n Wi n 2014/2015 nter Quality Matters, Ohio! Newsletter of Ohio Association for Healthcare Quality CE O pportunity: Lean Those of us in healthcare quality positions that have “been around” can still remember the acronym and buzz words of QA (quality assurance), TQM (total quality management). QI (quality improvement), CQI (continuous quality improvement), PI (performance improvement), fishbone diagrams, RCA (root cause analysis), FMEA (failure, mode, effect, analysis), flow charting, six sigma, and the list goes on and on. But there is a new buzz in healthcare with words like Lean, value stream mapping, Gemba walks, 5S, kaizen, kanban, etc. If these terms sound odd to you, it should be like déjà vu to the old terms we use today. These “new to healthcare” terms have primarily been used in manufacturing systems for many years. Don’t get me wrong, we still use most of the old terms, but the news on the street is Lean is coming to healthcare. So how does this work? Why do I have to try something new? (We’ve all asked that before, haven’t we?) A significant component to the Lean is value. This can be the concept, measurement, and the process of delivering value. I came to realize this in healthcare when I had I n T his I ssue : page page page page page f o r h e a lt h c a r e the experience first- hand of being told that the drug that was needed for a procedure for a family member had to be ordered and delivered prior to the surgery which delayed it a day. Right or wrong, you and I both know that the insurance company had no idea and was billed for that extra day of waiting. The uniqueness of Lean is that it requires waste reduction to achieve real and potential values. Anticipating that the drug was needed prior to the scheduling of the procedure would have saved costs and other tangibles delivering value to my family member, the customer. And we all know that in today’s culture, time is money and will satisfy/dissatisfy our customers for which we are rated on a daily basis. Lean thinking has to involve the efficiency delivered to the customer and anticipation of the customer needs in order for organizations to be fully effective. Lean also addresses the maximization of the process through reduction of waste. The focus is placed on what process steps add value and which are non-value added steps. We all know that waste can result in low one: Lean for Healthcare two: President’s Update three: Board Member Positions eight: OAHQ 2015 Membership Application nine: Call for Presenters - Oral and Poster How to obtain CE credit: 1. Read article and complete test. 2. Mail test and $15.00 if nonmember (free if member) to: OAHQ, P. O. Box 461045 Cleveland, Ohio 44146 3. Certificate and answer key sent by email. quality, high costs, excessive time and effort to complete tasks, and fewer resources available. Waste is found in people, processes, equipment (or lack thereof), and other areas. Most Lean articles state there are multiple identifiable areas of waste including over production, defects, waiting, over processing, employee/patient/material movement/motion, defects, and excess inventory to name a few. Value stream mapping is similar to flow charting as you “map” a process to eliminate the waste and inefficiency. The focus is looking at it from the patient’s perspective and then making Continued on page 4. Quality TODAY NAHQ‘s 39th Annual Educational Conference, “Quality in Harmony” in Nashville, TN P resident ’s U pdate How does time fly by so fast? It seems like we were just planning the 2014 Annual OAHQ Conference. “Join The Race For Quality” was a great conference and we are already planning for our 2015 Annual OAHQ Conference using your feedback and suggestions for next spring. The conference will be May 14th and 15th at Embassy Suites, Columbus Airport. Further details on Early Bird Registration, presentation and poster deadlines will be sent out soon. Speaking of conferences, I had the privilege of attending NAHQ‘s 39th Annual Educational Conference, “Quality in Harmony” in Nashville, TN this past September. They had many good speakers and presentations. The opening keynote speaker, Marty Makary, MD, did a phenomenal job presenting his thoughts on the leading causes of deaths in the US. No one is probably surprised Page 2 to hear that heart disease is the number one cause of death in the US at 597,689 deaths per year, nor that cancer is number two, claiming 574,743 lives. What was interesting and the point of his presentation, is the variation in healthcare leads to 210,000 deaths. In summary, he proposed to fix healthcare everyone needs to use: 1) Physician-endorsed