptive Patients, Families and Visitors: A Post Event Perspective
In September 2010, our facility experienced the tragic shooting of a physician, immediately followed by the murder of a patient and suicide of the perpetrator. In an effort to better understand institutional vulnerabilities and hopefully prevent another such incident, various actions were taken to protect our facilities. Actions include the creation of a Behavioral Alert Group responsible for developing policies and procedures for implementing medical record alerts of disruptive behavior, the development of an ‘ombudsman’ program to deal with immediate behavior concerns, and the implementation of a behavioral alert process. Staff members were educated on recognizing suspicious behavior, involving security staff prior to de-escalation techniques, and initiating security contracts.

Objectives: By the end of this session participants should be able to:

  • Identify the steps to take to reduce the likelihood of hospital-based disruptive patients, families and visitors.
  • Discuss a ‘second victim’ pilot program that seeks to support staff who have witnessed an adverse event.
  • Discuss the security analysis of the shooting event, what worked, what may not have worked, and regulatory agency reaction to the investigation.

Jeff Natterman, JD
Johns Hopkins Health System
Baltimore

Location: NH4-5


T-08
Common Cause Discovery: An Alternative to Root Cause Analysis
This presentation will suggest a practical approach to examining events from the time one occurs through the analysis and use of information for organizational learning. The presentation includes methods and tools that will facilitate an efficient, effective response to serious/sentinel events leading to powerful insights into organizational opportunities.

Objectives: By the end of this session participants should be able to:

  • Identify the critical components of a thorough and credible Root Cause Analysis process.
  • Discuss the use of a standardized taxonomy of a Root Cause Analysis and how it can be used to identify common causes across departments and develop an effective action plan.
  • Discuss how the tracking and trending of Root Causes over time can be used to improve patient safety and organizational performance.

Thomas Diller, MD, MMM
Sharon Dunning, RN, BSN, MBA
Kristen Hauck, RN, MSN

Greenville Hospital System University Medical Center
Greenville, S.C.

Location: Potomac D


T-15
A Nuts and Bolts Approach to Implementing a Successful ERM Program
Creating and implementing an Enterprise Risk Management Program within healthcare organizations does not need to be complex or difficult. This presentation will focus on the incremental steps needed by the risk management professional to develop a workable and value-driven Enterprise Risk Management program. These action items will include how to gain support by the CEO and other important stakeholders, including board members and senior leadership. Valuable tips also will be provided on how to actually develop and implement a viable ERM framework that will identify, manage and monitor emerging risks across an organization.

Objectives: By the end of this session participants should be able to:

  • Identify the most important elements that comprise an enterprise risk management program.
  • List three benefits that can result from creating an enterprise risk management program.
  • State two methods that can be used to integrate an enterprise risk management program within a healthcare organization.

Mary Schaefer, RN, M.Ed., ARM, JD
Covenant Health Systems
Tewksbury, Mass.

Location: Chesapeake D-F


W-02
Navigating New Waters: Managing Liability and Medication Risks in Physician Office Practices with Practical Solutions
Learn how one health system has engaged physician office practices in risk management. Learn practical tips to perform a comprehensive risk assessment, develop useable action plans and engage frontline staff in making changes. Medication management is a key liability concern for practices—learn practical solutions to manage sample medications, error reporting and narcotic contracts. This session will include lecture, sample forms action plans and policies.

Objectives: By the end of this session participants should be able to:

  • Identify the components involved in a comprehensive office practice risk assessment.
  • List pharmacy laws that office practice need to follow.
  • Discuss practical solutions to mitigate risk surrounding medications management in office practices.

Georgene Saliba, RN, BSN, MBA, CPHRM, FASHRM
Carolyn Coleman, RN, BSN, JD, CPHRM

Lehigh Valley Health Network
Allentown, Pa.

Location: NH2-3


W-09
Reducing “Risky” Behaviors in an Employed Provider Environment
This presentation will review key activities required of the risk manager in partnering with employed providers (independent practitioners) to mitigate risk exposed to the organization. This presentation specifically looks at three areas of claims management to assist the risk manager in focusing on strategies to prevent “risky” habits from being acquired by employed providers which adds unnecessary risk. In addition, this presentation reviews elements to consider when providers are co-defendants with other employed providers. The presentation also will include a review of issues inherent to employed providers when they are faced with reporting a potential claim. The presenter of this topic will use three real-world examples to engage the audience in critical thinking and promote questions and answers.

Objectives: By the end of this session participants should be able to:

  • Identify three key activities to prevent employed providers from exposing the organization to additional risk.
  • Identify two elements to consider when employed providers are named as co-defendants with other employed providers.
  • Cite activities the risk manager can complete to keep providers from exposing the organization to additional risk.
  • Identify two avenues that encourage the employed provider to partner with risk management to ensure timely reporting of potential claims.
  • Cite two educational methods to orient employed providers to what needs to be reported to risk management.

Douglas Mitchell, MSN, RN, BC, CPHQ,CPHRM
Doug Hewitt, Rn, BS, MA, CPHQ

IASIS Healthcare
Phoenix

Location: NH 10-11


W-10
The Important Intersection between Risk Management and Corporate Compliance
Healthcare providers face unique challenges with effective development of corporate compliance and risk management programs. Healthcare is one of the most regulated industries and with recent implementation of healthcare reform measures, providers are facing an even higher regulatory compliance and risk management burden. While development of an effective corporate compliance program is necessary, providers must be aware of the increased exposure to loss or risk that may inadvertently flow from compliance. Providers must integrate their corporate compliance and risk management programs to ensure that they comply with government requirements in a responsible manner, but do so in such a way to minimize their liability. This presentation will provide an understanding of the correlation between corporate compliance and risk management in a healthcare reform world, provide tools to integrate corporate compliance and risk management programs to meet government expectations and realize their programs’ full potential, as well as identify potential pitfalls in implementation of healthcare reform requirements that could expose providers to unintended risks.

Objectives: By the end of this session participants should be able to:

  • Discuss the healthcare reform initiatives impacting health care providers’ corporate compliance and risk management programs.
  • Identify the need for and value of closely integrating corporate compliance and risk management programs.
  • Create a plan for integrating corporate compliance and risk management programs that will help improve identification of risk areas, meet government expectations and reduce legal and regulatory liability.

Michelle Calloway, JD
Mary Malone, JD

HDJN P.C.
Glen Allen, Va.

Location: NH 2-3


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Leadership Development

This track features a diverse offering of topics highlighting leadership in innovative risk management including: learning what the C-suite wants from risk management, using critical thinking skills, avoiding blame when unanticipated events occur, and more.

Objective: In this track you can explore the expectations and tools that lead to risk innovation in leadership.


M-04
The View from the Corner Office: What the C-suite Wants (and How to Get There)
In this session, two seasoned risk managers will share research describing what senior leadership and the C-Suite wants from risk management. Through examples, case studies, and role playing they will demonstrate tools to interact effectively with senior leadership, and will describe personal and professional steps risk managers can take to advance their careers and potentially land a corner office of their own.

