26th Annual IHI National Forum on Quality Improvement in Health

Transcription

December 7–10, 2014
Orlando, FL
engage
26th Annual
IHI National Forum
on Quality Improvement
in Health Care
Dear Colleagues,
Last month, I sat in a hospital room with my sister and her husband, Bill. I saw that great
care is built on the engagement of all. I listened as my brother-in-law asked for alternatives
to the pathways being laid out — envisioning his daily life and wanting the freedom to do
the work he has done for so long. I smiled when the surgeon asked Bill, “What matters
most to you?” as they pondered the choices ahead. I watched teams care for him, together,
discussing, sharing, and planning as one. My sister was leading the team in so many ways:
asking, clarifying, teaching, advising. Watching them, I thought of the theme of our time
here this week at the National Forum: “Engage.” Engaged care is the best way for us to
care. It’s caring together. At a time when many in health care tell me that they are tired and
overwhelmed by so much change, I am sure that the answer is to find joy in engaging.
At IHI, we get to see all the work you are doing to make care more person-centered, more
equitable, and more responsive to the changing needs of our populations. We see you
engaging with your colleagues, with patients, and with new partners to co-produce better
health. The National Forum has always been the place to gather, share, and learn about
all this incredible and inspiring work. So I couldn’t be more thrilled to be here with you this
week, engaging in our collective mission to improve health and health care worldwide.
After a quarter century of working together, we’ve made so much progress. Yet we all know
there is much more to do. 2014 has offered up new challenges. Here in the US, millions
of Americans are newly insured and accessing health care services in new ways and with
new expectations. Changing payment models, incentives, and penalties are driving us to
re-think business models and long-term strategies. Around the world, health systems are
strained by growing populations, shifting demographics, and rising costs.
Perhaps more than anything, this year has reinforced our belief that improving health care
and improving health are not separate and distinct efforts, but one indivisible mission.
Accomplishing this mission means overcoming old barriers, engaging in new modes of
thinking, and rejecting the notion that we must choose one or the other. Accomplishing our
mission requires accelerating the pace of improvement in health care and innovating and
partnering with communities and organizations to improve health.
We chose this year’s National Forum theme — “Engage” — because everyone has a role
to play in producing health. At IHI, we’re fond of W. Edwards Deming’s quote, “Quality is
everyone’s responsibility.” I think we can add that “health is everyone’s responsibility.”
Only by engaging with each other, with other industries and sectors of society, with our
communities and other communities, and with the tools and methods of improvement will
we achieve our vision of everyone having the best care and health possible.
At this year’s Forum, you’ll engage. You’ll teach and learn. You’ll engage with the masters
who founded this field of improvement in health care, the students designing a new future
for health care, and the staff who engage, individually and as great teams, with patients
and families every day. Welcome to the National Forum.
Sincerely,
Maureen Bisognano
President and CEO, Institute for Healthcare Improvement
Table of
Contents
Agenda-at-a-Glance......................................... 2
Keynotes............................................................ 8
Special Interest Keynotes.................................. 9
Sunday, December 7
Learning Labs................................................. 10
International Attendee Meeting....................... 15
Monday, December 8
Forum Excursions............................................ 16
20th Annual Scientific Symposium................... 17
Minicourses..................................................... 18
Welcome Reception......................................... 22
7th Annual IHI Open School
Chapter Congress........................................ 22
Faculty Reception ........................................... 22
Tuesday, December 9
Keynote One: Maureen Bisognano................... 24
Forum Excursion Workshops ........................... 24
Workshops A and B ......................................... 25
Workshop C .................................................... 30
Keynote Two: Atul Gawande, MD, MPH............. 33
Engage! A National Forum Celebration........... 35
Storyboard Reception...................................... 37
Wednesday, December 10
Special Interest Breakfasts ............................37
Keynote Three: Robin Roberts ......................... 38
Workshops D and E .........................................38
Keynote Four: Donald Berwick, MD, MPP .........42
Conference Map ............................................. 46
Shuttle Map.................................................... 48
Conference Information ................................. 49
Exhibit Hall Floor Plan .................................... 52
Storyboards .................................................... 54
Index by Presenter .......................................... .68
Exhibitors ....................................................... 70
Continuing Education .................................... 79
Welcome! Tweet using #IHI26Forum
1
Forum Agenda-at-a-Glance
7:00 AM
Pre-Conference
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
7:00 AM – 5:30 PM Registration open
11:00 AM –12:00 PM
National Forum
Orientation
Crystal Ballroom,
Salon G
Sunday
December 7
Pre-Conference
7:00 AM – 7:30 AM
Morning Stretch
Grand Ballroom,
Salon 3
Monday
December 8
Conference Day 1
Crystal Ballroom,
Salon G
Conference Day 2
9:00 AM – 4:45 PM Scientific Symposium † (lunch provided)
7:00 AM – 8:00 AM
National Forum
Orientation
and Continental
Breakfast
† Registration and continental breakfast for the Scientific Symposium begin at 8:00 AM
* Breakfast provided for Minicourse, Forum Excursion, and Scientific Symposium attendees
8:00 AM – 9:00 AM
Keynote One:
Maureen
Bisognano
Cypress
Ballroom 3
9:30 AM – 2:45 PM CEO and Leadership Summit Grand Ballroom, Salon 8
9:30 AM – 10:45 AM
Workshop A
10:30 AM – 1:30 PM Exhibit Hall open Palms Ballroom
11:15 AM – 12:30 PM
Workshop B
(repeat of Workshop A)
Crystal Ballroom,
Salon G
6:30 AM – 7:00 AM
Morning Stretch
Grand Ballroom,
Salon 3
8:00 AM – 9:00 AM
Keynote Three:
Robin Roberts
Cypress
Ballroom 3
10:30 AM – 1:30 PM Exhibit Hall open Palms Ballroom
9:30 AM – 10:45 AM
Workshop D
7:00 AM – 8:00 AM
Continental
Breakfast
Wednesday
December 10
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G Gaylord Palms 6:30 AM – 5:30 PM Registration open
Grand Ballroom,
Salon 3
December 9
8:30 AM – 5:00 PM Forum Excursions (lunch provided) Departing from the G Gaylord Palms 7:00 AM – 8:00 AM
National Forum
Orientation
and Continental
Breakfast*
6:30 AM – 7:00 AM
Morning Stretch
Tuesday
8:30 AM – 4:00 PM Minicourses (lunch provided)
7:00 AM – 7:45 AM
Special
Interest
Breakfasts
26th Annual National Forum on Quality Improvement in Health Care
11:15 AM – 12:30 PM
Workshop E
(repeat of Workshop D)
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
5:00 PM – 7:00 PM
International Attendee Meeting
1:00 PM – 4:30 PM
Learning Labs
Grand Ballroom, Salon 7
6:30 PM – 7:00 PM
Candlelight Vigil: Honoring our
Patients, Friends, and Family
West Terrace
4:00 PM – 9:00 PM 7th Annual Open School Chapter Congress and Networking Dinner Event
Sponsored by Kaiser Permanente
6:00 PM – 6:45 PM
7:00 PM – 9:00 PM
Crystal Ballroom, Salon H
Evening
Yoga
Faculty Reception
Resort and Convention Center (except FE1)
Grand Ballroom,
Marriott World Center
Salon 3
Harbor Beach/Marco Island
Resort and Convention Center, Sun Ballroom A/B (Registration opens at 8:00 AM)
3:30 PM – 6:30 PM Exhibit Hall open Palms Ballroom
3:30 PM – 6:30 PM
6:30 PM – 9:00 PM Dinner and a Demo:
Improve Health by Learning to Cook
Welcome Reception Palms Ballroom
(Registration Required)
3:15 PM – 4:15 PM
Keynote Two:
Atul Gawande,
MD, MPH
Cypress
Ballroom 3
4:15 PM – 6:30 PM Exhibit Hall open
Palms Ballroom
4:30 PM – 6:30 PM
Storyboard Reception
Palms Ballroom
12:30 PM – 1:30 PM
Lunch
1:30 PM – 2:45 PM
Workshop C
12:40 PM – 1:20 PM
Lunch & Learns‡
‡ Health Equity Lunch & Learn Crystal Ballroom, Salon H
† Social Media 101 Lunch & Learn Grand Ballroom, Salon 7
† National Forum Meet the Author Lunches Solaris Private Dining Room
† Systems Preparedness for Infectious Disease Emergencies:
† Learnings from the Recent Ebola Breakout Crystal Ballroom, Salon H
12:30 PM – 1:30 PM 1:30 PM – 2:30 PM
Lunch
Keynote Four:
Donald Berwick,
12:40 PM – 1:20 PM MD, MPP
Cypress
National Forum
Ballroom 3
Meet the Author
Lunches
1:00 PM
Solaris Private
Forum Fortune Drawing
Dining Room
Palms Ballroom
6:00 PM – 6:45 PM
Evening Yoga
7:00 PM – 10:00 PM
Engage! A National
Forum Celebration
Falls Pool Pavilion
Grand Ballroom,
Salon 3
STAY CONNECTED
Stay connected with IHI and your fellow National Forum attendees!
Use the hashtag #IHI26Forum when Tweeting. Be sure to follow IHI
on Twitter, Facebook, and LinkedIn, and bookmark ihi.org.
3
Networking
Opportunities
Dinner and a Demo: Improve Health by
Learning to Cook
Monday, December 8 • 6:30 PM – 9:00 PM
Dr. Timothy Harlan and Chef Leah Sarris will explain the
Mediterranean diet and the evidence of its effect on health,
discuss their hands-on nutrition program at Tulane, and
demonstrate how to cook the healthy meal that will be served
in the session.
Join the MeetUps!
Cypress Foyer
The National Forum program offers hundreds of sessions covering
a wide-range of topics. Still, one of the best ways to learn is by
connecting with other professionals who are struggling with the
same issues. That’s where MeetUps come in!
MeetUps are:
• Conversational
• Energizing
• Topical
• Friendly
• Lively
• Run by one person
• Off-topic
Grand Foyer
MeetUps are not:
• Lectures
• Slide-based
• Marketing pitches
Attendees can utilize the Marriott concierge services to make
reservations at local restaurants. Attending the Forum alone?
Sign up to join a group for dinner!
Tuesday, December 9
10:45 AM – 11:15 AM
• 100 Million Healthier Lives
• Getting Leadership Engaged
in Quality Improvement
• Healthy Cooking and the
Mediterranean Diet
10:45 AM – 11:15 AM
• Have You Had the
Conversation about
End of Life Care?
• Large-Scale Improvement
and Spread: Where Do
I Begin?
• Interprofessional Education:
Engaging Learners in the
Delivery of Team-Based Care
Seats are limited and registration is required. $40.
Meet to Eat
Monday, December 8, and Tuesday, December 9
10:00 AM – 5:00 PM
Receptions:
National Forum Welcome Reception
Monday, December 8 • 3:30 PM – 6:30 PM
Palms Ballroom
Storyboard and Networking Reception
Tuesday, December 9 • 4:30 PM – 6:30 PM
Palms Ballroom
Engage! A National Forum Celebration
Falls Pool Pavilion
Meet the Author Lunches
Join a lunchtime conversation with some of the authors from
the National Forum bookstore.
Tuesday, December 9, and Wednesday, December 10
12:40 PM – 1:20 PM
Solaris Private Dining Room
4
Registration for the Dinner and a Demo is required. All other receptions
and networking events are open to all conference attendees.
MeetUps will take place on Tuesday, December 9, and
Wednesday, December 10, in the Cypress Foyer.
1:00 PM – 1:30 PM
• Quality Improvement Mobile
Apps — What’s Trending? • Joy in Work: Increasing
Staff Satisfaction and
Reducing Burnout
2:45 PM – 3:15 PM
• Creating Compelling Patient
and Family Advisory Councils
• Successful Community
Partnerships
• Lean, Six Sigma, and the
Model for Improvement:
What Works for You?
1:00 PM – 1:30 PM
• Your Quality Improvement
Journey: What Have You
Learned this Week?
• Patient Engagement Toss-Up:
Share Your 1-Minute Take
on What Works and What
Doesn’t Work
Don’t see a topic that interests you? Sign up to lead your
own MeetUp in the Cypress Foyer. If you have just watched a
spectacular Keynote address or participated in a dynamic session,
and you want to see what your peers thought, start a MeetUp.
5
6
Workshop
Tracks
Learning Formats
This year at the National Forum, we are
introducing a variety of different learning formats
to improve your educational experience.
They include:
NEW
THIS
YEAR!
Buzz Session
Highly interactive sessions designed
to stimulate thinking in small
group discussions.
Rapid Fire
Fast-paced presentations designed to keep the information
flowing and maximize audience engagement.
Flipped Classroom
Turn the traditional session upside down! Attendees complete
pre-work before the conference and then apply that new knowledge
through exercises and discussions during the session.
NOTE: No onsite enrollment for these sessions.
Case Study
Presenters will guide attendee through an analysis of a process
or scenario.
Controversy Panel
Panelists will conduct a friendly debate about a controversial issue,
process, or behavior.
Simulation Encounter
Attendees will learn from imitating a real-life process, skill,
or behavior.
Lecture
Highly didactic, content-rich sessions.
Storyboard Walkaround
Presenters will guide attendees through a series of improvement
projects in a rapid-fire style presentation. These sessions give
you the opportunity to learn on your feet!
More than 80 workshops are offered during
the General Conference (December 9
and 10). The sessions are organized into
content areas — or “tracks” — that follow
IHI’s five focus areas. Participants can
enroll in sessions individually or follow
one of these strategic tracks:
• Improvement Capability
• Patient Safety
• Person- and Family-Centered Care
• Quality, Cost, and Value
• Triple Aim for Populations
Session Levels at a Glance
The General Conference offers workshops
for various levels of learning. Sessions are
labeled by experience level throughout
this guide.
F Fundamentals Program
This series of sessions offers helpful ideas
and tools for newcomers to the world of
quality improvement.
M Masters Program
For the advanced learner, this series
of sessions provides cutting-edge
improvement thinking from health care
and other industries.
S Student Program
Selected across a wide spectrum of
topics and disciplines, these sessions will
accelerate the capacity for improvement
of health professions students who are
new to quality improvement or new to the
National Forum.
P Patient Presenters
The sessions designated with a “P” will
have a patient presenting as faculty.
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Keynotes
Keynote One: Maureen Bisognano
Keynote Three: Robin Roberts
Cypress Ballroom 3
Cypress Ballroom 3
Maureen Bisognano, President and CEO, Institute for
Healthcare Improvement (IHI), is a prominent authority
on improving health care systems, whose expertise has
been recognized by her elected membership to the
Institute of Medicine and by her appointment to The
Commonwealth Fund’s Commission on a High
Performance Health System, among other distinctions.
Ms. Bisognano advises health care leaders around the
world, is a frequent speaker at major health care
conferences on quality improvement, and is a tireless advocate for change.
She is also an Instructor of Medicine at Harvard Medical School and a
Research Associate in the Brigham and Women’s Hospital Division of Social
Medicine and Health Inequalities. Prior to joining IHI, she served as CEO
of the Massachusetts Respiratory Hospital and Senior Vice President of the
Juran Institute.
Robin Roberts is co-anchor of ABC’s Good Morning
America (GMA). Under her leadership, the broadcast has
won four consecutive Emmy Awards for Outstanding
Morning Program. When not traveling around the world
covering breaking news events, Roberts is at GMA’s studio
in Times Square conducting interviews with a diverse group
of newsmakers. Her headline-making interviews include
President Barack Obama, Facebook founder Mark
Zuckerberg, First Lady Michelle Obama, and NBA Superstar
LeBron James. Roberts was diagnosed with breast cancer in June 2007. Her
courageous and public battle has been recognized with awards and honors from
organizations around the country, including The Susan G. Komen Foundation,
The Congressional Families Cancer Prevention Program, and Gilda’s Club, a
non-profit organization founded by the late Joel Siegel. In March 2007, Roberts’
first book, From the Heart: 7 Rules to Live By, was published.
In June 2012, five years after the start of her fight with breast cancer, Roberts
announced that she was battling myelodysplastic syndrome. She underwent a
bone marrow transplant in September of that year — her sister Sally-Ann was a
perfect match. Roberts’ story triggered an outpouring of support from across the
nation. She joined forces with Be the Match to inform the public about the need
for more donors, and since her diagnosis, over 56,000 people have joined the
registry. Roberts made a triumphant return to the anchor desk on February 20,
2013, five months to the day since she underwent the transplant. At the 2013
ESPYs, she was honored with the Arthur Ashe Award for the strength and courage
she has displayed throughout her life and career.
In her new memoir, Everybody’s Got Something, Roberts tells the amazing story
of her courageous battle against a life-threatening illness, the life lessons she
continues to learn, and her inspiring return to the GMA anchor desk. Roberts
graduated cum laude from Southeastern Louisiana University with a Bachelor
of Arts degree in Communications.
Tuesday, December 9 • 8:00 AM – 9:00 AM
Keynote Two: Atul Gawande, MD, MPH
Cypress Ballroom 3
Atul Gawande, MD, MPH, is a Professor at Harvard
Medical School and the best-selling author of the books
The Checklist Manifesto, Complications, and Better. His
latest book, Being Mortal: Medicine and What Matters
in the End, came out this October. Dr. Gawande is a
MacArthur “Genius” Fellowship winner and a New
Yorker columnist — but, most of all, a physician, with a
practitioner’s grasp of the everyday challenges of health
care delivery. Dr. Gawande is a general and endocrine
surgeon at Brigham and Women’s Hospital in Boston, and a professor in
both the Department of Health Policy and Management at Harvard School
of Public Health and the Department of Surgery at Harvard Medical School.
He is the Executive Director of Ariadne Labs, a joint center for health systems
innovation, and chairman of Lifebox, a nonprofit making surgery safer globally.
He has won AcademyHealth’s Impact Award for highest research impact on
health care, and is broadly known for his influential articles, two of which won
him the National Magazine Award. He has written about the shift from
lone-ranger physicians to teams of co-operating specialists, and the new values
this shift requires. He popularized the checklist as a means of coordinating
complex work in hospitals. His ideas about how to rein in health care costs
while increasing efficiency and quality have transformed the national
discussion of these issues.
Sponsored by
8
Wednesday, December 10 • 8:00 AM – 9:00 AM
Sponsored by
Keynote Four: Donald M. Berwick, MD, MPP
Wednesday, December 10 • 1:30 PM – 2:30 PM
Cypress Ballroom 3
Donald M. Berwick, MD, MPP, President Emeritus and Senior
Fellow, Institute for Healthcare Improvement, is also former
Administrator of the Centers for Medicare & Medicaid
Services. A pediatrician by background, Dr. Berwick has
served on the faculty of the Harvard Medical School and
Harvard School of Public Health, and on the staffs of
Boston’s Children’s Hospital Medical Center, Massachusetts
General Hospital, and the Brigham and Women’s Hospital.
He has also served as Vice Chair of the US Preventive
Services Task Force, the first “Independent Member” of the American Hospital
Association Board of Trustees, and Chair of the National Advisory Council of the
Agency for Healthcare Research and Quality. He served two terms on the Institute
of Medicine’s (IOM’s) Governing Council, was a member of the IOM’s Global
Health Board, and served on President Clinton’s Advisory Commission on Consumer
Protection and Quality in the Healthcare Industry. Recognized as a leading
authority on health care quality and improvement, Dr. Berwick has received
numerous awards for his contributions. In 2005, he was appointed “Honorary
Knight Commander of the British Empire” by the Queen of England in recognition
of his work with the British National Health Service. Dr. Berwick is the author or
co-author of over 160 scientific articles and five books. He also serves as Lecturer
in the Department of Health Care Policy at Harvard Medical School.
Special Interest
Keynotes
Forum App:
IHI Onsite
A1: From Crisis to Calling: How Physicians Can Lead
IHI Forum App for All
Smartphones: IHI Onsite
Tuesday, December 9 • 9:30 AM – 10:45 AM
Jack Cochran, MD, Executive Director, The Permanente Federation
Charles Kenney, Author
B1: Safe Passage Across the Continuum
The IHI Forum app (IHI Onsite) serves
as your all-in-one event guide by putting
everything you need to know right onto
your mobile device. The IHI Forum app
will enable you to:
• Browse all National Forum session
descriptions (including Learning
Labs, Minicourses, General
Conference Workshops)
Tuesday, December 9 • 11:15 AM – 12:30 PM
Carol Haraden, PhD, Vice President, IHI
• Follow along with session
presentations
C1: My Hopes for Health Care: A Pecha Kucha-Style Workshop P
Moderated by: Helen Bevan, Chief Transformation Officer, NHS Improving Quality
Christina Krause, Executive Director, BC Patient Safety and Quality Council
Enrique Ruelas, MD, Senior Fellow, IHI
• Take notes on sessions that will
be saved to your IHI profile
• Browse faculty biographies
• See Twitter updates using the
conference hashtag #IHI26Forum
• Locate events and rooms using an
interactive map of the Marriott
• View exhibitor descriptions
and locations
Jim Easton, Managing Director, Care UK
Lakshman Swamy, MD, Resident, Boston Medical Center
Lorraine Armstrong, Clinical Academic Fellow, University of Stirling
The IHI Forum app is available for
free in the App Store and Google Play.
Search either store for “IHI Onsite” to
download the app today.
Lynne Maher, Director for Innovation, Ko Awatea
Mike Richmond, Chief of Clinical Affairs, Hamad Medical Corporation
Steve Fairman, Managing Director (interim), NHS Improving Quality
Helen Haskell, President, Mothers Against Medical Error
D1: Health Systems Partnerships for Community Development and Engagement
Once you have downloaded the IHI
Onsite app:
• Ensure you are connected to the
Internet
Nancy Schlichting, CEO, Henry Ford Health System
• Launch the app
David Egner, CEO, Hudson-Webber Foundation, and Executive Director,
The New Economy Initiative
• Enter your last name as your username
E1: 10 Things Every Hospital Needs to Know to Be Safe
Wednesday, December 10 • 11:15 AM – 12:30 PM
• Enter your order ID for this event as
your password (available under the
barcode on your name badge — the
numbers after and not including “OID”)
• Click “Verify”
Robert Wachter, MD, Professor and Associate Chairman, Department of Medicine, University of
California San Francisco
For help with the IHI app, please stop by
the National Forum Registration Desk.
Sponsored by
Welcome! Tweet your Forum thoughts using #IHI26Forum
9
Sunday
December 7
Pre-Conference
Mobisson-Etuk, N., Executive Director, Institute for
Healthcare Improvement; Sodzi-Tettey, F., MD, MPH,
Executive Director, Department of Health, National
Catholic Secretariat; Kotagal, U., Senior Vice President,
Quality/Transformation and Director, Health Policy &
Clinical Effectiveness, Cincinnati Children’s Hospital
Medical Center; Henriks, G., Chief Executive of Learning
and Innovation, The County Council of Jönköping;
De Kock, L., HOD, Training and Communications, The
Aurum Institute; Ohiri, K., Senior Adviser to the
Honourable Minister of Health Nigeria, Ministry of Health
L2: Games People Play: Teaching
Statistical Thinking F
Miami
Learning Format: Lecture
National Forum
Orientation
11:00 AM – 12:00 PM
Crystal Ballroom, Salon G
If you are a first-time attendee, we suggest that
you attend one of the National Forum Orientation
sessions to help you navigate through the
program and devise a personal learning plan.
Participation in the orientation is free.
Learning Labs
1:00 PM – 4:30 PM
Learning Labs offer specific “how-to” improvement
information. These half-day sessions allow full
engagement, discussion, and ample time for Q&A.
Improvement Capability
L1: Critical Drivers for Successful
Leadership in Quality Improvement
Crystal Ballroom, Salon N
Learning Format: Case Study
Health care leaders concerned about quality
must build systems, often from scratch, that are
capable of delivering quality care or enabling
external partners to improve quality within their
organizations. In tackling this challenge, these
leaders, like all leaders, must rally their staff in
pursuit of a common goal. In this session,
participants will explore different models from a
myriad of settings in South Africa, Ghana,
Sweden, the USA, and Nigeria for achieving
quality improvement.
After this presentation, participants will be able to:
• Discuss the necessary strategic building blocks
for creating a sustainable capacity to thread QI
through a system
• Describe different organizational archetypes to
enable a unified focus on quality improvement
• Outline the common errors in designing
QI strategies
10
Teaching statistical improvement concepts need
not be boring and didactic. Some of the last
century’s greatest quality ambassadors developed
games to help improvement leaders experience
firsthand important concepts of common versus
special cause variation, process tampering, and
variation reduction. This interactive session will run
some popular exercises, including Deming’s “red
bead” game, Nelson’s funnel experiment, and
Box’s helicopter exercise, with an eye on showing
participants how to use them in their work.
• Describe key concepts of special cause
variation, process tampering, and reducing
process variation
• Experience the value of control charts and
designed experiments
• Use these exercises to teach others
Benneyan, J., PhD, Professor, Northeastern University
L3: How to Publish Your
Improvement Work
Learning Format: Flipped Classroom
This session will increase participants’ chances
for successful journal publication. It is designed to
enhance their writing skills and provide strategies
to advance their health care improvement work
from concept to journal publication. Participants’
own work — at any stage of development — will
be used in hands-on exercises. Faculty will
provide advice on employing the latest SQUIRE
publication guidelines for reporting health care
improvement and navigating journal editorial
processes and tips for success with institutional
review boards.
• Develop writing techniques that lead to scholarly
publication of health care improvements
• Apply the latest SQUIRE publication guidelines
to create a more successful manuscript
Stevens, D., MD, Editor Emeritus, BMJ Quality and
Safety, The Dartmouth Institute; Davidoff, F., MD,
Consultant, Yale – New Haven Health System;
Batalden, P., MD, Professor, The Dartmouth Institute
for Health Policy and Clinical Practice, The Dartmouth
Institute; Ogrinc, G., MD, Associate Professor, Community
and Family Medicine, White River Junction VA
Medical Center
L4: Mental Health: Late to the Party
but Ready to Dance
Key West
Learning Format: Buzz Session
Globally, mental health services are new travelers
on the safety and quality improvement journey.
Drawing on experience gained in a large mental
health organization in the UK, presenters will
outline the development of the infrastructure
necessary to underpin quality improvement.
Participants will learn techniques that use
demand and capacity expertise to develop safer,
more cost-effective community services. Presenters
will also describe the skills needed to reduce
unexpected absences from acute inpatient mental
health services.
• Demonstrate an understanding of the
development of an organizational infrastructure
to support quality improvement in a mental
health system
• Utilize demand and capacity skills to improve
the safety and cost-effectiveness of community
mental health services
• Identify and implement the changes required
to reduce preventable harm in mental health
services
Smith, H., Co-Medical Director and Consultant Forensic
Psychiatrist, Devon Partnership Trust; Rooney, J., RN,
Managing Partner for Quality Improvement and Patient
Safety, Devon Partnership Trust
L5: New Ideas on Large-scale
Implementation
IHI has been rethinking its approach to taking
improvements and best practices to full scale. In
this session, presenters will explain how IHI has
incorporated its best thinking and experience
from the past, reformulated a framework that
includes a sequence of activities, adoption
methods, and infrastructure requirements, and
clarified its terminology to describe these activities.
Using a simple framework, they will take
participants through case studies and help them
to design their program to get results at scale.
• Explain IHI’s latest thinking on taking
improvement to full scale, whether they are
working in a community, health system, region,
or country
• Describe the three components of the
framework for scaling up improvement: the
sequence of activities, adoption mechanisms,
and infrastructure needed to support full-scale
implementation
• Take a new idea through testing and
development to full scale, or take existing best
practices within their system to full scale
Barker, P., MD, Senior Vice President, Institute for
Healthcare Improvement; Schall, M., Senior Director,
Institute for Healthcare Improvement
L6: Rapid-Cycle Evaluation for
Improvement Leaders
L8: Why Lecture on Plan-Do-StudyAct When You Can Experience It?
New York/New Orleans
It is crucial that health system leaders and
researchers who are testing improvement
interventions evaluate and share what they have
learned. Evaluation approaches may not be
straightforward, however, since improvement
interventions are often complex and can change
as the work unfolds. This session will use
presentations and participatory case studies to
explore a rapid-cycle evaluation approach to
learning from improvement interventions and
sharing what is learned. Participants will be
encouraged to share ideas about their own work.
• Describe the types of evaluations that are
best suited to improvement initiatives and the
analytic approaches an evaluator can use to
identify what is learned during an improvement
initiative
• List the questions an evaluator can ask to
clarify how initiatives aim to bring about
improvement and describe the data an evaluator
can collect to understand the progress of an
improvement initiative
• Develop an evaluation outline for their own
quality improvement project
Parry, G., PhD, Senior Scientist, Institute for Healthcare
Improvement; Reid, A., MPH, Senior Research
Associate, Institute for Healthcare Improvement;
Cohen, S., MSW, Research Associate, Institute for
Healthcare Improvement
L7: The Future Will See You Now:
HIT’s Impact on Health and Healing
Grand Ballroom, Salon 9-10
Crowdsourcing, comprehensive online selfdiagnosis, embedded chips, wearable devices,
an Internet-connected community — all spell the
end of the traditional health care system as
revolutionary technology brings permanent
changes to the ecology of health and healing.
This session will explore the pros and cons of this
emerging future, what we can shape and what
we can’t, and how to not just prepare for the
inevitable but leverage it for the benefit of our
organizations and communities.
• List at least three ways in which technology is
upsetting the status quo of health care delivery
• Discuss the impact on personal privacy of
electronically enabled health and healing
• Identify immediate actions that organizations
should take to avoid becoming “prey” in the
new ecology of health and healing
Adams, L., President and Chief Executive Officer,
Rhode Island Quality Institute; Ostrovsky, A., MD,
Physician, Boston Children’s Hospital
Learning Labs
1:00 PM – 4:30 PM
Learning Format: Simulation Encounter
People can tell us what PDSA stands for, but can
they run several in a day? “Training” sessions
teach us about concepts, but they typically do
not allow us to experience what it feels like to be
part of a PDSA. This session will provide a variety
of practical (and fun) exercises that explain the
theory behind the PDSA cycle and confirm the
fact that, because of how our brain approaches
problem solving, we do PDSAs every day.
• Describe several methods for simulating and
teaching the PDSA cycle
• Understand through simulation how to do
rapid-cycle PDSA testing
Lloyd, R., PhD, Executive Director, Performance
Improvement, Institute for Healthcare Improvement;
Williams, D., Ph.D., Improvement Advisor, TrueSimple
Improvement
Patient Safety
L9: Addressing Conduct That
Undermines a Safety Culture
Case studies will be used in this session to
discuss how and why behaviors that undermine a
culture of safety can be identified and addressed.
Using a graduated intervention model, the
Promoting Reliability Pyramid, participants will
first form triads and then, in scenario-based
encounters, practice delivering informal collegial
feedback and making formal, data-based, tiered
interventions. Message “recipients” will model
varied responses (e.g., denial, defensiveness,
silence, requests for help) to message “senders,”
and the third member will provide checklist-based
feedback.
• Identify behaviors that undermine a culture of
safety and lead to suboptimal patient outcomes
• Utilize the Promoting Reliability Pyramid to
address unnecessary variations in behavior
or performance, and behavior that
undermines safety
Banerjee, J., Emergency Physician/Associate Director
Quality Improvement, University Hospitals of Leicester
NHS Trust; Stewart, K., Clinical Director, Clinical
Effectiveness Unit, Royal College of Physicians; Wyatt,
R., MD, Merck Fellow IHI 2009–2010, Medical Director,
The Joint Commission; Hickson, G., MD, Senior Vice
President for Quality, Safety & Risk Prevention,
Vanderbilt University Medical School
L10: Building a Clinical Learning
Environment for Safer, High-Quality
Patient Care
Crystal Ballroom, Salon A-C
This session will demonstrate how hospitals,
medical centers, and health care clinics that
engage in graduate medical education can assess
their clinical learning environment, develop
strategies and goals for improving the learning
experience in alignment with organizational
patient safety and quality improvement goals, and
improve the clinical learning environment. Led by
senior leaders from the ACGME Clinical Learning
Environment Review (CLER) program, the session
will combine didactic and experiential learning in
both large and small groups.
• Assess the clinical learning environment within
their organization
• Develop goals for improving the learning
experience at their organization
Weiss, K., Senior Vice President, Institutional
Accreditation, Accreditation Council for Graduate
Medical Education; Wagner, R., Vice President,
CLER, ACGME; Patow, C., MD, Regional Vice
President, CLER, ACGME
L11: Creating a Culture in Support
of Patient Safety
Crystal Ballroom, Salon D
Adverse health care events remain a leading
cause of death and injury in the United States,
even though evidence-based methods are often
available that could prevent these outcomes.
Meanwhile, there is a growing recognition of the
importance of culture in preventing such errors.
In this session, participants will learn how to
assess their organization’s safety environment.
We will also explore best practices for establishing
reliable systems, nurturing staff engagement, and
lowering risks for patients through simulation and
case study analysis.
• Recognize leadership methods that detect and
address patient safety gaps
• Determine the elements of a system needed to
address safety risks and hazards
• Identify methods to assess their safety culture
and apply these concepts to their organization
Derheimer, C., RN, RN Faculty, VMI, Virginia Mason
Medical Center; Ching, J., RN, Administrative Director,
Virginia Mason Medical Center
How is your Learning Lab? Tweet your thoughts using #IHI26Forum
11
Sunday
December 7
Pre-Conference
L12: Creating Highly Adoptable
Improvement
Crystal Ballroom Salon G
Although it is imperative that we improve health
care, addressing this challenge can put increased
demands on point-of-care providers. Successful
implementation requires that workloads and
providers’ sense of the value of change be
acknowledged. Otherwise, an improvement
initiative may fail and overburden staff, only
contributing to burnout, workarounds, and errors.
Working together to design an improvement
project, participants in this session will work
with the highly adoptable improvement model to
reflect on their improvement initiatives.
• Identify how to create a highly adoptable
improvement approach
• Develop an improvement project using the
highly adoptable improvement model
Hayes, C., MD, Medical Director, Quality & Performance,
St. Michael’s Hospital; Federico, F., RPh, Executive
Director, Strategic Partners, Institute for Healthcare
Improvement
Learning Labs
1:00 PM – 4:30 PM
L13: Improving Diabetes Glycemic
Control in Latinos
L15: Preventing Suicides and Harm in
Mental Health Care
Key Largo
Crystal Ballroom, Salon P-Q
Latinos with type 2 diabetes, especially Mexican
Americans, commonly exhibit poorer glycemic
control and thus have more frequent health
complications, greater disease severity, and worse
outcomes than non-Latino whites. This session
will explore the interdependent elements of a
comprehensive HbA1c bundle, including the
Diabetes “DO-IT” Diagram, and ways to apply it
to most populations. Interactive discussion based
on a case study will explore the tools to use to
improve HbA1c control in the Latino population.
• Apply strategies from the HbA1c bundle to
develop a comprehensive plan for reducing
disparities in glycemic control for Latinos
• Describe and implement practices to decrease
disparities in glycemic control for Latinos
utilizing the Diabetes “DO-IT” Diagram
• Understand and identify the Latino cultural
beliefs that influence the diabetic care
they encounter
Brown, J., RN, National Program Leader, Kaiser
Permanente; Gould, B., RN, Senior Director, Quality,
Hospital Oversight, Equitable Care, Kaiser Permanente
L14: Me? A Clinical Leader? How Did
That Happen? M
Crystal Ballroom, Salon E-F
The Scottish Patient Safety Fellowship is a
national program to improve clinical leadership in
the delivery of safer care. Developed and
delivered over the past six years, the fellowship
has alumni from a range of health care professions
and international backgrounds. This session will
share with participants the setup, the content,
the quality improvement project outcomes, and,
most importantly, the views of participants on their
journey to improve care throughout Scotland.
This session will describe the improvement efforts
in a number of countries focused on mental
health care. Participants will practice searching
for harm using a mental health trigger tool and
learn to think about how to use the collaborative
framework to improve safety in their own
community and inpatient units. Using the results
from a case study about reducing violence and
aggression, presenters will discuss how to take a
population approach to preventing suicides.
• Use the mental health trigger tool to identify
and measure adverse events in mental health
care settings
• Describe and transfer to their own practice the
key components of a collaborative framework,
using a case study example
• Articulate how a population approach might be
taken to prevent suicides
Thomas, C., RN, Programme Director, South of England
Mental Health Collaborative; Holland, M., Associate
Medical Director, South London & Maudsley NHS
Foundation Trust; James, A., Clinical Director, Mental
Health, Dementia and Neurology, National Health
Service; Fung Shuen Sheng, D., MD, Chairman, Medical
Board, Institute of Mental Health
Person- and Family-Centered Care
L16: Achieving Health Literacy
Across a Care Continuum
St. Thomas
• Develop an understanding of how to deliver
and implement a learning framework for
patient safety improvement that gets results
• Learn how program alumni implemented
change and improvements in clinical care as
part of their fellowship
Health literacy holds the key to successful patient
engagement and improved outcomes, both of
which are critical in today’s changing health
care environment. The AHRQ Health Literacy
Universal Precautions Toolkit can be adapted
across the care environment, and participants will
have an opportunity to practice using its tools and
strategies. Faculty will also share their experiences
using the Toolkit and achieving measurable
improvements in diverse settings: in a resident
clinic, across a multi-facility system, and via a
discipline-focused approach.
O’Connor, P., PhD, Clinical Director of Research and
Development, NHS Tayside; Robson, B., Executive
Clinical Director, Healthcare Improvement Scotland;
Smith, L., Quality Improvement Programme Director,
NHS Education for Scotland; Pacitti, E., Educational
Projects Manager, NHS Education for Scotland;
Fearfull, A., PhD, Senior Lecturer in Management;
Director of Business Management, University of Dundee
• Practice using the tools and strategies in the
AHRQ Health Literacy Universal Precautions
Toolkit
• Identify opportunities to implement the Toolkit
tools and strategies
• Plan a test of one tool in their own care environment
Noonan, L., MD, Director, Center for Advancing Pediatric
Excellence; Courtlandt, C., MD, Co-director, Center
for Pediatric Excellence, Levine Children’s Hospital;
Brach, C., Senior Health Policy Researcher, Agency for
Healthcare Research and Quality (AHRQ)
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L17: Always Events: A Framework for
Transforming the Patient Experience
L19: Paving the Path to Patients’
Content Expertise P
Quality, Cost, and Value
West Indies
L21: Frugal Improvement and Spread:
Doing More with Less F
Consistency and reliability are hallmarks of a good
patient experience. “Always Events”® are patient
experiences in a health care setting that are
positive, important, low-cost, and reliable. In this
session, participants will learn about the unique
framework of the Always Events Recognition
Program and how to implement Always Events
in their own setting. This interactive session will
include group activities, and participants will learn
from their colleagues at UnityPoint, exemplars in
implementing “Teach Back.”
• Engage patient and family advisors in
program design
• Identify priorities in implementing patientcentered care
• Design and implement an Always Event
Wendt, L., RN, System Director of Quality, UnityPoint
Health; Tumilty, S., Senior Project Manager-Quality,
UnityPoint Clinic; Zambeaux, A., Senior Project
Manager, Institute for Healthcare Improvement; Balik,
B., RN, IHI Senior Faculty, Common Fire Healthcare
Consulting
L18: Go Shadow: Seeing Patients’
Wants and Needs F
Chicago/Denver
Shadowing a patient and family through the
patient’s care is a powerful way to identify
opportunities to transform experiences, as well as
clinical and operational outcomes, while reducing
waste and cost. Shadowing creates co-design
partnerships with patients and families and
harvests the power of staff engagement in care
redesign. This session will teach participants how
to use shadowing to provide patients with no more
and no less than exactly what they want and need.
• Describe the six steps of shadowing as a
standardized, simple mechanism to improve
care experiences and outcomes while removing
waste and decreasing cost
• Discuss the emotional connection that arises
from shadowing, adding urgency to the drive
toward change
DiGioia, A., MD, Medical Director, The Bone and Joint
Center at Magee-Womens Hospital and the PFCC
Innovation Center of the University of Pittsburgh
Medical Center; Schraeder, L., Organization Development
Consultant, Sr. Associate, University of Pittsburgh
Medical Center
This session will present learnings from the renal
dialysis world in the USA and Sweden in patient
empowerment and engagement, patient-centered
care, collaborative care, care transitions, care
planning, trans- and interdisciplinary care, and
interprofessional practice. Participants will learn
how to access their patients’ content expertise
and how to respectfully invite patients to be their
teachers. Presenters will offer tools and methods
to clarify what is important to patients in their
health care journey and lessons from patient
triumph/patient disruptive innovator stories.
• Articulate lessons learned from the renal
dialysis setting, applicable to all medical
settings, in patient engagement, collaborative
care, and interprofessional practice
• Identify shared decision-making, care-planning
tools; share patient-empowerment and
disruptive innovation stories; discuss the role
of federally legislated patient-centered renal
care requirements
Schatell, D., Executive Director, Medical Education
Institute, Inc.; Sarfaty, C., MSW, Patient-Centered Care
Coach, Patient-Centered Care Coaching for Health
Professionals; Banck, B., RN, Deputy Chief Nurse,
County Hospital Ryhov; Spaeth, N., RN, RN Foundation
Board Member, Speaker on Kidney Disease,
Northwest Kidney Centers; Gibney, R., MD, Central
Texas Nephrology Associates
L20: Storytelling: Harnessing the
Power of Patient and Family
Experiences P
Crystal Ballroom, Salon K-M
Faculty will share their experiences of collecting
and telling stories in a variety of settings. Participants will learn about ethnography, social media,
and ways to harness patient and family stories as
well as those of staff and clinicians. Participants
will experience a range of storytelling
techniques and develop an understanding of
the impact of each format on the environment.
Storytelling tools and techniques will be shared in
group activities.
• Identify the most effective story formats
(personal stories, ethnography, data) for
different audiences
• Describe the role of stories in accelerating
change and improvement
• Develop a powerful case for integrating stories
into their setting
Haskell, H., President, Mothers Against Medical Error;
Chase, A., Consultant; Hayward, M., Lead, Patient
and Family Engagement, Institute for Healthcare
Improvement
Marco Island
Time taken away from clinical work to implement
improvement initiatives does not always pay back,
and changes that were cost-effective in pilots may
not remain cost-effective at all sites when spread.
Significant improvements at many sites can be
made, however, with few resources. Using
real-world examples, this session will show how
projects in both developed and developing
countries ensured their return on investment,
and spread valuable improvements with
few resources and via underdeveloped
implementation structures.
• Find the most cost-effective improvements and
implement them for maximum return, using
lessons from practical experience and research
• Apply simple tools to estimate the costs and
returns on investment of both small and
large programs
• Spread improvements in the most cost-effective
way in different settings using the IHI
spread framework
Ovretveit, J., PhD, Professor, Karolinska Institute;
Broughton, E., PhD, Senior QI Advisor/Economic
Analyst, University Research Co., LLC; Massoud, M.,
MD, Vice President, Director Quality & Performance
Institute, University Research Co., LLC
L22: Full Circle: Improving Birth
Outcomes F
Aruba/Bahamas
In 1995, IHI launched an initiative to improve
maternal and neonatal outcomes by reducing
the rate of cesarean births. Twenty years later,
we have come full circle: we now know that
improving vaginal birth rates also reduces costs,
increases patient satisfaction, and improves
population health. This session will connect the
current science to organizational behavior and
standards to demonstrate how to reliably and
safely improve vaginal birth rates and prevent
unnecessary surgery, thus decreasing morbidity
and mortality.
• Outline the recommendations in the first
cesarean consensus statement
• Describe how to apply the proposed standards
to current processes focused on reducing the
largest category of first cesareans: failure to
progress in labor
• Discuss one health system’s one-year
improvement journey to reduce the nulliparous
cesarean rate in its system
Gullo, S., RN, Director, Institute for Healthcare
Improvement; Cherouny, P., MD, Emeritus Professor,
Obstetrics, Gynecology and Reproduction, University
of Vermont; Bell, A., Outcomes Specialist, Florida
Perinatal Quality Collaborative
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Sunday
December 7
Pre-Conference
L23: Solving Flow to Enhance Safety
and Decrease Costs
Falling budgets and increasing demand have
made it imperative that health services take a
new approach to solving intractable problems. In
this session, participants will learn how to deliver
safe and high-quality care, improve outcomes,
and improve patient experience by changing
the operational paradigm. This session will
demonstrate that the principles of managing
operations underlie cost-effective delivery of safer
care. The theory will be illustrated through
real-time case studies and participatory work.
• Describe the key factors that influence flow
and safety
• Identify ways to decrease variability in order to
improve patient experience and outcome
• Manage the challenges of emergency and
scheduled care
Lachman, P., MD, Deputy Medical Director for Patient
Safety, Great Ormond Street Hospital for Children NHS
Trust; Leitch, J., Clinical Director, Scottish Government
Health Department; Litvak, E., PhD, President and
CEO, Institute for Healthcare Optimization
Learning Labs
1:00 PM – 4:30 PM
L24: The Costs of Care: Designing
Value Improvement Initiatives
Crystal Ballroom, Salon J
In this buzz session, we will discuss best practices
for combining C-suite directives and clinical insights
to design and implement homegrown value
improvement initiatives that achieve the Triple
Aim. In particular, we will discuss strategies and
opportunities for engaging clinicians in identifying
improvement opportunities, as well as finding
ways around organization-specific cultural and
operational barriers to high-value care.
