Safe Passage to Superior Practice: Highlighting Legal, Ethical & Risk Management Best Practices for Florida Physicians

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1 ITINERARY CME Cruise to Alaska On board Holland America s The Amsterdam CALL CONTINUING EDUCATION, INC. AT TO BOOK OR ASK QUESTIONS Sunday, August 9 th Seattle, Washington, US Embarkation Ship Sails 4:00pm Time TBD Informal Meet and Greet Families and Guests Invited Location TBA Sunday, August 9 th Puget Sound (Cruising Only) Port-of-Call Monday, August 10 th At Sea 9:00am 12noon CME Sessions Location TBA Noon-1:00pm Lunch 1:00pm 4:00pm CME Sessions Tuesday, August 11 th Scenic Cruising Tracy Arm Fjord 2:00pm 7:00pm (Cruising only) 9:00am 12noon CME Sessions Location TBA Wednesday, August 12 th Juneau, Alaska, US Port-of-Call 7:00am 6:00pm Thursday, August 13 th Sitka, Alaska, US Port-of-Call 8:00am 4:00pm Friday, August 14 th Ketchikan, Alaska, US Port-of-Call 7:00am 1:00pm 2:00pm 5:00pm CME Sessions Location TBA Time TBD Farewell Cocktails Families and Guests Invited Location TBA Saturday, August 15 th Victoria, British Columbia, Canada Port-of-Call 6:00pm 11:59pm Sunday, August 16 th Seattle, Washington, US Ship docks 7:00am PRICING: Cruise Rates start at $764 per person based on double occupancy plus taxes and fees ($ pp) CME Registration Fee: $495 member/$695 non-members (partner organizations)

2 Educational Objective: In 2014, the FMA established a Subcommittee on State Organized Medicine Relationships. The charge was to develop activities and opportunities to build effective relationships among organized medical societies in Florida. These educational sessions are being offered particularly to highlight legal and ethical obligations of Floridalicensed physicians and to share proactive and preventive strategies to minimize risks in medical practice and improve patient care. The hope is that the format of this event will encourage the further initiation of a culture of collaboration among some of the key stakeholders in Florida s organized medicine community. CME Presentations: First Do No Harm: Prevention of Medical Errors 2 hours Florida Laws and Rules 1 hour Risk Prevention Tips for the Digital Age: EHR, , Texting and Social Media 1 hour Legislative Update and the Importance of Medical Advocacy 2 hours Prescribing Controlled Substances: Laws, Risk Management Concerns, and Clinical Implications 2 hours Medical Practice Mergers and Acquisition: A Risk Management Primer 1 hour Zebras or Horses: Reducing the Risks of Diagnostic Errors 1 hour Medical Ethics 1 hour Disclosing an Unanticipated Outcome: Developing a Process 1 hour CME Faculty: 1. James Howell, M.D., Director of Rural Health, NSU College of Osteopathic Medicine Sandra Strickland, RN, MSN, LHRM, CPHRM, Asst. VP, Dept. of Patient Safety & Risk Mgmt., The Doctors Company Disclosure Announcement: The planners and speakers for this educational activity have no relevant relationships with commercial interests whose products or services will be discussed during these presentations. CME Accreditation and Designation: The Florida Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Florida Medical Association designates this live activity for a maximum of 12 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This educational activity is supported by a generous contribution from The Doctors Company.

3 Monday, August 10, :00 to 10:55 am First Do No Harm Prevention of Medical Errors Few medical errors are attributed to faulty medical judgment, but rather are attributed to system failures inherent in healthcare delivery. Using closed claim and other data, common performance and diagnostic errors are identified and prevention measures explored in this program. Additionally, elements necessary to conduct a credible and thorough root cause analysis in order to reduce system failures, respond to sentinel events, prevent medical errors, and improve patient safety are discussed. This program is designed to comply with CME requirements outlined in Florida Statutes. Describe a root cause analysis Recite the most commonly missed diagnoses Recognize medical error reduction and prevention strategies 11:00 to 12:00 pm Florida Laws and Rules Describe current legal and ethical issues/responsibilities affecting medical practice in Florida Identify recent laws and rules impacting your practice Find licensure board web sites an on-line tools to access specific laws and rules for help with practice issues Be prepared for the new on-line CME process at renewal 1:00 to 1:55 pm Risk Prevention Tips for the Digital Age: EHR, , Texting and Social Media Sandra Strickland, RN, MSN, LHRM, CPHRM, Asst. VP, Dept. of Patient Safety & Risk Mgmt. Over 50 percent of all healthcare providers in the United States have implemented an electronic health record (EHR) system and are using electronic communications and social media. Some in the healthcare community have viewed this technology as disruptive and have been reluctant to adopt the technology. But EHR, electronic communications and social are not trends and are having a significant impact in the healthcare industry. This program will address the evolving risks and benefits associated with EHRs, electronic communications and social media and will provide risk tips to mitigate potential liability. Explain the benefits of EHR, electronic communications and social media in healthcare. Detail the known risks of digital technology in the medical practice. Review strategies for becoming an effective digital healthcare technology user.