Objectives: In this track you can explore the expectations and tools that lead to innovative risk management.

  • Identify what the C-suite wants from risk management leadership.
  • Demonstrate tools, techniques and talking points to form alliances with senior leadership and add value to the risk management function.
  • Evaluate the personal attributes, experience, education and accreditation, and work environment needed to progress to Chief Risk Officer or other risk management leadership positions.

Jeff Driver, ARM, JD, MBA, CPHRM, FASHRM
Stanford University Medical Center
Palo Alto, Calif.

Hala Helm, CPHRM, FASHRM
Palo Alto Medical Foundation
Mountain View, Calif.

Location: NH2-3


M-11
Patient Safety Leadership: Year 2012 and Beyond
Emerging leaders in patient safety will play a vital role in the development and success of future safety initiatives. This session will describe leadership strategies for program development and successful introduction of new initiatives. In addition, this presentation will discuss the qualities, skill sets and techniques that successful leaders will need to meet the patient safety challenges of the future.

Objectives: By the end of this session participants should be able to:

  • Describe the "skill sets" and "qualities" that successful patient safety leaders will need to possess for the future.
  • List and explain the "leadership strategies" that will be needed to successfully plan and develop patient safety programs in the changing healthcare environment.
  • Articulate the challenges that will be faced by the emerging patient safety leaders of tomorrow.

Arnold Mackles, MD, MBA, LHRM
University of Florida
Gainesville, Fla.

Location: NH 2-3


M-17
Patient Safety: Changing the Culture of Medicine
A gap exists between patient safety best practices and the ability to actually deliver that care to patients. In order to effectuate change the organization must change the culture, one unit at a time. The Comprehensive Unit-based Safety Program (CUSP) is a five-step program designed to change a unit’s workplace culture. It is focused on bringing about significant safety improvements by empowering staff to assume responsibility for safety in their environment. This is achieved through education, awareness, access to organization resources and a toolkit of interventions.

Objectives: By the end of this session participants should be able to:

  • Define the key concepts of the CUSP process.
  • Create an environment that will accept the culture needed to embrace patient safety as the goal.
  • Empower staff to assume the responsibility for safety in their environment.

Margaret Garrett, CPHRM
M. Lauree Barreca, ADN, BS, RN, JD
The Johns Hopkins Health System
Baltimore

Location: NH 10-11


M-23
Informed Consent: Failure to Disclose Can Blow the Lid Off Damage Exposures
Public expectations of transparency are forging emerging professional standards on surgeons’ disclosure of their financial relationship with device manufacturers to individual patients in whom the devices are implanted, as part of the informed consent process. Fraud allegations complicate simple malpractice cases and pose a risk of blowing malpractice damage caps. This presentation will describe emerging risks in detail and propose an enterprise risk management approach to effectively manage them.

Objectives: By the end of this session participants should be able to:

  • Describe the emerging professional liability, administrative law and patients' rights (accreditation) risks surrounding informed consent and surgeons (and other proceduralists) disclosure of their financial relationships with device manufacturers to patients in whom they are implanting devices.
  • Describe the emerging standards and governing regulations, and propose a model policy on clinical conflicts of interest and disclosure of surgeons’ financial relationships to patients.
  • Propose process flow and governance structure for managing this risk.
  • Map out an education and cultural transformation plan, as well as an overall ERM approach to managing risk effectively.

Paul Craig, JD, RN
UC San Diego Health System
San Diego

Location: Chesapeake D-F


T-03
Predators Among Us
Risk managers are often called on to investigate cases of patients reporting that they have been sexually assaulted or “inappropriately touched.” While the frequency of these reports may be low at individual facilities, the associated risks are high. Knowing how to effectively respond to a patient’s allegation of sexual assault is crucial in reducing the risk of litigation, potential punitive damages, regulatory action, media exposure and future cases. This session will explore common myths associated with these types of allegations, barriers to effective management and methods to proactively respond and incorporate other key stake holders in the organization. Participants will receive a critical incident response tool and checklist for use when responding to these types of allegations.

Objectives: By the end of this session participants should be able to:

  • Identify red flags that call for an immediate critical response.
  • Use the critical incident response tool “Responding to allegations of inappropriate touching.”
  • Discuss how to work with Human Resources to balance issues of patient and employee rights and define the role of the facility, law enforcement and regulatory agencies in these types of occurrences.

Lisa Ramthun
St. Joseph Health System
Orange, Calif.

Mary Ann Harrigan
Sedgwick
Melville, NY

Location: NH10-11


T-09
Stop the Blame Game: When Unanticipated Events Occur is Your Long-Term Care/Continuing Care/Aging Services Environment Supporting a “Just Culture”?
This program will allow participants working in the Long Term Care (LTC), Continuing Care or Aging Services environments to understand, develop and implement a “Just Culture” program. One of the many challenges of implementing a just culture in LTC is analyzing whether an adverse event was the result of human error, at-risk behavior or reckless behavior. During this session, LTC leaders will learn how to move away from finding guilt, fault or blame when errors and/or unanticipated events occur. The speakers will coach participants working in the various LTC settings on applying risk management strategies to develop and implement a just culture environment, but more importantly, prepare participants to mentor staff on supporting a safe patient environment.

Objectives: By the end of this session participants should be able to:

  • Review the concepts of a Just Culture and its relationship to patient safety.
  • Discuss how to develop a Just Culture environment in the LTC setting.
  • Identify recent LTC regulatory enforcements impacting patient safety.
  • Promote the concept of a Just Culture to administrative staff in the LTC environment to mitigate potential sentinel events.
  • Create strategies to promote and enhance staff awareness of a Just Culture environment.
  • Advance staff assessment and documentation of high risk, problem prone areas affecting patient safety.

Jose Guzman, RN, BS, MS
Francine Thomas, RN, BSN, MS

Hospitals Insurance Company
White Plains, N.Y.

Location: NH 2-3


T-16
Giving Mission Feet: Unleashing the Value-Driven Leader in You!
With the constant demands on our time and risk management expertise, how important is it for us to silence the noise within to critically examine who we are as leaders? How often have you asked yourself: What drives me, where am I headed, and perhaps most important, do I really want to go there and take others with me? This session will examine the influences that drive our thoughts and actions as leaders—in or outside of our awareness. The speaker will guide us in taking a fresh look at the core competencies/characteristics of the value-driven leader: integrity, transparency, accountability and missional feet. The final segment will introduce and apply simple, unique, and “forward leaning” models for unleashing the value-driven leader in you and for "supercharging" your leadership!

Objectives: By the end of this session participants should be able to:

  • Define value-driven leadership.
  • Articulate four core competencies/characteristics of the value-driven leader.
  • Cite two applications of conceptual models to personal or organizational value creation.