• Engage clinicians in taking responsibility for
providing better care at lower cost
• Describe how one medical center is applying
clinician-driven insights to better achieve valuebased care targets
• Apply the “COST” framework to begin
identifying value improvement projects at
their organization
Shah, N., MD, Executive Director, Costs of Care; Arora,
V., MD, Assistant Dean for Scholarship & Discovery,
University of Chicago Medical Center; Moriates, C.,
Assistant Clinical Professor, University of California San
Francisco Medical Center
Triple Aim for Populations
L25: Accountable Care Communities
for Frail Elders
Anaheim
A demographic opportunity — or challenge —
for accountable care communities lies in the
tripling of the number of frail elders between 2000
and 2050. What service delivery reforms will allow
old age to be comfortable and meaningful for this
population, at a sustainable cost? This session
will identify the steps involved in identifying frail
elders, developing care plans, adapting medical
care, incorporating supportive services, monitoring
and managing at the community level, and
providing financing.
• Identify frail elders using available information
• Develop an adequate care plan for each
frail elder
• Create an implementation plan for adapting
medical and supportive services for
this population
• Test the possibilities for medical care savings
and other financing strategies
Lynn, J., MD, Director, Center for Elder Care and
Advanced Illness, Altarum Institute; Schmitthenner, B.,
Aging Program Administrator, Aging & Independence
Services; Toomey, M., Director, Policy Analysis and
Development, HHS
14
L26: Partnering with Fire-Based
Emergency Services to Reduce
Hospital Utilization
Grand Cayman/Puerto Rico
Case studies from Baylor and HealthPartners
will share how physician leaders in two states
developed partnerships with local fire departments,
health care providers, and city services to assess
and support high-risk patients in their homes.
Physician leaders and Fire-Based EMS will share
how their programs were developed to avoid
unnecessary 911 calls, ED visits, admissions
and readmissions.
• Identify key factors for a successful community
health program and strategies to engage their
local emergency services in this model of care
• Demonstrate how to develop a personalized
care plan for each patient that addresses his or
her medical and functional needs
• Specify the processes needed by the community
health team of paramedics and physicians
Nielsen, G., Fellow and Faculty, Institute for Healthcare
Improvement; Fagan, E., MD, Medical Director, Baylor
Medical Center at McKinney; Burnett, A., Assistant
EMS Medical Director, Regions Hospital
L27: Healthcare 3.0: The Nuka
System of Care
Harbor Beach
Southcentral Foundation, a 2011 Malcolm
Baldrige National Quality Award recipient, has
been recognized as a Level 3 patient-centered
medical home (PCMH) since 2010. Meeting
the standards of the PCMH is just the starting
point for transforming a health care system. This
session will review approaches that go beyond
the PCMH to create and sustain the relationships
involved in recruiting, retaining and training a
workforce, and information management from
data systems to support the new approach.
• Review the transformational journey of an
entire health care system from physiciancentered to patient-centered to customerowned
• Describe how redesigning and rebuilding a
health care system from the perspective and
ownership of the community results in better
outcomes than seeking a faster and leaner
version of the current medical system
• Review approaches to moving beyond the
PCMH to “Healthcare 3.0,” including
workforce and information management from
data systems and sustaining relationships
Eby, D., MD, Vice President of Medical Services,
Southcentral Foundation; Tierney, S., MD, Chief
Medical and Information Officer and Medical Director,
Clinic Quality Improvement, Southcentral Foundation
L28: Impacting Diabetes at Multiple
Levels: Lessons from Finland
and Seattle
L29: Building Effective Acute and
Post-Acute Care Partnerships to
Reduce Readmissions
L30: Designing and Redesigning
Your Care Management Workforce to
Support Population Management
Sawgrass
Vinoy
To significantly impact the outcomes for
individuals with diabetes, interventions at multiple
levels are needed. This session will highlight a
10-year national program for managing diabetes
in Finland and a program in Seattle focused
on improving care to diabetic individuals in a
resource-poor, challenging population segment.
Participants will be challenged to consider how to
take key lessons from these programs and apply
them in their own settings.
• Apply three to five key learnings when planning
a program to impact diabetes on a national
level or at large system scale
• Use three to five key learnings in a plan to
impact diabetes among a specific population
segment
• Identify three potential activities to apply in
local contexts
Sevin, C., RN, Director, Institute for Healthcare
Improvement; Wang, R., RN-BC, Clinical Practice
Manager, Neighborcare Health; Winell, K., MD, CEO,
Conmedic; Myers, J., RN, Program Manager,
Neighborcare Health
Readmissions can be a disservice to patients
and families, a costly burden to the health care
system, and a source of immense frustration for
providers. With 25% of Medicare beneficiaries
discharged from acute care to skilled nursing
facilities (SNFs) being readmitted within 30 days,
SNFs are paying greater attention to the issue.
This session will detail the challenges and
opportunities in improving care transitions
through acute and post-acute care partnerships
and their role as fruitful precursors to broader
value-driven collaborations.
• Identify common drivers of readmissions to
hospitals from SNFs, as well as impediments
to improvement
• Describe how the Interventions to Reduce
Acute Care Transfers (INTERACT) program
has been used by hundreds of organizations
to reduce readmissions and enhance
communication
• Engage in peer sharing and learning to ensure
that transitions between acute, post-acute, and
community sites of care are safer and more
effective for patients
Loehrer, S., MD, Director, Institute for Healthcare
Improvement; Herndon, L., Director of Clinical Quality,
Massachusetts Senior Care Foundation; Bradke, P., RN,
Vice President Post-Acute Care, UnityPoint Health –
St. Luke’s Hospital
With increasing responsibility in today’s health
care environment for population outcomes,
organizations must revamp their workforces to
support the health of individuals within the health
care system and the community. This session
will address the key questions raised by this
challenge, including how to develop diverse
workforces with a broad range of competencies.
Participants will hear from both exemplar
organizations and those in the midst of workforce
redesign, and they will have a chance to share
their ideas and develop an action plan to make
meaningful change in their organization.
• Describe an approach to optimizing their care
management workforce system to meet the
needs of the identified population
• Identify some specific potential improvements
to their existing workforce system
• List actions that would move their current
system toward the ideal approach
Torres, T., MD, Senior Vice President, Institute for
Healthcare Improvement; Hewson, D., RN, Senior
Vice President of Network Development and State
Programs, Community Care of North Carolina; Hupke, C.,
RN, MBA, Director, Institute for Healthcare Improvement;
Dehmel, T., Health Navigator, Genesee Health Plan
Sunday Special Events
International Attendee Meeting
5:00 PM – 7:00 PM
All National Forum attendees are invited to take advantage of this informal opportunity to network
with peers who are working on health systems improvements around the world and hear about the
strategic vision and current execution of IHI’s global work.
Candlelight Vigil: Honoring our Patients, Friends, and Family Members
6:30 PM – 7:00 PM
West Terrace
Every year, we gather as a health care community to remember and honor our patients, friends,
family members, and colleagues who have been lost to adverse events. Candles will be provided.
15
Monday
December 8
Pre-Conference
Morning Stretch
7:00 AM – 7:30 AM
Grand Ballroom Salon 3
National Forum
Orientation
7:00 AM – 8:00 AM
sessions to help you navigate through the
program and devise a personal learning plan.
Participation in the orientation is free.
Forum Excursions
8:30 AM – 5:00 PM
With the exception of the Marriott Excursion
(FE1), all Excursions start at the Gaylord Palms
Resort and Convention Center. Participants will
then be transported to their selected destination
for a three-hour tour and presentation led by
destination staff and IHI faculty. Afterward,
participants will explore the lessons learned
and their applicability to health care during an
afternoon “deep dive” led by IHI faculty.
FE1: Marriott World Center:
Managing Large-Scale Operations
Chicago/Denver
In this Forum Excursion, participants will learn
how the Marriott World Center handles the flow
of large volumes of visitors yet still manages to
offer superb customer service in the front office,
adhere to schedules in the banquet kitchen, run
a golf club, tend to every detail of event and
convention services, and manage daily
housekeeping operations.
16
• Identify ways to manage large-scale operations
and flow in a non-health-care industry in order
to compare and apply these methods in their
own work environment
• Recognize and analyze key concepts of
operations and flow in different industries
• Develop ideas for improving flow in their own
work environment
Levy, P., Author; Schall, M., Senior Director, Institute for
FE2: Universal Orlando®:
Safety and Reliability
G Gaylord Palms: Sanibel
Sword fights... staged gun shots... boat explosions...
what do these have in common with patient
safety and reliability in health care? Learn how
the Universal Orlando stunt team ensures the
safety of staff and visitors during high-risk stunts,
addresses reliability when there are handoffs and
staffing changes, and handles unexpected events.
• Identify safety and reliability strategies in
a non-health-care industry that can be
compared with, and applied to, their own
work environment
• Recognize and analyze key concepts of safety
and reliability in various settings
• Develop ideas for improving safety in their own
work environment
Griffin, F., Faculty, Institute for Healthcare Improvement;
Lachman, P., MD, Deputy Medical Director for Patient
Safety, Great Ormond Street Hospital for Children
NHS Trust
FE3: Orlando Health Site Visit:
Delivering Great Care with
High Reliability
G Gaylord Palms: Tallahassee
Get a behind-the-scenes look at how Orlando
Health has developed the deep engagement of
its clinicians, staff, and patients through a focus
on teamwork and results. Participants in this
hospital site visit will get an opportunity to visit the
largest NICU in the world and learn how Orlando
Health delivers great care with high reliability
and individuality.
• Describe the structures that build the deep
engagement of clinicians and staff
• Discuss the leadership behaviors that can
deepen the engagement of staff and patients
and lead to great results in care delivery
• Develop two strategies to improve engagement
at their institution
FE4: Gaylord Palms: Joy in Work and
Customer Satisfaction
G Gaylord Palms: Sun Ballroom 1-2
This Forum Excursion will give participants an
opportunity to learn how Gaylord Palms, a large
hotel and convention center, improved its operating
margin, increased customer satisfaction, enhanced
workforce morale, and reduced employee attrition
by focusing on employee satisfaction and joy in
work. Participants will get a look at how the
strategies employed by this non-health-care
organization could be applied in their health
care environment.
• Identify joy-in-work and staff retention strategies
in a non-health-care industry that can be
compared with, and applied to, their own
work environment
• Recognize and analyze key concepts of
employee motivation and staff engagement
in different industries
Gunther-Murphy, C., Director, Institute for Healthcare
Improvement; Dickson, E., MD, President and CEO
UMass Memorial Health Care
FE5: Central Florida Zoo:
Patient Care and Operations
This Forum Excursion will go “backstage” at
the Central Florida Zoo, a large-scale operation
engaged in the care of very special “patients.”
Participants will be given examples of key efficient
safety processes in the zoo’s strategy for providing
care for more than 400 animals. Participants will
also learn key concepts from this non-health-care
setting that can be applied to staff and patients in
their own work environments.
• Identify ways of managing large-scale
operations and patient care in a non-healthcare industry that can be applied to their own
work environment
• Recognize and analyze key concepts of staff
engagement and patient care in various settings
• Develop ideas for improving organizationwide
operations and patient care processes in their
own work environment
Duncan, K., RN, Faculty, Institute for Healthcare
Improvement; DeBartolo, K., National Field Manager,
Institute for Healthcare Improvement; Moses, J., MD,
Medical Director for Quality Improvement, Boston
Medical Center
Haraden, C., PhD, Vice President, Institute for
Healthcare Improvement; Hakim, J., MD, Interim
President and CEO, Orlando Health
FE6: Innovation and Imagination:
Disney’s Keys to the Kingdom
G Gaylord Palms: Miami
FE7: Orlando Harley-Davidson:
Safety and Resilience
Disney World has transformed our expectations
of what theme parks should be. This Forum
Excursion will explain how the revolutionary and
creative vision of Walt Disney brought Disney
World to life and how ongoing support for
innovation keeps the theme park fresh. Participants
will learn about Disney’s core concepts in guest
relations, idealized flow, and service standards
and the lessons for health care systems in
incorporating distinct innovations into one large
system with a focused goal.
Since 1907, Harley-Davidson has been a leader
in its field despite market variability, mergers,
and changing customer demographics. What
can we learn from this journey to enhance our
commitment to patient safety and resilience?
In this exciting new Forum Excursion at one of
the largest Harley-Davidson dealerships in the
USA, participants will learn how mechanics are
trained to ensure the quality and safety of their
motorcycles and how Harley-Davidson has
made its brand a household name worldwide.
• Articulate the key values and cultural beliefs
that support Disney World’s ongoing quest for
innovation
• Compare systems in place at Disney World
to hard-wire innovation to their own work
environment
• Recognize opportunities in their own work
environment to apply Disney World’s ideas
around guest relations, service standards,
idealized workflow, and system design
• Identify ways to utilize techniques from
Harley-Davidson to train their team on
patient safety
• Develop ideas to link quality and reliability
methodologies and apply them to their
organization
• Discuss the concept of resilience using
Harley-Davidson’s history as a case study
Chase, A., Consultant; Martin, L., Executive Director,
Forum Excursions
8:30 AM – 5:00 PM
Salinas, G., Director, Patient and Community
Relations, Rancho Los Amigos National Rehabilitation
Center; Gullo, S., RN, Director, Institute for
20th Annual Scientific Symposium
on Improving the Quality and Value
of Health Care
Monday, December 8
9:00 AM – 4:45 PM
G Gaylord Palms: Sun Ballroom A/B
Registration and Continental Breakfast for Scientific Symposium attendees will begin at 8:00 AM
in the Sun Lobby
The Scientific Symposium attracts the best work in the science of health and health care
improvement. The day features keynote speakers, rapid-fire presentations of peer-reviewed
papers, interactive methods sessions, and networking. This program will include a keynote
presentation by Mark Smith, Former President, California HealthCare Foundation.
How is your Forum Excursion? Tweet it using #IHI26Forum
17
Monday
December 8
Pre-Conference
Minicourses
8:30 AM – 4:00 PM
Minicourses offer in-depth, hands-on learning
opportunities and many take-home tools for
implementing and sustaining change.
M1: Building a Measurement System
That Works
This hands-on session will provide a practical
framework for constructing and evaluating quality
measurement systems. Faculty will offer guidance
and practical tips for selecting measures,
specifying operational definitions, and building
data collection plans. Both conceptual and
statistical approaches to understanding variation
in data will be reviewed. Participants will also
receive guidance on how to improve graphical
displays of data and the steps needed to link
measurement efforts to improvement strategies.
• Determine the purpose of their measurement
efforts: judgment, research, or improvement
• Develop measures, operational definitions, and
practical data collection plans that support
organizational objectives and to create a plan
for the analysis and display of measures
(statistical and graphical)
• Build a measurement system that cascades
from the top of the organization to the point
where care is delivered
Lloyd, R., PhD, Executive Director, Performance
Improvement, Institute for Healthcare Improvement;
Little, K., PhD, Principal, Informing Ecological Design,
LLC; Scoville, R., PhD, Improvement Advisor/Consultant,
18
M2: Data Sanity: Leadership Catalyst
to Transformation
M4: Improving Our Improvement:
Building Our Field F
Key Largo
Poor data use remains a major, invisible source
of waste in health care organizations. Imagine
leaders spending 50% less time in meetings
poring over routine operational reports and putting
that time into facilitating a culture of excellence
instead. This session will explain “data sanity” —
an organizationwide language that can change
daily problem-solving conversations and unify
improvement efforts. Participants will learn how
data sanity catalyzes the leadership psychology
necessary for creating a culture with
“improvement” embedded in its DNA.
• Identify the universally key elements of data
sanity, especially common and special causes
of variation
• Apply several techniques to focus vague
problems, reduce cultural defensiveness, and
encourage valuable participation
• Apply a results-oriented cultural psychology to
transform the role of improvement and coach
organizational excellence
Balestracci, D., Statistician/Quality Improvement
Specialist, Harmony Consulting, LLC; Hector, P.,
Clinical Educator & Consultant, Paige Ahead
Healthcare Education & Consulting, LLC
M3: Engaging Physicians to
Transform Care
Care transformation requires that physicians
become proficient in using the technical tools of
process improvement. Mastery of these skills does
not ensure, however, the engagement necessary
for commitment and results. For that, physicians
must shift their traditional views of teamwork,
autonomy, and leadership. Using Virginia Mason
Medical Center as a case example, this session
will describe a comprehensive model that
executives and physician leaders can follow to
address these barriers to engagement.
• Describe how urgency, shared vision, change
sponsorship, compact (reciprocal expectations
between doctors and their organization), and a
single organizationwide improvement method
can be applied to engage physicians
• Articulate actions that leaders can take when
change challenges physicians’ traditional view
of their role and their work
• Draw lessons from the case example that can
be applied to their own organization
This session is for the improvement enthusiast!
Through an interactive all-teach-all-learn method,
participants will explore their own commitment
to improvement, identify, and discuss multiple
improvement methods, and align these methods
with foundational improvement theory. This
learning activity will lead us toward a robust,
practical framework that supports wise action and
creativity. We will also explore Experience-Based
Co-Design (EBCD), a method that integrates
patients, families, and staff into the design of care.
• Discuss multiple improvement methods
and develop criteria for method selection
appropriate to their improvement work
• Participate in a simulation of a creative and
integrated improvement method (EBCD)
Taylor, J., Improvement Advisor, Institute for
Healthcare Improvement; Butts, S., Improvement
Advisor, Butts-Dion Consulting, Inc.; Crowe, G., RN,
Principal, Hamilton Consulting, LLC
M5: Leading Radical Change:
A Day of Transformation
We can’t drive into the future using only our
rearview mirror. Participants in this session
will spend an inspiring day with like-minded
individuals to consider the implications and
opportunities for transforming health care in a
world where the power of hierarchy is diminishing
in the face of complexity and change is happening
faster and becoming more disruptive. Join our
new breed of change leaders who are rewriting
the rules and leading change from the future.
• Identify major themes and trends in the global
world of change and transformation that
are likely to shake the world of health
care improvement
• Consider the opportunities and implications
of these for their own practice as a leader of
change and improvement
• Model new forms of collective learning,
collaboration, and community building
Bevan, H., PhD, Chief Transformation Officer, NHS
Improving Quality
Silversin, J., President, Amicus, Inc.; Kaplan, G., MD,
Chairman & CEO, Virginia Mason Medical Center
M6: Managing Conflict on Health
Care Teams
M8: The Micro/Meso/Macrosystem
Improvement – Big Room!
Patient Safety
M10: Safety II: Adding Resiliency to
High Reliability M
Differences are inherent in multidisciplinary
teamwork, but the pressures, fast pace, and
complexity of health care can escalate differences
into conflict. Although it is easy to either withdraw
from problem solving or devolve into intractable
arguments, effective conflict resolution is critical
to optimal patient care. Participants will learn
principles and practice skills that will help them
move beyond these two reactions and transform
conflict into an opportunity to develop effective
collaboration.
• Explain how to build relationships while
negotiating and define the differences between
interests and positions
• Identify ways to separate fact from assumptions
and stories
• Practice identifying and using emotions during
conflict
• Demonstrate how to negotiate in the face of
differences in authority
Chou, C., MD, PhD, Professor of Medicine, San Francisco
VA Medical Center; Baker, N., MD, Principal, Neil Baker
Consulting and Coaching; Cochran, N., MD, Associate
Professor of Medicine, The Dartmouth Institute
• Develop their own organizational strategy to
assess, improve, and sustain improvement over
time in frontline clinical microsystems
• Practice new knowledge and skills through
multiple simulations aimed at re-creating
assessment, improvement, and tracking of
improvement over time
Godfrey, M., PhD, Co-Director, The Microsystem
Academy Instructor, The Dartmouth Institute for Health
Policy and Clinical Practice; Harrison, S., Service
Improvement Manager, Sheffield Teaching Hospitals;
Oliver, B., PhD, Assistant Professor, Massachusetts
General Hospital Institute of Health Professions
M9: Why So Slow? Spreading
Success for Leaders
M7: A Provocative Deep Dive into
Baldrige-Guided Excellence
Any performance short of the highest possible
excellence is a failure. This session will present
new ways in which a deeper comprehension
of the Baldrige Framework can challenge, inspire,
and enable leaders to break away from past
performance that continuously fell short of
targets or organizational potential to achieve and
sustain differentiating, national-scale role model
performance. Participants will candidly compare
their performance to that of a recent Baldrige
Award recipient to learn how to take performance
only to excellence.
• Identify the significant gaps between their
organizational performance, however strong,
and what constitutes true excellence, yielding
a take-home imperative for action
• Demonstrate actionable insight into their
leadership strengths and opportunities
compared to the Baldrige Framework and
the principles of servant leadership
• Use the Baldrige Framework as precise,
actionable guidance to achieve highly defined
excellence every time for every patient, with no
excuses permitted
Ettinger, J., President and CEO, Category One, Inc.,
Alumni Member of the Board of Examiners, Malcolm
Baldrige National Quality Award; Ettinger, J., MBA,
President and CEO, Magellan Institute; Heer, J., CEO,
North Mississippi Health Services
Hundreds of health care organizations around the
world have benefited from focusing on the front
line of care where interprofessional care teams
and patients and families meet in microsystems
and mesosystems. This highly interactive session
with simulations will give participants the
experience and knowledge to guide their own
successful improvement journeys.
Why is it difficult to spread excellence throughout
our systems? Unlocking delays to adoption and
reliably implementing at scale are critical steps
to system success. This session will provide
participants with an approach and methodology
for spread. They will learn interactively by doing
and come away with how-to knowledge and
practice on key components for spread. Faculty
from three highly performing systems from
around the world will share approaches
and examples.
• Develop an approach to get the best care in
their system reliably spread throughout
the system
• Test (and later teach) this approach with a real
case in their home environment
Compton-Phillips, A., MD, Chief Quality Officer, Kaiser
Permanente; Henriks, G., Chief Executive of Learning
and Innovation, The County Council of Jönköping;
Watters, J., Quality Improvement Advisor, Healthcare
Improvement Scotland; Robson, B., Executive Clinical
Director, Healthcare Improvement Scotland
Complex, nonlinear systems must be reliable
and resilient to be safe, but current methods for
improving patient safety, “Safety 1,” have resulted
in robust but fragile systems. Resilient systems
absorb upsets and adjust to preserve functions.
This session will use lecture and case study to
relate the existing “Safety 1” work to the emerging
“Safety 2” methods, advance practice in safety
science, and reduce the infighting between
high-reliability practitioners and resilient
engineering innovators.
• Identify and apply Safety 1 methods: safety
culture, cause analysis, process improvement,
and the principles of high-reliability organizations
• Develop a strategy for safety improvement
using both Safety 1 and Safety 2 methods to
optimize system reliability and resiliency
Clapper, C., Partner & COO, Healthcare Performance
Improvement, LLC; Yates, G., MD, Vice President,
Sentara Healthcare; Leonard, M., MD, Principal, Safe &
Reliable Healthcare; Colligan, L., MD, Clinician Safety
Scientist, Sharp End Advisory, LLC
M11: Still Harming Patients:
Let’s Boost Patient Safety F
Harbor Beach
Awareness about patient safety is rising, research
is developing, and initiatives are underway, but
overall levels of patient safety are stagnant at best.
Improving institution-wide outcomes for patients
requires understanding the synergies between
interventions, cultures, measurements,
infrastructures, and learnings. In this session,
participants will study and discuss the components
of an institutional patient safety improvement
program, with an emphasis on system-wide
implementation and sustainability.
• Articulate why, despite developing research,
patient safety improvement programs are not
showing results that match their potential
• Describe the key components of an institutional
patient safety improvement program
• Develop their own patient safety plan
Federico, F., RPh, Executive Director, Strategic Partners,
Institute for Healthcare Improvement; Peden, C., MD,
Associate Medical Director for Quality Improvement,
Consultant in Anaesthesia and Intensive Care, Royal
United Hospital, Bath; Staines, A., PhD, Professeur
Associé, University of Lyon
Minicourses
8:30 AM – 4:00 PM
What are you talking about during your Minicourse? Tweet it using #IHI26Forum
19
Monday
December 8
Pre-Conference
• Describe IHI’s approach to reducing avoidable
readmissions
• Identify successful approaches to engaging
staff and clinicians in all clinical settings to
create an ideal transition home after an acutecare hospitalization
Rutherford, P., RN, Vice President, Institute for
Healthcare Improvement; Nielsen, G., Fellow and
Faculty, Institute for Healthcare Improvement;
Coleman, E., MD, Director, Care Transitions Program,
University of Colorado Anchutz Medical Center
M12: Engaging Partnerships for
Better Health P
Aruba/Bahamas
Trusting, productive relationships between health
care teams and prepared patients produce better
health outcomes and improve the experiences of
patients and professionals alike. A foundation of
compassion, acceptance, and partnership
underlies this approach. This interactive Minicourse
will showcase the patient perspective, introduce
practical skills for engaging patients, and review the
options for successful system redesign.
• Commit to engaging patients as both individuals
for clinical care and as partners in system
redesign
• Demonstrate patient-centered skills based on
motivational interviewing
• Compare examples of effective patient
engagement strategies
Davis, C., Co-Director, Geriatric Nurse Practitioner,
Centre for Collaboration, Motivation, and Innovation;
Reims, K., MD, Chief Medical Officer, CSI Solutions,
LLC; Gutnick, D., MD, Assistant Professor of Medicine
and Psychiatry, Bellevue Hospital Center
M13: Reducing Avoidable
Readmissions by Creating a More
Patient-Centered Transition Home
Sawgrass
Readmissions after acute-care hospitalizations
are frequent, costly, burdensome for patients and
families, and frustrating for clinicians and staff.
Efforts to reduce avoidable readmissions can
address the complex factors behind unplanned
readmissions. This session will present strategies
and promising interventions through case studies
for clinicians and staff in hospitals, office practices,
home health care, and skilled nursing facilities
to use to improve care transitions for patients by
providing more patient- and family- centered care.
• Identify the contexts and common problems
that contribute to patients being readmitted to
the hospital within 30 days of discharge
20
M14: Discovering How to Compete at
Speed: High-Velocity Organizations M
Marco Island
This session will introduce the capabilities that
enable successful, high-velocity organizations in
today’s health care environment to sustain their
competitive advantage. Participants will be
exposed to invaluable skills for competing at
speed in this complex and fast-moving world and
come to an understanding of the critical role of
leadership. They will also learn how to identify
process deviations before failure points are
reached and how to convert failures into sources
of superiority.
• Identify and differentiate complicated and
complex dynamics in high-velocity organizations
• Utilize the knowledge and skills that
characterize high-velocity organizations for
performance improvement
Downes, T., Consultant Geriatrician and IHI Fellow,
Sheffield Teaching Hospitals; McIlwain, T., MD, Chief
Medical Officer, Charleston Area Medical Center;
Spear, S., Senior Lecturer, Massachusetts Institute
of Technology
M15: Leading the Transformation to
High-Reliability Care
Experienced leaders in health care will share how
senior leaders can transform care, as they are
critical to organizations becoming highly reliable.
Strong leadership commitment to zero preventable
harm, a culture of safety, and effective process
improvement are critical components on the high
reliability journey. This Minicourse is designed for
leadership teams, including chief executive officers,
chief medical officers, chief quality officers, and
chief nursing officers, to learn what they need
to do together on their journey to high-reliability
health care. The focus will be on practical ways
in which senior leaders can drive culture change.
Faculty will interact with attendees during table
top exercises in the development of actionoriented steps for significant improvement and
long-term sustainability.
• Discuss the importance of leaders as agents of
change on the high-reliability journey
• Share lessons learned from those who are
working to achieve high reliability
• Articulate specific actions they can take within
their organizations to make progress toward
high reliability
Chassin, M., MD, President and CEO, The Joint
Commission; Shabot, M., MD, Senior Vice President
and System Chief Medical Officer, Memorial
Hermann; Meyer, G., MD, Chief Clinical Officer,
Partners Healthcare; Curry, R., President and CEO,
Citrus Valley Health Partners; Walker, G., President
and CEO, Wentworth Douglass Hospital
M16: Age Different: Transforming
Care for Older Adults
St. Thomas/West Indies
Learning Format: Controversy Panel
Health care systems play a critical role in helping
adults remain healthy and independent as they
grow older, and the delivery of medical care needs
to be transformed if health care systems are to
manage the rising wave of age-related health
and social challenges. This session explores a
transformation model with innovative capabilities
to understand the needs of older adults,
coordinate care for this population, extend the
reach of health care systems, and empower
everyone involved, from patients to providers.
• Experience social and nonmedical needs from
the perspective of an aging person and explore
new ways to encourage staff and patient
participation in innovation
• Understand the drivers of health and wellbeing in the elderly and the need for innovation
in patient-centered assessment and planning,
complex care coordination, the provision of
care wherever it is needed, and social and
nonmedical care
• Discuss an actionable portfolio of innovative
delivery system tactics for immediate
implementation
Dorman, J., Vice President, Care Management Institute,
Kaiser Permanente; Vartan, A., Principal Consultant,
Kaiser Permanente; Sahai, F., VP Innovation & Adv.
Technology, Kaiser Permanente; Neuwirth, E., PhD,
Director of Evaluation and Analytics, Kaiser
Permanente’s Care Management Institute
Minicourses
M17: Building a System of Integrated
Care: Lessons from the Field
8:30 AM – 4:00 PM
Anaheim
Integrating behavioral health into the patientcentered medical home is one of the most promising
strategies to achieve the Triple Aim. For many
organizations, however, successfully implementing
and sustaining these clinical models remains elusive.
This in-depth, interactive session will explore
successful models for implementing integrated,
team-based care through three case studies and
application exercises. Participants will learn from
health systems, health plans, and states that have
worked to improve outcomes, patient experience,
and reduce costs through integrating behavioral
health. Discussion will focus on key lessons
learned, making the business case, innovative
partnerships, and actionable next steps. Participants
will take home self-assessment tools as well as
develop action plans to implement and sustain
integrated care at their organization.
• Identify different approaches to implementing a
system of behavioral health care
• Describe how to make the business case for
integrated care
• Articulate how to overcome common barriers
to the sustainable implementation of integrated
behavioral health care
• Develop an action plan to implement integrated
behavioral health care at their organization
Laderman, M., Senior Research Associate, Institute for
Healthcare Improvement; Henderson, R., Chief
Behavioral Health Officer & VP, Strategic Integration,
St. Charles Health System; Holtz, R., Vice President
Behavioral Health Services, CDPHP; Miller, B.,
Assistant Professor, University of Colorado School
of Medicine
M18: Improving the Health and
Wellness of a Population...
Reaching Every Single One
Progressive Indian Health system organizations
have moved from simply improving health care to
improving the health of the population. This session
will present their innovative ideas: developing
strong care teams, using robust and reliable data
to improve the quality of care and generate better
outcomes, improving access to care and services,
and mobilizing and engaging patients and the
community to overcome nonclinical barriers to
achieving population health. Participants will learn
the strategies that have spread transformational
change and achieved great results across the
Indian nations.
• Identify the high-leverage changes and
improvement methods that contribute to better
health and wellness in an entire population
• Review the transformational journey of several
health care systems from being providercentered to patient-centered
M20: Accountable Care Organizations:
A Vital Step in the Transformation of
Our Health Care System
• Analyze and use data to accelerate improvement
• Apply lessons learned from successful
organizations to their own spread and
scale-up efforts
Hupke, C., RN, Director, Institute for Healthcare
Improvement; Langley, J., Statistician, Associates in
Process Improvement; Moses, J., MD, Medical Doctor,
Chinle Comprehensive Health Care Facility; Tso, R.,
CEO, Indian Health Service; Ritter, L., RN, Nurse
Consultant, Cherokee Nation W. W. Hastings Hospital;
Nolan, D., Hospital Medical Director, Cherokee Nation
W. W. Hastings Hospital; Gray, B., MD, Clinic Medical
Director, Cherokee Nation; Rogers, E., Fiscal Manager,
South Dakota Urban Indian Health, Inc.; Hogie, T.,
Nurse Practitioner, South Dakota Urban Indian
Health, Inc.
M19: Partnering with the Community
to Create Health
Vinoy
Creating health in a community requires that
a health care system reach beyond its walls to
understand the life, strengths, and systems of the
community to form meaningful partnerships. This
Minicourse will discuss innovative health systems
around the world that are doing groundbreaking
work in improving community health. Based on
mini-case studies of these organizations,
participants will identify the steps to forming
community partnerships and will create a
plan to partner with their own community to
improve health.
• Explore a diversity of ways in which health
systems from around the world can improve
community health
• Describe powerful approaches to
understanding and mapping the needs
and assets of a community
• Identify the common steps to partnership with a
community and activation of organizations and
individuals
• Create a plan for taking the first steps to create
partnerships within their own communities
Lewis, N., Director, Institute for Healthcare Improvement;
Stout, S., MD, Executive External Lead, Health Improvement, Institute for Healthcare Improvement; Gottlieb,
K., MBA, President and CEO, Southcentral Foundation; Bintz, M., MD, Vice President, Gundersen Health
System; Krause, J., Chief Quality & Patient Safety
Officer, Gundersen Health System; Nicholas, A., Project
Coordinator, Community Organising, Ko Awatea
Many believe that accountable care organizations
(ACOs) hold great promise for efforts to transform
care delivery and move away from an economically
unsustainable fee-for-service model toward one
in which cost-effective care that better meets the
needs of patients and populations is rewarded.
Despite mixed results to date, ACOs are growing
rapidly, reinforcing the expectation that this
arrangement will become increasingly common.
During this session, a diverse group of ACO
leaders will share their successes and challenges
in leading health system transformation.
• Identify common challenges to running a
successful ACO and ways to meet them
• Discover opportunities to accelerate their
efforts to achieve cost- and quality-related
improvements at scale
• Engage in active peer sharing and learning
Torres, T., MD, Senior Vice President, Institute for
Healthcare Improvement; Bradke, P., RN, Vice President
Post-Acute Care, UnityPoint Health – St. Luke’s Hospital;
Kerwin, G., President/CEO, Bellin Health; Loehrer, S., MD,
Director, Institute for Healthcare Improvement; Kurose,
A., MD, President & CEO, Coastal Medical
M21: Productive Partnerships: Tools
for Successful Cross-Sector Change
Partnering across sectors is an emergent trend
that helps health care organizations coordinate
activities, identify resources beyond health
systems, and bring improvement into the social
space. Using the Scottish Early Years Collaborative,
which aims to improve children’s developmental
outcomes, as a case study, along with Scotland’s
emergent learnings on raising educational
attainment, this session will show participants
which tools are useful cross-sectorally and how
to organize productive partnerships.
• Describe the key success factors from
the Scottish Early Years Collaborative’s
improvement work
• Discuss how asset-based community
development can help focus improvement work
• Extract common themes for improvement and
apply them to a local context
Leitch, J., Clinical Director, Scottish Government Health
Department; Bell, D., Deputy Director, Learning,
Scottish Government; Hannah, S., Head of Improvement
Programme – Raising Attainment For All, Scottish
Government; Bennett, B., Principal Advisor,
Improvement Science Consulting; Laing, S., Deputy
Director, Early Years, Scottish Government
What are you talking about during your Minicourse? Tweet it using #IHI26Forum
21
Monday
Special Events
National Forum Welcome Reception
IHI’s Patient Safety Q&A Session
Palms Ballroom, Exhibit Hall
IHI Booth #301, Exhibit Hall
7th Annual IHI Open School Chapter Congress
Join Kelly McCutcheon Adams, Director at IHI, to learn more
about IHI’s patient safety work.
3:30 PM – 6:30 PM
5:00 PM – 5:45 PM
(sponsored by Kaiser Permanente)
4:00 PM – 6:30 PM
Evening Yoga
6:00 PM – 6:45 PM
Dinner and a Demo: Improving Health by Learning to Cook
6:30 PM – 9:00 PM
Minitab Vendor Presentation: Best Practices for
Analyzing Non-Normal Health Care Metrics
4:45 PM – 5:15 PM
Palms Foyer Classroom
Most healthcare metrics are not well modeled by the normal
distribution (e.g., total length of stay, wait time, total charges,
number of ER visits, days between visits, etc.), yet most
statistical procedures assume a normal distribution. Therefore, it
is important to know how to detect and analyze non-normal data
in the health care industry. We will explore graphical methods
and statistical tests for detecting non-normal data. The effects of
sample size and measurement resolution on normality tests will
also be discussed. The session will conclude with an overview of
analysis techniques for non-normal data, with an emphasis
on statistical tools that are highly sensitive to the normality
assumption such as Capability Analysis and Tolerance Intervals.
22
Dr. Timothy Harlan and Chef Leah Sarris will explain the
Mediterranean diet and the evidence of its effect on health, discuss
their hands-on nutrition program at Tulane, and demonstrate how
to cook the healthy meal that will be served in the session.
Seats are limited and registration is required. $40.
Faculty Reception
7:00 PM – 9:00 PM
Harbor Beach/Marco Island
This reception is offered exclusively for National Forum presenters
and IHI Faculty.
Your Forum
Wellness Checklist
IHI’s Work-Life Wellness Team and the IHI Blue Shirts have some tips for how you can make the
26th Annual National Forum a great learning experience AND a renewing time for you. We hope
that you can take advantage of the health resources and energizing ideas below:
qAttend a yoga session in Grand Ballroom, Salon 3 on Monday
and Tuesday evening
qJoin a morning stretch in Grand Ballroom, Salon 3 on
Monday, Tuesday, and Wednesday
qChoose water over soda during lunch
qUse the exercise equipment in the Keynote overflow room
(located in Crystal Ballroom H)
qGet some fresh air! Sit outside during lunch
in approved locations
qWear comfortable shoes
qVisit the fitness center at your hotel
qGet at least 8 hours of sleep
qTake a break from work emails to be present
during a session
qTalk about the Keynote session with a new friend
qTake a walk through the Exhibit Hall
qChoose to stand up rather than sit during a session
qWalk to the North Tower
qTake a deep breath and find some time to meditate in the Meditation
and Prayer Room (located in the North Tower)
qRecharge with a nap before evening networking activities
qHigh-five a Blue Shirt
Questions? Ask a Blue Shirt!
23
Tuesday
December 9
Conference Day 1
Keynote One
8:00 AM – 9:00 AM
Cypress Ballroom 3
Maureen Bisognano
President and CEO, IHI
Morning Stretch
6:30 AM – 7:00 AM
National Forum
Orientation
7:00 AM – 8:00 AM
sessions to help you navigate through the program
and devise a personal learning plan. Participation
in the orientation is free.
A & B Workshops
A Workshops: 9:30 AM – 10:45 AM
B Workshops: 11:15 AM – 12:30 PM
All A Workshops repeat during B Workshops except
for Special Interest Keynotes.
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NEW
THIS
YEAR!
Special Interest Keynotes
A1: From Crisis to Calling:
How Physicians Can Lead
9:30 AM – 10:45 AM
Cypress Ballroom 3
Physicians enter
medicine inspired
to heal patients and
alleviate pain, but
many eventually
become pessimistic
about their profession. Countering this pessimism
is imperative to achieving the Triple Aim. Many
health systems, understanding the central role
of physician leaders in transforming care,
struggle to gain the commitment of their physicians
to these efforts. This session will demonstrate
how to urge physicians to take on broader
accountability and provide effective leadership
in transformation efforts.
• Articulate why changing physician attitudes is
central to fixing health care and demonstrate
how it can be done
• Identify the steps required to engage, foster,
and build physician leadership, drawn from
real-world experiences
• Develop concrete ideas and solutions for
establishing systems and building a culture
that places patients’ needs above all else
Forum Excursion
Workshops
New for 2014, these 75-minute
workshops offer a sneak peek into what it’s
like to attend a National Forum Excursion.
Join any of three Forum Excursion
Workshops to experience first hand how
the Marriott World Center handles the
flow of large volumes of visitors while still
managing to offer exceptional customer
service at all levels.
All Forum Excursion Workshops will meet
in Chicago/Denver room and depart on a
short tour led by presenter Paul Levy.
FEA: Managing Flow at Hawk’s
Landing Golf Course
Cochran, J., MD, Executive Director, The Permanente
Federation – Kaiser Permanente; Kenney, C., Author
9:30 AM – 10:45 AM
B1: Safe Passage Across the Continuum
FEB: Optimizing Efficiency with
Marriott Housekeeping
11:15 AM – 12:30 PM
Cypress Ballroom 3
Efforts to improve patient safety
have historically focused on the
location of care – hospitals,
patient care areas such as
intensive care units, and office
practices. While each of these
care sites have patient safety challenges unique
to their environment, there are additional risks
when the patient journey is viewed in its entirety,
from home to health care and back again. In this
session, we will explore the challenges, risks, and
possible solutions to managing safe passage for
patients across the continuum of care.
11:15 AM – 12:30 PM
FEC: Safety and Reliability with
Marriott Lost and Found
1:30 PM – 2:45 PM
• Describe the unique safety challenges across
the care continuum
• Discuss patient segmentation as one possible
approach to understanding and improving
those challenges
• Identify opportunities to improve safety across
the continuum at their organization
Haraden, C., PhD, Vice President, Institute for
A Workshops
9:30 AM – 10:45 AM
B Workshops
11:15 AM – 12:30 PM
All A workshops repeat
during B workshops except
Storyboard Walkarounds
Rapid-Fire Quality Improvement Projects
SWA: Creating an Antibiotic
Stewardship Program
9:30 AM – 10:45 AM
Cypress Ballroom 1
Moderator: Jacobsen, D., Director, Institute for
Presenters: McNamara, D., MD, Gundersen Health
System; Evans, K., Assistant Professor/Nurse Practitioner,
Georgia State University; Abbo, L., MD, Associate
Professor of Clinical Infectious Diseases, University of
Miami Miller School of Medicine; Cotter, J., MD,
Infectious Disease Physician, OSF Saint Francis
Medical Center
SWB: The Marriage of Employee
and Patient Safety M
11:15 AM – 12:30 PM
Cypress Ballroom 1
Moderator: Muething, S., MD, Vice President for Safety,
Cincinnati Children’s Hospital Medical Center
Presenters: Hall, D., RN, Director, Patient Services,
Cincinnati Children’s Hospital Medical Center;
Muth, A., Director, Occupational Safety & Environmental
Health, Cincinnati Children’s Hospital; Giaccone, M., RN,
Director, Patient Safety, Cincinnati Children’s Hospital
Medical Center
A/B Workshops
A4/B4: Network Insights for Health
Care Improvement
A2/B2: Chronic Disease Management:
Independent Commission on WholePerson Care F
This session will highlight key principles to use in
tackling the coming tsunami of need in frail, aging
adults with multiple chronic diseases, without
bankrupting existing health care systems. In
demonstrating how critical it is to bring health
care into the 21st century of technological
transformation of service delivery, this session will
detail the transformative potential of technology in
health care delivery and compare the approaches
of different countries to care for the frail elderly.
• Identify generic system principles to use in
managing people with multiple diseases
• Describe the potential of technology to
transform care delivery models and
empower patients
• Explain how other countries are dealing with
the needs of their aging populations
Oldham, J., Professor, Institute Global Health Innovation,
Imperial College London
A3/B3: Knowledge Management for
Large-Scale Improvement
Implementing effective learning strategies for
large-scale improvement programs is a challenge.
This workshop will provide theory, practical
examples, and structured guidance on tested
strategies for successful large-scale learning. We
will include strategies on face-to-face learning as
well as novel ideas about how to move information
and best practices around and between dispersed
participants in learning networks. Lessons from
the USA, Scotland, and Africa will be used to
describe the models.
• Draw lessons and strategies from the IHI
experience in large-scale learning events and
learning platforms for dispersed participants
• Employ tools and methods for building learning
systems and knowledge management platforms
Webster, P., Improvement Advisor, Faculty, Institute for
Healthcare Improvement; DeBartolo, K., National Field
Manager, Institute for Healthcare Improvement; Lewis,
N., Director, Institute for Healthcare Improvement
A recent explosion of social network research has
explained idea diffusion and value creation in
social systems, yet improvement work has been
slow to integrate these findings. Key network
theories applied in inter-organizational learning
networks (chronic care, safety, perinatal, and
patient advocacy) have demonstrated that a
network approach can support efforts to improve
health outcomes. Through interactive discussion
with practitioners and patient and family
presenters, participants will gain insights for
network-based strategies to achieve results.
• Recognize network theories from the social
sciences with potential to impact health care
improvement paradigms
• Articulate the drivers of the design and
management of learning networks for health
care improvement
• Describe strategies for successfully engaging
patients and families as partners in networkdriven improvement
Lannon, C., MD, Professor of Pediatrics, Cincinnati
Children’s Hospital Medical Center; Lihn, S., President,
Sisters by Heart; Kennedy, S., Co-Chair, Patient Advisory
Council for ImproveCareNow & C3N, Cincinnati
Children’s Hospital Medical Center; Provost, S., PhD,
Student, University of Texas Austin
A5/B5: Personal Mastery for
Transformational Leadership S
Transformational change depends on how fast
and how far people can shift roles and ways of
thinking and relating, always constrained by the
ubiquitous human tendency toward emotional
tension and resistance. Within this stressful
context, leaders are faced with the difficult tasks
of simultaneously managing their own reactions,
standing firm on decisions, and individually
engaging others. Through case study, methods
will be presented to enhance leaders’ “personal
mastery” in achieving desired results and building
creative relationships.
• Explain how to identify and respond effectively
to reactions within themselves and in others
that may interfere with progress
• Identify strategies for reflection and
communication that facilitate movement
away from reactivity and toward creativity
• Define ways to exercise authority that help to
preserve positive engagement
Baker, N., MD, Principal, Neil Baker Consulting
and Coaching
What workshop are you enjoying? Tweet it using #IHI26Forum
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Tuesday
December 9
Conference Day 1
A Workshops
9:30 AM – 10:45 AM
B Workshops
11:15 AM – 12:30 PM
A7/B7: Tangible Changes in Care
Delivery Methods
This session will outline the features of health
care organizations that excel relative to their peer
organizations not only in delivering high-quality
care but also in reducing total per capita
health spending.
