ICSI 2015 COLLOQUIUM 18th Annual ICSI Colloquium on Health Care Transformation May 4-6, 2015, Saint Paul RiverCentre, St. Paul, MN Better Health Better Care Better Costs Are we there yet? Overview ICSI Who Should Attend The Institute for Clinical Systems Improvement (ICSI) is a non-profit, quality improvement organization comprised of approximately 50 medical group and hospital members that represent 8,000 clinicians in Minnesota and surrounding areas. It is sponsored by three nonprofit health plans – HealthPartners, Medica, and UCare. ICSI brings clinicians, health plans, state agencies, employers, patients and other stakeholders together to innovate and accelerate change in order to co-create sustainable solutions that achieve the Triple Aim of improving population health, the patient care experience, and the affordability of care. • Stakeholders involved in transforming health care and improving health in the community • Medical group and hospital senior executives, administrators and medical directors • Clinicians, including primary and specialty care physicians, behavioral health specialists, nurses, care managers and others • Quality improvement and quality assurance management staff • HIT/EHR personnel • Health plan executives Objectives • Policy makers and health educators At the conclusion of the Colloquium, participants should be able to: • Community partners involved with patient transitions across the care continuum • Other stakeholders in health care and health, including employers, public health officials, citizen advocacy groups, patients and health care media • Identify strategies, programs and tools that can eliminate system waste and help medical groups reduce their Total Cost of Care. • Discuss the changing roles and essential new skills of leaders, including executives, staff and citizens, required to successfully lead advancements to sustain their health systems. • Discuss ideas and designs for achieving the Triple Aim that have been developed by health care organizations and could be implemented in an attendee’s health care organization, including the further integration of behavioral health and primary care. • Identify innovative and successful ways to connect with local stakeholders and collaborate with them to target Triple Aim goals and foster healthier communities. 2 Stay Connected ICSI offers a mobile app to make it easy for attendees to access session information and more on a variety of devices. A standard web version will also be available for those without mobile access. The app will be available shortly before the Colloquium; please watch your email and ICSI’s website for download information. Pre-conference Workshop Keynote Speakers Emerging Leaders Workshop The Healing Power of Story Monday, May 4, 1:00 – 4:30 p.m. Dan Trajano MD, MBA, Vice President, Population Health, Medica; and Kathy Cummings, RN, BSN, MA, Project Manager/Health Care Consultant, Institute for Clinical Systems Improvement This half-day workshop is ideal for practicing clinicians ready to take on more management responsibilities, as well as medical students on an emerging leader track. Led by Dan Trajano, MD, MBA, vice president, population health, Medica, and Kathy Cummings, ICSI project manager/health care consultant, this session will provide an overview of the quality improvement process and adaptive leadership, and how they contribute to achieving the Triple Aim, eliminating waste, and improving both staff and patient satisfaction. Open to all Colloquium attendees. Emerging leaders who meet certain criteria can also attend the Colloquium at a significant discount. Tuesday, May 5 8:50 - 9:55 a.m. Kevin Kling, Writer/Performer, Minneapolis, MN Have we lost our connection to what really heals? Is it possible that healing is limited only by our ability to perceive it? Modern medicine offers us unparalleled resources to heal our bodies, but what gets us the rest of the way there? As health care providers and as a community, what can we learn about ourselves that will enhance our ability to serve others? Kevin Kling, author and storyteller, will share his personal experiences about his 2001 near-fatal motorcycle accident and the importance of storytelling in resilient recovery. Feet, Forks, and The Fate of Our Families Wednesday, May 6 8:45 - 9:50 a.m. David Katz, MD, MPH, FACPM, FACP, Director and Co-Founder, Yale Prevention Research Center, New Haven, CT As the Colloquium addresses the question of “Are we there yet?” in seeking the Triple Aim, this presentation will raise the question of “Are we following the right map?” As an authority on the prevention of chronic disease, nutrition and weight management, and a leader in integrative medicine and patient-centered care, Dr. Katz will address the power of lifestyle in redefining a person’s health. The presentation will explain how by making lifestyle changes U.S. citizens can potentially reduce the burden of chronic disease by 80 percent. The critical role that the health care community can play in helping patients make the behavioral changes required for lifestyle change will be explained. Attendees will walk away with a renewed perspective and additional tools to get us “there.” 