IMPROVING QUALITY & SAVING LIVES MHA Keystone: ICU Workshop Tuesday, September 29, 2015 Dearborn Inn Dearborn This educational activity is sponsored by in-kind support from Blue Cross Blue Shield A Voluntary Collaborative to Improve Quality and Save Lives Jointly sponsored by: Beaumont Health System and Michigan Public Health Institute Continuing Education Provider Unit
CONFERENCE SPECIFICS REGISTRATION Each organization may register up to three individuals from each ICU at no charge, additional attendees $60 per person. If you have registered for an MHA event and have your login information, you may register online or with the paper form within this brochure. Space is limited and registration is available on a first-come, first-served basis. Confirmation will be sent via email. If you do not receive confirmation of registration, contact Tammy Nault at tnault@mha.org. OVERVIEW The MHA Keystone Center will host the MHA Keystone: ICU workshop Sept. 29 at the Dearborn Inn. Hospitals participating in MHA Keystone: ICU or MHA Keystone: Sepsis are strongly encouraged to attend. VENUE & ACCOMMODATIONS The event will be hosted at the Dearborn Inn, 20301 Oakwood Boulevard, Dearborn, MI 48124. An overnight room rate of $165 has been secured for workshop attendees. Call (800) 228-9290 or (313) 271-2700 and identify the MHA Keystone: ICU workshop when making a room reservation. Room reservations are encouraged by Sept. 4, and any reservations made after this date will be confirmed based on availability. PARKING The Dearborn Inn, 20301 Oakwood Blvd., Dearborn, MI 48124-4058. Complimentary on-site parking. SPECIAL NEEDS If you have any special needs or concerns regarding program site access, dietary restrictions, or your participation in the program, contact keystone@mha.org. Please inquire in advance so we may respond to your individual needs. CANCELLATION POLICY If notice of cancellation is given 72 hours in advance of the workshop, 50 percent of the registration fee is refundable. No refunds will be issued after this time. CONTINUING EDUCATION OPPORTUNITIES William Beaumont Hospital designates this live activity for a maximum of 4.75 AMA PRA Category 1Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. This award will expire on 9/29/16. This continuing nursing education activity was awarded a maximum 6.25 nursing contact hours. Michigan Public Health Institute Continuing Education Provider Unit (OH-320, 6/1/2013) is an approval provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91). An accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. The ICU workshop has been awarded a maximum of 3.25 ACPE credit hours for pharmacy professionals. Partial credit can be awarded and pharmacy professionals should only check the sessions they attend. The Aftermath by Gary Black The workshop will feature presentations from national and local critical care experts on ICU survivorship, patient-centered care for delirium prevention and management, updated best practices for sepsis identification, treatment and management, navigating difficult conversations with patients and families, current approaches to palliative care and lung protective ventilation in the ICU setting. For questions regarding continuing education please contact us at keystone@mha.org 2
AGENDA September 29, 2015 Dearborn Inn Dearborn, MI 7 8 a.m. Registration and Breakfast 8 8:15 a.m. Welcome Sam Watson, senior vice president, patient safety and quality, MHA and Brian Peters, CEO, MHA 8:15 8:30 a.m. KICU Annual Survey Results Deena Costa, PhD, RN, assistant professor, University of Michigan School of Nursing 8:30-8:45 a.m. Keystone Update Phyllis McLellan, RN, MSN, CNOR, CPPS, director of performance improvement, MHA Keystone Center 8:45 9:30 a.m. Sepsis from the Inside Out Gary Black, MEd, BSEd, and BFA. (author Gyroscope A Survival of Sepsis ) 9:30-10:30 a.m. Managing Sepsis in the Era of Mandated Public Reporting Mitchell Levy, MD, FCCM, FCCP, professor of medicine and division chief, Pulmonary and Critical Care Medicine, Alpert Medical School of Brown University; medical director, MICU, Rhode Island Hospital and founding executive member of the Surviving Sepsis Campaign, Providence, RI 10:30 11 a.m. Break/Poster Presentations/Vendors 11 a.m. 12 p.m. Resting on Evidence and Experience: A Patient-Centered Approach to Sedation and Delirium Management E. Wesley Ely, MD, MPH, pulmonary