Metrics, 2)Sound Measurement, 3) Risk-adjustment, and 4) Data Feedback. He wrote the book, “Unaccountable: What Hospitals Won’t Tell You and How Transparency Can Revolutionize Health Care”. NAHQ had a very nice reception for all CPHQ certified members. I encourage anyone who is thinking about taking the CPHQ Exam to attend one of the CPHQ Classes. OAHQ held another class this past September in Sidney, Ohio at Wilson Memorial Hospital. Linda DaMert led the two day class. Here are just a few of the comments from those that attended the session: “Linda is very engaging and has a wealth of practical experience which she was able to disseminate to us…real life situations were helpful.” “Linda is a very knowledgeable and an excellent teacher/ presenter. Love the humor, stories and history lessons!” OAHQ will be hosting other CPHQ classes in the future. If you are interesting in having a class at your hospital/work location, please contact Laura O’Neill at oneill397@ windstream.net. I hope everyone had a wonderful and restful Thanksgiving with family and friends. Merry Christmas and Happy New Year! Hope to see you at the OAHQ Annual Conference May 14 & 15, 2015! Susan 2014 OAHQ President Quality Matters, Ohio! Quality TOMORROW Board Member Positions To be able to uphold the Mission of the Ohio Association for Healthcare Quality, all of the board membership positions need to be filled. The mission of OAHQ is to improve the delivery of healthcare through advancing the theory and practice of quality management by supporting the professional growth and development of healthcare professionals. Volunteers are needed to fill the board positions in order to provide classes, continuing education programs, and conferences in fulfillment of our mission. At this time we will be electing a new President Elect. This person supports and becomes familiar with the duties of the office of the President during the year they are President Elect (2015), and then fills the position of President the following calendar year (2016). This individual needs to be a professional in Quality desiring Ohio Association for Healthcare Quality (OAHQ) Editor Designer Sandy Macovei Laura O’Neill OAHQ 2014 Board President Susan Butler President-Elect Jody Ciccone-Snyder Past President Nancy Terwoord Treasurer Patti Klingel Conference Jody Ciccone-Snyder Marsha Jevas Quality Matters, Ohio! to see OAHQ lead the way in a manner that inspires the next generation of Quality Leaders to be engaged in the work of the Association, and to advance our efforts in the future. Communication is key to this success, and communication methods are constantly changing. education programs. The classes are usually two times a year and vary in location. The Membership Board Member is responsible to help keep track of the number of OAHQ members, and works on ways to increase OAHQ membership. The position of Secretary is To assist with the constantly filled at the moment by our changing methods of Business Manager. However, communication, OAHQ needs this is an elected position. The a Marketing/Web Manager. Secretary keeps the meeting This position should be filled minutes from all the board by someone meetings, who embraces and submits WebEx’s, Web the meeting conferencing, “The mission of OAHQ is minutes to and video to improve the delivery of conferencing. healthcare through advancing the Board for approval. This role can the theory and practice of help OAHQ quality management by If you are make big supporting the professional interested in changes for not growth and development of any of the open only our state, healthcare professionals.” board member but also could positions or potentially have questions, impact the National Association please do not hesitate to for Healthcare (NAHQ). NAHQ contact Laura O’Neill at has started monthly WebEx’s [email protected] and and OAHQ would like to have a she will forward to the OAHQ more significant presence and Board. impact in those WebEx’s. Thank you for your time and The Continuing Education support of OAHQ! Board Member is in charge of Susan coordinating the CPHQ classes 2014 OAHQ President and any other continuing Page 3 Lean Continued from page 1. changes to eliminate waste in the process. You begin with mapping the “current state” of the process. You then use the map to follow the steps and eliminate or minimize waste for anything that does not add value to the process. An example would be the admitting process where you look at everything that delays a patient getting to the patient bed in a timely and efficient manner. If you ask the same question 5 times prior to the patient getting