3 Tuesday, May 5 1 2 Population Health/ Care Delivery Patient Care/ Community Engagement TRACK 7:30–8:30 a.m. Continental Breakfast 8:30–8:50 a.m. Welcome and Announcements Sanne Magnan, MD, PhD, President and CEO, and Cally Vinz, RN, Vice President, Institute for Clinical Systems Improvement, Bloomington, MN; and Paula Santrach, MD, ICSI Board Chair, Mayo Clinic, Rochester, MN 8:50–9:55 a.m. Keynote Address The Healing Power of Story Kevin Kling, Writer/Storyteller, Minneapolis, MN 9:55–10:15 a.m. Break 10:15–11:10 a.m. Breakout Session 1 1 Innovations in Care for Older Adults with Complex Needs: Lessons from LEAP Michael Parchman, MD, MPH, Director, MacColl Center/Group Health Research Institute, Seattle, WA Older adults with complex needs present unique challenges to most primary care settings. We conducted site visits to 30 exemplary primary care practices across the U.S. to learn how they organized high-functioning teams. We found that “Learning from Effective Ambulatory Practices” (LEAP) teams commonly did risk stratification, had well-developed core teams surrounded by an extended team, task-shifted, integrated mental/behavioral health and extended care accountability across multiple care settings. We learned that team-based care for older adults with complex needs not only improves patient experience and outcomes, it increases joy in practice. We will also present case studies, examples and tools from the LEAP Team Guide. 4 3 TRACK 2 TRACK Costs/ Leadership All Aboard! Consumer and Community Engagement in Health System Transformation Sarah Greenfield, Health Care Program Manager, TakeAction Minnesota, St. Paul, MN; and Renée Markus Hodin, JD, Project Director, Voices for Better Health, Community Catalyst, Boston, MA ICSI often uses a boat analogy to describe the transition from fee-for-service to a value-based health care system: “one foot on a dock and the other in a boat drifting to sea.” We know that some providers, payers and policy makers are getting in the boat, but consumers are often still on shore, uncertain what these reforms mean for them and unsure how to climb aboard the ship. In this session we will hear from a leading national consumer advocacy organization, Community Catalyst, about how these stakeholders can collaborate in order to achieve better health, better care and better costs. Community Catalyst will be joined by its Minnesota-based partner and will share lessons from decades of health advocacy work in communities, courtrooms, statehouses and on Capitol Hill. 3 Who Heals the Healer? Lori Drill-Mellum, MD, MPH, FACEP, ABHIM, Chief Medical Officer and Vice President of Patient Safety Solutions, Minneapolis, MN There is an epidemic of stress and burnout in the US medical provider population. This is an issue that has farreaching impact. It affects health care safety and patient care, in addition to employee satisfaction. The underlying contributors to this epidemic will be reviewed, and a variety of techniques, programs, and resources to promote healing among clinicians will be shared. Participants will recognize the incidence of physician burnout in the U.S.; understand how burnout impacts patient safety; understand the impact of stress on health and healing; identify researched practices and techniques that can reduce the effects of stress and burnout and promote health; discuss some physician wellness programs that promote healthy habits, resiliency and positive interactions; and practice some resiliency techniques. Tuesday, May 5 11:20 a.m.–12:15 p.m. Breakout Session 2 1 Delivering on What Matters Most in Late Life: Honoring the Medical and Non-Medical Preferences of Advanced Illness Eric Anderson, MD, Principal Investigator, Late Life Supportive Care, and Sandra Schellinger, MSN, NP-C, Senior Research Scientist, Allina Health, Division of Applied Research, Minneapolis, MN Living with chronic conditions includes staggering health care and lifestyle burdens for patients and their caregivers. Patients entering later life face unique challenges including functional decline, preference-sensitive care planning and options, and competing risks and decisions, as care shifts from disease management to palliative approaches. The LifeCourse intervention is a care approach that promotes living well with chronic illnesses. This approach provides ongoing, across-setting assistance by layperson care guides supported by a clinical team, and coordinates and supports the medical and non-medical needs of patients with advanced heart disease, cancer and dementia. The team details the use of patient-articulated goals to inform care decisions, and subsequent effects on patient and caregiver quality of life, care experience, and utilization. 