and critical care and health services researcher at Vanderbilt University and associate director of the Tennessee Veterans Affairs-Geriatric Research Education Clinical Center, Nashville, TN 12-12:30 p.m. Lung Protective Ventilation A Performance Measure in the Making Robert Hyzy, MD, professor, Department of Internal Medicine and director, Critical Care Medical Unit, University of Michigan, Ann Arbor 12:30 1:30 p.m. Lunch 1:30 3 p.m. Navigating Difficult Conversations with Patients and Families: Perspectives from the Fishbowl Rana Awdish, MD, senior staff physician, Department of Pulmonary & Critical Care Medicine, Henry Ford Health System; Michael Mendez, MD, director, Medical Intensive Care Unit and the medical director, Simulation Center, Henry Ford Hospital; and Dana Buick, MD, consultant for the Caring Conversations Program, Henry Ford Health System, Detroit 3 3:45 p.m. Understanding Palliative Care and End of Life Issues in the ICU Joseph Bander, MD, FCCM, FCCP, director, surgical ICU, St. Joseph Mercy, Ann Arbor 3:45 4 p.m. Poster Presentation/Acknowledgement and Closing Remarks 3
SPEAKERS MODERATOR PHYLLIS McLELLAN, RN, MSN, CNOR, CPPS, received her Bachelor of Science in Nursing from Michigan State University, East Lansing and her Master of Science in Nursing from Walden University, Naples, MN. She worked in various acute care roles for 21 years She currently manages four collaboratives at the MHA Keystone Center, including MHA Keystone: Obstetrics, ICU and Sepsis, and is the coordinating entity for the national CUSP for Mechanically-ventilated Patients Ventilator-associated Pneumonia (CUSP 4 MVP-VAP) project. DEENA COSTA, PhD, RN, focuses her research on identifying ways to improve outcomes of critically ill adults by optimizing the organization and management of critical care services. She is most interested in ways to improve the structure and function of the ICU interprofessional care team and ICU care processes. Costa s work integrates approaches from epidemiology, health services methodology and systems science to provide novel solutions to critical care delivery issues. She primarily uses large datasets and quantitative methods in her research; however, she is expanding her work to include qualitative analysis and network and systems science methodology. Prior to joining the University of Michigan, Ann Arbor, faculty, Costa completed a pre-doctoral research fellowship at the University of Pennsylvania Center for Health Outcomes and Policy Research and a post-doctoral fellowship in Critical Care Medicine at the University of Pittsburgh in the Clinical Research, Investigations and Systems Modeling of Acute Illness Center, Philadelphia, PA. 4 GARY BLACK, MEd, BSEd, BFA, is a survivor of severe sepsis. His life changed dramatically on July 20th, 2009, when severe sepsis overcame him and brought him to the edge of death. Inspired by a miraculous recovery, he wrote his first book, Gyroscope: A Survival of Sepsis. Gyroscope reveals his entire harrowing experience of cascading to the edge of death from severe sepsis. It explores his mental, physical, and spiritual traumas and triumphs from onset to recovery. It also includes 52 illustrations that express the pain, anguish, dreams, delirium, and personal awakenings. The book also contains a brief medical glossary, and research references. KEYNOTE DR. MITCHELL M. LEVY, MD, FCCM, FCCP, is chief medical director for the Division of Critical Care, Pulmonary, and Sleep Medicine, The Warren Alpert Medical School of Brown University, where he is professor of medicine, Providence, RI. He is also medical director of the Medical Intensive Care Unit at Rhode Island Hospital, Providence. Among Dr. Levy s professional activities, he is a member of the executive committee of the Surviving Sepsis Campaign, co-director of the Ocean State Clinical Coordinating Center for multi-center sepsis trials, past president of the Society of Critical Care Medicine (2009). He was chair of The Robert Wood Johnson ICU Peer Workgroup in end-of-life care and The Joint Commission s ICU Core Measure advisory panel for quality care. His current research interests include sepsis, end-of-life care, and knowledge translation. Additionally, he serves on the National Quality Form and is a technical expert for, Closing the Quality Gap: Prevention of Healthcareassociated Infections, which is part of the Evidence-based