the bed, you eliminate that waste, and ask it once. If you have duplicative processes in the registration, you eliminate those steps to more efficiently move the patient through the system. I know, it sounds easy on paper, but you are asking yourself, how can I make it work in my organization? Well, let’s go on to the 5S. The 5S method stands for: sort, set in order, shine, standardize and sustain. This reduces waste in the work environment through better organization, visual communication, and general cleanliness. For example, you may need to organize and standardize the nurse’s station so all nurses know where everything is without spending the time to look for resources needed to do their job. Think of nursing supplies. How many times have you needed to begin an IV and the supplies are in four different areas where you have to nearly completely walk through the entire nursing unit to get what you need to begin the IV? (I hear you growling already!) This would be a process that you could 5S. With 5S, you make and maintain a Lean environment knowing that everything has a place, and everything is in its place. Yes I know, it is sometimes impossible to have everything at your fingertips, however, those processes most used and critical to the patient should be placed together and readily available for staff. Page 4 for H e a lt h c a r e A “gemba walk” is a management technique that is sometimes referred to as “management by walking around.” In 1992, the great, late Dr. W. Edwards Deming stated “Management by walking around is hardly ever effective. The reason is that someone in management, walking around, has little idea about what questions to ask, and usually does not pause long enough at any spot to get the right answer. “ (Grayban). Getting an effective Gemba Walk program started is a significant effort. The walk is to visit areas to see their daily data points and review those issues that may surface. It is a way to see how problems are being resolved and targets are being met which allow staff to do a better job for the patient. Why You Should Do It: • It helps you build relationships with those who do the work. Getting to know them on a personal basis and helping them to do their job better is vital to team building and team effectiveness. • By talking with people you can find out about any problems they are having and take care of them. W. Edwards Deming, a brilliant teacher of business effectiveness once wrote “If you wait for people to come to you, you’ll only get small problems. You must go and find them. The big problems are where people don’t realize they have one in the first place.” • It breaks down barriers between management and the people they manage. Even if you have an open door policy sometimes people are reluctant to come to you. • It allows you to praise people for the good work that they do. One of the biggest complaints employees have is they feel that their work is not appreciated or recognized by management. Use this time to thank people when they do good work. It lets them know that they are valued, and the work they do is important. This is a great morale booster. • You can be sure the work that needs to be done is getting done. If not then you can clearly communicate the goals and objectives face-toface. • By being visible you can increase the discipline of team members. Knowing that you could come around the corner at any time cuts down on non-work related activities which increases productivity. When you see people are standing around talking, walk up and join the conversation. If it is work related you may be able to help. If it is not the cluster will usually dissolve before you even get there. If not, engage them about their work as a reminder of what they should be doing for the patient. (transitionalconsultants.com) Remember, by going Lean, you are recruiting and developing an army of problem solvers that will ultimately make your leadership role much easier and more fulfilling. Be patient but persistent. A key concept is that Leadership should remain flexible on the timeline as all teams and processes are not the same, yet remain absolutely firm on the goal. As you embrace spending time at the Gemba, you will begin to value data as a daily management system that is a powerful way to surface and solve problems that need to be resolved to achieve operating targets and allow the staff to do a better job for the patient. (leanhealthcareperformance.com) You might be scratching your head by now and be wondering, “Why start a Lean journey now when I have a great Continued on page 5. Quality Matters, Ohio! Lean Continued from page 4. functioning