The Transform Maternity Care program at the Purchaser Business
Group on Health (PBGH)
engaged an expert panel of California physicians and midwives to
develop resources and discuss strategies
Medication use is a complicated process that spans many steps and
many players. There are several opportunities in which an error
may occur. Having knowledge of common causes of medication
errors can promote effective safety planning interventions to
prevent errors or reduce the likelihood of harm from medication
use. Please join us for a session on promoting safe medication
use during National Patient Safety Awareness Week.
Objectives
At the conclusion of this presentation, the participant will be
able to
In this presentation we will discuss who transgender patients
are, and review relevant epidemiologic information about this
diverse patient population. We will then discuss the treatments
and care plans that many patients undergo in the course of care.
This discussion will include a brief overview of surgeries, and
what these surgeries require from both patients and the
institutions who provide care. We will then reflect on how
transcare actually contributes to – and improves, care quality
for all (i.e. cis-gender) adult and pediatric patients at an
institution.
How can a health plan incentivize hospitals to develop reliable,
sustainable and transparent cultures of safety? Learn about
a groundbreaking new partnership of Inland Empire Health Plan
(IEHP), BETA Healthcare Group (BETA) and Hospital Quality
Institute (HQI) that rewards hospitals for participating in
HQI Cares: Implementing BETA HEART® (HQI Cares), a
comprehensive, multi-year program aimed at transforming patient
safety and caregiver well-being.
Addressing racial inequity in healthcare requires focused
attention and concerted action. A new initiative in Los Angeles
County (now in its third year) is doing just that. Cherished
Futures for Black Moms and Babies helps participating hospitals
evaluate their data, collaborate with community partners, and
implement institutional changes to improve care for Black women,
birthing people, and families.
Objectives
At the conclusion of this presentation, the participant will be
able to
New studies about various aspects of the COVID pandemic are
released daily and the sheer volume makes it impossible to keep
up. These studies vary in their designs and methodological rigor
and therefore in their level of research validity. In this
webinar, HQI’s epidemiologist will provide a historical
perspective of the COVID epidemic in California and review the
findings, point out strengths, and critique the methodologies
used in several recent COVID studies based on California data.
We have known for several years that nurses are at higher risk of
suicide than the general population and that nurses have more
job-related problems recorded prior to death by suicide. What we
have now learned about those job-related problems is troublesome
at best with implications for risk managers, hospital executives,
and all leaders in healthcare. This panel will describe the
issues and implications for advocacy and policy change necessary
to right the wrongs leading to death by suicide amongst nurses
through personal testimony and review of recent research
findings.
We will review the largest US case review of suicides during and
after pregnancy. The California study of 99 suicides made
important findings regarding risk factors (race, age, underlying
mental health disorders); when did suicides occur during
pregnancy and postpartum to the year; type of psychiatric
symptoms related to the suicide; and the contribution of
substance use. We will also review missing and inadequate
psychological and psychiatric services as important contributing
factors as well as identifying critical warning signs.
Suicide is a preventable public health problem and yet it remains
a leading, and increasing cause of death in the United States.
Every day roughly 132 Americans die by suicide, or 48,000
individuals every year representing 950,000 years of potential
life lost and a cost of $69 billion in combined work-loss
and medical costs. Increasingly, hospitals are finding themselves
on the front line of this epidemic as they seek to care for those
who have attempted, or who endorse suicide.
Healthcare delivery systems are complex. Accepting and embracing
this complexity, and the unexpected changes related to natural or
man-made disasters and disease outbreaks, is essential. The
COVID-19 pandemic and the explosive surge of full-scale isolation
and expanded intensive care needs for actual and suspected
COVID-19 patients is a prime example. The rapid changes needed to
respond appropriately have required an innovative, fast-paced,
all-hands-on deck approach to provide, protect and sustain
patients’ function and life.
Nurses are at higher risk of anxiety, depression and suicide than
the general population at baseline. Given the impact of COVID-19
and social unrest, the risk of stress disorders, depression and
suicide are greater than ever before. In this webinar you will
learn modifiable risk factors specific to nursing and
evidence-based strategies for prevention. Our speaker, Dr. Judy
Davidson and her team have implemented the first screening
program to prevent nurse suicide, detecting and referring nurses
at risk into treatment. Dr.
The incidence of syphilis is growing in California and in the
United States (U.S.). The U.S. Preventive Services Task Force and
Centers for Disease Control and Prevention recommend targeted
syphilis screening of all persons at increased risk of infection.
Emergency departments (EDs) represent an important setting to
test and treat patients who are not seen in outpatient clinical
settings. On November 27, 2018 the UC Davis emergency department
developed and implemented an ED-based syphilis screening program
that employed an electronic health record best practice alert
(BPA).
Psynergy Programs provides residential and outpatient specialty
mental health serves in the community. Supporting
individuals across three counties and a distance of 225 miles,
Psynergy has utilized telehealth services since 2015. This
has allowed our psychiatrists to provide unlimited and as-needed
services to our residents in our program, and continue to support
them on an outpatient basis when they return home. Due to
COVID-19 we have begun using telephone services for therapist and
psychiatrist both.
Patient Blood Management (PBM) is a multidisciplinary initiative
that brings together administrators, nurses, pharmacists,
perfusionists, lab techs, and physicians to promote a
comprehensive patient-centered approach to care with a goal to
improve patient outcomes.