• Identify emerging evidence of the care delivery
features associated with the definition of high
value provided
• Describe how care delivery features vary by
provider type
• Hypothesize about new care delivery features
that would achieve even greater value
Milstein, A., MD, Medical Director, Pacific Business
Group on Health
Patient Safety
A8/B8: An Analytic Approach to the
Delivery of Safe Care
Although research often operates independently
of operations (and more slowly) effective researchoperations partnerships (ROPs) can facilitate
improvement efforts within a learning health care
organization, especially where the evidence is
unclear. The ROP at Kaiser Permanente Southern
California (KPSC) has been embedded in
operations and addresses operationally relevant
questions in real time. Presenters will explain how
this structure can be used at any organization
with the vision to meet the Triple Aim.
• Describe how the KPSC research team has
partnered with the organization’s evidencebased medicine services unit and clinical
operations to improve care
• Formulate research hypotheses that help to
close the gaps in care that matter to patients
and providers
• Measure, understand, and rectify under- and
over-utilization of low-value practices
Kanter, M., MD, Medical Director, Quality & Clinical
Analysis, Kaiser Permanente Regional Quality and
Risk Management; Gould, M., MD, Senior Scientist
and Director for Health Services Research, Kaiser
Permanente; Nguyen, H., Research Scientist, Southern
California Permanente Medical Group; Koster, M.,
Practice Leader, Technology Assessment & Guidelines
Unit, Southern California Permanente Medical Group
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• Identify the challenges related to reducing
mortality from sepsis
• Implement processes to make evidence-based
interventions for patients with sepsis more
reliable and timely
Rooney, K., Professor of Care Improvement, NHS
Scotland; O’Donnell, B., Lecturer – Adult Nursing,
University of the West of Scotland; Hunter, A., RN,
Improvement Advisor, NHS Healthcare
Improvement Scotland
A10/B10: Monitoring Patient Safety
in the USA and UK Since the
IOM Reports
A6/B6: Research-Operations
Partnerships to Improve Care
a case study from one hospital in Scotland,
participants will learn effective strategies and
presenters will share the practical ideas that
support their ongoing efforts to improve care
delivery and reduce mortality from sepsis.
Effective patient safety programs require accurate,
robust measurements to evaluate performance
and identify areas for improvement. This session
will describe the measurement strategies used
in a 14-hospital system to promote leadership,
encourage staff participation and commitment,
and track progress in a diverse patient safety
program. The presenters will share data from
surveys, adverse event rates, direct observation,
voluntary reports, administrative data, and
EHR-derived data, and offer candid assessments
of which strategies were most and least effective
in generating the targeted changes.
• Describe in detail an effective, multifaceted
patient safety program that uses accurate and
robust measurement strategies to evaluate
performance and areas for improvement
• Articulate the range of effective measurement
tools and methods to monitor and evaluate a
patient safety culture and practices
• Utilize the data produced by these tools to
improve their patient safety culture and practices
Kennerly, D., MD, PhD, Principal, Kennerly Consulting
A9/B9: Improving Sepsis Care
in Scotland
Aruba/Bahamas
This presentation will cover the changes in patient
safety initiatives in the USA and the UK since the
Institute of Medicine (IOM) reports were released
in 1999 and 2001. Presenters will describe
methods for understanding performance,
identifying potential issues, and monitoring
improvement work.
• Identify changes in patient safety in the USA
and the UK since the IOM reports in 1999
and 2001
• Identify potential issues and monitor
improvement initiatives
Jarman, B., PhD, Senior Fellow, Emeritus Professor,
Imperial College London; Berwick, D., MD, President
Emeritus and Senior Fellow, Institute for
A11/B11: Partnering with Familiar
Faces: Embracing Diversity
of Expectation S P
Anaheim
Using their own stories, two chronically ill patients
will explore themes of partnership, patient safety,
and patient satisfaction and demonstrate how
to embrace the principles of person-centered
care to increase satisfaction while decreasing
medical error. As participants learn concrete
strategies for incorporating patients and families
into health care teams, they will discover options
for partnering with a variety of personalities, ages,
and demographics and, inspired by the speakers’
stories, become motivated to customize care for
the best possible patient experience.
This session will describe a three-year national
collaborative to reduce patient mortality from
sepsis in Scotland, which is part of a larger key
effort, the Acute Adult Safety Program. Presenters
will share their approach and learnings from an
evaluation of the sepsis collaborative. Through
• Examine the variety of expectations held by
chronically ill patients and their families
• Explore and discuss a variety of tools for
improving communication and engaging
patients in safety efforts
• Write action plans for personal and
organizational improvement based on the
information shared
Christensen, T., Patient Advocate, Author, Public
Speaker, Duke University Medical Center; Torres, T.,
Diabetes Evangelist
A12/B12: A Dialogue on Improving
the Patient Experience P
Learning Format: Rapid-Fire Session
Participants in this interactive workshop will
explore the realities of improving patient
experiences. Through presentations and dialogue,
including the perspectives of health care
professionals, patients, and families, this session
will address three aspects of patient experience
performance: structuring experience efforts,
invoking the power of patient and family voices,
and creating solid strategy. Learning from the
panelists and each other, participants will leave
with actionable plans for their own organization.
• Discover the drivers of successful patient
experience efforts, including structural needs,
people, and processes
• Understand how to integrate patient and family
voices into patient experience efforts and
ensure strong partnerships to achieve the best
quality, safety, and service outcomes
• Determine key strategic levers to use in patient
experience efforts and collectively create strong
pathways and plans for achieving success
Wolf, J., PhD, President, The Beryl Institute; Cole, A.,
Executive Director, Alliance for Safety Awareness for
Patients; Lewis, B., MBA, Founder, Joan’s Family Bill of
Rights; Padilla, T., MBA, Chief Patient Experience Officer,
UCLA Healthcare; Santalucia, C., Vice President,
CHAMPS Patient Experience / Santalucia Group
A13/B13: Can We Provide Truly
Compassionate Health Care?
Compassionate health care, a central element of
patient- and family-centered care, is recognizing
and relieving the concerns, distress, and suffering
of patients and families in health care interactions.
This session will use appreciative inquiry, share
stories of compassionate health care, and identify
both the characteristics of compassionate persons
and systems and the barriers to compassionate
care. Working in groups, participants will generate
ideas for advancing compassionate health care in
six areas: leadership, education, measurement,
care design, patient involvement, and
staff/provider support.
• Describe the impact of compassionate health
care on clinicians, teams, patients, and families
• Use the principles and themes that emerge from
the workshop to describe a compassionate
health care organization
• Identify action steps to provide compassionate
health care in their own institution and beyond
Savitz, L., PhD, Director of Research and Education,
Intermountain Healthcare; Duncan, J., RN, Director,
Institute for Healthcare Improvement; Little, K., PhD,
Principal, Informing Ecological Design, LLC; Ayers, D.,
MD, Professor and Chair, University of Massachusetts
Memorial Medical Center; Franklin, P., MD, Outcomes
Improvement Research, University of Massachusetts
Medical School
Lown, B., MD, Medical Director, Schwartz Center for
Compassionate Healthcare; Crocker, L., Health
Consultant & Writer, Institute for Family-Centered Care
A16/B16: Including Patients:
Co-designing the Patient Experience
A14/B14: Decreasing Racial and
Socioeconomic Disparities
The integrated care system HealthPartners has
dramatically reduced racial and socioeconomic
disparity gaps in health care for its patients, while
improving overall screening rates to best-in-nation
levels. This session will demonstrate how working
on cultural humility to understand the population
and partner with the community led to improved
outcomes and experiences for HealthPartners
patients regardless of their race, ethnicity, or
insurance coverage type.
• Identify the importance of cultural humility for
an organization and how to partner with
the community
• Develop strategies to reduce disparities in
care delivered to their patient population while
improving health outcomes for all patients
Averbeck, B., MD, Associate Medical Director, Primary
Care, HealthPartners; Johnson, D., Regional Clinic
Director, HealthPartners
A15/B15: Implementing and Collecting
Patient-Reported Outcome Measures
Patients are a critical source of information
regarding the success of a clinical procedure.
However, patient-reported outcome measures
(PROMs) are infrequently and unreliably collected
in the USA. Clinical measures such as
readmissions and infections assess levels of
harm, but PROMs measure patient success
and are a critical part of the value equation. This
session will discuss the evidence and current
systems for PROM collection and utilization in
improving the value of care for patients and
health care providers.
• Describe the value and urgency of adding
PROMs to the current set of clinical measures
• Provide examples of PROMs collection and
utilization across a variety of conditions and
across care segments and describe ways to
integrate PROMs across service lines without
interrupting patient flow or the timeliness
of care
• Demonstrate how PROMs data can improve the
value of care, guide clinical decision making,
and be aligned with emerging reimbursement
requirements
Participants in this session will learn how the
philosophy and methods of experience-based
design (EBD) and co-design are helping one
organization better understand the experiences
of those receiving and delivering its health care
services. Using a case example from work with
the pancreatic cancer experience, presenters
will highlight how these methods have been
integrated into improvement work and are yielding
improved experiences for patients and families.
• Identify how assumptions could be shaping
their improvement work and impeding their
understanding of what really matters to
their customers
• Describe the basic approaches of EBD and
ways to involve patients and families in
improvement activities
• Identify strengths and gaps in their organization
that suggest practical steps they can take
Haufe, S., Administrative Director, Patient Relations and
Service, Virginia Mason Medical Center; Cranny, M.,
Community Services Team Assistant, United Way of
King County; Helton, W., Director of Liver, Biliary and
Pancreas Surgery COE, Virginia Mason Medical Center
A17/B17: Healing the Healers:
The Soul and Science of Caregiving
A growing body of evidence on the profound
correlation between the quality of presence
offered by caregivers and their own quality of life
suggests that clinical interactions and outcomes
are improved when care receivers encounter the
art as well as the science of total person care.
This workshop will offer insight into a future when
patients expect the humanities, depth psychology,
quantum science, and spiritual insight to be
incorporated into the healing arts and the soul
and the role of caregivers are reconnected.
• Understand the integral relationship between
clinician self-awareness and stress management
in the workplace
• Experience a tool and best practice for
measuring both psycho-spiritual wellness and
suffering among caregivers and care receivers
• Motivate both organizations and professionals
to redefine their vision, mission, and values in
light of the soul and science of caregiving
Diegel, J., President and CEO, St. Charles Health
System; Groves, R., Founding Director, Sacred Art of
Living Center
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Tuesday
December 9
Conference Day 1
A Workshops
9:30 AM – 10:45 AM
B Workshops
11:15 AM – 12:30 PM
A18/B18: Clinical and Cost
Improvement for Population Health
When evidence-based clinical decision support
is integrated into health care information
technology systems, cost and quality outcomes
can be improved. With the shift to accountable
care and global risk, this support can facilitate
a successful transition to risk-based payments.
In this workshop, we will discuss how clinical
decision support can reduce costs and improve
the quality of care for patients, as well as build the
clinical infrastructure for scalable and sustainable
improvements in care.
• Identify the potential of evidence-based clinical
decision support for improving cost and quality
outcomes across the continuum of care
• Describe the role of clinical decision support in
population health
Weingarten, S., MD, Senior Vice President, Chief Clinical
Transformation Officer, Cedars-Sinai Medical Center;
Classen, D., MD, Associate Professor of Medicine,
Senior Partner and CMO, Pascal Metrics, Inc.
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A19/B19: Delivering Volume
with Value and Operating
Room Efficiencies F
Harbor Beach
Today’s health care environment requires that
providers quickly develop new models of care
delivery that can handle increased volume and
produce value. This session focuses on creating
value and improved outcomes through patientfocused care centers, where exceptional care
experiences are co-designed by patients and
families as well as by providers. Participants
will learn how to manage and focus all required
resources, develop high-performance care teams,
and design treatment through a full cycle of care.
• Explain how to deliver both value and volume
and build their own patient-focused care center
• Describe how to improve clinical and
operational outcomes (including OR efficiencies)
while decreasing waste and cost by focusing on
the experience versus the “service line”
Medical Center; Embree, P., Senior Director, Project
Management, University of Pittsburgh Medical Center
A21/B21: Hospital Finance 101:
It’s a Game! F
Key Largo
Clinicians monitor vital signs to gauge patient
health, while administrators treat volume, patient
type, and payer source as financial “vital signs.”
This workshop will present a game-like exercise
in which participants collaborate to evaluate basic
hospital financial snapshots. Hospital finance
will be assessed with cards showing patient type,
payer source, and reimbursement data as well as
premiums and credits. Financial statistics
will be publicly reported and paired with a
financial debriefing.
• Identify and describe key indicators
(volume, patient type, payer mix) of hospital
financial health
• Compare and predict hospital financial health
using the key indicators
Berg, G., PhD, Director, Wesley Leadership Institute,
Wesley Medical Center; Ekengren, F., MD, Chief Medical
Officer, Wesley Medical Center; Leary, M., Chief
Financial Officer, Wesley Medical Center
A22/B22: Observation Medicine:
The Inpatient Fast Track
A20/B20: High-Value Health Care for
Diverse Populations
Marco Island
Key West
Poor hospital-wide patient flow results in reduced
patient satisfaction, adverse clinical outcomes,
lost revenue, and negative impacts on the
organization from the ED to the ICU. Like
segmenting flow in EDs has transformed the
patient experience, observation units and clinical
decision units are now transforming inpatient
flow, and streamlining and improving quality.
This session will highlight the critical elements of
successful observation strategies and explain their
important role in hospital-wide patient flow.
As we pursue high-value health care, it is critical
to ensure that our health care system is capable
of delivering high-quality care to all, while
eliminating disparities and striving for equity.
Disparities epitomize low value — care that
varies in quality — and are usually more costly.
Showcasing real-world examples, this session will
provide the essential strategies to improve quality,
achieve equity, and deliver high-value health care
to diverse populations.
• Present evidence on disparities in health care
• Identify links between value, quality, and equity
• Describe the approaches taken by health care
organizations to deliver quality care to
diverse populations
Lopez, L., MD, Senior Faculty, The Disparities Solutions
Center, Massachusetts General Hospital; Tan-Mcgrory, A.,
Deputy Director, Massachusetts General Hospital;
Kersten, H., MD, Associate Professor of Pediatrics,
St. Christopher’s Hospital for Children; Pierson, K.,
Director of Patient Financial Care Services and Access,
Hennepin Medical Center
• Describe the elements of successful
observation strategies
• Identify opportunities to improve patient flow
in their hospital through the use of observation
units and clinical decision units
Nolan, K., Statistician, Associates in Process
Improvement; Jensen, K., MD, Chief Medical Officer,
BestPractices, Inc.; Crane, J., MD, Emergency Medicine
Faculty, Institute for Healthcare Improvement
A23/B23: A Cross-Sector Learning
System for a Population
Vinoy
Achieving the Triple Aim for a geographic
population requires an organized, reliable
community system that addresses the individual
and social determinants of health behaviors and
health. How do we drive change across diverse,
complex, and interdependent services and
supports? How can we scale and sustain iterative,
adaptive learning? This session will introduce
a prototype of such a system whose change
process, measurements, and system redesign
concepts can be used in diverse health care and
related organizations.
• Identify the design elements for large-scale
improvement in geographic population health
• Utilize change concepts for managing
population health in complex community
systems that include multiple service sectors,
disciplines, and types of providers
• Describe the organization of improvement
activities in a cross-sector population
health prototype
Provost, L., Statistician, Associates in Process
Improvement; Inkelas, M., PhD, Associate Professor,
UCLA School of Public Health; Williams, C., Senior
Quality Improvement Consultant, Cincinnati Children’s
Hospital Medical Center
A24/B24: Behavioral Health Integration:
A Key Step Toward Achieving the
Triple Aim
Patients with comorbid medical and behavioral
health issues experience poor outcomes and high
health care costs, owing in part to fragmented care
and a lack of collaboration between providers.
Integrating behavioral health care into primary
care is a key area for improvement as systems
pursue the Triple Aim. Participants will learn from
leading innovators and experts about successful
implementations of behavioral health integration
around the country, the use of collaborative care
principles in these efforts, and the challenges
commonly encountered.
• Understand how to apply collaborative care
principles to integrate behavioral health and
primary care
• Identify the key steps to implementing
integrated behavioral health care
• Develop strategies to overcome the common
challenges and barriers to integrated care
Laderman, M., Senior Research Associate, Institute for
Healthcare Improvement; Bradley, W., Senior Director,
Health Integration, Ampersand Health; Reiss-Brennan,
B., PhD, Mental Health Integration Director, Intermountain Healthcare
A25/B25: I am Worried. Can You Send Extended Workshops
Someone to See My Mom? F
9:30 AM – 12:30 PM
At any time of the day or night, high-risk seniors
who are not on hospice may experience changes
in clinical status that require in-person assessment.
A substantial number of unnecessary ER visits
are driven by the inability of the elderly to receive
timely care. Participants in this session will learn
about a team-based, rapid-response model that
enables doctors, nurses, social workers, and
paramedics to meet patient needs when they arise.
• Identify the key operational strategies necessary
to build programs to keep high-risk frail elderly
from going to the emergency room
• Review lessons learned from a collaboration
between an advanced illness management
program and a community paramedicine
program aimed at reducing admission rates for
the high-risk frail elderly in the community
• Understand how to ensure the financial viability
of clinical collaboratives focused on high-risk
patients by taking advantage of health care
reform and/or partnering with insurance
companies
Quellhorst, E., Administrative Manager, North Shore-LIJ;
Poku, A., Clinical Data Analyst, North Shore-LIJ;
Smith, K., MD, Vice President & Medical Director for
Advanced Illness Management, North Shore-LIJ;
Washko, J., Assistant Vice President, North Shore-LIJ
A26/B26: Mobilizing Rising Leaders
to Reach the Triple Aim S
Managing population health is challenging and
complex, but by creating close ties with their
community and leveraging local students,
organizations can make positive changes. In this
session, the IHI Open School and practitioners
from the field will share how they are applying
an organizing approach to health and health
care transformation. Participants will learn these
unique skills and how to apply them to a Triple
Aim effort, quality improvement project, or
population health campaign.
• Design and implement a community actionoriented campaign effort
• Apply organizing skills to a local campaign or
improvement effort of their own
Hilton, K., Director, ReThink Health / Leading Change
Project at Harvard University; Perlo, J., Community
Manager, Open School, Institute for Healthcare
Improvement; Strang, C., Director of Operations, Open
School, Institute for Healthcare Improvement
Workshops do not repeat!
A27: Empowering Nurse Leaders
Through Innovations in Person- and
Family-Centered Care
Sawgrass
Person- and family-centered care is at the core
of nursing, whether in the home or clinic, at the
bedside, or in the boardroom. This session is
aimed at nurse leaders with an interest in
improving such care across the continuum.
Participants will have the opportunity to hear from
senior leaders and others who have implemented
effective strategies to improve patient experience
across the continuum.
• Describe high-impact actions that can be taken
by nurses involved in person- and familycentered care and strategies that lead to
excellent patient experiences
• Discuss the ways in which patients participate
in a health system and approaches to using
their experience effectively
• Contribute to a framework for understanding
person- and family-centered care across the
continuum and participate in the newly
formed Global Nurses Network for
Quality Improvement
Berry, L., PhD, Distinguished Professor of Marketing,
Texas A & M University; Hoying, C., Senior Vice
President, Cincinnati Children’s Hospital Medical
Center; Evans, R., Senior Director – Service,
Massachusetts General Hospital; Reid, E., RN, Health
Foundation/IHI Quality Improvement Fellow, Scottish
Government Health Department
A28: The IHI Innovation Relay
Miami
In an Innovation Relay, a small team from diverse
professional and personal backgrounds is formed
to find an innovative solution to a health care
problem. In this workshop, teams will identify,
test, refine, and retest possible solutions, relying
on their own knowledge and knowledge from a
field of industry contacts. Participants will develop
a mini-network of new peers, acquire a working
knowledge of IHI’s Innovation Process, and find
a potential solution to test on a problem in their
home organization.
• Articulate the IHI Innovation Process and how
it can be applied to solve problems in health
care organizations
• Discuss the innovation strategies of
scanning, generating ideas, prototyping,
and building theories
• Identify a problem and begin building
prototypes in a rapid design process that can
be tested in their home organization and other
organizations
Martin, L., Executive Director, Institute for Healthcare
Improvement; Mate, K., MD, Senior Vice President,
29
Tuesday
December 9
SWC: Strategies for Performance
Improvement: Implementation of a
Successful VTE Intervention Program
1:30 PM – 2:45 PM
Cypress Ballroom 1
Conference Day 1
C Workshops
Moderator: Amin, A., MD, Professor, Chair, Department
of Medicine, Executive Director, Hospitalist Program,
UC Irvine Medical Center
Presenters: Fanikos, J., Pharmacist, Brigham and
Women’s Hospital; Kohn Tuli, A., Senior Consultant,
Hamad Heart Hospital; Lawler, A., Program Manager,
Hamad Medical Corporation; Van Pelt, R., MD, Director
of Global Programs, Partners Harvard Medical
International
1:30 PM – 2:45 PM
C workshops do not repeat.
C2: A Management Leadership and
Board Roadmap to High-Reliability
Health Care
C1: My Hopes for Health and Health Care:
A Pecha Kucha-Style Workshop S P
1:30 PM – 2:45 PM
Cypress Ballroom 3
Across the globe, Pecha Kucha is
one of the fastest-growing new ways
to make presentations and spread
learning and ideas quickly and
effectively. Eleven diverse leaders and
champions of quality improvement
will present their personal hopes for health and
health care in a Pecha Kucha-style format. Each
presenter will show 20 images, each one for 20
seconds, and each presentation will last just six
minutes and 40 seconds. Participants will come
away feeling engaged and inspired!
• Gain a sense of hope and confidence about the
future of health and health care
• Experience the Pecha Kucha presentation
method, which massively increases the impact of
presentations and the audience’s retention of ideas
• Experience an exhilarating variety of ideas and
aspirations from an eclectic range of viewpoints
Bevan, H., PhD, Chief Transformation Officer, NHS
Improving Quality; Armstrong, L., Clinical Academic
Fellow, University of Stirling; Easton, J., Managing
Director, Care UK; Maher, L., PhD, Director for
Innovation, Ko Awatea; Richmond, M., MD, Chief of
Clinical Affairs, Hamad Medical Corporation; Krause, C.,
Executive Director, BC Patient Safety and Quality
Council; Ruelas, E., MD, Senior Fellow, Institute for
Healthcare Improvement; Fairman, S., Interim
Managing Director, NHS Improving Quality; Swamy, L.,
Resident, Boston Medical Center; Haskell, H., President,
Mothers Against Medical Error
30
This session will describe in detail the process
of creating a high-reliability health care system
that delivers patient care with zero defects. John
Toussaint, MD, who has studied over 130 health
care organizations in 13 countries, will discuss the
key characteristics of the health care systems that
have come closest to developing perfect patient
outcomes and experiences.
• Identify the key characteristics of high-reliability
health care
• Develop a high-reliability plan for their
own organization
• Describe how to engage a multidisciplinary
care redesign team
• Identify strategies to prioritize improvement
opportunities, overcome barriers, and
implement tests of change
Cramer, M., Process Improvement Program Director,
Massachusetts General Hospital; Conklin, E., Senior
Consultant, Center for Quality and Safety,
Massachusetts General Hospital
C4: High Reliability and Robust
Process Improvement
Achieving high reliability in health care requires
robust problem-solving methods to address
complexity. Multiple causes of the same problem
commonly exist within health care organizations,
and each cause requires a different improvement
strategy. Robust process improvement (RPI)
fits the high-reliability framework by enabling
customized solutions to serious problems where
checklists are not sufficient. Participants in this
workshop will learn the new and more effective
way to deliver results that is becoming the next
generation of best practices.
• Differentiate between RPI and traditional
approaches to health care quality improvement
• Understand the kinds of problems that can
be addressed with checklists and the other
kinds of problems that are best approached
through RPI
• Identify why and how the causes of quality and
safety problems vary among different health
care settings and organizations
Shabot, M., MD, Senior Vice President/System Chief
Medical Officer, Memorial Hermann; Chassin, M., MD,
President and Chief Executive Officer, The Joint
Commission
Toussaint, J., MD, CEO, ThedaCare Center for
Healthcare Value
C5: State-Level Triple Partnership to
Improve Births M
C3: Care Redesign: A Team Approach
to Improving Value
Key Biscayne
This session will explore how a triple partnership
between a government agency, a hospital
association and hospitals, and IHI is improving capability and capacity for reaching short- and longterm goals related to improving the health of the
maternal and neonatal population in Louisiana.
Discussion will also focus on ways to persuade
health plans to join improvement teams.
Aimed at improving quality, safety, value, and the
experience of care, the Massachusetts General
Physician Organization Care Redesign Program
at Massachusetts General Hospital is built on
a foundation of continuous improvement and
provides a formula for success in the rapidly
changing health care delivery environment.
This session will feature an in-depth look at the
processes of a care redesign team, including how
a multidisciplinary team prioritizes improvement
opportunities, addresses barriers to change, and
monitors outcomes.
• Describe the results of a dedicated quality
improvement effort to reduce early elective
delivery and improve vaginal birth rates
• Define the necessary structural components of
a statewide improvement effort that achieves
its goals and is sustainable while spreading to
additional focus areas
Gullo, S., RN, Director, Institute for Healthcare
Improvement; Crowe, G., RN, Principal, Hamilton
Consulting, LLC; Smith, M., HEN Project Manager,
Louisiana Hospital Association Research and
Education Foundation; Gee, R., MD, Birth Outcomes
Director, Louisiana Office of Public Health – Maternal
and Child Health Program
C6: The Power of Many: Crowdsourcing
for Quality Improvement
In this session, we will look at how crowdsourcing
technology is allowing real-time collaboration on
quality improvement (QI) and speeding up both
innovation and implementation. Using case
studies from the USA and Africa, we will
demonstrate how the expertise of mentors and
peers thousands of miles apart is being used to
support improvement. We will also explore the
role of open access QI and data repositories in
transforming how improvement knowledge is
shared and spread globally.
• Understand how organizations around the
globe are using the power of the crowd to
enhance health care improvement
• Describe the crowdsourcing resources that can
be applied to their own quality improvement
work and used to share their successes
Simpkins, C., MD, PhD, Clinical Director, North
America, BMJ Group
C8: Workforce Development: The Key
to Improved Outcomes
C10: Behind the Scenes: The Evolution
of an Institutional Curriculum S
Anaheim
Southcentral Foundation’s relationship-based
Nuka System of Care has decreased costs and
improved health outcomes as well as customer
and employee satisfaction. Critical to Nuka is
SCF’s comprehensive workforce development
system, which integrates human resources
with the learning and development function,
supporting employees from recruitment and
selection, orientation and on-boarding, and
performance development and management,
to job progressions, career tracks, and pipeline
development. This innovative approach creates
strong alignment between individual employee
performance and organizational goals.
• Describe SCF’s innovative approach to
comprehensive workforce development
• Identify how SCF aligns individual employee
performance with organizational goals
• Evaluate how a variety of workforce
development methodologies could be
incorporated into their organization
Tierney, M., Vice President of Organizational
Development and Innovation, Alaska Native Medical
Center; Kyle, A., Manager of Employment and
Recruitment, Southcentral Foundation
How can a system-wide institutional curriculum
convert quality and safety initiatives into clinically
relevant learning experiences that help to meet
NAS requirements? This session will chronicle the
challenges of system-wide alignment as tackled
by Henry Ford Health System’s multidisciplinary
institutional curriculum, a six-year-old program
that focuses on communication skill development.
Participants will have the opportunity to share
their experiences and will be exposed to multiple
perspectives on how to develop their programs.
• Describe the challenges associated with
maintaining individual program relevance within
a multidisciplinary institutional curriculum
• Apply the lessons learned from Henry Ford
Health System’s experience to their own
learning environment
• Identify changes that could be made within
their institution to help it better meet NAS
accreditation standards
Kokas, M., PhD., Director, Learning Systems, Henry
Ford Health System; Rolland, L., Physician; Emergency
Medicine, Henry Ford Health System
C11: Patient Safety in the Ambulatory
Care Setting
C7: The Right Thing Is the Easy Thing:
The Need for More Than Guidelines to
Improve Cardiovascular Health F
Patient Safety
C9: Finding Skilled Labor in a Crisis
Key West
Key Largo
Little is known about strategies to improve patient
safety in the outpatient setting. Presenters will
discuss their effort to understand these challenges
by developing a standardized, easy-to-use eventreporting system that led to a 43% increase in
reporting and a 34% increase in response rate for
the AHRQ Culture of Safety Survey. Presenters will
discuss these results, giving participants a clearer
picture of the process failures and unique patient
safety issues in the outpatient setting.
We need more than clinical guidelines to improve
hypertension control and reduce heart attacks
and strokes. Participants in this session will
learn how simplicity can accomplish 75% of
cardiovascular prevention in the first visit and
how change strategies can be leveraged to move
physicians and care systems to dramatically
improve outcomes. Presenters will share best
practices and lessons learned from 55 clinic
sites that have improved the lives of nearly
100,000 patients.
• Implement the new hypertension guidelines in
their clinic setting
• Build on cardiovascular best practices to
improve patient outcomes
• Utilize new skills to improve cardiac care
coordination among teams
In this session, participants will learn how one
health system grappled with the complex problem
of finding skilled labor during a crisis. The North
Shore-LIJ Health System identified its School of
Medicine and local nursing programs as areas in
need of skilled labor. This session will describe
its launch of a program to train students in
standardized awareness, hospital emergency
response teams, incident command, and pod
setup and distribution.
• Identify resources already available to them
during a time of crisis
• Utilize these resources during a crisis
Egan, A., Manager of Training, North Shore-LIJ;
Mahoney, M., Director, Emergency Planning &
Preparedness, North Shore-LIJ
• Develop a patient safety program in the
outpatient setting
• Identify how patient safety events in the
outpatient setting differ from such events in
the hospital setting
England, D., Senior Director, Clinical Quality and
Patient Safety, University of Minnesota; Pukrop, D., RN,
Coordinator of Patient Safety, University of Minnesota
Medical School
Wong, W., MD, Clinical Director, Kaiser Permanente;
Dudl, J., Clinical Lead, Diabetes Care Management
Program, Kaiser Permanente Mission Bay
Medical Offices
31
Tuesday
December 9
Conference Day 1
C Workshops
1:30 PM – 2:45 PM
C12: Simulating and Redesigning
Systems to Tame Sepsis
Vinoy
When North Shore-LIJ Health System
implemented interprofessional strategies to
improve sepsis patient outcomes, system hospitals,
collaborating with national initiatives, applied
multiple improvement science methodologies.
The Taming Sepsis Education Program (TSEP),
a transformative and sustainable program,
educated 1,500 clinicians in evidence-based
sepsis recognition and treatment. Using
simulation-based, blended-learning pedagogy,
TSEP reduced the system-wide sepsis mortality
rate by 50% from 2009 to 2013. In this session,
participants will be invited to take part in a
TSEP simulation.
• Identify educational and improvement
science strategies for improving sepsis
patient outcomes
• Describe how data demonstrate improvements
in sepsis-related clinical process measures and
patient outcomes
• Practice the recognition and management
of sepsis by participating in a simulation and
debriefing session developed for the TSEP
Friedman, M., RN, Director of Nursing Fellowship
Programs, North Shore-LIJ; DeVoe, B., Vice President
of Interprofessional Learning, North Shore-LIJ;
Riebling, N., Director of Operational Performance
Solutions, North Shore-LIJ
32
C15: Patient-Driven Policy
Development P
C13: Are You Conversation Ready?
Sawgrass
Are you ready to receive, record, and respect
your patients’ preferences for end-of-life care?
Increased readmissions and unwanted care are
often a direct result of the health care system not
knowing, understanding, or following individuals’
wishes. More than 20 organizations participated
in the IHI Conversation Ready Health Care
Community, and this workshop will present what
they learned about engaging patients, developing
reliable information storage, supporting the workforce,
and ultimately, respecting patients’ wishes.
In this session, case studies will be used to
present real-life situations in which patients were
involved at various levels. Through evaluation of
these case studies in small groups, participants
will develop a plan for patient engagement that
includes guidelines for selecting patient advisors
and patient engagement techniques. This plan
will help participants develop ways in their own
organization for patients to share their stories and
for these stories to be used to change policy.
• Identify and develop patient advisors
• Utilize patient stories to implement
policy changes
• Identify the principles and key changes of
being Conversation Ready
• Utilize testable ideas in their own environment
to become more Conversation Ready
Bartel, R., Patient Advocate; Sobczak, S., Manager,
Quality Improvement, Wisconsin Hospital Association
McCutcheon Adams, K., MSW, Director, Institute
for Healthcare Improvement
C14: Doing What Matters:
Patient-Physician Partnerships
C16: Achieving Growth in the Health
Care Marketplace
Marco Island
Aruba/Bahamas
The skilled teamwork and leadership of physicians
are not only essential to healthy people and
organizations but vital to health care transformation.
Patient experiences, safety, quality, and outcomes
are diminished, however, when poor systems
and lack of skills contribute to unhealthy care
environments, disruptive behaviors, and poor
teamwork. This session details the practical,
focused skills and systems that physicians and
health care leaders can use to dramatically
improve their partnerships with patients
and families.
While many recognize the need for cost
reductions in health care, few have thought it
feasible to focus on growth. This session will
demonstrate that, through a cultural and financial
alignment, growth is not only possible but can
transform health care organizations. Using a
worldwide intentional best practice related to
growth in new product development, Bellin Health
has experienced surprisingly high levels of
revenue growth. Participants will learn how Bellin
achieved this growth, which continues to outpace
that of other health care organizations.
• Identify key system and skills gaps that
contribute to unhealthy care environments,
disruptive behaviors, poor teamwork, and
diminished outcomes
• Develop actions for their organization that
incorporate skills and systems to improve
partnerships with patients and families and
achieve excellent results
• Identify best practice research in new
product development
• Develop a systematic and intentional
framework for growing the business
• Streamline the time from product identification
through offering the product in the marketplace
Balik, B., RN, Senior Faculty, IHI and Co-Founder, Aefina
Partners; White, K., RN, Co-Founder, Aefina Partners
Arndt, T., Chief Marketing Officer, Bellin Health; Knox, P.,
Executive Vice President, Chief Learning and Innovation
Office, Bellin Health; Roethle, L., Vice President
Regional Business Development, Bellin Health
C17: Co-Care and Improvement Using
Clinical Registers
C19: Physician-Led Antidote and
Treatment for Success
Keynote Two
Cypress Ballroom 3
Clinical databases and local and national registers
help improve treatment, reduce health-harming
lifestyles, and lower costs. This session will give
examples from health systems that have built
these clinical databases and show how providers
have been able to use them to make improvements.
Participants will learn about the challenges and
solutions involved in becoming fully integrated
into these systems in order to take part in the
data-enabled revolution that is transforming
clinical practice and research.
• Cite examples of clinical registers from Sweden
and the USA and explain how they were
implemented for value and co-care
• Detail the benefits to patients and providers of
building or using a clinical database or patient
registry and explain the do’s and don’ts in
design and implementation
• Take practical steps to make improvements
in their organization and use the tools and
guidance provided regardless of whether
their organization is fully integrated into a
health system
Ovretveit, J., PhD, Professor, Karolinska Institute;
Nelson, E., Professor, Community & Family Medicine,
Geisel School of Medicine, The Dartmouth Institute
for Health Policy and Clinical Practice; James, B., MD,
Chief Quality Officer, Intermountain Healthcare
C18: Designing Interprofessional
Practice Environments
Harbor Beach
Accountable care organizations are characterized
by a collaborative care delivery model that ties
reimbursement to quality and efficiency metrics.
Executive leadership at one academic health
center hospital established a unit-level accountable
care structure that created significant improvements
in quality, safety, and financial outcomes. This
session will provide a framework for designing and
cultivating interprofessional practice environments
to achieve large-scale outcomes for health
care organizations.
• Describe the development and implementation
of accountable care units
• Discuss the framework to design and cultivate
interprofessional collaborative practice
environments within an organization
3:15 PM – 4:15 PM
Anyone familiar with the idea that “culture eats
strategy for lunch” will be interested in learning
how to create a rich, robust physician culture
for successful strategy implementation. In this
session, Gundersen Health System will share its
“plan of care,” which is changing the health of the
organization and engaging its physicians, staff,
and patients. Presenters will share the critical
results that reflect the growing success of
Gundersen’s plan of care.
• Understand ways to leverage physician leadership
• Take home tools to improve physician and staff
engagement in their organization
• Apply learnings to their own setting
Bintz, M., MD, Vice President, Gundersen Health
System; Krause, J., Chief Quality & Patient Safety
Officer, Gundersen Health System; McCartney, M.,
Chief Learning Officer, Gundersen Health System
C20: Reducing Quality Variation to
Lower Costs F
Health system leaders have collaborated to
identify important quality variation indicators
(QVIs) in their patients and utilize a variety of
evidence-driven interventions to decrease the
frequency of their occurrence. Clinical outcomes
improved in the wake of this effort as year-overyear savings of $700,000 were demonstrated
at one hospital and $1.9 million at another.
Participants will learn how real-time reporting
allows clinical and operational leads to refine this
approach to quality improvement.
• Utilize available data to identify areas of quality
variation in hospitals and other health
care settings
• Implement programs aimed at reducing
variation and measuring improvement in
clinical outcomes and tangible financial
outcomes
O’Connell, R., MD, Vice President, Performance and
Risk Management, Bridgeport Hospital; Allegretto, S.,
Vice President, Financial Planning and Decision
Support, Yale New Haven Health System
Atul Gawande, MD, MPH
Surgeon, Professor, and Writer
Sponsored by
C21: Reinventing Quality with the
Kotter Change Model F
A framework for driving cost and quality
improvement based on the Kotter Change Model
can be extremely beneficial to hospitals and health
systems. Presenters from the Eastern Maine
Healthcare Systems and the Cost and Quality
Academy will review tactics and examine case
studies that will demonstrate for participants how
to create a climate for change, engage and enable
their organization, and implement and sustain
positive change to ensure organizational success.
• Establish a framework using the Kotter Change
Model to lead and manage change that
will drive cost and quality improvements as
hospitals and health systems move toward a
fee-for-value environment
• Review tactics that create a climate for
change, engage and enable organizations,
and help them implement mechanisms to
sustain change
• Describe pragmatic applications of change
management as gleaned from case studies,
highlighting current best practices
Nute, V., MBA, Director, Organizational Effectiveness,
Eastern Maine Healthcare Systems; Bedi, A., MHSA,
Managing Director, Cost & Quality Academy
Nicley, A., RN, Program Director for Inpatient Medicine
and ACU, Indiana University; Chael, A., Clinical Manager,
Methodist Hospital Of Indiana; Niemeier, M., MD, Chief
Medical Officer IU Health Methodist, IU Health
33
Tuesday
December 9
Conference Day 1
C Workshops
1:30 PM – 2:45 PM
C25: Environmental Sustainability to
Transform the Triple Aim
C23: Achieving the Triple Aim
in Nursing
Through the Healthier Hospitals Initiative,
pioneering health systems are using environmental
sustainability to help achieve the Triple Aim.
These systems are improving environmental
performance, reducing costs, and engaging staff
and communities by conserving energy, reducing
waste, and purchasing environmentally preferable
supplies and healthier foods. Over 1,200
organizations have enrolled in one of the Initiative’s
six challenges. Participants in this session will
learn practical, cost-effective steps they can take
to achieve their own breakthrough results.
Nursing is at the heart of patient care, but many
health care organizations struggle to engage
nurses in improving that experience. This session
will provide a comprehensive platform for Triple
Aim improvement efforts based on two concepts:
building a culture of engagement that aligns the
nursing staff with the strategies of the organization,
and designing a production system capable of
both maximizing commonalities and differentiating
unique patient experiences. The result is
breakthrough performance in cost reduction,
patient satisfaction, and staff satisfaction.
C22: Value-Based Care: The Top of
the Population Health Pyramid
• Define the production system as it relates to the
functional unit of nursing
• Describe how the culture of nursing supports
strategies and influences outcomes
• Describe at least three common platforms that
impact Triple Aim measures
Hieb, L., RN, CNO, Bellin Health
This workshop will provide a case study in working
across the chronic kidney disease continuum
while dramatically reducing hospitalization and
readmission rates. Participants will use the case
study to develop an action plan applicable to any
organization providing care for complex patients
with one or more chronic diseases. We will explore
how to meet the needs of the patients at the “top”
of the population health pyramid, utilizing a
value-based framework.
• Share what patients say about what matters to
them through stories and composite vignettes
about their medical journey and their journey
within the health system
• Illustrate the opportunities in patient-centered,
minimally invasive approaches to caring for
patients with complex care needs
• Draw action-oriented conclusions about the
design of care for patients with chronic disease
who are at the “top” of the population health
pyramid
Albright, R., Chair, Division of Nephrology and HTN,
Mayo Clinic; Hedin, M., RN, Nurse Administrator, Mayo
Clinic; Zavaleta, K., Senior Health Systems Analyst/
Consultant, Mayo Clinic
34
C24: Building a Regional High-Needs
Patient Care System
Oregon’s largest coordinated care organization used
a CMMI Innovation Award to rally local payers,
health systems, and providers to develop a new
workforce that can better meet the needs of
Medicaid “high utilizers” across multiple points
of care. This session will show how a deepening
understanding of patient needs shaped the new
care model, the organizational structures used to
guide and integrate the work, and the learning
system that was created to drive rapid improvement.
• Use an understanding of the root causes of
risk to design services for a vulnerable
population segment
• Build a sustainability plan using a portfolio of
measures that demonstrate value to funders
• Activate partners to create a communityorganized population health effort and mobilize
a nontraditional health care workforce to meet
social and behavioral needs
Ramsay, R., Director of Community Care, CareOregon;
Labby, D., MD, Chief Medical Officer, Health Share
of Oregon
• Describe how environmental sustainability can
transform efforts to achieve the Triple Aim
• Take steps to join the free Healthier
Hospitals Initiative
• Detail the specific steps they can take to lower
costs for their organization and improve the
health of the population it serves
Sadler, B., JD, Senior Fellow, Institute for Healthcare
Improvement; Cohen, G., Executive Director, Health
Care Without Harm; Berwick, D., MD, President
Emeritus and Senior Fellow, Institute for Healthcare
Improvement; Thompson, J., MD, Chief Executive
Officer, Gundersen Health System; Guenther, R.,
Principal, Perkins+Will
C26: Impacting Outcomes and Costs
for Patients with Complex Needs
Patients with complex needs often use expensive
services yet continue to have poor outcomes.
Health care organizations moving to models of
cost accountability can learn what has been
successful in other contexts while designing
services for their unique setting. This session will
focus on strategies to help participants increase
their understanding of their high-risk, high-cost
population and design strategies for managing
care that are effective in their setting.
• Apply segmentation strategies to identify
high-risk, high-cost patients and develop action
plans to better understand their needs from a
person-centered viewpoint
• Design the first set of tests to be implemented
in a care redesign process, using a set of
change concepts for high-risk, high-cost
patients
Sevin, C., RN, Director, Institute for Healthcare
Improvement; Whittington, J., MD, IHI Lead Faculty,
Triple Aim Initiative, Institute for Healthcare Improvement
C27: Leadership Lessons for
Spread and Scale
C29: It Takes a Village to
Reduce Readmissions
Participants will learn about the imperative for
care delivery to identify and address social needs
as part of responsibility to every patient. During
this session, presenters will share data about
non-medical needs and interventions that have
been effective in addressing unmet needs to
produce better health outcomes at a lower cost.
• Describe how initiative complexity and local
culture impact spread
• Identify strategies to address challenges
Schilling, L., RN, National Vice President, Healthcare
Performance Improvement, Kaiser Permanente;
Feeley, D., Executive Vice President, Institute for
C28: Your Employed Population: A
Test Case for Change M
Miami
Escalating costs, decreased engagement, and
increased disability claims were the catalysts that
propelled St. Charles Health System to transform
its employed population. Early results have driven
strategic efforts focused on prevention and the
transformation of primary care, including the
full integration of behavioral health and the
management of complex populations. One
further result has been St. Charles’s decision to
strategically invest in the region’s Medicaid
population with a novel global risk contract,
using these same principles.
• Discuss budget strategies for the discrete
population that can lead to management of
full-risk contracts for system-wide populations
• Define and move forward big-dot measures
for a discrete population, especially the risks
and benefits of a global budget model for a
Medicaid population
• Understand how to implement a transformational
business line to support full integration of physical
and behavioral health and how that impacts
value-based care initiatives
• Demonstrate key strategies to effectively
manage population health; gather and track
patient-, quality-, and experience-based
metrics; access tools that measure Triple Aim
improvements; and provide population
dashboard measures and transparency
Jorgensen, M., Director, Health Plan Administration,
Payer Relations and Contracting, St. Charles Health
System; Fehrenbacher, A., Director, St. Charles Health
System; Henderson, R., Chief Behavioral Health Officer
& Vice President, Strategic Integration, St. Charles
Health System; Shepard, K., Executive Vice President
and CFO, St. Charles
Learn from the lessons of a large, academic
medical center in its pursuit to create win-win
relationships that resulted in reduced 30-day
all-cause readmissions. Cedars-Sinai Health
System will describe strategies effectively deployed,
including the use of ancillary care caregivers in
non-traditional health care settings, expending
hospital resources in skilled nursing facilities, and
the use of data analytics to appropriately target
interventions. Also described will be pilots and
interventions that were ineffective in reducing
readmissions. Cedars-Sinai will outline its strategy
for building win-win relationships with community
partners designed to optimize care transitions.