Carol Jeffes, RN, MA
Leadership Integrity Group
Sorrento, Fla

Location: NH 4-5


W-03
You’re the Risk Manager: Using Your Critical Thinking Skills
This session will review a set of scenarios that represents the range of issues and concerns that may cross the desk of risk manager during the course of a day/week/month. Each scenario will highlight the importance of using critical skills to determine the sense of urgency needed for the task, as well as the applicable laws, policies, procedures and stakeholders which may be needed to effectively respond to the issue.

Objectives: By the end of this session participants should be able to:

  • Identify the types of issues and concerns that may confront a healthcare risk manager.
  • Discuss how critical thinking skills can be applied to effectively respond to issues that a healthcare risk manager will likely encounter.
  • Articulate the importance of being familiar with institutional policies and procedures, and state and federal law, along with the importance of establishing and maintaining effective relationships with a variety of stakeholders inside and outside of the organization.

Abraham Segres, CPHRM
Virginia Hospital & Healthcare Association
Glen Allen, Virginia

Patti Love, BA, MA
Carilion Clinic

Rhonda McGlothlin, BS, CLA, CPHRM
Centra Health

Location: Potomac Ballroom C


W-11
Schwartz Center Rounds as a Forum for Multi-Disciplinary Discussion of Adverse Events: Results and Recommendations
The Schwartz Center Rounds® program has been adopted by more than 250 hospitals and healthcare institutions across the Unites States. The program allows caregivers from multiple disciplines to come together on a regular basis to discuss challenging emotional and social issues that arise in caring for patients. A comprehensive evaluation has shown that caregivers who attend multiple rounds sessions feel more compassionate and energized about their relationships with patients. The program also improves teamwork and has resulted in changes in healthcare practices and policies that benefit patients and caregivers.

Objectives: By the end of this session participants should be able to:

  • Discuss the core components of the Schwartz Center Rounds program, its benefits to participants, and how the program could be launched within their own institutions.
  • Identify sources of additional information regarding the Schwartz Center Rounds program.
  • Discuss how clinicians and teams are impacted in the aftermath of an adverse event.
  • Draft recommendations regarding institutional and inter-professional responses for effectively managing the impacts to clinicians and teams in the aftermath of an adverse event.

Robb Johnson
The Schwartz Center for Compassionate Healthcare
Boston

Location: NH 13


W-12
Leadership Skills for Today’s Multigenerational Workforce
Today’s workplace composition has evolved into at least four distinct generations. The days of treating everyone the same are long gone, as each generation has its own unique characteristics and value system that leaders must recognize. Failure to actively engage employees and develop a cohesive team can result in a disengaged workforce. Each generational segment of employees requires a different set of motivators. The successful risk management leader plays a critical role in engaging all members of a team and educating staff on how to identify, communicate and lead in this multigenerational environment.

Objectives: By the end of this session participants should be able to:

  • State the key characteristics for each of the four generations in the work force.
  • Describe the key attributes of the multigenerational team which can be leveraged to improve collaboration, greater exchange of ideas and more productive working relationships.
  • Design a multigenerational environment/work place.

Judith Sands, BSN, MSL, LHRM, CPHRM
Duke Raleigh Hospital
Raleigh, N.C.

Location: NH 6


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Legal & Regulatory

This track’s sessions will provide in-depth focus and analysis on key legal, legislative and regulatory initiatives which are important to risk management, patient safety and compliance professionals in healthcare. Faculty will highlight healthcare case law, discuss recent changes to MMSEA Section 111 and EMTALA, and provide an analysis of liability and risk issues involving social media and its impact on healthcare delivery.

Objective: Attendance in these sessions will help you identify, review and analyze major legal and regulatory initiatives facing healthcare providers today. Full participation in this track can assist you with developing and implementing compliance programs for your organization.


M-05
Patient Safety Organizations: Legal Update and Practical Solutionsafter Walgreens Case
Recently, Walgreens refused to turn over the medication error incident reports for three of its pharmacists, and argued that these reports were not subject to discovery as they were collected and reported to The Patient Safety Research Foundation, which Walgreens created and which was certified in 2009. The Illinois trial court ruled that Walgreens had met the requirements under the Patient Safety and Quality Improvement Act and therefore the information was a protected patient safety work product (PSWP) and not subject to discovery. The State of Illinois has appealed. The case has attracted national attention because it will be the first appellate court case to rule on and interpret the Patient Safety Organization (PSO) protections.

Objectives: By the end of this session participants should be able to:

  • Define the key terms and goals of the Patient Safety Act as Applied to Patient Safety Organizations.
  • Discuss the impact of the Walgreens case (and any other relevant PSO cases which are decided before the annual meeting) and how it affects the manner and method by which to participate in PSOs.
  • Review a number of hypothetical scenarios in order for providers to understand how to set up a PSES and to maximize the PSO confidentiality/privilege protections.

Michael R. Callahan, Esq.
Katten Muchin Rosenman LLP
Chicago

Location: NH4-5


M-12
Legislative & Regulatory Update 2012
This session will feature ASHRM's annual review of new or changed federal and state laws and regulations which impact the practice of healthcare risk management.

Objectives: By the end of this session participants should be able to:

  • Describe new or changed federal and state laws and regulations.
  • Identify information and resources that will assist risk managers to comply with legal and regulatory requirements.
  • Spot trends and predict future issues which are likely to impact risk management.

Daniel Groszkrugerr, JD, MPH, CPHRM, DFASHRM
rskmgmt.inc
Solana Beach, Calif.

Paul Smith, DFASHRM
Cabell Huntington Hospital
Huntington, W.Va.

Location: NH 10-11


M-18
Social Media in Hospitals: The Lawyers' Perspective
This session features a panel discussion by three experienced attorneys addressing the role of social media in healthcare as it creates employment issues, impacts litigation and causes patient privacy issues.

Objectives: By the end of this session participants should be able to:

  • Identify and manage the critical employment problems associated with the increasing use of social media by healthcare providers.
  • Identify the ways in which social media impacts litigation and develop strategies to limit the resulting increased liability for hospitals and healthcare providers.
  • Identify the impact of social media on patient privacy, describe the legal regulations that are implicated and develop strategies to limit occurrences.

Mary Priddy, Esq.
Anne Glenn, Esq.
Kathleen McCauley, Esq.

Allen & Filetti
Richmond, Va.

Location: NH 2-3


M-24
EMTALA Compliance Update for Hospital Risk Managers
This presentation will give hospital risk managers the information and tools necessary to implement policies and practices at their hospital to ensure compliance with EMTALA. It will summarize the medical screening examination issues in the Hospital Emergency Department and Labor and Delivery Department, as well as the stabilization and transfer issues under the law. Controversial hot topics such as the application of EMTALA to inpatients and transferred patients, on-call issues, and the implications of treating psychiatric and behavioral health patients in the ED, also will be addressed.