The COVID19 pandemic has caused a massive upheaval of the
healthcare system. To facilitate seamless care delivery, given
the required changes in care delivery, Dignity Health built on
their established foundation of telehealth with a rapid,
large-scale expansion of their virtual care services. During this
webinar, the Dignity Health team will share their exciting
journey and their plans for the future.
Suicide is now the second leading cause of death for youth
between the ages of 10-24. In response to this crisis, Rady
Children’s Hospital – San Diego (RCHSD) has implemented a
universal screening program using evidence based tools to
identify youth at risk for depression and suicide. The program
screens all youth older than 12 who are seen in an ambulatory
clinic, an urgent care site, the emergency department, or
admitted as an inpatient.
Despite decades of evidence and thousands of studies demonstrating racial and ethnic inequalities in health care quality and safety, there has been limited progress towards correcting this problem. The lack of progress is especially disturbing in light of the fact that clinicians, providers and health care organizations deeply and sincerely want to provide high quality and safe care to all their patients. This talk focuses on the overlooked factors that are at the root of our lack of progress.
UC Davis Medical Center found that medication errors and
discrepancies were widely prevalent at
their institution. In line with studies from other
institutions, up to 70% of patients have errors on their
medication lists when admitted to the hospital.
Their preliminary assessments were demonstrated with
patients averaging over 5 discrepancies per admission. These
discrepancies are carried downstream throughout hospitalization
with impacts felt during transitions of care. The literature
suggests that 0.9% of discrepancies lead to serious patient harm.
The development of a Virtual Nursing (RN) program to support
Kaiser Permanente (KP) patients in Northern California (NCAL)
began in 2014 with the implementation of eHospital, a virtual
surveillance model, featuring real time monitoring and
identification of care delivery gaps. This began the Virtual
Quality Nursing Team that has subsequently grown in support of
other virtual programs aimed at improving safety. In 2016,
Advance Alert Monitor (AAM) was implemented in partnership with
the KP NCAL Division of Research (DOR).
The successful colorectal Enhanced Recovery after Surgery (ERAS)
pilot initiated in 2015 laid the foundation for OB
ERAS implementation in 2018. Now, with the impressive
outcome measures of both ERAS projects, Sutter Health has
extended ERAS to General, Gynecological, Bariatric surgery and
Anesthesia and plans to extend ERAS to all applicable surgical
specialties. ERAS successfully impacted three key pillars of
Sutter Health: Patient safety, quality improvement and
patient experience.
From 2006-2009, Enloe Medical Center was in crisis. With low physician engagement (44th percentile), poor patient experience (2nd percentile) and three Immediate Jeopardies, Enloe needed to right itself.
In 2009, the first annual Quality Summit was held. Designed to engage and empower, it established a culture of transparency and accountability. The results are shared online and in hospital corridors. The Quality Summit was validated in a peer-reviewed journal and by leading organizations.
Your hospital’s infection/readmission/mortality rate is 50% above the comparison rate. How concerned should you be? It helps to understand the difference between relative and absolute effects before rushing to judgement, and worse, unnecessary action. Knowing when to respond can mean the difference between effective time management and data analysis or wasting time and valuable resources. This webinar will help you differentiate between large relative effects that may not be worthy of immediate action vs. smaller absolute effects that may require your immediate attention.
Change the conversation about improvement, activate your team,
and accelerate your work.
We can’t do it alone. More than ever before, healthcare
needs people who can successfully collaborate with their
colleagues, patients and families to deliver on the promise of
high quality, affordable care and exceptional
experience. While we often know what needs to be
done from a quality improvement standpoint, the how to
work together to do it can be challenging. In this hands-on,
high-energy workshop you’ll explore the science of improvement
and learn a
Adverse events including medical errors and care related stressful events can have significant traumatic impact on the caregivers involved. A growing number of hospitals and hospital systems have recognized the need to proactively support those caregivers impacted by stressful patient care related events. In this webinar, you will hear about the work at John Muir Health, which has developed a program that provides staff support through peer responders resulting in increased resiliency and trust.
In the face of widespread use of opioid analgesics to treat
postsurgical pain, the opioid epidemic and its outcomes have
taken today’s media by storm. Drug overdose deaths involving
prescription/illicit opioids have become the number one cause of
accidental death nationwide, and opioid prescriptions given by
perioperative physicians (pain specialists, surgeons, etc.)
contribute to it. In an effort to address this public health
crisis, a team of innovative physicians and allied health
professionals at USC are tackling the source of the problem: the
pain.
Hospital Quality Institute (HQI) is inviting California birthing
hospitals to attend an informational webinar to learn about its
new Perinatal Mental Health Initiative (PMH Initiative).
Date and Time
The webinar will take place on Wednesday, January 15, 2020 from
12 Noon – 1 pm. To register, click
here.
To improve care for patients with complex needs, such as
homelessness, substance use disorder, and mental illness, Santa
Clara Valley Medical Center developed the Post-Acute Care
Transitions (PACT) initiative, which focuses on patients who are
medically stable, but who do not yet have a safe discharge plan
after hospitalization.
This webinar will present the seventh quarterly release of the
Quality Transparency Dashboard developed by the Hospital Quality
Institute, through a partnering agreement between the Hospital
Quality Institute, the California Hospital Association, and
Patient Safety Movement Foundation. The Quality
Transparency Dashboard supports and facilitates transparency on
five specific publicly available quality metrics.
The birth of a child is a very special time. At NorthBay
Healthcare, we do everything possible to make the experience
memorable. Close to 1200 babies are born each year at NorthBay
Medical Center — that’s more than 60,000 born since 1960. As a
Magnet Recognized organization NorthBay allows nursing leadership
to inspire excellence in nurses and the entire interdisciplinary
team to own their practice through shared governance and outcomes
measurement.
