Southern California Patient Safety Collaborative

Medication Safety, Pressure Ulcers, & Handoff Communication - West Region

Medication Reconciliation Overview-A Successful Program
Steve Tremain , Convergence Health Consulting
Stephanie Bailey, Contra Costa Regional Medical Center

Interactive Breakouts

• Handoff Solutions
  Celia Mills, Ridgecrest Regional Hospital
  Susan Lowell, Mountains Community Hospital
  Pat Teske, Convergence Health Consulting
  
  
• Hospital Acquired Pressure Ulcers
  Sandra Nacinovich, Redlands Community Hospital
  Jane Johnson, St. Joseph Hospital, Orange County

Medication Safety, Pressure Ulcers, & Handoff Communication - West Region

Medication Reconciliation Overview-A Successful Program
Steve Tremain , Convergence Health Consulting
Stephanie Bailey, Contra Costa Regional Medical Center

Interactive Breakouts

• Handoff Solutions
  Pat Teske, Convergence Health Consulting
  
  
• Hospital Acquired Pressure Ulcers
  Sandra Nacinovich, Redlands Community Hospital
  

8-29-2008 Guidelines to establish Procedural Sedation for GI and Others Web-Seminar
Stefanie Morrell, St. Bernardine Medical Center

Hospital Acquired Infections - West Region

Creating a Change in Nursing Culture: Barriers and Opportunities for Implementing Best Practices to Prevent CLAB’s
Nadine Nakazawa, Stanford Hospital and Clinics

Interactive Breakouts

• Reducing MRSA Infections
  Karen Moise, Redlands Community Hospital
  
  
• Reducing Sepsis-Related Mortality
  Kirsten Pyle, Mission Hospital
  
  • Severe Sepsis Screening Tool Education
  Joanne Jeffords, Sequoia Hospital
  • Drotrecogin Protocol
  
  
  • Severe Sepsis
  
  
  • Severe Sepsis Data Abstraction Worksheet
  
  
• Urinary Tract Infections
  Jeanine Martin, Kaiser Fontana
  Trena Rich, Riverside County Regional Medical Center
  
  • Foley Catheter Criterion
• Central Line Related Blood Stream Infections
  Annemarie FloodJoan Malin, Hoag Memorial Hospital Presbyterian
  Harriett Pitt, Long Beach Memorial Medical Center

Hospital Acquired Infections - West Region

Creating a Change in Nursing Culture: Barriers and Opportunities for Implementing Best Practices to Prevent CLAB’s
Nadine Nakazawa, Stanford Hospital and Clinics

Interactive Breakouts

• Reducing MRSA Infections
  Marcy Abrams, St Johns Regional Medical Center
  Wilbert Mason, Childrens Hospital of Los Angeles
• Reducing Sepsis-Related Mortality
  Kirsten Pyle, Mission Hospital
  
  • Severe Sepsis Screening Tool Education
  Joanne Jeffords, Sequoia Hospital
  • Drotrecogin Protocol
  
  
  • Severe Sepsis
  
  
  • Severe Sepsis Data Abstraction Worksheet
  
  
• Urinary Tract Infections
  Alfonso Torress-Cook, Pacific Hospital of Long Beach
  
  
• Central Line Related Blood Stream Infections
  Harriett Pitt, Long Beach Memorial Medical Center
  Annemarie Flood, City of Hope

Reducing MRSA Infections Saves Lives and Can Save Money: The Evanston Northwestern Story
Donna Hacek,Evanston Northwestern Healthcare, Evanston, Illinois

Anticoagulants: Strategies & Tools for NPSG Compliance and Error Prevention
Bruce Read, Santa Barbara Cottage Hospital

Medication Safety, Pressure Ulcers, & Handoff Communication - East Region

Medication Safety and the Four Failure Rules for Improvement
Bruce Spurlock, Convergence Health Consulting

