CSR Educational Workshop March 10-11, 2016 Embassy Suites at Kingston Plantation



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CSR Educational Workshop at Kingston Plantation Myrtle Beach, South Carolina 1

CSR for the Carolinas Educational Workshop at Kingston Plantation Myrtle Beach Purpose The Continuous Service Readiness (CSR) Program for the Carolinas is a joint effort between the (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: 1. Identify at least one best practice for infection prevention and control, 2. Identify potential problems related to sterilization or use of high level disinfectants, 3. State two characteristics of high reliability organizations, 4. Identify at least two challenges for Ambulatory Sites being surveyed under HAP Standards, 5. List two of the top findings from CMS and be able to discuss strategies for compliance, 6. Verbalize understanding of the CMS worksheets related to QAPI, IC and Transitions of Care. Continuing education The South Carolina Hospital Association is an approved provider of continuing nursing education by the South Carolina Nurses Association, an accredited provider by the American Nurses Credentialing Center s Committee on Accreditation. Participants who attend the conference and complete an evaluation will receive 11.75 contact hours. 2

CSR FOR THE CAROLINAS EDUCATIONAL WORKSHOP 9800 Queensway Blvd Myrtle Beach, SC 29572 Thursday March 10, 2016 8:00 am - 8:30 am Registration and Continental Breakfast 8:30 am 8:45 am Welcome Karen Reeves, BSN, MHHA, FACHE South Carolina Hospital Association Dale Duncan, RN, MHSA, CPHQ Chair, CSR Advisory Board 8:45 am - 10:30 am Infection Prevention and Control/HLD Sylvia Garcia-Houchins, RN, MBA, CIC 10:30 am 10:45 pm Break 10:45 am 12:00 pm Infection Prevention and Control/HLD Sylvia Garcia-Houchins, RN, MBA, CIC 12:00 pm - 1:00 pm Lunch 12:00 pm - 1:00 pm Advisory Board Meeting (Room TBA) 1:00 pm 2:30 pm High Reliability Jill R. Hiers, RN, MBA, NEA-BC, CJCP CSR Consultant 2:30 pm 2:45pm Break 2:45 pm 4:15 pm Break-out Session #1 A. The New Accreditation Coordinator Tips for Success Jill Hiers, RN, MBA, NEA-BC, CJCP CSR Consultant B. Survey Experience Panel a. Kim Munto, RN, BSN, MHA Duke Raleigh Hospital b. Debra Drew, RN, CPHRM, CPPS Colleton Medical Center c. Debra Mixon, RN, BSN Palmetto Health Tuomey C. Why Zebras Don t Get Ulcers Mindy S. Goldsmith, PhD, CPHQ, CRA 4:15 pm 4:30 pm Wrap up and Adjourn 3

Friday March 11, 2016 CSR for the Carolinas Educational Workshop 9800 Queensway Blvd Myrtle Beach, SC 29572 8:00 am 8:30 am Registration and Continental Breakfast 8:30 am 8:45 am Welcome and Announcements Dale Duncan, RN, MHSA, CPHQ Chair, CSR Advisory Board 8:45 am 10:15 am Ambulatory Sites Surveyed under HAP Standards Susan Sheedy, BSN, MPH, FACHE, FNP, CJCP 10:15 am 10:30 am Break 10:30 am 12:00 pm Breakout Sessions #2 A. Tracers 101 Jill Hiers, RN, MBA, NEA-BC, CJCP CSR Consultant B. Survey Experience Panel a. Kim Munto, RN, BSN, MHA Duke Raleigh b. Debra Drew, RN, CPHRM, CPPS Colleton Medical Center c. Debra Mixon, RN, BSN Palmetto Health Tuomey C. Why Zebras Don t Get Ulcers Mindy S. Goldsmith, PhD, CPHQ, CRA 12:00 pm 1:00 pm Lunch 1:00 pm - 2:30 pm CMS Update and Hot Topics Kathleen DeMarcky, BSN, RN, MPA CMS Consultant 2:30 2:45 pm Break 2:45 pm 3:45 pm CMS Update - EMTALA CMS Worksheets: QAPI, IC, Transitions of Care Kathleen DeMarcky, BSN, RN, MPA CMS Consultant 3:45 pm 4:00pm Wrap up and Adjourn 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 803-744-3529. SCHA encourages a smoke-free environment; therefore no smoking is permitted in SCHA meetings. 4

General information R e g i s t e r N o w. An easy 3 step process. 1. Visit the SCHA member calendar. (www.scha.org/members/calendar) 2. Select this meeting from the list. 3. Register online. No paperwork required! Payment Options: Credit card Invoice Registration and fees The early bird registration fee is $230. Registrations received after March 3 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. All attendees must register online. To register online, visit the SCHA web calendar, www.scha.org/members/calendar, select this meeting, and click Register Online. A registration and payment confirmation will be emailed directly to you once you complete the registration process. Refund/Cancellation Policy The deadline for registration is March 3, 2016. 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 March 3, 2015 (5 business days prior to the program.) Refunds will not be made for no-shows and late cancellations. Hotel Registration Information The Myrtle Beach is located at 9800 Queensway Boulevard, Myrtle Beach, South Carolina 29572. The Room Block rate for the CSR for the Carolinas is $119.00 a night single or double. The cut-off date for this room block is February 11, 2016. To receive this special rate, please call 1-888-627-8048 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. 5