ASHRM Annual Conference Logo

Monday, September 26 in the Orange Theater

7:40 AM – 8:00 AM

They're Doing What in the Clinic?!
This mini session describes how one large medical group in the Pacific Northwest developed and implemented a comprehensive survey tool to inspect and monitor over 160 non-accredited ambulatory care clinics across 3 large counties, and guide any necessary improvement initiatives.  The tool is used to assess clinic status  in the areas of patient, employee, and visitor safety; compliance with federal, state, and local regulatory requirements for healthcare facilities, and standardization with policies and guidelines established by the medical group.

Speakers: Sandra Slaton and Timothy Hall


8:10 AM – 8:30 AM

Can Patient Reporting of Safety Events Work?
Patient reporting remains a promising but unrealized approach for identifying patient safety hazards in health care operations. With funding from the Agency for Healthcare Research and Quality’s ACTION II contracting mechanism, researchers at the RAND Corporation, ECRI Institute, Tufts Medical Center, and Brigham and Women’s Hospital designed, developed, implemented, and evaluated a prototype consumer reporting system for patient safety, called the Health Care Safety Hotline.  This session will provide the opportunity to discuss the experience of the Health Care Safety Hotline.

Speaker: Robert Giannini


8:40 AM – 9:00 AM

Balancing Family Bonding with Newborn Safety
The accidental injury of a hospitalized newborn in the care of family members can cause emotional stress and guilt. Studies show mothers and their newborns benefit both physically and emotionally by rooming in together. However, the challenge that health care facilities face is supporting that close connection while ensuring the safety of the newborn. This presentation will review data involving newborn events such as falls and newborns found in an unresponsive state, discuss newborn safety scenarios, provide guidance for risk managers and healthcare workers managing these encounters, and suggest risk reduction strategies.

Speakers: Susan Wallace and Linda Helsley


11:40 AM – 12:00 PM

Patient Safety & Risk Management Journey over the years from a Canadian Perspective - Achieving Excellence in Health Care
A presentation of the initiatives, tools & risk management processes that an 637 acute care hospital in Montreal (Québec) Canada has used to stand out from the crowd in terms of excellence in quality of care practises and patient safety.  A patient centered approach is used while always keeping in mind the mission and vision of the organization despite current organizational changes across the health care network in the province of Québec that have recently taken place.

Speaker: Lianne Dzygala


12:10 PM – 12:30 PM

Duct Tape, Wire and Bubble Gum: Is McGyvering a Cause of Patient Harm?
Does the off-label use of medications and devices cause unintended patient harm? Are some treatment modalities utilized with the best of intentions really just a bit of McGyvering? Should there be limitations on treatments that are used because “it seems like a good idea” or implementations based on what other providers have tried for their patients? This presentation will provide a sample case study on the off label use of the high-risk medication Flolan with a nebulizer along with a discussion of some of the risks that may go unidentified when healthcare providers engage items or products in a way in which they were not originally designed.

Speaker: Faye Sheppard


12:40 PM – 1:00 PM

Navigating Your Patient Safety Journey with RL
Everyone's patient safety story is different. RL knows that becoming a safer, more reliable hospital is an ongoing journey. We want to help organizations find what works for them with the tools they need to progress along the way. Pansy Lee, RL's Director of Product Management, will share stories of the different paths that some RL clients have taken on their patient safety journeys, from ERM to HRO to Lean—and everything else in between.

Speaker: Pansy Lee
Sponsored by RL Solutions


1:10 PM – 1:30 PM

Job Market and Career Trends in Risk Management and Healthcare
Hear from an ASHRM Job Board Expert on the trends in hiring, job skills and changes to Risk Management and Healthcare career fields.

Speaker: Richard Eberhart



Monday, September 26 in the Yellow Theater

8:10 AM – 8:30 AM

Incorporating Innovative Technology to Enhance Patient Safety
This presentation will describe our research project utilizing a Kiosk to administer a patient/family safety survey in real time. There were two phases of the study. The first phase looked at engagement of patients and their families. The second phase was to test the hypothesis that by having a mechanism for patients and families to anonymously report real time safety issues there may be a reduction in incidents. The Kiosk was utilized to administer a 9 question patient safety survey.  This research was funded by an ASHRM grant

Speaker: Lesli Giglio


8:40 AM – 9:00 AM

Connecting the Dots Between Cyber Risk and Patient Safety - Who’s Responsible?
Today the information needed to provide care resides in more places than ever before, including electronic health records, the smartphones, tablets and laptops carried by physicians and other caregivers, intelligent medical devices like smart pumps, monitors and implants, patient portals and mobile health apps, not to mention provider partners, business associates and other members of the patient care ecosystem. Safe, quality care depends on timely access to this information. Therefore, any threats to the confidentiality, integrity or availability of information represent threats to patient safety. This talk highlights how information security and patient safety are linked, identifies emerging PHI-related threats to patient safety, documents relevant incidents and and suggests how hospitals can enhance their risk management approach to better protect patients against new cybersecurity-related threats to patient safety.

Speakers: Bob Chaput
Sponsored by Clearwater Compliance


11:40 AM – 12:00 PM

My Life, My Death, My Business: Physician Assisted Suicide- Bioethical /ERM Dilemmas
Doctor/Nurse help me, please put me out of my misery, I can’t take it anymore: I want to die!! Several years ago this was unthinkable it was murder and it still is! However, there are now five states which allow Physician Assisted Suicide (PAS). According to one advocacy group, 26 other states are considering legalizing PAS. What is the Enterprise Risk Manager to do with questions from patients, families, medical staff, administration, and the public/media? This presentation provides a Bioethical and ERM framework to answer these and other questions, by reviewing Ethical and Professional Values, the Pros & Cons of PAS laws and one further question is poised: is Physician Assisted Suicide ever needed? This presentation will answerer this question and provide you the practicing Healthcare Risk Manager with recommendations for your healthcare enterprise, and all enterprise stakeholders in addressing Physician Assisted Suicide and other end of life ethical dilemmas.

Speaker: Andy Oppenberg


12:10 PM – 12:30 PM

Rx for Issues Arising When Implementing a Risk Management Program for Physician Practices
This Bite Size Learning will focus on some of the hurdles and solutions encountered in developing and implementing a risk management program for a new large multi-site physician practice.

Speaker: Lynn Kolokowsky


12:40 PM – 1:00 PM

Empathy to Action! An entrée to Design Thinking in healthcare
Design Thinking is a breakthrough model for innovation and problem-solving that has been deployed by leading organizations around the world for generating effective solutions to complex, systemic problems. Fusing this people-centered approach with scientific rigor, healthcare organizations such as Stanford, Mayo, and Kaiser are using Design Thinking to spark a culture of learning, improve patient safety and clinical care, and enhance the patient experience. In this bite-size learning session, participants will gain an introduction to design thinking, with concrete case example of how it is being applied to address clinical risk management challenges.

Speaker: Simon Mawer


1:10 PM – 1:30 PM

Beyond Accreditation: Working with Payers and Medical Liability Insurers to Improve Patient Safety
The Joint Commission understands that the work of improving patient safety goes beyond the walls of hospitals and health systems. In this session, you’ll learn about how The Joint Commission’s collaboration with payers and medical liability insurers helps further the goal of zero patient harm, and how your organization can get involved.

Speaker: Mark A. Crafton
Sponsored by Joint Commission Center for Transforming Healthcare