4 2:00 to 4:00 pm The Importance of Medical Advocacy James Howell, M.D., Director of Rural Health, NSU College of Osteopathic Medicine Describe the key points of the FMA s Legislative Agenda for Recognize the benefits and value of physician participation in medical advocacy Tuesday, August 11, :00 to 10:55 pm Prescribing Controlled Substances: Laws, Risk Management Concerns & Clinical Implications Recent data confirm that prescriptions for controlled substances have risen in frequency and that narcotics have surpassed oral anticoagulants and anti-infectives as the leading cause of drug-related claims. Some cases have resulted in death or encephalopathy due to respiratory depression. Safe and effective management of therapy involving controlled substances requires skill and knowledge in principles of prescribing, as well as in the assessment and management of risks associated with abuse, addiction, and diversion. This presentation, through analysis of case studies and review of data, outlines the potential hazards in prescribing controlled substances. The presentation will also explore recommendations for prevention, recognition, and management of adverse effects related to the use of controlled substances. Recognize the relevant federal and state laws related to prescribing of controlled substances Identify potential risks associated with prescribing controlled substances. Discuss monitoring techniques for patients treated with controlled substances. Explore procedures that will reduce the risks associated with treatment involving controlled substances. 11:00 to 12:00 pm Medical Practice Mergers and Acquisition: A Risk Management Primer The number of solo and small group medical practices is declining. Personal and professional pressures are driving medical practices to consolidate in the form of mergers or acquisitions. This offering explores the benefits and challenges associated with consolidating medical practices. Risk management strategies designed to facilitate a smooth transition and decrease the risks associated with consolidating practices are explored. At the conclusion of this program, you will be able to: Delineate the benefits and challenges of medical practice mergers and acquisitions. Describe the risk management strategies involved in protecting the practice during and following a merger or acquisition.

5 Friday, August 14, :00 to 10:00 am Zebras or Horses: Reducing the Risks of Diagnostic Errors Problems related to diagnostic error are the most common allegations in medical malpractice claims, according to industry sources such as the PIAA s Data Sharing Project. The top five diagnoses for each medical specialty s diagnosis-related claims involve commonly encountered conditions with differential diagnoses that are well-known to most physicians. Furthermore, nearly fifty percent of these diagnoses are found repeatedly in different specialties; e.g., acute MI appears in emergency medicine, internal medicine, family medicine, hospital medicine, and cardiology. This suggests that knowledge deficiency is not the primary cause of diagnostic error and that other factors play an important role. This program will explore factors that contribute to diagnostic errors and identify strategies designed to improve understanding of the diagnostic process At the conclusion of this program, learner should be able to: Recall the common diagnostic processes and events that result in error Explain how human factors hinder diagnostic abilities Identify patient safety strategies to reduce error 10:00 to 10:55 am Medical Ethics Recognize ethical expectations of the medical profession in Florida Explain the sources of medical ethics Identify specific ethical dilemmas that physicians commonly confront 11:00 to 12:00 pm Disclosing an Unanticipated Outcome: Developing a Process Disclosing an unanticipated outcome or adverse event can be a wrenching experience especially when the healthcare provider lacks organizational support. There is consensus among professional organizations, physicians and the general public that adverse events should be disclosed to the patient and/or family. In today s integrated healthcare system environment, every practitioner should be prepared to conduct those difficult conversations and develop a process for doing the right thing in the right way. At the conclusion of this program, you will be able to: Identify reasons for having a process in place where all unanticipated outcomes are reviewed. List key elements in disclosing an adverse event. Describe three disclosure techniques that should be incorporated into a disclosure process.