Objectives: By the end of this session participants should be able to:

  • Recognize the issues that must be addressed hospital-wide through policies, procedures, and education in order for the hospital, the ED nursing and ancillary staff, and medical staff to comply with EMTALA.
  • Identify key issues related to EMTALA that need to be included in implementation and practice.
  • Differentiate the legal duties related to medical screening (including the scope of the screening exam), stabilizing treatment, and transfer of ED patients.
  • Identify the legal requirements related to providing on-call physician services for the ED or the inpatient setting, and recognize the legal duties related to transfers and the acceptance of patients in transfer from other hospitals.

Robert Bitterman, MD
Bitterman Healthlaw Consulting
Harbor Springs, Mich.

Location: Potomac C


T-04
m-Risk Managers and Fraud & Abuse Risks: 2012 Best Practices
The presentation will begin with a general overview of the legal and compliance risks associated with the Anti-Kickback Statute, Stark Law and False Claims Act. The presentation will then focus on practical and operationally-sensitive actions and activities risk managers can take to reduce or manage the risks under these fraud and abuse laws. One presenter will use his experience as the General Counsel and Organizational Integrity Officer for a hospital system to describe how he implemented “best practices” in managing fraud and abuse risks within the hospital system.

Objectives: By the end of this session participants should be able to:

  • Identify the key requirements under the Anti-Kickback Statute, Stark Law and False Claims Act.
  • Outline what to do when a potential violation of the fraud and abuse laws is discovered during routine incident reporting and loss control activities.
  • Discuss practical and operationally-sensitive safeguards and best practices risk managers can implement in order to reduce or manage the risks under the fraud and abuse laws.

Bob Wade
Glenn Troyer, MHA, JD

Krieg DeVault, LLP
Mishawaka, Ind.

Location: Chesapeake D-F


T-10
MMSEA Section 111: Reporting and Claims Management
Section 111 of the Medicare, Medicaid and SCHIP Extension Act creates mandatory reporting obligations applicable to all payers, including insurers and self-insured entities, when something of value is given or provided to a Medicare beneficiary in the context of a potential liability claim. The potential penalties for failure to report are very substantial. Medicare also has become more aggressive in asserting its Medicare Secondary Payer rights and in denying coverage to Medicare beneficiaries based upon potential third-party responsibility. Section 111 and potential Medicare Secondary Payer responsibilities present significant and recurring issues for hospitals and other healthcare entities and their insurers in the context of risk and claims management, litigation and the settlement of disputes.

Objectives: By the end of this session participants should be able to:

  • Identify Section 111’s reporting requirements, including what claims need to be reported, when such claims must be reported, what information must be included in the report, and what the potential penalties are for failure to comply.
  • Discuss the interplay between Section 111's reporting requirements and Medicare's Secondary Payer recovery rights and the practical impact of Section 111 on claims management and settlement of cases involving Medicare beneficiaries.
  • Develop strategies to assist healthcare providers and their insurers both in complying with Section 111 and in minimizing the risks of potential secondary payer liability.

Marla Ashford, RN, BA, MAOM, CPHRM, MJ
Maritza Santamaria-Hoffman, RN, JD

Banner Health
Phoenix

Scott Altes, Esq.
Fennemore Craig, P.C.
Phoenix

Location: NH 10-11


T-17
Legal Considerations in Telemedicine
As technology advancements enter the healthcare environment, multiple areas of concern are being raised regarding issues of particular interest to the healthcare risk manager. Telemedicine—the use of electronic medical records, telepharmacy and remote access to patients—creates potential liability for the practitioners and the institutions delivering services. Areas of potential liability include medical malpractice, scope of practice violations, federal fraud and abuse, state regulations and confidentiality issues. Knowledge of the issues confronting the healthcare provider in the world of telemedicine will provide a framework for preventative strategies to avoid liability and unnecessary costs to the practitioners and healthcare institutions.

Objectives: By the end of this session participants should be able to:

  • Identify areas of risk specifically related to telemedicine, telepharmacy, electronic medical records and practitioner practice across the internet and videoconferencing.
  • Identify state and federal regulations related to telemedicine, such as licensure issues, federal fraud and abuse, antitrust and reimbursement.
  • Identify specific risks for medical malpractice liability associated with telemedicine, telepharmacy, use of the electronic medical record and practitioner practice across the internet and video conferencing.

Linnea Schramm, BS, MS, JD
Hinshaw & Culbertson LLP
Chicago

Location: Potomac D


W-04
Summary of Federal Government Medicare/Medicaid Integrity Programs and Lessons Hospitals can Learn from Fraud Investigations across the Nation
This session will feature a discussion of HEAT and Medicare Fraud Strike Force, recent activity and future plans as it relates to hospitals, and learnings from prior investigations that have lead to claims against hospitals under the False Claims Act, resulting in significant losses for the hospital.

Objectives: By the end of this session participants should be able to:

  • Describe the reviewing entities including their roles, programs and responsibilities.
  • Identify what reviewing entities are looking for, high-target areas, and future areas of concern for hospitals.
  • Reduce financial and legal risks, including potential violations of the False Claims Act.

Arlene Wiese, JD
Hermes Sargent Bates, LLP
Dallas

Location: NH10-11


W-13
Case Law Update
This presentation will be a review of case law from 2011 that is of particular interest to healthcare risk managers. The focus will be on published decisions that affect the potential liability of healthcare entities.

Objectives: By the end of this session participants should be able to:

  • Discuss the latest cases involving medical malpractice, emergency medicine and informed consent.

John West, JD, MHA, DFASHRM, CPHRM
Chartis

Atlanta

Location: Potomac C


R-03
All Hands on Deck: An ERM Approach to Creating Collaboration between Compliance, Risk & Legal
This session focuses on the application of ERM principles to a case study of an adverse patient event arising from an unnecessary surgery and the pattern of behavior by the surgeon resulting from the investigation. Through the discussion of this case the panelists demonstrate how using an ERM approach creates necessary synergism between compliance, risk management, and legal functions within an organization.

Objectives: By the end of this session participants should be able to:

  • Define the primary principles of ERM
  • Discuss synergies between departments or functions within an organization using an ERM approach
  • Analyze how an adverse patient event implicates ERM
  • Compare and contrast the application of ERM and traditional risk management approaches

Jay Martus
Sheridan Healthcare Inc.
Sunrise, Fla.

Lynn Sessions
Baker Hostetler
Houston

Location: NH 12-13


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Patient Safety

Aligning risk management and patient safety initiatives is integral to a comprehensive program to guide the delivery of safe, high-quality patient care. Those who attend sessions in the Patient Safety track will learn from the experiences of frontline risk management and patient safety experts. This track will include inventive systems utilized in the ambulatory, hospital, physician office, post-acute care and aging services environments. Conference speakers will share innovative ideas and strategies in areas such as medication safety, electronic medical records and communications during transitions of care to advance efforts to eliminate serious safety events to help support the mission of "Getting to Zero™."

Objective: Joining these sessions can help you uncover methods and practical strategies for providing patient safety and reducing the risk of patient harm or injury.


