Nebraska Healthcare Quality Forum
Embassy Suites Hotel and Convention Center
LaVista, Nebraska
Thursday
May 14, 2015
CIMRO of Nebraska, part of the Great Plains Quality Innovation Network, invites you to attend the twelfth
annual Nebraska Healthcare Quality Forum, an opportunity for conversation and sharing ideas with
your colleagues, across all settings. We encourage you to invite community partners, patient advocates,
members of your board of trustees, senior management team, physician leaders and co-workers to
attend as we collaborate and identify ways to improve care in our state and across the region.
Presented by the Great Plains Quality Innovation Network
& co-sponsored by...
NAHQRS
Nebraska Association for Healthcare
Quality, Risk and Safety
Great Plains
Quality Innovation Network
1200 Libra Drive, Suite 102 | Lincoln, NE 68512 | 402/476-1700 | www.greatplainsqin.org
1
Keynote Speaker
Libby Hoy ~ 9:00 - 10:00 a.m.
Bedside to Boardroom: Engaging Patients & Families Across the Organization
Patients and families are the most underutilized resource in the healthcare environment. The
question is, how do we effectively engage them for better outcomes in their own care as well as
engage them as partners in improvement across the organization. This presentation will explore
effective strategies for engaging patients and families in care and present some solutions for
the challenges in doing so and share extraordinary outcomes for patients when a team strategy
was employed. From this first person experience, the presenter will also share her experiences over the last
two decades of developing structures for integrating patients and families into improvement efforts. Effective
processes for developing Patient Family Advisory Councils will be shared as well. Participants will leave this
session understanding the value of engaging patients and families from the bedside care giving relationship to
the boardroom for co-design of effective improvement efforts.
Biography:
Libby Hoy is the mother of three sons living with mitochondrial disease. Libby has 20 years of experience
navigating the healthcare system. Libby began volunteering as a Parent Mentor in 1995 and has been working to
improve health systems and empower patients and families to be active partners in care ever since. In her role
as the first Family Advocate at Miller Children’s Hospital, she developed the Parent Advisory Board and created
the structure for the long term integration of the Patient & Family voice within the organization. Libby has
presented at multiple national and international conferences on subjects related to Patient & Family Centered
Care practice. As a consultant, Libby strives to share the evidence, practices and methods that support PFCC
culture in healthcare organizations.
In 2010, Libby founded PFCC Partners to create a community of patients, families, providers and healthcare
organizations committed to the shared learning of Patient & Family Centered Care practice. PFCC Partners also
established the PFANetwork, inclusive of more than 150 Patient Family Advisors working in healthcare settings
across the country to partner for improvement in the quality, safety, experience and delivery of healthcare. Libby
has served as an Advisor to Patient Centered Outcomes Research Institute (PCORI), Partnership for Patients,
Institute of Medicine (IOM), National Quality Forum (NQF) and as Faculty for the Institute for Healthcare
Improvement (IHI). In these, and all efforts, Libby strives to build the infrastructure and capacity for healthcare
organizations to engage all patients and families, from the bedside to the boardroom.
Libby lives and works in Long Beach, California.
Co-sponsored by the Nebraska Coalition for Patient Safety (NCPS) and the Nebraska Association for Healthcare
Quality, Risk and Safety (NAHQRS)
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
2
Closing Speaker
T. Marni Vos ~ 3:40 - 4:40 p.m.
Healer, Healing and Humor
There are four attributes to our health; the physical, mental, the emotional and spiritual. Our
attitudes, perceptions, as well as our chosen responses, effect not only the above attributes,
but those we work with, and those that we serve. The best of humor is described, not as jokes,
but anything that results in joy and laughter. Humor lifts us to our healing and assists us in our
well-being.
Biography:
T. Marni Vos is a clean and refreshing humorist. She is as funny as she is inspiring. A motivational speaker, she
entertains with her keynotes as she motivates and inspires her audience to be top performers at their work and
as individuals. T. Marni Vos leaves her audience not only with an additional communication tool, but she leaves
them laughing, free of stress, and ready for change.