Interactive Breakouts

• Reducing Errors from High Alert Medications
  Susan Wasp-Shasha, Pomona Valley Medical Center
  


• Improving Medication Reconciliation
  Tom Saito, Fountain Valley Regional Hospital and Medical Center
  
• Improving Handoff Solutions
  Annika Nowlin, Henry Mayo Newhall Memorial Hospital
  • SBAR-Report of Change
  • SBAR-Report to Physician about Change in Patient Condition
  • SBAR-Transfer Fax Report
  Debbie Buzzard, St. Mary Medical Center
  • NPSG Self Assessment Tool
  • NSPG Self Assessment Tool NA
  • NPSG Tracer Audit Tool Rev
  • SBAR Notepad
  • Daily Goals and Handoff Report SBAR Version-Critical Care
  • Daily Goals and Handoff Report SBAR Version-Labor and Delivery
  • Daily Goals and Handoff Report SBAR Version Report for All Departments
  • Ancillary Department Patient Transport Communication Guide
  • Daily Goals and Handoff Report SBAR Version RN to Physician
• Reducing Pressure Ulcers
  Pat Teske, Convergence Health Consulting

Medication Safety, Pressure Ulcers, & Handoff Communication - West Region

Medication Safety and the Four Failure Rules for Improvement
Bruce Spurlock, Convergence Health Consulting

Interactive Breakouts

• Reducing Errors from High Alert Medications
  Dan Ross, Patients First Consulting
  Dennee Frey, LA County Department of Health Services
  • DHS Best Practice Guidelines
  • FDA Medication Black Box Warnings
• Improving Medication Reconciliation
  Tom Saito, Fountain Valley Regional Hospital and Medical Center
  
• Improving Handoff Solutions
  Annika Nowlin, Henry Mayo Newhall Memorial Hospital
  • SBAR-Report of Change
  • SBAR-Report to Physician about Change in Patient Condition
  • SBAR-Transfer Fax Report
  Grant McArn, Good Samaritan Hospital



• Reducing Pressure Ulcers
  Bonnie Tann-Demmin, Kaiser Permanente South Bay

5-13-2008 Preventing VAP Web-Seminar
Carmen Ferrell, Larry Hattem, Soudi Bogert and Tammy Alvarez

Hospital Acquired Infections Meeting - East Region

Infections- Reliability
Barry Silbaugh, Health Performance Improvement

Interactive Breakouts

• Surgical Care Improvement Project
  Bernard Klein, Holy Cross-Providence Health System
  Diana McPherson, UC Irvine Medical Center
  Catherine Carson, Hospital Association of Southern California
  • Protocols Handout
  • General Information on Surgical Site Infections
  • AAOS Information Sheet
• Reducing Sepsis-Related Mortality
  Stefanie Morrell, Catholic Healthcare West Corporate Office
  
  • Early Sepsis Radar
  • CCU Protocol for Sepsis
  Shab Caley, Catholic Healthcare West Corporate Office



• Ventilator Associated Pneumonia
  Tricia Kassab, St Joseph Hospital System



• Central Line Related Blood Stream Infections
  Alfonso Torress-Cook, Pacific Hospital of Long Beach
  • Central Line Flowchart
  • Preventing Central Line-Associated Bloodstream Infections
  • Central Line Procedural Checklist
  • Reducing Central Venous Catheter (CVC) Associated Infections
  • PHLB-Bundles
  • Intensive Care Unit (ICU) Monthly Report Form
  • Total Body Wash-Skin Decolonization

Hospital Acquired Infections Meeting - West Region

Infections- Reliability
Barry Silbaugh, Health Performance Improvement

Interactive Breakouts

• Surgical Care Improvement Project
  Bernard Klein, Holy Cross-Providence Health System
  Diana McPherson, UC Irvine Medical Center
• Ventilator Associated Pneumonia
  Tricia Kassab, St Joseph Hospital System
• Central Line Related Blood Stream Infections
  Alfonso Torress-Cook, Pacific Hospital of Long Beach
  • Central Line Flowchart
  • Preventing Central Line-Associated Bloodstream Infections
  • Central Line Procedural Checklist
  • Reducing Central Venous Catheter (CVC) Associated Infections
  • PHLB-Bundles
  • Intensive Care Unit (ICU) Monthly Report Form
  • Total Body Wash-Skin Decolonization

