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1 Speaker Profile Speaker Profile Form Name and Credentials: Patricia J. Posa RN, BSN, MSA Position Held: System Performance Improvement Leader Organization: St. Joseph Mercy Health System Business Address: 5301 East Huron River Dr. PO Box 995 City: Ann Arbor State: Michigan Zip: 48106 Country: USA Business Telephone: 248-890-0044 Business Fax: 248-924-3244 Internet/email address: patposa@comcast.net (work) Professional License 4704128246 State: Michigan Exp.Date: 3/31/2011 Indicate address and phone where you wish to be contacted. Mail: Home X Work Phone: Home Work X If you wish to receive your mail and/or phone calls at home, please give your home address and phone number. Home Address: 19847 Scenic Harbour Drive Northville, MI 48167 Home Telephone: 248-890-0044 Academic Preparation: (List most recent academic preparation first - please indicate area of specialty) Central Michigan University Mt Plesant, MI MSA 1996 School/University City, State Degree Date Wayne State University Detroit, MI BSN 1979 School/University City, State Degree Date

2 Speaker Profile Professional Experience: 08/09 Present St, Joseph Mercy Health Sytem System Performance Improvement Leader 7/09 Present Sepsis Solutions International LLC, Northville, Michigan Constultant/Educator 08/07 08/09 St, Joseph Mercy Health Sytem Special Projects Coordinator 08/01 08/06 St, Joseph Mercy Health Sytem Staff Nurse, SICU 2005- Present Advancing Nursing, LLC Northville, MI Constultant/Educator 2000-2007 Medical Legal Consultant, Northville, MI Provide nurse expert services to legal firms. 1999-2000 Henry Ford Health System-Health Alliance Plan Detroit, MI Manager, System Care Management 1999 Henry Ford Health System MANAGER, MANAGED CARE SERVICES 1999 Henry Ford Health System PROJECT MANAGER-CLINICAL AND MANAGED CARE SERVICES 1998-1999 Henry Ford Health System ADMINISTRATIVE MANAGER GENERAL INTERNAL MEDICINE 1997-1998 Henry Ford Health System ADMINISTRATIVE MANAGER III-DETROIT NORTHWEST 1996-1997 Henry Ford Health System PROJECT MANAGER-DETROIT REGION 1995-1996 HENRY FORD HOSPITAL UTILIZATION CARE TEAMSCOORDINATOR 11/94-12/94 Sharp Health Care- Grossmont Hospital San Diego, CA Emergency Department Management Consultant 1993-1994 Sharp Health Care- Sharp Memorial and Cabrillo Hospitals Director of Nursing And Professional Support Services 1993 Sharp Healthcare-Mary Birch Hospital For Women Program Coordinator 1991-1993 Sharp Healthcare-Sharp Memorial Hospital Critical Care Educator

3 Speaker Profile 1985-1991 Sharp Healthcare-Sharp Memorial Hospital Surgical Intensive Care Unit-Nurse Manager T 1984-1985 Sharp Healthcare-Sharp Memorial Hospital Medical Intensive Care Unit/Coronary Intensive Care Unit Nurse Manager 1982-1984 Sharp Healthcare-Sharp Memorial Hospital Medical Intensive Care Unit/Coronary Intensive Care Unit Administrative Nurse II 1982 Sharp Healthcare-Sharp Memorial Hospital Surgical Intensive Care Unit-Staff Nurse 1981-1982 Staff Builders San Diego, Ca Intensive Care Pool Nurse 1979-81 Harper Hospital Detroit, Mi 1979-1981 Micu - Staff Nurse 1979 Postsurgical Telemetry Unit - Staff Nurse Previous Programs at which you have spoken: Previous Programs at which you have spoken: 2010 American Thoracic Society International Conference. Sustaining A Workforce On The Cutting Edge: The Keystone Collaborative Approach to Disseminating And Maintaing Best Practices Missouri Patient Safety Organization Conference Comprehensive Unit Based Patient Safety Program Southern California Hospital Association Eliminating BSI and Implementing a Sepsis Program Emergency Nurses Association-Duluth, MINN Managing the patient with severe sepsis Intergris Health-Quest for Quality Sepsis-An Evidence Based Approach 2009 Catholic Health Partners Cincinnati, Ohio System Sepsis Collaborative Implementation of a Severe Sepsis Program North Texas Association for Health Care Quality Implementation of a Hospital Wide Sepsis Program Rewee e e

4 Speaker Profile Keystone ICU Statewide Collaborative Sepsis program and management update Arizona Agency for Health Care Quality Implementing a Hospital wide Sepsis Program Diamond State Chapter Critical Care Symposium Dover, DE Delirium Prevention and Management in Critical Care Integrated Nurse Leadership Program Implementation of a Severe Sepsis Program San Francisco, CA AACN-Pitt Chapter/UPMC Implementation of a Severe Sepsis Program Pitt, PA 2008 National APIC Conference: Eliminating Central Line Associated Blood Stream Infections Baptist Health-Miami: Mercy Experience Implementation of a Severe Sepsis Program-The St. Joseph AACN National Teaching Institute: Eliminating Central Line Associated Blood Stream Infections Interventional Patient Hygeine Akron, OH 2007 Trinity Health System Fall Conference: Surviving Sepsis: Early Identification and Management Saves Lives; Reducing Antibiotic Administration Time in Patient with Severe Sepsis AACN National Teaching Institute: Eliminating Central Line Associated Blood Stream Infections 2006 Michigan APIC Conference: Prevention of infections in the ICU: VAP and Catheter Associated BSI 2006 NPACE National Meeting, Evidence Based Management of the Patient with Severe Sepsis 2006 American Society Of Enteral and Parental Nutrition National Conference, Prevention of Ventilator Associated Pneumonia in the Critically Ill Patient 2002-Present Management of the patient with severe sepsis (presented multiple times at different programs around the country) 1998 Common Threads from OPD to IPD: Professional Nursing at its Best, Institute for Healthcare Improvement, Orlando, Florida 1997 Inside and Out: Professional Nursing at its Best, Johns Distinguished Nursing Lectureship, Henry Ford Health System