2 Patient Engagement, Coaching Models: Outcomes and Implications Val Overton, DNP, FNP-BC, Doctor of Nursing Practice, Board Certified Family Nurse Practitioner, VP of Quality and Innovation, and Carmen Parrotta, MPH, Performance Improvement Consutlant, Fairview Medical Group, St. Paul, MN Fairview has been working to understand how to best increase quality outcomes and patients’ engagement in their care. We will present results of a randomized controlled trial in which we compared different models of coaching for diabetes. We will discuss the use of coaching, motivational interviewing, patient engagement and activation, and the impact of technology on diabetes outcomes. We will also discuss coaching models in depression. Participants will hear lessons learned related to coaching and patient activation in addition to possible future implications for new models of care. 3 Leverage Both Power and Empowerment to Build Partnerships for Transformation Neal Baker, MD, Principal, Neil Baker Consulting and Coaching, Bainbridge Island, WA Navigating transformation in health care from any role is quite demanding. Problems and disruptions in work relationships are extremely common. The complexities and pressures of health care can pull everyone, at times, out of their best relational skills. Role complexity makes things even more difficult – at any given time, a person could be acting as a clinician, administrator, colleague, change agent, leader, or follower. There are also quite human, universal tendencies toward problematic ways of expressing and responding to power which can undermine collaboration. Paradoxically, empowerment and power must enhance each other for the best outcomes and work environment. Methods will be presented to guide actions in difficult situations toward building partnerships which promote an effective mix of power and empowerment. 12:15–1:15 p.m. Lunch (Ballrooms C and D) 1:15–2:10 p.m. Breakout Session 3 1 Are We There Yet? The Use of eHealth in Addressing the Triple Aim: A Community Discussion Kari Bailey, MBC, MBA, Director of Community Health, Medica Health Plan, Minnetonka, MN; Bruce Penner, RN, BA, Director of Quality, Integrity Health Network, Duluth, MN; and Rachelle Schultz, MHA, President/CEO, Winona Health, Winona, MN As we address the Triple Aim, the use of social media, new developments in technology, and increased connectivity are becoming an increasing part of our efforts at many levels. This session will provide an interactive discussion from multiple perspectives on the use of eHealth in their improvement efforts. You’ll come away with new ideas from projects funded by grants to address this new area of endeavor. 2 Community Health Workers: Advancing Health Equity and the Triple Aim Joan Cleary, Executive Director, Minnesota Community Health Worker Alliance, Minneapolis, MN; and Sarah Redding, MD, MPH, CEO, Care Coordination Systems, Akron, OH This panel presentation will begin with an overview of the community health worker (CHW) role and Minnesota’s nationally recognized accomplishments to develop the field, including statewide, standardized, competency-based CHW education and CHW payment under Minnesota health care programs. Building on this background, we will focus on the Pathways Community HUB model including results, experience, scale-up and replication of this evidence-based CHW program. The session will wrap up with discussion of key questions on the integration of team-based CHW strategies to help achieve optimal and equitable health outcomes for all communities. 5 Tuesday, May 5 3 Accelerate Complex Issues Resolution with Sense-Making Albert Linderman, PhD, CEO, Sagis Health, Shoreview, MN Addressing wicked problems in health care demands uncommon skills. These skills can be learned. This workshop will introduce health care leaders to ground breaking sense-making processes drawn from 40 years of research and recently adopted by U.S. intelligence gathering agencies, and how to use them for initiating and activating the best intelligence in your organization. The adaptation designed by Linderman works by engaging people in ways that surface tacit existing mental models that positively or negatively influence desired organizational and service delivery innovations and outcomes. Their use maximizes problem solving, adaptation, survival, and sustainability. Attendees will learn how and why these techniques work and receive immediately usable techniques. 2:10–2:30 p.m. Break 2:30–3:25 p.m. Breakout Session 4 1 Data, Trust, and Relationships: Creating Transformational Change: Why is Something That Makes so Much Sense so Hard to DO Jay Want, Owner/Principal, Want Healthcare, LLC, Denver, CO It’s pretty logical that our current health care system has to change, but the problem is that logic has very little to do with it. Because this is emotionally important to us, we will decide or not decide to embrace this change as we do all other important change: with the emotional centers of the brain. Understanding that, and mobilizing those emotional centers, gives us the best chance to have others join us in the quest for a more effective, more efficient, and more humane system. 