M-06
The Joplin Tornado: The Hospital Story and Lessons Learned
Speakers in this session will discuss effects of the EF-5 tornado on May 22, 2011 that destroyed much of the city of Joplin, Mo., including one of two acute care hospitals. This presentation overviews the challenges in the immediate response to the devastation, how acute care services were quickly re-established, and the lessons learned from the local, regional and state perspective.

Objectives: By the end of this session participants should be able to:

  • Describe the aftermath of an unexpected natural disaster and its impact on healthcare services.
  • Discuss the ways in which an entire nation responded to the community's healthcare needs.
  • Identify key lessons learned to enhance risk management assessment and safety program planning.

Dennis Manley, RN, BSN
Marcia Reynolds

Mercy
Chesterfield, Mo.

Location: Chesapeake D-F


M-07
Identifying Electronic Health Record-related Patient Safety Hazards or "Red Flags"
Research and experience shows that implementing EHRs is difficult, time-consuming and expensive. In medicine, “Red Flags” are signs or symptoms that must not be overlooked. There are similar signs and symptoms related to potentially dangerous situations involving implementation and use of EHRs (such as backup tapes that have never been tested). The goal of this presentation is to illustrate how an organization can institute an internal EHR inspection program that teaches people where to look for potential problems, what questions to ask and how to identify potential Red Flags.

Objectives: By the end of this session participants should be able to:

  • Describe each of the eight dimensions of safe and effective EHR use.
  • List several different methods within each of the eight dimensions of inspecting an EHR system to ensure that it is safe and effective.
  • Describe how to implement an annual EHR inspection program within their healthcare organization to ensure that their clinical systems are functioning as designed and are being used safely and effectively.

Kathy Kenyon, JD
Policy Advisor
US Dept Health and Human Services
Washington, DC

Dean Sittig, Ph.D
University of Texas
Houston

Location: NH10-11


M-13
Results from the 2011 ISMP Medication Safety Self Assessment: Incorporating Findings into your Organization
In 2011, the Institute for Safe Medication Practices (ISMP), in partnership with the Health Research & Educational Trust (HRET) of the American Hospital Association (AHA), conducted a comprehensive study on medication safety in our nation’s hospitals using a validated instrument, the 2011 ISMP Medication Safety Self Assessment for Hospitals. The tool identified 20 core distinguishing characteristics of a safe medication system along with 270 unique, weighted self-assessment items to measure compliance with the core characteristics. The assessment tool allowed participating hospitals to evaluate their safety practices and environment, identify opportunities for improvement, and compare their experiences over time with demographically similar hospitals. ISMP faculty will provide the results of this study, stressing the four key elements of medication use that scored lowest: managing information about the patient, communicating medication orders to the healthcare team, educating patients and managing medication safety risks.

Objectives: By the end of this session participants should be able to:

  • Identify five national medication safety priorities that were uncovered by hospitals that participated in the study.
  • Compare and contrast national assessment findings with results reported by demographically similar hospitals.
  • Describe five strategies to incorporate assessment findings into your hospital’s medication safety goals.

Judy Smetzer
ISMP
Horsham, Pa.

Location: Chesapeake D-F


M-19
Getting to Zero: Initiatives to Help Eliminate Serious Safety Events
Getting to zero serious safety events is the ultimate goal in delivering safe and trusted care. Healthcare reform has shifted the focus of volume-based reimbursement to value-based. Getting to zero serious safety events not only reduces the cost of risk and enhances the delivery of safe care, but also has a financial impact on operations. In this session the speakers will provide examples of how implementing high reliability principles changes culture, impacts patient satisfaction, drives down harm and results in financial rewards . They will demonstrate several case studies and methods in "Getting to Zero" and the solutions for sustaining results.

Objectives: By the end of this session participants should be able to:

  • Identify the principles and techniques for implementing the concepts of a highly reliable organization.
  • Describe the method for using data metrics to determine the cost of risk and the financial business case for patient safety.
  • Describe methods for reducing adverse events in the OB and ED.

Michelle Hoppes, RN, MS, AHRMQR, DFASHRM
Allied World Assurance Company
Farmington, Conn.

Kathy Connolly, RN, MSEd, CPHRM
KT Connolly & Associates, LLC
Charlotte, N.C.

Mary Anne Hilliard, BSN, Esq., CPHRM
Children's National Medical Center
Washington, D.C.

Jacque Mitchell, CPHRM, FASHRM, ARM, CPHQ
Sentara Health
Norfolk, Va.

Location: Potomac D


M-25
Human Factors Engineering and System Safety: Powerful Risk Reduction Approaches
This session will start by making the point that adverse event rates have not improved overall in the last decade, despite a huge increase in attention to the issue, including millions of dollars of investment in solving the problem. The system safety engineering perspective on this lack of change will be presented, and solutions will be proposed based on the science of safety, including human factors engineering, system safety engineering and resilience. The goal will be to demonstrate to participants how the application of these concepts can better produce sustainable improvements in safety and reduction in risk management events. The speaker will use numerous real-world examples and research findings to support the concepts, including cases from healthcare, aviation and the nuclear industry, with the ultimate goal to help risk management practitioners find ways to integrate these concepts into their practice and leadership roles.

Objectives: By the end of this session participants should be able to:

  • Describe the system safety engineering approach and name the primary underlying premise of the field.
  • Describe human factors engineering (HFE) and give an example where better HFE could lead directly to a sustainable decrease in adverse event rates.
  • Describe how a sustainability and effectiveness hierarchy of RCA solutions can impact future adverse event rates and name the most effective and least effective solution categories.

Rollin J. (Terry) Fairbanks, MD MS
National Center for Human Factors Engineering in Healthcare
MedStar Institute for Innovation
Washington, D.C.

Location: Potomac D


T-05
CREST: Creating Effective Sustainable Transitions: Personalized Interventions for the at Risk Patient
This presentation will review the development and implementation of a care transition program discussing the two components of this program (CrEST and the Care Transition Nurse) in detail. Outcome measures, including demonstrated reduction in avoidable admissions and ED utilization, as well as overall cost to the healthcare system, will be shared. The speaker will utilize case studies to demonstrate the overall program process and the specific impact on providing safe patient care. With the current focus on accountable care organizations, this program will demonstrate how to create an effective care transition strategy that reaches across organizational boundaries, to provide the most vulnerable patients with an effective transition from the inpatient setting back to their home.

Objectives: By the end of this session participants should be able to:

  • Outline the requirements for developing a successful interorganizational care transition program.
  • Identify medico-legal risks associated with patient transition from hospital to home.
  • Analyze outcome data from a care transition program to recognize opportunities to improve transitions of care to mitigate associated risk.

