To view meeting materials, click on the meeting dates below.
2/23/10 Track 1 Meeting Agenda
2-23-10 Meeting Evaluation
Overview of 2010-2012 Patient Safety First… A California Partnership for Health
Catherine Carson, Vice President, Quality and PI , HASC
Mary Fermazin, MD, MPA Health Services Advisory Group
SCPSC 2009 Progress Report
Catherine Carson, Vice President, Quality and PI , HASC
Introduction of Premier Performance Improvement Portal
Michele Graynor, Program Director, Premier Healthcare Informatics
Sepsis: Pearls from Premier’s QUEST Collaborative
Leslie Schultz, RN, PhD, NEA-BC, CPHQ
Senior Director, QUEST and Knowledge Transfer, Premier Healthcare Informatics
Interactive Breakout Sessions
- Ventilator-associated pneumonia
Edna DeLeon, RN, Huntington Memorial Medical Center
Facilitator: Susan L. Hiyama, RN, MSN, CPHQ, Health Services Advisory Group
- Heart Failure
James McPherson III, MD, Provided by American Heart Association
Facilitator: Mary Fermazin, MD, HSAG
- Central Line Blood Stream Infections
Alfonso Torres-Cook, Dr. P.H., Epidemiologist, Pacific Hospital of Long Beach
Facilitator: Catherine Carson, HASC
Implementing the Central Line Bundle
Central Line
Central line flowchart.04
SCIP Update, SCIP INF 4 & Card 2 Measures
Howard Pitluk, MD, MPH, FACS, Health Services Advisory Group
What Can You Do by Next Tuesday?
Mary Fermazin, MD, MPA Health Services Advisory Group
Catherine Carson, MPA, Hospital Association of Southern California
Making Improvement Faster
Who Does What by When template
01-28-2010- Colloquium Agenda
Colloquium Evaluation
Track #1 - General Patient Safety
- Hospital Systems Load and Patient Safety
Alberta Pedroja, Ph.D., Senior Consultant, ATP Healthcare Services, Northridge
- Transforming the Culture of Safety: Journey to Perfect Care
Mary Ann Vincent, MBA, RN; Ray Casciari, MD; & Tina Retrosi, RN, St. Joseph Hospital
- Creating High Reliability with Crew Resource Management & Avoiding Normalization of Deviance
David Marshall, CEO, Safer Healthcare
Track #2 - Medication Safety
- Antimicrobial Stewardship: Is it Possible in our Hospital?
Silvia I. Gnass, Director of Infection Prevention & Control, Riverside County Regional Medical Center
- Pharmacist in the Emergency Department
Valena Emery, RHIA, CPHQ, HACP, Director of Organizational Performance, Glendale Adventist Medical Center
- Three Safety Tools: Smart Infusion Devices, Dispensing Robot & Clinical Information
Kathy Harren, CNO; Muno Bholat, Pharm.D.; & Mark Umekubo, Pharm. D.,Providence Little Company of Mary Medical Center, Torrance
Track #3 - Focus on Patients
- Memorial Care: Our Journey to Patient & Family-Centered Care
Rita Goshert, MS, CCLS, Libby Hoy, BS, Memorial Care
- Serious Events: The Consumer Experience
Sanjaya Kumar, MD, CEO Quantros; Dan Ford, Vice President, The Furst Group; and Liz Augusta, Patient Safety & Quality Consultant, L.A. County Health Services
- Implementing a Successful Sepsis Program
Cynthia Coleman, BSN, RN, CCRN, Clinical Sepsis Coordinator, Charleston Area Medical Center, Charleston, WV
Track #4 - Safety Tools
- WHO Surgical Safety Checklist
Yasmin Shikina, RN; and Claudett Dorsey, RN,Providence Little Company of Mary Medical Center, Torrance
