nebraska healthcare quality forumphilip boucher, md lincoln pediatric group our patients live on...

You are invited to attend the 16th annual Nebraska Healthcare Quality Forum hosted by the Great Plains Quality Innovation Network (QIN) - Nebraska.

The key to healthcare success is for individuals and organizations within a community to recognize the need and value in working together to solve problems, establish communication channels and implement protocols and standards in the delivery of care. The Quality Forum is an opportunity for all vested partners to learn from and share with one another.

Our focus is again on improving care within our communities and within/across care settings (long-term, acute, post-acute and ambulatory). Presentations will showcase examples highlighting collaborative efforts to improve health outcomes and care, engaging consumers and their families and reducing costs.

NebraskaHealthcareQuality Forum

ThursdayJune 6, 2019

Embassy Suites Hoteland Convention Center

LaVista, NE

Nebraska Association for Healthcare Quality, Risk and Safety

NAHQRS

Presented by the Great Plains Quality Innovation Network; co-sponsored by...

www.greatplainsqin.org | 1200 Libra Drive, Suite 102, Lincoln, NE 68512 | 402/476-1700

7:30 a.m. Registration, Exhibit Show and Continental Breakfast 8:30 Welcome and Opening Comments TinaGeorgy,RN,MS,ChiefExecutiveOfficer,GreatPlainsQualityInnovationNetwork

Ted Fraser, MS, Vice President, Great Plains Quality Innovation Network 8:45 Nebraska Coalition for Patient Safety (NCPS) Update Katherine Jones, PT, PhD, President, Nebraska Coalition for Patient Safety 9:00 The Science of Burnout and Well-being in Healthcare: How “Other People Matter” K. Carrie Adair, PhD 10:00 Break/Exhibit Show

10:30 - 11:15 Session A (see presentation schedule on page 5)

11:25 - 12:10 Session B (see presentation schedule on page 6)

12:15 p.m. Lunch/Exhibit Show

1:30 - 2:15 Session C (see presentation schedule on page 7)

2:25 - 3:10 Session D (see presentation schedule on page 8)

3:10 Break

3:25 Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS) Update Amber Lubben, RN, BSN, President, Nebraska Association for Healthcare Quality, Risk and Safety

3:40 - 4:40 p.m. Humor and Healing from the Patient/Caregiver Perspective Brenda Elsagher

* Nebraska Coalition for Patient Safety (NCPS) tracks are designated in the program

Exhibit Show is coordinated by The Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)

2Register at: www.greatplainsqin.org/ne-qualityforumDeadline to register: May 30, 2019

Nebraska Healthcare Quality Forum

Agenda

3

Keynote Speaker:K. Carrie Adair, PhD

9:00 -10:00 a.m.

The Science of Burnout and Well-being in Healthcare: How “Other People Matter”

Therapidriseofburnoutinthehealthcarefieldhavemanycallingitan‘epidemic’.What does the science have to say about the causes and consequences of burnout and what can be done to reduce it? Dr. Adair will share the research on burnout in healthcare,where the field is going toaddress this growingproblem, howourcolleagues, friends, and families affect our burnout and evidence-based tools designed to enhance well-being.

Biography: Dr. Carrie Adair is a social psychologist who specializes in well-being for busy and stressed healthcare workers. Her research examines the psychology of burnout and well-being, enhancing relationships, mindfulness meditation and emotion regulation. Dr. Adair received her PhD at UNC Chapel Hill and is currently the Assistant Director of Research at the Duke Center for Healthcare Safety and Quality. Within the Center, Dr. Adair conducts research, provides trainings and develops personal and institutional strategies to enhance well-being. Dr. Adair believes the science of resilience has much to offer those who are feeling burned out and enjoys sharing evidence-based strategies in her trainings.

_______Co-sponsored by the Nebraska Coalition for Patient Safety (NCPS) and the Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)

Register at: www.greatplainsqin.org/ne-qualityforumDeadline to register: May 30, 2019

K. Carrie Adair

4

Closing Speaker:Brenda Elsagher

3:40 - 4:40 p.m.

Humor and Healing from the Patient/Caregiver Perspective

This presentation will be engaging, funny and heartwarming, offering an opportunity toexperiencetheperspectiveofapatientinahealthcaresetting.Ararelook‘behindthe scenes’, with numerous and humorous insights for healthcare professionals;attendees will walk away assured they make a difference in the lives of their patients.

Biography: BrendaisaCertifiedHumorProfessionalaccreditedthroughtheAssociationofAppliedandTherapeuticHumor. It is a 3- year program that teaches evidenced-based research on humor and healing. There is actual science for what Brenda knew instinctively.

