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1 CSR Educational Workshop November 19 & 20, 2015 The Ballantyne Hotel & Lodge Charlotte, North Carolina 1
2 CSR for the Carolinas Educational Workshop The Ballantyne Hotel & Lodge Charlotte, NC Thursday Friday November 19-20, 2015 Purpose The Continuous Service Readiness (CSR) Program for the Carolinas is a joint effort between the Joint Commission Resources (JCR) and South Carolina Hospital Association (SCHA) to structure and implement a program for hospitals to receive education, consultation, and feedback on a continuous basis concerning Patient Safety and Joint Commission compliance requirements. Through CSR, hospitals have an avenue to help share a continuous service readiness process that incorporates performance measurement and patient safety into the quality processes. Objectives Upon completion of this workshop, participants will: Identify one revision to the Joint Commission Standards for Identify two of the most challenging Joint Commission Standards. List what surveyors are looking for during a Joint Commission Survey through discussion with a panel of individuals from hospitals that have been recently surveyed. Explain the requirements and discuss strategies for complying with medication management standards. Identify two to three challenging medical staff standards. Explain the logistics of the survey process. Identify at least one best practice for the medication reconciliation process. 2
3 CSR for the Carolinas Educational Workshop The Ballantyne Hotel & Lodge Charlotte, NC Thursday Friday November 19-20, 2015 Thursday November 19, :00 am - 8:30 am Registration and Continental Breakfast 8:30 am 8:45 am Welcome Karen Reeves, BSN, MHHA, FACHE South Carolina Hospital Association Chair, CSR Advisory Board 8:45 am - 10:30 am The Joint Commission Update Doreen Finn, RN, MBA Senior Associate Director, Standards Interpretation Group The Joint Commission 10:30 am 10:45 pm Break 10:45 am 12:00 pm The Joint Commission Update (continued) Doreen Finn, RN, MBA Senior Associate Director, Standards Interpretation Group The Joint Commission 12:00 pm - 1:00 pm Lunch 1:00 pm - 4:00 pm Survey Panel Shawna Doran, RN, MSN Beaufort Medical Center Allyson Tetterton, RN, BSN Rex Healthcare Jackie Pehan, RN, BSN, CPHQ Carolinas Health-Lincoln 4:00 pm 4:15 pm Wrap up and adjourn 3
4 Friday November 20, 2015 CSR for the Carolinas Educational Workshop The Ballantyne Hotel & Lodge Charlotte, NC Thursday Friday November 19-20, :00 am 8:30 am Registration and Continental Breakfast 8:30 am 8:45 am Welcome and Announcements Chair, CSR Advisory Board 8:45 am 10:15 am Medication Management Jeannell Mansur, RPh, Pharm.D, FASHP, FSMSO, CJCP Practice Leader, Medication Safety 10:15 am 10:30 am Break 10:30 am 12:00 pm The Medical Staff Update Ed LeBlanc, MD Field Director, Domestic Consulting/Physician Consultant 12:00 pm 1:00 pm Lunch 12:00 pm 1:00 pm Advisory Board Meeting (Room TBA) 1:00 pm - 2:30 pm Breakout Sessions: A. Ready, Set, Survey Director, Medical Affairs AnMed Health B. FPPE and OPPE Ed LeBlanc, MD Field Director, Domestic Consulting/Physician Consultant C. Medication Reconciliation 4
5 Jeannell Mansur, RPh, Pharm.D, FASHP, FSMSO, CJCP Practice Leader, Medication Safety 2:30 2:45 pm Break 2:45 pm - 4:15 pm Breakout Sessions: D. Ready, Set, Survey (Repeat Session) Director, Medical Affairs AnMed Health E. FPPE and OPPE (Repeat Session) Ed LeBlanc, MD Field Director, Domestic Consulting/Physician Consultant F. Medication Reconciliation (Repeat Session) Jeannell Mansur, RPh, Pharm.D, FASHP, FSMSO, CJCP Practice Leader, Medication Safety A SPECIAL NOTE FOR THE DISABLED The South Carolina Hospital Association wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of auxiliary aids and services. If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act, please write or call Educational Services at SCHA encourages a smoke-free environment; therefore no smoking is permitted in SCHA meetings. 5
6 REGISTRATION AND FEES The early bird registration fee is $230. Registrations received after November 11 will be considered late and the fee will be $260. All walk up registrations are required to pay the late registration fee and payment must be collected onsite. SCHA will now offer online registration. To register for this meeting online, visit the SCHA web calendar, select CSR, and click Online Registration to sign up today. A registration and payment confirmation will be ed directly to you once you complete the online registration process. To complete the online registration, you will need to use a username/password that you can create if you do not already have one. If you experience problems, please contact SCHA at for assistance. REFUND/CANCELLATION POLICY The deadline for registration is November 11, Any registrant who cannot attend a meeting may send a substitute from the same organization. If possible, please notify SCHA of the substitution in writing (by letter or FAX).The registration fee (less a $25 processing fee) is refundable if SCHA is notified of the cancellation no later than November 11, 2015 (5 business days prior to the program.) Refunds will not be made for no-shows and late cancellations. HOTEL REGISTRATION INFORMATION The Ballantyne Hotel & Lodge is located at Ballantyne Commons Parkway, Charlotte, NC The Room Block rate for the CSR for the Carolinas is $ a night single or double. The cut-off date for this room block is November 6, To receive this special rate, please call and ask for the SCHA CSR Room block. WORK TO BE FIT SCHA is committed to providing a safe and healthy work environment for its employees and guests, compliant with our Work to be Fit wellness program. Therefore, policies and standards for tobacco, nutrition, and physical activity have been implemented to support such a culture. Tobacco SCHA encourages tobacco free people and places so tobacco use is prohibited at SCHA events and on SCHA grounds. Nutrition SCHA provides a healthy food environment where the healthy choice is the easy choice. Healthy menu items that comply with the healthy food nutrition criteria will be available at each meal service. Please note that sugar sweetened beverages do not comply with the nutrition criteria and will not be readily available. Physical Activity- SCHA encourages the use of scheduled breaks for physical activity (stretching, walking, etc) to help maintain optimal health. A paved community walking trail is available adjacent to SCHA grounds.
7 CSR Educational Workshop November 19-20, 2015 The Ballantyne Hotel & Lodge, Charlotte Online registration is available for this meeting at For questions or assistance with online registration please call SCHA at Online registration closes November 11, After November 11, faxed registrations will still be accepted. The Early Bird registration fee is $ per person. This fee covers the cost of refreshment breaks, lunches and other program expenses. Any registration received after November 11 will be considered late and the fee will be $260 per person. Please circle the letter of the two breakout sessions you will be attending. (Circle one for 1:00 PM and one for 2:45 PM) (Please circle the letter of the two breakouts you plan to attend) NAME Breakout Sessions: A B C D E F Title address NAME Breakout Sessions: A B C D E F Title address NAME Breakout Sessions: A B C D E F Title address INSTITUTION Address Phone The Ballantyne Hotel & Lodge is located at Ballantyne Commons Parkway, Charlotte. The Room Block rate for the CSR for the Carolinas is $189 a night single/double. The cut-off date for this room block is November 6, To receive this special rate, please call and ask for the SCHA CSR Workshop block. PAYMENT OPTIONS Online registration is available for this meeting at If not registering online, please fill out this form and mail with your check to SCHA. You must also fax a copy of your registration form to (unless you are registering online.) Payment must be received prior to the meeting. [ ] CHECK Check in the amount of $ Checks should be made payable to SCHA and returned with a copy of the registration to: SCHA Education Services 1000 Center Point Road Columbia, SC 29210
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