Jacqueline Mador, CPHRM
Maine Medical Partners
Scarborough, Maine

Location: NH12-13


T-11
Making Patient Safety Work: Experience with Medical Simulation, Teamwork and PSOs
Healthcare reform legislation and national quality strategy stemming from the legislation contains incentives and requirements for patient safety and quality, including provisions related to readmissions and participation with Patient Safety Organizations (PSOs). This session reviews provisions in the legislation and describes Baptist Health’s philosophy and approach to patient safety and quality.

Objectives: By the end of this session participants should be able to:

  • Explain the role of federally certified patient safety organizations (PSOs) in healthcare reform legislation.
  • Articulate how Baptist Health was able to successfully in improve patient safety and quality through the use of simulation training and an emphasis on teamwork (SMART training).
  • Adapt and translate Baptist's Health's approaches to simulation and teamwork training to successful approaches designed to fit their organization.

Amy Goldberg-Alberts, MBA, FASHRM, CPHRM
ECRI Institute
Plymouth Meeting, Pa.

Katrina Belt
An Affiliate of UAB Health System
Montgomery, Ala.

Location: NH 4-5


T-12
Patient Literacy and Cultural Diversity: A Malignancy in Ambulatory Care
According to the Institute of Medicine, nearly half of all American adults have inadequate health literacy to navigate the healthcare system. This alarming fact is also compounded by the lack of understanding by healthcare providers of the varied cultural differences in the patients they treat, and the patients’ expectations of treatment based on their cultural background. This timely session will address common issues and concerns faced by physicians and staff in delivering care to today’s diverse patient population. This presentation will focus on common communication issues, challenges and risks found in the office practice environment. Speakers will present examples from closed liability claims and offer practical tools to improve communication, and ultimately the delivery of safe patient care.

Objectives: By the end of this session participants should be able to:

  • Recognize three common impediments to care due to health literacy and cultural differences.
  • Identify patient safety implications in working with other cultures and patients with low health literacy.
  • Discuss the liability impact of low health literacy.
  • Provide two measures to implement systems to improve the delivery of safe patient care.

Kathlyn Springer, BA, RN, CPHRM
Laura Dixon, JD, BA, RN, CPHRM

The Doctors Company
Napa, Calif.

Location: NH 12-13


T-18
Improving Discharge Communication Ensures Safer, Healthier and Happier Patients
One of the most critical transitions in the continuum of care is transfer of caregiver responsibility from hospital clinicians to the actual patient or family. Any missed, rushed or ignored discharge instructions leave the patient and the healthcare system vulnerable. Therefore, establishing patient and/or family understanding of discharge instructions is vital to patient compliance and safety. To improve patient comprehension and compliance of discharge instructions, Cullman Regional Medical Center (CRMC) is blending best practices in healthcare and communication with the ease and accessibility of technology—ultimately decreasing the risk of adverse events, improving patient safety, and reducing readmissions. The speaker will demonstrate how successful patient/caregiver dialogue occurs, how discharge instructions are captured and audited, and how the patient or family member accesses the information at home. The presentation will also show how CRMC started using a new communication tool to improve communication and comprehension with inpatient discharge.

Objectives: By the end of this session participants should be able to:

  • Identify key patient risk and safety challenges related to discharge communications, including signs of misunderstandings and noncompliance of instructions.
  • List the most critical and tangible ways to decrease risk of adverse events and improve patient safety by using better discharge communication and process auditing.
  • Describe opportunities to track data and use that data to decrease risk of adverse events, provide teaching opportunities, and improve patient compliance and safety.

Cheryl Bailey, RN, BSN, MBA
Cullman Regional Medical Center
Cullman, Ala.

Location: NH 2-3


T-19
Active Risk Control (ARC): A New Approach to Bridge the Gap Between Risk Assessment and Robust Improvement
This presentation will introduce a new method for risk control: The Active Risk Control (ARC) Toolkit, along with the underlying framework and model for ARC. Harnessing insights from design thinking and risk management research, the ARC Toolkit walks users step-by-step through the process of generating, assessing and selecting high-quality risk controls. It also prompts users to look beyond implementation and to plan for evaluating success from the start. By improving risk control decision-making, the ARC Toolkit aims to ensure that the investment made in high-quality risk assessment leads to demonstrated improvement in patient safety.

Objectives: By the end of this session participants should be able to:

  • Describe the purpose of the Active Risk Control (ARC) Toolkit.
  • Describe the relationship of key components of the ARC Toolkit to the Framework for ARC.
  • Apply the three-tiered hierarchy of risk controls to assess the robustness of risk control options.

Alan Card, MPH, CPH, CPHQ
University of Cambridge
Notre Dame, Ind.

Location: NH 10-11


W-05
Getting in on the Outpatient Scoop: Managing Error in the Ambulatory Setting
The continued expansion in healthcare networks, as well as the subsequent national interest in the risks and vulnerabilities found in ambulatory events, necessitates that seasoned hospital-based risk managers extend the scope of their service to include ambulatory care. Analysis of CRICO’s national malpractice database demonstrates that outpatient/ambulatory events now account for nearly 50 percent of all medical malpractice claims. Sharing details from this analysis (CBS), as well as findings from CRICO’s Harvard based Physician Office Review program, this session explores the key issues driving clinical error in ambulatory care.

Objectives: By the end of this session participants should be able to:

  • Articulate the key drivers of malpractice claims in the ambulatory setting.
  • Recognize the process and system failures that drive error in office practice.
  • Determine steps to strengthen hazard recognition and target initiatives.

Gretchen Ruoff, MPH, CPHRM
CRICO
Boston

Location: Chesapeake D-F


W-06
Managing Violent and Aggressive Patients: A Team Approach
This session will describe how one large health system created a multi-disciplinary team approach to manage violent and aggressive patients. The approach taken by this organization when it developed a Behavioral Emergency Response Team recognized that although a strong security response is needed is most responses to these patients, it is equally important to understand the clinical and environmental factors that may contribute to a patient's actions. The approach taken also recognizes that a behavioral emergency should be treated similar to a medical emergency.

Objectives: By the end of this session participants should be able to:

  • Identify the various factors that can contribute to a patient becoming violent or aggressive.
  • Discuss how security, emergency management, medical and behavioral health professionals can work together to effectively respond to behavioral emergencies.
  • Develop strategies to minimize adverse patient and employee events that could result from interactions with violent and aggressive patients.

Nick Kell
Rudolph Beverly
Gabrielle Marzani-Nissen, MD

University of Virginia Health System
Charlottesville, Va.

Location: NH 5


W-14
Patient Safety: Engaging Physicians
In 2008, physician leadership at Logan Regional Hospital, a member of Intermountain Healthcare, requested that the Risk and Patient Safety Directors work with them to develop a patient safety education program for physicians. This presentation reviews the program development steps, program components, education examples and measurements of success.

Objectives: By the end of this session participants should be able to:

  • Use the action plan provided to develop and implement a plan for their healthcare organization’s physicians patient safety education.
  • Create implementation plans for abbreviated presentations for their physicians.