5 Speaker Profile 1994 Work Redesign: A Response to Changes in Health Care, Quality Symposium, Sharp HealthCare. Nutritional Support: Bedside Strategies for Successful Patient Outcomes, presented at: Assist Trauma Nurse Coordinator Annual Conference Critical Care Symposium, Sharp Memorial and Cabrillo Hospitals (1992 and 1993) Critical Care Orientation (3-4 X/year since 1991) AACN's National Teaching Institute (1993) 1993 Percutaneous Cardiopulmonary Support and Left Ventricular Assist Devices for Critically Ill Patients, San Antonio Community Hospital, Redlands, California. 1991 The Critical Link: Assessing and Meeting Nutritional Needs at AACN's National Teaching Institute for >275 critical care nurses. Advanced Assessment of Oxygenation: Improving Tissue Oxygenation at Sharp Memorial Hospital for >30 critical care nurses and respiratory therapists (performed yearly since 1988). 1990 Nutritional Support for the Critically Ill Patient at Sharp Memorial Hospital for critical care orientation program (part of orientation since 1985). Left Ventricular Assist Devices: Clinical Applications and Patient Management at Providence Heart Day Nursing Symposium, Seattle, Washington, for >100 critical care nurses and cath lab technicians. 1989 Advanced Assessment of Oxygenation: Improving Tissue Oxygenation at Critical Care Cardiovascular Symposium sponsored by Sharp Memorial Hospital for >75 critical care nurses. Educational Series on Bedside Teaching Strategies for Critical Care Nurse at Sharp Memorial Hospital for small group of 8-10 critical care nurses repeated throughout the year. Educational series on Leadership Skills for the Clinical Nurse at Sharp Memorial Hospital for small group of 8-10 critical care nurses repeated throughout the year. Pressure Controlled Ventilation: With and Without Inverse Ration at Sharp Memorial Hospital for >30 critical care nurses and respiratory therapists. 1988 Postoperative Pulmonary Nursing Care: Advanced Clinical Assessment and Intervention at Sharp Memorial Hospital's Cardiovascular Symposium for >70 critical care nurses. Endocrine System for CCRN review course at Sharp Memorial Hospital for >40 critical c are nurses (also presented Endocrine at review course in 1987). Publications: Pronovost, Peter Goeschal, Christine, - Colantuoni, Elizabeth Posa, Patricia et.al. BMJ 2010; 340:c309 Sustaining reductions in catheter-related bloodstream infections in Michigan intensive care units: an observational study.

6 Speaker Profile Posa, P. RN; Harrison, Denise RN; Vollman, Kathleen, RN; Elimination of Central Line-Associated Bloodstream Infections. 2006, AACN Advanced Critical Care. Vol 17, No:4. pp. 446-454 Goeschel, Christine, RN; Bourgault, Annette, RN; Palleschi, RN; Posa, Pat RN, Harrison, Denise RN. et al. Nursing Lessons from the MHA Keystone ICU Project: Developing and Implementing an Innovative Approach to Patient Safety. Critical Care Nursing Clinics of North America. 18(2006) 481-491. Pronovost, Peter MD, Needham, Dale MD, Berenholtz, Sean MD, Dinopoli, David, MPH, Chu, Haitao, MD, Cosgrove, Sara, MD et al. An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU. New England Journal of Medicine Dec. 28, 2006; Vol 355 No:26 pp. 2725-2732 (one of the participating hospital teams, acknowledged in supplement) Prasad V. Podila, M.D., Tamir Ben-Menachem, M.D., M.S. Surinder K. Batra, M.D., F.A.C.P., Nagaraja Oruganti, M.D., Patricia Posa, R.N., BSN, MSA., and Ronald Fogel, M.D., Managing Patients With Acute, Nonvariceal Gastrointestinal Hemorrhage: Development and Effectiveness of a Clincal Care Pathway. The American Journal Of Gastroenterology, 2001:96(1), Elsevier Science Inc. Posa, P., Nutritional Support Strategies: A Case Study Approach, AACN's Clinical Issues, Vol 5, No. 4, Nov. 1994 Posa, P., Nutritional Support of the Critically Ill Patient: Bedside Strategies for Successful Patient Outcomes, Crit Care Nurs Q., 1994:16(4), Aspen Publications Cone, M., Hoffman, M., Jessen, D., Posa, P., Dailey, C., Rybowick, L., Cardiopulmonary Support in the Intensive Care Unit, Amer J. Crit Care, Vol 1, No. 1, 1992 Posa, P., Yonkee, D., Fields, W., Development and Implications of an Interdisciplinary Quality Assurance Monitor on Unplanned Transfers into the Intensive Care Units, J. Nurs Care Qual, 1992:6(2)