2 Going Beyond Clinical Walls: Connecting with Your Community Resources Jill Bach, BS, RN, Clinical Performance Improvement Coordinator, and Sue DeGolier, BA, Director of Social Services, Ridgeview Medical Center, Waconia, MN; Neal Holton, MD, MPH, PhD, Medical Director, St. Paul Ramsey County Public Health, St. Paul, MN; and Sanne Magnan, MD, PhD, President and CEO, Institute for Clinical Systems Improvement, Bloomington, MN Thinking about connecting with resources in your community to improve patient outcomes? Solve complex problems? Increase effectiveness? These two organizations will share their experiences using the Going Beyond Clinical Walls materials, developed through a grant from the Robert Wood Johnson Foundation. Hear how these organizations began collaborating to address common challenges. St. Paul Ramsey County Public Health is meeting with the United Family Practice clinic to explore possibilities for connecting the clinic’s patients with public health programs and services. Ridgeview Medical Center is engaging the Senior Commission for Communities in Carver County to increase the number of individuals who participate in advance care planning. Ridgeview will help the county become “conversation ready” by assisting with the process and tools, including its Honoring Choices program. 3 Consumer/Provider Collaboration: Advocating for Integrated Care Carol Regan, MPH, Senior Advisor, Community Catalyst, Washington, DC; and Gregg Warshaw, MD, Professor, University of Cincinnati, Cincinnati, OH There are over 10 million Medicare/Medicaid beneficiaries (dual eligibles). The Medicare and Medicaid programs are not well integrated, and many beneficiaries have trouble navigating the health care system – experiencing poor care and unnecessary complications. Under the Affordable Care Act, states have launched demonstration projects to provide better care to dual eligibles. The Voices for Better Health project is working with advocates in five states to shape the implementation of these demonstrations so they best serve consumers’ needs. Many of these consumers are older, often frail adults, and advocates are partnering with geriatrics practitioners to bring best care practices into the demonstrations. This session will share lessons from this work, including how best to collaborate with consumer advocates to achieve the Triple Aim. 6 Tuesday, May 5 3:25–3:45 p.m. Break 3:35–4:30 p.m. Breakout Session 5 1 Building Strategy for Health Care Value: Role of the Patient Experience Architect Amy Cotton, MSN, APRN, FAAN, System Vice President for Patient Engagement and Chief Experience Officer, Eastern Maine Health Care Systems, Brewer, ME Evidence is growing that individualized care, empathy and exceptional service result in (1) improved patient engagement, (2) quality clinical outcomes and (3) lower health care costs. At Eastern Maine Health Care Systems, the Chief Experience Officer (CXO) role was created in 2014 to provide executive leadership for patient experience strategy. This session will highlight a multi-hospital, home health, long-term care, primary care and accountable care organization’s journey to truly deliver patient-centric care. Aligning patient experience, safety and evidencebased clinical care has informed a new enterprise quality structure. Session takeaways will include enhanced knowledge of the CXO role, alignment of CXO and Chief Quality Officer to build health care value, patient experience definition and measurement, and lessons learned to date. 2 3 2015 PQRS Reporting and the Value-Based Payment Modifier Program Candy Hanson, BSN, PHN, LHIT-HP, CPF, Program Manager, Stratis Health, Bloomington, MN; and Gwen Mielke, BSN, PHN, CPHIT, CPEHR, Healthcare/HIT Consultant, Stratis Health/REACH This session will provide participants with an overview of the Physician Quality Reporting System (PQRS) and the Value-Based Payment Modifier Program. Participants will learn how to choose Clinical Quality Measures (CQMs) to report PQRS successfully, and will also learn more about the move in health care from a fee-forservice reimbursement model to a pay-for-quality model. Participants will also understand how to avoid the 2017 Centers for Medicare and Medicaid Services (CMS) payment adjustments associated with all three CMS incentive programs. Decreasing Racial and Socioeconomic Disparities David Johnson, MBA, Regional Clinic Director, HealthPartners Medical Group, Bloomington, MN HealthPartners, an integrated care system in Minnesota, has dramatically reduced disparity gaps in health care (for example breast cancer screening, from 8.2% to 3.2%, and colorectal cancer screening, from 26.2% to 12.8%), while improving overall screening rates to best-in-nation levels. Focused work on cultural humility to understand our population and partner with the