- The Mini-Root Cause Analysis Tool: Getting to the Root of Falls
Norma McNair, PhD(c), RN; & Catherine Walsh, MSN, RN,Ronald Regan UCLA Medical Center
- Post fall huddle
- Improving Patient Safety with the Baldridge Framework
Paul Green, MS, RN, CPHQ,Chief Quality Officer, Memorial Hospital of Gardena
Track #5 - Perinatal Safety
- Overcoming the Top 10 Risks in Perinatal Patient Care
Kaye Blom, BSN, RN, EJD, CLNC, CPHRM, The Risk Management and Patient Safety Institute
- Reducing Hospital Acquired Infections in the NICU
Jil Lehr, MSN, RNC, CNS, & Lisa Lima, MSN, PNP, CNS, NICU, St. John’s Regional Medical Center
- Using Collaborative Approach to Improve Perinatal Safety
Maureen Archambault, VP, Marsh Risk & Insurance Services; Heather Gocke, Risk Management Director, Beta Healthcare Group; and Annie Herlick, VP, Beta Healthcare Group
Track #6 - Focus on Nursing
- Leveraging CIS to Improve Nurse-Sensitive Patient Outcomes
Gwen Matthews, CNO; Sharon Price, CIS Coordinator; Emillie Battig, CIS Educator; Katy Lancaster, Skin PI team chair, Glendale Adventist Medical Center
- Using Collaborative Case Management, RM & CDM to Mitigate Future Financial Risks
Bill Hammock, BSN, RN, CMC, ACM, CPHQ, & Stacy Donegan, CPC, Marsh’s Global Clinical Healthcare Consulting Practice
- CalNOC: Understanding Medication Administration Processes and Outcomes
Mary Foley, PhD(c), MS, RN,University of California,San Francisco
Evaluation Link
11-10-2009 Track I Meeting Agenda
Prevention of Surgical Site Infection
Kamal Itani, M.D. Chief of Surgical Service, VA Boston Medical Center; Professor of Surgery, Boston University and Harvard Medical School, Boston, MA
Biography on Kamal M. Itani, M.D.
Sustainability and Sepsis
Bruce Spurlock, MD, Convergence Health Consulting
Interactive Breakout Sessions
(a) Sepsis
(b) TeamSTEPPS: Hand Off Communication
(c) VTE Aspects of SCIP
Hospital Leadership Quality Assessment Tool
Andrea Silvey ,PhD, MSN, Chief Quality Improvement Officer,
Health Services Advisory Group
09-02-2009 Track II Meeting Agenda
09-02-2009 Track II Meeting Evaluations
Pressure Ulcers Care: Hospital Actions for Improvement
Barbara Bates-Jensen, PhD, RN, Associate Professor UCLA School of Nursing and
David Geffen School of Medicine
Hospital Leadership Quality Assessment Tool
Andrea Silvey , PhD, MSN, Chief Quality Improvement Officer, Health Services Advisory Group
HSOPSC Brief Overview
Interactive Breakout Sessions
Hospital-acquired Pressure Ulcers
The CALNOC Medication Administration Accuracy Measure: Understanding
TeamSTEPPS: Hand off communication
Patient Safety Culture: Building the Patient-Centered Team
Deane L. Wolcott, MD, Vice President, Clinical Program Development, Aptium Oncology
Hospital Survey on Patient Safety Culture
Andrea Silvey ,PhD, MSN, Chief Quality Improvement Officer, Health Services Advisory Group
08-04-2009 Track I Meeting Agenda
08-04-2009 Evaluation
A Rapid Response Team Approach to Sepsis
Frank Sebat, MS, MD, FCCP, FCCM, Feather River Critical Care Medical Group
Use of Simulation to Improve Sepsis Treatment
Laurie Jensen, RN, BSN, Clinical Development Specialist, Medical Simulation Corporation
Interactive Breakout Sessions
- A SCIP Success Story