This webinar will introduce the Patient Safety Act protections
and the case law under each Patient Safety Act pathway: reporting
pathway, analysis pathway, and PSO pathway. We will discuss how
to stack the PSO protections with state peer review protections
to provide greater defenses. We will discuss how to raise the
immunity and privilege protections in discovery documents and in
court. Specifically, this webinar will discuss:
This webinar is intended to be a step-by-step guide designed to
assist healthcare provider entities with the establishment
and maintenance of a patient safety evaluation system
(PSES). The information provided in this webinar will
allow you to bring your quality programs to the next level by
fully implementing the three pathways under the Patient
Safety Act. Examples of activities or data types to be
discussed include:
John Muir Health, a San Francisco East Bay health system, will
share their patient safety plan encompassing two acute care
hospitals with a combined total of 798 licensed beds. The
presentation will include details of the eight plan elements with
highlights of their evolution, including the impact of a 4-year
journey to High Reliability and the organization-wide learning
that results from a robust and transparent program of
storytelling related to patient safety events.
Perinatal Mood and Anxiety Disorders (PMADs,) including
Postpartum Depression, are the most common complications
associated with pregnancy and childbirth, affecting, at minimum,
one in five pregnant and postpartum women, as documented in the
2017 Report of the California Task Force on the Status of
Maternal Mental Health. If left undetected and untreated,
these conditions may lead to serious health risks for the mother,
negatively affect the mother/child bond, and the child’s
long-term physical, emotional and developmental health, and can
be devastating for families.
This webinar will discuss admission criteria for Adult
Residential Facilities (ARF’s) and Residential Care Facilities
for the Elderly (RCFE’s). As resources become more and more
scarce every day we find ourselves at a crisis point in our
efforts to serve the diverse population of Behavioral Health
patients. The most recent closure of a large, well established
program that offered crisis residential services for patients
transitioning from an acute care setting is one such example of
the rapid dwindling of resources and options for care teams.
Full engagement of families as a part of the healthcare team can facilitate improvements in patient safety. Learn how an inter-professional research team developed and deployed a family-centered rounds intervention that emphasized structured communication, health literacy principles, and family and nurse engagement across 7 North American sites, resulting in a 38% reduction in harmful errors, increases in family and nurse engagement, and improvements in the family experience of care.
This webinar will discuss ways in which general acute care hospitals can combat the opioid epidemic. Every year, more patients with opioid use disorder visit the ED and are admitted to the hospital. Through the California Bridge Program, hospitals offer rapid access, low barrier buprenorphine starts to treat withdrawal and link patients to long term treatment. This model allows the patients who are already in the hospital, but not in addiction treatment, to be efficiently started on lifesaving treatment. In this webinar, Dr.
Patient safety awareness week celebrates providing safe and effective care to our patients. Patients are a key player in the health care team and in the provision of safe patient care. This webinar will focus on the importance of engaging patients when it comes to using medications safely. The goal is to highlight and promote methods of integrating the patient in medication use to enhance safety.
Sepsis is the leading cause of mortality among hospitalized patients, is associated with the highest percentage of readmissions, and is the most expensive health condition to treat in the US. UCLA Health will provide an overview of their organization’s Sepsis Infrastructure and provide some examples of systems they have been able to hardwire into their foundation. After this webinar, you will understand what steps your organization needs to take in order to become a Highly Reliable Organization for Sepsis.
The Quality Center PSO is hosting a two-part webinar series
showcasing the journey of University of North Carolina’s
Radiation Oncology Department towards high reliability using
formal human factors, lean, and barriers management
principles.
Recognizing the impact of patients placed on involuntary psychiatric holds being sent to the emergency department, Adventist Health Rideout came up with a new innovative way to care for the behavioral health patient waiting in their emergency department. The goal was to deliver the highest quality care for the psychiatric patient while they were in the emergency department.
Transgender patients
who seek gender affirming surgical and
medical care rely on a relatively small population
of providers and institutions for expert and culturally
competent care.
Your Voice Matters is a 30-minute webinar to learn
about the educational campaign that the California Health Care
Foundation and California Maternal Quality Care Collaborative
developed to educate women about the overuse of unnecessary
C-sections — and how you can implement the campaign in your
hospital.
Speakers
Beccah Rothschild, MPA
Consultant to California Health Care Foundation
Susan Perez, PhD, MPH
Consultant to California Health Care Foundation
Nonventilator Hospital Acquired Pneumonia (NVHAP) is an emerging
hospital acquired infection (HAI) with important patient safety
concerns. As device-related HAIs have decreased – thanks to
focused prevention efforts – NVHAP continued to
increase. According to the new CDC Point Prevalence Study
(Magil 2018), hospital acquired pneumonia now accounts for 25% of
all HAIs in the U.S., and the majority of those are
NVHAP. This presentation will highlight the incidence,
mortality, and morbidity of NVHAP in the U.S., review risk
factors, and suggest specific prevention efforts that
Join the growing learning network in Rapid Precision
Medicine
Sept. 26, 2018
“Introduction To Guinness World Record Rapid Whole Genome
Sequencing: A 17-month old boy presenting with fever, fussiness,
vomiting, diarrhea and skin rash.”