program?” There are several reasons as a Lean journey gets you going in the right direction. • It allows you to implement a blame free culture. If you don’t have one already, you definitely need one. In order to create an environment where regular review and analysis of processes is a key strategy, it must be encouraged to be fully transparent. Everyone must be convinced that the organization needs to know which processes are working and which are not. • You have improved access to data. When you make data easy to collect and display, you can demonstrate understanding of the data by being able to review and explain it which allows employees to independently solve problems they encounter along the way. • As staff become fluent in collecting, presenting and discussing data results, they usually can easily be prompted to propose and set a goal. This gives them a sense of ownership and value that it is “their” responsibility to understand the level of performance and diagnose how well there are doing as a team. • It allows you to help. Solving problems in healthcare frequently requires assistance from other departments. A daily walk can define who needs help and what type of help is required. The guideline of the walk is to enable those who do the work to propose, evaluate and implement their own solutions (Krebs). Kaizen, an integral part of the Lean Healthcare philosophy, is a Japanese word that means to make peoples’ jobs easier by taking them apart, studying Quality Matters, Ohio! for H e a lt h c a r e them and making improvements. The intent is to make people more productive by improving their working environment and the focus is immediate action rather than longer-term alternatives to change. Improvement begins with the admission that every organization has problems and these problems provide opportunities for change and improvement. The traditional conventional wisdom holds that “If it ain’t broke, don’t fix it.” The Kaizen philosophy takes the view that every process can be improved and therefore even if you think “It ain’t broke, fix it anyway.” We are all well aware that the best knowledge resides with the people who actually perform the work. They know the problems and most often the solutions. During a Kaizen event, they make the recommendations on how to improve the process and they make the physical changes to the processes. They will also have buy in to the changes to support and continue the process after the event is over. Because the people who have to live with the processes on a daily basis are the people who study the current process, design the improved process and then physically make the changes to convert to the new process, there is tremendous involvement, buy-in and ownership of the improvements. The changes created through the Kaizen event are very sustainable. The processes should not revert back to the less efficient way of doing things because staff have ownership of “their” process. One of the Key Concepts of Kaizen is that “If there is No Action there can be No Success.” The goal is not a 100% solution that solves all the problems at one time,but rather a 60% solution that can be accomplished in a one-week time frame with the intent to hold another event in several months that further improves the processes. An important concept to remember is that the process doesn’t have to be perfect the first time. No idea is a bad idea. As Nike says, “Just do it!” (leanhealthcareperformance. com/kaizen) Most typical Kaizen events are one week long. A team is usually a cross-functional team that is comprised of from 8 to 10 people. The team is composed of people who are in the process to be reviewed, such as the nurses, lead people, and supervisors. Additional resources from other departments are assigned to support the event. Even personnel from suppliers, payers or physicians can be included. Training is done the first and second morning in the classroom. In the afternoon, the tools that were taught are applied by gathering data on the floor. Metrics for the current as-is process are established during the first afternoon. A report is made each afternoon to the group and other teams to exchange ideas. On the third afternoon, the team should have a process proposal put together as to what changes are proposed. The proposal includes the new metrics, proposed process flow or value stream, process or value stream map, time analysis and spaghetti diagrams. Once the proposal is approved, the team can then start implementing the changes. The scope of the plan is to be able to complete the changes and have the new improved process be up and running