Brenda’sstories illustratetheneedforhumorwithpatientsandtheirfamiliestouseasacopingtoolthroughthelaughterandthetears.Thegreatsideeffectisthathealthcareprofessionalsbenefit,too,making the work place a healthier place to be.

_______Sponsored by the Nebraska Association for Healthcare Quality, Risk and Safety (NAHQRS)


Brenda Elsagher

5

Presentation ScheduleSession A:

10:30 - 11:15 a.m.


Track Title of Presentation Speaker/Organization Description1 How to Meet Patients

Where They Are...On Their Phones

Philip Boucher, MD

Lincoln Pediatric Group

Our patients live on their phones, check Google before calling our officesandspendourvisitdistractedbytextmessagesandSnapchat’s.Ifwewanttoengage,reachandinfluenceourpatients’healthchoices,we need to meet them where they are - ONLINE!

2

Vital Signs for Team Communication: Avoiding Life-Support

Betty VanWoert, RN, BSN, CPHRM

MMIC/Constellation

Ineffective communication is a lead cause of patient injury, malpractice claims, team dysfunction and patient dissatisfaction. More than half of malpractice cases (57%) reflect miscommunication among teammembers. Improved communication is a catalyst for fewer mistakes, a happier work culture and better outcomes for patients—all leading to better business performance.

3 Improving Quality is Fun: Pneumonia Vaccines & Mammogram Rates

Ashley Ritter, MSOL April Morrow, CMACHI Health University Campus

Presenters will share their process and outcomes from their pneumococcalandmammogram“challenge”; includingchallenges,best practices, process and outcomes.

4 Solutions for Staffing Problems

Eric Haider, LNHA, CEO

Person Centered Care Inc.

Staffing shortage is a growing problem in our country. The presenterwillsharetipsforsolvingstaffingproblems.Thepresenterwillalsoshareproven and result-oriented systems on improving staff retention and hiring good staff by using innovative and unique techniques.

5 Transforming Teams to Impact Health: The Community Health Worker

Victoria Vinton, MSN, RNNebraska Action Coalition - Future of Nursing

Research points to the importance of the community health worker as a valuable member of an interdisciplinary healthcare team. Their position as a trusted member of a community allows them to more successfully engage those they work with to improve health and access resources - thereby addressing the Triple Aim.

Healthcare Panel:Patty Falcone, MPH, CPH | Douglas County Health Department Pat Lopez, MSN, RN | Public Health Association of NebraskaJoanna Barrera Manager | CHW Nebraska Total Health Care (MCO)

6 Injection Safety Gaps and Mitigation in the Healthcare Continuum

L. Kate TynerNebraska ICAP & ASAP, Nebraska Medicine

M. Salman Ashraf, MBBSNebraska ICAP; University of Nebraska Medical Center

Unsafe injection practices in healthcare are recent and relevant. Presenters will present the current Nebraska ICAP data on injection safety practice gaps across the healthcare continuum, as well as attainable mitigation strategies and recommendations.

7 Patient Satisfaction: Small Changes, Big Impact

Krista TrimblePender Community Hospital Lisa Schuetze, RNPender Medical Clinic

Learn how Pender Community Hospital (PCH) was able to improve the patient’sdischargeunderstandingthroughtheimplementationofpost-visitphonecalls.PCH’sintegratedhealthsystemtookaninterdisciplinaryapproach to patient discharges using LEAN Methodology. Small changes made a big impact on the continuum of care for patients.

Healthcare Panel:Katie PetersonJamie KaupShaylyn Petersen, BSN, RN

8

NCPS

Looking Outside Your Silo: Systems Approach to Quality Problems

Victoria Kennel, PhDBethany Lowndes, PhD, MPHGary Cochran, PharmD, SMAnne Skinner, RHIA, MS

University of Nebraska Medical Center

Today’spatientsafetyandqualityissuesrequirehealthcareprofessionalsto break down disciplinary silos and collaborate to create effective solutions. A panel of experts in clinical care, quality and patient safety, human factors engineering, organizational psychology, and informatics will offer new insights into common, but challenging quality and safety problems.


Presentation ScheduleSession B:

11:25 - 12:10 p.m.

Track Title of Presentation Speaker/Organization Description1 Supporting CMS

Initiatives Using the Prescription Drug Monitoring Program

Kevin Borcher, PharmDNebraska Health Information Initiative (NEHII)

The opioid crisis continues to be a focus of federal policy and legislation. The Prescription Drug Monitoring Program (PDMP) is a valuable tool to help address the epidemic. Nebraska has enhanced the PDMP to provide information to support CMS initiatives related to the opioid crisis and medication reconciliation.