Presented by Stephen Kingsmore, MD, DSc
President and CEO, Rady Children’s Institute for Genomic Medicine
In this talk, the motivation, process and challenges of creating
Stanford Health Care’s Communication and Resolution Program,
PEARL will be discussed. Leilani Schweitzer, Assistant Vice
President of Communication & Resolution for Stanford Health Care,
will share her son Gabriel’s story, and how she has used that
experience to develop and implement PEARL. She will detail
Stanford’s process for responding to and understanding adverse
events, while meeting the needs of patients, their families and
care providers.
Join the NextPlane Safety
Ecosystem and attend this free webinar hosted by NextPlane
Solutions.
Join for a walkthrough of the reports and analysis available
through the NextPlane Insight module. Mike Personett will
demonstrate how to run comparative reports, get your hands on
your data through the Search module, and share current
initiatives in safety analysis at NextPlane.
After registering, you will receive a confirmation email
containing information about joining the webinar.
In 2017, a team led by the National Partnership for Women &
Families surveyed more than 2,500 women in California about their
views and experiences with childbirth. The results, which will be
released September 12, reveal what is and isn’t working with
maternity care in the Golden State.
Patients recovering from surgery on a hospital’s general care
unit have core vital signs checked once every 4–6 hours, which
leaves them unmonitored 96 percent of their total time spent on
the general care floor. Vital signs deteriorate 6–12 hours before
cardiac and respiratory arrests occur creating a ‘window of
opportunity’ for early detection and intervention.
Please join the CHPSO team for a members-only review and discussion of
recently submitted perinatal safety events. The CHPSO team will
share themes identified in a review of nearly 5000 perinatal
cases submitted to the database during the first quarter of 2018.
In addition to sharing themes identified during the analyses of
these data, the presentation will also include a review of cases
identified as opportunities for improvement within each
subcategory. Examples of subcategories include:
California has a remarkable array of success stories in patient
safety, quality and person-centeredness. Contribute to making
this excellence visible by presenting a poster at the 2018 Hospital Quality
Institute’s (HQI) Annual Conference.
Please join us on August 21, 2018 at the Children’s Hospital of
Los Angeles as we bring the region together for a Summit on ENFit
and NRFit.
The Summit is free to attend and will focus on gaining awareness
and recognizing the safety benefits of the ISO 80369 compliant
connectors; ENFit and NRFit.
The Summit is meant to be a collaborative working session to talk
about recent updates on ENFit and NRFit as well as best practices
for facilities beginning to transition. Click the link below to
RSVP, review the meeting agenda, and for additional meeting
details.
Don’t miss this opportunity to learn from The Joint Commission
and the Occupational Safety and Health Administration (OSHA)
during the “Workplace Violence Prevention: Implementing
Strategies for Safer Healthcare Organizations” webinar on
Wednesday, July 25, from 11:30 a.m.-12:30 p.m. (PT)/12:30-1:30
p.m. (MT)/1:30-2:30 p.m. (CT)/2:30-3:30 p.m. (ET).
These calls address the legal privileges and challenges of the
Patient Safety and Quality Improvement Act of 2005 (PSQIA), the
PSO rule, the Affordable Care Act patient safety evaluation
system requirement, and recent legal developments.
The call is open to all counsel serving health care providers,
such as hospitals, medical groups, clinics and skilled nursing
facilities.
Date and Time: November 16, 2018 from
1:00pm-2:00pm Pacific Time
Location: via teleconference
Partnership HealthPlan of CA, in collaboration with the Hospital
Quality Institute and the Hospital Council of Northern and
Central California, is proud to announce our second annual
Hospital Quality Symposium. In this collaborative and interactive
event, hospital staff of all levels will learn about:
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Medication Errors
Date and Time:
August 8 from 9:55am – 11:00am PDT (please join at 9:55
for roll call)
WHO
All Staff Interested in Improving Quality of Care
WHAT
Hospital Quality Improvement Training Focusing on Communication
and Care Coordination
WHEN & WHERE
Available at two locations. Same content at both sites.
July 31, 2018 – Santa Rosa, CA Hyatt Regency Sonoma Wine Country
August 2, 2018 – Eureka, CA Sequoia Conference Center
Webinar 1: April 5, 2018
Webinar 2: May 3, 2018
Webinar 3: May 29, 2018
10:00 – 11:30 a.m., Pacific Time
Increasingly, providers are looking for continuing care solutions
beyond acute care hospital walls. These “post-acute” services
support a patient’s continued recovery from illness and play a
crucial role in patient care and recovery. Additionally, as
the health care delivery system continues to shift toward
population health management, acute care providers will benefit
from a better understanding of post-acute care’s role in the
health care delivery system.
The California Health Care Foundation’s (CHCF) Health Care
Leadership Program prepares clinically trained professionals to
lead California’s health care organizations and creates a network
of strong and effective leaders who are focused on
improving health care for all Californians. This rigorous,
part-time, two-year fellowship addresses essential leadership and
management skills, as well as health care trends and policy
topics. Since 2001, 480 health professionals have
participated in the CHCF Health Care Leadership Program.
Improving Health Care Response to Maternal Venous Thromboembolism
Toolkit
The California Maternal Quality Care Collaborative (CMQCC) and the CA
Department of Public Health are proud to
announce the release of A California Toolkit to
Transform Maternity Care: Improving Health Care Response
to Maternal Venous Thromboembolism.
Recent legislation requires the Centers for Medicare and Medicaid
Services to incorporate a socio-demographic adjustment to the
Hospital Readmissions Reduction program for federal fiscal year
(FFY) 2019.
Free Webinar for
AARC members. (Recording link will be open to all
interested).