- Earl Strum, MD, Chief of Anesthesia, USC University Hospital
- MRSA
- Sue Chen, RN, MPH, CIC, Infection Preventionist/ Health Associated Infection Program Coordinator, California Department of Public Health
- Central Line Blood Stream Infections
- Annemarie Flood, RN, BSN, CIC, Infection Control, Program Coordinator, City of Hope
- Patient Safety Culture: Building the Patient-Centered Team
- Deane L. Wolcott, MD, Vice President, Clinical Program Development Aptium Oncology
- Hospital Survey on Patient Safety Culture
- Andrea Silvey, PhD, MSN, Health Services Advisory Group
2009 SCPSC Data Submission Presentation
06-16-2009 Track II Meeting Agenda
6-16-2009 Meeting Evaluations
Evidence Based Pressure Ulcer Prevention: Gaps in Implementation
Nancy Stotts, RN, Ed.D., FAAN, Department of Physiological Nursing,
University of California San Francisco
Panel Presentation : Antimicrobial Stewardship (for SCIP and for C.Diff)
Michelle Lee, Pharm.D., Methodist Hospital of Southern California
Carla Higbee, RN, MSN, FNP, California Hospital Medical Center
Richard Nelson, Pham.D., Eisenhower Medical Center
Interactive Breakout Sessions
- Reducing Hospital Acquired Pressure Ulcers with Skinsatinal Team
- Sandi Look, RN, BSN, Providence Little Company of Mary Hospital - Torrance
- High Alert Medications
- Donna Luong, Pharm.D., Medication Safety Coordinator,
Cedars-Sinai Medical Center
- Preventing Hospital Acquired Clostridium difficile – Congressional
- Paul D. Holtom, MD, Hospital Epidemiologist, P&T Committee Chair,
- USC University Hospital
- Amy Basconcillo, Infection Control Practitioner, USC University Hospital
Standardizing Handoff Communication
Peter Kraslawsky, Account Executive, The White Stone Group
What Can You Do By Next Tuesday?
Mary Fermazin, MD, MPA, Health Services Advisory Group
Bruce Spurlock, MD, Convergence Health Consulting
Memo from Mark Gamble, HASC Vice President to SCPSC Meeting Registrants.
05-07-2009 Track I Agenda
05-07-2009 Meeting Evaluation
MRSA and SCIP Updates
Dale W. Bratzler, DO, MPA, Oklahoma Foundation for Medical Quality
VTE Quality Measures and Medical Thrombo-prophylaxis
T. Brian Callister, MD, Internal Medicine Hospitalist, Reno, Nevada
David Patterson, MD, Medical Directorr, Casa Colina Hospital, Pomona
Interactive Breakout Sessions
Sepsis
Pat Lucken, RN, MSN, Director of Cardiac Service Line, St. Mary Medical Center
VTE – Tipping Point: How To Incorporate The Medical Evidence Into Practice
Tony J. Casanova, Pharm.D, St. Joseph Medical Center, Tacoma, Washington
Central Line Blood Stream Infections
Rebecca Berberian, White Memorial Medical Center
Edna DeLeon, Huntington Memorial Medical Center
Systematic Care for Sepsis and Shock
Bryant Nguyen, MD, MS, Loma Linda University Medical Center
What Can You Do by Next Tuesday? – Colonial A&B
Mary Fermazin, MD, MPA Health Services Advisory Group
Bruce Spurlock, MD, Convergence Health Consulting
Please Note: VTE Quality Measures and Medical Thrombo-prophylaxis Presentation & VTE – Tipping Point Presentation are not available for printing.
03- 04-2009 Track II Agenda
Meeting Evaluation
Overview of Track II Topics: Hospital Acquired Pressure Ulcers, High Alert Medications, Medication Safety, and Clostridium difficile.