by the following Monday. So when the employees come in on Monday the new processes are fully implemented and in place. (leanhealthcareperformance. com/kaizen) Lean is a quality improvement approach that is multifaceted and has tangible benefits to healthcare organizations. There are aspects which focus on Continued on page 6. Page 5 Lean for H e a lt h c a r e Continued from page 5. reducing non-value added work and waste to achieve value in various ways. Success depends on the setting and motivation of management and the teams. If it is not supported by either, it will not succeed. In order to implement Lean you must understand several concepts. This includes the concept of value, waste, analyzing root causes, determining ways to achieve benefits, and repeating these steps if necessary. It is also important to remember that eliminating waste may not result immediately in a tangible benefit. Additional steps may also be involved where process improvement is targeted which can involve challenges when trying to extract the benefits. Freeing time for providers cannot always be capitalized upon without other capacity and scheduling of work flow function may need to be overhauled in order to increase process success and maximize on time. It is also a fact that theoretical methods of quality improvement in Lean may not always be feasible to achieve maximum results. You must always remember that people perform processes with normal human variation and improvements and to make those improvements successful they must be sensitive, appropriate and sustainable. (Toyota Motor Coporation). Quiz – True / False 1. A Kaizen event is usually a week long with full implementation of process results on Monday. 2. The 5S method stands for: sort, set in order, shine, standardize and sustain. 3. Value stream mapping is similar to flow charting as you “map” a process to eliminate the waste and inefficiency. 4. A significant component to the lean is value. 5. A Gemba walk automatically gives your organization a blame free culture. 6. Lean gives staff a sense of ownership and value that it is “their” responsibility to understand the level of performance and diagnose how well they are doing as a team. 7. The best knowledge resides with the people who do the work. 8. Lean is a quality improvement approach that is multifaceted and has tangible benefits to healthcare organizations. 9. All healthcare organizations are using Lean concepts. 10.I want to learn more about Lean. Send test copy and $15.00, if non-member, to Ohio Association for Healthcare Quality, P.O. Box 461045, Cleveland, OH 44146. Your certificate and answer key will be emailed to you. Name: References: Email: http://transitionconsultants.com/ articles/19-lean-methodology-inhealth-care-quality-improvement Credit Card: Exp. Date: Toyota Motor Corporation (2009). Toyota Production System. Retrieved from http://www.toyota.co.jp/en/ vision/production_system/ on February 2, 2009. United States Army. (2009). Lean Six Sigma. Retrieved from http:// www.army.mil/ArmyBTKC/focus/cpi/ tools3.htm on February 17, 2009. http://leanhealthcareperformance. com/lean/kaizen.php Page 6 Security Code: http://leanhealthcareperformance. com/page.php?page=8%20Wastes%20 with%20Healthcare%20Examples Grayban, Mark. http://www. leanblog.org/2011/10/dr-deming-onmanagement-by-walking-around/ Krebs, Dave. http://www. leanhealthcareexchange.com/?p=4106 Quality Matters, Ohio! NAHQ 2014 - 2 Views! By Nancy A. Terwoord, BS, RN, CPHQ I had the great opportunity to attend the Annual NAHQ conference in Nashville, TN in September. The very best thing about these conferences is the opportunity to meet and greet my fellow NAHQ members! I have been going to the annual conference for over 12 years and have developed many friends and colleagues along the way. It is so much fun to catch up with the “old” friends and have the opportunity to make new ones! Three of the sessions I attended really struck home for me. First was one of the General Sessions presented by John Toussaint, MD. Dr. Toussaint is the CEO of ThedaCare Center for HealthCare Value. Dr. Toussaint’s main theme was all about creating value. He stated we need three things in healthcare: 1) a developing payments system, 2) providing value to patients, and 3) transparency. His theme of Value=Quality/Cost is really a nobrainer to all of us in the trenches. The focus must be on both improving quality and controlling costs in order to create value. He maintains that we need to focus on the important business problem by going an inch wide and a mile deep. Too many times we do the PDRA instead of a real PDSA…. PDRA= PLAN, DO, then