The presentation will provide an overview of the latest published
2017 toolkit from the California Hospital Quality
Institute (HQI), designed to assist healthcare organizations
in their efforts to reduce harm from respiratory depression
associated with opioid administration.
California Hospital
Association (CHA), the Hospital Quality Institute (HQI)and
the California Department of
Public Health (CDPH) will host a webinar
April 5 from 9-10 a.m. (PT) to explain the National Healthcare Safety
Network’s (NHSN) tool for helping hospitals track their
antibiotic use. California law requires hospitals to implement an
antimicrobial stewardship policy that meets guidelines
established by the federal government and professional
organizations. The Centers for Disease Control and Prevention
recommends tracking antibiotic use to identify ways to improve
and assess the impact of antimicrobial stewardship efforts.
To help in those efforts, NHSN has developed an antibiotic use
module that hospitals can use to track and analyze their
antibiotic use data, and compare it to other U.S. hospitals.
Benchmarking to national risk-adjusted data has been helpful in
reducing health care-associated infections and may play an
important role in antimicrobial stewardship.
In healthcare, we work in an ever-changing environment that is
complex and very people-intensive. We have learned and
imported best practices from other high-reliability industries,
such as checklists used in aviation. These tools have helped move
us toward higher reliability, which for us means providing care
to every patient, in every site and setting, with each encounter,
the way we intend to do so.
April 4, Sacramento
April 10, Costa Mesa A CHA members-only program
Hospital employers understand that taking good care of employees
ultimately means taking good care of patients. That’s why
hospital employers must take steps to ensure the health and
well-being of their staff, and provide an environment that
fosters a culture of workplace safety. Plan now to attend and
learn ways to fortify and enrich your employee safety and
workers’ compensation programs so that staff feel protected and
supported.
Rural hospitals are always adapting — to community needs, changes
in staffing and regulatory updates, as well as provider
reimbursement. You can’t stop change, but you can prepare for it.
Join us for the 2018 Hospital Quality Institute Conference on
October 28-30 in Huntington Beach to achieve ever increasing
levels of performance through a culture of respect and
professionalism. Learn strategies and take home tools for
achieving reliable care and delivering value to each patient,
each time, and in each community. The content, interactive
learning and networking opportunities are not to be missed.
When patients suffer an unexpected clinical event, health care
clinicians involved in the care may also be impacted and are at
risk of suffering as a “second victim”. Understanding this
experience and recognizing the need for supportive interventions
is critically important. This workshop provides insights into the
experience as well as interventions of support and instruction
for each participant to return to their organization with the
knowledge, skills, and techniques necessary to support and train
their peers.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Medication Reconciliation
Date and Time:
March 21 from 9:55am – 11:00am PDT (please join at 9:55 for roll
call)
As a follow-up to the January CHPSO safe table meeting on
behavioral health, CHPSO is convening another safe table on
behavioral health. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Behavioral Health
Date and Time:
May 24 from 9:55am – 11:00am PDT (please join at 9:55 for
roll call)
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Physician Orders for Life-Sustaining Treatment (POLST) Form
Use with End-of-Life Care
Date and Time:
April 11 from 10:55am – 12:00pm PDT (please join at 10:55
for roll call)
The 6th Annual World Patient Safety, Science & Technology Summit
is organized with the support of the Secretary of State for
Health and Social Care, the Rt. Hon. Jeremy Hunt MP and is
co-convened by the European Society of Anaesthesiology. The
2018 Summit will bring international hospital leaders, medical
and information technology companies, the patient advocacy
community, public policy makers and government officials,
together to discuss solutions to the leading challenges that
cause preventable patient deaths in hospitals across the
world.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Alarm Management
Guest Attendee
Stanford Healthcare Patient Liaison and Assistant Vice President
for Communications and Resolution, Leilani Schweitzer, is a guest
attendee on the call. Her TED Talk and a recent NPR interview are
available in the link below.
These calls address the legal privileges and challenges of the
Patient Safety and Quality Improvement Act of 2005 (PSQIA), the
PSO rule, the Affordable Care Act patient safety evaluation
system requirement, and recent legal developments.
The call is open to all counsel serving health care providers,
such as hospitals, medical groups, clinics and skilled nursing
facilities.
Date and Time: February 16, 2018 from
1:00pm-2:00pm Pacific Time Location: via teleconference
Learning Action Forums (LAF) will allow hospital teams to learn
from one another and from national infection prevention experts.
These webinars will build on the content of the recently released
on-demand educational courses. LAFs are discussion-based and
interactive, so come prepared with your questions, concerns and
ideas.
Registration:
Contact Alicia Munoz for additional information and links to the
program. amunoz@hqinstitute.org.
Learning Action Forums (LAF) will allow hospital teams to learn
from one another and from national infection prevention experts.
These webinars will build on the content of the recently released
on-demand educational courses. LAFs are discussion-based and
interactive, so come prepared with your questions, concerns and
ideas.
Registration:
Contact Alicia Munoz for additional information and links to the
program. amunoz@hqinstitute.org.
“It is exponentially easier to improve together than alone, and
the opportunity to connect with like-minded colleagues can
accelerate the knowledge, skills, and experience needed for
quality leader success”—Julie Morath
Location:
Hospital Association of San Diego and Imperial Counties
Join the CSU Institute for Palliative Care at CSUSM and the San
Diego Coalition for Compassionate Care for a day of learning for
Palliative Care Professionals. CE/CME certification is pending
approval for physicians, nurses, social workers, chaplains and
other health care professionals. This year’s theme highlights how
both technology and compassionate care can increase the quality
of life for patients and their families.