• Articulate the importance of a systematic
performance improvement approach to developing
targeted solutions to reduce readmissions
• Describe the approach by which relationships
with community partners are developed and
fostered over time
• Describe the power and limitations of predictive
analytics in its ability to support clinicians target
readmissions reduction strategies
Romanoff, N., MD, Cedars-Sinai Medical Center;
Haria, N., Project Manager, Performance Improvement,
Cedars-Sinai Medical Center; Kulkarni, O., Manager,
Performance Improvement, Cedars-Sinai
Medical Center
Engage!
A National
Forum Celebration
Tuesday, December 9
7:00 PM – 10:00 PM
Falls Pool Pavilion
35
Tuesday Special Events
Be the Match: Information Booth
and Registry
8:30 AM – 5:00 PM
Crystal Foyer
Be The Match Registry® is the largest and most
diverse bone marrow donor registry in the world.
In partnership with keynote presenter Robin
Roberts, Be the Match has set up a booth in the
Crystal Foyer. Visit the booth to join the registry
or to learn more information about what can be
done to help cure blood cancer.
Passport: Guiding Your Journey to
Exceptional Care
12:30 PM – 1:15 PM
Stop by the IHI Booth to learn about IHI’s Virtual
Membership Program.
Lunch and Learn: Minimizing Disparities
to Achieve Health Equity
12:40 PM – 1:20 PM
Join Gilbert Salinas, Yvonne Coghill, and Mark
Smith for a lively discussion about diversity and
health equity — one of the key issues in health
care today.
Lunch and Learn: Social Media 101
12:40 PM – 1:20 PM
Curious about how to use Twitter and other social
media sites? Grab your lunch and join Paul Levy,
a social media-savvy former hospital CEO, during
this informal session.
National Forum Meet the
Author Lunches
12:40 PM – 1:20 PM
Solaris Private Dining Room
Dine with one of the National Forum bookstore
authors to discuss various topics. Lunch will be
provided in the Solaris Private Dining Room.
• Questioning Protocol: How One Mom
Dispenses Equal Doses of Humor, Humility,
and Corporate Smarts to Help Her Family
Navigate Their Health Care Crisis with author
Randi Redmond Oster
• The Lean Prescription: Powerful Medicine for
Our Ailing Health Care System with author
Patty Gabow
Cypress Foyer
10:45 AM – 11:15 AM
• 100 Million Healthier Lives
• Getting Leadership Engaged in
Quality Improvement
• Healthy Cooking and the
Mediterranean Diet
1:00 PM – 1:30 PM
• Quality Improvement Mobile Apps –
What’s Trending?
• Joy in Work: Increasing Staff Satisfaction
and Reducing Burnout
2:45 PM – 3:15 PM
• Creating Compelling Patient and Family
Advisory Councils
• Successful Community Partnerships
• Lean, Six Sigma, and the Model for
Improvement: What Works for You?
Check the MeetUps! board in the Cypress Foyer
for additional topics.
• Understanding Value-Based Care with authors
Neel Shah, Christopher Moriates, and
Vineet Arora
• Leading Physicians through Change with
authors Mary Jane Kornacki and Jack Silversin
DebMed Vendor Presentation: Implementing Electronic
Monitoring to Improve Patient Safety and Quality
12:45 PM – 1:15 PM
If your facility is considering moving from direct observation to automated
hand hygiene monitoring, you’ll want to attend this session to hear about the
consideration that compelled Riverside Medical Center to adopt electronic
hand hygiene monitoring and the results of their program to date.
AHA Solutions Vendor Presentation: American Hospital
Association’s A Seat at the Table: Achieving Business
Growth and Clinical Outcomes through Effective Partnerships
2:45 PM – 3:15 PM
When faced with operational challenges, few hospitals today have the
resources to build solutions without external help. Gain insight from two
CEOs, one from a hospital, another from a vendor, on how you can create
valuable partnerships to share risk, escalate business growth, and achieve
operational goals.
36
MeetUps
DNV GL–Healthcare Vendor Presentation: Scale and
Spread in Quality Healthcare: Combining the Power of
Person-Centered Care and Proactive Risk Management
4:30 PM – 5:00 PM
DNV GL will present a new book on person-centered care. Drawing on our
150 year history of proactive risk management, interviews with 40 world
leaders in health care, and 10 case examples from low-, middle- and highincome countries, we show how person-centered healthcare can be a reality
for all. Attendees will be given a free copy of this new guide.
Zynx Health Vendor Presentation: Leveraging a Mobile
Platform to Create a Virtual Caregiver Huddle, Improve
Care Coordination and Reduce Readmissions
10:45 AM -11:15 AM
During this presentation, Zynx Health will outline how it partnered with Marin
General Hospital and Meritage Accountable Care Organization to implement
initiatives aimed at improving care coordination both within the hospital and
within the larger care community. Inpatient and aftercare providers across
organizations connect to the ZynxCarebook Mobile Care Navigation Network™
using smartphones or tablets to quickly form patient-centered care teams,
communicate securely and efficiently, collaborate on evidence-based
transition plans, and follow up with patients post-discharge.
Special Interest Breakfasts
Storyboard and
Networking Reception
4:30 PM – 6:30 PM
Exhibit Hall
Representatives from organizations with
storyboards on display will be available to
answer questions, share lessons learned,
and network in an informal setting.
Open School Information Session
Grab your breakfast and
network with colleagues on a
variety of improvement topics!
SIB1: Using the Patient Narrative
to Teach Core Competencies
5:15 PM - 6:00 PM
Chicago/Denver
Facilitator: Helen Haskell, MA, President, Mothers
Against Medical Error, Consumers Advancing
Patient Safety
Join Carly Strang, Director of the Open
School, and Caitlin Littlefield, Customer
Relationship Manager at IHI, for information
about our free and subscription-based
online courses that teach the foundations
of improvement, safety, system design,
and leadership.
Evening Yoga
6:00 PM – 6:45 PM
Engage! A National
Forum Celebration
7:00 PM – 10:00 PM
Falls Pool Pavilion
Join us at the Falls Pool to celebrate, network,
and engage with other attendees.We’ll be
providing food, entertainment, and a cash bar.
This event is free of charge.
SIB2: Accelerating Health Care
Improvement and Spreading
New Ways of Working: The
Canadian Foundation for
Facilitator: Maureen O’Neil, President, Canadian
Foundation for Healthcare Improvement
SIB3: Creating a Quality
Improvement Community in
Latin America
Facilitator: Delgado, P., Executive Director, IHI;
Paulo Borem, MD, Patient Safety and Quality Leader,
Unimed Brazil
SIB4: Get Up Get Better:
The International Health Care
Quality Competition
Facilitator: Ian Leistikow, MD, PhD, Inspector at
Dutch Healthcare Inspectorate, the Netherlands
and Co-founder, GetUpGetBetter
SIB5: IHI Passport Program
Anaheim
Facilitator: Kathy Duncan, RN, Faculty, IHI
SIB6: Optimize Primary Care Teams
to Address Patients’ Medical and
Behavioral Needs
Crystal Ballroom Salon K-M
Facilitator: Mara Laderman, MSPH, Senior Research
Associate, IHI; Cindy Hupke, RN, Director, IHI
SIB7: Pediatric QI – Let’s Talk
(Hosted by the Children’s Hospital Association)
Facilitator: Tina Logsdon, MS, Collaborative Director,
Children’s Hospital Association
SIB8: Standard Work for
Successful Boards of Directors
Facilitator: Mike Chamberlain, President, Simpler North
America, and Board Member, Caldwell Memorial
SIB9: New Developments
in the Triple Aim and
Population Management
Facilitator: Cory Sevin, RN, Director, IHI
SIB10: Lean and IHI-QI: Learning
From Complementary Approaches
to Quality Improvement
Facilitators: Kevin Little, PhD, Principal, Informing
Ecological Design, LLC; Richard Scoville, PhD,
Improvement Advisor, IHI, Karen Baldoza, MSW,
Executive Director, IHI
SIB11: Building Partnerships
Between Finance and Clinicians
Facilitators: Kathy Luther, RN, Vice President, IHI;
Amy Hosford-Swan, Chief Financial Officer, IHI
SIB12: Care for People with
Advanced Illness
Miami
Facilitators: Andrea Kabcenell, RN, MPH, Vice President,
IHI; Kelly McCutcheon Adams, MSW, Director, IHI
SIB13: 100 Million Healthier Lives
Facilitators: Somava Stout, MD, Executive External Lead,
Health Improvement, IHI; Gail Freeman, Vice President,
Marketing, IHI
Which Special Interest Breakfast did you attend? Tweet it using #IHI26Forum
37
Wednesday
December 10
D1: Health Systems Partnerships
for Community Development
and Engagement S
9:30 AM – 10:45 AM
Cypress Ballroom 3
Conference Day 2
Keynote Three
8:00 AM – 9:00 AM
Cypress Ballroom 3
This session will
feature Nancy M.
Schlichting, CEO
of Henry Ford
Health System,
and David Egner,
CEO of Hudson-Webber Foundation and
Executive Director of the New Economy Initiative,
in a discussion of the health care strategies that
have created positive and dramatic economic
and community development in Detroit.
• Describe the skills needed to collaborate,
engage, and lead community development
• Create strategic thinking about the role of
health care anchor organizations in the quality
and health of communities
Robin Roberts
Co-Anchor of ABC’s Good
Morning America, Author, and
Cancer Survivor
Sponsored by
Schlichting, N., CEO, Henry Ford Health System;
Egner, D., President and CEO, Hudson-Webber
Foundation
E1: 10 Things Every Hospital Needs to
Know to Be Safe
11:15 AM – 12:30 PM
Cypress Ballroom 3
9:30 AM – 10:45 AM
E Workshops
11:15 AM – 12:30 PM
All D workshops repeat
during E workshops except
for special interest keynotes.
SWD1: Bringing a Culture of Wellness
to Your Bottom Line
9:30 AM – 10:45 AM
Cypress Ballroom 1
Moderator: Oswald, K., Chief Human Resources
Officer, Henry Ford Health System
Presenters: Wisdom, K., Senior Vice President,
Community Health & Equity and Chief Wellness
Officer, Henry Ford Health System; Baril, N., Vice
President, Total Rewards – Henry Ford Health System
& Human Resources – Henry Ford Macomb Hospitals;
Bacigal, E., Director of Employee Health, Safety, and
Wellness, Henry Ford Health System
SWD2: Students Present Their
Improvement Projects S
9:30 AM – 10:45 AM
This session will cover some of
the key discoveries — many
of them counterintuitive and
surprising — that we have made
over the past decade in the patient safety field. Topics covered
will include the organization of an
effective safety program, issues surrounding
staffing and training, the dominant role of
culture, and some of the consequences, both
the expected and the unanticipated, of
information technology.
Cypress Ballroom 1
• Identify at least two areas that their hospital
could focus on to improve safety
• Identify at least two unanticipated consequences
of health care information technology, as well
as strategies to mitigate them
• Describe the role of measurement in patient
safety, focusing especially on reporting systems and diagnostic errors
SWE: Reliable Application of the
Goals of Care Communication
Wachter, R., MD, Professor & Associate Chairman,
Department of Medicine, University of California
San Francisco
38
D Workshops
Moderators: Moses, J., MD, Medical Director of Quality
Improvement, Boston Medical Center; Gelmon, S., PhD,
Professor of Public Health, Portland State University;
Madigosky, W., MD, Director, Foundations of Doctoring
Curriculum, University of Colorado Anchutz Medical Center
Presenters: Cerasale, M., MD, Resident, Henry Ford
Health System; Okwemba, S., Medical Student,
University of Dundee; Huq, C., Student, Texas A&M
Health Science Center; Imbierowicz, J., Project
Associate, St. Louis Children’s Hospital
11:15 AM – 12:30 PM
Cypress Ballroom 1
Moderator: Yezzo, P., RN, Assistant Vice President,
North Shore-LIJ
Presenters: Bleau, H., Nurse Practitioner, Forest Hills
Hospital; Gillespie, E., RN, Director, Advanced Practice
Nursing, Forest Hills Hospital; Pinna, C., Industrial
Engineer / Six Sigma Black Belt, North Shore-LIJ;
Kenjesky, E., RN, Long Island Jewish Medical Center
D/E Workshops
D2/E2: Building an Integrated
Approach to Lean, Six Sigma, and
the Model for Improvement (M4I)
The three most popular approaches to quality
improvement are Lean, Six Sigma, and the M4I.
This workshop will sort out the essential differences
and similarities between these approaches, cutting
through jargon to show participants how to devise
informed strategies and how to manage what
could be expensive consequences of risky decision
making. Participants will gain insights for creating
an improvement framework that blends the
strengths of each approach, organize their overall
quality improvement strategy, and gain hands-on
experience with key Lean and M4I tools.
• Describe the similarities and differences
between Lean, Six Sigma, and Model for
Improvement approaches to quality improvement
• Identify opportunities to create an integrated
improvement strategy
Scoville, R., PhD, Improvement Advisor/Consultant,
Institute for Healthcare Improvement; Little, K., PhD,
Principal, Informing Ecological Design, LLC; Miller, D.,
Vice President and Executive Director, Virginia Mason
Insitute, Virginia Mason Medical Center
D3/E3: High-Impact Leadership
Aimed at health care leaders at all levels,
this session will present the IHI High-Impact
Leadership Model and discuss the importance
of mental models, leadership behaviors, and a
leadership framework for driving improvement
and innovation.
• Identify new leadership behaviors that will help
them lead improvement and innovation
• Demonstrate understanding of the importance
of mental models and the use of a leadership
framework to focus their improvement efforts
D4/E4: Sample Size: How Big Is
Big Enough?! F
D6/E6: The Invaluable Improvement
Advisor
Determining sample sizes for improvement
projects can be confusing! Sampling methods
for improvement differ from the methods used in
research and judgment measures, and confusion
on this point can lead to sampling waste,
inefficiencies, and delayed learning. This session
will provide practical criteria to determine
appropriate sample sizes for quality improvement
work and the resource burden of sampling. Specific topics include guidelines for scaling
Plan-Do-Study-Act (PDSA) cycles and determining
appropriate sample sizes for run charts and
Shewhart control charts.
• Describe the principles for sampling
for improvement
• Select the appropriate scale for PDSA cycles
• Determine the optimum subgroup size for
Shewhart charts
Provost, L., Statistician, Associates in Process
Improvement
D5/E5: Social Needs as a Vital Sign:
Strategies to Care S
It is imperative for care delivery that clinicians
identify and address patients’ social needs as part
of their responsibility to them. During this session,
presenters will share data about the nonmedical
needs of patients and interventions that have
been effective in addressing patients’ unmet
needs to produce better health outcomes at a
lower cost.
• Discuss the ways in which health care delivery
can incorporate the strategy of addressing the
social needs of the community
• Build a plan to assess and address patients’
social needs through clinical and communitybased interventions
Roth, A., Chief Executive Officer, Contra Costa Regional
Medical Center; Schilling, L., RN, National Vice President,
Healthcare Performance Improvement, Kaiser
Permanente
Organizations seeking to build improvement
capacity have found the role of the Improvement
Advisor (IA) invaluable to strategic success.
This presentation will discuss the IA as a leader
devoted to helping to identify, plan, and execute
improvement projects throughout the organization.
Participants will learn about the core skills an
IA must have, the tools needed to initiate an
improvement project, and, through case stories,
practical applications of these skills and tools.
• Identify the role and core skills of an IA
• Assess organizational capacity for leading,
planning, and executing improvement projects
Walburn, M., Consultant Anaesthetist, Taunton &
Somerset NHS Foundation Trust; Steinfield, R., MA,
Improvement Advisor, Institute for Healthcare
Improvement; Lloyd, R., PhD, Executive Director,
Performance Improvement, Institute for Healthcare
Improvement
Patient Safety
D7/E7: Cognitive Aids to Improve
Crisis Management F
Key Largo
Cognitive aids for improving the clinical
management of emergencies represent an
important tool to improve outcomes. This session
will outline the evidence for their efficacy and
provide an overview of their structure and content.
Participants will have an opportunity to discuss
strategies for introducing cognitive aids into their
own practice.
• Describe the available cognitive aids for
perioperative crisis management
• Develop an implementation plan for bringing
crisis checklists to their organization
Hannenberg, A., MD, Director, Council on Surgical and
Perioperative Safety; Windle, P., RN, Nurse Manager,
St. Luke’s Episcopal Hospital
Pugh, M., President, MdP Associates, LLC;
Swensen, S., MD, Medical Director, Leadership &
Organization Development, Mayo Clinic
39
Wednesday
December 10
Conference Day 2
D Workshops
9:30 AM – 10:45 AM
E Workshops
11:15 AM – 12:30 PM
for special interest keynotes.
D8/E8: Impact of Inpatient Harms on
Hospital Finances
Adventist Health System has been using IHI’s
Global Trigger Tool to detect hospital-acquired
inpatient harms in its 24 hospitals since 2009.
Based on the 20,007 patient records reviewed,
the case study presented in this session details
the harm cost evaluation methodologies and
proposes an analysis at the diagnosis related
group (DRG) level to accurately ascertain the cost
of harms and assess other financial outcomes.
Clinical outcomes, such as readmissions and
mortality, will also be discussed.
• Demonstrate a DRG-level cost of harm analysis
• Describe the negative impact of harm, both
financially and clinically
Yi, D., Senior Data/Research Analyst, Adventist Health
System; Classen, D., MD, Associate Professor of
Medicine, Senior Partner and CMO, Pascal Metrics,
Inc.; Adler, L., DO, Senior Advisor, Safety, Quality &
Innovation, Adventist Health System
D9/E9: Insights on Implementing a
Bundle for ICU Delirium
Delirium is a common, highly consequential
complication in critically ill patients and an
important patient safety issue. This session details
one health system’s experiences with a set of
therapeutic interventions, the “ABCDE Bundle,”
designed to prevent and mitigate ICU delirium
across hospital environments and ICU settings.
The presentation focuses on specific tactics and
tools used in the Baylor Scott & White Health
(BSWH) system to promote bundle adoption,
success levers, barriers encountered, and
solutions applied.
• Provide an overview of the ABCDE Bundle
implementation program: its rationale,
governance, tools and methodologies,
resources, and outcomes
• Articulate the specific barriers to ABCDE
Bundle adoption encountered at BSWH and
demonstrate the solutions applied
• Identify the high-yield practice adoption
approaches learned from the real-world ABCDE
Bundle implementation experience
Masica, A., Vice President, Center for Clinical
Effectiveness, Baylor Health Care System; Smith, S.,
Clinical Nurse Specialist, Baylor University Medical
Center; Berryman, C., Project Manager, Baylor
University Medical Center
D10/E10: Measuring Inpatient Harm
in Time to Take Action M
This session will provide insights and techniques
to make harm transparent in real time based on
the current documentation in an electronic
medical record (EMR). Lessons learned from
building the second generation of comprehensive
harm measurement at Henry Ford Health System
will be the basis of this presentation, and
participants will leave with actionable strategies to
track and engage their staff on reduction of harm
within 48 hours of documentation of results.
• Implement strategies to leverage new EMRs
to make action on harm visible and actionable
within 48 hours or less
• Share a cutting-edge method for comprehensive,
real-time harm measurement
Jordan, J., Director Advanced Analytics, Henry Ford
Health System
D11/E11: Synchronized Ongoing
Support: An Integrated Response to
Unanticipated Outcomes
Miami
Long committed to transparency and
communication about unanticipated outcomes,
Virginia Mason Medical Center has developed a
timely, integrated response to such events. Any
care team member can initiate an SOS
(Synchronized Ongoing Support) for immediate
and ongoing support of families, the care team,
and safety improvements. The process includes a
dedicated patient advocate, provider coaching on
compassionately engaging patients and families
while acknowledging an unanticipated outcome,
a resource huddle that includes senior leaders,
team debriefings, and ongoing follow-up.
• Engage stakeholders in development and
ongoing improvement of integrated response to
unanticipated outcomes
• Compassionately meet the needs of patients
and families
• Understand the need for providing support for
team members
McGarvie, L., MBA, Director, Patient Safety & Risk,
Virginia Mason Medical Center; Bradley, J., Director,
Patient Relations and Service, Virginia Mason Medical
Center; Haufe, S., Administrative Director, Patient
Relations and Service, Virginia Mason Medical Center
D12/E12: The Danish Patient
Safety Journey
From reporting systems and speak-up campaigns
to large-scale improvement initiatives, social
movements, and a strategy for change in the
health care system, the Danish Strategy for
Quality and Patient Safety is now focused on
three areas: improvement of care across acute
care, mental health, and community-based care;
increasing person- and family-centered care by
reducing structural, cultural, and knowledge
barriers; and development of a new model for
leadership of improvement work in health care.
• Discuss how the Danish Strategy for Quality
and Patient Safety develops blame-free
cultures and empowers patients by using
methods from social movements
• Define the key components of a system-wide
strategy for timely capacity building
• Describe the key components of improvement
leadership using data and frequent dialogue
with clinicians, as well as how to engage
clinicians in agitating for patient-centered care
Rischel, V., RN, Programme Director, Danish Society
for Patient Safety; Lilja, B., MD, Executive Director,
Danish Society for Patient Safety
40
D15/E15: Engaging People to Improve
Their Health
D17/E17: Patient and Family Advisors
Making a Difference P
D13/E13: Can Staff Physicians Learn
to Communicate?
This session will provide an overview of several
promising frameworks, health behavior change
models, and practical strategies to engage
individuals in improving their health. The focus of
the session will be twofold: supporting individuals
and engaging populations in improved health.
Organizations that have achieved promising
results will share their experience. The session
will also touch on various workforce models, from
health coaches to community health workers, to
support the overall aim.
Learning Format: Controversy Panel
“Patient-centered care” and “relationshipcentered communication” are popular terms in
today’s health care environment and in medical
education. Most staff physicians, however, receive no
formal education in communication and have little
chance to observe it in their training. Recognizing
that physicians are ultimately responsible for
leading exceptionally difficult conversations with
multiple stakeholders, this session will debate
whether behavior change is possible and what
interventions, if any, could have a real impact on
the communication practices of staff physicians.
• Share experiences and examples from
evidence-based literature regarding
communication skills training for staff physicians,
from the viewpoints of both physicians and
those with whom they communicate
• Discuss the strategies or interventions that
might improve experienced staff physicians’
receptivity, engagement, and transformational
learning in communication skills training
Boissy, A., Director, Center for Excellence in Healthcare
Communication, Cleveland Clinic Health System;
Gilligan, T., Associate Professor of Medicine, Cleveland
Clinic Health System; Frankel, R., Professor of Medicine,
IU School of Medicine
D14/E14: Designing Exceptional
Home Care Experiences
Providing over 1 million home care visits a year,
Kaiser Permanente significantly improved its care
experience, as measured by the Home Health
CAHPS, by having patients and staff co-design
the care experience. In this session, several
patients and staff members will share their stories
about the impetus for the care experience
redesign. Participants will also learn about the
inpatient evidence-based practices that were
adapted and adopted for home care.
• Identify how to capture and use quantitative
and qualitative data from patient, caregiver, and
staff to redesign and improve the home health
care experience
• Implement evidence-based care practices that
have been adapted for the home health care
setting based on data collected from patient
and staff shadows and interviews
Burlingame, E., Senior Director, Service Performance
& Strategy, Kaiser Permanente; Torres, S., RN, Home
Health Manager, Kaiser Permanente
• Describe various health engagement
frameworks and models
• Identify practical strategies to support their
organization in engaging individuals in
improving their health
• Describe how various organizations have used
different models to engage individuals
in improving their health
Gunther-Murphy, C., Director, Institute for Healthcare
Improvement
D16/E16: Efficient and Reliable
Frail Elder Care
Chicago/Denver
In this session, participants will learn how to build
a highly reliable care system for frail older adults
while harvesting savings from current waste.
Through a case study of one large California
county that is moving toward excellence through
collaboration on care transitions, the presenters
will share advice on the journey and discuss the
substantial challenges remaining.
• Understand the importance of geographically
based work in care transitions
• Mock up a community dashboard for monitoring,
governing, and integrating community
resources into a comprehensive care system
• Apply advice from the case study experience to
their own situation
Lynn, J., MD, Director, Center for Elder Care and
Advanced Illness, Altarum Institute; Schmitthenner, B.,
Aging Program Administrator, Aging & Independence
Services; Toomey, M., Director, Policy Analysis and
Development, HHS
This session will highlight the work of six patient/
family advisors working on patient-centered
improvements at the individual, organizational,
community, state, and national levels to create
change that will lead to better care. Presenters
will focus on obtaining buy-in by the Patient and
Family Advisory Council (PFAC) and by health
care leaders, involving the PFAC in quality and
safety work, and creating environments that
help patients to thrive. Participants will learn
how patient advisors can be partners in
improvement work.
• Identify various ways in which patient advisors
can partner to improve health care
• Devise strategies for developing new ways to
partner with patient advisors in their institutions
and communities
Kenney, L., President/Founder, MITSS; Peugeot, M.,
Patient, Past Chair, Patient & Family Advisory Council,
Vanderbilt Medical Center; Nevins, S., RN, Staff Nurse,
North Shore Medical Center; Lord, T., PhD, Patient
Engagement Consultant, Foundation for Healthy
Communities; White, A., Patient/Family Advisor, PFAC
Chairperson, Patients Partnering with Health Care;
Crain, J., Customer Service Manager and Patient
Advocate; Morrise, L., Consultant, LAM Professional
Services, LLC; Lawson, S., Patient Advocate, Baystate
Medical Center
D18/E18: Bundled Payments for
Care Improvement: Selecting
Post-Acute Providers
Post-acute providers strive to provide high-quality
and efficient health care by implementing clinical
strategies and business models under bundled
payments for care improvement (BPCI). This
session will demonstrate how dedicated units of
the Stern Family Center for Rehabilitation
partnered with North Shore-LIJ Health System
to form cardiac, stroke, COPD, and orthopedic
bundles and how the members of this
interdisciplinary team collaborated with patients
and families to provide quality and efficient care
to bundled patients in their specific environments.
• Develop strategies to select post-acute care
providers to participate in bundled payment
initiatives
• Implement clinical strategies and business
models to succeed under bundled payments
McClusky, M., Executive Director, SNF Services, North
Shore-Long Island Jewish Health System; Salcedo, M.,
Associate Executive Director, Quality, Stern Family
Center for Rehabilitation; Geraghty, B., RN, Associate
Executive Director, Patient Care Services, Stern Family
Center for Rehabilitation
41
Wednesday
December 10
Conference Day 2
D Workshops
9:30 AM – 10:45 AM
E Workshops
11:15 AM – 12:30 PM
Keynote Four
1:30 PM – 2:30 PM
D20/E20: High-Value Practices for
Total Joint Replacement
Cypress Ballroom 3
Key West
Donald Berwick, MD, MPP
President Emeritus and
Senior Fellow, IHI
D19/E19: Engaging Frontline Staff in
Real-Time Improvement
Using two case studies from an ED and a
laboratory, this session will describe how leaders
can take a different approach grounded in Lean
and innovation principles, a staff idea system,
and standardized leadership routines, including
regular rounding and huddles. This approach
enables frontline staff to chip away at the
rampant waste in health care. Presenters will
describe its design elements, provide examples,
and outline the critical factors that have led to
double-digit improvement in staff engagement
scores.
• Describe daily leadership routines that
engage staff in improvement
• Identify the elements critical to success when
implementing this approach
Mann, S., RN, Director of Nursing, Virginia Mason
Medical Center; Lewis, L., Administrative Director,
Virginia Mason Medical Center
Total joint replacement is the most common
procedure in the Medicare population and
accounts for the highest total of Medicare
payments. By 2030, knee and hip replacements
are expected to increase by 673% and 174%,
respectively, and organizations will need to
reassess how they control and reduce costs,
meet the rising demand, and increase value to
patients. Building on the experience of IHI’s Joint
Replacement Learning Community (JRLC), this
session will share high-value practices identified
for total joint replacement.
• Describe the value equation and how to
collect data for each variable in the equation,
and define Time-Driven Activity-Based
Costing (TDABC) and how to apply it to a
care cycle at their organization
• Describe the high-value change ideas
implemented by provider organizations in
IHI’s JRLC, as well as their results, and be able
to test at least two of these ideas in a redesign of
joint care at their organization
• Describe a process for incorporating patientreported outcome measures into their total joint
replacement clinical pathway
Medical Center; Duncan, J., RN, Director, Institute for
Healthcare Improvement; Scott, D., Clinical Services
Director, Franciscan St. Francis Health
D21/E21: Improving Quality While
Safely Reducing Cost
More than 350 hospitals joined the QUEST
Collaborative to improve the quality of patient care.
Over the last six years, these organizations avoided
over 150,000 deaths and reduced costs by more
than $12 billion. In the last two years, this group
has reduced harm events by more than 20,000,
and readmissions by 40,000. In this session,
participants will learn tactics from leaders at the
top-performing hospitals, with a specific focus on
leadership and culture.
• Identify five tactics implemented by
high-performing hospitals in the QUEST
Collaborative that have improved quality
(safety, evidence-based care, mortality,
patient experience, and readmissions) while
simultaneously reducing costs
• Explain how leadership and a culture of
quality and safety contribute to overall
improvements in quality and safety
• Describe the current efforts of high-performing
hospitals focused on achieving optimal results in
value-based purchasing
Scott, C., RN, Service Line Vice President, Quality and
Safety, Premier Healthcare Solutions, Inc.; Bankowitz,
R., MD, Chief Medical Officer, Premier Healthcare
Solutions, Inc.; Bell, L., Assistant Vice President, Quality
Management, East Alabama Medical Center; Cooper,
K., RN, Director, Quality Outcomes, Riverside
Health System
D22/E22: Leveraging Big Data to
Improve Care and Reduce Waste
This session will share a physician-driven
approach at MemorialCare to achieving clinical
data transparency to improve quality and safety
and reduce “clinical waste.” Participants will
learn key concepts of this approach: listening to
physicians, understanding the cost in value,
creating compelling messaging, redesigning
attribution for sense-making, and spreading best
practice use cases. The outcomes at MemorialCare
have included exponential growth in data utilization,
achievement of clinical and quality targets, and a
$20 million annual savings in resource consumption.
• Develop a plan for leveraging clinical data
transparency in making improvements in
their organization
• Articulate the key success factors in “freeing the
data” to achieve both individual and practice
improvements
• Contrast methods for ensuring that physicians
provide leadership and oversight for clinical data
transparency and that their voices are heard
MacFie, H., PharmD, Chief Transformation Officer,
MemorialCare Health System; Leo, J., MD, Medical
Director of MemorialCare Best Practice and Clinical
Outcomes, MemorialCare Medical Centers
42
D23/E23: Strategies for Success in
Accountable Care Organizations
D27/E27: Flipping Primary Care —
Lessons from a Real-Life Case Study
Marco Island
D25/E25: The Care of High-Cost
Complex Patients in a Medical Home
Sawgrass
At last year’s IHI National Forum, Maureen
Bisognano spoke about “flipping health care,”
and since then IHI’s innovation team has been
conducting a real-life experiment in just that.
The experiment clearly illustrates many of the
innovative principles that can be applied to shift
care from the clinic setting to the home and
community. Using this example and others from
around the country, this session will discuss
how to redesign primary care to achieve
Triple Aim objectives.
Accountable care organizations (ACOs) are a key
element in the Affordable Care Act, and participants
in this session will learn about the Palo Alto Medical
Foundation’s successful commercial ACO. Topics
will include organizational readiness for this
challenge, pitfalls in contracting, development of
a useful population management program, quality
outreach programs, creation of a clinical variation
reduction program to reduce total costs of care,
and whether an ACO needs a hospital partner.
• Assess their organization’s readiness to
become an ACO
• Identify the components necessary to success
as an ACO
Knapp, W., MD, Palo Alto Foundation Medical Group;
Selna, M., MD, Chief Medical Officer; Chief Accountable
Care Officer, Sutter Health; Holmes, L., MD, Physician,
Palo Alto Medical Foundation
D24/E24: Timely and Productive
Appointments: Are You Primed?
Health Quality Ontario has developed resources
and strategies to help primary care practices
implement the principles of advanced access and
efficiency. This philosophy focuses on matching
the supply of appointments with the multifaceted,
complex demands of a practice population in a
patient-centered and timely fashion to enable
patients to book an appointment when they want
or need one. Participants will be “primed” to
reduce wait times, improve patient, provider, and
staff experience, and improve office efficiency.
• Describe and understand the principles of
advanced access and efficiency
• Identify the relevant data necessary to create
and sustain an accessible and efficient primary
care practice
• Apply concepts and strategies that support
the implementation of access and efficiency
principles
Viscardi-Johnson, M., Quality Improvement Coach,
Health Quality Ontario; Taylor, S., Program Manager,
Health Quality Ontario
Denver Health has worked on finding the best
ways to integrate initiatives focused on high-risk,
high-cost patients into an existing patient-centered
medical home (PCMH) framework. In this session,
we will review practice transformation methodologies
for identifying high-risk patients and the aspects
of their care that can be handled in the PCMH
setting. We will discuss several innovations, paying
particular attention to a PCMH-based care
coordination model.
• Demonstrate a model for applying PCMH
requirements to high-cost, high-risk populations
• Identify practice transformation concepts that
facilitate the integration of care for a high-risk
population into the medical home
• Describe specific care coordination strategies
for managing high-risk, high-cost patients in an
integrated care setting
Loomis, L., MD, Director Family Medicine, Denver
Health; Gutierrez, P., Associate Chief Operating Officer,
Denver Health; Batal, H., MD, Director, General Internal
Medicine, Denver Health; Johnson- Simmons, J.,
Clinical Operations Coordinator, Denver Health;
Everhart, R., Data Team Administrator, Denver Health
D26/E26: The Cost-Effectiveness of
“Big Bet” Programs to Address the
Nonmedical and Social Needs of
Individuals and Communities S
Harbor Beach
Nonmedical and social factors influence the
health of a population more than medical care,
but which investments and programs to address
these needs have the most impact on health
outcomes and health care costs? And what is the
appropriate role of the health care system? In this
session, we will discuss an innovative R&D
collaboration on this topic between Kaiser
Permanente and IHI, including the results of
worldwide scanning and evidence review,
modeling, and case studies.
• Identify and estimate the benefits of highleverage health system investments in social
and nonmedical determinants of health
• Provide a model for use by health systems to
use in their community
• Describe what it means to right-site or “flip”
primary care
• Discuss two examples of “flipped” care that are
happening around the US
Salinas, G., Director, Patient and Community Relations,
Rancho Los Amigos National Rehabilitation Center;
Mate, K., MD, Senior Vice President, Institute for
D28/E28: Managing Populations to
Achieve Triple Aim Outcomes
In transitioning away from traditional fee-forservice reimbursement, health care organizations
need to move away from the hospital-centric
model to one that can manage populations and
achieve financial success in a new world. As a
successful pioneer accountable care organization
and a leader in helping employers achieve Triple
Aim results, Bellin Health has developed a
comprehensive framework for reaching this goal.
This session will outline the necessary competencies
and infrastructure to be successful managing the
health of populations while taking financial risk.
• Develop an understanding of a comprehensive
framework for achieving Triple Aim results for
a population
• Create a roadmap for implementing this
framework in their own organization to manage
populations and achieve Triple Aim results
• Assess their organizational readiness
to manage populations and achieve
sustainable results
Kerwin, G., President/CEO, Bellin Health; Knox, P.,
Executive Vice President, Chief Learning and
Innovation Office, Bellin Health
Stiefel, M., Senior Director, CMI Center For Population
Health, IHI Fellow, Kaiser Permanente; Martin, L.,
Executive Director, Institute for Healthcare Improvement
43
Wednesday
December 10
Conference Day 2
D29/E29: Lessons Learned in
Eliminating Health Disparities
Anaheim
From health care staff and leaders to patients and
families, we all know that inequitable health care
outcomes are unacceptable. As a community,
we must share what we are learning to achieve
a high-value, high-quality, and low-cost system.
This session will present health equity cases and
participants will learn about how the health equity
challenge was addressed, the results achieved,
and what worked and what did not. Small group
discussion and a Q&A will be included in this
engaging workshop.
• Explore ideas to move from identifying health
disparities in their system to crafting solutions
• Describe successful approaches to addressing
health equity
• Apply the health equity lessons learned to their
own work
D Workshops
9:30 AM – 10:45 AM
E Workshops
11:15 AM – 12:30 PM
D30/E30: System Options to Achieve
the Triple Aim
Vinoy
Organizations with the common goal of the Triple
Aim may have differing, but equally successful,
approaches to it. This session will allow
participants to examine strategies and interact
with leaders from a clinic system, a university
system, and a hospital system. With this input,
we will evaluate current performance, consistent
themes, and contrasting approaches to more rapid
delivery of better outcomes.
• Evaluate their current strategies and performance
against the multiple models presented
• Develop a strategy that works best for their
organization over the next two to five years
D31/E31: Creating Health at Scale:
The Challenge and the Promise
Aruba/Bahamas
Policy changes, payment alignment, and less
satisfying quality of life due to poor health now
present an unprecedented opportunity to address
all the social, environmental, and behavioral
determinants of health for populations at scale.
Presenting the IHI Triple Aim approach to this
challenge, this session will show how this
framework achieves breakthrough results by
building distributed leadership and connections
beyond the walls of the health care system via
bold new organizational cultures, strategies,
structures, and incentives that bring together
committed change agents across sectors.
• Discuss the distinctive issues and opportunities
when moving from isolated impact within an
organization or agency to collective impact at
the community or national level
• Describe what a learning system at scale
might look like to drive demonstrable results
for health
• Explore ideas for achieving breakthrough
improvement through interdisciplinary and
interagency partnerships, including governance
and integration strategies and innovative “big
bets” in other determinants of health
Feeley, D., Executive Vice President, Institute for
Healthcare Improvement; Nolan, T., PhD, Statistician,
Associates in Process Improvement
Grossman, J., MD, President and CEO, University of
Wisconsin Medical Foundation; Williams, D., Medical
Director, ACO/Quality/Patient Experience, UnityPoint
Health; Thompson, J., MD, Chief Executive Officer,
Gundersen Health System
Reid, A., Senior Research Associate, Institute for
Healthcare Improvement; Goldmann, D., MD, Chief
Medical and Scientific Officer, Institute for Healthcare
Improvement; Wong, W., MD, Clinical Director, Kaiser
Permanente; Enard, K., PhD, Assistant Professor, Saint
Louis University College for Public Health & Social
Justice; Gallego, A., Program Director, South Carolina
Health Coordinating Council
44
Wednesday
Special Events
Be the Match: Information Booth and Registry
8:30 AM – 1:00 PM
Crystal Foyer
Be The Match Registry® is the largest and most diverse bone marrow donor
registry in the world. In partnership with keynote presenter Robin Roberts,
Be the Match has set up a booth in the Crystal Foyer. Visit the booth to join
the registry or to learn more information about what can be done to help cure
blood cancer.
Lunch and Learn: Systems Preparedness for Infectious
Disease Emergencies: Learnings from the Recent
Ebola Outbreak
12:40 PM – 1:20 PM
National Forum Meet the Author Lunches
12:40 PM – 1:20 PM
MeetUps!
Solaris Restaurant
Cypress Foyer
Dine with one of the National Forum bookstore authors to discuss various
topics. Lunch will be provided in the Solaris Private Dining Room.
10:45 AM – 11:15 AM
• Have You Had the Conversation about End of Life Care?
• The Lean Prescription: Powerful Medicine for Our Ailing Healthcare
System with author Patty Gabow
• Large-Scale Improvement and Spread: Where Do I Begin?
• Management Lessons from Mayo Clinic with author Len Berry
• Interprofessional Education: Engaging Learners in the Delivery
of Team-Based Care
• Building a Culture of Patient Safety through Simulation with author
Kathy Gallo
1:00 PM – 1:30 PM
• The Doctor Crisis: How Physicians Can, and Must, Lead the Way to Better
Health Care with authors Charlie Kenney and Jack Cochran
• Your Quality Improvement Journey: What Have You Learned
this Week?
• Patient Engagement Toss-up: Share Your 1-Minute Take on
What Works and What Doesn’t Work
Check the MeetUps! board in the Cypress Foyer for additional topics.
• 10 Powerful Ideas from Improving Patient Care: Book 3 with author
Robert Lloyd
• Accelerating Healthcare Transformation with Lean and Innovation:
The Virginia Mason Experience with author Gary Kaplan
Joint Replacement Learning Community
12:30 PM - 1:00 PM
Find out how your organization can get involved with this learning community
of provider organizations to measure and improve costs and outcomes for
knee and hip replacements, with the aim of ensuring high-value care.
Simpler Vendor Presentation: Techniques for Ensuring
Physician Engagement in Lean Transformation
HealthStream Vendor Presentation: Patient Experience
Transformation Through Communication
Nearly everything that occurs in a health care setting is a response to
physician orders. Therefore, in order to realize breakthrough operational
improvements, it is necessary that the members of the physician staff be
actively engaged in the improvement work. This talk will provide those
attending with the why’s and wherefore’s that improvement teams must
consider when engaging their physicians.
Patient Experience Coaching is the latest addition to HealthStream’s
offerings. This seminar shares tactics that can transform a culture to one
of patient-centered excellence. High-impact communication techniques
featured include:
• Role-modeling patient-centered communication
• Setting expectations for greatness
• Workforce engagement and accountability
10:45 AM – 11:15 AM
12:45 PM – 1:15 PM
45
Conference Map
This way to the North Tower
D
46
11
3
N
Conference Map
Shuttles
Shuttle Service to:
Gaylord Palms Resort & Convention Center
Courtyard Orlando Lake Buena Vista in the
Marriott Village
Springhill Suites Orlando by Marriott
Caribe Royale
Buena Vista Suites
To Access
Complimentary
Wireless Internet:
1. Select “view available wireless
networks” and connect to the
“IHIFORUM” wireless network.
2. Open a new web browser and type
“ihi.org” into the address bar. You will
be redirected to a Marriott webpage.
3. Enter “IHI26FORUM” as the Meeting
Passcode and click “Submit” (passcode is case sensitive).
More details in Shuttle Map on page 48.
47
Shuttle Map
Conference
Headquarters
48
General Conference
Information
Shuttle Service to Other Hotels
Exhibit Hall Hours
Checkout
During the conference, IHI will provide National
Forum participants with complimentary shuttle
transportation to the Marriott World Center.
Shuttles will run every 5 to 15 minutes from the
following locations:
• Gaylord Palms Resort and Convention Center
• Buena Vista Palace
• Courtyard Marriott Lake Buena Vista Hotel
• Marriott Village Spring Hill Suites
• Caribe Royale
• Buena Vista Suites
The 2014 Exhibit Hall, with snack stations, an
IHI café for meeting and relaxing, and over 130
exhibitors, will be open in the Palms Ballroom
during the following times:
Checkout from the Marriott World Center is at
11:00 AM. If you are staying at the Marriott,
please see the hotel bell staff about storing any
luggage after checkout. If you are staying at one
of our additional hotel properties, you will be able
to store your luggage in Cypress Ballroom 1 on
Wednesday, December 10.
Monday, December 8
3:30 PM – 6:30 PM
Tuesday, December 9
Emergencies
4:15 PM – 6:30 PM
If for any reason there is an emergency during the
National Forum, you may dial “0” on any hotel
phone to request assistance from the operator or
“55555” to connect directly to the Loss Prevention
Department. IHI Blue Shirt and Marriott World
Center staff are also available to assist.
Monday, December 8, 6:30 AM – 10:00 PM
Guests
Tuesday, December 9, 6:30 AM – 10:30 PM
10:30 AM – 1:30 PM
Wednesday, December 10, 6:00 AM – 4:00 PM
National Forum Bookstore
We are excited that family and friends are
accompanying many of you. We regret that
hotel space can accommodate only registered
participants at the keynote presentations, general
sessions, and meal functions. Your guests are
welcome to join you at the National Forum
receptions. Please see IHI staff at the registration
desk for a guest ribbon and name badge.
See opposite page for shuttle map.
Shuttle Operating Hours
9:30 AM – 10:30 AM
(By appointment only)
10:30 AM – 1:30 PM
Sunday, December 7, 6:30 AM – 10:00 PM
IHI will also provide complimentary shuttle
service from the Marriott World Center to Orlando
International Airport on the last day of the General
Conference, Wednesday, December 10, from
12:00 PM to 4:00 PM.
Located in the Crystal Foyer, the National Forum
Bookstore features books written, edited, or
recommended by our world-renowned faculty.
It will be open during the following times:
Monday, December 8, 7:30 AM – 6:00 PM
Tuesday, December 9, 7:30 AM – 6:30 PM
Wednesday, December 10, 7:30 AM – 1:30 PM
Wireless Code:
The entire meeting space will have
high-speed wireless Internet access.
We encourage participants to bring their
laptops to their sessions to take notes
and view presentations. Meeting rooms
will be set up with work tables
whenever possible.
To access complimentary
wireless internet::
1. Select “view available wireless
networks” and connect to the
“IHIFORUM” wireless network.
2. Open a new web browser and type
“ihi.org” into the address bar.
You will be redirected to a
Marriott webpage.
3. Enter “IHI26FORUM” as the Meeting
Passcode and click “Submit” (passcode is case sensitive).
Many of the National Forum Bookstore authors
will have scheduled a time for book signings,
and these events will be advertised around the
conference center and on Twitter using
#IHI26Forum.
Business Center
Located next to the Palms registration desk in
the Crystal Foyer, the full-service business center
offers professional printing services as well as
shipping, receiving, copying, and faxing.
