1. society
2. welfare
3. healthcare
4. hospital

PRESENTING THE 2ND ANNUAL
Reducing Hospital Readmissions
& Discharge Planning Conference
October 22-23, 2014 | Marriott Renaissance Harbourside, Vancouver
CONFERENCE HIGHLIGHTS
–Discharge planning for the vulnerable addiction
patient
–Transitions from acute care from a mental health
perspective
–Innovations in the management of COPD
–The Implementation of the Home First Philosophy
(Canada West and East)
–Novel approaches for preventing hospital acquired
infections
–End of life planning and palliative initiatives
–The Importance of MedRec
–Models of Care
OUTSTANDING SPEAKERS INCLUDING:
Lauren Linett, Hospitalist, Department of Medicine,
Lakeridge Health-Oshawa, Adjunct Assistant Professor,
Faculty of Health Sciences, Queen’s University ON
Chris Manasseh, Vice Chair, Inpatient & Hospital
Services for the Dept of Family Medicine
at Boston University Medical Center, ‘Discharge
Intervention Director’ for Project RED Boston, MA
Michael Pond, Director, Pond Psychotherapy BC
Olavo Fernandes, Director of Pharmacy-Clinical,
University Health Network and Assistant Professor,
Leslie Dan Faculty of Pharmacy, University Health
Network ON
Ron Collins, Anesthesiologist, Department of
Anesthesiology, Kelowna General Hospital BC
Lisa Jensen, Corporate Director,
Integrated Access, Executive Lead, COV Path to Home,
Covenant Health, AB
Carl Meadows, Director of Home Health,
Fraser Health, BC
PLUS: 2 Pre-Conference
Workshops, Tuesday October 21
The only event
to highlight
initiatives that
tackle unplanned
readmissions &
showcase innovations
that improve
comprehensive
discharge planning
and care coordination
platinum sponsor:
Shauna Thaler Adeland, Professional Practice Leader of
Social Work, Bruyère Continuing Care, ON
www.healthcareconferences.ca/readmissions2014
exhibitor:
Media partner:
Reducing Hospital Readmissions & Discharge Planning Conference
Welcome
Tammy Haywood
Conference Producer Reducing Hospital
Readmissions and
Discharge Planning
Conference
IIR Healthcare Conference
Series
It is my pleasure to introduce the 2nd National Reducing Hospital
Readmissions and Discharge Planning Conference.
A comprehensive, content driven, 2 day program that has been
developed in consultation with leading care coordination experts
and innovators, both nationally and internationally, to bring you
examples of innovative care and discharge strategies, developed
by senior practitioners and health leaders.
Improving chronic condition management, providing surgical
innovations, and improving flow and patient care on discharge is
shown to reduce unplanned hospital readmissions , while
simultaneously reducing pressures and frequent presenters in
hospital ERs. The conference agenda will provide a platform for
discussing and sharing case studies, initiatives and tools that are
successfully helping hospitals and practitioners to streamline
hospital flow by encouraging patient, family and community
engagement.
In addition to the 2 day conference, we have a day of
pre-conference workshops featuring 2 practical interactive
sessions: one re-engaging our healthcare workers to innovate and
another highlighting a task based approach to supporting seniors
faced with a move. These sessions will provide an opportunity for
open discussion in working groups and will enable participants to
develop take-home strategies applicable to their practice
environment.
I look forward to welcoming you at the conference in Vancouver in
October and wish all the attendees and speakers an engaging and
dynamic 2-3 days.
“Opportunity to network, shared problems, but
“Excellent, engaging, pertinent to what is going
also shared solutions.”
on. Very motivating.”
Toronto Western Hospital
(Reducing Hospital Readmissions & Discharge Planning
Conference Vancouver 2013)
Vancouver Coastal Health
(Reducing Hospital Readmissions & Discharge Planning
Conference Vancouver 2013)
SPONSORSHIP AND EXHIBITION OPPORTUNITIES
Be sure to position your solution at the 2nd Annual Reducing Hospital
Readmissions & Discharge Planning Conference that highlights the
latest projects and initiatives at improving coordination and
efficiency of the hospital discharge planning process.
Who you will meet:
Directors
40%
Discharge Planners/Social Workers
22%
Managers
20%
RNs/ Practice Leads/Community Liaisons
18%
Whether your goal is to show-case thought-leadership, make new
contacts, introduce services, or to establish or maintain your
prominence in the industry, we offer a wide of sponsorship &
exhibition packages that can be tailored to meet your specific
budgets and goals.