T. Marni Vos became one of only seven women in 20 years to be a Finalist in the prestigious San Francisco
International Stand-up Comedy Competition, where over 400 comics compete each year. She has performed on
Life Time’s “Girls Night Out” and opened for Jay Leno at the Comedy and Magic Club in Hermosa Beach. Barny
currently has a syndicated children’s ...wait ...wrong speaker.
A former high school instructor in a stressful environment, T. Marni Vos used humor and creativity to inspire and
motivate students to go beyond their potential. Through laughter and communication she continues to educate
people in all walks of life to meet their challenges with a light heart and the echo of laughter. She has earned 42
hours of instruction from the Institute for the Advancement of Human Behavior at conferences in Saratoga, New
York, Chicago and Los Angeles. T. Marni Vos can complete an entire S.A.T. test in 17 minutes.
Her humor is fresh, refreshing, honest and clean. Her presentation is original in style, extremely funny and
uplifting in content.
In today’s business environment, where every skill counts, humor, laughter and creativity can provide a winning
edge.
Co-sponsored by the Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
3
Nebraska Healthcare Quality Forum
2015 Program Agenda
7:30 a.m.
8:30
Registration, Exhibit Show and Continental Breakfast
Welcome and Opening Comments
Tina Georgy, RN, MS, Chief Executive Officer, CIMRO of Nebraska and Great Plains QIN
Ted Fraser, MS, Vice President, CIMRO of Nebraska and State Program Director, Great
Plains QIN
8:45
Nebraska Coalition for Patient Safety (NCPS) Update
Stephen Smith, MD, President, Nebraska Coalition for Patient Safety
9:00
Bedside to Boardroom: Engaging Patients & Families Across the Organization
Libby Hoy, Founder, Patient Family Centered Care Partners
10:00
Break/Exhibit Show
10:30 - 11:15
Session A (see presentation schedule on page 5)
11:25 - 12:10
Session B (see presentation schedule on page 6)
12:15 p.m.
Lunch/Exhibit Show
1:30 - 2:15
Session C (see presentation schedule on page 7)
2:25 - 3:10
Session D (see presentation schedule on page 8)
3:10
Break
3:25
Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS) Update
Laura Lea Fossenbarger, CPHQ, TRS, 6σ
3:40 - 4:40 p.m. Healer, Healing and Humor
T. Marni Vos, RGS
* Nebraska Coalition for Patient Safety (NCPS) tracks are designated in the program
The Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)
is coordinating the Exhibit Show
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
4
Presentation Schedule
Session A: 10:30 - 11:15 a.m.
Track Title of Presentation
1
How Direct Care
Staff-Led QAPI
(Quality Assessment
and Performance
Improvement)
Changed Everything
Speaker/Organization
Hannah Elliott, MBA,
MA, NHA
Sutton Community
Home
Description
In 2013, QAPI was implemented at Sutton Community Home.
A transparent approach was used and is the model that is
currently used today. Direct Care Staff has had a monumental
impact on the process and is the reason behind SCH’s increase
from 2 to 5 Stars.
Christine Daley, RN, BS
CHI Health Immanuel &
Tom Townsend, COO,
Paramedic
Medics At Home
The vision of the formation of Medics At Home was to be the
first in Nebraska to actively perform a Community Paramedic
service. Medics At Home has been involved in a pilot program
with Immanuel. Preliminary results have been favorable in
preventing 911 calls and ED return visits.
2
Coordinating CareHospital to PostAcute with Medics
at Home
3
Ditch the Drama and Julie Jones, RN, BSN,
Start Minding the
MBA
Bedside!
Beatrice Community
Hospital
Start thriving instead of surviving. Healthcare professionals
face enormous challenges with difficult work that demands
full presence, energy and commitment. Stress is pervasive in
healthcare and even impacts the caring relationship itself. Let’s
breathe and explore approaches enhancing mindfulness at
the bedside & beyond, leadership strategies and mindfulness
practices.