Business Center hours are:
Monday – Friday, 7:00 AM – 6:30 PM
Saturday – Sunday, 8:00 AM – 4:00 PM
Health Center
The health center is a separate building on the
Marriott World Center property, located beyond
the pool. It is a fully equipped athletic facility with
indoor and outdoor pools, a full spa, whirlpools,
and saunas. The health center is open 24 hours,
with an attendant from 6:00 AM until 10:00 PM.
Use of the fitness center is complimentary for
overnight guests.
Message Board/Job Postings
You may place job postings as well as messages
for other attendees on a corkboard located next
to the registration desk.
Messages and Faxes
If you are staying at the Marriott World Center,
your telephone messages will go directly to your
room. If a caller identifies you as being with the
National Forum, urgent messages will be posted
on the message board located next to the
National Forum registration desk near the
Convention Center entrance.
Marriott World Center contact numbers are:
Phone: 407-239-6411
Guest Fax: 407-239-6164
Name Badges
Please wear your name badge throughout the
National Forum and carry your list of registered
sessions with you. This is your ticket into the
conference and all sessions.
Unattended Belongings
Please do not leave any personal belongings
unattended in meeting rooms. IHI is not
responsible for lost or stolen items.
49
General Conference
Information
Green Initiatives
The Institute for Healthcare Improvement continues to make a
concerted effort to reduce the environmental impact of the
National Forum and all IHI events.
In year eight of this effort, you may notice the following changes:
• All presentations made available to IHI by presenters before the conference will
be available to participants on ihi.org. Participants need to log in and then click on
“My IHI” at the top of the screen, navigate to “My Enrollments and Certificates,” and
find the link under “26th Annual National Forum on Quality Improvement in Health
Care” for “Materials/Handouts.” Paper handouts will not be provided for any session.
If you would like paper handouts, please print your materials before your arrival or
visit a printing kiosk in the Los Angeles meeting room.
• The entire meeting space will have high-speed wireless Internet access. We
encourage participants to bring their laptops to their sessions to take notes and view
presentations. Meeting rooms will be set up with work tables whenever possible.
• Optional printed materials will be available on stands in the registration area and
outside the Exhibit Hall.
• IHI works with the conference center to eliminate waste from paper and plastic food
packaging and to use local and organic food products whenever possible.
• Food not consumed by attendees will be donated to a local food bank.
• Exhibit Hall giveaways and other meeting supplies that are not distributed will be
donated to local elementary and middle schools.
• Recycling containers will be made available for recyclable meeting materials and
catering items.
• Transportation to the airport at the close of the conference will be available to
attendees in an effort to offset our carbon footprint by ride-sharing.
We encourage you to stop by the registration desk to give us your feedback on how we
can continue to reduce the impact of the IHI National Forum on the environment.
50
Forum Fortune
You’ve got to
play to win!
Visit each of these Forum Fortune Sponsor’s Booths, get their stamp or signature, and return your completed card to the IHI Booth #301
by 11:30 AM on Wednesday, December 10. Drawing will be on Wednesday, December 10, at 1:00 PM at the IHI Booth (#301).
You must be present to win, and exhibitors are ineligible. Prizes include Amazon Gift Cards, a Google Tablet, FitBits, Visa Gift Cards,
an iPad Mini, and a free registration to the 2015 National Forum, among others.
Collect stamps from each of the sponsors on this side of the page only.
UHC
Booth #208
MCN Healthcare
Booth #312
RightCare Solutions
Booth #313
Healthstream
Booth #314
Binghamton University
Booth #412
Capsule Tech
Booth #416
Zynx Health
Booth #501
Teqqa
Booth #523
E
E
FR E
PAC
Creative Healthcare
Booth #517
Booth #301
Nuance
Booth #600
Dimensional Insight
Booth #607
Standard Register Healthcare
Booth #706
Kaplan Medical
Booth #717
DebMed
Booth #806
Medical Interactive
Community
Booth #922
Patient Route
Booth #1106
Skylight Healthcare Systems
Booth #1113
Joint Commission Resources
Booth #1400
STEEEP Global
Booth #1454
S
Name:
Organization:
Email:
51
Exhibit Hall
Floor Plan
STORYBOARD
ENTRANCE
923
823
922
Lunch Station
622
523
223
224
222
Lunch Station
New Exhibitor Pavilion
1317
1316 1217
1216 1117
1116 1017
1016 917
916
817
816
717
716
617
616
1315
1314 1215
1214 1115
1114 1015
1014 915
914
815
814
715
714
615
614
1313
1312 1213
1212 1113
1112 1013
1012 913
912
813
812
712
613
612
909
908
809
713
522
517
513
516
512
216
117
116
214
115
114
213
212
113
112
308
209
208
109
108
306
205
206
107
106
417
416
317
415
414
315
314
413
412
313
312
215
WELLNESS ZONE
1309
1308 1209
1208
1307
1306
1206 1107
1305
1304 1205
1303
1302 1203
1301
1300 1201
1106 1007
1003
1101
1100 1001
1006
907
806
1004 905
904
1002 903
902
1000 901
900
WELLNESS ZONE
707
706
607
606
507
407
805
204
IHI
701
801
601
600
501
1454
1442
1440
1438
1436
301
401
Lunch Station
1456
307
Main
Entrance
1424
1420
Main
Entrance
201
1404
200
1400
1418
GRAFFITI
WALL # 1
Service Desk
52
Vendor Classroom
105
104
103
102
101
100
Exhibitor
Index
Booth # Company Name
#912 3M Health Information Systems
#104 AACE Impact Graphics
#905 Agency for Healthcare Research and Quality
#1012 Aging with Dignity
#712 Altarum Institute
#106 American Board of Medical Specialties
#615 American College of Healthcare Executives
#1107 American College of Surgeons
#1114ApolloMD
#716 At Home Support
#415 Baldrige Performance .Excellence Program
#412 Binghamton University
#1004 BlueWare
#215BMJ
#815 Brown University Executive .Master of
Healthcare Leadership
#416 Capsule Tech, Inc.
#902 Cardinal Health
#1442 Care Copilot Institute
#407 CE City
#1000 Center for Improvement in .Healthcare Quality
#209 Center to Advance Palliative Care
#1112 Centurion Medical Products
#1101 Cerner Corp.
#1007 Chameleon Corporation
#714 Clarity Group
#308 Commonwealth Fund
#801 Conifer Health Solutions
#923 Cooper Signage & Graphics
#813 Cost & Quality Academy
#908 Courtemanche & Associates
#517 Creative Healthcare
#903 Curos By Ivera Medical
#622 Dartmouth College – Master of Health Care
Delivery Science Program
#107DASpecialists
#206 Datix (USA) Inc.
#806DebMed
#1440 Department of Medical Education,
UIC College of Medicine
#607 Dimensional Insight, Inc.
#513 DNV GL - Healthcare
#816Doctella
#417 ECRI Institute
#512 Edwards Lifesciences
#1213 Exact Sciences
#715FormFast
#522 Forward Health Group
#317 Garnet River/Altosoft
#916 GE Healthcare
#117 Genia
#1205 Get a Real Degree
#1212 Halo Innovations
#1209 Hawiian Moon
#108 Health Care DataWorks
#100 Health Catalyst
#1017 Health Information Alliance, Inc.
#315Healthgrades
#314HealthStream
#909 i2i Systems
#222 Icahn School of Medicine at Mount Sinai
#525 i-Human Patients
#112 Infinite Trading
#1400 Joint Commission Resources
#1424 Kaiser Permanente
#717 Kaplan Medical
#1420 [Lean healthcare]: John Kim a nd Associates
#1206 Loyola University Chicago S
chool of Nursing
#823 M2S, Inc.
#312 MCN Healthcare
#414MDReview
#913MedAssets
#812 MEDICAL DECISION NETWORK, LLC
#1015 Medical Education Institute
#922 Medical Interactive Community
#115 MedStar Health
#1201MERCI
#1014 Midas+, A Xerox Company
#606Minitab
#204 Minute for Medicine
#1013MSC
#614 National Board of Surgical T
echnology &
Surgical Assisting (NBSTSA)
#917 National Database of Nursing Q
uality Indicators
#413 National Patient Safety Foundation
#704 National Research Corporation
#224 NAVEX Global
#1003 NEXT LEVEL Partners, LLC
#306 Nihon Kohden America
#805Nobl
#507 North Shore-LIJ Health System
#600Nuance
#1208 Otto Trading
#915PatientPrompt
#1106 Patient Route Systems
#701 Pavisse™ Incident Management Solution
#1404 PeraHealth, Inc.
#613 Performance Logic
#907 Pfizer’s Independent Grants for
Learning & Change
#213 Phytel, Inc.
#1203 Policy Medical
#612 PQ Systems
#401 Premier, Inc.
#103 Primex Wireless
#113 Professional Research Consultants
#1002Q-Centrix
#101 QI Macros SPC Software for Excel
#313RightCare
#601 RL Solutions
#1100 SafeHaven by Georgia-Pacific
#1001 Sandlot Solutions
#212 Simpler Healthcare, a Truven
Health Analytics company
#1113 Skylight Healthcare Systems
#1438 Southcentral Foundation
#706 Standard Register Healthcare
#814 Stanson Health
#1454 STEEEP Global Institute
#523 Teqqa
#307 The Advisory Board Company
#713 The C.A.R.E. Channel
#205 The Compliance Team, Inc.
#1420 Institute for Enterprise Excellence
(Lean in Healthcare)
#200 The Joint Commission
#102 The Joint Commission Center
for Transforming Health
#516 The Quality Group
#1006 Thermo Scientific
#223TransforMED
#201 Truven Health Analytics
#208UHC
#817 U.S. News Hospital Data Insights
#1116 University of Alabama at Birmingham,
School of Health Professions
#901 University of Michigan Healthcare Programs
#914 University of St. Thomas Healthcare MBA
#616 University of Tennessee
#900 Verge Solutions
#109 Vestagen Technical Textiles
#617VigiLanz
#1418 Virginia Mason Institute
#1016 Vree Health
#214 Walden University
#216 WhiteCloud Analytics
#1313 Xenex Disinfection Services
#501 Zynx Health
53
Storyboards
Tuesday, December 9, 4:30 PM – 6:30 PM, Palms Ballroom
During this reception, presenters will be standing by their boards to answer questions.
mcupido@anest.ufl.edu
IC1: A Circle for Quality Improvement
- A Graphical Representation
Rede de Hospitais São Camilo
Daniela Akemi Costa
daniela.akemi@saocamilo.com
IC12: Baldrige Examiner –
The Partnership for Excellence
Franciscan Alliance
Beth Grbavac
beth.grbavac@franciscanalliance.org
IC2: A Collaborative Approach to
Reducing Readmissions for Heart
Failure Patients
Stanford Health Care
Angela Bingham
abingham@stanfordmed.org
IC13: Benefits of Establishing Nursing
Networks in Clinical Practice
Hamad Medical Corporation
Fiona Milligan
FMilligan@hmc.org.qa
IC3: A Comprehensive Cancer Center
Disease Team Performance Dashboard
YNHH
Salimah Velji
salimah.velji@ynhh.org
IC4: A Coordinated Care Model:
Managing Transitions of Care for
Pediatric Asthma Patients
Levine Childrens Hospital
Cheryl D. Courtlandt
cheryl.courtlandt@carolinashealthcare.org
IC15: Blood Utilization Data Reporting
Aurora Health Care
Jayna Anderson
jayna.anderson@aurora.org
IC5: A Faster Last Offices Procedure
at Ward 52B
Singapore General Hospital
Norazlina Mattar
alex.toh.t.g@sgh.com.sg
IC16: Building a Better Performance
Improvement Application by Integrating
Business Intelligence
Los Angeles County - Department of
Public Health
Quan Truong
qtruong@ph.lacounty.gov
IC6: Act it Out: The Application of
Simulation within Centralized Nursing
Orientation and Nursing Competency
London Health Sciences Centre
Jennifer Yoon
jennifer.yoon@lhsc.on.ca
IC17: Building a Framework
for Quality Improvement in a
Healthcare System
Alberta Health Services
David Mador
Julie.Shemanchuk@albertahealthservices.ca
IC7: Adaptive Design and A3
Problem-Solving: Not Just Another
Improvement Tool
UnityPoint Health - St. Luke’s Hospital
Gretchen Aschoff
gretchen.aschoff@unitypoint.org
IC18: Building a Provider Network
Based on Quality: Using CPV
Vignettes to Measure Quality,
Pathway Adherence
QURE Healthcare
John Peabody
oouenes@qurehealthcare.com
IC8: ADE Prevention: Reducing
Hypoglycemic Events in Inpatients
NCH Healthcare System
Kim Thorp
lisa.leonard@nchmd.org
IC9: Aiming for Accessible, Effective
Primary Healthcare for Alberta
Richard Lewanczk
rlewancz@ualberta.ca
IC10: An Account of Patient
Experience in London Health
Sciences Centre-University
Hospital Outpatient Orthopedic
Physiotherapy Service
Tania Larsen
tania.larsen@lhsc.on.ca
IC11: Anesthesia Equipment Manual
Access Simplified
Shands at the University of Florida
Matthew Cupido
54
IC14: Blood Tubes on Roller Coaster:
Validation of a Laboratory’s Tube
Transport System
Sean Agger
SAAgger@gundersenhealth.org
IC19: Building Improvement Capability
with a Collaborative Ramp
Ko Awatea
David Grayson
david.grayson@middlemore.co.nz
IC20: Building Quality Improvement
Capability at Alberta Health Services:
Engaging Staff at All Levels
Jennifer Pougnet
Jennifer.Pougnet@albertahealthservi ces.ca
IC21: Centralized Registration
Nationwide Children’s Hospital
Terri Smith
terrismith74@gmail.com
IC22: Child and Youth Mental
Health Module
British Columbia Medical Association
Liza Kallstrom
lkallstrom@doctorsofbc.ca
IC23: Cleanliness Collaboration Local
Improvement Project
Boston Medical Center
Deborah Gregson
Deborah.Gregson@bmc.org
IC35: Eliminating Wasted Space:
Floating Office Evaluations
Franciscan Alliance
Beth Grbavac
IC24: Clinic Efficiency in Family
Planning Clinics Capacity Building
Learning Collaborative
John Snow, Inc.
Jennifer Kawatu
jkawatu@jsi.com
IC36: Empowering Parents to Manage
Everyday Childhood Illness at Home
NHS England (Wessex)
Rosada Justice
rosada.justice@nhs.net
IC25: Clinical Process Analysis:
Driving Improvement
University of Texas MD Anderson
Cancer Center
Laurie Kaufman
lkaufman@mdanderson.org
IC26: Code Save A Brain Process:
Achieving Best Practices to Improve
Door to TPA Time
Omar Villarreal
omar.villarreal@nchmd.org
IC27: Collaboration and Revitalization
of Critical Care Education
Krista Shea
krista.shea@lhsc.on.ca
IC28: Creating a Root Cause
Analysis Toolbox
Franciscan Alliance
Beth Grbavac
IC29: Decreasing Fallouts by Increasing
Documentation Awareness
Kevin Smith
kevin.smith@nchmd.org
IC30: Decreasing Turnaround
Time from Triage to Urine hCG
Results in a Pediatric Emergency
Medicine Department
Kings County Hospital Center
Konstantinos Agoritsas
konstantinos.agoritsas@nychhc.org
IC31: Disaster Befalls: Optimizing
our Emergency Department’s
Preparedness for Mass Disaster
St. Michael’s Hospital
Candis Kokoski
kokoskic@smh.ca
IC32: Driving Evidence-Based
Practice through Mobile Applications:
Results of a Multi-Hospital Pilot Test
of Registered Nurses
Galen Center for Professional Development
Bobbi Martin
bmartin@galencpd.com
IC33: Educate Before You Medicate
Melanie Huber
melanie.huber@nchmd.org
IC34: Effectiveness of Online
Resource for Learning Healthcare
Communication Skills
American Academy on Communication
in Healthcare
Laura Cooley
cooley@aachonline.org
IC37: Empowering Staff to Adopt the
IHI Quality Improvement Model for a
Safer Patient Outcome
Barts Health NHS Trust
Hazel Tonge
andrew.mcgovern@bartshealth.nhs.uk
IC38: Enhancing Clinical and Patient
Value in Well Child Care
Pediatric Physician’s Organization at
Children’s Hospital Boston
Jonathan Modest
jonathan.modest@childrens.harvard.edu
IC39: Enhancing the New Graduate
Experience: Providing a Robust
Orientation Program
Sandra Quin
sandra.quin@lhsc.on.ca
IC40: EQuIP: Enabling Clinicians
in Quality Improvement and
Patient Safety
Great Ormond Street Hospital for
Children NHS Trust
Daljit Hothi
Daljit.Hothi@gosh.nhs.uk
IC41: Establishing Venous
Thromboembolism Screening
and Prophylaxis in the Pediatric
Intensive Care Unit
Palmetto Richland Memorial Hospital
Terra Varner
terra.varner@palmettohealth.org
IC42: Evolution of a Quality
Improvement Coach: Integrating
VA Quality Scholars into a
Residency Program
VA
Kari Gali
kxg19@case.edu
IC43: Exclusive Breastfeeding during
Hospital Stay
Patricia Ney
patricia.ney@nchmd.org
IC44: Fall Reduction: Total Joint
Replacement Population
Erin Raney
erin.raney@nchmd.org
IC45: Family Physician Identification
and Notification on Admission
to Hospital
Providence Health Care
Margot Wilson
mwilson@providencehealth.bc.ca
IC46: Focus on Falls
Marcia Swasey
marcia.swasey@nchmd.org
IC47: Getting it Right at the Point
of Care
Barbara Glinski
IC49: Got Engagement Get Results –
Employee Engagement and
Hospital Throughput
Genesys Regional Medical Center
Jennifer Carpenter
jennifer.carpenter@genesys.org
IC50: Hand Off Communication:
Improving Patient Treatment,
Clinician Satisfaction and Length
of Stay in Psychiatric Medicine
Susan Kimper
susan.kimper@nchmd.org
IC51: Hand to Hand Together Speak
Up Freely (ERIS)
Raiefa Qaddoura
drraoofa@yahoo.com
IC52: Home Health Care Medical Staff
Intervention to Reduce Risk of CAUTI
for Elderly
Hamad Medical Corporation:
Rumailah Hospital
Navas Nadukkandiyil
drnavasnk1111@yahoo.co.in
IC53: How to Improve Ward Rounds in
the Complex Socio-Technical Domain
of Health Care?
Center for Quality, Region of
South Denmark
Jeanette Hounsgaard
jeanette.hounsgaard@rsyd.dk
IC54: How to Utilize Continuous
Learning to Provide Better Care
Resulting in Lower Cost
Allina Health System
Angie Meillier
angie.meillier@allina.com
IC55: Impact of Personalized
Report Card on Nurses Managing
Central Lines
Theresa Morrison
theresa.morrison@nchmd.org
IC56: Implementation of a Performance
Management Scorecard for Critical
Care Units in Ontario, Canada
Critical Care Services Ontario
Bernard Lawless
bernard.lawless@uhn.ca
IC57: Implementation of an EvidenceBased Bundle to Reduce Occurrences
of Ventilator Associated Pneumonia/
VAP in the SICU
Bridgeport Hospital
Pam D’Ambrosio
npdamb@bpthosp.org
IC70: Improving Scheduling Practices
for Pediatrics Clinic Using Hybrid
QI Methodology and Implementing
Multiple, Sequential Interventions
University of Oklahoma
Paula Smith
paula-smith@ouhsc.edu
IC59: Implementation of
Evidence-Based Practice for
Glycemic Control: Did It Make
a Difference?
Debra Harper
Debra.harper@nchmd.org
IC71: Improving Service Quality and
Enhancing Collaboration through
Transformation and Consolidation of
Clinical Laboratories
Heng Yi Xiong
heng.yi.xiong@sgh.com.sg
IC60: Implementation of Pressure
Ulcer Prevention Best Practice in
Acute Care: Qualitative Study in
Elderly Population
Hamad Rumailah Hospital
Navas Naduk
kandiyil drnavasnk1111@yahoo.co.in
IC72: Improving the Quality of LibrarianMediated Literature Searches
Conducted for Hospital Staff
Sandra McKeown
sandra.mckeown@lhsc.on.ca
IC61: Implementing a Transitional
Care Model in a Medical Ward within
an Academic Medical Centre
National University Hospital
Reysham Singh
reysham_singh@nuhs.edu.sg
IC62: Improve Outcomes at the
Point of Care with Real-Time and
Predictive Analytics
Truven Health Analytics
David Bordewyk
david.bordewyk@truvenhealth.com
IC63: Improving Communication and
Patient-Provider Experiences by
Developing Internal Trainers
American Academy on Communication
in Healthcare
Laura Cooley
cooley@aachonline.org
IC64: Improving Communication
Between a Resident Primary Care
Clinic and the Emergency Department
Department of General Internal Medicine,
Brown University
Ross Hilliard
ross_hilliard@brown.edu
IC65: Improving ED Lab Reporting Time
Nancy Schafer
nancy.schafer@nchmd.org
IC66: Improving Employees’ Mandatory
Education Compliance
Lorie Darrah
lorie.darrah@nchmd.org
IC67: Improving Identification of
Febrile Neutropenia in a Large
Oncological Center in Brazil
ICESP
Vinicius M Jorge
vinicius_jorge@yahoo.com.br
IC68: Improving Medication
Reconciliation and Anticoagulation
Management Across Care Settings
IPRO
Anne Myrka
anne.myrka@hcqis.org
IC69: Improving Quality Measures of
ED Sepsis Care Through Huddles,
Reflection and a Standardized Protocol
St. Michael’s Hospital
Melissa McGowan
mcgowanm@smh.ca
IC73: Improving the Timeliness and
Accuracy of ECHO Reports
Bill Shirkey
IC74: Increase Initial Dosing of
Synagis for the 2013-2014 Season
Kelly Kersey
kelly.kersey@nationwidechildrens.org
IC75: Increasing Quality through
Interprofessional Development at
Western University
Lisa Ducharme
lisa.ducharme@lhsc.on.ca
IC76: Increasing the Success Rate of
Peripheral IV Insertion in Infants in
the Operating Room
Cincinnati Children’s Hospital
Medical Center
Renee N. Kreeger
renee.kreeger@cchmc.org
IC82: Interprofessional Experience
Emersion: Addressing the Milestones
MedStar Health
Anne Gunderson
anne.j.gunderson@medstar.net
IC83: Introducing QI: The Journey
So Far
Hazel Tonge
hazel.tonge@bartshealth.nhs.uk
IC84: Language Access and
Healthcare: The Cornerstone of
Effective Communication
North Shore - LIJ Health System
Ashley LaMariana
alamariana@nshs.edu
IC85: Lean + PFCC M/P
University of Pittsburgh Medical Center
Patricia Embree
embreepl@upmc.edu
Storyboards
IC48: Going from Red to Green:
Improving Pain Management in
a Hospital-Based Outpatient
Surgical Setting
Mayo Clinic
Dale Ekbom
ekbom.dale@mayo.edu
IC58: Implementation of Daily CHG
Bathing and ZERO CLABSI in
Neutropenic Patients
Carolyn Smith
carolyn.smith@nchmd.org
IC86: Lean Six Sigma Green
Belt Training
Franciscan Alliance
Beth Grbavac
IC87: Lean Six Sigma Yellow
Belt Training
Franciscan Alliance
Beth Grbavac
IC88: Let’s Talk about Strokes
Sarah Horner
sarah.horner@nchmd.org
IC89: Leveraging Learning
Communities to Improve Chlamydia
Screening in Adolescents
Pediatric Physicians Organization
at Childrens
Farah Jooma
farah.jooma@childrens.harvard.edu
IC77: Infant Driven Feedings
Catherine Ravelo
cathy.ravelo@nchmd.org
IC90: Lung Cancer Screening Quality:
The Road to Excellence
Franciscan Alliance
Beth Grbavac
IC78: Initial Breast Latch within the
First Hour of Life
Patricia Ney
patricia.ney@nchmd.org
IC91: Making Improvement
Everyone’s Responsibility
University of Missouri Health Care
Koby L. Clements
clementskl@health.missouri.edu
IC79: Initiating Treatment of Fever
and Pain from Triage in an Academic
Pediatric Emergency Department
Kings County Hospital Center
Konstantinos Agoritsas
konstantinos.agoritsas@nychhc.org
IC92: Management of a Mycobacterium
Pacemaker Surgical Site Infection
Cluster in the Electrophysiology Lab
Georgine Kreudelbach
georgine.kreudelbach@nchmd.org
IC80: Inpatient Patient
Experience Improvement
Aurora Health Care
Shirley Schmick
shirley.schmick@aurora.org
IC93: Medical Staff: Standardization
and Organization
Franciscan Alliance
Beth Grbavac
IC81: Interprofessional Approach to
Glycemic Control Management
Sutter Health
Roberta Mori
morir@sutterhealth.org
IC94: MEDS: Medication Education
Direct and Simple
Patricia Sutton
patricia.sutton@nchmd.org
Which storyboard did you enjoy? Tweet it using #IHI26Forum
55
Storyboards
IC95: Meeting Room Manager
Franciscan Alliance
Beth Grbavac
IC96: Meta-Management III: Aso
Iizuka Outcome Measurement System
for Meaningful Use of IT
Aso Iizuka Hospital
Hiromi Ando
hando1@aih-net.com
IC97: Midwife Approach to Reduction
of Episiotomies at Kah for NGHA
al Hassa
King Abdulaziz National Guard
Hospital Al Ahsa
Valerie Berry Pretorius
valerieberry401@hotmail.com
IC98: Mount Sinai Queens: Improving
Patient Flow and Experience in the ED
Radiology Department
Labor Management Project
Regina Censullo
regina.censullo
@labormanagementproject.org
IC99: Moving Healthcare Providers
FORWARD: Accelerating Obesity
Prevention in DuPage County
FORWARD/DuPage County
Health Department
Ann Marchetti
forward@dupagehealth.org
IC100: Multiple Variables Impact
Outpatient Visit
Susan Greiner
susan.greiner@nchmd.org
IC101: New Onset Diabetic Education
and Discharge Plan for the
Pediatric Patient
Catherine Ravelo
cathy.ravelo@nchmd.org
IC102: Nursing Meeting Mapping
Franciscan Alliance
Beth Grbavac
IC103: Optimizing and Enhancing
the Support Service Role
through Education
Bernice MIller
bernice.miller@lhsc.on.ca
IC104: Optimizing Outcomes:
Innovations in Case Management
Lisa Leonard
IC105: Patient Education Pamphlets:
Use Them or Lose Them
Mayo Clinic
John Bachman
bachman.john@mayo.edu
56
IC106: Paying it Forward: Interns
for Improvement
Franciscan Alliance
Beth Grbavac
IC107: Perfect Care in Diabetes:
Improvement through Process
Care Redesign
Unimed Foundation
Paulo Borem
pauloborem@gmail.com
IC108: Physiotherapy Initiative
Enhancing Patient Services in the
Emergency Departments at London
Health Sciences Centre
Monique Prendergast
tania.larsen@lhsc.on.ca
IC116: Reducing Cardiac
Catheterization Lab Vascular
Complications via Radial Access
Sarah Bell
sarah.bell@nchmd.org
IC117: Reducing Catheter Associated
Urinary Tract Infections in a
Neurosurgical Intensive Care Unit
NorthShore University Hospital
Laura Iacono
lai9002@gmail.com
IC118: Retaining Wheelchairs within
the Northwestern Indiana Region
Franciscan Alliance
Beth Grbavac
IC119: RNs in Transition: Moving to
Safe, Quality Care
Versant Holdings, LLC
Cheryl Mallory
cmallory@versant.org
IC120: Safe Patient Flow
Regional Hospital Horsens, Denmark
Christina Egelund Antonsen
chrant@rm.dk
IC109: Planning the Luck out of a
Hospital Move
Mason Quackenbush
MWQuacke@gundersenhealth.org
IC121: Screening Mammography
Turnaround Time Improvement
Dartmouth Hitchcock Medical Center
Tomiwa Osunkoya
Anuoluwatomiwa.O.Osunkoya
@hitchcock.org
IC110: Project CLEAR!
(Communication Leading to Excellence
and Ameliorating Risk)
Brown University
Lynn Sweeney
lynn_sweeney@brown.edu
IC122: Sepsis Early Warning System
Improves Outcomes
Middlesex Hospital
Terri Savino
terri.savino@midhosp.org
IC111: Project Lifecycle and
Standardized Templates to Sustain
Performance Improvement
Texas Health Resources
Jim DePaolo
jimdepaolo@texashealth.org
IC112: Quality Improvement Rapid
Response: A Multi-Pronged Approach
to Delivering and Sustaining
Reduction in Harm
Andrew McGovern
andrew.mcgovern@bartshealth.nhs.uk
IC113: Quality Improvement through
Bedside Shift Report
Marie Hageman
marie.hageman@nchmd.org
IC114: Radiology Process Maps &
Time Studies
Franciscan Alliance
Beth Grbavac
IC115: Reduce Harm Across the
Board – Decrease Hospital-Acquired
Pressure Ulcers Stage II or
Greater (HAPU2+)
Joan McInerney
joan.mcinerney@nchmd.org
IC123: Sepsis Improvement Team
United Regional Health Care System
Darcy Minter
dminter@unitedregional.org
IC124: Severe Sepsis Eradication:
It Takes A Team
Betsy Novakovich
elisabeth.novakovich@nchmd.org
IC125: Shared Care: Specialists
Support for Patients
Margot Wilson
IC126: Sheffield Microsystems
Coaching Academy-Learning Two
Years On
Sheffield Teaching Hospitals
Nick Miller
nick.miller@sth.nhs.uk
IC127: Six Months to Six Weeks:
Success in Subspecialty Access
Richard Lewanczk
rlewancz@ualberta.ca
IC128: Social Networking Drives
Quality Improvement
Mayo Clinic
Farris Timimi
admin@dabohealth.com
IC129: Spotlight on Physician
Engagement
Franciscan Alliance
Beth Grbavac
IC130: Stepping up Fall Prevention
for the Rehabilitation Patient
Maria Feola
maria.feola@nchmd.org
IC131: Stewards of Infection:
Recognizing an Infection When You
Meet One in the Wound Healing Clinic
Marta Toledo
IC132: Surgical Risk Score Provides
Appropriate Stratification of
Postoperative Monitoring Resources
Based on Patient Status
National University Health System
Raymond Goy
raymond_goy@nuhs.edu.sg
IC133: Sustaining a Robust Process
Improvement Program
The Joint Commission
Dawn Allbee
dallbee@jointcommission.org
IC134: Synergy of Discipline:
Key in Reducing Hospital-Acquired
Pressure Ulcers
National Guard Health Affairs
Eastern Region
Jamellah Gimenez
gimenezja@ngha.med.sa
IC135: Taking the Shock out of Sepsis
Saint Luke’s Hospital
Samir Doshi
sdoshi@saint-lukes.org
IC136: Targeting Meds
Tracy Britto
tracey.britto@nchmd.org
IC137: Teaching Quality Improvement
to Pediatric Residents: Improving
Confidence and Performance
Levine Childrens Hospital
Laura Noonan
laura.noonan@carolinashealthcare.org
IC138: Team Approach to Reducing
Surgical Site Infections in Hip and Knee
Total Joint Replacement Procedures
Michael Miller
Michael.miller@nchmd.org
IC139: The Effect of Metal Surface
Treatment for Repair After Adhesive
Fracture of Ceramo-Metallic Restoration
Suhayla Al-Banai
salbanai@hmc.org.qa
IC140: The Interprofessional Education
for Quality Improvement Program
(I- EQUIP)
Brock University
Madelyn P. Law
mlaw@brocku.ca
IC152: Utilizing Transitional Care
Program for CHF Patients at
Franciscan St. Anthony Health
Franciscan Alliance
Beth Grbavac
IC142: The Vascular Quality Initiative:
Regional Groups Organized to Improve
Vascular Health Care
Society for Vascular Surgery Patient
Safety Organization
Jack L. Cronenwett
j.cronenwett@hitchcock.org
IC153: VIR Process Variation
Improvement
Dartmouth Hitchcock Medical Center
Tomiwa Osunkoya
Anuoluwatomiwa.O.Osunkoya
@hitchcock.org
IC143: The Virtual Monitoring Clinic:
A Pilot Program for Right-Siting
Patients With Chronic
Complex Diseases
Yeo Siaw Ing
yeo.siaw.ing@sgh.com.sg
IC144: The Writing is on the Wall!
Moving from Narrative Charting to
Charting by Exception
Cheryl Burt-Di Nino
cheryl.burtdinino@lhsc.on.ca
IC145: To Reduce Time Taken in
Safekeeping SDA Patients’ Property
by 40% in 12 Months
Thurgathavi D/O P.Vellasamy
IC146: Transforming Advanced Illness
Management: A Patient Centric
Multidisciplinary Approach
Forest Hills Hospital
Hallie Bleau
hbleau@nshs.edu
IC147: Transforming Patient Care
through Direct Provider Observations
and Workflow Redesign
Yale New Haven Health System
Crystal Clemons
crystal.clemons@ynhh.org
IC148: Use It, Don’t Lose It: Preventing
Functional Decline in Patients
Admitted to Acute Ortho Trauma
Lori Vantfoort
lori.vantfoort@lhsc.on.ca
IC149: Using Medical Informatics to
Advance Clinical Quality Improvement
& Population Health Management
Kansas University Medical Center
Eyad Al-hihi
eal-hihi@kumc.edu
IC150: Using Robust Process
Improvement to Reduce
Sepsis Mortality
Kelly Barnes
kbarnes@jointcommission.org
IC151: Using the Model for
Improvement and a Virtual Learning
Collaborative to Improve
Immunization Delivery
Children’s National Health System
Janet Gingold
jgingold@cnmc.org
L8: Heralding a New Phase of
Organizational Safety Culture –
Building Safe, Reliable Academic
Medical Centers
Sucharita Hota
sucharita_hota@nuhs.edu.sg
L9: How to Study A Microsystem
Halfway Around the Globe: A Distance
Learning, Quality Improvement Project
Dartmouth College
Michael Rea
michael.rea@dartmouth.edu
IC154: What is the Difference
Between a Good and a Bad Day for
Evaluating Patients?
Center for Quality, Region of
South Denmark
Jeanette Hounsgaard
jeanette.hounsgaard@rsyd.dk
L10: Improving Provider EHR Efficiency
and Work-Life Balance Utilizing a
Physician-Led CME Course
Jonathan Zlabek
JAZlabek@gundersenhealth.org
IC155: What We Don’t Know Does Hurt:
Resident Self-Efficacy in Treating
Chronic Musculoskeletal Pain
Louis Stokes VA Medical Center
Galina Lyles
galina.lyles@uhhospitals.org
Leadership
L1: 2013-2014 AHS South Zone Docs
in Mind Physician Health Series
Vanessa MacLean
Vanessa.Maclean@albertahealthservices.ca
L2: Achieving STEEEP Health Care at
Baylor Scott & White Health – Health
System QI Infrastructure
Baylor Scott & White Health (BSWH)
David Ballard
dj.ballard@baylorhealth.edu
L3: Cooperative Leadership and
Implementation of Hospital-Wide
Quality Systems: Structure, Process
and Outcome Relationships
Vanessa Burkoski
jennifer.yoon@lhsc.on.ca
L4: Designing a Quality Improvement
Curriculum for the Residents
QI Innovation Institute
Farbod Raiszadeh
fraiszad@gmail.com
L5: Dr. Deming’s PDSA – Healthcare
Education Cycles of Change
Florida Hospital
Peter Kulach
peter.kulach@flhosp.org
L6: Exploring Holistic Nurse Manager
Roles with New Patient Satisfaction
Dimensions and Expectations
University of Phoenix
Neena Philip
nsphilip3@gmail.com
L7: Framework for Shared Leadership
and Alignment
Memorial Hermann
Caryn Douma
Caryn.Douma@memorialhermann.org
L11: Improving Team-Based Care in a
Learning Health System
UCLA Division of General Internal
Medicine and Health Services Research
Paul Di Capua
pdicapua@mednet.ucla.edu
L12: Increasing Educational Impact
Using the Flipped Classroom Model
North Shore-LIJ
Rachel Rosenblum
rrosenblum@nshs.edu
L13: Indoor Smoke Pollution Reduction
Enterprise (InSPiRE) – Improving
Health and Reducing Deforestation in
Rural Cambodia
Health Education Thames Valley –
Improving Global Health through
Leadership Development Programme
Charlie Gardiner
charliehgardiner@gmail.com
L14: Institutionalizing an
Organization Wide Continuous
Quality Improvement Program in
a For-Profit Indian Healthcare Chain
FORTIS HEALTHCARE
Narayan Pendse
drspendse@yahoo.com
L15: Integrating Safe Care Practices
Across a Continuum
The Stephen and Alexandra Cohen
Children’s Medical Center of New York
Cari Quinn
cquinn@lij.edu
L16: Leadership Success Achieved
through Interprofessional Collaboration:
A Quality Improvement Case Study
National Institutes of Health
Clinical Center
Helen Mayberry
hmayberry@nih.gov
L17: Non-Clinical Quality Improvement
Experts Improve Clinical Outcomes:
A New Paradigm
James Dail
james.dail@NationwideChildrens.org
L18: Understanding Physician
Workforce to Support Quality
Improvement Initiatives in
Critical Care
Critical Care Services Ontario
Bernard Lawless
bernard.lawless@uhn.ca
Patient Safety
PS1: A “Reasoned” Approach to
Establishing the Root Cause of Error
in an Emergency Care Setting
Sunquest Information Systems
Joanne Scalise
JoAnne.Scalise@gmail.com
PS2: A Banana Peel Issue: Hydrogen
Peroxide Vapor Decontamination of a
New Protective Environment
The Geisinger Health System,
Department of Critical Care Medicine
Megan Miller-Daghir
mmillerdaghir@gmail.com
PS3: A Falls Bundle Approach to
Improving Patient Safety
United Regional Health Care System
Cindy Hoff
choff@unitedregional.org
Storyboards
IC141: The Trek to Clinical Confidence:
Utilization of Goal Planning and a
“Clinical Pocket Guide”
Mayo Clinic
Emily Ingram
ingram.emily@mayo.edu
PS4: Addressing the Unexpected:
Ensuring Patient Safety through
Standardized Notification of
Incidental Findings
Brian Manske
BRManske@gundersenhealth.org
PS5: Alcohol Related Harm:
Changing Hospital Culture and
Improving Outcomes for Patients
with Alcohol Withdrawal
Tameside Foundation Hospital Trust
Kerry Lyons
kerry.lyons@tgh.nhs.uk
PS6: An Analysis of SuicideRelated Events Reported to UHC
Safety Intelligence® Patient
Safety Organization
UHC
Tammy Williams
williams@uhc.edu
PS7: Anticoagulation Stewardship
William W Backus Hospital
Michael Smith
michaell.smith@hhchealth.org
PS8: Applying Lean Principles to
Identify Barriers to Hand Hygiene
University of Chicago Medical Center
Samantha Ruokis
samantha.ruokis@uchospitals.edu
PS9: Automated Pharmacy Dispensing
System: Using Technology to Improve
Patient Safety in a Singapore
Outpatient Pharmacy
Wong Jane Ai
PS10: Automating Patient Contact
After ED Discharge Enhances Safety
and Reduces Risk
Edward Hospital
Tom Scaletta
smartworks.er@gmail.com
PS11: Back to Basics: Enhancing
Best Practice in the OR
Sandra Harwood
sandra.harwood@lhsc.on.ca
PS12: Better Care – Less Coercion
Kommunforbundet Skane
Karin Torell
karin.torell@kfsk.se
57
Storyboards
PS13: Briefing Development Process:
Linking Briefing Characteristics and
Non-Routine Events
Mayo Clinic
Rebecca Lyons
lyons.rebecca@mayo.edu
PS14: Building the Foundation for
Medication Safety Improvement within
a Healthcare Cluster in Singapore
SingHealth
Abigail Rimalos
abigail.linsey.rimalos@singhealth.com.sg
PS15: Catheter Associated Bacteriuria
in a Tertiary Teaching Hospital
in Singapore
National University Health System
Khin Myint
Khin_Saw_Myint@nuhs.edu.sg
PS16: Charting the Course for Patient
Safety Certification
Courtemanche & Associates
Judy Courtemanche
judy@courtemanche-assocs.com
PS17: Checklists: Culture, Context,
and Conflict
Cancer Center
Charles Levenback
clevenba@mdanderson.org
PS18: Constant Collaboration:
Regional HFAP Program
Franciscan Alliance
Beth Grbavac
PS19: Custom mPage Tool to Remove
Electronic Barriers to Blood Glucose
Management in Hospitalized Patients
York Hospital
Alyssa Moyer
amoyer@wellspan.org
PS20: Daily Onion: Towards a Culture
of Patient-Safety First and Foremost
West Hertfordshire Hospitals NHS Trust
Michael van der Watt
Michael.vanderwatt@whht.nhs.uk
PS21: Decreasing Emergency
Transfers by Increasing Situational
Awareness in a Pediatric Hospital
Stacy Kuehn
stacy.kuehn@nationwidechildrens.org
PS22: Development of Interprofessional
Simulation Skills Fair
Gina Souliere
gina.souliere@lhsc.on.ca
PS23: Do Code Blue Mock Drills
Prepare Health Care Professionals
and Improve Survival Outcomes
of Patients?
The Aga Khan University Hospital
Karachi Pakistan
Anila Velji
anila.velji@aku.edu
PS24: Don’t Go Until It Glows:
Bed Exit Alarm Education Strategy
J Mellecke
jennifer.mellecke@lhsc.on.ca
PS25: Early Identification and Care of
the Critically Ill Post-Operative Patient
Beth Israel Deaconess Medical Center
Gabriel Kleinman
gkleinma@bidmc.harvard.edu
PS26: Effective Risk Minimization
Using Surgical Safety Checklist –
Experience of Organization Wide
Implementation in India
Fortis Healthcare
Narayan Pendse
narayan.pendse@fortishealthcare.com
PS27: Effective Training for Peer
Safety Coaching: Simulating Positive
and Corrective Feedback
Seattle Children’s
Rachel VanDeMark
rachel.vandemark@seattlechildrens.org
PS28: Effects of 10% and 15% CP
Bleaching Procedures on Tooth
Sensitivity – A Systematic Review
Suhayla Al-Banai
salbanai@hmc.org.qa
PS29: Efficacy of Combination of
Ventilator Bundle and Hand Hygiene
for Prevention of VAP in ICU
Shanghai Tenth People’s Hospital,
Tongji University
Jinxia Jiang
jiangjinxia99@163.com
PS30: Electronic Surveillance for
Pressure Ulcers Using Data Extracted
from a Nursing Documentation System
BJC HealthCare
Mary Pat Matt
mpm3048@bjc.org
PS31: Eliminating Near-Misses and
Errors Due to Misidentification During
HbA1c Processing in Care
Manager’s Room
NHG Polyclinics
Xiaoli King
Rachel_king@nhgp.com.sg
PS32: Emergency Caesarean Section
Due to Nonreassuring Fetal Status and
Decision-to-Delivery-Interval, a Quality
Improvement Project
St. Olavs Hospital
Christian Tappert
christian.tappert2@stolav.no
58
PS33: Enhanced Medication
Reconciliation for Elderly Patients
with Polypharmacy
OneCare Vermont Accountable
Care Organization
Leah Fullem
leah.fullem@onecarevt.org
PS34: Enhancing Fall Prevention
Through Targeted Video Surveillance
Greenwich Hospital
Priscilla Sterne
priscilla.sterne@greenwichhospital.org
PS44: Global Trigger Tool
St Luke’s Medical Center Global City,
Philippines
Alejandro C. Dizon
acdizon@stluke.com.ph
PS45: Harnessing Medical IT to
Improve Clinical Processes in the
GI Endoscopy Suite
Sucharita Hota
PS35: Enhancing Patient Safety in the
Pediatric Primary Care Setting
Boston Children’s Hospital
Ian Zenlea
Ian.Zenlea@childrens.harvard.edu
PS46: Have We Hit with Our Best 140
Characters or Less: Trauma Services
and Social Media
Windsor Regional Hospital
Diane Bradford
diane.bradford@wrh.on.ca
PS36: Enhancing Team Communication
using “SBAR Tool,” for Improved
Patient Safety and Clinical Outcomes,
Raffles Hospital
Raffles Hospital
Lilian Yew Siew Mee
yew_lilian@rafflesmedical.com
PS47: Icing Oral Mucositis: Oral
Cryotherapy in Multiple Myeloma
Patients Undergoing Autologous
Hematopoietic Stem Cell Transplant
Adrienne Fulford
adrienne.fulford@lhsc.on.ca
PS37: Ensuring Staff and Patient
Safety through Standardizing a
Drug Diversion Policy
Sandy Jansen
sandy.jansen@lhsc.on.ca
PS48: Impact of an Online Fire
Safety Training Program on Doctors
in the Hospital
Sucharita Hota
PS38: Ensuring Success in the
Transition from Paper to Electronic
Medication Orders
Nadia Facca
nadia.facca@lhsc.on.ca
PS49: Impact of Electronic Inpatient
Medication Record System on
Medication Errors in a Tertiary
Psychiatric Hospital
Institute of Mental Health
Yick Tim Ying
yick_tim_ying@imh.com.sg
PS39: Eradicating Bloodstream
Infections from the Neonatal Intensive
Care Unit
Matthew Bizzarro
matthew.bizzarro@yale.edu
PS40: Escalation of Care: Enhancing
Early Recognition of Clinical
Deterioration, Followed by Prompt
and Effective Response
Sunnybrook Health Sciences Centre
Trevor Hall
trevor.hall@sunnybrook.ca
PS41: Essential Neonatal Vaccines –
Taking Ownership & Making Effort to
Ensure Neonatal Safety
Shireen Mohammad
shireen.mohammad@aku.edu
PS42: Fall Prevention and Zero
Tolerance Campaign in King Abdulaziz
Hospital, Alhasa, Kingdom of
Saudi Arabia
King Abdulaziz Medical City National Guard Health Affairs
Rohana Yahya
r_ann76@yahoo.com
PS43: Fall Prevention:
A Team Approach
Cancer Center
Ranganath Iyer
rkiyer@mdanderson.org
PS50: Implementation of the IPASS
Handoff System in an Internal
Medicine Residency Program
Veterans Affairs
Shivani Jindal
shivani.jindal@gmail.com
PS51: Implementing Best EvidenceBased Practice for the Verification of
Correct Nasogastric Tube Placement
in Adult Patients
Raffles Hospital
Michelle Segal
michelle_segal@rafflesmedical.com
PS52: Improved Patient Safety
Through Standardized Documentation
of Radiology Results in the
Convenient Care
Cadence Health now part of
Northwestern Medicine
Lory Saunders
lory.saunders@cadencehealth.org
PS53: Improvement in Hand Hygiene
Compliance: An Institution-Wide
Initiative to Improve Patient Safety
Rozina Roshan Essani
rozina.roshan@aku.edu
PS54: Improvement of Management
Time for Testicular Torsion in Hamad
General Hospital, Qatar
Mohamed Arafa
salkadhi@hmc.org.qa
PS55: Improving Hospital Acquired
Pressure Ulcers: Going Back
to Basics
Baylor Scott & White Hillcrest
Medical Center
Tamra Acierni
tacierni@sw.org
PS57: Improving Outcomes Among
Surgical Patients in a Brazilian ICU
São Camilo
Claudia Jorge
clau_gennari@hotmail.com
PS58: Improving Patient Care Through
Compliance to Electronic Handover
Singapore General Hospital, SingHealth
Sharifah Munirah Binte
Abdullah Alhamid
munirah.alhamid@gmail.com
PS59: Improving Patient Safety &
Care: Implementation of Closed-Loop
Notification for Significant
Abnormal Results
Eileen Sin Ling Ling
eileen.sin.l.l@sgh.com.sg
PS60: Improving Physicians
Compliance to WHO Guidelines for
Better Health of Pediatrics Population
Shireen Mohammad
shireen.mohammad@aku.edu
PS61: Improving Quality of Breast
Cancer Care: The Impact of a
Pathology Initiative
Donna Murphy
donna.murphy@lhsc.on.ca
PS62: Improving Safety in the
Workplace: Code Grey Success!