FOR INFORMATION PLEASE CONTACT:
Anna Waight
This specialist event has a key delegate base from Hospitals and
Local Health Districts, Community, Healthcare Providers and
Provincial departments
SPEAKERS FROM:
– British Columbia
Sponsorship & Exhibitions Manager
IIR Healthcare Conference Series
C: +1 778 980 7266
T: +1 778 370 1385
E: [email protected]
–Alberta
–Ontario
–Pennsylvania
–Massachusetts
www.healthcareconferences.ca/readmissions2014
Reducing Hospital Readmissions & Discharge Planning Conference
Pre-Conference Workshops | Tuesday October 21, 2014
WORKSHOP ONE
Re-engaging our Healthcare Leaders to Innovate
WORKSHOP DURATION: 3 hours – 9am-12pM
Workshop Goals:
Major Objectives:
Why is innovative leadership vital for the healthcare sector? If services are to
survive these tough times, health leaders need to find new answers to old
problems.
–Learn the key competencies of leading innovation in today’s healthcare
environment: Shifting from a firefighter to strategic thinker
Today’s leaders want not to just run a health organization effectively, but to make
shifts in the overall system, thereby improving overall population health.
Changing the culture is paramount. But where do we find the time to be innovative
with the increased demand that the current system puts on us? How do we foster
and support innovation not only in our leaders, but in our teams? Questions such
as these require leaders to forge territory where the pathways are not paved, and
the page is blank. A good place to start is by having a conversation.
–Understand characteristics of highly innovative organizations and how you can
unleash the creativity in others
–Discover how to maintain your leadership drive and motivation despite
challenges
–Hear about proven strategies and demonstrated results in enabling
Point-of-Care innovation
Workshop leaders:
Let’s begin here.
Lisa Jenson, Corporate Director, Integrated Access Covenant Health AB
“Great information, related to my role. Able to take info back
and use points to assist in my role and improve own process.”
Karen Zarsky, Director, Organizational Effectiveness,
Learning & Development Covenant Health AB
Stanton Territorial Hospital
(Reducing Hospital Readmissions & Discharge Planning Workshop 2013)
WORKSHOP TWO
Home Is Where the Heart Is: A task Based Approach to Support Seniors Faced With a Move
WORKSHOP DURATION: 3 hours – 1pm-4pm
Workshop Goals:
In this workshop, the concept of addressing discharge planning through a Grief
and Loss perspective will be explored, with a significant emphasis on senior
specific issues. Applying a Grief and Loss Framework when working with seniors in
a discharge planning context is a helpful tool. It empowers patients to be active in
addressing their grief and loss issues and can provide meaning to their loss. Too
often, we only consider using Grief and Loss frameworks for people grieving a
death. As seniors age, they face multiple losses.
Using a task-based approach, allows us to work with seniors and their families in a
way that promotes dignity of choice and an acknowledgement of seniors as
disenfranchised grievers. Tasks are active and can provide seniors, families and the
discharge planner with a practical approach to engaging in some challenging
conversations.
Major Objectives:
–Understand how to apply basic Grief and Loss Framework to discharge
planning
–Understand how to apply Grief and Loss theory to any patient faced with a
future move due to significant change in function and/or inability to return to
previous residence
–Understand how to assist interprofessional team members to recognize and
acknowledge loss as a barrier to discharge planning
–Understand how to support a patient, acknowledge their loss and move
towards acceptance when faced with a move.
Participants will gain an understanding of applying a task-based Grief and Loss
model to support patients in order to acknowledge their loss of independence,
youth, familiarity, mobility and other age related changes. Times of change and
hospitalization are stressful and can often create feelings of anxiety for seniors and
their families as they attempt to think about future planning. This model provides
permission for seniors to grieve in a way that will allow them to create meaning
and connections with the past, while finding ways to reinvest in taking charge of
their lives in a positive and active fashion.
We often think of change and moving as a negative life event for seniors, however,
loss is about choices and turning points. When this is acknowledged in a sensitive
and proactive way, it can breed a positive impact for seniors to adjust to a new
environment and a new self concept.
Workshop leader:
Shauna Thaler Adeland, Professional Practice Leader of Social Work,
Bruyère Continuing Care ON
“Good networking, fabulous knowledge.”