RUN AWAY! We don’t wait to see if it is really working or making a difference! It was a fascinating talk! Check out the ThedaCare Website @ creates value. org for more info. Another session I attended was presented by Cynthia Zelis, MD, MBA from University Hospitals. Dr. Zelis is the Vice President of Clinical Integration for the University Hospital system, charged with aligning physician practices within the large hospital system. She focused on using Kotter’s Process for Leading Change Quality Matters, Ohio! methodology. If you aren’t familiar or have forgotten about John Kotte, check out this change theory. Reading Kotter can be a challenge, as I find him a bit dry, but his change theory is pretty useful, I must say! The last session I wanted to share with you was on using LEAN to improve outcomes. It was the last session of the conference, so I wasn’t sure how motivating it was going to be….but I was wrong. The speaker was Casey Joseph and she was great! She gave an overview of the work she is doing at her facility from a nonclinical point of view. She was spot on, stating that we should be using BOTH Six Sigma and LEAN, not just one or the other. Using both can help improve the way we do things, not just to generate cost savings. She stated that you can create immediate savings through elimination of waste by using LEAN principles, and you can hard wire improved processes by using Six Sigma principles. I am proficient in neither LEAN nor Six Sigma and I found it easy to understand and very interesting! What can I say? The NAHQ conference was great once again! The venue was fabulous, the city of Nashville so much fun! I can’t wait to go back! The sad news is that NAHQ will not have an annual conference in 2015. However, in 2015, NAHQ will present the NAHQ Summit, ‘Transitions Across the HealthCare Continuum: Improving Quality and Safety’. The Summit will be held April 22-24, 2015 at the Hyatt Regency in Philadelphia. Dr. Eric Coleman from the University of Colorado and the founder of the Coleman Transitions of Care Model will speak and moderate this exciting new venue for NAHQ. Plan to attend now - watch the NAHQ website for more details. I had the privilege of attending NAHQ‘s 39th Annual Educational Conference, “Quality in Harmony” in Nashville, TN this past September 2014. WOW! It was an educational and invigorating conference, with such diverse topics, experiences, and exhibitors. Well, the music was great too! Everywhere was music flowing from the establishments, especially on Honky Tonk Row, where I saw Elvis (more than once)! But back at the conference, the choices were plentiful. The speaker topics were categorized into tracks of Accreditation, Patient Safety, and Improvement Methodologies, to name a few. There were 40 posters to view, which were diverse topics and quite informative. The continuing education contact hours were a nice mix, and discipline focused. Available were: 32 CPHQ hours, 30 ASHRM hours, and 32 nursing hours to choose from, dependent upon your needs. Words that were spoken in many sessions and noted on many posters as well included, “accountability, quality, patient safety, transparency, excellence, transformation, accreditation, data”. Words we are very familiar with, but the journey is the story shared by the speakers. I enjoyed the conference as I always do, the networking, the education, the food, and of course the music! However, as always, I look forward to the OAHQ 2015 Conference on May 14-15 in Columbus, Ohio. I hope to see you there! Warm regardsB. Jody Ciccone Snyder, RN, BS, MPH, CPHQ OAHQ 2014 President Elect 2015 Conference Co-chair Page 7 R e n ew M embership : by J a n u a r y 31 Ohio Association For Healthcare Quality 2015 Membership Application Ohio Association for Healthcare Quality (OAHQ)’s membership year runs from January 1 to December 31 of any given year. Open membership enrollment runs from November 15, 2014 through January 31, 2015. Annual membership dues, including retiree memberships, are $60.00. To qualify for the conference member discount, you must become an OAHQ member by 1/31/2015. o NAHQ Member? Yes o Retired? Yes o Volunteer Interest? Yes o OAHQ Member? New Renew No No No Want to serve on a Board team? If yes, mark team. o o o o Want to run for elected office? President-Elect Yes o No o Marketing / Web Manager Yes o Continuing Education Yes o Treasurer Yes o No o Secretary Yes o Conference Yes o Membership Yes o Newsletter Yes o Contact Information Name Company Title & Designations Home Address City State Home Phone ( ) Work Phone ( Home Email LPN BSN MSN BA/BS Social Wk County ) Work Email