Lisa Fletcher
PS63: Improving Surgical Safety for A
Region: Wichita City-Wide Collaobrative
on Time-Out Process Standardization
Wesley Medical Center
Randall Morgan
joann.paul@wesleymc.com
PS64: Improving the Clinical
Handover Process of Patients in
the Resusitation Room
Muhammad Abid
mabid1@hmc.org.qa
PS65: Improving the Quality of
Post-Anesthetic Care Unit Handover
SingHealth
See Seong Chang
seeseong.chang@mohh.com.sg
PS78: Moving Toward MultiDisciplinary Excellence: Medication
Strategies for Improving HCAHPS
Houston Healthcare, Perry Hospital
Todd Edenfield
tedenfield@HHC.org
PS67: Increased Patient Involvement
and Participation Makes Health Care
More Efficient and Safer
Sahlgrenska University Hospital,
Quality Strategic Department Unit
Cecilia Lundmark
Cecilia.lundmark@vgregion.se
PS68: Increasing Breastfeeding in the
Mother-Baby Unit through Hardwiring
TeamSTEPPS Tools and Strategies
Woodhull Medical and Mental
Health Center
Marlene Dacken
Marlene.Dacken@woodhullhc.nychhc.org
PS79: Natural Childbirth Project
Unimed Foundation
Paulo Borem
PS80: Open and Honest Care:
Driving Improvement
NHS England
Gill Harris
gill.harris5@nhs.net
PS81: Optimize Utilization of Sucrose
for Minor Procedural Pain Management
in Neonatal Intensive Care Unit
Mohamad Adnan Mahmah
mmahmah@hmc.org.qa
PS82: Orthopaedic Surgery:
Arthroplasty Model of Care
Western University
Lisa Ducharme
lisa.ducharme@lhsc.on.ca
PS69: Indicators for Patient
Safety Policy
Daniela Akemi Costa
PS83: Patient Identification:
Who Are You?
YNHH
Allison Clark
allison.clark@ynhh.org
PS70: Informed Policies To Prevent
Retained Foreign Objects
University Of Chicago
Ashley Holmes-Durham
Ashley.Holmes@uchospitals.edu
PS71: Keep a Grasp on Patient
Safety: A Collaborative Performance
Improvement Project
Lehigh Valley Health Network
Laura Walker
Laura_j.walker@lvhn.org
PS72: Leaves Should Fall, Not
People! Using Lean Methodology
to Reduce Preventable Falls
New Hanover Regional Medical Center
Sandy Andrews
sandy.andrews@nhrmc.org
PS84: Patient Safety Culture in
an Academic Medical Center:
Comparing Resident’s, Nurse’s,
and Administration’s Perceptions
Tulane University School of Public
Health & Tropical Medicine
Catherine R. Counts
ccounts@tulane.edu
PS85: Patient Transfer to ICU:
Reducing Time Using Lean Six Sigma
Guthrie Clinic
Yvette McHenry
mchenry_yvette@guthrie.org
PS73: Maintaining Sterile Technique:
A Guide to Preparing a Surgical
Scrub Table
Kristen Webb
webb.kristen@gmail.com
PS86: Perianesthesia Nurse-to-Nurse
Safe Patient Hand-Off
Cadence Health, now a part of
Judi Werkema
judith.werkema@cadencehealth.org
PS74: Misidentified Lab Specimens:
Chasing Zero
Grace Agnello
Grace.Agnello@CadenceHealth.org
PS87: Perioperative Nurse to Nurse
Report Sheet
Jennifer Galambos-Brown
jennifer.galambosbrown@lhsc.on.ca
PS75: Mission Possible: Ending
Mucosal Pressure Ulcer
Kaiser Permanente
Blessy Sabu
sabu.blessy1@gmail.com
PS88: Pharmaceutical Interventions
for Patient Safety
Daniela Akemi Costa
PS76: Mock Tracer Surveys:
Encouraging Constant Readiness
Franciscan Alliance
Beth Grbavac
PS89: Predicting Our Services
Numbers: When is Enough Enough?
Lori Vantfoort
lori.vantfoort@lhsc.on.ca
PS77: Monitoring Mechanism for
Specialist Outpatient Clinics Listings
to Ease Bed Crunch
Low Seng Kee
PS90: Preserving Staff Safety:
An Elimination of Patient Lifting
Mayo Clinic
Peter J Black
black.peter@mayo.edu
PS91: Prevent Hospital Acquired
Venous Thromboembolism Using
a Simple Three Bucket Model
Risk Assessment
Dignity Health
Tamra O’Bryan
tamralynnobryan@dignityhealth.org
PS92: Preventing a Tumble: A
Journey to Reducing Pediatric Falls
All Children’s Hospital
Cherilyn Ashlock
cashloc1@jhmi.edu
PS93: Preventing Falls with Injury
Amy Fritz
afritz@jointcommission.org
PS94: Preventing Small Problems
from Becoming Big Problems –
Lessons from a UK Health Regulator
Health and Care Professions Council
Anna van der Gaag
anna.vandergaag@hcpc-uk.org
Storyboards
PS56: Improving Medication
Reconciliation Through the Use
of Video
The Children’s Hospital of Philadelphia
Maya Dewan
dewanm@email.chop.edu
PS66: Incident Reporting: A
Retrospective Survey for Patient
Safety in a Tertiary Care
Cancer Centre
Advanced Centre for Treatment,
Research and Education in Cancer,
Tata Memorial Center
Dr. Prashant Bhat
drprashantbhat@gmail.com
PS95: Preventing Venous
Thromboembolism: The Experience
at Sunnybrook Health
Sciences Centre
Artemis Diamantouros
artemis.diamantouros@sunnybrook.ca
PS96: Project Implementation Using
6S Concept at Inpatient Wards,
Raffles Hospital
Raffles Hospital
Lilian Yew Siew Mee
yew_lilian@rafflesmedical.com
PS97: Quality Improvement in
Pediatrics: A New IV Complication
Management Plan
All Children’s Hospital
Tracy West-Grubb
twestgr1@jhmi.edu
PS98: Rapid Response Teams
Decreasing Non-ICU Intubation Rates
and Code Blue Rates
Thomas Jefferson University Hospital
Elizabeth Avis
Elizabeth.J.Avis@jefferson.edu
PS99: Rapid Response Time:
Keeping a Vigilant Eye All the Time
São Camilo
Claudia Jorge
PS100: Reduce the Number of
Dislodged Fillings To Zero In Six
Months in Woodlands Dental Clinic
National Healthcare Group Polyclinics
Ang Wei Wei
Wei_Wei_ANG@nhgp.com.sg
PS101: Reducing C.Difficile Infections
in a Community Hospital Setting
North Shore Medical Center
Barbara Lambl
phirway@partners.org
PS102: Reducing CLABSI at
Florida Hospital
Florida Hospital
Namrata Sachdev
namrata.sachdev@flhosp.org
59
Storyboards
PS103: Reducing Drug Administration
Errors through Electronic Medication
Administration Record at Inpatient Wards
Raffles Hospital
Clarence Tan
tan_clarence@rafflesmedical.com
PS113: Reducing your Contamination:
Awareness of Smartphones and Tablets
at your OR
Clinica San Felipe SA
Ernesto Aspillaga
ernestoaspillagamorey@gmail.com
PS104: Reducing Errors in Radiation
Treatment through the Implementation
of Electronic Safety Checklists
University of Florida
Julie Greenwalt
Julie.Greenwalt@shands.ufl.edu
PS114: Reduction in Wrong Patient
Identification Errors at Tertiary
Care Hospital
PS105: Reducing HAI CAUTI at
Florida Hospital
Florida Hospital
David Gootee
davidgootee@aol.com
PS115: Reduction of Immediate Use
Steam Sterilization
Mike Fetzer
mike.fetzer@nationwidechildrens.org
PS106: Reducing Harm From IV
Infiltrates: First and Foremost
Do No Harm
The Stephen and Alexandra Cohen
Children’s Medical Center of New York
Suzanne Monteleone
smontele@nshs.edu
PS116: Regulatory & Accreditation
Basics 101 Course: Knowledge
Dissemination to Supervisory and
Frontline Staff
Penn State Hershey Medical Center
Joanne Specht
jspecht@hmc.psu.edu
PS107: Reducing Hospital Acquired
Central Line Blood Steam Infections
Ann & Robert H. Lurie Children’s Hospital
of Chicago
Laurely S. Fusilero
lfusiler@luriechildrens.org
PS117: Resolve Patient Safety Risks
Before Opening New Clinical Units:
The Building Hope Experience
Seattle Children’s Hospital and University
of Washington School of Medicine
Kimberly Stone
kimberly.stone@seattlechildrens.org
PS108: Reducing Inpatient Supply
and Pharmacy Dispensing Errors
Institute of Mental Health
Sze Min Lee
Sze_Min_Lee@imh.com.sg
PS109: Reducing Patient Falls
Utilizing Lean Six Sigma
Robert Packer Hospital
Sally Bennett
bennett_sally@guthrie.org
PS110: Reducing Risk in Acute
Dialysis in Pediatrics: Changing
Health Team Behavior from a
Sentinel Event
Hospital de Pediatria Juan P. Garrahan
Nora Dackiewicz
noradack@gmail.com
PS111: Reducing Transfusion in
Cardiac Surgery through Reporting
of a Transfusion Indicator in British
Columbia (BC)
Provincial Health Services Authority
Cecilia Li
cli@pbco.ca
PS112: Reducing Wrong Time
Medication Administration Errors
by Strengthening e-MAR System at
Secondary Care Hospitals Pakistan
Rozina Shazad Ramji
rozina.shazad@aku.edu
60
PS118: Responsiveness of Staff:
Nurse Call Light Surveys
Franciscan Alliance
Beth Grbavac
PS119: Restructuring Rounds in the
ICU of a Non-Academic Regional
Medical Center
South Shore Hospital
Maureen Morgan Demenna
maureen_demenna@sshosp.org
PS120: Retrospective Evaluation
of Clinical Decision Support System
for Major-Contraindicated DrugDrug Interactions
Boston Children’s Hospital
Kate Humphrey
Kate.Humphrey@childrens.harvard.edu
PS121: Revamping the Process of
Discharge Medications Supplied
via E-portering
Yeo Suat Jean
PS122: Right Place, Right Time,
Right Care: Short Stay Medical Unit
Improves Patient Flow
Theresa Morris
theresa.morris@wrh.on.ca
PS123: Risk Factors for Meningitis
Following Cerebral Angiography:
A Case-Control Study
Infectious Disease and Clinical
Microbiology Department, Tekirdag
Public Hospital, Tekirdag, Turkey
Buket Erturk Sengel
buket_erturk@hotmail.com
PS124: Safe Patient Transport from
Outside Facilities
Karen Miguel
kmiguel@partners.org
PS125: Safely Transporting Inpatients –
Sticker to Ride
John Murphy
jmurphy10@partners.org
PS126: Safer Care in Under 15
Minutes: The Benefits of a Daily
Safety Brief
Seattle Children’s Hospital
Amy Jones
amy.jones@seattlechildrens.org
PS127: Safety Strategic Planning
Re-Energizes a Hospital’s Plateaued
Drive Toward Patient Safety and
High Reliability
Providence Hospital
David Dull
david.dull@stjohn.org
PS128: Saving Sepsis Patients
Through Innovation and Training
CHRISTUS St. Michael Health System
Brandy Early
brandy.early@christushealth.org
PS129: Sedation Management in the
Pediatric Intensive Care Unit
The Children’s Hospital of Philadelphia
Sarah Hadley
hadleys@email.chop.edu
PS130: Situation Awareness:
Developing a Reliable System for
Patient & Clinical Staff Safety
Medical Center
Natalie Elsbrock
natalie.elsbrock@cchmc.org
PS131: Spring-A-Palooza
Lakeland Regional Medical Center
Sheena Butts
sheena.butts@lrmc.com
PS132: Standardizing the
Reliability of Home Medications
for Patients Admitted Through the
Emergency Department
Jane Clarke
PS133: Stop the Clot! VTE Prevention
at Peterborough Regional Health Centre
Peterborough Regional Health Centre
Christina Porcellato Murphy
cmurphy@prhc.on.ca
PS134: Streamline the Process of
Re-Sterilization (Re-Use) of Single
Use Medical/Surgical Devices
PS135: Surgical Site Infection
Linked to Cerebrospinal Leakage
and Skin Maceration
Geisinger Health System
Marcelle Altshuler
marcellealt@gmail.com
PS136: Teaching Mortality Review:
A Novel Approach to Engaging Faculty
and Educating Residents
Joshua Allen-Dicker
DrJoshuaAD@gmail.com
PS137: Teaming Up On Pressure
Ulcers: A Team Approach To Pressure
Ulcer Prevention
Upper Allegheny Health System; Bradford
Regional Medical Center and Olean
General Hospital
Julie Kenyon
sfreer@ogh.org
PS138: Teaming Up On Pressure
Ulcers: A Team Approach To Pressure
Ulcer Prevention
Upper Allegheny Health System; Bradford
Regional Medical Center and Olean
General Hospital
Julie Kenyon
sfreer@ogh.org
PS139: The Effect of Quality Control
Circle on Safety Transportation of
Patients in Emergency Medical Services
Shanghai Tenth People’s Hospital,
Tongji University
cuiping chen
cui182000@163.com
PS140: The One-Person-Process:
Reducing the Rate of Mislabelled
Specimens in Pediatric Intensive
Care Units
University of Toronto
Florentina Teoderascu
florentina.teoderascu@mail.utoronto.ca
PS141: The Stories Clinicians Tell:
Challenges for Patient Safety
Datix Ltd UK and Datix (USA) Inc
Daniel Cohen
dcohen@datix.co.uk
PS142: The University of Kansas:
Interprofessional Quality Education and
Safety Training Program (KU-I-QuEST)
The University of Kansas Medical Center
School of Nursing and Kansas
University Hospital
Lisa M. Ogawa
logawa@kumc.edu
PS143: The Use of a SituationBackground-AssessmentRecommendation (SBAR) Ordering
Improves the Quality of Electronic
Clinical Handovers
Singapore Health Services
Goh Qi Mei Orlanda
orlanda.goh@gmail.com
PS144: Think Rosie
Rosie’s Dream
Rosie Bartel
bartel1949@gmail.com
PS145: To Improve the Process in
Performing Extensive Burns Dressing
Ng Siew Keng
ng.siew.keng@sgh.com.sg
PFCC5: Cancer Symptom Management
in Ontario
Cancer Care Ontario
Wenonah Mahase
wenonah.mahase@cancercare.on.ca
PS147: Unsuitable Communication
Style with Vulnerable People Leads
to Disaster
EGPRN; NAPCRG / member
Sofica Bistriceanu
bistriss@hotmail.com
PFCC6: Caring Science: Transforming
the Ethic of Caring – Healing Practice,
Environment and Culture
Kaiser Permanente Northern California
Anne Foss-Durant
Anne.Foss-Durant@kp.org
PS148: Using Good Catch Stories
to Return Joy & Meaning to the
Healthcare Workplace
MedStar Health
Tracy Granzyk
tgranz24@yahoo.com
PFCC7: Children’s Psychiatric Day
Treatment Program Seclusion and
Restraint Reduction
Medical University of South Carolina
Marilyn Winkel
winkelm@musc.edu
PS149: Vertical – Value Stream
Analysis: Establishing an Alarm
Management Program
Boulder Community Hospital
Norman Pimentel
npimentel@bch.org
PFCC8: DASH Diet (Dietary Approaches
to Stop Hypertension) for Newly
Diagnosed Hypertensive Patients
National Healthcare Group Polyclinics
Won Tin Chiang
Tin_Chiang_WON@nhgp.com.sg
PS150: Visitor Restriction Notification
of Chicago
Steve Lai
slai@luriechildrens.org
PFCC9: Discharged Patients’ Access
to Medication
Singapore Health Service
Andrew Tan
andrew.tan.w.k@singhealth.com.sg
PS151: We Did It: Zero CAUTI for
411 Days!
Orlando Health
Suet-ping Lau
Suet-ping.lau@orlandohealth.com
PFCC10: Documenting Goals of Care
and Life Sustaining Treatment
Colleen Reid
PS152: When is Pneumonia Not
Pneumonia – Clinicopathologic Study
& Implications for the CDC’s
VAE Metric
A. Joseph Layon
ajlayon@geisinger.edu
PFCC11: Enhancing Family Centered
Rounding Practices
of Chicago
Steve Lai
slai@luriechildrens.org
Person- and FamilyCentered Care
PFCC1: A Patient Driven Approach to
Designing Better Care
Cancer Care Ontario
Wenonah Mahase
wenonah.mahase@cancercare.on.ca
PFCC2: A Pledge of Safety for
our Patients
Colette Clarke
colette.clarke@wrh.on.ca
PFCC3: Bronx-Lebanon Hospital:
A Collaborative Approach to PatientCentered Care
Clyde Riggins
Clyde.Riggins
@LaborManagementProject.org
PFCC4: Building an Effective
Communication Between Professionals
and Patients
Daniela Akemi Costa
PFCC12: Evaluating the Effectiveness
of a Nutrition Education Group on an
Adult Inpatient Mental Health Unit
Heather Beath
heather.beath@lhsc.on.ca
PFCC13: Evidenced-Based Practice
and Data-Driven Interventions Result
in Improved Family Satisfaction for
Psychiatry Patients
Medical Center
Melissa Worrell
melissa.gardner@cchmc.org
PFCC14: Faith Community Nurse
Transitional Care Project and Model:
From Hospital to Home
Church Health Center Wellness
Deborah Ziebarth
ziebarthd@churchhealthcenter.org
PFCC15: Having the Conversation...
180 Beds at a Time
Partners HealthCare/Spaulding Hospital
for Continuing Care
Elizabeth Edmiston Chen
echen@pchi.partners.org
PFCC16: Health System Responsiveness
in Bangladesh
Ministry of Health & Family Welfare
Md Aminul Hasan
aurlup@hotmail.com
PFCC17: Human Resources
Development of Medical Coordinators:
Striving toward Gaining New
Service Skills
Japan Association for Development of
Community Medicine
Masahiko Ishikawa
masahikois@jadecom.jp
PFCC18: I Can and I Want to Participate
in Planning and Decisions About My
Own Healthcare
Sahlgrenska University Hospital
Britt-Marie Zaman
britt-marie.zaman@vgregion.se
PFCC19: Improving Access in an
Academic Primary Care Clinic:
Impact of an After-Hours Clinic
Boise VA Medical Center
William Weppner
william.weppner@va.gov
PFCC20: Improving Care through
EPEEP Nurse Rounding in NUH,
Singapore
Sow Chun Ng
Sow_Chun_ng@nuhs.edu.sg
PFCC21: Improving Depression
Screening in Poorly Controlled
Diabetic Patients under Care
Management Program
Toa Payoh Polyclinic
Dr Kee Kok Wai
kok_wai_kee@nhgp.com.sg
PFCC22: Improving Patient and
Family Satisfaction: A Focus on
Nursing Communication
Patrice Debach
padebach@geisinger.edu
PFCC23: Improving Postpartum
Follow-Up for Women in Project
RESPECT: Comprehensive Care for
Addiction in Pregnancy
Boston Medical Center (BMC)
James Moses
jmmoses5@yahoo.com
PFCC24: Improving Quality Care to
Patients with Periodontal Problems
through Individualized Care Plans and
Customer Focus
Unimed Foundation
Paulo Borem
PFCC25: Improving the ENT Patient
Experience by Reducing Time to
Resolution of Parent Phone Calls
Brandis Roman
brandis.roman@nationwidechildrens.org
PFCC26: Innovative Tool To Improve
Patient-Centered Care
Well Path Press
Randi Oster
randi@wellpathpress.com
PFCC27: It’s All About Me: Ten Steps
to Achieve Personalized Healthcare
Western University
Karin Schnarr
kschnarr.phd@ivey.ca
PFCC28: It’s All About People
and Relationships
Healthcare Improvement Scotland
Ruth Glassborow
shaunmaher@nhs.net
PFCC29: Just a Spoonful of Sugar:
Implementing Change in Neonatal
Hypoglycaemia Prevention and
Management
Ashford & St Peter’s NHS Trust
Dr Claire Matthews
clairematthews@doctors.org.uk
PFCC30: Leadership Patient
Interview Rounds
University Health Network
Kaitlin Pattrick
kaitlin.pattrick@uhn.ca
PFCC31: Learning What High
Quality Compassionate Care Means
for Cancer Patients and Translating
That Into Practice
UCLPartners
Fiona McKenzie
fiona.mckenzie@uclpartners.com
Storyboards
PS146: Tracking Adverse Events in
the Trust Using the IHI GTT
Nordland Hospital
Kjersti Mevik
kjerstimevik@nlsh.no
PFCC32: Lifestyle & SelfManagement by Those Who Live
It: Patients Engaging Patients in a
Chronic Disease Model
Henry Ford Health System
Michelle Jesse
mjesse1@hfhs.org
PFCC33: Multi-Disciplinary
Rounding on Medical Units in
a Community Setting
David J. Roberts
PFCC34: My Journey From Clinician to
Patient and Back Again
Duke University Health System
Allison Chrestensen
allisongot@gmail.com
PFCC35: My Journey: From Cancer
Patient to Patient Advocate
Kaiser Permanente Patient Advocate
Jerilyn Crain
jlcrain70@gmail.com
PFCC36: New Generation of Consumer
Health Libraries Serving New
Generation of Consumers
Toronto Western Hospital
Valeria Raivich
valeria.raivich@uhn.ca
PFCC37: North Shore LIJ Forest Hills
Hospital: A Labor-Management
Approach to Quality Improvement
Diann Jeffers
diann.jeffers@labormanagementproject.org
PFCC38: Operating Room to
Perioperative Care Waiting Room
Map at London Health Sciences
Centre-Victoria Hospital
Linda Kent
kent_linda@hotmail.com
PFCC39: Partnerships in Action:
Patient Collaboration in Successful
Health Care Redesign
Margot Wilson
61
Storyboards
PFCC40: Patient and Family
Engagement in New Hampshire
Foundation for Healthy Communities
Tanya Lord
tanyalord@comcast.net
PFCC51: Skin to Skin in Labor and
Delivery for Breastfeeding Success
Cadence Health
Stephanie Loiacono
stephanie.loiacono7@gmail.com
PFCC41: Patient Information Card
Fort Belvoir Community Hospital Patient
Family Advisory Council
Kenneth Hamilton
FBCHPFAC@gmail.com
PFCC52: Standardization of
Bedside Handoffs
Cadence Health Delnor Hospital
Chele Wells
CheleRWells@aol.com
PFCC42: Patients as Board of
Trustees Members
LAM Professional Services, LLC
Lisa Morrise
lisa.morrise@gmail.com
PFCC53: Time Is On Our Side
Sheena Butts
PFCC43: Perioperative Surgical
Home: Medical Society’s Efforts to
Expand Adoption of a New Model
of Care
American Society of Anesthesiologists
Celeste Kirschner
c.kirschner@asahq.org
PFCC44: Preventing Infections in the
BMT Ward: The Answer is in Our Hands
São Camilo
Claudia Jorge
PFCC45: Program of Continuous
Improvement of Quality and Safety
Focusing on De-Hospitalization
Unimed Foundation
Paulo Borem
PFCC46: Promoting Cultural
Competency in Dialysis Care:
Transcribing Patient Information
into Multiple Languages
Janet Vogel
janet.groom@lhsc.on.ca
PFCC47: Red Deer Regional Hospital
Hospitalist Program
Evan Lundall
evan.lundall@albertahealthservices.ca
PFCC48: Reducing Admission
Documentation Burden Using Lean
Boulder Community Hospital
Aaron Alberter
aalberter@bch.org
PFCC49: Reducing Length of Stay
for Infants with Neonatal
Abstinence Syndrome
Boston Medical Center (BMC)
James Moses
jmmoses5@yahoo.com
PFCC50: Sharing the Lived Experience
Susan Scott
susan.scott@lhsc.on.ca
62
PFCC54: Type Two Diabetes: A Pilot
for an Education Programme and
Patient-Held Record in Cape Town
NHS Education South Central
Carla Davies
carladavies@doctors.org.uk
PFCC55: Using QI Methods to Engage
Patients and Families
Perinatal Quality Collaborative of
North Carolina
Tara Bristol
tara.bristol@pqcnc.org
PFCC56: What’s the Very Best Way to
Get Patient Input?
St. Joseph’s Healthcare Hamilton
Peter Bieling
Pbieling@stjoes.ca
QCV5: AIM for Hospice-Advanced
Illness Management of Patients in the
Long Island Jewish Medical Center
Leslie Lindenbaum
llindenbaum@nshs.edu
QCV6: Antibiotic Stewardship
Michael Smith
QCV7: Back to Basics of Care – Intake
and Output is a Must
Cadence Health
Susan Chicano
Susan.Chicano@cadencehealth.org
QCV8: Call Me Maybe: Staffing in a
Multifunctional Call Center
David Vanlandingham
david.vanlandingham
@nationwidechildrens.org
QCV9: CALM Interventions:Behavioral
Health Crisis Assessment Linkage and
Management Improve Patient Care
The Ohio State University Medical Center
Natalie Lester
natalie.lester@osumc.edu
QCV10: Can Patient & Family Advisory
Councils Save Hospitals Money?
Joan’s Family Bill of Rights
Barbara Lewis
barbaralewis@joansfamilybillofrights.com
QCV11: Capturing and Using Data
from Quality Improvement: Strategy
for a Data Mart
Cancer Center
Margaret Bell
mabell@mdanderson.org
QCV17: Decreasing Patient Throughput
Time and Increasing Operational
Efficiency in an Outpatient Family
Medicine Clinic
UTHSC- San Antonio, McAllen Family
Medicine Residency Program
Matiana Gonzalez Wright
gonzalezwrig@uthscsa.edu
QCV18: Defining ClearPATh to
Effective Pre-Anesthesia Testing &
OR Efficiency Through Physician-Led
Teams & Standard Work
Sheridan Health
Robin Barton
rbarton@shcr.com
QCV19: Don’t Stick Me...Scan Me!
Central DuPage Hospital
Mary Obrist
mary.obrist@cadencehealth.org
QCV20: Early Stage Breast Cancer:
Actions for Continuous Learning,
Best Care and Lower Cost
Angie Meillier
angie.meillier@allina.com
QCV21: Effect of Multidisciplinary
Approach in Vascular Care of
Hemodialysis Patients
Fadwa Al Ali
falali1@hmc.org.qa
QCV22: Effective Use of Technology
to Enhance Patient Diagnosis
Deployment of Picture Archiving &
Communication System
Muhammad Bilal Dilnawaz
Muhammad.bilal@aku.edu
QCV12: Centralized Equipment
Management
Mackenzie Health
Mendel Janowski
mendel.janowski@mackenziehealth.ca
QCV23: Embedding Shared Decision
Making into a High-Value,
Comprehensive Breast
Cancer Program
Joyce Kramer
joyce.kramer@allina.com
QCV1: Ten Tips for Taking Quality
Care to the Next Level
McAslan Consulting, PC
Mary Sue McAslan
marysue.mcaslan@gmail.com
QCV13: Climb the Competence
Development Ladder – A Tool for Joint
Staff and Business Development
Sahlgrenska University Hospital
Britt-Marie Zaman
britt-marie.zaman@vgregion.se
QCV24: Enhancing Patient’s Recovery
after Major Gynaecology Surgery at
Chew Ghee Kheng
chew.ghee.kheng@sgh.com.sg
QCV14: Clinical Microsystems for
More Accurate Throughput
Mount Sinai Medical Center
Hyung J Cho
hyung.cho@mountsinai.org
QCV25: Establishing Electronic
Database for Conservation of Birth
Records Spreading Over Seven Decades
Irfan Valliani
irfan.valliani@aku.edu
QCV2: A Quality Collaborative for
Improving Hospitalist Compliance
with the AAP Bronchiolitis Guideline
(B-QIP)
American Academy of Pediatrics
Liz Rice-Conboy
ericeconboy@aap.org
QCV3: A Systems Approach to Optimize
Care for the Surgical Patient
with Diabetes
Mayo Clinic
Alison Knight
knight.alison@mayo.edu
QCV4: Acute and Post-Acute Care
Collaboration: Front-Line Approach to
Reduce Readmission
Mount Sinai Hospital
Tuyet-Trinh N. Truong
tuyettrinhtrng@gmail.com
QCV15: Clinical Operations Group
Franciscan Alliance
Beth Grbavac
QCV16: Decrease Sepsis Mortality
by 10% through Engaging EMS in
Screening/Early Interventions by
August 2014
Sutter Health
Kim Diaz
DiazK1@sutterhealth.org
QCV26: Establishment and
Implementation of a Provincial
Centralized IVIG Screening Program
for Adult Rheumatological Conditions
Provincial Health Services Authority
Cecilia Li
cli@pbco.ca
QCV27: Expanding Accountability:
Measuring Admissions and
Readmissions Outside the Hospital
National Quality Forum
Adeela Khan
akhan@qualityforum.org
QCV28: Eye in the Sky: Improving
Patient Outcomes and Best Practice
Compliance through ICU
Tele-Monitoring Yale
New Haven Health System
Meredith Johnson
meredith.johnson@ynhh.org
QCV30: Fracture Clinic: 80 Minutes or
Less, 80% of the Time
Mackenzie Health
Mendel Janowski
mendel.janowski@mackenziehealth.ca
QCV31: HAC Validation PreBilling Project
Texas Health Resources
Sharon Williamson
vickinolen@texashealth.org
QCV32: Handling Patients’ Home
Medications Safely
Cadence Health
Susan Chicano
Susan.Chicano@CadenceHealth.org
QCV33: Health Disparities in Rural
Colorado and the Program Aimed at
Reducing Readmissions
Colorado Rural Health Center
Caleb Murphy Siem
cs@coruralhealth.org
QCV34: Healthcare 2.0 and the
Data-Driven Case Manager
Conifer Health Solutions
Mary Ellen Gervais
maryellen.gervais@coniferhealth.com
QCV35: High Value Approach to
Simple Soft Tissue Infections
Hyung J Cho
QCV42: Improving the Referral
Process by Optimizing Communication
between Community Physicians and
Specialists Physicians
of Chicago
Rowsha LaBranche
rlabranche@luriechildrens.org
QCV43: Improving Transitions of Care:
A Decision Support Model to
Recommend Appropriate Post-Acute
Care Settings
Cerner Corporation
Marina Daldalian
marina.daldalian@cerner.com
QCV44: Introduction of an Antibiotic
Stewardship Program in a CommunityBased Teaching Hospital
David R. McNamara
DRMcnama@gundersenhealth.org
QCV45: Juxtaposition of Virtual and
Physical Observation Units: Early
Discharge Initiation Project
Hyung J Cho
QCV46: Kanban Equipment
Supermarket
Sheena Butts
QCV47: Keeping our Ducks in a Row:
Antibiotic Stewardship & Utilization
Management
Sound Physicians, Peterson Regional
Medical Center
Meri Beth Schwendeman
mschwendeman@soundphysicians.com
QCV36: High-Value Care for Inpatient
Pulmonary Embolism Treatment
Mount Sinai Hospital
Tuyet-Trinh Truong
tuyettrinhtrng@gmail.com
QCV48: Lean Design: Total Employee
Engagement, Quantitative Practices,
& Lean Approach to Design
QHR Consulting Services
Roger Gruneisen
roger_gruneisen@qhr.com
QCV37: Hospital Based Chemical,
Biological, Radiological-Nuclear
(CBRN) Technical Training –
Enhancing Perceived Capability
through Value-Streaming
Trevor Hall
trevor.hall@sunnybrook.ca
QCV49: Lean Thinking to Improve
Cancer Treatment Access in a Public
General Hospital
INSTITUTO DE ONCOLOGIA DO VALE
Evelin Marotta
carlosfpinto@hotmail.com
QCV38: How Low Can You Go?
St. Mary’s Hospital, SPHP
Vasantha Natarajan
vasantha.natarajan@sphp.com
QCV39: Implementing a Care Path and
Checklist to Reduce LOS and Cost for
Surgical Valve Patients
Stanford Health Care
Benjamin R. Elkins
belkins@stanfordhealthcare.org
QCV40: Improvement in Reporting
System of Infectious Diseases to
Government through Automation
QCV50: Leveraging Clinical Variation
Reduction to Appropriately Screen for
Vitamin D Deficiency
Sutter Health- Sutter Medical Group of
the Redwoods
Peter Valenzuela
valenzp@sutterhealth.org
QCV51: London Health Sciences
Centre, University Hospital: Expanding
Best Practice in Vascular Care
Cheryl Cook
cheryl.cook@lhsc.on.ca
QCV52: Open Door Policy: Open
Access Model for Ill Care in an
Academic Pediatric Clinic
Medical Center
John Morehous
john.morehous@cchmc.org
QCV53: OPPE/FPPE Physician Scorecards:
Trending in the Right Direction
Franciscan Alliance
Beth Grbavac
QCV54: Optimizing Invasive Cardiology
Franciscan Alliance
Beth Grbavac
QCV55: Outcomes by Design:
Sustainable Improvement Through
Quality Structure, Total Employee
Engagement & Lean Practices
Quorum Health Resources
Judy Krempin
letterstojudy@gmail.com
QCV64: Public-Private Partnership to
Develop a Community Paramedic
Program to Decrease CHF Readmissions
Regions Hospital
Aaron Burnett
aaron.m.burnett@healthpartners.com
QCV65: Quality of Care in
Saudi Arabia: A Forecast of a
High Quality Health Care
King Saud University
Khalid Almutairi
Kalmutairim@ksu.edu.sa
QCV66: Rapid Access to
Consultative Expertise – RACE:
An Innovative Model of Shared Care
Margot Wilson
QCV67: Reducing Costs &
Improving Quality
Franciscan Alliance
Beth Grbavac
QCV56: Over 40% reduction of HACDI
in a Year
Orlando Health
Suet-ping Lau
Suet-ping.lau@orlandohealth.com
QCV68: Reducing Frequency of
Failure to Rescue AICHN/CHRISTUS
St. Michael Health System
Patsy Minor
patsy.minor@christushealth.org
QCV57: Partnering Up – A Partnership
for Patients
Franciscan Alliance
Beth Grbavac
QCV69: Reducing Low Acuity Visits
to the Emergency Department: An
Interprofessional Approach Focused
on Super-Utilization
VA Puget Sound Health Care System
Anne Poppe
Anne.Poppe@va.gov
QCV58: Partnership with Payers
Reduces Readmission in a Complex
Population of End Stage Liver
Disease Patients
University of Minnesota Medical Center
Neal Boeder
nealboeder@gmail.com
QCV59: Patient Care Needs
Assessment: Achieving Equity and
Balance of Nursing Resources in
Complex Organizations
University Health Network
Robert Miller
robert.miller@uhn.ca
QCV60: Perfecting the SCIP Process –
The Road to Zero Failures
Riverview Medical Center
Deeba Siddiqui
dsiddiqui@meridianhealth.com
QCV61: Practice Redesign of the
Preoperative Evaluation (POE) Clinic:
A Quality Improvement Initiative
Mayo Clinic Florida
Barbara McKinney
mckinney.barbara1@mayo.edu
QCV62: Pressure Ulcer
Reduction Project
King Faisal Specialist Hospital &
Research Center
Sugen Singh
suggy143@gmail.com
QCV63: Program of Continuous
Improvement of Quality and Safety
Focusing on De-Hospitalization
Unimed Foundation
Bruno Silva
bruno.gomes@unimedjf.coop.br
Storyboards
QCV29: Feasibility of a Safe Sedation
Checklist in a Pediatric Sedation Unit
Medical University of South Carolina
Elizabeth Mack
mackeli@musc.edu
QCV41: Improving the Quality of Care
in Hyperemesis
Health Education Wessex
Helen Preece
helenpreece@hotmail.com
QCV70: Reducing Non-Urgent ER
Visits: A Collaborative Approach
VA Connecticut Healthcare System
Anne Hyson
anne.hyson@va.gov
QCV71: Reducing RBC Utilization at
Florida Hospital in Orlando
Florida Hospital
David Gootee
davidgootee@aol.com
QCV72: Sepsis Identification/
Intervention: The Clock is Ticking
Franciscan Alliance
Beth Grbavac
QCV73: Sepsis Initiative in
Michigan City, IN
Franciscan Alliance
Beth Grbavac
QCV74: SingHealth mDirectory:
Transforming Staff Connectivity
SingHealth
Desmond Peter Khoo
desmond.khoo.s.k@sgh.com.sg
QCV75: Social Networking Drives
Quality Improvement
Mayo Clinic
Farris Timimi
admin@dabohealth.com
QCV76: Supplies: Having What You
Need for Patient Care
Cancer Center
Rachel Douglas Hodge
RLDouglas@mdanderson.org
63
Storyboards
QCV77: Surgery Start Times: The Cost
of Waiting
Franciscan Alliance
Beth Grbavac
QCV78: Targeting Interventions to
Optimize Impact
Advocate Health Care
Darcy Davis
darcy.davis@advocatehealth.com
QCV79: Tele-Ophthalmology –
Eye Phone
Kaiser Permanente, Antelope Valley
Medical Office, California
Khodam Rostomian
Khodam.X.Rostomian@Kp.Org
QCV80: The Cost of Orthopaedic
Operating Room Waste
Albert Einstein College of Medicine
Sarah Stelma
sarah.stelma@med.einstein.yu.edu
QCV81: The Hidden Gem: Performing
Timekeeping Audits as a Strategy for
Change Improvements
Sandra Quin
sandra.quin@lhsc.on.ca
QCV82: The Patient Centered Value
Tool to Determine True Costs to
Deliver Care
PFCC Innovation Center of UPMC
Justina Kress
Kressj2@upmc.edu
QCV83: The Quest for Reduction in
Clostridium Difficile: A Legendary Tale
of Antimicrobial Stewardship
Providence St. Mary Medical Center
Michael Bernstein
michael.bernstein@providence.org
QCV84: Think You Can’t Beat
Prolonged Ventilation? PROVE IT!
Houston Methodist Hospital
Sarah Homer
shomer@houstonmethodist.org
QCV85: Understanding Barriers
to Access & Flow: Utilizing Right
Resources, Right Patient, Right Time,
Right Cost
Dartmouth Hitchcock
Allison McHugh
Allison.T.McHugh@hitchcock.org
QCV86: Understanding the Work
Environment within Medical
Specialties and Neurosciences Using
ANA Staffing Standards Framework
Dartmouth Hitchcock
Allison McHugh
Allison.T.McHugh@hitchcock.org
64
QCV87: Urinary Catheter Management
Correlates with Catheter-Associated
Urinary Tract Infections in the ICU
A. Joseph Layon
ajlayon@geisinger.edu
QCV88: Using Lean Methodology
to Improve Recruitment Process
in our Hospital
Royal Commission Medical Centre
Mohamed Elfaiomy
mhmdadel83@yahoo.com
TAP1: A Roadmap to Achieving a
Patient Centered Medical Home
Domestically and Globally
Johns Hopkins University
School of Medicine
Steven Kravet
skravet@jhmi.edu
TAP2: Activating Patients to Schedule
Medicare Annual Wellness Visits at
Mercy Clinic Northwest Arkansas
Emmi Solutions
Cathryn Crookston
ccrookston@emmisolutions.com
TAP3: Ambulatory Redesign in a Large
Scale Rapid Deployment Impacting
Population Health Management
CHE–Trinity Health
Mary Ellen Benzik
benzikm@trinity-health.org
TAP4: An Innovative Integration &
Collaborative Intervention to Improve
Pediatric Asthma
AmeriHealth District of Columbia
Mark R. Fracasso
mfracasso@whealthcare.com
TAP5: Analyzing Outcomes for People
Receiving Integrated Care at the
Pittsburgh Mercy Family
Health Center
Pittsburgh Mercy Health System
Jack Todd Wahrenberger
ToWahrenbergerMD@pmhs.org
TAP6: Application of CUSP
Methodology across a Perioperative
Program to Achieve Surgical
Quality Improvement
Ottawa Hospital
Rebecca Brooke
rbrooke@toh.on.ca
TAP7: Behavioral Safety on Medical
Surgical Units
Medical Center
Rena Sorensen
rena.sorensen@cchmc.org
TAP8: Changing the Trajectory of
Healthcare for People with Complex
Health Needs in Edmonton,
Alberta, Canada
David Mador
Julie.Shemanchuk@albertahealthservices.ca
TAP9: Discharge Medication
Management
Michael Smith
TAP10: From Policy to Practice:
Statewide Primary Care Transformation
Oregon Health Authority and Portland
State University
Nicole Merrithew
nicole.merrithew@state.or.us
TAP11: Handle the Jandal: Organising
Youth to Enhance their Own Mental
Health and Wellbeing
Ko Awatea
Alexandra Nicholas
alexandra.nicholas@middlemore.co.nz
TAP12: HIV Viral Load Suppression
UNM Truman Health Services
Marlinda Jefferson
mdjefferson@unmmg.org
TAP13: Identifying Unit Risk:
Reducing Staff Injuries
Medical Center
Davona Tucker
davona.tucker@cchmc.org
TAP14: Improving Outcomes for U.S.
Surgical Patients: Advancing the
National Adoption of Enhanced
Recovery Protocols
Center for Medical Technology Policy
Rachael Moloney
rachael.moloney@cmtpnet.org
TAP15: Improving the Process of
Discharge for Patients Enrolled in
the Outpatient Parenteral Antibiotic
Therapy Program
(BIDMC)
Mary LaSalvia
mlasalvi@bidmc.harvard.edu
TAP16: Increasing Tobacco Cessation
Referrals in Cancer Patients Using
the IHI Breakthrough Series
Collaborative Approach
Michigan Oncology Quality Consortium
Laura Petersen
ldpete@med.umich.edu
TAP17: Live Well, Be Well, Plan Well –
Life Care Planning Implementation
Kaiser Permanente, San Jose
Medical Center
Patricia Vida
Patricia.A.Vida@kp.org
TAP18: Managing Hospital
Follow-Up in Patients with No
Primary Care Physician
Sentara Healthcare
Anthony Hardt
abhardt@sentara.com
TAP19: Meeting the D5: Improved
Control in Diabetes
Nicole Kveton
nicole.kveton@allina.com
TAP20: Mobility, the Sixth Vital Sign:
Using a Mobility Team to Prevent
Hospital-Acquired Pressure Ulcers
Harriet Gammon
hgammon1@hfhs.org
TAP21: Multidisciplinary Rounding
Program: A Team-Based Approach to
Improving Key Outcomes at Abbott
Northwestern Hospital
Abbott Northwestern Hospital
Justin Kirven
Justin.Kirven@allina.com
TAP22: One Critical Access Hospital’s
Journey through Affiliation to Reach
the Triple Aim
Gundersen St. Joseph’s Hospital
and Clinics
Deb Smith
DSSmith@gundersenhealth.org
TAP23: Pediatric IBD Hospitalization
QI Process: Using Population
Health Management
University of Michigan Health System
Haley Neef
haleyn@med.umich.edu
TAP24: Reducing Readmission Rates:
Creating and Implementing a
Standardized COPD Care Pathway
University of Chicago Medical Center
Samira Qadir
samira.qadir@uchospitals.edu
TAP25: San Francisco VAMC
Veteran’s Access to Primary Care:
Right Care, Right Place, Right Time
San Francisco VA Medical Center
Krista Gager
krista.gager@ucsf.edu
TAP26: Saving Lives: Searching for
Sepsis in Triage
Baylor Scott & White Health (BSWH)
Andrew Masica
andrew.masica@baylorhealth.edu
TAP27: Successful Reduction in
30-Day Readmissions for AMI, Heart
Failure, Pneumonia and COPD
UConn Health
Wendy Martinson
wmartinson@uchc.edu
TAP28: The Medical Home
Transformation: Looking Back
Five Years
Montefiore Medical Group
Namita Azad
nazad@montefiore.org
TAP29: Transform a Unit into an
Observation Unit: Get Started Before
You Think You’re Ready
Regions Hospital
Cheryl Laine
cheryl.a.laine@healthpartners.com
TAP30: Video Tool for Code
Status Discussion with the
Hospitalized Patient
University of Minnesota Medical Center
Ryan Greiner
grein037@umn.edu
TAP31: What Does it Take to Save
Nearly 2000 Lives?