AHS
(Reducing Hospital Readmissions & Discharge Planning Workshop 2013)
Reducing Hospital Readmissions & Discharge Planning Conference
Wednesday October 22, 2014
8:00
Registration and Coffee
9:00
Conference Opening
Tammy Haywood, Conference Producer, IIR Healthcare Informa
9:05
Opening Comments From The Chair
Jocelynn Bennet, Senior Director, Urgent and Critical Care,
Mount Sinai Hospital, Toronto, ON
DAY 1
12:20 Lunch and Networking
Seamless Transitions
Innovative Hospital Based Interventions Targeting Readmissions
9:10
OPENING KEYNOTE ADDRESS: Implementing BOOST: Hospitalists
Improving Care Transitions and Reducing Re-admissions
—— To describe the challenge of “avoidable hospitalizations”
—— To describe the role of hospitalists in reducing hospital re-admissions
—— To describe the Society of Hospital Medicine’s BOOST project
—— To describe the implementation of BOOST at Lakeridge Health - Oshawa
Lauren Linett, Hospitalist, Department of Medicine, Lakeridge Health
- Oshawa, Adjunct Assistant Professor, Faculty of Health Sciences,
Queen’s University ON
9:50
INTERNATIONAL KEYNOTE ADDRESS: Implementing an Evidence
Based Discharge Process: Learning from the experience of Project RED
—— Understand the rationale for RED by reviewing problems and
consequences associated with hospital discharge process
—— Learn about the RED checklist and RED intervention
—— Review results of RED RCT
—— Know ways to implement RED
Chris Manasseh, Vice Chair, Inpatient & Hospital Services for the Dept of
Family Medicine at Boston University Medical Center, ‘Discharge
Intervention Director’ for Project RED Boston, MA USA
1:20Coordinating Care and Managing Transitions: Strategies to Reduce
Hospital Readmissions
—— Provide an illustrative case study about care coordination and
transition management in today’s health care delivery system
—— Explore the role of registered nurses in care coordination and
managing transitions in reducing hospital readmissions
—— Describe the dimensions and competencies for coordinating care and
managing transitions
Beth Ann Swan, Dean and Professor, Jefferson School of Nursing,
Thomas Jefferson University PA USA
2:00
The Transitional Care Model for Complex Older Adults
—— The (TCM), designed by Dr. Mary Naylor and a multidisciplinary team
of colleagues, addresses the negative effects associated with common
breakdowns in care when older adults with complex needs transition
from an acute care setting to their home or other care setting,
preparing patients and family caregivers to more effectively manage
changes in health associated with multiple chronic illness
—— Findings from multiple clinical trials have consistently demonstrated
the positive impact of the TCM on older adults’ outcomes while
reducing total costs of healthcare
—— Throughout the rigorously conducted clinical trials and demonstration
programs to translate the evidence-base into clinical practice, as
well as continuing efforts, ten essential elements have consistently
emerged
Elizabeth C. Shaid, Advanced Practice Nurse, Department of Biobehavioral
and Health Sciences, University of Pennsylvania, School of Nursing,
Ralston-Penn PA USA
2:40
Afternoon Refreshments
10:30 Morning Refreshments
Surgical Innovations to Reduce Infections and Enhance Recovery
Technology Based Solutions
11:00
Case Study: Using Predictive Analytics at the Point of Care to
Reduce Readmissions
Two years ago, Carolinas HealthCare System developed a point-of-care
predictive model for readmissions using millions of data points on
200,000 individuals discharged from 7 N.C. acute care hospitals. Nurses
and case managers now use that model to predict and intervene on
patients at risk of readmitting before they leave the hospital.
Representative to be confirmed, Carolinas HealthCare System (CHS) USA
Inter-Professional MedRec
11:40Can Inter-Professional Medication Reconciliation Improve Patient
Outcomes
—— Summarizes recently published systematic reviews associated medication
reconciliation/ transitions in care in the hospital setting as well as
practical critical elements for interprofessional medication reconciliation
practice models that can empower clinicians to meaningfully contribute
and impact patient medication reconciliation outcomes
—— Identifies patient level outcomes impacted by interprofessional
medication reconciliation
—— Highlights key evidence associated with clinicians working in
collaborative interprofessional teams impacting patient outcomes
with the medication reconciliation patient safety intervention
Olavo Fernandes, Director of Pharmacy-Clinical, University Health
Network and Assistant Professor, Leslie Dan Faculty of Pharmacy,
University of Toronto, ON
3:10Complications: an Avoidable Driver of Healthcare Resource Utilization?
—— Highlights of ERAS - evidence based consensus- driven, multidisciplinary
recommendations that include several “processes of care”
—— Experience and meta-analyses show that compliance with the
recommendations can reduce readmissions
—— The benefits of ERAS to the patient and the healthcare system include
a reduction of resource utilization
Ronald M. Collins, Anesthesiologist, Department of Anesthesiology,
Kelowna General Hospital BC
3:50Novel Treatments Targeting Hospital Acquired Infections (HAI):
Impacts for for Length of Stay and Readmissions
—— Infections acquired during hospitalization are major cause of
morbidity and mortality
—— Hospital Acquired Infections, even when treated successfully, impact
directly cost and length of hospital stay
—— Prevention of Hospital Acquired Infections associated with
indwelling medical devices hold promise for saving life and reducing
hospitalization cost
Yossef Av-Gay, Professor, Infection and Immunity Research Centre, The
University of British Columbia, Division of Infectious Diseases BC
4:30
Brief summary of day one
4:40IIR Healthcare invites all speakers, delegates and exhibitors to a
networking drinks reception to discuss the days findings.
www.healthcareconferences.ca/readmissions2014
Reducing Hospital Readmissions & Discharge Planning Conference
Thursday October 23, 2014
8:00
Registration and Coffee
9:00
Opening Comments From The Chair
Jocelynn Bennet, Senior Director, Urgent and Critical Care,
Mount Sinai Hospital, Toronto, ON
Discharge Planning & End of Life: When the Focus is
More About Time than Treatment
1:20What do End-of-Life Conversations Have to Do with Discharge
Planning?