Mary Fermazin, MD, MPA, Health Services Advisory Group
Bruce Spurlock, MD, Convergence Health Consultants
Hospital Acquired Pressure Ulcers: Prevention, Staging, and Documentation
Barbara Bates-Jensen, PhD, RN, Associate Professor UCLA School of Nursing and David Geffen School of Medicine
Interactive Breakout Sessions
- Preventing Pressure Ulcers
Melinda Jordan, RN, Ass’t Director, Hoag Memorial Hospital Presbyterian
Molly Hewett, Rn, Ass’t V.P., Hoag Memorial Hospital Presbyterian
Melinda Wertz, RN, Manager, Skilled Nursing, White Memorial Medical
Jasper Diaz, RN, Wound Care Specialist, White Memorial Medical Center
Diary of a Medication Safety Consultant – Colonial A&B
Dan Ross, Pharm.D., D Ross Consulting
02-3-2009- Track I Agenda
Track I Meeting Evaluation
Overview of Track I Topics: SCIP, MRSA, Sepsis, and CLBSI
Howard Pitluk, MD, MPH, FACS, Health Services Advisory Group
Bruce Spurlock, MD, Convergence Health Consulting
SCIP Measure Improvement
Clifford Ko, MD, UCLA School of Medicine
New California MRSA Active Surveillance Requirements
Dawn Terashita Gastelum, MD, MPH, LA County Department of Public Health
Implementing Sepsis Bundles
Edna DeLeon, Huntington Memorial Hospital
Hospital Survey on Patient Safety Culture
Andrea Silvey ,PhD, MSN, Health Services Advisory Group
Data Streams and 2009 AIM
Bruce Spurlock, MD, Convergence Health Consulting
Charlie Chapin, MS, CHCA, Health Services Advisory Group
SCPSC Colloquium Brochure
SCPSC Colloquium Evaluation
SCPSC Breakout Sessions
- Track #1- Mini Keynote
California State Never 28 and Federal perspective on Hospital Acquired Conditions
Mark Kadzielski, J.D., Fulbright and Jaworski
A Pediatric Trigger Tool to Identify Adverse Drug Events
Glenn Takata, M.D., MS and Carol Taketomo, Pharm.D., Children’s Hospital of Los Angeles
The Journey to Clinical Excellence: Five Essential Strategies
Samantha Collier, M.D., MBA, SVP & CMO, Health Grades
- Track # 2 - Team Work
Pressure Ulcers: The Goal is Zero
Joy L. Edvalson , MSN, FNP, CWOCN, West Los Angeles VA
Condition H (HELP)
Soudi Bogert, RN, BSN, clinical outcomes manager, Critical Care and Carmen Ferrell, RN, MSN, CCRN, executive director, Critical Care, St. Joseph Hospital
Rapid Response Teams Run Don’t Walk
Pat Lucken, RN, MSN, BC-NP, CPHQ, St. Mary Medical Center, Apple Valley, CA
- Track # 3 -Hospital Acquired Infections
Zero Hospital Acquired MDROs: Starting a Journey
Rekha Murthy, M.D., Hospital Epidemiologist, Cedars Sinai Medical Center
I’ve Got You Under My Skin: Catheter‐Related Infections
Ellen Jo Baron, Ph.D., director Clinical Microbiology Lab,Stanford University Med. Center
No Mercy for MRSA
Ellen Jo Baron, Ph.D., director Clinical Microbiology Lab, Stanford University Med. Center
- Track # 4 - Patient Safety
What Can Aviation Teach Us About Patient Safety?
Gregg Bendrick, M.D., CMO NASA, Dryden Flight Research Center
Engaging Patient/Family Advisors to Achieve Perfect Care
Maryann Vincent, RN, MBA and team, St.Joseph Hospital
The Power of CHPSO in Improving Patient Safety in California Hospitals
Rory Jaffe, M.D., MBA, executive director, California Hospital Patient Safety Organization
- Track # 5 - Improving Medication Safety
KP MedRite – A Nurse Designed Medication Administration Innovation
Dawn Fairbairn, RN, MHA and Melody Navarro, RN, MSN, Kaiser West Los Angeles
Sedation and You: How to Avoid a Bad Outcome
Stefanie Morrell, RRT, BS, CPHQ, director, Quality/Risk Services,St. Bernardine Medical Center
Closing the Loop: Medication Management DeMystified
Judi Binderman M.D., MBA, MHSA, consulting physician PrincipalCSC
- Track # 6 -Tomorrow’s Trends
Transforming Quality & Safety by Creating a Learning Organization
Steve Tremain, M.D., FACPE, senior medical director, Contra Costa Regional Medical Center
The Influence of Volume and Systems Capacity on Patient Safety
Alberta T. Pedroja, PH.D. senior consultant, ATP Healthcare Services Northridge
Simulation and the Future of Quality Improvement
Myrna Schnur, RN,MSN, healthcare product manager, Medical Simulation Corporation