CHE Trinity Health
Teri Aldini
aldinit@trinity-health.org
Student and Resident
Storyboards
Following is a list of all storyboards
submitted before November 13th.
Please visit the Student and Resident
section of the storyboard hall for
a complete list of student and
resident storyboards.
A Quality Improvement Initiative;
Evaluating a Linked Messaging
Service as an Effective Team
Communication Tool
Mercy University Hospital, Cork, Ireland
Clodagh Murphy
clomurphy@gmail.com
Acanthosis Nigricans –
Screening Tool for Patients at
High Risk for Diabetes
Berrien Board of Education
(until January 2014)
Dora Nash
djdhnash@aol.com
An Australian Perspective on Primary
Care (Family Medicine Practices)
Microsystems as Learning Organizations
University of New South Wales
Anne Sinclair
anne.sinclair@student.unsw.edu.au
An Improved Delivery System:
Implementing Six Sigma LEAN
Management for the San Antonio
Refugee Clinic
UT Health Science Center San Antonio
Megan Roberts
robertsma@livemail.uthscsa.edu
Appreciative Inquiry: Unlocking the
Creative Talents of Colleagues
to Enhance Communication
and Collaboration
South Shore Hospital
Maureen Demenna
maureen_demenna@sshosp.org
Baylor College of Medicine
Quality and Safety Conference
“Defining Value in Healthcare”
Baylor College of Medicine
Kaitlin Whelan
kawhelan@bcm.edu
Bellin College IHI Open
School Chapter
Bellin College
Abi Cropsey
abigail.cropsey@bellincollege.edu
Blood Culture Labeling
Improvement Process
Dignity Health-Methodist
Hospital Sacramento
Carla S. Martin
carla.martin@dignityhealth.org
Defining the Role of Nurse Case
Manager in Ambulatory Mental Health
Daniel Robinson
daniel.robinson@lhsc.on.ca
Developing an Interprofessional
Model to Increase Confidence in
Breastfeeding Education for Future
Healthcare Providers
University of Manitoba
Adam Yan
adamyan677@gmail.com
Diabetes Management: The Benefits
of Sharing
UCF/ Orlando VA Medical Center
Mahmoud Farhoud
d.mfarhoud@hotmail.com
Volunteers; Catalysts for
Frontline Quality Improvement
University of Toronto
Robert Smith
robw.smith@mail.utoronto.ca
Improving Door-to-Needle Times for
Ischemic Stroke Patients using a
Lean Six Sigma Approach
Saint Louis University
Matthew Starr
mstarr11@slu.edu
Improving Laboratory Utilization
through Documentation
Matthew Cerasale
mcerasa1@hfhs.org
Improving Outpatient Follow-Up for
Patients with Sickle Cell Disease
Boston University School of Medicine
Justin Slade
slade@bu.edu
Improving Patient Experience
of Peri-Operative Care Through
Standardized Communication
University of Colorado, Anschutz
Medical Campus
Carissa Huq and Meara Melton
chuq@medicine.tamhsc.edu
Improving Patient Safety When Using
Aspirin for Primary Prevention of
Cardiovascular Disease
University at Buffalo
Wudeneh Mulugeta
wudenehm@buffalo.edu
Improving the Documentation of
Nutritional Supplements during
Medication Reconciliation
University of New Mexico Health
Sciences Center
Christiopher Bunn
ctbunn@salud.unm.edu
Empowering Future Healthcare
Professionals to Lead Quality
Improvement and Patient
Safety Initiatives
Edmonton Healthcare Improvement
Network, University of Alberta
Rachel Flynn
rmflynn@ualberta.ca
Evaluating Cost of Care in
Microhematuria: Implementation of
a Costing Strategy in a Care Process
Duke University School of Medicine
Tony Chen
tony.chen@dm.duke.edu
Implementation of an Inter-Disciplinary
Periodic Health Record (PHR) in
Long-Term Care
Brock University
Saumik Biswas
sb10gy@brocku.ca
Implementation of an Interdisciplinary
Weight Counseling Intervention in
Primary Care: BMI PDSA
Maura Brain
mbrain@bidmc.harvard.edu
Improving Anticoagulation
Management at an Out-Patient
Clinic by Using the New Finger
Stick Device
The Wright Center for Graduate
Medical Education
Qi Shi
qi1shi@gmail.com
Improving Documentation of Chronic
Opioid Therapy Plans at the San
Francisco VA Downtown Clinic
San Francisco VA Medical Center
Elda Kong
elda.kong@ucsf.edu
Improving the Operations of the
APOC’s CDTI Programs through Lean
Principles and Tools
Boston University School of Public Health
Zachary Gersten
gerstezp@bu.edu
Improving the Quality of Our Clinical
Work: Coumadin Anticoagulation
Therapy with EMR Based
System Redesign
The Wright Center for Graduate
Medical Education
Qi Shi
qi1shi@gmail.com
Improving the Quality of Transitions of
Care in the Intensive Care Unit
Howard University Hospital
Yewande Odeyemi
yodeyemi@gmail.com
Improving the Recognition of
Post-Operative Acute Kidney Injury
Dundee University
Nicola Trotter and Cal Doherty
n.c.trotter@dundee.ac.uk
Improving the Response to
Deteriorating Patients Utilising the
Scottish Early Warning System Chart
University of Dundee, College of
Medicine, Nursing & Midwifery
Sylvia Okwemba
saokwemba@dundee.ac.uk
Improving Treatment of
Pre-Diabetes in a Large Community
Safety Net Clinic
Emory University School of Medicine
Byron Crowe
byrondcrowe@gmail.com
Increasing Appropriate Aspirin Use
for Primary Prevention of
Cardiovascular Events
University Hospitals Case
Medical Center
Bridgette Christopher
bridgette.christopher@uhhospitals.org
Increasing Patient Enrollment in My
HealtheVet: An Interdisciplinary
Approach to Improve Access to
Electronic Communication
University of California San Francisco
Rebecca Conroy
Rebecca.Conroy@ucsf.edu
Storyboards
TAP32: Working to Keep Vulnerable
Elders from Being Readmitted to
the Hospital
Beverly M. Belton
beverly.belton@ynhh.org
Better Docs Seminar: Changing
Attitudes and Perceptions on Patient
Safety and Quality of Care
Wayne State University School
of Medicine
Rebeca Kelly, Derek Blok, Hira Rashid,
Aiste Baltuonyte, Huixia Wei, John
Joseph, Diane Levine, MD
rkell@med.wayne.edu
Interprofessional Development
of an After Visit Summary in a
Community-Based Clinic to Improve
Patient Satisfaction
Veterans Affairs Medical Center
Anna Strewler
anna.strewler@ucsf.edu
Loved or Loathed: The Feedback We
Need to Improve Implementation of a
New EMR
Suraj Raheja
sraheja2@hfhs.org
Maximizing Efficiency at the USF
Health BRIDGE Clinic
USF College of Medicine
Jennifer Bruno, Christopher Centonze,
and Bruna Zanolini
bzanolin@health.usf.edu
Meaningful Use of Stress
Ulcer Prophylaxis
Belen Tesfaye
belenaye@yahoo.com
Medical Innovation, Quality, and
Leadership Medical School Track
MedStar Health
Anne Gunderson
anne.j.gunderson@medstar.net
MyCare: A Comprehensive Outpatient
Approach to Reducing Emergency
Department Visits and Inpatient
Admissions
David Geffen School of Medicine at UCLA
Katherine A. Henry
khenry@mednet.ucla.edu
No Pain! Great Gain!! Improving
Pain Management in Howard
University Hospital
Jennifer Obi
jetonnie@yahoo.com
65
Storyboards
Obstructive Sleep Apnea:
Advancing Awareness and
Preventing Complications
UK Healthcare, University of Kentucky
Andrew Dec
ade254@uky.edu
Reducing Average Length of Stay
on Mechanical Ventilation Using a
Multidisciplinary Approach
Yewande Odeyemi
yodeyemi@gmail.com
Online Death Certificate Quality
Improvement Project
University of Missouri Health Care
Ibraheem Yousef
yousefi@health.missouri.edu
Reducing Heart Failure Hospital
Re-Admissions
Tulane University School of Medicine
Ryan O’Halloran
ohalloran87@gmail.com
Pain Management Project: Bronx
Lebanon Hospital
Bronx Lebanon Hospital. Family
Medicine Department
Fallon Mattis
fam2103@gmail.com
Reducing Noise Levels to Promote Sleep
in the Medical Intensive Care Unit
Mayo Clinic
Curt Hale
hale.curt@mayo.edu
PONV – “An Ounce of Prevention is
Worth a Pound of Cure”
St. Peter’s Health Partners-Samaritan
and St. Mary’s Hospital
Brenda Williams
brenda.williams@sphp.com
PSU & OHSU I-CAN Project –
Choosing Wisely – Asking the
5 Questions
Family Care Health Plans - Oregon
Medicaid Coordinated Care Organization
Karri Benjamin
karri@businessenergetix.com
Quality and Innovation Scholar
Program: An interdisciplinary
Approach to Address Real QI Initiatives
Duke University School of Medicine
Arthika Chandramohan
arthika.chandramohan@duke.edu
Quality Improvment: Eliminate
Hospital Acquired Pressure Ulcers
Advocate BroMenn Medical Center
Rebecca Hatfield
rebecca.hatfield@advocatehealth.com
66
Risk Stratification of Heart Failure
Readmissions & the 60-Day
Readmission Model
Monmouth Medical Center
Paavani Atluri
paavani.atluri@gmail.com
Rounding on Rounds: Improving
Patient and Family Centered Rounds
University of Minnesota
Matthew Eggebrecht, Roma Patel, and
Ryan Holton
eggeb007@umn.edu
SLCH Foley Catheter Insertion
Checklist Implementation
St. Louis Children’s Hospital
Joshua Imbierowicz
jgi9232@bjc.org
SOAP Notes for IPE Student Teams
Grand Valley State University
Geraldine Terry
terryg@gvsu.edu
Standardized Evidence Based Risk
Stratified Model of Perioperative Care
Mayo Clinic
Christopher Shubert
shubert.christopher@mayo.edu
STEPS To Health: Development of a
Student Health Coaching Program for
Pediatric Obesity Management
Harvard Medical School
Mahsa Parviz
mparviz@fas.harvard.edu
STEPS Towards Better Under Served
Health Delivery: A Student-Led
Interdisciplinary Approach
Wright State University Boonshoft
School of Medicine
Nick Christian
christian.51@wright.edu
Student & Preceptor Experience:
Mapping Emotions to Uncover
Quality Treasures
Kelly Ainge
kelly.ainge@lhsc.on.ca
Students Integrating Principles of IHI
with Interprofessional Education
Hayley Wittnebel
hayley-wittnebel@uiowa.edu
Success Stories: Integrating
Pre-Licensure Students, Clinical
Research and Qality Iprovement
Initiatives into Intensive Care Units
Orlando Health
Valerie Danesh
Valerie.Danesh@orlandohealth.com
Testing a Discharge Time Out on
Specialty Medicine Services with an
Eye Towards Readmission Reduction
Boston Medical Center
Katherine Thompson
katydt@gmail.com
To What Extent Does Health Care
Personnel Behavior Change with the
Implementation of a Checklist?
Universidad del Valle de Mexico
Rodrigo Uribe
Pacheco rup_uribe@hotmail.com
IC156: Destroying the State of
Sepsis: A Sepsis Performance
Improvement Expedition
Washington Hospital Center
Sally Gutierrez, RN
sally.b.gutierrez@medstar.net
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67
Presenter Index
A
Abbo, Lilian M. ............................. SWA
Adams, Laura.................................. L7
Adler, Lee..................................D8, E8
Albright, Robert..............................C22
Allegretto, Steve.............................C20
Amin, Alpesh................................SWC
Armstrong, Lorraine.........................C1
Arndt, Tom.....................................C16
Arora, Vineet.................................. L24
Averbeck, Beth..................... A14, B14
Ayers, David.......................... A15, B15
B
Bacigal, Eric................................SWD1
Baker, Neil......................... M6, A5, B5
Balestracci, Davis............................ M2
Balik, Barbara........................ L17, C14
Banck, Britt-Mari........................... L19
Banerjee, Jay................................... L9
Bankowitz, Richard................D21, E21
Baril, Noel...................................SWD1
Barker, Pierre................................... L5
Bartel, Rosie..................................C15
Batal, Holly............................D25, E25
Batalden, Paul ................................ L3
Bedi, Anay.....................................C21
Bell, Amy....................................... L22
Bell, Laura.............................D21, E21
Bell, Donna................................... M21
Bennett, Brandon......................... M21
Benneyan, James............................ L2
Berg, Gina............................ A21, B21
Berry, Leonard...............................A27
Berryman, Candice....................D9, E9
Berwick, Donald...... A10, B10, C25, K4
Bevan, Helen............................M5, C1
Bintz, Marilu.........................M19, C19
Bisognano, Maureen........................K1
Bleau, Hallie................................. SWE
Boissy, Adrienne....................D13, E13
Brach, Cindy ................................. L16
Bradke, Peg.......................... L29, M20
Bradley, Jennifer....................D11, E11
Bradley, Wendy..................... A24, B24
Broughton, Edward........................ L21
Brown, Joann................................. L13
Burlingame, Esther.................D14/E14
Burnett, Aaron............................... L26
Butts, Sue....................................... M4
C
Chael, Amy....................................C18
Chase, Alide........................... L20, FE6
Chassin, Mark.........................M15, C4
Cherouny, Peter............................. L22
Ching, Joan.................................... L11
Chou, Calvin................................... M6
Christensen, Tiffany............... A11, B11
Clapper, Craig............................... M10
Classen, David.......... A18, B18, D8, E8
Cochran, Jack..................................A1
Cochran, Nan................................. M6
Cohen, Gary...................................C25
Cohen, Sandy.................................. L6
Cole, Alicia............................ A12, B12
Coleman, Eric............................... M13
Colligan, Lacey.............................. M10
Compton-Phillips, Amy.................... M9
68
Conklin, Erin....................................C3
Cooper, Kendra......................D21, E21
Cotter, John.................................. SWA
Courtlandt, Cheryl.......................... L16
Crain, Jerilyn..........................D17, E17
Cramer, Mary...................................C3
Crane, Joseph....................... A22, B22
Cranny, Mary........................ A16, B16
Crocker, Liz........................... A13, B13
Crowe, Ginna............................M4, C5
Curry, Robert................................ M15
D
Davidoff, Frank................................ L3
Davis, Connie................................ M12
De Kock, Lauren.............................. L1
DeBartolo, Kate................. FE5, A3, B3
Dehmel, Teresa.............................. L30
Derheimer, Celeste......................... L11
DeVoe, Barbara..............................C12
Dickson, Eric.................................. FE4
Diegel, James....................... A17, B17
DiGioia, Anthony................... L18, A19,
.................................... B19, D20, E20
Dorman, Jann............................... M16
Downes, Tom................................ M14
Dudl, James.....................................C7
Duncan, Jill........... A15, B15, D20, E20
Duncan, Kathy .............................. FE5
E
Easton, Jim......................................C1
Eby, Doug...................................... L27
Egan, Anthony.................................C9
Egner, David....................................D1
Ekengren, Francie................. A21, B21
Embree, Patricia................... A19, B19
Enard, Kimberly ....................D29, E29
England, Dawn...............................C11
Ettinger, Joel................................... M7
Ettinger, Josh.................................. M7
Evans, Rick....................................A27
Evans, Katherine........................... SWA
Everhart, Rachel....................D25, E25
F
Fagan, Elizabeth............................ L26
Fairman, Steve.................................C1
Fanikos, John...............................SWC
Fearfull, Anne ............................ L14
Federico, Frank..................... L12, M11
Feeley, Derek................ C27, D31, E31
Fehrenbacher, Alisha.....................C28
Frankel, Richard....................D13, E13
Franklin, Patricia................... A15, B15
Friedman, M. Isabel.......................C12
Fung Shuen Sheng, Daniel............. L15
G
Gallego, Ana Isabel................D29, E29
Gawande, Atul.................................K2
Gee, Rebekah..................................C5
Gelmon, Sherril...........................SWD2
Geraghty, Barbara..................D18, E18
Giaccone, Mary Jo........................SWB
Gibney, Richard............................. L19
Gillespie, Eileen............................. SWE
Gilligan, Timothy....................D13, E13
Godfrey, Marjorie............................. M8
Goldmann, Don......................D29, E29
Gottlieb, Katherine........................ M19
Gould, Bernice............................... L13
Gould, Michael.......................... A6, B6
Gray, Brett.................................... M18
Griffin, Fran................................... FE2
Grossman, Jeffrey..................D30, E30
Groves, Richard.................... A17, B17
Guenther, Robin.............................C25
Gullo, Sue........................ L22, FE7, C5
Gunther-Murphy, Christina............ FE4,
.............................................D15, E15
Gutierrez, Pete.......................D25, E25
Gutnick, Damara........................... M12
H
Hakim, Jamal................................. FE3
Hall, Dawn....................................SWB
Hannah, Susan............................. M21
Hannenberg, Alexander.............D7, E7
Haraden, Carol.........................FE3, B1
Haria, Neema................................C29
Harrison, Steve............................... M8
Haskell, Helen......................... L20, C1
Haufe, Susan........ A16, B16, D11, E11
Hayes, Chris.................................. L12
Hayward, Martha........................... L20
Hector, Paige.................................. M2
Hedin, Michelle..............................C22
Heer, John...................................... M7
Helton, William...................... A16, B16
Henderson, Robin.................M17, C28
Henriks, Göran.......................... L1, M9
Herndon, Laurie............................. L29
Hewson, Denise............................. L30
Hickson, Gerald............................... L9
Hieb, Laura....................................C23
Hilton, Kate........................... A26, B26
Hogie, Tami.................................. M18
Holland, Michael............................ L15
Holmes, Laura.......................D23, E23
Holtz, Robert................................. M17
Hoying, Cheryl...............................A27
Hunter, Alison........................... A9, B9
Hupke, Cindy........................ L30, M18
I
Inkelas, Moira....................... A23, B23
J
Jacobsen, Diane........................... SWA
James, Adrian................................ L15
James, Brent.................................C17
Jarman, Brian....................... A10, B10
Jensen, Kirk.......................... A22, B22
Johnson, David..................... A14, B14
Johnson-Simmons, Jessica....D25, E25
Jordan Jack, .........................D10, E10
Jorgensen, Maryclair......................C28
K
Kanter, Michael......................... A6, B6
Kaplan, Gary................................... M3
Kenjesky, Elizabeth....................... SWE
Kennedy, Samantha.................. A4, B4
Kennerly, Donald....................... A8, B8
Kenney, Charles...............................A1
Kenney, Linda........................D17, E17
Kersten, Hans....................... A20, B20
Kerwin, George.............M20, D28, E28
Knapp, Wendi........................D23, E23
Knox, Peter................... C16, D28, E28
Kohn Tuli, Alejandro......................SWC
Kokas, Maria..................................C10
Koster, Marguerite..................... A6, B6
Kotagal, Uma................................... L1
Krause, Christina..............................C1
Krause, Jean.........................M19, C19
Kulkarni, Omkar.............................C29
Kurose, Al..................................... M20
Kyle, April........................................C8
L
Labby, David..................................C24
Lachman, Peter..................... L23, FE2
Laderman, Mara.......... M17, A24, B24
Laing, Shirley................................ M21
Langley, Jerry................................ M18
Lannon, Carole.......................... A4, B4
Lawler, Alan..................................SWC
Lawson, Susan.......................D17, E17
Leary, Matthew...................... A21, B21
Leitch, Jason......................... L23, M21
Leo, James............................D22, E22
Leonard, Michael.......................... M10
Levy, Paul............. FE1, FEA, FEB, FEC
Lewis, Barbara...................... A12, B12
Lewis, Leanne........................D19, E19
Lewis, Ninon.................... M19, A3, B3
Lihn, Stacey.............................. A4, B4
Lilja, Beth..............................D12, E12
Little, Kevin........ M1, A15, B15, D2, E2
Litvak, Eugene............................... L23
Lloyd, Robert................L8, M1, D6, E6
Loehrer, Saranya................... L29, M20
Loomis, Lucy..........................D25, E25
Lopez, Lenny........................ A20, B20
Lord, Tanya............................D17, E17
Lown, Beth........................... A13, B13
Lynn, Joanne.................L25, D16, E16
M
MacFie, Helen......................D22, E22
Madigosky, Wendy.....................SWD2
Maher, Lynne..................................C1
Mahoney, Mary...............................C9
Mann, Sharon.......................D19, E19
Martin, Lindsay....................FE6, A28,
............................................D26, E26
Masica, Andrew........................D9, E9
Massoud, M. Rashad.................... L21
Mate, Kedar................. A28, D27, E27
McCartney, Mary Ellen..................C19
McClusky, Maureen..............D18, E18
McCutcheon Adams, Kelly............C13
McGarvie, Liane....................D11, E11
McIlwain, Thomas........................ M14
McNamara, David........................ SWA
Meyer, Gregg............................... M15
Miller, Ben................................... M17
Miller, Diane...............................D2/E2
Milstein, Arnold........................ A7, B7
Mobisson-Etuk, Nneka.................... L1
Moriates, Christopher.................... L24
Morrise, Lisa.........................D17, E17
Moses, James....................FE5, SWD2
Moses, Jill.................................... M18
Muething, Stephen.......................SWB
O
O’Connell, Ryan............................C20
O’Connor, Patricia......................... L14
O’Donnell, Barbara................... A9, B9
Ogrinc, Greg................................... L3
Ohiri, Kelechi.................................. L1
Oldham, John.......................... A2, B2
Oliver, Brant................................... M8
Ostrovsky, Andrey........................... L7
Oswald, Kathy............................SWD1
Ovretveit, John...................... L21, C17
P
Pacitti, Elaine................................ L14
Padilla, Tony........................ A12, B12
Parry, Gareth................................... L6
Patow, Carl.................................... L10
Peden, Carol................................ M11
Perlo, Jessica ................... A26, B26
Peugeot, Mary Ann...............D17, E17
Pierson, Karoline.................. A20, B20
Pinna, Christopher A.................... SWE
Poku, Asantewaa................. A25, B25
Provost, Lloyd.......... A23, B23, D4, E4
Provost, Shannon..................... A4, B4
Pugh, Michael...........................D3, E3
Pukrop, Danyell............................C11
Q
Quellhorst, Elizabeth............ A25, B25
R
Ramsay, Rebecca.........................C24
Reid, Amy.......................L6, D29, E29
Reid, Erica....................................A27
Reims, Kathleen........................... M12
Reiss-Brennan, Brenda........ A24, B24
Richmond, Mike.............................C1
Riebling, Nancy............................C12
Rischel, Vibeke.....................D12, E12
Ritter, Tara................................... M18
Roberts, Robin................................K3
Robson, Brian........................ L14, M9
Roethle, Linda...............................C16
Rogers, Ellen................................ M18
Rolland, Laurie..............................C10
Romanoff, Neil..............................C29
Rooney, James................................ L4
Rooney, Kevin.......................... A9, B9
Roth, Anna...............................D5, E5
Ruelas, Enrique..............................C1
Rutherford, Patricia...................... M13
S
Sadler, Blair..................................C25
Sahai, Faye.................................. M16
Salcedo, Marisol....................D18, E18
Salinas, Gilbert..............FE7, D27, E27
Santalucia, Carol.................. A12, B12
Sarfaty, Chris................................. L19
Savitz, Lucy.......................... A15, B15
Schall, Marie........................... L5, FE1
Schatell, Dori................................ L19
Schilling, Lisa................... C27, D5, E5
Schlichting, Nancy M......................D1
Schmitthenner, Brenda................ L25,
............................................D16, E16
Schraeder, Lisa............................. L18
Scott, Dawn..........................D20, E20
Scott, Carolyn........................D21, E21
Scoville, Richard................M1, D2, E2
Selna, Mark..........................D23, E23
Sevin, Cory............................ L28, C26
Shabot, M. Michael................M15, C4
Shah, Neel.................................... L24
Shepard, Karen.............................C28
Silversin, Jack................................ M3
Simpkins, Carolyn...........................C6
Smith, Kristofer.................... A25, B25
Smith, Michelle...............................C5
Smith, Susan............................D9, E9
Smith, Lesley Anne....................... L14
Smith, Helen................................... L4
Sobczak, Stephanie.......................C15
Sodzi-Tettey, Felix K. Sodzi.............. L1
Spaeth, Nancy H. ......................... L19
Spear, Steven............................... M14
Staines, Anthony.......................... M11
Steinfield, Rebecca...................D6, E6
Stevens, David................................ L3
Stewart, Kevin................................. L9
Stiefel, Matthew....................D26, E26
Stout, Somava.............................. M19
Strang, Carly........................ A26, B26
Swamy, Lakshman..........................C1
Swensen, Stephen....................D3, E3
T
Tan-McGrory, Aswita............ A20, B20
Taylor, Jane.................................... M4
Taylor, Susan.........................D24, E24
Thomas, Corinne........................... L15
Thompson, Jeff............ C25, D30, E30
Tierney, Michelle.............................C8
Tierney, Steve................................ L27
Toomey, Mimi................L25, D16, E16
Torres, Sharie........................D14, E14
Torres, Trevor....................... A11, B11
Torres, Trissa........................ L30, M20
Toussaint, John...............................C2
Tso, Ron...................................... M18
Tumilty, Sheila............................... L17
V
Vartan, Alen................................. M16
Viscardi-Johnson, Mina.........D24, E24
W
Wachter, Robert.............................. E1
Wagner, Robin.............................. L10
Walburn, Michael......................D6, E6
Walker, Gregory............................ M15
Wang, Rachel............................... L28
Washko, Jonathan................ A25, B25
Watters, June................................. M9
Webster, Patty.......................... A3, B3
Weingarten, Scott................. A18, B18
Weiss, Kevin................................. L10
Wendt, Linda................................ L17
White, Kristine...............................C14
White, Anthony.....................D17, E17
Whittington, John..........................C26
Williams, Christina................ A23, B23
Williams, David.....................D30, E30
Williams, David............................... L8
Windle, Pamela.........................D7, E7
Winell, Klas................................... L28
Wisdom, Kimberlydawn..............SWD1
Wolf, Jason.......................... A12, B12
Wong, Winston............... C7, D29, E29
Wyatt, Ronald................................. L9
Presenter Index
Muth, Alison................................SWB
Myers, Julie.................................. L28
N
Nelson, Eugene.............................C17
Neuwirth, Estee............................ M16
Nevins, Suzanne...................D17, E17
Nguyen, Huong........................ A6, B6
Nicholas, Alexandra..................... M19
Nicley, Amy...................................C18
Nielsen, Gail........................ L26, M13
Niemeier, Michael.........................C18
Nolan, Douglas............................ M18
Nolan, Kevin........................ A22, B22
Nolan, Thomas.....................D31, E31
Noonan, Laura.............................. L16
Nute, Victoria ..............................C21
Y
Yates, Gary................................... M10
Yezzo, Phyllis............................... SWE
Yi, David...................................D8, E8
Z
Zambeaux, Angela........................ L17
Zavaleta, Kathryn..........................C22
69
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PO BOX 1661
Tallahassee, FL 32302 USA
888-594-7437
fivewishes@agingwithdignity.org
www.agingwithdignity.org
575 W. Murray Blvd
Murray, UT 84123 USA
801-265-4400
3mhissales@mmm.com
www.3mhis.com
3M Health Information Systems offers
expertise in coding and auto-coding,
ICD-10, documentation improvement
and clinical terminology services to
support the EHR.
AACE Impact Graphics
Booth #104
245 Riverside Ave, Suite 200
Jacksonville, FL 32202 USA
800-393-2223
agarner@aace.com
www.aaceimpactgraphics.com
AACE Impact Graphics is a nationally
recognized design firm specializing
in medical and nonprofit solutions.
We provide design solutions including
corporate websites, publications, and
marketing collateral.
Media Sponsor
Booth #1012
National nonprofit organization:
created the Five Wishes advance
directive used by 35,000 organizations
including hospices. Available in 27
languages and Braille. New online
resources, adolescent/young adult
and pediatric versions.
Altarum Institute
Booth #712
3520 Green Court, Suite 300
Ann Arbor, MI 48105 USA
734-302-4600
ken.schwartz@altarum.org
www.altarum.org
Altarum Institute integrates objective
research and client-centered
consulting skills to deliver
comprehensive, systems-based
solutions that improve health and
health care. A nonprofit, Altarum
serves clients in the public and
private sectors.
American Board of
Medical Specialties
Booth #106
American College
of Physicians
www.acponline.org
Agency for Healthcare
Research and Quality
Booth #905
540 Gaither Drive
Rockville, MD 20850 USA
301-427-1364
https://info.ahrq.gov/
www.ahrq.gov
The Agency for Healthcare Research
and Quality’s (AHRQ) mission is to
produce evidence to make health care
safer, higher quality, more accessible,
equitable, and affordable, and to work
with the U.S. Department of Health
and Human Services (HHS) and
other partners to make sure that the
evidence is understood and used.
70
353 N Clark Street, Suite 1400
Chicago, IL 60654 USA
312-436-2600
info@mocportfolioprogram.org
www.mocportfolioprogram.org
ABMS serves the public and the
medical profession by improving the
quality of health care through setting
professional standards for lifelong
certification in partnership with 24
Member Boards.
American College of
Healthcare Executives
Booth #615
1 N Franklin Street, Suite 1700
312-424-2800
contact@ache.org
www.ache.org
The American College of Healthcare
Executives (ACHE) is an international
professional society of more than
40,000 healthcare executives who
lead hospitals, healthcare systems
and other healthcare organizations.
American College of Surgeons
Binghamton University
Booth #1107
Booth #412
633 North Saint Clair
Chicago, Illinois 60611 USA
312-202-5000
postmaster@facs.org
www.facs.org
4400 Vestal Parkway
East Binghamton, NY 13902 USA
607-777-6511
hornbeck@binghamton.edu
www.binghamton.edu
For more than a century, the American
College of Surgeons (ACS) has lead
quality improvement initiatives for
hospitals. The ACS Quality Programs
provide hospitals with the resources
and guidelines to improve the quality
of care, prevent complications, reduce
costs, and save lives in the areas of
trauma, cancer, breast care, bariatric
surgery and general surgical care.
Binghamton University is proud to
offer an accelerated Executive Master
of Science in Health Systems degree
program in Manhattan. Students can
learn from award-winning professors
and industry professionals and
complete their degree in one year.
ApolloMD
202 West Drive
Melbourne, FL 32904 USA
231-779-0224
kwelliver@blueware.net
www.bluewaregroup.com
Booth #1114
5665 New Northside Drive, Suite 320
Atlanta, GA 30328 USA
770-874-5400
dheil@apollomd.com
www.apollomd.com
ApolloMD partners with more than
100 hospitals nationwide to provide
integrated multi-specialty physician
services. Our approach includes
value-based physician compensation,
physician ownership, and proven
experience in contract transitions.
BlueWare
Booth #1004
BlueWare is a leader in providing
solutions for electronic document
management, digital archiving, and
data-masking for secondary use.
BlueWare solutions help hospitals
save time, money, and improve
service and security.
Media Sponsor
At Home Support
Booth #716
26957 Northwestern Highway, #120
Southfield, MI 48033 USA
313-578-5023
mjaspers@hom.org
www.ahsupport.org
At Home Support is an independent
not-for-profit subsidiary of Hospice of
Michigan which offers a continuum of
proven advanced illness management
solutions for seriously ill patients
facing chronic illnesses. Members of
At Home Support’s interdisciplinary
team are experts in providing patients
with pain and symptom management
related to a serious illness; helping
patients and caregivers navigate through
the healthcare system; assisting patients
and caregivers through difficult and
complex treatment choices; and
providing emotional support to
patients and their families.
Baldrige Performance
Excellence Program
Booth #415
BMJ
Booth #215
2 Hudson Place
Hoboken, NJ 07030 USA
866-577-0265 x707
usclinicalsolutions@bmj.com
www.company.bmj.com
BMJ advances healthcare worldwide
by sharing knowledge and expertise
to improve experiences, outcomes
and value. Our unique digital tools
help healthcare professionals support
their decisions, interpret clinical
data and improve the quality of
healthcare delivery.
Brown University
Executive Master of
Healthcare Leadership
Booth #815
100 Bureau Drive
Gaithersburg, MD 20889 USA
301-975-2036
baldrige@nist.gov
www.nist.gov/baldrige
200 Dyer Street, Box T
Providence, RI 02912 USA
401-863-2933
Clara_Schwager@Brown.edu
www.brown.edu
The Baldrige Program promotes
organizational excellence through
assessment, feedback, and best practice
sharing. The Program develops/
disseminates the Criteria for Performance
Excellence and manages the Malcolm
Baldrige National Quality Award.
Brown University’s Executive Master
of Healthcare Leadership prepares
leaders to transform healthcare.
Clinicians, executives, and
administrators in healthcare engage
in this 16-month masters degree while
maintaining their full-time positions.
Capsule Tech, Inc.
Booth #416
300 Brickstone Square, Suite 203
Andover, MA 01810 USA
978-482-2300
marketing@capsuletech.com
www.capsuletech.com
Capsule’s SmartLinxTM medical
device information system acquires,
manages and communicates patient
point-of-care data throughout the
continuum of care to provide powerful
clinical insight and enable timely
decision-making.
Cardinal Health
Booth #902
7000 Cardinal Place
Dublin, OH 43017 USA
614-553-3647
timothy.dimond@cardinalhealth.com
www.cardinalhealth.com
Cardinal Health Performance
Improvement Consulting brings over
a decade of experience to partner
with providers to help reduce costs,
enhance efficiency and improve
quality. We work to add efficiencies
and generate cost-effective options
for healthcare organizations across
the care continuum through a value
system perspective.
Booth #1442
2925 Chicago Ave
Minneapolis, MN 55407 USA
612-262-4014
marina.kaasovic@allina.com
www.carecopilotinstitute.org
The Care Copilot Institute partners to
transform care delivery through the
study and adoption of lay healthcare
workers to improve the quality and
value of healthcare.
CECity
Booth #407
285 Waterfront Drive East, Suite 100
Homestead, PA 15120 USA
412-338-0366
info@cecity.com
www.cecity.com
CECity is healthcare’s leading cloudbased provider of social enterprise
platforms and registry-based services.
CECity combines its unique registry
and analytics platform with education
and improvement interventions from
world-class partners.
Chameleon Corporation
Booth #1000
625 Bakers Bridge, Suite 105
Franklin, TN 37067 USA
615-656-3280
darrel@chameleonwhiteboard.com
www.chameleonwhiteboard.com
Booth #1007
PO Box 848
Round Rock, TX 78680 USA
866-324-5080
rcurtis@cihq.org
www.cihq.org
CIHQ is a CMS approved accreditor
of hospitals. We offer resources and
consulting services, and a nationally
recognized professional certification
in field. Visit Booth 1000. Drawing for
Microsoft Surface Tablet
Chameleon, the first completely
customizable Interchangeable
Whiteboard, has a unique, patented
design that provides a fully erasable
surface that eliminates board
replacement due to staining, shadowing,
ghosting or content changes.
Clarity Group, Inc.
Center to Advance
Palliative Care
Booth #714
8725 West Higgins Road, Suite 810
773-864-8280
info@claritygrp.com
www.claritygrp.com
Booth #209
55 West 125th Street, Suite 1302
New York, NY 10027 USA
212-201-2670
capc@mssm.edu
www.capc.org
The Center to Advance Palliative
Care (CAPC) provides health care
professionals with the tools, training,
and technical assistance necessary to
start and sustain successful palliative
care programs in hospitals and other
health care settings.
Centurion Medical Products
Booth #1112
100 Centurion Way
Williamston, MI 48895 USA
517-546-5400
contactus@centurionmp.com
www.centurionmp.com
Centurion develops unique products
with critical input from clinicians.
Featuring the Centurion® CVC Zone
Bundle – a custom-built central line
insertion bundle with everything your
team needs, in the desired sequence,
to help prevent CLABSIs, improve
outcomes and offer the best patient
care possible during and after central
line insertion.
Cerner Corp.
Clarity Group helps healthcare
organizations understand and manage
their risk and related costs. Services
include an incident reporting and patient
safety management tool and Clarity PSO,
a Patient Safety Organization.
Commonwealth Fund
Booth #308
One East 75th Street
212-606-3800
info@commonwealthfund.org
www.commonwealthfund.org
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health
care issues.
2800 Rockcreek Parkway
Kansas City, MO 64117 USA
816-221-1024
cernerpopulationhealth@cerner.com
www.cerner.com
Cerner’s health information technologies
connect people and systems at
facilities worldwide. We are creating
a future where the health care system
works to improve the well-being of
individuals and communities.
Monday, December 8
3:30 PM – 6:30 PM
Welcome Reception
4:30 PM – 6:30 PM
Tuesday, December 9
9:30 AM – 10:30 AM
(By Appointment Only)
10:30 AM – 1:30 PM
4:15 PM – 6:30 PM
(Storyboard Reception)
10:30 AM – 1:30 PM
1:00 PM: Forum Fortune Drawing
Cooper Signage & Graphics
Booth #923
2405 Lance Court
Loganville, GA 30052 USA
770-736-1522
service@carefinding.com
www.carefinding.com
Cooper Signage & Graphics is
recognized as the preeminent leader
in producing wayfinding systems for
Health Care Facilities. CS&G offers
proven solutions including consultation,
integration of emerging technology
through installation.
Cost & Quality Academy
Booth #813
Conifer Health Solutions
Booth #801
Booth #1101
EXHIBIT HALL
HOURS
Exhibitors
Care Copilot Institute
Center for Improvement in
Healthcare Quality
3560 Dallas Parkway
Frisco, TX 75034 USA
469-803-3000
anne.clarke@coniferhealth.com
www.coniferhealth.com
4600 Loomis Road
Milwaukee, WI 53220 USA
888-252-1765
CQA@hbinsights.com
www.healthcarebusinessinsights.com
The Cost & Quality Academy delivers
pragmatic best practices to objectively
advance any quality initiative by
providing customized research,
implementation tools, and relevant
publications.
Conifer Health Solutions is a
healthcare services company helping
more than 700 clients strengthen
financial performance, transition to
value-based care and enhance the
patient experience. Learn more at
ConiferHealth.com.
Which exhibit booths did you visit? Tweet it using #IHI26Forum
71
Exhibitors
Department of Medical
Education, UIC College
of Medicine
Booth #1440
Courtemanche & Associates
Booth #908
PO Box 23659
Charlotte, NC 28227 USA
704-573-4535
info@courtemanche-assocs.com
www.courtemanche-assocs.com
Courtemanche & Associates is a
nationally recognized healthcare
consulting firm that provides regulatory
compliance assessment, evaluation,
recommendations, education,
post-survey assistance and ongoing
support for healthcare leaders,
administrators and practitioners.
Creative Healthcare
Booth #517
101 North Acacia Avenue, Suite 101
Solana Beach, CA 92075 USA
480-473-2525
info@creative-healthcare.com
www.creative-healthcare.com
Founded in 1998, CHC supplies
training and technologies to support
healthcare organizations in their
efforts to improve. CHC’s flagship
product, the COMPASS® Quality
Management System, will be on
display at the IHI forum.
Curos by Ivera Medical
Booth #903
3525 Del Mar Heights Road, #430
San Diego, CA 92130 USA
888-861-8228
info@curos.com
www.curos.com
Curos® disinfection products by
Ivera Medical conveniently disinfect
needleless IV valves and male-luer
devices, provide a physical barrier
to contamination between accesses,
and offer visual confirmation of
device disinfection.
Dartmouth College – Master
of Health Care Delivery
Science Program
Booth #622
37 Dewey field Road
Hanover, NH 03755 USA
603-646-1222
health.care.delivery.science
@dartmouth.edu
www.mhcds.dartmouth.edu
Designed for accomplished working
professionals, Dartmouth’s 18-month
Master of Health Care Delivery Science
program equips students with new
skills and knowledge to lead the vital
transformations taking place in
health care today.
DASpecialists, LLC
Booth #107
2966 S. Church Street #164
Burlington, NC 27215 USA
336-684-7253
support@daspecialists.com
www.daspecialists.com
DASpecialists, LLC is a national
provider of remote abstraction and
support services for the NHQM,
cardiac, open heart and vascular
registries utilizing only experienced
clinical RNs. Affecting meaningful
change through improved processes.
Datix (USA) Inc.
Booth #206
155 North Wacker Drive, Suite 1930
312-724-7776
sales@datixusa.com
www.datixusa.com
Patient safety and risk management
software to spot trends as events occur,
reduce future harm by prioritizing
risks and creating corrective actions.
Integrated reporting and configurable
dashboards capture real time
information. Over 20 years proven
experience in healthcare
setting worldwide.
DebMed
Booth #806
2815 Coliseum Centre Drive,
Suite 600
866-783-0422
info@debmed.com
www.debmed.com
The DebMed GMS, the only monitoring
system developed from scientific
research calculates compliance based
on the WHO Five Moments and
provides a dispenser at the critical
point of patient care.
72
1333 South Halsted Street (MC 140)
866-772-2268 Option 1
info@online.uic.edu
www.go.uic.edu/MPSLIHI
UIC’s Department of Medical
Education offers an online masters
degree and graduate certificate in
patient safety. These programs
develop leaders in quality patient
care practices who measurably
improve healthcare outcomes.
Dimensional Insight, Inc.
Booth #607
60 Mall Road
Burlington, MA 01803 USA
781-229-9111
info@dimins.com
www.dimins.com
Dimensional Insight offers business
intelligence solutions that turn data
into insight. The Diver SolutionTM
allows decision-makers across your
organization to access data quickly
and intuitively.
DNV GL - Healthcare
Booth #513
1400 Ravello Drive
Katy, TX 77449 USA
866-523-6842
healthcare@dnvgl.com
www.dnvglhealthcare.com
DNVGL helps businesses assure their
performance through certification,
assessment, and accreditation. Within
healthcare we help customers achieve
excellence by improving quality and
patient-safety through hospital
accreditation and management
system certification.
Doctella
Booth #816
440 N. Wolfe Rd.
Sunnyvale, CA 94085 USA
408-234-0520
ECRI Institute
Booth #417
5200 Butler Pike
Plymouth Meeting, PA 19462 USA
610-825-6000
communications@ecri.org
www.ecri.org
ECRI Institute is an independent
nonprofit that researches the best
approaches to improving patient
care. Our unbiased, evidence-based
research, information, membership
program, and educational services
help you to lead your organization in
assessing and addressing safety, quality
and risk management challenges. For
more information, visit www.ecri.org.
Edwards Lifesciences
Booth #512
One Edwards Way
Irvine, CA 92614 USA
949-250-2500
criticalcare_US@edwards.com
www.edwards.com
Healthcare Provider Solutions – an
initiative by Edwards Lifesciences.
Take action now to standardize care
to reduce patient complications in
your hospital. Explore resources to
implement proven protocols and build
scalable, repeatable processes. Learn
how clinical process improvement
can address challenges in sepsis
management and enhance surgical
recovery. When evidence inspires
action, find resources at
Edwards.com/HCPS.
Exact Sciences
Booth #1213
441 Charmany Drive
Madison, WI 53719 USA
608-284-5700
mspence@exactsciences.com
www.exactsciences.com
Exact Sciences is a Madison, WI,
based company that is dedicated to
partnering with healthcare providers,
payers, patients, and advocacy groups
to eradicate colorectal cancer. Exact
Sciences developed Cologuard, a new,
non-invasive colorectal screening test
to help achieve this mission.
FormFast
Booth #715
13421 Manchester Road, Ste 208
Saint Louis, MO 63131 USA
800-218-3512
pblanks@formfast.com
www.formfast.com
FormFast is the leading provider of
automation solutions for hospitals.
Our set of technologies, including
eForms, eSignature, and workflow,
integrate with your systems to add
functionality and streamline practices
enterprise-wide.
Forward Health Group
Booth #522
44 East Mifflin Street, Suite 601
414-418-5654
FHGtalk@forwardhealthgroup.com
www.forwardhealthgroup.com
Forward Health Group’s
PopulationManager® transforms
chaotic data from disparate sources
into valuable fuel, ready to identify
and manage high-risk and/or highcost patient populations, driving
clinical outcomes improvement and
financial success.