Teri Chase-Dunn
Todd Brown
Brian Child

Intermountain Healthcare - Logan Regional Hospital
Logan, Utah

Location: NH 5


IP-01
Product Industry Panel: Human Factors and Medical Devices - What Risk Managers Need to Know to Keep Patients Safe
The Food and Drug Administrations’s (FDA) Human Factors expert in medical devices will present highlights from the most recent guidance FDA has issued to medical device manufacturers about how to properly design, build, and test devices to ensure they can be used safely in the intended clinical environment. Risk managers may use this information to dialog with device manufacturers to learn how the manufacturers have developed the product to avoid use-errors, and can leverage this information to purchase the best-designed products. The risk manager from Johns Hopkins University Hospital will describe his hospital’s exploration into purchasing devices that have been produced by good human factors engineering.

Objectives: By the end of this session participants should be able to:

  • Describe the importance of manufacturers using good human factors engineering to develop and build medical devices
  • Identify the multiple features on monitors.
  • Understand that use-error with medical devices is most often indicative of poorly designed and poorly validated devices
  • Develop key questions to ask device manufacturers before purchasing new devices
  • Implement a process for evaluating the usability of high-risk devices

Jeff Natterman, RRT, MA, JD
Johns Hopkins Hospital System
Baltimore, MD

Ronald D. Kaye
FDA/CDRH/ODE/HFPMET
Sliver Springs, MD

Marilyn Neder, MA, PMP – Moderator
U.S. Food and Drug Administration
Silver Spring, Md.

Location: NH 6-7


R-02
Reciprocal Session: National Association for Healthcare Quality (NAHQ) Unifying Quality, Patient Safety and Risk: The Extreme Value of a Joint Agenda
The roles and responsibilities of quality, patient safety and risk management professionals often blend, overlap and even compete within organizations. In this session we will demonstrate the value of a joint agenda that forces collaboration and unifies the team to promote positive outcomes in all areas of patient safety and healthcare improvement.

Objectives: By the end of this session participants should be able to:

  • Compare and contrast the roles and responsibilities of quality, patient safety and risk professionals
  • Discuss the elements of a collaborative improvement model; qulaity, patient safety and risk
  • Provide examples to demonstrate the benefits and barriers to organization wide implementation

Linda Scribner, CPHQ, BA
Methodist Dallas Medical Center
Dallas, TX

Valerie Gale, RN, BSN, MAOM

Location: NH 4-5


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Risk Financing

This track focuses on various financial best practices such as risk management collaboration with the underwriter, actuarial benchmarking and actuarial reports. It explores executive and home healthcare risks, recent changes in professional liability cost structures and methods for transitioning physicians from independent practitioners to employees.

Objective: In this track you can explore the elements that comprise risk financing issues for healthcare risk managers and examine how risk financing impacts your organization. You also can explore the power of risk financing strategies in addressing potential loss.


M-08
Thinking Outside of Your Professional Liability Self-Insured Black Box
Today’s risk manager often wears multiple hats to control safety, manage insurance exposure and deal with the financial reporting of a self-insurance program. Often, the actuarial evaluation of a self-insured program is seen as a “black box”. A risk manager may desire to periodically conduct a systematic check of the self-insurance program to ensure a smoothly running program at optimal costs. The questions considered in this presentation include: What does the Incurred But Not Reported (IBNR) loss provision account for and how can a risk manager best manage the IBNR losses? What should a risk manager communicate to his or her actuary to help showcase risk management practices? What types of items should a risk manager reevaluate and implement for cost control to prepare for a hard market? How can a risk manager continue to comply with the current financial reporting and auditing requirements?

Objectives: By the end of this session participants should be able to:

  • Remove the "Black Box" of the actuarial process and better communicate risk management efforts for optimal results.
  • Prepare for the hard market with a review and tune-up of one’s own self-insurance program.
  • Comply with current financial reporting standards and overcome common auditing challenges.

Richard Frese, FCAS, MAAA
Milliman
Chicago

Location: NH6-7


M-14
2012 will mark the 13th annual report by Aon and ASHRM regarding the professional liability costs faced by healthcare organizations. This year’s report will lead with the 10-year history (2002-2011) of hospital professional liability results. Trends during the 10 years include a dramatic reduction of claims from 2002-2006, an increase in claim costs coinciding with the recession of 2008, and a cost containment or “flat” trend since 2008. The study also will provide survey responses from healthcare risk managers describing the strengths and weaknesses of an overall risk management program. These scores can be compared to other industries outside of healthcare to highlight areas where healthcare risk management is strong as well as areas where it has an opportunity to make improvements.

Objectives: By the end of this session participants should be able to:

  • Discuss professional liability claim frequency, severity, and loss rate trends as evidenced in the Aon/ASRHM Benchmarking Analysis. The trends and benchmark metrics will be shown on a national and state specific level.
  • Review actuarial and analytic research regarding emerging trends in the healthcare industry. Specifically, we expect to review the impacts of consolidation on professional liability costs (such as the consolidation of physician and hospital risks).
  • Identify the key drivers for differences in professional liability cost of risk. The information presented will include comparisons of professional liability costs by area of service (i.e. for Emergency vs. Obstetrics), by geography and by hospital type.

Erik Johnson, FCAS, MAAA
AON
Raleigh, N.C.

Kristin Monopolis, FCAS, MAAA
Aon
Baltimore

Location: NH 4-5


R-01
Healthcare Captives - An Overview for the Risk Manager
This panel session will provide an overview of the healthcare captive concept—from the view of the risk manager involved to the implementation and operations. Frequently the decision to create a captive (or use self insurance) is driven by finances, but the real key to success is the management of the risk and claims arising from the created program. The idea of self insurance will be discussed, as well as a review of how the created entity can identify the risks to be addressed through the coverage of the program.

Objectives: By the end of this session participants should be able to:

  • Identify the basic concepts of self insurance mechanisms, such as captives, risk retention groups.
  • Review the types of risks that can be incorporated into a healthcare captive or self insurance entity.
  • Identify risk mitigation techniques through the operations of a captive or self insurance program.

Mitch Cantor, ACI, ARM
ICCIE,
Burlington, Vt.

Beth Huntington, BSN, RN, MSN, JD,
CPHRM

Baylor Healthcare System
Dallas

Doug Borg, MHA, ARM, CPHRM, DFASHRM
Duke University Health System
Durham, N.C.

Thomas Jones, JD , RPLU
McDermott Will & Emory
Chicago,

Location: NH 6-7


M-26
When the Walls Come Tumbling Down: Risk Management Issues in Pediatric and Adult Home Healthcare
The issues for risk managers in pediatric and adult home healthcare are numerous and complex as more care is rendered in the home. This session will address both pediatric and adult home health issues, including real life case studies that involve boundary issues for the caregivers, supervision of both licensed and non-licensed personnel, the use of durable medical supplies and ensuring staff competency, and the examination of various lines of insurance coverage that apply in home health situations. The speakers all will address the dilemmas encountered with criminal acts and the application of reservation of rights notices to insureds.