community has led to improved outcomes and experience for our patients – regardless of race, ethnicity, or insurance coverage type. Attendees will learn how to identify the importance of being culturally humble as an organization, how to partner with your community, how to develop strategies to reduce disparities in your population, while improving health outcomes for all the patients in your care. 7 Wednesday, May 6 7:00–8:30 a.m. Continental Breakfast 7:30–8:20 a.m. Payer Panel Payment Reform: What’s Next? Craig Acomb, MS, Chief Operating Officer, Institute for Clinical Systems Improvement, Bloomington, MN (moderator); Charles Fazio, MD, MS, Health Plan Medical Director, HealthPartners, Bloomington, MN; Russ Kuzel, MD, Chief Medical Officer, UCare, Minneapolis, MN; and Mark Werner, MD, CPE, FACPE, Senior Vice President and Chief Clinical and Innovation Officer, Medica, Minneapolis, MN Payment reform has been discussed as an important element for transformation of the U.S. health system, and many experiments are underway. What are we learning and where do we go next? Come hear local health plan leaders talk about the current state and future directions. Plenty of time for questions and answers. 8:30–8:45 a.m. Opener 8:45–9:50 a.m. Keynote Address Feet, Forks, and the Fate of Our Families David Katz, MD, MPH, FACPM, FACP, Director and Co-Founder, Yale Prevention Research Center, New Haven, CT 9:50–10:10 a.m. Break 10:10–11:05 a.m. Breakout Session 6 1 A Cold Is Never Just a Cold: Improving Care at Every Encounter James Welters, MD, FAAFP, Partner, Immediate Past President, Northwest Family Physicians PA, Plymouth, MN It’s been estimated that the typical primary care doctor would need to spend 18 hours a day in order to provide all indicated preventive health services and chronic disease management for an average panel size. However, the skills of all team members, from the front of the office, through the clinical area and out to the back office, can be harnessed to improve care, reduce costs and enhance patient experience. Learn how Northwest Family Physicians (NWFP), an independent primary care group, successfully engages all staff, in concert with providers, to offer needed care at all patient interactions. This approach, including an innovative Quality Bonus Program, has helped NWFP receive national and local awards for its ongoing pursuit of the Triple Aim. 8 2 Bedside to Boardroom: Engaging Patients and Families Across the Organization Libby Hoy, Founder/CEO, PFCCpartners, Long Beach, CA Patients and families are the most under utilized resource in the health care 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, including effective processes for developing patient-family advisory councils. 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. 3 Comprehensive Care Management for Complex Patients in an ACO: A Systems Approach Henry Chung, MD, Chief Medical Officer, Montefiore Medical Center Care Management Organization, Yonkers, NY More health care systems and practices are treating patients under a value-based arrangement that rewards cost savings, high quality and patient satisfaction. As these systems gain more experience under these contracts, a diverse range of care management activities will be necessary to achieve these goals, particularly for medically vulnerable and psychosocially complex patients. Montefiore Medical Center and its care management organization has over 18 years experience managing such patients, now totaling 250,000 and growing, in value-based plans. Attendees will understand the Montefiore journey, lessons learned, and current care management programs and priorities. There will be dialogue about the evolving role of patient-centered medical home, clinical and claims data, telephonic care support, and field-based navigation supports in creating an organized care management system. Wednesday, May 6 11:15 a.m. – 12:10 p.m. Breakout Session 7 1 Cultivating Improvement Capabilities at the Front Lines of Care: Coaching Experience and Lessons Learned Margorie Godfrey, PhD, MS, BSN, FAAN, Co-Director – The Dartmouth Institute Microsystem Academy, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH Achieving strategic improvement goals is challenging in the day-to-day care of populations of patients. The front line interface between interdisciplinary improvement teams including patients and families (clinical micro systems) is the building block of health care where care is delivered and continuously improved. Leaders can create the conditions for successful improvement and benefit from the help of team coaches who support, encourage, and keep improvement activities on track. This review of a research/experience-based team coaching model in a variety of contexts around the world and critical lessons learned will help guide and support those interested in cultivating sustainable improvement capability at the front lines of care. 2 Redirecting Power to Communities to Improve Health: Engaging Patients as Partners in Redesigning Care Lyndee Knox, PhD, Director, LA Net, Los Angeles, CA For health care to be truly patient centered, health care systems and practices must engage patients as partners in redesigning care. Efforts to do this in the past in Federally Qualified Health Centers (FQHCs) and other settings have focused primarily on including members of the patient community on FQHC governing boards. LA Net is experimenting with new methods and processes for engaging patients as collaborators in redesigning health care visits and episodes of care. Dr. Knox will describe LA Net’s work using a process called patient-engaged redesign to reconsider and redesign health care visits. Dr. Knox will also discuss work LA Net is involved in that seeks to redirect power to communities to improve health. Participants will receive information on a robust patient engagement process called patient-engaged redesign. Participants will also be introduced to new ideas of “redirecting power” to communities to become guardians of health and learn how this contrasts with traditional ideas of “empowering” communities. 3 Total Cost of Care Measurement, Reporting and Activities Tina Frontera, MHA, Chief Operating Officer, and Gunnar Nelson, Health Economist, MN Community Measurement, Minneapolis, MN Learn about the statewide rollout of the Total Cost of Care (TCOC) Measure by MN Community Measurement. Presenters explain how TCOC is being measured, what we are learning, improvement efforts and future national discussions about cost of care measurement. 12:10–1:10 p.m. Lunch (Ballrooms C and D) 1:10–2:05 p.m. Breakout Session 8 1 There be Dragons: The Journey from Randomized Control Trial to Sustainability David Katzelnick, MD, and Mark Williams, MD, Psychiatrist, Mayo Clinic, Rochester, MN; and Claire Neely, MD, Chief Medical Director, Institute for Clinical Systems Improvement, Bloomington, MN COMPASS (Care of Mental, Physical And Substanceuse Syndromes) is a three-year Centers for Medicare & Medicaid Innovation Award to improve the care for complex patients with poorly controlled medical comorbidities and active depression. This presentation will focus on the steps needed to deeply understand an RCT, done in a research setting, before taking it to scale across eight states and 18 medical groups and spread to additional patient populations. Attendees will gain understanding of methods used to define key elements of RCTs, how to balance the discipline needed for model fidelity with the resource-based need for local adaptation, and how data during scale up and spread helps build sustainable practices. Mayo Health Systems ongoing journey will be highlighted. The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies. The project described was supported by Grant Number 1C1CMS331048-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. 9 Wednesday, May 6 2 Ensuring Safety at Transitions of Care: Lessons from Consumer Research and Pilot Testing Marie Dotseth, MHA, Executive Director, and Lynette Wheelock, RN, MS, Director, Minnesota Alliance for Patient Safety, Minneapolis, MN The Minnesota Alliance for Patient Safety (MAPS) recently received a grant to focus on what consumers can do at transitions of care to reduce errors and improve safety. A consumer-focused campaign was developed and tools to help prevent harm at transitions of care were produced and tested. This session will describe the research, campaign and results of the pilot testing and show how patients/ residents/families/consumers can protect themselves from medical errors, especially during times of transition. 3 IHN Work in a Rural ACO, Addressing Admissions/Cost Melissa Larson, MBA, Chief Operations Officer; Bruce Penner, RN, BA, Director of Quality; and Jeffrey Tucker, EFPM, President and CEO, Integrity Health, Duluth, MN This is one organization’s story of their journey so far across the ever-changing realm of health care reform. From ACOs through Total Cost of Care models and beyond, and now into accountable communities for health, the experiences lived and insight gained have been anything but mundane. This is an honest, sometimes painful look at reality, but offers insights into solutions and examples of successes to help other travelers along the way. You’ll laugh, you’ll cry. You won’t believe what happens next! 2:05–2:15 p.m. Break 2:15–3:10 p.m. Closing Session Turning the Maze into an Amazing Experience Jill Bernard, Director of Education, HUGE Theatre, Minneapolis, MN Our Colloquium visual uses a maze to illustrate that finding the right path to the Triple Aim can be difficult. And, as anyone who has been in a maze knows, you have to be creative, totally present as well as accepting of wrong turns to find your way out. Ms. Bernard will lead this fun and interactive closing session that will not only energize you, but also provide valuable insights into how to find and increase the joy in your work. 3:10–3:30 p.m. Gary’s Books Giveaway 10 Accreditation Physician This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Park Nicollet Institute and the Institute for Clinical Systems Improvement. Park Nicollet Institute is accredited by the ACCME to provide continuing medical education for physicians. The Office of Continuing Medical Education, Park Nicollet Institute designates this live activity for a maximum of 14.