Health Care DataWorks
Joint Commission Resources
Booth #317
Booth #108
Booth #1400
60 Railroad Place
Saratoga Springs, NY 12866 USA
518-312-5591
gmagin@garnetriver.com
www.GarnetRiverHealth.com
1801 Watermark Drive, Suite 250
Columbus, OH 43215 USA
614-255-5400
info@hcdataworks.com
www.hcdataworks.com
1515 W. 22nd Street, Suite 1300W
Oak Brook, IL 60523 USA
630-268-7400
info@jcrinc.com
www.jcrinc.com
Garnet River LLC and Altosoft, a
Kofax company, have come together
to empower the meaningful use of
Mobile Applications, Process
Intelligence, and Interoperable
Communications Systems for their
health care customers.
Health Care DataWorks (HCD), Inc.,
a leading provider of business
intelligence solutions, empowers
health care organizations to improve
their quality of care and reduce costs.
GE Healthcare
Booth #916
N16 W22419 Watertown Rd
Waukesha, WI 53186 USA
877-438-4788
geeducation@ge.com
www.gehealthcare.com
Learn how GE Healthcare’s Clinical
Education offerings such as Electronic
Fetal Monitoring, Dose Education,
Alarm Management and Clinical
Practice for Monitoring can help to
improve patient care and mitigate risk.
Get a Real Degree
Booth #1205
2145 Metro Center Blvd., Suite 400
Orlando, FL 32835 USA
866-665-4185
sandra.morefield@pearson.com
www.getarealdegree.com/programs
GARD is a network of accredited
universities committed to providing
online degrees for working professionals.
We provide organizations access to
scholarships up to $8,000 at zero cost
to the organization.
HALO Innovations
Booth #1212
111 Cheshire Lane, Suite 700
Minnetonka, MN 55305 USA
952-641-5131
patricia.eagan@haloinnovations.com
www.halosleep.com
HALO Innovations has a singular
mission: to help babies sleep safely.
HALO is dedicated to developing
products that set new standards for
the safety and improved health of
sleeping infants and bringing peace of
mind to one’s home.
Hawaiian Moon
Booth #1209
321 S. Missouri Ave.
Clearwater, FL 33756 USA
888-256-3276
sales@aloecream.biz
www.aloecream.biz
Health Catalyst
Booth #100
3135 Millrock Drive, Suite 400
Salt Lake City, UT 84121 USA
801-708-6800
info@healthcatalyst.com
www.healthcatalyst.com
HealthStream
Booth #314
209 10th Ave South
Nashville, TN 37203 USA
615-301-3100
customer.service@healthstream.com
www.healthstream.com
Over 1/2 of U.S. hospitals use
HealthStream’s research, learning,
simulation, and talent management
solutions to improve outcomes. Learn
how we support better healthcare
quality and experiences at
www.healthstream.com.
i2i Systems
Health Catalyst provides data
warehousing and analytics solutions
and clinical services to help health
systems organize their data and target
opportunities to improve quality and
reduce cost.
Booth #909
Health Information Alliance, Inc.
i2i Systems’ integrated Population
Health Management software,
i2iTracks, is used by over 1,000 sites
nationwide to create healthier
populations, increase pay-forperformance revenue, improve
operational efficiency, and reduce
healthcare costs.
Booth #1017
438 Marion Ave
Ambler, PA 19002 USA
800-405-8800
info@HIA-Corp.com
www.HIA-Corp.com
Health Information Alliance, Inc.,
“HIA” services the PI arena ensuring
robust data while optimizing
reimbursement. Abstraction/Registry
Services: Core Measures, (ACS/
NSQIP, STS), Coding and Value Based
Purchasing Outcomes.
Healthgrades
3663 N. Laughlin, Suite 200
Santa Rosa, CA 95403 USA
707-575-7100
courtneyw@i2isys.com
www.i2isys.com
i-Human Patients
Booth #525
1730 Midas Way, Suite 150
Sunnyvale, CA 94085 USA
941-539-2778
info@i-human.com
www.i-human.com
We provide interactive, scalable
e-learning solutions to promote quality,
cost-effective care. Our cloud-based
simulated patient encounters rapidly
and fully develop providers’ most critical
cognitive competencies – patient
assessment and diagnostic reasoning.
Booth #315
999 18th Sreet, Suite 600
Denver, CO 80202 USA
800-332-2631
solutions@healthgrades.com
www.healthgrades.com/hospitals
Hospitals partner with Healthgrades
to understand their population,
influence consumer, patient and
physician behavior and achieve
clinical and business goals. To
discover an entire suite of solutions,
call 855-665-9726 or visit
healthgrades.com/hospitals.
Infinite Trading
Booth #112
3651 Lindell Rd., Suite D120
Las Vegas, NV 89103 USA
888-415-9964
infinitehealthinc@gmail.com
Media Sponsor
EMS World’s Integrated
Healthcare Delivery
Joint Commission Resources (JCR)
offers a full spectrum of resources
to help health care professionals
provide safe and efficient patient
care through consulting services,
education programs, publications
and multimedia products.
Exhibitors
Garnet River/Altosoft
Kaiser Permanente
Booth #1424
One Kaiser Plaza
Oakland, CA 94612 USA
510-271-5953
www.kp.org
Kaiser Permanente is committed to
helping shape the future of health
care and to providing high-quality,
affordable health care services to
our 9.3 million members and the
communities we serve.
Kaplan Medical
Booth #717
395 Hudson Street
212-492-5887
customer.care@kaplan.com
www.kaplanmedical.com
Kaplan Health has formed Kaplan
Clinical, whose mission is to develop
education that improves adherence
to evidence-based guidelines and
so improves patient outcomes to
deliver ROI to health systems. We
have formed partnerships with
QUREHealthcare and NYU Langone
School of Medicine.
[Lean Healthcare]:
John Kim and Associates
Booth #1420
3917 Kathleen Way
Davenport, IA 52807 USA
563-650-3822
admin@johnkimconsulting.com
www.johnkimconsulting.com
Working with ACO’s, health systems,
hospitals, medical groups and health
plans to apply Lean Healthcare to
improve access, quality, population
health, cost and medical utilization in
FFS/Risk payor models.
www.emsworld.com/integrated-healthcare
73
Exhibitors
Loyola University Chicago
School of Nursing
MedAssets
Booth #1206
100 North Point Center, East,
Suite 200
Alpharetta, GA 30022 USA
888-883-6332
solutions@medassets.com
www.medassets.com
2160 S. First Avenue, Bldg. 125
Maywood, IL 60153 USA
708-216-9101
schoolofnursing@luc.edu
www.luc.edu/nursing
Loyola University Chicago Niehoff
School of Nursing offers graduate
MSN & DNP programs in Quality,
Informatics, Infection Prevention. For
more information, visit Booth #1206
or http://www.luc.edu/nursing.
M2S, Inc.
Booth #823
12 Commerce Avenue
West Lebanon, NH 03784 USA
603-298-5509 x364
nheatley@m2s.com
www.m2s.com
M2S, Inc. is a leader and innovator
in software-as-a-service for quality
improvement in healthcare providing
clinical registries, data sharing and
dynamic content for industry, clinical
trial services and vascular imaging.
MCN Healthcare
Booth #312
1777 S. Harrison Street, Suite 405
800-538-6264
pam.gustafson@mcnhealthcare.com
www.mcnhealthcare.com
MCN Healthcare is a leading provider
of healthcare regulatory compliance
solutions including Policy Manager,
Policy Library, and StayAlert - email
notification of regulatory changes.
MDReview
Booth #414
6025 S. Quebec Street, Suite 360
Centennial, CO 80111 USA
866-725-1784
sbeckwith@md-review.com
www.md-review.com
For over 10 years, MDReview has
provided peer review of the highest
caliber to hospitals across the country.
With unprecedented project oversight
and exceptional expertise, MDReview
continues to be The Standard for
Excellence in Peer Review.
Booth #913
MedAssets is a healthcare
performance improvement company
focused on helping providers to
realize financial and operational gains
to sustainability serve the needs of
their community. More than 4,400
hospitals and 122,000 non-acute
healthcare providers currently use the
company’s evidence-based solutions,
best practice processes and analytics.
MEDICAL DECISION
NETWORK, LLC
Booth #812
2220 Ivy Rd, Suite 403
Charlottsville, VA 22903 USA
866-791-6108
marketing@mdnllc.net
www.mdnllc.net
Medical Decision Network, LLC
(MDN) provides a wide range of
solutions dedicated to improving the
quality and cost of healthcare and to
enhancing the contributions of
healthcare professionals.
Medical Education Institute, Inc.
Booth #1015
414 D’Onofrio Drive, Ste 200
608-833-8033
info@meiresearch.org
www.meiresearch.org
The Medical Education Institute is
a 501(c)(3) dedicated to helping
people with chronic diseases learn
to manage and improve their health
through evidence-based education.
Programs include LifeOptions.org,
KidneySchool.org, HomeDialysis.org,
MyDialysisChoice.org, and
KDQOL-Complete.org.
Medical Interactive Community
Booth #922
One Galleria Blvd., Suite 700
Metairie, LA 70001 USA
855-464-7475
rquigley@medicalinteractive.com
www.medicalinteractive.com
Medical Interactive Community (MI)
offers online Risk Management
resources, featuring RM and perinatal
Continuing Education (CME/CNE),
MiCapture Risk Assessment Software,
and hospital and facility specific tools.
Visit/call www.medicalinteractive.com,
855-464-7475.
74
MedStar Health
Minute for Medicine
Booth #115
Booth #204
5565 Sterrett Place
Columbia, MD 21044 USA
410-772-6500
www.medstarhealth.org
180 West Washington Street,
12th Floor
312-648-6600
PatientSafety@minuteformedicine.com
MinuteforMedicine.com
MedStar Health combines the best
aspects of academic medicine,
research and innovation with a
complete spectrum of clinical services
to advance patient care. MedStar is
a $4.2 billion, not-for-profit, regional
healthcare system.
MERCI
Minute for Medicine is a custom
branded, 52-week series of 1-minute
patient safety videos designed to
quickly educate and inform associates
on the front lines of care.
Booth #1201
Media Sponsor
3213 W. Wheeler Street, #178
Seattle, WA 98199 USA
206-855-3260
info@merciprogram.com
www.merciprogram.com
Modern Healthcare
MERCI provides turn-key patient
safety training programs — developed
and validated for hospitals by
Northwestern University’s Feinberg
School of Medicine — to reduce
procedural medical errors and
improve patient care.
Midas+, A Xerox Company
Booth #1014
4801 E. Broadway Blvd, Suite #335
Tucson, AZ 85711 USA
800-737-8835
midas.info@xerox.com
www.midasplus.com
With approximately 1,800 clients,
Midas+ Solutions is the preferred
healthcare quality outcomes
improvement and strategic
performance management partner.
By leveraging our twenty-four years
of market domain expertise, Midas+
clients outperform the median
national hospital quality scores for
value-based purchasing and other
pay-for-performance programs.
Minitab
Booth #606
1829 Pine Hall Road
State College, PA 16801 USA
814-753-3463
sales@minitab.com
www.minitab.com
Minitab makes it easy for healthcare
professionals to analyze quality data
and improve patient safety. See why
UnitedHealth Group and thousands
more trust Minitab.
www.modernhealthcare.com
MSC
Booth #1013
4643 S. Ulster Street, Suite 650
303-483-2800
healthcaregroup@medsimulation.com
www.medsimulation.com
MSC is a healthcare performance
improvement company, advancing
clinical quality and patient safety.
We solve hospitals most costly and
complex problems, like sepsis.
Visit www.medsimulation.com for
more information.
National Board of Surgical
Technology & Surgical
Assisting (NBSTSA)
Booth #614
6 W. Dry Creek Circle, Ste. 100
Littleton, CO 80120 USA
800-707-0057
mail@nbstsa.org
www.nbstsa.org
The mission of the NBSTSA is to
provide professional certification of
surgical technologists (CST) and
surgical first assistants (CSFA), thus
promoting quality patient care in the
surgical setting.
National Database of Nursing
Quality Indicators
Booth #917
8525 Georgia Ave.. Suite 400
Silver Spring, MD 20904 USA
301-628-5072
www.ndnqi.org
Nihon Kohden America
Otto Trading
PeraHealth, Inc.
Booth #306
Booth #1208
Booth #1404
Booth #413
15353 Barranca Parkway
Irvine, CA 92618 USA
800-325-0283
info@nkusa.com
www.nkusa.com/monitoring
714-540-5595
ademkutlug@gmail.com
6302 Fairview Road, Suite 310
704-385-4675
JBrennan@PeraHealth.com
www.PeraHealth.com
Nihon Kohden America offers
complete Enterprise Monitoring
Solutions focusing. Products include
monitors with a full feature set and
the most robust telemetry offering in
industry, backed by a 5-year warranty.
3300 Bloor Street W.,
Center Tower, Suite 2300
Etobicoke, ON M9X 2X2 Canada
800-417-9486
sales@patientprompt.com
www.patientprompt.com
Nobl
PatientPrompt is an innovative
cloud-based communications
platform that delivers appointment
reminders, population health
notifications, preventative care
outreach and recalls.
268 Summer Street, Sixth Floor
Boston, MA 02210 USA
617-391-9900
info@npsf.org
www.npsf.org
The National Patient Safety Foundation’s
vision is to create a world where
patients and those who care for
them are free from harm. NPSF is
an independent, not-for-profit
501(c)(3) organization.
National Research Corporation
Booth #704
1245 Q Street
Lincoln, NE 68508 USA
800-388-4264
info@nationalresearch.com
www.nationalresearch.com
National Research Corporation
empowers customer-centric
healthcare across the continuum
with insightful patient experience
metrics and analytics for effective
performance improvement, quality
measurement, and care coordination.
PatientPrompt
Booth #915
Booth #805
201 N. 7th St. Suite 201
Lincoln, NE 68508 USA
888-802-3204
info@noblhealth.com
www.noblhealth.com
Patient Route Systems
At Nobl, we develop software that
combines evidence-based practices
and real-time technology to improve
clinical outcomes, enhance the
patient experience, and revolutionize
the way quality assurance is
communicated in healthcare.
NAVEX Global
Booth #224
6000 Meadows Road, Suite 200
Lake Oswego, OR 97035 USA
866-297-0224
sales@navexglobal.com
www.navexglobal.com
NAVEX Global’s AHA-endorsed policy
& procedure management solution
helps nearly 20 percent of the nation’s
hospitals streamline the policy
management lifecycle, eliminate
paper binders and streamline
accreditation.
NEXT LEVEL Partners, LLC
Booth #1003
2338 Immokalee Road, Suite 415
Naples, FL 34110 USA
216-632-0070
mholland@nl-p.com
www.nl-p.com
NEXT LEVEL Partners, LLC is
THE partner of choice if true
transformation into a culture of
continuous performance improvement
is desired. Differentiators in our
partnership include structured
competency development, no
minimum timeframe of partnering
work and, most importantly, a
results guarantee.
North Shore-LIJ Health System
Booth #507
Booth #1106
320 Nevada Street
Newton, MA 02460 USA
781 237-6575
info@patientroute.com
www.patientroute.com
We provide cloud-based Variability
Methodology software and services.
Our approach dramatically improves
patient outcomes, increases
throughput, optimizes resource
utilization, and reduces waste in
hospital environments.
PavisseTM Incident
Management Solution
Booth #701
145 Community Drive
Great Neck, NY 11021 USA
516-465-8000
Quality@nshs.edu
www.northshorelij.com
North Shore-LIJ delivers care at
17 hospitals and 400+ outpatient
practices in NY, pioneering research
at The Feinstein Institute, visionary
medical education at the Hofstra
North Shore-LIJ School of Medicine,
and healthcare insurance through
CareConnect. With 48,000+ workers,
North Shore-LIJ is NYS’ largest
private employer.
Nuance
Booth #600
90 New Montgomery Street,
Suite 1301
San Francisco, CA 94105 USA
877-895-4562
pavisse@rgphealthcare.com
www.pavisse.com
PavisseTM is an end-to-end enterprise
incident management system
powered by an integrated workflow
for Incidents, CAPs, Peer Review,
Claims, Audits, and Reporting. It
dynamically manages incidents and
supports any taxonomy including
Patient Safety, Employee/Non-Employee,
Security Operations, Environment and
HIPAA. Compliant with all standards,
the system is scalable for any
organization.
PeraHealth provides clinical
decision support software and
patient monitoring solutions,
leveraging the existing electronic
health record systems. Built using
robust predictive analytics, these
solutions are grounded in the use
of the Rothman IndexTM – an
algorithm for forecasting patient
risk that is used as a Universal
Patient ScoreTM.
Performance Logic
Exhibitors
National Patient
Safety Foundation
Booth #613
901 SE Oak Street, Suite 205
Portland, OR 97214 USA
888-407-1705 x3
info@performancelogic.com
www.performancelogic.com
Performance Logic provides
the healthcare industry with a
comprehensive, web-based project
portfolio management solution that
spans IT, operational, and clinical
areas, with real-time performance
tracking.
Pfizer’s Independent Grants
for Learning & Change
Booth #907
235 E. 42nd Street
New York City, NY 10017 USA
212-733-6360
maureen.doyle-scharff@pfizer.com
www.pfizer.com/independentgrants
Pfizer’s Office of Independent Grants
for Learning & Change (IGL&C),
supports health care delivery
organizations and professional
associations to narrow professional
practice gaps in areas of mutual
interest through learning and change
strategies that result in measurable
improvement in competence,
performance or patient outcomes.
One Wayside Road
Burlington, MA 01803 USA
781-565-5000
healthcare-info@nuance.com
www.nuance.com/for-healthcare
Keep your team focused on improving
patient care, not struggling with data.
Clintegrity 360 | Quality Management
Solutions support concurrent
surveillance, reporting, and
measurement through the use of
automation and intuitive systems.
75
Exhibitors
QI Macros SPC Software
for Excel
Booth #101
Phytel, Inc.
Primex Wireless
Booth #213
Booth #103
11511 Luna Road, Suite 600
Dallas, TX 75234 USA
800-559-3057
info@phytel.com
www.phytel.com
965 Wells Street
Lake Geneva, WI 53147 USA
800-537-0464
info@primexinc.com
www.primexwireless.com
The premier company empowering
physician-led population health
improvement, Phytel provides
physicians with proven technology
to deliver timely, coordinated care
to their patients. Phytel’s registry,
encompassing more than 30 million
patients, uses evidence-based chronic
and preventive care protocols to
identify and notify patients due for
service, while tracking compliance
and measuring quality and
financial results.
Primex Wireless is the leading
provider of wireless facility monitoring
and compliance technologies. From
automated monitoring of clocks and
temperatures to emergency light
testing and more, we’ll help you
reduce costs, increase productivity,
mitigate risk and achieve regulatory
compliance.
Policy Medical
11326 P Street
Omaha, NE 68137 USA
800-428-7455
info@PRCCustomResearch.com
www.PRCCustomResearch.com
Booth #1203
35 East Beaver Creek Rd.
Richmond Hill, ON L4B 1B3 Canada
888-697-6331
jaclyn@policymedical.com
www.policymedical.com
PolicyMedical is a leader of policymanagement solutions in healthcare.
With advanced document-management
software, it enables clients to manage
policies and procedures, improve
governance, risk, compliance, and
reach their accreditation goals.
PQ Systems
Professional Research
Consultants
Booth #113
Professional Research Consultants,
the nation’s largest healthcare-exclusive
research firm, provides custom
market research, insightful reports,
and clear results. PRC delivers
accurate, reliable, and relevant
information about patients, physicians,
and employees.
Media Sponsor
Booth #612
210B E. Spring Valley Road
Dayton, OH 45458 USA
937-813-4700
sales@pqsystems.com
www.pqsystems.com
PQ Systems is dedicated to helping
healthcare professionals provide
proof of quality. Our highly regarded
CHARTrunner Lean software is the
easiest solution for improving
healthcare quality.
13034 Ballantyne Corporate Place
877-777-1552
solutioncenter@premierinc.com
www.premierinc.com
Premier, Inc. is a leading healthcare
improvement company, uniting an
alliance of approximately 3,000 U.S.
hospitals and 110,000 other providers
to transform healthcare.
76
RightCare
Booth #313
110 Gibraltar Road, Suite 100
Horsham, PA 19044 USA
215-660-3436
king@rightcaresolutions.com
www.rightcaresolutions.com
RightCare helps hospitals reduce
readmissions and optimize post-acute
care delivery. Our software assesses
risk and needs for all patients at
admission, recommends the right level
of post-acute care and electronically
refers information to the selected
post-acute care providers.
RL Solutions
Booth #601
One Yonge Street, Suite 2300
Toronto, ON M5E Canada
416-410-8456
sales@rlsolutions.com
www.rlsolutions.com
RL Solutions designs innovative
healthcare software for patient
feedback, incident reporting and risk
management, peer review, root cause
analysis, infection surveillance and
claims management. At RL Solutions,
nurturing long-lasting relationships
with our clients is what we do best.
www.psqh.com
Sandlot Solutions
Booth #1001
222 W. Las Colinas Boulevard
Irving, TX 75039 USA
800-370-1393
info@sandlotsolutions.com
www.sandlotsolutions.com
Sandlot Solutions is a leader in
clinical interoperability and
community health management
solutions focused on the exchange
of integrated clinical and claims data,
population analytics and reporting
and enhanced care coordination.
Simpler Healthcare, a Truven
Health Analytics company
Booth #212
721 Clark Ave.
St. Louis, MO 63119 USA
336-283-4015
info@simpler.com
www.simpler.com
Simpler, a Truven Health Analytics
company, pioneered the use of Lean
in healthcare and has delivered the
fastest and most enduring Lean
transformations at 100+ healthcare
organizations around the world.
Skylight Healthcare Systems
Booth #1113
10935 Vista Sorrento Parkway, #350
San Diego, CA 92130 USA
858-523-3700
contact@skylight.com
www.skylight.com
Skylight Healthcare Systems is the
pioneer of interactive patient care
systems. From pre-admission through
post-discharge, we help hospitals
address patients’ needs for education,
services, and the essential information
flows that enhance their experience.
Southcentral Foundation
SafeHaven by Georgia-Pacific
Booth #1100
Booth #1002
Booth #401
QI Macros Software for Excel simplifies
process improvement for pareto
charts and control charts. Contains
90+ templates including fishbones
and flowcharts. Used by 3,000+
hospitals. $229/copy. Free 30-day trial.
Patient Safety and Quality
Healthcare
Q-Centrix
Premier, Inc.
2696 S. Colorado Blvd. Suite 555
303-756-9144
support@qimacros.com
www.qimacros.com
10 Pleasant Street
Portsmouth, NH, 03801 USA
603-294-1145
info@q-centrix.com
www.q-centrix.com
Q-Centrix provides hundreds of
hospital partners technology-enabled
services from its more than 500
nurse-educated quality information
specialists including core measure
abstraction, registry abstraction,
concurrent review, infection control
and clinical surveillance solutions.
133 Peachtree Street NE
866-435-5647
www.gppro.com/contactus.aspx
www.gppro.com/safehaven
The SafeHaven automated hand
hygiene monitoring system is a
powerful measurement and feedback
tool which, when used with our
recommended hand hygiene program,
can help improve hand hygiene
participation.
TM
Booth #1438
4105 Tudor Centre Drive
Anchorage, AK 99508 USA
907-729-8608
lodden@scf.cc
www.southcentralfoundation.com
Southcentral Foundation’s
relationship-based Nuka System of
Care is a Malcolm Baldrige National
Quality Award-winning, customerowned system created and managed
by Alaska Native people to achieve
physical, mental, emotional and
spiritual wellness.
The Advisory Board Company
TransforMED
Booth #706
Booth #307
Booth #223
30 Perimeter Park Drive
800-442-6819
websales@standardregister.com
www.standardregister.com
2445 M Street NW
Washington, DC 20037 USA
202-266-5600
webhelp@advisory.com
www.advisory.com
11400 Tomahawk Creek Parkway,
Suite 340 Leawood, KS 66211 USA
913-906-6330
solutions@transformed.com
www.transformed.com
Standard Register Healthcare’s
patient engagement solutions include:
the iMedConsentTM application
which produces easy-to-understand,
procedure-specific consent forms
and SMARTworks EffectiveResponse
which automatically checks on all
patients discharged from the ED.
The Advisory Board Company is a
global technology, research, and
consulting firm partnering with
200,000 leaders in 4,500 organizations
across health care and higher
education.
Booth #200
The C.A.R.E. Channel
Booth #713
Stanson Health
Booth #814
11100 Santa Monica Blvd, Suite 250
Los Angeles, CA 90025 USA
310-444-7178
kimberly.denney@stansonhealth.com
www.stansonhealth.com
Stanson Health’s decision support and
analytics platform provides clinicians
with patient-specific, real-time guidance
at the point of care to improve
quality and respond to risk- and
performance-based payments
(e.g. PQRS).
STEEEP Global Institute
Booth #1454
8080 N. Central Expressway,
Suite 900
Dallas, TX 75206 USA
214-265-3614
NanetteM@BaylorHealth.edu
www.STEEEPGlobalInstitute.com
The STEEEP Global Institute leverages
the expertise and experience of Baylor
Scott & White Health to guide other
healthcare organizations on their
quality improvement and patient
safety journey.
Teqqa
Booth #523
PO Box 1732
Jackson, WY 8300 USA
307-699-3225
contact@teqqa.com
www.teqqa.com
At Teqqa our focus is on improving
antibiotic use in hospitals. Teqqa
applications help providers optimize
antibiotic therapy and significantly
improve antibiotic stewardship. Our
solutions help clients make significant
strides in healthcare by improving the
care people receive and cutting
inefficiencies and needless costs
6121 Lakeside Drive
Reno, NV 89511 USA
800-348-0799
info@healinghealth.com
www.healinghealth.com
One Renaissance Blvd
Oakbrook Terrace, IL 60181 USA
630-792-5690
drutkowski@jointcommission.org
www.jointcommission.org
The Joint Commission accredits
and certifies more than 20,500
organizations, providing an educative
experience that helps organizations
continuously focus on performance
improvement and providing safe and
quality care for patients.
TransforMED provides innovative,
advanced primary care solutions to
help physicians and other health
care professionals improve patient
care and experience while lowering
per patient costs.
Truven Health Analytics
Exhibitors
Standard Register Healthcare
Booth #201
The C.A.R.E. Channel: 24-hour
integrative therapy tool for patient TV.
Stunning nature imagery
accompanied by soothing instrumental
music; minimizes stress, anxiety,
and improves quality of life. Unique
day-night format supports circadian
rhythm, improving outcomes, and
reducing nighttime noise.
The Compliance Team, Inc.
Booth #205
Po Box 160
Spring House, PA 19477 USA
215-654-9110
Info@thecomplianceteam.org
www.thecomplianceteam.org
Celebrating our 20 -year promoting
healthcare excellence, The Compliance
Team is a certified woman-owned
Medicare approved (Part A-Rural
Health Clinics, Part B-DMEPOS)
national accrediting organization
offering industry leading Exemplary
Provider®-branded accreditation.
th
The Institute for Enterprise
Excellence (Lean in Healthcare)
Booth #1420
145 E. Mountain Vale Way
Woodland Hills, UT 84653 USA
435-770-9026
Jacob.raymer@instituteforexcellence.org
www.instituteforexcellence.org
IEX through research and application
in healthcare, provides thought
leadership, education, executive
training, and (Lean) management
systems to the healthcare industry.
(Jacob Raymer former executive
director of education, Shingo Prize)
The Joint Commission Center
for Transforming Health
Booth #102
One Renaissance Blvd
Oakbrook Terrace, IL 60181 USA
630-792-5690
drutkowski@jointcommission.org
www.jointcommission.org
The Joint Commission accredits
and certifies more than 20,500
organizations, providing an educative
experience that helps organizations
continuously focus on performance
improvement and providing safe and
quality care for patients.
The Quality Group
Booth #516
5825 Glenridge Drive NE, Suite 3-101
Atlanta, GA 30328USA
800-772-3071
ddawson@thequalitygroup.net
www.thequalitygroup.net
Process Improvement for Healthcare –
Highly Adaptable Solutions to achieve
a Lean/SS Culture. Experts, with 22+
years of LSS experience, TQG applies
blended learning & elegant, interactive
e-learning to deliver system wide
transformations and sustainability.
Thermo Scientific
Booth #1006
8365 Valley Pike
Middletown, VA 22645 USA
800-232-3342
customerservice.diagnostics.mtn
@thermofisher.com
www.thermoscientific.com\aboutsepsis
The Thermo Scientific’s
B*R*A*H*M*S line of immunoassays
facilitate earlier diagnosis of diseases
and better control of therapy, thus
enabling doctors to improve patient
outcomes.
6200 S. Syracuse Way, Suite 300
Greenwood VIllage, CO 80111 USA
855-878-8361
info@truvenhealth.com
www.truvenhealth.com
Truven Health AnalyticsTM has been
a leader for more than 30 years in
delivering unbiased information,
analytic tools, benchmarks, services,
and related expertise to the healthcare
industry. We collaborate with
customers to uncover and realize
opportunitiesfor improving quality,
efficiency, and outcomes.
UHC
Booth #208
155 N Wacker Drive
312-775-4100
www.uhc.edu
UHC is an alliance of academic
medical centers that helps members
achieve excellence through its
renowned programs in comparative
data and analytics, performance
improvement, supply chain management,
and strategic research.
U.S. News Hospital
Data Insights
Booth #817
1050 Thomas Jefferson Street NW
Washington, DC 20007 USA
202-955-2171
hospitaldatainsights@usnews.com
www.hdi.usnews.com
U.S. News Hospital Data Insights is
a new analytics platform from U.S.
News & World Report based on the
data underpinning the U.S. News
Best Hospitals rankings. This
web-based tool provides instant
access to over 12 million data points
on more than 2,500 domestic
hospitals since 1998, many of which
have never been released before.
77
Exhibitors
University of Alabama at
Birmingham, School of
Health Professions
Booth #1116
1705 University Blvd
Birmingham AL 35294 USA
205-934-5665
www.uab.edu
UAB is excited to announce a new
on-line graduate certificate and
masters program in healthcare
quality and safety. This program
joins our current array of 20 leading
education programs.
University of Michigan
Healthcare Programs
Booth #901
2401 Plymouth Road
Ann Arbor, MI 48105 USA
734-647-7200
meonline@umich.edu
www.isd.engin.umich.edu
University of Michigan healthcare,
management, and engineering experts
offer world-class Lean healthcare and
Kata training with interactive hands-on
experience. Programs can be
customized for your healthcare system.
University of St. Thomas
Healthcare MBA
Booth #914
1000 LaSalle Avenue
651-962-5000
healthcaremba@stthomas.edu
www.stthomas.edu
University of St. Thomas Healthcare
MBA is an executive-style MBA
degree tailored specifically to employed
professionals in the health care
industry. The program blends online
learning and on-campus sessions.
University of Tennessee
Booth #616
603 Haslam Business Building
Knoxville, TN 37996 USA
865-974-5001
execed@utk.edu
www.execed.utk.edu
University of Tennessee (UT)
Graduate & Executive Education
UT offers CME-certified programs &
the nation’s #1 physician executive
MBA, delivers Lean Healthcare,
Lean ED, Lean OR, and Lean for
Scheduled & Ambulatory courses &
provides on-site PI/ QI events.
78
Verge Solutions
Booth #900
PO Box 394
Mt. Pleasant, SC 29464 USA
843-628-4168
ashley@verge-solutions.com
www.verge-solutions.com
Verge Solutions offers software that
automates and streamlines complex,
administrative processes. We provide
tools to identify issues, develop
improvement paths and measure
outcomes across departments and
processes, while staying compliant.
Vestagen Technical Textiles
Booth #109
1301 W. Colonial Ave
Orlando, FL 32804 USA
407-781-2570
info@vestagen.com
www.vestagen.com
Vree Health
Xenex Disinfection Services
Booth #1016
Booth #1313
67 Beaver Avenue
Annandale, NJ 08801 USA
844-375-8733
info@vreehealth.com
www.vreehealth.com
121 Interpark Boulevard, Suite 104
San Antonio, TX 78216 USA
210-853-2875
info@xenex.com
www.xenex.com
Vree Health wants to help you balance
the business and financial burdens
while inspiring patients to become
more active in their care. Aimed
ultimately at helping improve the
effectiveness of provider care plans
and patient outcomes, Vree Health
provides customized technologyenabled services for patients,
family caregivers, hospitals and
healthcare providers.
Xenex’s patented pulsed xenon UV
disinfection system is used for the
advanced cleaning of healthcare
facilities. The Xenex mission is to
eliminate harmful bacteria, viruses
and spores that can cause hospital
acquired infections in the patient
environment, and to become the new
standard method for disinfection in
healthcare facilities worldwide.
Walden University
Booth #214
650 S. Exeter
Baltimore, MD 21202 USA
407-389-9712
kelly.bicy@waldenu.edu
www.waldenu.edu/local
Vestagen develops protective apparel.
Our Vestex® fabric is an Active
Barrier Protective fabric that repels
dangerous body fluids, inhibits bacterial
growth with an embedded antimicrobial,
and wicks away perspiration.
Walden University has been serving
the higher education needs of
professionals through degrees that
encourage positive social change for
more than 40 years. Offered online,
areas of study range from health
and education to management and
public administration.
VigiLanz
WhiteCloud Analytics
Booth #617
5775 Wayzata Booulevard, Suite 970
855-525-9078
connect@vigilanzcorp.com
www.vigilanzcorp.com
VigiLanz provides real-time patient
quality and population insight software
to leading healthcare providers.
VigiLanz enables executives and
clinicians to optimize EMR data to
achieve better outcomes, efficiency
and performance rapidly.
Booth #216
800 W. Idaho Street, Suite 304
Boise, ID 83702 USA
208-991-9370
info@whitecloudanalytics.com
www.whitecloudanalytics.com
WhiteCloud Analytics provides a
systematic solution to manage
healthcare performance, improving
care quality and efficiency while
informing health system strategies to
optimize population health.
Virginia Mason Institute
Booth #1418
1100 Ninth Avenue
Seattle, WA 98101 USA
206-341-1600
VMInstitute@virginiamason.org
www.VirginiaMasonInstitute.org
The Virginia Mason Institute’s goal is
to advance healthcare quality, safety,
and value by sharing our knowledge
and experience: providing education
and training in Virginia Mason’s lean
management method.
Zynx Health
Booth #501
10880 Wilshire Blvd., #300
Los Angeles, CA 90024 USA
888-333-ZYNX
info@zynxevents.com
www.zynxhealth.com
Zynx Health is the leader in clinical
improvement solutions that provide
the care guidance to enhance quality
and decrease variation across an
individual’s health journey. Zynx
Health partners with organizations to
continuously and measurably improve
care every day, for every patient.
Continuing
Education
Continuing Education
Attendees of the 26th Annual National
Forum on Quality Improvement in Health
Care will learn how to:
• Recognize habits that support quality
health care and apply the basic
principles for improving them
• Define ways to reduce suffering and
improve health
• Develop an understanding of how to
transform an organization
• Identify elements for creating a
culture of change that will lead to
continuous improvement
In support of improving patient care,
the Institute for Healthcare Improvement
is accredited by the American Nurses
Credentialing Center (ANCC), the
Accreditation Council for Pharmacy
Education (ACPE), and the Accreditation
Council for Continuing Medical Education
(ACCME), to provide continuing education
for the health care team.
The National Forum carries a maximum of
19.25 credits for physicians, nurses, and
pharmacists. The Institute for Healthcare
Improvement designates this live activity
for a maximum of 19.25 AMA PRA
Category 1 Credit(s)TM. Physicians should
claim only the credit commensurate with the
extent of their participation in the activity.
All National Forum Learning Labs, Minicourses, and General Conference sessions
offer ANCC, ACPE, ACCME, and CPHQ
credits except for the following sessions,
which offer ANCC, ACCME, and CPHQ
credits. Please note the exceptions for
ACPE and NASW below:
Sessions that do not offer
pharmacy contact hours:
L22, L23, L26, L30, M3, M19, A1, A3,
B3, A6, B6, A19, B19, A22, B22, A26,
B26, A27, B27, C1, C5, C9, C11, C14,
C16, C17, C22, C23, C28, D13, E13,
D18, E18, D20, E20, D23, E23, D24,
E24, D27, E27, D28, E28, D30, E30,
SWA, SWB, SWC, SWD, SWE
Sessions that offer
social work credits:
L2, L3, L5, L6, L7, L9, L10, L11, L12,
L13, L14, L22, L23, L24, M1, M2, M3,
M4, M7, M8, M9, M10, M11, M14, M15,
A1, A6, B6, A9, B9, A10, B10, A19, B19,
A21, B21, A22, B22, A27, B27, C6, C7,
C9, C10, C11, C12, C14, C16, C17, C18,
C19, C20, C22, C23, C25, D2, E1, E2,
D4, E4, D6, E6, D7, E7, D8, E8, D9, E9,
D10, E10, D12, E12, D13, E13, D18, E18,
D20, E20, D21, E21, D22, E22, D23, E23,
D24, E24, FEA, FEB, FEC, FE2, FE3, FE5,
FE7, SWA, SWB, SWC, SWD1, SWD2,
SWE, K1, K2, K3, K4
How to receive a
certificate of credit:
To be eligible for a continuing education
certificate*, attendees must complete
the online evaluation within 30 days of
the continuing education activity. If
circumstances prevent you from completing
the survey by the specified deadline,
please email info@ihi.org before this time
period expires. After this time period, you
will be unable to receive a continuing
education certificate.
1. Go to www.IHI.org/certificatecenter.
(If you are not logged into the website,
you will be redirected to the log-in screen.
Once you are logged in, you will be
redirected back to the Certificate Center.)
2. Click on the “26th Annual National
Forum” link that appears under the
“Create Certificate” header.
3. Select the type of credits you wish to
receive from the drop-down list and
then click “Submit.”
4. Review your enrollment and
click “Continue.”
5. Take the surveys associated with each
of the sessions you attended and for
which you wish to receive credits by
selecting “Take Survey Now” next to
the session.
6. Once you have completed all of the
associated surveys, “Generate
Certificate” will be activated. Click
on this button to generate a PDF file
of your certificate that you can print
or save to your computer.
*Credit is not offered for Special Interest Breakfasts, Networking Sessions, Lunch Sessions, and/or MeetUps.
79
Your Quality Department
doesn’t have to go it alone!
Join Passport to accelerate your efforts to improve patient
care and engage staff at your hospital.
The exclusive benefits of a $5,000 yearlong membership include:
• Unlimited participation in Expeditions — two-to-four month, web-based programs led by
expert faculty and designed to address your organization’s highest improvement priorities
• Registration for Leading Quality Improvement: Essentials for Managers — a three-month
virtual program designed to teach your middle managers the skills they need to lead
improvement at your organization
• A 25% IHI Open School online course subscription discount
• A 15% IHI National Forum discount
Join hundreds of other Passport members — become a member today!
Learn more, and network with existing members,
at the Special Interest Breakfast:
7:00–7:45 AM
Anaheim
Email passport@ihi.org for more information.
80
Acknowledgements
Thank You To Our Chairs
IHI would like to thank the National Forum co-chairs for their extraordinary effort and commitment
in developing the program for the 2014 National Forum:
Rosie Bartel,
Patient Advocate
Neel Shah, MD, MPP,
Physician, Beth Israel Deaconess
Medical Center
Nancy Schlichting, MBA,
President and CEO, Henry Ford
Health System
Bernard Tyson,
Chairman and CEO, Kaiser Permanente
All planning committee members and persons influencing the content of the National Forum program have disclosed all relevant
financial relationships with any commercial interest to the Institute for Healthcare Improvement.
IHI would like to thank our Board of Directors
for their ongoing support and guidance
James M. Anderson,
Advisor to the President,
Medical Center
A. Blanton Godfrey, PhD,
Dean and Professor,
College of Textiles,
North Carolina State University
Arnold Milstein, MD, MPH,
Professor of Medicine and
Director of the Clinical Excellence
Research Center, Stanford University
Maureen Bisognano,
President and CEO,
Institute for Healthcare
Improvement
Jennie Chin Hansen,
CEO,
American Geriatrics Society
Rudolph F. Pierce, ESQ,
Attorney (of Counsel),
Goulston & Storrs, PC
Thomas W. Chapman, MPH, EdD,
President and CEO,
The HSC Foundation
Helen Haskell,
Founder and President,
Mothers Against Medical Error
(MAME)
Mark Smith, MD, MBA,
Menschel Senior Leadership Fellow
Harvard School of Public Health
Michael Dowling,
President and CEO,
North Shore–LIJ Health System
Brent C. James, MD, MStat,
Chief Quality Officer,
Executive Director, Institute for
Healthcare Delivery Research,
Intermountain Healthcare
Nancy L. Snyderman, MD, FACS,
Chief Medical Editor, NBC News,
and Associate Professor of
Otolaryngology, University
of Pennsylvania
Gary S. Kaplan, MD,
Chairman and CEO,
Virginia Mason Health System
Diana Chapman Walsh, MS, PhD,
President Emerita,
Wellesley College
Elliott S. Fisher, MD, MPH,
Director for Population Health and
Policy, The Dartmouth Institute for
Health Policy and Clinical Practice
Terry Fulmer, PhD, RN, FAAN,
Dean,
Bouvé College of Health Services,
Northeastern University
81
82
International Forum on
Quality and Safety
in Healthcare
April 21 - 24, 2015
London, UK
Attend the 20th International Forum
and get inspired by the international
improvement community with
representatives from over 80
countries.
- Expand your network
- Get equipped to implement good
improvement programs
- Gather new practical ideas for your
initiatives
Book now and save up to £243
(around $400).
Bird
Early open
ings
book uary 30,
an
until J 015
2
The last London Forum sold
out early.
Reserve your place now at:
internationalforum.bmj.com
83
N
O
R
T
H
W
E
S
T
E
R
N
U
N
I
V
E
R
S
I
T
Y
The Time is Now.
Take the Lead.
PROGRAM DIRECTORS:
Kevin Weiss, MD, MPH
Professor of Clinical Medicine
Feinberg School of Medicine
Northwestern University
Donna Woods, EdM, PhD
Associate Professor
Feinberg School of Medicine
Northwestern University
Graduate Programs in
Healthcare Quality and Patient Safety
•MasterofSciencedegreeinHealthcareQualityandPatientSafety
A two-year, part-time degree program which focuses on the knowledge, skills, and
methods necesary for improving healthcare delivery systems. It is designed for
both clinical and non-clinical professionals currently working in the healthcare
setting who want to focus their career development on these important areas
GUEST FACULTY INCLUDE:
James Bagian, MD, PE
in healthcare.
Engineer and former
NASA Astronaut
•FacultyDevelopmentPrograminHealthcareQualityandPatientSafety
James Battles, PhD
tools, methods, and curricular approaches for integrating healthcare quality
Agency for Healthcare Research
& Quality (AHRQ)
Carmella Bocchino, RN, MBA
America’s Health Insurance Plans
Helen Burstin, MD, MPH
National Quality Forum
A one-year program designed for faculty who wish to develop the educational
and patient safety into the medical education curriculum.
•CertificatePrograminHealthcareQualityandPatientSafety
A one-year program designed for the learner who wants to acquire a
comprehensive overview of these fields.
John Gosbee, MD, MS
Human Factors Engineering
& Healthcare Specialist
Martin Hatlie, JD
Partnership for Patient Safety
The above programs are all part-time and do not require Chicago residence.
Students are required to travel to our Chicago campus for a series of
classroom-based intensive sessions. Accommodation is available at select
local area hotels at a reduced rate.
Karen Kmetik, PhD
American Medical Association
Julie Johnson, MSPH, PhD
For more information, please contact
University of New South Wales
Meetal Acharya at MastersIHS@northwestern.edu
L. Gregory Pawlson, MD, MPH
or by phone at 312-503-5533.
Derek Robinson, MD, MBA
Please visit our website at:
American Hospital Association
www.northwestern.edu/quality-safety
Kathleen Sutcliffe, PhD, MSN
University of Michigan
Ross School of Business
Robert Wears, MD, MS, PhD
University of Florida
and Imperial College London
United Airlines Corporate
Safety Team
84
“The need for leadership in health care has never been greater…”
26th Annual National Forum
Improvement
intheHealth
Care
— fromon
The Quality
Institute of Medicine
report, Crossing
Quality Chasm
85
86
87
March 15-17, 2015 • Dallas, TX
16th Annual
International Summit on
Improving Patient Care
in the Office Practice
& the Community
#TheHumanThread
Read Jessica’s story at ihi.org/ihisummit
Communication.
Collaboration.
Health.
Join us for two and a half days of interaction and learning as we
heighten our focus on the common thread that unites us, inspires
us, and drives us to reach higher: The Human Thread.
Don’t miss your chance to be part of a dynamic gathering of thought leaders from around the
globe as we seek out new ways to engage patients and communities in redesigning care — and
create a culture of continuous improvement for the future.
• Choose from nine half-day Minicourses
• Engage with your peers during ten extended Learning Labs
• Interact with expert faculty and colleagues at more than 30 General Conference workshops
• Learn cutting-edge ideas in primary care from three keynote presentations
• Get inspired by the exhibit gallery and improvement storyboards
• Leave with a wealth of new ideas and an enriched professional network
Enroll by February 2 and save $100!
ihi.org/ihisummit
89
91
Mark your calendar for next year’s
27th Annual National Forum
on Quality Improvement in Health Care:
December 6-9, 2015
ORLANDO, FL
Stay connected with IHI and your fellow National Forum
attendees until next December! Follow us on Twitter, Facebook, and LinkedIn,
and bookmark ihi.org to stay updated on all the National Forum news.
FACEBOOK
LINKEDIN
TWITTER
93

26th Annual IHI National Forum on Quality Improvement in Health

Transcription

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