Practice Center of the Agency for Healthcare Research and Quality. He has published more than 150 peer-reviewed articles and book chapters. KEYNOTE DR. E. WESELY, MD, MPH, is a subspecialist in Pulmonary and Critical Care Medicine who conducts patient-oriented, health services research as a professor of medicine in the division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University School of Medicine, Nashville, TN. He is also a practicing intensivist with a focus on geriatric ICU Care, as the associate director for research for the VA Tennessee Valley Geriatric Research and Education Clinical Center, Nashville, TN. Dr. Ely s research has focused on improving the care and outcomes of critically ill patients with ICU-acquired brain disease (manifested acutely as delirium and chronically as long-term cognitive impairment). He has built the ICU Delirium and Cognitive Impairment Study Group, amassing several thousand patients into cohort studies and randomized trials that were used to build the methodology for ICU acquired brain disease research. His team developed the primary tool (CAM-ICU, translated into 25+ languages) by which delirium and health-related quality of life outcomes are measured in ICU-based trials and clinically at the bedside in ICUs worldwide. Dr. Ely has been continuously federally funded (NIA and/or VA) for 14 years. He has over 250 peer-reviewed publications and over 50 published book chapters and editorials. DR. ROBERT C. HYZY, MD, is a professor in the Department of Internal Medicine at the University of Michigan, Ann Arbor. He is also director of the Critical Care Medicine Unit and co-chair of the Critical Care Committee at the University of
Michigan and co-chair of the University of Michigan Health System, Ann Abor. Hyzy s research interests are critical care medicine, including ICU quality improvement, acute respiratory distress syndrome and ventilatorassociated pneumonia. He is the project director at the University of Michigan for the National Heart, Lung and Blood Institute Clinical Trials Network for the Prevention and Early Treatment of Acute Lung Injury. He has authored multiple articles and book chapters and edited an edition of Critical Care Clinics titled Enhancing the Quality of Care in the ICU. Hyzy has been active in MHA Keystone: ICU since its inception and presently chairs the MHA Keystone: ICU steering committee and serves on the MHA Keystone Center Board of Directors. He also chairs the Quality Improvement Committee of the American Thoracic Society and has spoken nationally and internationally on quality improvement in the ICU. He is also director of the Critical Care Medicine Unit and co-chair of the Critical Care Committee at the University of Michigan Health System, Ann Arbor DR. RANA L. AWDISH, MD, MS, is a pulmonary hypertension specialist and critical care physician at Henry Ford Health System, Detroit. After suffering a critical illness, she has become a tireless advocate for refocusing providers on the patient experience and improving empathy through the use of concrete communication skills. Before coming to Henry Ford Health System, Dr. Awdish completed her training at Beth Israel in Manhattan, NY. She attended Wayne State University Medical School, Detroit, and completed her undergraduate degree at the University of Michigan, Ann Arbor. She is board-certified in internal, pulmonary and critical care medicine. Her research interests include pulmonary hypertension, yoga for rehabilitation of chronic lung disease and communication training. DR. MICHAEL MENDEZ, MD, is the director of the Medical Intensive Care Unit and the medical director of the Simulation Center at Henry Ford Hospital, Detroit, and a clinical associate professor of Medicine at Wayne State University, Detroit. His educational focus is on improvement of communication between caregivers, patients and families in the ICU. He has partnered with key faculty at Henry Ford Hospital to create models that bridge communication education from simulated settings to the bedside. Mendez completed his pulmonary critical care training at the University of Michigan, Ann Arbor. He attended the University of Miami Medical School and completed his undergraduate degree at MIT, Cambridge, MA. DR. DANA BUICK, MD, is a consultant for the Caring Conversations Program. The program mission is to change the culture of communication