4-15-2008 Preventing VAP Web-Seminar
Beth Bautista, Kathy Ferris, Mitch Applegate and Steven Tremain

Medication Safety, Pressure Ulcers, & Handoff Communication - West Region

The Collaborative Process: Accelerating Implementation
Bruce Spurlock, Convergence Health Consulting

Where Are You Today?
Rocky Fredrickson, Convergence Health Consulting

Preventing Pressure Ulcers
Kathy Duncan, Institute for Healthcare Improvement

Using SBAR for Handoffs
Bruce Spurlock & Pat Teske, Convergence Health Consulting

Interactive Breakouts

• Reducing errors from high alert medications
  Katherine Dayen, Valley Presbyterian Hospital
  Tom Saito, Fountain Valley Regional Hospital and Medical Center
• Improving medication reconciliation
  Annika Nowlin, Henry Mayo Newhall Memorial Hospital
  Sharon Price, Glendale Adventist Medical Center
  • Med_Rec_Outpatient_Flow_Chart.pdf
  • Med_Rec_Audit.pdf
  • Med_Rec_Inpatient_Flowchart.pdf
  • Med_Rec-Annika_Nowlin_of_Henry_Mayo_Newhall.pdf
  • Med_Rec-Sharon_Price_of_Glendale_Adventist.pdf
• Reducing pressure ulcers
  Mindel Spiegel, Parkview Community Hospital Medical Center
  Renee Cordrey, St. Francis Medical Center
  • Skin and Wound Order Sheet.doc
  • Skin Weekly Surveillance Form instructions.doc
  • Weekly Surveillance form sample.xls
• Improving handoff communication
  Presenters TBA
  • Hand_Off_Competency.doc

Medication Safety, Pressure Ulcers, & Handoff Communication - East Region

The Collaborative Process: Accelerating Implementation
Spurlock, Convergence Health Consulting

Where Are You Today?
Rocky Fredrickson, Convergence Health Consulting

Preventing Pressure Ulcers
Kathy Duncan, Institute for Healthcare Improvement

Using SBAR for Handoffs
Bruce Spurlock & Pat Teske, Convergence Health Consulting

Interactive Breakouts

• Reducing errors from high alert medications
  Lori Arnold, Desert Regional Medical Center
  Tom Saito, Fountain Valley Regional Hospital and Medical Center
  • High Alert Meds - Katherine Dayen
• Improving medication reconciliation
  Annika Nowlin, Henry Mayo Newhall Memorial Hospital
• Reducing pressure ulcers
  Mindel Spiegel, Parkview Community Hospital Medical Center
  Rachel Pacheco, St. Vincent Medical Center
  
• Improving handoff communication
  Kim Werkmeinster, Irvine Regional Hospital and Medical Center
  

Hospital Acquired Infections Meeting Agenda - West Region

CMS Value Based Purchasing
Bruce Spurlock, Convergence Health Consulting

Measurement for Improvement vs. Public Reporting
Pat Teske, Convergence Health Consulting

Reducing MRSA
James Marx, Broad Street Solutions & University of Phoenix

Interactive Breakouts

• Maximizing Benefits from VTE
  Barbara Ailor, Los Alamitos Medical Center
  Jackie Jordan, St. Joseph Hospital
  Kathleen Close, St. Joseph Hospital
• Reducing Sepsis-Related Mortality
  Jill Shea, John F. Kennedy Memorial Hospital
  Jerry Clute, California Hospital Medical Center
  Nanette Gonzalez-Kane, California Hospital Medical Center
  • Sepsis Follow-up Handout
  • Sepsis Bundle no.2 Handout
  • Protocol Orders Handout
  • Stop Sepsis 24 Hours Bundle Handout
• Implementing Hand Hygiene Strategies
  Susan Taylor, Providence of Saint Joseph’s Medical Center
• Reducing MRSA through Environmental Care
  Wendy Kaler, St. Francis Memorial Hospital