2

Every Day is Take-Back Day in Nebraska

Marcia Mueting, PharmDNebraska Pharmacists Association

This presentation will outline why drug disposal is important, how Nebraska became a leader in drug disposal and how the Nebraska MEDS drug disposal program works and action items.

3 Project ECHO: Pain and Substance Use Disorders

Christine Chasek, LIMHP, LADC, MACUniversity of Nebraska KearneyUniversity of Nebraska Medical Center

Nebraska ranks 5th in the country for binge drinking. Opioid related overdoses are rising. Project ECHO can help providers address these difficult issues. This presentation will introduce the ECHO model andconnect providers to resources to treat chronic pain and substance use disorderswithoutleavingtheoffice.

4 Building a Team-Based Model for Diabetic Care Management

Kylee Stanley, MD

Rachel Nielsen, MSN, APRN-NP, AGANP, CCRNMethodist Fremont Health

This session will highlight Methodist Fremont Health’s innovativeapproach to incorporating a team-based methodology to address/manage the complex needs of diabetic patients. Presenters will detail the process for implementing a multi-disciplinary team in the outpatient setting. Participants will learn techniques to replicate similar chronic care management in their own settings.

5 Leveraging Experts for Antimicrobial Stewardship Program Implementation in Long-Term Care Facilities

Phillip Chung, PharmD, MS, BCPS, BCIDNebraska Antimicrobial Stewardship Assessment and Promotion Program

Merrit Bradford, RN, BSNEastmont Towers Community

Long-Term Care Facilities (LTCFs) often struggle with Antimicrobial Stewardship Program (ASP) implementation due to lack of expertise. CDC recommends partnership with ASP experts for guidance in these instances. The presentation describes the partnership between Nebraska Antimicrobial Stewardship Assessment and Promotion Program and Eastmont Towers on operationalizing ASP implementation in LTCFs.

6 The Montessori Method in Dementia Care

Dr. Anna Fisher, DHA, CMDCP, CDPHillcrest Health Services

Alice Roberts, MA, BSThe Roberts Academy

The Montessori method is an approach that maximizes activity engagement of residents in long-term care by tailoring programming to their current level of functioning. The Montessori philosophy is based on respect and dignity to all persons and allows them to thrive and endure a high quality of life.

7 Serving Blind/Visually Impaired Patients

Kimberly Schnitzer, BA, CVRCB, MSW

Meaghan Walls, BS, MSBE, ATPVision Resources Coalition

Vision Resources Coalition assists with locating appropriate community resources for the blind/low vision community and how this coalition effectively works together to provide continuity of care between organizations. Identify the unique needs of blind/visually impaired clients and how the current structure of healthcare systems impact them.

8

NCPS

Coalition Rx, Substance Use Disorders and Patient Safety

Edward M. DeSimone, RPh, PhD, FAPhACoalition RxCreighton University School of Pharmacy and Health Professions

This presentation will include a brief discussion of how Coalition Rx is working to reduce the misuse of all substances of abuse by raising awareness and partnering with community organizations to provide public and professional education, prevention and treatment resources, andpolicyadvocacy.Thepresenterwilloutlinethefivemajorcausesof addiction, the types of substance use disorders and the impact that these disorders is having on individuals and society as a whole.

There is a growing acceptance that substance use disorders, particularly opioids, are having a profound effect beyond user mortality. The medical impact of these disorders, both pre-emptive and post-incidence, will be discussed.

7

Presentation ScheduleSession C:

1:30 - 2:15 p.m.


Track Title of Presentation Speaker/Organization Description1 Implementing

an Antimicrobial Stewardship Program in a Rural Setting

Daniel Brailita, MD

Justin Lane, PharmD, BCPSMary Lanning Healthcare

New standards requiring Joint Commission accredited hospitals to create formal Antimicrobial Stewardship Programs (ASPs) have been challenging for smaller rural hospitals. This 170-bed rural community hospital formed an ASP team that has improved antibiotic use and shownpromiseinreducingESBL,VREandClostridioidesdifficileinfections.

2

Specializing in Rural Population Health

Kristi Eggers, NP-C

Tara HigbyQuality Healthcare Clinic

Quality Healthcare Clinic is providing patient-centered care in their rural community of Sutton. They have implemented Chronic Care Management, joined their local health department in a four-year grant to improve chronic conditions and overall health and added a specialty clinic to provide patient access to quality specialists to improve population health. Attend this session to learn more.