Education RN Zip Expertise o o o o o o MBA MEd MHA MPH JD MD o o o o o o PhD CCM CPHQ RHIA RHIT Other o o o o o o Case Management Systems Redesign Infection Control Medical Records o o o o Medical Staff Services Nursing QM/PI Accreditation Risk Management o o o o Education Patient Safety Other o o o o Type of Work Organization: Membership Payment Method: Personal check# Company check# How were you referred to OAHQ? VISA MasterCard o o Credit Card Number Expiration Date Mail application and payment to: CVC Code Membership dues are $60.00. Signature: __________________________________________ OAHQ P. O. Box 461045 Cleveland, OH 44146-1045 Credit card applications may be faxed to 330-468-1014. Membership acknowledgement / receipt sent by email. Page 8 Quality Matters, Ohio! C onference : C a ll for Presenters Ohio Association for Healthcare Quality Conference - May 14 & 15, 2015 Embassy Suites Columbus Airport ● 2886 Airport Drive, Columbus, Ohio 43219 Call for Presenters – Oral and Poster DEADLINE FOR SUBMISSION: January 31, 2015 Please mark your interest in participating: Oral Presenter Poster Presenter Primary Contact Information: Name & Designations: Title: Facility Name: Street Address: City, State, Zip: Phone: Email: Information for Additional Contacts (if applicable): Name & Designations: Title: Facility Name: Street Address: City, State, Zip: Phone: Email: Quality Matters, Ohio! Page 9 C onference : C a ll for Presenters Name of Oral or Poster Presentation: Which CPHQ Categories Apply to Oral or Poster Presentation? (Mark all that apply): Management & Leadership Information Management Performance Management Patient Safety Oral or Poster Presentation Objectives (Required – Must be specific and measurable.): 1. 2. 3. Abstract Required - Content Description of Oral or Poster Presentation (ABSTRACT - Limit of 150 words.): Final Steps: Page 10 Email completed registration form to Laura O’Neill at [email protected] by the above deadline. After the deadline, individuals will be notified by email of the selection for oral presenters and/or poster presenters. QUESTIONS? Email Laura O’Neill at [email protected]. Your email will be directed to the appropriate OAHQ contact. Carefully read all Instructions attached. Quality Matters, Ohio! C onference : C a ll for Presenters Instructions Oral Presenter 1. Must complete all portions of this form. 2. Submit CV or Resume In addition, after acceptance: 3. Submit Short Profile for introduction. 4. Describe Teaching Method 5. Submit PowerPoint presentation to be saved in handout form with 3 and 6 framed slides per page for publication to OAHQ’s website for participant handouts. *Conference fees for Oral Presenters Primary presenter ONLY receives a complimentary conference registration on the day of the presentation. Conference registration fees must be paid if primary presenter attends on non-speaking day or if additional presenters attend either day of the conference. Poster Presenter 1. Must complete all portions of this form. 2. Posters should pertain to Performance Improvement / Quality Management. 3. More than one poster presentation per presenter may be submitted, with different content, not a variation of the same study or project. *Conference fees for Poster Presenters In addition, after acceptance: 4. Each individual presenting a poster abstract is required to pay applicable conference registration fees. 5. Posters are judged for completeness, clarity and creativity. Awards are presented to the top three poster winners on the second day of the conference. First place poster winner receives a 2016 OAHQ membership and 2016 OAHQ conference registration. Second place poster winner receives 2016 OAHQ conference registration. Third place poster winner receives a 2016 OAHQ membership. 6. Poster displays can be set up on the Wednesday before the conference between 5:00 PM and 7:00 PM or no later than 7:30 AM on Thursday, the first day of the conference. Posters should remain on display throughout the entire conference. If attending only the first day, please make arrangements for someone to disassemble your poster at the end of the conference on Friday. 