—— Conversations about anticipated changes with patient who have life
limiting illness can reduce unnecessary hospitalizations
—— A Fraser Health initiative engages all programs in establishing and
communicating medical orders for a scope of treatment for patients at
home, in hospital, and residential care
The Special Considerations of Addiction and Mental Health
9:10
KEYNOTE ADDRESS: The Couch of Willingness: An Alcoholic
Therapist Battles the Bottle and a Broken Recovery System
—— Alcoholism and addiction are 2 of the leading causes of frequent
readmissions
DAY 2
Cari Borenko Hoffmann, Project Coordinator, Advance Care Planning,
Fraser Health & Della Roberts, South Delta ,End of Life Care,
Fraser Health BC
—— Unique perspective from a former addict
—— Psychotherapist’s explores promising new options for reducing
readmissions and improved discharge planning
Michael Pond, Director, Pond Psychotherapy BC
9:50
Path to Home – Acute Care Mental Health (Covenant Health)
—— The Path to Home model has proven successful in acute care settings
within program areas such as Medicine and Surgery
—— The Mental Health model focuses on this at risk population, examining
clinical care and service delivery with the guiding principles of patient
and family centric care, proactive inter-professional care planning and
communication pathways, ensuring a consistent patient experience,
and seamless transition to the next level of care
Lisa Jensen, Corporate Director, Integrated Access , Executive Lead, COV
Path to Home, Covenant Health AB
2:00
Helping Palliative Patients Stay Home: Two Initiatives in Calgary
—— Discharge planning and problem management for epidural and
intrathecal analgesia at home
—— Avoiding ER visits at end-of-life using the EMS Unexpected Event
Protocol - project design and evaluation
Mary Wallis, Clinical Specialist,
Alberta Health Services Palliative Care Consult Service Calgary Zone AB
2:40
Afternoon Refreshments
Novel Approaches to Better Managing Chronic Conditions
3:10
Reducing lung attacks – a major cause of readmissions in Canada
—— Shifting emphasis from hospital based care to allied care workers
—— Recent guideline outlining important strategies to reduce
exacerbation rates
10:30 Morning Refreshments
—— Socioeconomic factors that may contribute to increased exacerbations
Home First- Perspectives and Implementation
Jeremy Road, Professor, Dept of Respiratory Medicine, UBC BC
3:50
Breathe Well – RT’s Who Follow Their Patients Home
BC and Ontario
11:00 Home is the Best Philosophy
—— A home based program that provides collaborative case management,
enhanced care and community resources for moderate to severe COPD
clients with multiple co-morbidities
—— The pay for performance (P4P) initiative that started it all
—— Tools, profiles and integration between clients and case managers
—— Key to successful transitions from acute to home
Carl Meadows, Director of Home Health, Fraser Health BC
11:40
upporting Complex Discharges – Changing the Culture: Changing
S
the Conversation
—— Integrating existing community services and primary healthcare in
order to facilitate service to the most appropriate service, according to
the patient’s priorities to avoid acute care or reduce a needed length
of stay
—— A system of respiratory focused case management that builds practice
support, education and electronic resources to facilitate patient
directed system navigation to build a locally informed , standardized
care access across the 8 regions of the Interior Health, both rural and
urban
—— Review of the implementation and current sustainability plan of the
Home First Philosophy at Bruyère Hospital
—— Multiple tools and strategies were implemented, including extensive
education for the interprofessional team around how best to engage
patients and families in discharge planning conversations along with
the creation of a weekly Discharge Review Committee
—— Case studies and 90 day follow-ups on current location and statistics
on re-admission rates will be included
Shauna Thaler Adeland, Professional Practice Leader of Social Work ,
Bruyère Continuing Care ON
12:20 Lunch and Networking
Cory Bendall ,IHA Regional Practice Lead – Breathe Well BC
4:30
Closing Comments
4:40End of Conference. Thank you to all of the speakers for their contribution
to the event. See you next year!
Reducing Hospital Readmissions & Discharge Planning Conference
October 22-23, 2014 | Marriott Renaissance Harbourside, Vancouver
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Pricing Details
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Venue Details
For full terms and conditions, please visit:
www.healthcareconferences.ca/readmissions2014
Renaissance Vancouver Harbourside Hotel
1133 West Hastings Street, Vancouver, BC V6E 3T3, Canada
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Phone: (604) 689 9211
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