3 Bundled Payments Advanced: Our Health System’s Journey...So Far

Amanda Williams, RN, MSN

Casey CardinNebraska Methodist Health System

The presentation will include an overview of BPCI-Advanced, the decision-making process for the clinical episodes Nebraska Methodist Health System has chosen to participate in, some of the processes they have put into place to ensure compliance in this program, and how their team has restructured their performance improvement committee work to implement their care redesign plan.

4 Pharmacist-Led Transition of Care: Successes, Opportunities and Barriers

Karsen Duncan, PharmDBryan Medical Center, Lincoln

This presentation will focus on Bryan Medical Center pharmacy department’sefforts related to transitionofcareand their impactoncost reduction, error reduction, initiation of drug therapy during hospital admission and appropriateness of medications at discharge. Visions for program expansion will be discussed by highlighting examples from other institutions.

5 Violence Prevention to Promote Safety in Hospitalized Patients

Brandon Fleharty, MHA, MSN, RN-BC, PMP

Alfredo Diaz, MBA, Six Sigma Black BeltNebraska Medicine

Rates of self-harm and violence toward healthcare workers is on the rise. Validated tools paired with realistic interventions help staff safely care for patients as well as protect themselves from harm. Attend this session to learn more about violence prevention to promote safety in hospitalized patients.

6 Medication Safety Workgroup Panel

Mackenize Farr, PharmDCommunity Pharmacy

Kody Hall, PharmDRely Care Sloane Hoefer, PharmD, BCPSNebraska Medicine

Through the Medication Safety Workgroup, this team has been working with several different disciplines regarding improving transitions of care. Understanding the needs and requirements for each entity has been incrediblybeneficialand focusingeffortsonaddressing theseneeds/requirements can help bring to light how we can better serve the patients we care for.

7 Make Your Patient and Family Advisory Council (PFAC) Great Again

Barbara Petersen, RN, MSN, APRN, CPHQGreat Plains Health

Unsure how to start or revive a Patient/Family Advisory Council in a hospital setting? Looking for ideas on how to keep your PFAC group engaged, fun and involved in your hospital to get the maximum results of PFAC feedback? Attend this session to learn more.

8

NCPS

Pathway to a Safe and Just Culture

Jessica Trutna, RN, BSN

Julie Rezac, RN, BSN, M.EdSaunders Medical Center

Presenters will help identify what is a Just Culture and articulate the role justice plays in producing better outcomes. Predictable behaviors and outcome bias will also be part of the presentation, including human error, at-risk and reckless behaviors. Presenters will also describe the accountabilities of employees in a Just Culture, including the importance of reporting and identifying risks while maintaining a safe reporting environment.


Presentation ScheduleSession D:

2:25 - 3:10 p.m.

Track Title of Presentation Speaker/Organization Description1 Collaboration in Quality

- SERPA – AccountableCare Organization &UnitedHealthcare

Julie Smith, MHA, BSN, RNUnitedHealthcare

Heidi Jezbera, LPN SERPA EMR/QualitySERPA - ACO

UnitedHealthcare and SERPA ACO, including 16 clinics both rural and urban across the state, have collaborated to utilize the Patient Care Opportunity Reports from UnitedHealthcare to identify gaps in care and compared those to the health maintenance reports in the eight differentEMR’stocreateprocessofcareforimprovement.

2 Fostering Community Relationships with Law Enforcement and Community Resources

Barbara Petersen, RN, MSN, APRN, CPHQ

Wendy Ward, RN, BSNGreat Plains Health

This presentation will discuss the unique approach that Great Plains Health has taken to fostering relationship with local legal, law enforcement authorities and community resources. Great Plains Health has developed a tool for local authorities to escalate abuse of prescription medications while maintaining HIPAA compliance. Attend this session to learn more.

3 Nebraska Culture Change Coalition - Tools for your Culture Change Journey

Kelly Sparr, ADONThe Knolls

Deb KallhoffOld Cheney Rehabilitation

Learn how to put the ELDER before the TASK! In this session, presenters will explore through the Artifacts 2.0 tool and other culture change tools to demonstrate how to make the culture of care PERSON CENTERED through public awareness and education. Nebraska Culture Change Coalition will also share their mission and explain how their goals support this person-centered approach in caregiving.

4 Improving Antibiotic Prescribing for Acute Respiratory Infections Using a Multi-Faceted Approach

Phillip Chung, PharmD

M. Salman Ashraf, MBBSNebraska AntimicrobialStewardship Assessment andPromotion Program

Misuse of antibiotics is common in the treatment of outpatient acute respiratory infections, including acute bronchitis. This presentation describes an outpatient antimicrobial stewardship campaign initiated by Nebraska Antimicrobial Stewardship Assessment and Promotion Program and Nebraska Medicine, with the support of Nebraska DHHS HAI/AR program, to improve antibiotic prescribing for ARI in primary care clinics.