4
Holistic
Interventions in
Long-Term Care
Presenting a holistic program which focuses on nonpharmacological interventions to pain, stress, anxiety,
behaviors and depression. Using interventions effectively
we have been able to successfully reduce psychotropic drug
and narcotic usage, decrease falls and behaviors, decrease
depression symptoms; increase resident satisfaction and
promote a more homelike environment for residents.
5
NeHII’s Community- Connie Pratt, PMP &
Wide Support of
Rachel Houseman, PMP
Care Coordination
NeHII, Inc.
6
Using the MultiTeam System to
NCPS
Improve Patient
Safety
Kelly Sparr, LPN &
Doris Lewis, CTRS
Madonna Saint Jane
deChantal Long Term
Care Services
Carol Kampschnieder,
RN, MSN
St. Francis Memorial
Hospital &
Katherine J. Jones, PT,
PhD
University of Nebraska
Medical Center
This session will provide an update on the added functionalities
that support population management services via NeHII,
the statewide health information exchange. With use of
Admission, Discharge, Transfer (ADT) Alerting and 30 Day
Readmission Reporting services, a provider can implement
improved care coordination strategies to enable cost-effective
population management services.
Presenters will explore the use of inter-professional MultiTeam Systems (MTS) to implement and evaluate patient safety
and quality objectives, with a focus on fall risk reduction. By
implementing a coordinating team to be accountable for fall
risk reduction structures and processes, a hospital decreased
their total fall rate by 80 percent and their injurious fall rate by
50 percent from 2012 to 2014. During this session, this hospital
will share the key changes implemented and how the use of
the MTS has informed their thinking about management of
safety and quality initiatives.
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
5
Presentation Schedule
Session B: 11:25 a.m. - 12:10 p.m.
Title of
Track
Presentation
1
Reconcile
Medications at All
Transition Points
Speaker/Organization
Lufei Young, PhD, RN,
APRN-NP
Beatrice Community
Hospital & Health
Center &
Joy Okoruwa, DNP, RN,
APRN-NP
Nebraska Medicine
Description
Medication reconciliation is a process to maintain a complete
and accurate medication list, which is especially important
when an individual receives care in different settings. The goals
are to inform prescribing decisions and prevent medication
errors. This presentation illustrates the different approaches
used to conduct medication reconciliation in acute-care and
post-acute care settings.
Morgan Matteo, RN
Faith Regional Health
Services (FRHS)
This presentation describes the steps taken at FRHS to
reduce catheter use. The Intensive Care Unit was above the
goal utilization ratio consistently, as a result, 3 CAUTIs were
obtained. This presentation highlights ways to reduce catheter
utilization ratios to provide better, safer care for patients.
2
Why the Foley?
3
More Than “Can
Janie York
The presenter will help attendees understand the need
You Hear Me Now!” Good Samaritan Millard for increased attention to the care and cleaning of hearing
aids in an elder care facility setting. Discussion will include:
supplies needed and techniques to clean aids, communication
techniques and a plan for setting up your own program.
4
How Patient
Education
Notebooks
Improved Patient
Experience and
Discharge
Melodie Poncik, CPHQ
&
Kim Sestak, MLT
Banner Health/Ogallala
Community Hospital
5
PCMH: Partnering
with Primary
Care Providers to
Improve Quality
Debra Esser, MD,
MMM, FAAFP, Joann
Schaefer, MD &
Gail Brondum, LPN, BS
Blue Cross and Blue
Shield of Nebraska
6
The Patient as
Partner
Carol Wahl, RN, MSN,
MBA
NCPS
Presenters will share best practices on how/why they
implemented patient education notebooks, improving the
patient experience and discharge process. Presenters will
explain how the shared leadership team developed/rolled
out the notebooks and share data on how the notebooks
have improved HCAHPS (Hospital Consumer Assessment of
Healthcare Providers and Systems) scores.
This presentation will provide an overview of the Patient
Centered Medical Home (PCMH) model of primary care
delivery and its impact on quality, efficiency and outcomes.
Attend this presentation to learn more.
The importance of patient engagement in achieving
health outcomes is well documented in the literature. This
presentation supports a partnership model through the
identification and discussion of various strategies. Specific
approaches will include the implementation of a care partner
program, formation of a patient/family partnership council,
and early development of patient preference passport.