Our Next Test of Change?
Rocky Fredrickson, Convergence Health Consulting
Pat Vasko, Convergence Health Consulting

Hospital Acquired Infections Meeting Agenda - West Region

CMS Value Based Purchasing
Charlotte Yeh, Acting Administrator (Region IX), Centers for Medicare & Medicaid Services

Measurement for Improvement vs. Public Reporting
Pat Teske, Convergence Health Consulting

Reducing MRSA
James Marx, Broad Street Solutions & University of Phoenix

Interactive Breakouts

• Maximizing Benefits from VTE
  Barbara Ailor, Los Alamitos Medical Center<
  Judith Maass, Verdugo Hills Hospital
• Reducing Sepsis-Related Mortality
  Jerry Clute, California Hospital Medical Center
  Nanette Gonzalez-Kane, California Hospital Medical Center
• Implementing Hand Hygiene Strategies
  Rekha Murthy, Cedars-Sinai Medical Center
• Reducing MRSA through Environmental Care
  Wendy Kaler, St. Francis Memorial Hospital

Our Next Test of Change?
Rocky Fredrickson, Convergence Health Consulting
Pat Vasko, Convergence Health Consulting

Central Venous Catheter associated Blood Stream Infections
James Marx, Broad Street Solutions

Engaging Physicians in Reducing Hospital Acquired Infections
Dr. Bernard Klein, CMO, Providence San Fernando Valley Service Area
Dr. Mark Kestner, Chief Quality Officer, Alegent Health System

Physician Engagement Summary

The Power of Collaboration
Bruce Spurlock, Convergence Health Consulting

Where Are You Today?
Rocky Fredrickson, Convergence Health Consulting

Reducing Mortality with Sepsis
Melanie Polzin, Baptist Memorial Hospital, Memphis, Tennessee

Interactive Breakouts

• Central Line Related Blood Stream Infections
  Yolanda Narvarez, St. Vincent Medical Center
• Sepsis
  Edna DeLeon, Huntington Hospital
  Bryant Nguyen, Loma Linda University Medical Center
• Surgical Care Improvement Project
  Dan Dewitt, JFK Memorial Hospital
  Lee Klevins, Garden Grove Hospital & Medical Center
• Ventilator Associated Pneumonia
  Harriet Bartos, USC University Hospital
  Marsha Catania, JFK Memorial Hospital
  Charity Holmes, South Coast Medical Center

Setting the AIM
Bruce Spurlock, Convergence Health Consulting
Pat Teske, Convergence Health Consulting

The Power of Collaboration
Rocky Fredrickson, Convergence Health Consulting

Where Are You Today?
Rocky Fredrickson, Convergence Health Consulting

Reducing Mortality with Sepsis
Melanie Polzin, Baptist Memorial Hospital, Memphis, Tennessee

Interactive Breakouts

• Central Line Related Blood Stream Infections
  Valerie Felming, Little Company of Mary Hospital
  David Pegues, UCLA Medical Center
• Sepsis
  Gary Milgram, Santa Barbara Cottage Hospital
  Bryant Nguyen, Loma Linda University Medical Center
• Surgical Care Improvement Project
  Marsha Chan, St. Francis Medical Center
  Lee Klevins, Garden Grove Hospital & Medical Center
• Ventilator Associated Pneumonia
  Janet O'Connor, Santa Barbara Cottage Hospital
  Mark Grzeskowiak, Long Beach Memorial Medical Center

Setting the AIM
Bruce Spurlock, Convergence Health Consulting
Pat Teske, Convergence Health Consulting