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. American Academy of Family Physicians (AAFP) Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Minnesota Board of Nursing This program is designed to meet the Minnesota Board of Nursing requirements. It is the responsibility of each participant to determine if the program meets the criteria for licensure or recertification for their discipline. Disclosure Policy It is the policy of Park Nicollet Institute to provide balance, independence, objectivity, and scientific rigor in all of its sponsored educational activities. All faculty, course directors, and planning committee members participating in sponsored programs and/or their spouse/partners are required to disclose to the audience any real or apparent conflict of interest related to the content of this activity. Disclosure information is reviewed in advance in order to manage and resolve any potential conflicts of interest, and shared with the audience prior to the activity’s presentations. General Information General Information Online Registration Ends April 27, 2015 Colloquium Registration Includes access to all registration materials, sessions, continental breakfasts, lunches, and refreshment breaks. To register, go to www.icsi.org. Colloquium Registration Desk Hours The Colloquium Registration Desk is located on the second floor of the Saint Paul RiverCentre. Monday, May 4______________ 10:00 a.m. – 5:00 p.m. Tuesday, May 5________________ 7:00 a.m. – 4:30 p.m. Wednesday, May 6_____________ 7:00 a.m. – 1:00 p.m. Continental Breakfast A continental breakfast will be served on the second floor of the Saint Paul RiverCentre. Tuesday, May 5_________________7:30 a.m. – 8:30 a.m. Wednesday, May 6______________7:00 a.m. – 8:30 a.m. Accommodations – Deadline: April 3, 2015 Crowne Plaza St. Paul Riverfront 11 East Kellogg Boulevard Saint Paul, MN 55101 Kellogg Ramp or RiverCentre Parking Ramps. Both ramps are located on Kellogg Boulevard. There are approximately 2,200 parking spaces directly connected to Saint Paul RiverCentre and Xcel Energy Center via these two ramps, with an additional 15,000 + in close proximity. Parking fees range from $10 to $15 daily. Registration Cancellations – Deadline: April 24, 2015 Please submit Colloquium cancellations in writing by email, mail or fax to the ICSI Meeting Management Office on or before April 24, 2015. All Colloquium cancellations will be assessed a $75 cancellation fee. Cancellations received after April 24, 2015, will not be honored. Refunds will be processed after May 6, 2015. There is no charge for transferring registration to another person at any time. Written notification of all registration transfers must be received by the Meeting Management Office. Travel Travel arrangements, including air and ground, can be made through the Colloquium’s Travel partner at (952) 854-2551 or (800) 247-1311. Airport Transfer Transportation from the Minneapolis/St. Paul Airport is available via SuperShuttle for approximately $20 a person each way with reservations. For reservations, book online at www.supershuttls.com or call (800) BLUEVAN (258-3826). Discounted hotel rooms are available to ICSI attendees, at the Crowne Plaza St. Paul Riverfront. A negotiated rate of $140 plus tax for a single/double room is available until April 3, 2015. Reservations received after April 3, 2015, will be accepted on a space and rate available basis. The Crowne Plaza St. Paul Riverfront is a short 5-10 minute walk from the Saint Paul RiverCentre. ADA/Dietary/Special Requests Cancellations must be received 24 hours prior to arrival in order to avoid a charge for the first night’s room and tax. Business casual. To make your reservations, go to the hotel website and use the group code “R36” or call (651) 224-5400 or (800) 593-5708 and indicate you are with ICSI. All information is subject to change without notice. Parking Saint Paul RiverCentre parking is available in either the For equal and full enjoyment of the Colloquium, please specify any special requirements in the “Special Requests” area of the Colloquium registration form. Every effort will be made to accommodate your request. Recommended Attire Program Changes For more information, visit the ICSI website at www.icsi. org or contact the ICSI Meeting Management Office at (952) 814-7060 or by email at [email protected]. 11 8009 34th Avenue South, Suite 1200, Bloomington, MN 55425 Phone: (952) 814-7060 Fax: (952) 858-9675 Email: [email protected] www.icsi.org © 2015 Institute for Clinical Systems Improvement
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