Despite being on the books for nearly 30 years, the Emergency
Medical Treatment and Labor Act (EMTALA) continues to be a source
of confusion for staff and a public relations nightmare. Fines
have recently doubled, and may result in sanctions – recently for
one hospital in excess of $1 million.
The California Quality
Collaborative (CQC) invites you to the next webinar in
its “Medically Complex Care” webinar series with Judith Hibbard,
PhD, MPH, lead author of the Patient Activation Measure (PAM).
Currently used by researchers and practitioners internationally,
the PAM measures an individual’s knowledge and skill for
self-management.
At the 2018 Patient Safety Symposium, participants will gain valuable knowledge and insight into achieving high reliability through culture, teamwork, and systems thinking.
Date and Time & Location
February 5, 2018 from 8 AM – 3 PM PST
Visalia Convention Center
303 E. Acequia Ave
Visalia, CA 93291
HOW TO REGISTER
KDHCD Employees: Access myNetlearning from KDnet or KDCentral
Join an informational webinar designed for hospitals interested
in becoming CMQCC members and using the Maternal Data Center to
improve their perinatal performance.
Click here to add this event to your outlook
calendar.
Date and Time
Thursday, January 25, 2018 from 12:00pm – 1:00pm PST
Cardiovascular disease (CVD) is the leading cause of maternal
mortality in California and the United States. An
in-depth review of maternal deaths in California found that
only a small fraction of the women who died had a known
diagnosis of CVD prior to their death. Most women had
complained of symptoms either during pregnancy or shortly after
childbirth, yet heart disease was not diagnosed.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Mass Transfusion Protocol
Date and Time:
February 15 from 9:55am – 11:00am PST (please join at
9:55 for roll call)
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Telemetry Monitoring Criteria
Date and Time:
February 7 from 9:55am – 11:00am PST (please join at 9:55
for roll call)
Guest Presentations:
Redesigning Cardiac Monitoring and Telemetry Level of Care
Orders
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Behavioral Health – Inpatient Setting
Date & Time:
January 18 from 9:55am – 11:00am PDT (please join at 9:55
for roll call)
This two-day Summit will focus on the opioid crisis and related
public health issues in rural northern California. Topics
will include hepatitis C, HIV and STDs, and overdose, as well as
other public health issues related to the opioid crisis.
Participants will discuss existing resources and challenges to
address these public health issues, models from the region that
are working well to address these issues, and identify some
realistic steps to overcome the challenges that exist.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Alarm Management
Date & Time:
December 20 from 9:55am – 11:00am PDT please join at
9:55am for roll call)
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Workplace Violence
Date & Time:
December 21 from 9:55am – 11:00am PDT (please join at 9:55
for roll call)
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Retained Foreign Objects in Trauma Surgeries: Sponges and Wound
Packing
Date & Time:
December 13 from 12:55pm – 2:00pm PDT (please join at 12:55
for roll call)
The Targeted Assessment for Prevention (TAP) Strategy is a
quality improvement framework developed by the Centers for
Disease Control and Prevention (CDC) to offer a focused approach
to infection prevention and help hospitals and healthcare systems
overcome challenges to preventing healthcare-associated
infections (HAIs). This three-part webinar series will explore
how to run TAP reports using the National Healthcare Safety
Network (NHSN), strategies to complete the HAI specific
assessments and how these tools can be used to guide infection
prevention efforts.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
IV Drug Titration Issues and Protocols
Date & Time:
November 30 from 9:50am – 11:00am PDT please join at
9:50am for roll call)
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic:
Blood Product Administration
Date & Time:
November 16 from 9:50am – 11:00am PDT (please join at 9:50 for
roll call)
Sepsis prevention is a significant challenge for patients and healthcare patient safety programs. This webinar will review the journey of St. Joseph Hospital to decrease sepsis mortality. Their multi-phased approach provided tangible results along the way leading to recognition as a national top performer with sepsis bundle compliance, mortality, and readmissions. Join us for the webinar to hear the specifics that lead to their sustainable improvements.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Join St. Jude Medical Center for a special two-day
educational symposium at the Anaheim Marriott, California Sept.
21 and 22, 2017 featuring nationally-recognized, expert
physicians and authors Ira Byock, MD and Steven Pantilat, MD.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital is a
CHPSO member.
CMS has declined reimbursement for hospital acquired pressure ulcers (HAPUs) since 2008. A team of nurses successfully secured funding, used technology to measure outcomes, and converted Quality Improvement projects into comparative research. The application of the knowledge gained during the Quality Improvement comparative research cycle allowed UC Davis Health to lower their HAPU incidence while standardizing documentation and identifying those patients who are at highest risk for development of HAPU.
We are calling on patient safety advocates and entrepreneurs to
bring forward their proven innovations that will help us reach
our goal of ZERO preventable deaths by 2020.
The Patient Safety Innovation Awards are focused on identifying
the best innovations that can make the most impact and be easily
implemented in hospitals across the world. The innovation can be
a new product or the novel use of an existing technology or
process.
HQI will be accepting up to 20 poster presentations for the
2017
annual conference. Posters are invited demonstrating
innovative, sustainable approaches to improving safety, outcomes,
and experience of care.
SUBMISSION DEADLINE:
Friday, September 8, 2017
REGISTRATION DISCOUNT:
50% on full registration fee for person presenting.