Resources and tools are provided to support the healthcare
professional with implementation.
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
6
Presentation Schedule
Session C: 1:30 - 2:15 p.m.
Title of
Track
Presentation
1
Nonpharmacological
Approaches in
Dementia Care
Speaker/Organization
Description
Anna Fisher, DHA, CDP Treating dementia does not warrant a “one size fits all”
Hillcrest Health Services method. There are many types of dementia resulting in a
myriad of behaviors. We will explore non-pharmacological
approaches in dementia care, including person-centered
methods, to bring out the best in our dementia residents and
help them engage and experience better quality of life.
2
The $400,000 Foley
Shelly Andre, RN, BSN
CHI Health Saint
Elizabeth
Our organizaton implemented an evaluation and reeducation for the use of Foley catheters. An insertion audit
was performed. All RN’s across the entire facility were offered
additional training and we transitioned to a new and improved
product.
3
Transition Care
Program - Reducing
Readmissions
through
Transitional Care
Corey McGeary, LIMHP,
MAC
CHI Lasting Hope
Recovery Center
The Transition Care Program began in October 2013 at CHI
Lasting Hope Recovery Center (LHRC) with the primary goal of
reducing psychiatric readmissions within 30 days of discharge.
There is a large adult homeless population served at LHRC
and readmission rates ranged between 22 and 25 percent.
Learn more about implementation of the Program and one
organization’s journey.
4
Colon Cancer
Screening: Tips and
Tools for Practice
Change
Tamara Robinson, BS,
MS
American Cancer
Society
This presentation will provide a brief overview of the risk factors
for CRC and benefits of CRC screening. Current screening
barriers and practices will be discussed and evidence-based
interventions will be provided to help healthcare providers
address any gaps in their practice.
5
Bedside Shift
Report to Improve
Patient and Family
Communication
Nicole Thorell, MSN,
CEN &
Vanji Vosler, BSN
Lexington Regional
Health Center
Presenters will share a team approach to bedside shift report
in a critical access hospital and how that change led to
improved patient and family communication.
Doug Elting, AIA, ACHA,
EDAC
Visions in Architecture,
LLC
This presentation is the story of Evidence-Based Design and
its impact on safety and patient outcomes. From Florence
Nightingale to the Institute for Healthcare Improvement, we
will talk about the history of the built environment on patient
and staff safety.
6
We Design our
Buildings and Then
NCPS
They Kill Us
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
7
Presentation Schedule
Session D: 2:25 - 3:10 p.m.
Title of
Track
Presentation
1
Innovative
Nursing Structure:
Influencing Culture
Change
Speaker/Organization
Cindy Klein, RN, BS,
LNHA &
Joe MiMinico, RN
Hillcrest Country Estates
Description
Traditional nursing in long-term care has always been
dependent upon traditional structures. What happens when
administrators and directors of nursing begin to expand
their vision to include new ideas in uncharted territory? Is
it possible to achieve consistent positive outcomes within
a socially progressive environment? This presentation will
address how leading change must start with changed leaders.
2
A Comprehensive
CAUTI Reduction
Strategy
Kim Hayes, RN, BSN
Nebraska Medicine
This presentation will outline efforts to reduce incidence of
CAUTI utilizing: the EMR, nurse-driven IUC removal protocol,
nurse-initiated management for urinary retention, micro lab
UA reflex to culture in case of pyuria, mandatory learning
modules, policy changes, bedside practice changes
IUC rounds on ICU/acute care units.
3
Averting Adverse
Reactions in Skilled
Nursing Facilites
(SNFs)
Brenda Bergman-Evans,
PhD, APRN-NP, APRNCNS
CHI-Alegent Creighton
Health
Transitional care for SNF residents is often laden with the
risk of adverse events. This presentation will address how
careful attention to principles for fall prevention, antibiotic
stewardship, medication management, in general, and
psychotropic and high risk medications, in particular, can help
to prevent these events from occurring.