7. Presenters must be at their poster board during break times for questions. Poster – Physical Characteristics Posters are to be displayed on a table provided by the OAHQ. Tabletop posters must be freestanding or supported on the table by some mechanism. Poster size should be no more than 4’ x 8’. Poster – Content Should be well organized and tell project story. After conference attendees have reviewed your poster, they should be able to relate what your project was, methodology / interventions used, the results achieved and next steps. Remember a picture is worth a thousand words. Websites that can assist with your poster development: o http://www.kumc.edu/SAH/OTEd/jradel/Poster_Presentations/PstrStart.html o http://ncp.aspenjournals.org/cgi/content/full/22/6/641 o http://www.kon.org/karlin.html o http://www.ncsu.edu/project/posters/NewSite/ o http://people.eku.edu/ritchisong/posterpres.html Quality Matters, Ohio! Page 11 C o n fe r e n ce : C rossroads “Crossroads of Quality” Registration STATE CONFERENCE May 14 & 15, 2015 of Q ualit y REGISTRATION FEES 2-Days 1-Day OAHQ Member* $295 *Early Bird by 3/31/15 $270 Non-Member $190 $395$300 Includes breakfast, breaks and lunch. Name Title Address City/State/Zip Business Affiliation Email (work) ( ) (home) () Phone (work) ( ) (home) () Please complete for CEU records: Special Meal Requirements: □ RN □ LPN □ CPHQ □ CCM □ Vegetarian □ Other dietary needs: Registration Days (Please Check) □ *Member Early Bird by 3/31/15$270.00 □ Member Rate - Thursday Only $190.00 □ Member Rate - Friday Only $190.00 □ Non-Member Rate - Both Days $395.00 □ Non-Member Rate - Thursday Only $300.00 □ Non-Member Rate - Friday Only $300.00 □ Payment * Member Rate - Both Days $295.00• • Check made payable to Ohio Association for Healthcare Quality Credit Card (MasterCard or VISA) Account # Exp. Date Amount $ Receipt and registration confirmation sent by email. Mail to: OAHQ, P. O. Box 461045, Cleveland, OH 44146 Fax:330-468-1014 Questions? [email protected] REFUNDS Refunds until April 15, 2015 less a $25 processing fee. No refunds after April 15, 2015. Substitutions accepted. EXHIBITORS Please stop and visit all of our exhibitors and thank them for supporting OAHQ. Their support is essential to our conference. Page 12 Quality Matters, Ohio! Is the CPHQ Credential Important? By Nancy A. Terwoord, BS, RN, CPHQ (and CPQA!) Well, as one quality professional, I do think it is important! In fact, I took the exam TWICE! I first took the exam way back in the late 80’s, so long ago that I can’t even remember the exact date and NAHQ does not have the records back that far! I remember going to Pittsburgh for the review classes and taking the test that same weekend...paper and pen test. Then we waited...seemed like for weeks to get the results. I passed, as did my two other colleagues who went with me. We were very happy and proud to have this “new certification”. We were among the first in our areas to have the credential. I was working at a locally owned health care plan back then and our employer paid for the review class and the test. We were “hot stuff”! Then over the years, the certification seemed to fade a bit, at least in my Ohio Association for Healthcare Quality P. O. Box 461045 Cleveland, OH 44146 eyes. I didn’t see that anyone else had it, no one was looking for it and no one was paying for it. When I subsequently changed jobs and got “out of quality”, I let the certification lapse...GASP!! And so I continued my career, always as a registered nurse, but not in Quality...or so I thought. I think I was in a lapsed state for about five or six years. I was working at a university medical school in the mid 90’s when I started seeing business cards with CPHQ on them, and I wondered was I still certified? My certification was as a Certified Professional in Quality Assurance, CPQA. I still have the original pin. I don’t recall when the name change came into effect. I called HQCB and asked if I was certified. Of course the answer was no. I asked if I could pay to be reinstated, of course, the answer was no. So I began to study to retake the exam! This time the exam was online. I had never taken an online exam before (remember I am old!). But I studied, went to another review class and took the exam for the second time. I passed! I vowed then and there not to ever let this certification expire, as long as I am still working, regardless of the position I am in at the time. I learned my lesson! I am a firm believer and a true supporter of the credential. I think we have so many different levels of people working in quality on so many different settings, that having the CPHQ sets me apart as a true professional. This credential shows my employer, my coworkers and professional colleagues that I am serious about Quality and serious about my profession. I truly did learn and still believe that if you are working in healthcare today, you are in Quality. I think having the credential of CPHQ shows my professionalism and commitment to Healthcare Quality. Thanks CPHQ! I think I’ll keep it!
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