These calls address the legal privileges and challenges of the
Patient Safety and Quality Improvement Act of 2005 (PSQIA), the
PSO rule, the Affordable Care Act patient safety evaluation
system requirement, and recent legal developments.
The call is open to all counsel serving health care providers,
such as hospitals, medical groups, clinics and skilled nursing
facilities.
Date and Time: August 25, 2017 from
1:00pm-2:00pm Pacific Time Location: via teleconference
In the last decade, healthcare organizations have seen a strong push by the federal government, commercial payers, regulatory bodies and patients to improve quality of care, reduce errors, reduce cost of healthcare, and improve patient and family experience. All this has resulted in an increased number of initiatives and implementation of best practices to improve performance. This increased demand is felt at all levels of the healthcare organization from executives to the frontline staff and physicians resulting in initiative fatigue.
Even with 1.33 million events in the CHPSO database, fewer than
50 relate to concentrated insulin, underscoring the need for
broad collaboration to understand the issues behind this
high-risk medication. In February 2017, CHPSO started working
with other PSOs and health care delivery systems to take a closer
look at the types of incidents that are occurring and see what
organizations are doing to prevent these types of incidents from
occurring.
The Council on Patient Safety in Women’s Health Care is pleased
to sponsor and convene the Safety Action Series. The Series is
comprised of free teleconferences on various topics relevant to
promoting a culture of safety in women’s health care. The series
is designed to be interactive and collaborative, with ample time
allotted during each session for audience participation.
CHPSO invites member hospitals to attend a Safe Table Forum in
Person in Bakersfield, CA or via teleconference. CEs will be
provided. Click
here to see if your hospital is a CHPSO member.
Topic: Pain Management: proper dosing of opiates for
acute care patients
Location & Time: Bakersfield, CA* or via
teleconference; 12:00-2:00pm PDT
CHPSO invites member hospitals to attend a Safe Table Forum in
Person in Walnut Creek, CA or via teleconference. CEs will be
provided. Click
here to see if your hospital is a CHPSO member.
Topic: VTEs
Location & Time: Walnut Creek, CA* (near
BART) or via teleconference; 9:00-12:00pm PDT
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
Topic: Falls and Alarm Management
Location & Time: via teleconference,
9:00-12:00pm PDT
The Regional Associations, Hospital Council of Northern and
Central California, Hospital Association of Southern California,
and the Hospital Association of San Diego and Imperial Counties,
are offering workplace violence round tables in the coming weeks.
Please see below for registration links. The San Diego Round
table details are attached.
The Hospital Quality Institute (HQI) is accepting applications
for the inaugural cycle of
Vanguard Award through June 20th. All member hospitals
are invited to apply.
The California Maternal Data Center (MDC) is a user-friendly
online tool that helps hospitals calculate, report and
improve perinatal performance, in a way that is
low-burden and low cost. Participating hospitals submit
patient discharge data—that they already collect—to the MDC’s
secure web-based tool, which can automatically generate a wide
range of perinatal performance metrics and patient-level
drill-down information.
The California Health Care Foundation’s (CHCF) Health Care
Leadership Program prepares clinically trained professionals to
lead California’s health care organizations and creates a network
of strong and effective leaders who are focused on
improving health care for all Californians. This rigorous,
part-time, two-year fellowship addresses essential leadership and
management skills, as well as health care trends and policy
topics.
CHPSO invites member hospitals to attend a Safe Table
Forum via teleconference. CEs will be provided.
Click here to see
if your hospital is a CHPSO member.
CHPSO invites member hospitals to attend a Safe Table
Forum via teleconference. CEs will be provided.
Click here to see
if your hospital is a CHPSO member.
California birthing hospitals have a number of resources
available to improve maternity care. Join this one-hour webinar
to learn how your hospital can take advantage of these programs.
ACOG Speakers Bureau (12:00-12:30pm PDT)
presented by Dr. John Wachtel, MD, FACOG
Clinical Professor, Obstetrics & Gynecology
Stanford University
Join CMQCC for a webinar on induction of labor for discussions on
the latest evidence-based practices. Speakers will be
Elliott Main, MD, CMQCC’s Medical Director, and David Lagrew, MD,
one of the authors of the Toolkit to Support Vaginal Birth and
Reduce Primary Cesareans.
When: June 14, 12:00-1:00 pm PDT Who should attend: Physicians and L&D
Staff
1215 K Street, Suite 800
Sacramento, CA 95814 or via webinar
Lunch provided for in-person attendees
Objectives
A number of California hospital stakeholders are doing important
work in reducing Nulliparous, Term, Singleton, Vertex (NTSV)
Cesarean deliveries, many of whom have achieved the Healthy
People 2020 goal of 23.9 percent or less NTSV cesarean
deliveries. The purpose of this webinar is to:
A number of California hospital stakeholders are doing important work in reducing Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean deliveries, many of whom have achieved the Healthy People 2020 goal of 23.9 percent or less NTSV Cesarean deliveries. The purpose of this webinar is to:
Dr. Michael X. Pham, Medical Director of Center for Advanced
Heart Failure Therapies, Sutter Health CPMC will present and
describe the role of left ventricular assist devices (LVAD)
therapy in advanced heart failure and discuss the timing of
referrals for advanced therapies.
Free CME and CEU available. Sponsored by Partnership Healthplan
of California, PHC
Intended audience:
Emergency Department and Hospitalist physicians, critical care
nurses, emergency department nurses
CHPSO invites its members to attend a Safe Table Forum in-person
in Fresno, CA or via teleconference. CEs will be provided.