5 Coordinating Care from Clinic to Hospital and Back Home

Shelley Miller, RN, BSNCHI Health Partners

Presenters will discuss their work, throughout the CIN, to keep patients healthy and out of the hospital. Healthcare’s location is changingfrom hospital-based to home-based care. This team is working hard to improve communication amongst the continuum to improve overall health of those we are entrusted to care for. Attend this session to learn more.

6 A Quality Reporting Journey using the Health Information Exchange

Vineeth Yeddula, PMP, CLSSMBB, CMQ/OEKPI Ninja

Kari Majors, C-EPNebraska Health Information Initiative

This presentation will outline how the Nebraska Health Information Initiative (NEHII) aids in effective and efficient regulatory reportingthroughtheirQualifiedClinicalDataRegistry(QCDR).

In addition, presenters will define the QCDR services, describe onefacility’sjourneyparticipatinginNEHIIQCDRservicesanddemonstrateapplications that streamline reporting and turn data into meaningful and actionable information.

7 The Box Strategy Alisha Dorn, RN, BSN, CIC

Kate Paladino, BS, RT R, Six Sigma Black Belt

This presentation will discuss an intervention implemented as part of an initiative to address poor compliance with isolation practices. Presenters will discuss the successes and pitfalls experienced as well as overall results with isolation adherence.

8

NCPS

Implementing Safety Culture: Do a Few Things Well

Katherine J. Jones, PT, PhDNebraska Coalition for Patient Safety

Safety culture results from the interaction of four types of practices within an organization: reporting practices, just culture practices, teamwork practices and learning practices. A culture of safety is implemented by the leaders of an organization. This implementation may be explicit, planned, measured, and continually improved or implicit and unplanned.

Continuing EducationAnapplicationhasbeensubmittedfor5.25nursingcontacthoursthroughIowaWesternCommunityCollege;IowaBoardofNursingProvider#6;pendingapproval.ContinuingMedicalEducation[CME];approvalpending.

Sign-in sheets will be available at the registration booth at the beginning of the day. All attendees must complete theeventevaluationtoreceiveaContinuingEducationCertificate.WewillprovidetheevaluationlinkduringtheForum and post event, via email.

Overall Purpose: Improve the quality of care provided to Nebraska residents. Healthcare professionals will share best practices and lessons learned.

Objective 1: Identify skills, resources and best practices that can be applied within your healthcare setting to improve care at the patient and provider levels.

Objective 2: Demonstrate ways to implement change in your healthcare setting resulting in enhanced quality improvement and patient outcomes.

Program CostThe cost to attend is $60.00, which includes food and beverages during the Quality Forum. Additional details are included in the online registration form. Register at: www.greatplainsqin.org/ne-qualityforum Deadline: Thursday, May 30, 2019

Lodging/ParkingEmbassy Suites & Courtyard 1-800-EMBASSY https://bit.ly/2GMKmG5by Marriot, Omaha - La Vista (Ref Code: CIMRO) Reservation deadline: May 6, 201912560 Westport Parkway Room rate for Room Block: $139 plus taxMention Nebraska Healthcare Quality Forum 2019

Hampton Inn & Suites 402.895.2900 www.omahalavistasuites.hamptoninn.com12331 Southport Parkway

Directions and Hotel Parking InformationHeading either East or West on Interstate 80, take the Giles Road, Exit No. 442. Turn south onto Giles Road and take thenextrightontoSouthportParkway.TakethefirstrightontoWestportParkwayandEmbassySuitesisonyourright.Self-parking is complimentary.

This material was prepared by the Great Plains Quality Innovation Network, the Medicare Quality Improvement Organization for Kansas, Nebraska, North Dakota and South Dakota, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. DepartmentofHealthandHumanServices.ThecontentspresenteddonotnecessarilyreflectCMSpolicy.11S0W-GPQIN-NE-GEN-56/0319

1200 Libra Drive, Suite 102 | Lincoln, NE 68512402/476-1700 | www.greatplainsqin.org

Great PlainsQuality Innovation Network

Visit www.greatplainsqin.org/ne-qualityforum for the latest

information regarding the Quality Forum.

If you have questions, please contact:

Keri McDermott | Communications Director402.476.1399 Ext. 502 | [email protected]

Nikki Divis | Communications Lead402.476.1399 Ext. 537 | [email protected]

nebraska healthcare quality forumphilip boucher, md lincoln pediatric group our patients live on...

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