4
Improving Overall
Population Health
Bob Rauner, MD, MPH,
Sarah Hotovy
SERPA ACO and
Sharon Nienhueser, RN
Family Medical Center Hastings
Attend this session to learn more about the quality
improvement efforts within the South East Rural Physicians
Alliance Network (SERPA) Accountable Care Organization
(ACO), including the use of care coordination case studies and
presentation of actual clinic-level results.
5
Beyond Medical
Home - Multiple
Sclerosis At Home
Access
Rebecca Wester, MD,
CMD &
Kathi Healey, APRN,
PhD
University of Nebraska
Medical Center
Five percent of population accounts for 50 percent of
healthcare spending; it encompasses catastrophic and complex
chronic debilitating illnesses. Multiple Sclerosis At Home
Access (MAHA) enhances the medical home model to better
manage high-cost patients and improve quality. Experienced
providers (MS comprehensivist and house-call physician) will
discuss real-life solutions and enduring challenges.
Making Care Safer
for Individuals
NCPS
by Leveraging
Leadership
Victoria Kennel, MA
University of Nebraska
Medical Center
Implementing change to improve patient safety and quality
is easier said than done and often requires support from
organizational leaders. This presentation will share tips and
best practices that organizational leaders can use to support
the implementation of innovations that improve patient
safety and quality of care.
6
Register at: www.greatplainsqin.org/qualityforum
Deadline to register: May 8, 2015
8
Continuing Education
An application has been submitted to Iowa Western Community College Board of Nursing approved provider #6
for up to 6.0 peer reviewed continuing nursing education credit hours.
The registration booth is located in the main entrance of the Omaha - La Vista Embassy Suites Hotel & Conference
Center. Sign-in sheets will be available at the registration booth at the beginning of the day. Certificates of
completion will be distributed at the conclusion of the day for participants who attend the entire event.
Overall Purpose: Improve the quality of care provided to Nebraska residents. Healthcare professionals will
share best practices and lessons learned.
Objective 1: Identify skills, resources and best practices that can be applied within your healthcare
setting to improve care at the patient and provider levels.
Objective 2: Demonstrate ways to implement change in your healthcare setting resulting in enhanced
quality improvement and patient outcomes.
Program Cost
The cost to attend is $50.00, which is the cost for food and beverages during the Quality Forum. Additional
details are included in the online registration form. Register at: www.greatplainsqin.org/qualityforum
Deadline: Friday, May 8, 2015
Lodging/Parking
Embassy Suites &
402.331.7400
Courtyard by Marriot, Omaha - La Vista (Ref Code: HC5)
12560 Westport Parkway
https://resweb.passkey.com/go/CIMRO2015
GroupMAX room registration system
Reservation deadline: April 12, 2015
Hampton Inn & Suites 12331 Southport Parkway
www.omahalavistasuites.hamptoninn.com
402.895.2900
Directions and Hotel Parking Information
Heading either East or West on Interstate 80, take the Giles Road, Exit No. 442. Turn south onto Giles Road and
take the next right onto Southport Parkway. Take the first right onto Westport Parkway and Embassy Suites is on
your right. Self-parking is complimentary.
Visit www.greatplainsqin.org/qualityforum for the latest information regarding the Quality Forum.
If you have questions, please contact:
Keri McDermott, Communications Director, at 402.476.1399 Ext. 502 or [email protected] or
Nikki Divis, Communications Lead, at 402.476.1399 Ext. 537 or [email protected]
This conference was funded, in whole or in part, through a contract with the Department of Health and Human Services (HHS). The views expressed in written
conference materials and by speakers and moderators at this conference, do not necessarily reflect the official policies of HHS, nor does mention of trade names,
commercial practices, or organizations imply endorsement by the U.S. Government.
Great Plains
Quality Innovation Network
1200 Libra Drive, Suite 102 | Lincoln, NE 68512 | 402/476-1700 | www.greatplainsqin.org
This material was prepared by the Great Plains Quality Innovation Network, the Medicare Quality Improvement Organization for Kansas, Nebraska, North Dakota and South Dakota, under contract with the Centers for
Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11S0W-GPQIN-NE-CORP-01/0215