Objectives: By the end of this session participants should be able to:

  • List the numerous risks associated with delivering care in a home setting, with a special emphasis on pediatric and adult settings.
  • Articulate the necessity of multiple lines of insurance coverage that need to be considered when providing home healthcare.
  • Apply risk management strategies to reduce loss and improve safe care in the home health setting.

Mary E. Gutman, RN, MS, CPHRM, DFASHRM
The Gutman Group LLC
Centerville, Ohio

Susan Childs, RN, BSN, CPHRM
Children's Medical Center
Dayton, Ohio

Merry Robinson, CPCU, CIC, ARE
The Brower Insurance Company
Dayton, Ohio

Location: NH 12-13


T-06
Now That You Insure Physicians: The Coverage Questions You Didn't Anticipate
Professional Liability (and other insurance coverages) for physicians and advanced practice professionals are now being provided because of employment relationships or voluntary attending program insurance risk transfer vehicles. Many healthcare organizations are not aware of 'unintended coverage' for activities they did not contemplate or they may be uncertain if there is coverage for certain potential exposures such as volunteer activities, board representation and sports involvement. The speakers will explore these issues and discuss the due diligence necessary to formulate an organization’s coverage intentions, as well as share best practices for obtaining coverage responses.

Objectives: By the end of this session participants should be able to:

  • Describe two methods of risk transfers for healthcare practitioners where the Health Care Organization is providing insurance coverage(s).
  • Describe a best practice for requesting coverage clarifications for a covered practitioner activity.
  • Identify one method to improve the practitioner acquisition due diligence process to discover and address coverage issues that may be present.

Deana Allen, RN, BSN, MBA, ARM, AIC, CPHRM
Maryann McGivney, CIC
Willis
Atlanta

Location: NH 12-13


T-13
Keeping the C-Suite out of the Hot Seat: Executive Risks
Speakers will discuss methods to recognize and measure executive’s exposures and demonstrate ways to protect company assets. They will describe different executive risk coverages, and then give an example of an incident and ask the audience which coverage it would fall under. In closing, speakers will review some risk management and claims management techniques to assist in mitigation of risk and request examples used by attendees.

Objectives: By the end of this session participants should be able to:

  • Recognize and evaluate executive’s exposures and be able to demonstrate ways to protect company assets through risk identification and coverage analysis.
  • Identify different executive risk coverages and describe what each entails.
  • Demonstrate risk management and claims management techniques that will reduce exposure.

Amanda J. Mount, RN, BSN, JD, CPHRM
McGriff, Seibels & Williams, National Healthcare Practice
Houston

Souwei Brune, BA
Robert Snyder, JD, ARM

Willis
Houston

Location: Chesapeake D-F


T-20
The Underwriter Presentation: How to Make It Work for You and the Underwriters
Hospitals and healthcare organizations who purchase excess or reinsurance often make formal underwriter presentations as part of the renewal/bidding process. Many organizations fail to realize that substantial cost savings may be realized by improving the quality and content of these presentations. Suggestions will be given on how underwriter presentations can be best tailored to improve the context of the data and how to improve your relationships with the underwriters.

Objectives: By the end of this session participants should be able to:

  • Define the basic components of the underwriting process.
  • Identify the components of the underwriter presentation that are important to the underwriter.
  • Discuss methods for improving the quality and content of the presentation.

Tetsu Uejima, MD
Children’s Memorial Hospital
Chicago

Location: NH 6-7


W-07
Bracing for Change: Medical Professional Liability Insurance Costs at a Crossroads
The presentation will describe current trends in the medical malpractice insurance market such as: the structure of the market, the insurance cost cycle, insurance rate trends and the impact of healthcare utilization and tort reforms. It also will discuss the potential impact of recent federal healthcare legislation on medical professional liability costs.

Objectives: By the end of this session participants should be able to:

  • Identify the impact of the insurance cycle on medical malpractice insurance rates and costs.
  • Identify the impact of increased health care utilization and tort reform on medical malpractice insurance rates and costs.
  • Identify key aspects of federal healthcare legislation and their potential impact on medical malpractice claims.

Mark Proska
David Kaye

PricewaterhouseCoopers LLP
Philadelphia

Location: NH 6


W-15
No One Likes Surprises: The Science and Art of Reserving
This session explains the science/art aspects of the reserve setting process in a claims management program through the use of examples, history and case studies. Regardless of whether risk managers have a commercially insured or self insured claims program, they must understand how the philosophy utilized in the setting of reserves will impact the financial viability of the program, be reflected in actuarial forecasting and even set the parameters for measuring program success.

Objectives: By the end of this session participants should be able to:

  • Identify four changes from healthcare reform impacting the industry and reserving practice.
  • Discuss the eight components to be considered when setting reserves.
  • Identify two reserve setting best practices using a case study.

Jennifer Disner, JD
Pamela Popp, CPHRM, JD, DFASHRM

Western Litigation Inc.
Greenwood Village, Colo.

Location: Chesapeake D-F


IP-02
Underwriters Industry Panel: What’s Going to Happen to the Insurance Market Next?
Healthcare leaders will debate the future of the insurance market, predicting whether the markets will stay soft or become hard, and addressing what market officials want to learn from risk management professionals.

Objectives: By the end of this session participants should be able to:

  • Discuss new entries in the healthcare insurance market place.
  • Explain how insurance experiences impact price and capacity.
  • Predict whether the markets are likely to stay soft or become hard.
  • Discover what the markets want to hear from risk professionals as it relates to their risk and safety program.

Dominic Colaizzo
AON

Craig Rowland
Medical Protective

Brad Norrick, CPCU
Willis Group, Health Care Practice

Andrew Charron
Allied World Healthcare Medical Product Lead

Moderator: Jeff Driver, JD, MBA, CPHRM, DFASHRM
Stanford University Medical Center
Palo Alto, Calif.

Location: NH 4-5


IP-03
Insurance Industry Panel:  Cyber Liability
A panel of healthcare leaders will explore cyber liability, assessing the frequency of cyber liability events in healthcare organizations and identifying products and best practices that can help eliminate these risks.

Objectives: By the end of this session participants should be able to:

  • Define "cyber-liability".
  • Assess the frequency of cyber-liability events.
  • Identify the types of cyber-liability insurance products that are on the market and differentiate between them.
  • Appraise best practices as they relate to prevention and response to cyber-liability exposures.

Joe DePaul
Managing Director - CyberRisk Service
Arthur J. Gallagher Risk Management Services, Inc.

Paul Bantick
Senior Underwriter
Beazley

Kimberly Holmes
Deputy Worldwide Product Manager, Health Care
Chubb Specialty Insurance

Jeremy Henley
Insurance Solutions Executive
ID Experts

Doug Pollack
Chief Marketing Officer
ID Experts

Mary Anne Hilliard, BSN, Esq., CPHRM – Moderator
Children’s National Medical Center
Washington, D.C.

Location: NH 6-7




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