Click hereto
see if your organization is a CHPSO member.
Topic: Alarm Management
Location & Time: Saint Agnes Medical Center in
Fresno, CA or via teleconference; 10:00am – 1:00pm PDT
ABOUT
At the 2017 Patient Safety Symposium, participants will gain
valuable knowledge and insight into improving patient care in a
motivational setting. Expert speakers will address strategies to
excel in quality and safety for patients.
LOCATION
Visalia Convention Center
303 E. Acequia Avenue
Visalia, CA 93291
Accumulating one million safety events in the CHPSO database was
a milestone achieved in part due to our partnership with
NextPlane Solutions, creating greater ease and reduced cost for
member reporting. Enhanced mining of the database is the next
priority for greater predictive intelligence regarding risk.
NextPlane Solutions’ Insight tool is now available for each
reporting CHPSO member. Authorized users can access the NextPlane Solutions site,
where they are able to view trended and de-identified comparative
data.
Whether it’s with other providers, patients or caregivers,
connections are a vital component of health care. As episodic
payment models become more common, success depends on working
closely across the continuum. And by establishing effective
partnerships with our patients, we will improve quality and
achieve better outcomes. With each new link, we are growing an
integrated community of care that will sustain us for years to
come.
CHPSO invites member hospitals to attend a Safe Table Forum in
Person in Sacramento, CA or via teleconference. CEs will be
provided. Click
here to see if your hospital is a CHPSO member.
Topic: Suicidal Ideation, Suicide Attempts, and
Suicide
Location & Time: Sacramento, CA* or via
teleconference; 9:00-12:00pm PDT
CHPSO invites member hospitals to attend a Safe Table Forum in
person in Los Angeles, CA or via teleconference. CEs will be
provided. Click
here to see if your hospital is a CHPSO member.
Topic: Chemotherapy Administration
Location & Time: CA Endowment Center, Downtown Los
Angeles* or via teleconference; 10:00-1:00pm
PST
CHPSO invites member hospitals to attend a Safe Table Forum in
person* in San Diego, CA or via teleconference. CEs will be
provided. Click
here to see if your hospital is a CHPSO member.
Topic: Perinatal Events
To kick off the meeting, William M. Gilbert, MD of
Sutter Medical Center, Sacramento will present a few cases. Cases
for you to bring may include:
CHPSO invites member hospitals to attend a Safe Table
Forum via teleconference. CEs will be provided.
Click here to see
if your hospital is a CHPSO member.
CHPSO invites member hospitals to attend a Safe Table Forum in
Person in Sacramento, CA or via teleconference. CEs will be
provided. Click
here to see if your hospital is a CHPSO member.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
CHPSO invites member hospitals to attend a Safe Table Forum via
teleconference. CEs will be provided. Click here to see if your hospital
is a CHPSO member.
For hospitals who are considering collaborative work with CMQCC
to support vaginal birth and reduce NTSV cesarean section, we can
share that applications are still being accepted (www.CMQCC.org).
For hospitals who are considering collaborative work with CMQCC
to support vaginal birth and reduce NTSV cesarean section,
applications are still being accepted (www.CMQCC.org).
Interested legal counsel may join a discussion group that
offers support and an opportunity to learn about the new legal
privileges and challenges of the Patient Safety and Quality
Improvement Act of 2005. You can request to join the group
by following this link: eepurl.com/rKJaf.
Please email CHPSO with any
requested agenda topics. This is an open meeting.
The 5th Annual World Patient Safety, Science & Technology Summit
will bring together international leaders from hospitals, medical
and information technology companies, the patient advocacy
community, public policy makers and government officials to
discuss solutions to the leading challenges that cause
preventable patient death in hospitals.
Join us for the 2016 Hospital Quality Institute Conference to
achieve ever increasing levels of performance through a culture
of respect and professionalism. Learn strategies and take home
tools for achieving reliable care and delivering value to each
patient, each time, and in each community. The content,
interactive learning and networking opportunities are not to be
missed.
3 or more from same hospital facility: $570 per person
Spouse/Guest (of Hospital Council Member): $300
per person
Physicians Affiliated with Member Hospital: $690
Association Staff (CHA, HASC, HASDIC): $510 per person
AHRQ is funding research in safe health IT practices related to
design, implementation, and use by all users (including clinical
staff and patients). The goal of these projects is to gather
evidence to support safe health IT practices for use by the
Office of the National Coordinator for Health IT (ONC), the FDA,
CMS and others to provide health IT certification and policy
guidance.
Medication reconciliation is intended to ensure the accuracy of the medication list at each patient encounter. However, the medication lists are entered into electronic health records by a variety of individuals (both licensed and unlicensed) across different health care settings and are not always accurate. A significant patient safety hazard may occur when these lists are used to create hospital medication orders that result in the continuation of inaccurate and/or incorrect medications.
Hospitals are aggressively trying to address the challenges of
new technologies, quality care delivery, and outcomes
reimbursement. However, there is a culture of silence that
threatens progress. During CHPSO’s Member Call, Feb.11, 10–11
a.m., we will explore why it is difficult to speak up and how to
overcome the obstacles to holding these “crucial conversations.”
The Joint Commission on Accreditation of Healthcare Organizations
suggests that lack of communication is a top contributor to
sentinel events.A recent study found that 84 percent of
physicians and 62 percent of nurses and other clinicians had
witnessed coworkers taking shortcuts that could be dangerous to
patients. Unfortunately, only about 10 percent of them felt
comfortable in approaching their peers to discuss their concerns.