in healthcare, making it more patient-focused, with an undercurrent of compassion and empathy. Prior to coming to Henry Ford Health System, Buick completed her family medicine training at Providence Providence Park Hospital in Southfield, and hospice & palliative medicine training at Wayne State University in Detroit. She attended Wayne State University School of Medicine, and completed her undergraduate degree at Reed College in Portland, OR. She is board-certified in family medicine with additional certification in hospice & palliative medicine. Her research interests are in physician communication training and outcomes. DR. JOSEPH J. BANDER, MD, FCCM, FCCP, is a fulltime intensivist and director of the surgical ICU at St. Joseph Mercy, Ann Arbor. Bander was residency trained and certified in internal medicine at the Los Angeles County and University of Southern California Medical Center, Los Angeles, CA. He then completed his fellowship training in critical care medicine at the University Southern California Shock Research Unit-Center for the Care of the Critically Ill under the tutelage of Dr. Max Harry Weil. Bander has nearly 4 decades of experience in the field of critical care medicine. He served many years as an ICU director at the Oregon Health Services University in Portland, OR and at St. Joseph Mercy Oakland, Pontiac. He also was the director of the MICU and Neurosciences ICU at Harper University Hospital and Wayne State University, Detroit. He has been a full professor of medicine at Wayne State University medical school and also held the position of vice president for medical affairs at Harper University and Hutzel hospitals in Detroit. His research career is quite active and it includes special interests in sepsis and septic shock, end of life care, telemedicine and quality improvement. After 25 years he left Wayne State University to advance various MHA Keystone: ICU projects with Trinity Health System. He has been recognized as a pioneer in the use of robotics and remote provision of medical care in the ICU s. Bander has been the president of the Oregon Society of Critical Care Medicine, the Michigan Society of Critical Care Medicine, and has been chair of internal medicine section of Society of Critical Care Medicine. He is a member of the Keystone ICU advisory board, sits on the board of directors of the Michigan Palliative Care and Hospice Organization (HPCO) and is a clinical lead for the MHA Keystone: Palliative Care pilot program. 5
A CALL FOR POSTER PRESENTATIONS FOR ICU WORKSHOP Success stories and lessons learned in evidence based practice in the ICU setting This year we are offering hospitals an opportunity to highlight best practices or lessons learned in various aspects of ICU care (ABCDE implementation, communication, teamwork, HAI reduction, etc.) through poster presentations. Poster presentations provide an opportunity for you to showcase your hospital s success and/or discuss lessons learned in quality improvement or research in the clinical setting. It will also create the opportunity for dialogue with colleagues, facilitating dissemination of knowledge and best practice. The posters will be displayed throughout the workshop and highlighted throughout the day. Each hospital will receive a special commemorative book, Gyroscope A Survival of Sepsis, signed by author and special presenter, Gary Black. SUBMISSION PROCESS: Please submit a brief, 250 word abstract (including hospital, ICU, subject/category and brief description of project) to Phyllis McLellan at pmclellan@mha.org, by Friday, Sept. 4, 2015 as intent to display a poster presentation from your health system or facility. GENERAL GUIDELINES FOR POSTERS: STANDARD POSTER SIZE: no more than 36 inches X 48 inches LAYOUT ORIENTATION: Landscape or Portrait MATERIALS: Paper-based (with matte finish or coated paper) or foam board (including tri-folds) KEY INFORMATION: Include, at a minimum, the following information: Title, Name, Phone, Email, Hospital, Location, and Type of Poster: Research/Process Improvement. TITLE: Author name: Affiliation: (Hospital and ICU): First author contact information: Background: Objective: Methods: Results: Conclusion: 6
MHA KEYSTONE: ICU REGISTRATION FORM September 29, 2015 Dearborn Inn 20301 Oakwood Boulevard Dearborn, MI 48124 Hospital/Organization Name: ICU Name: Attendee 1 Information Name: Credentials: Job Title: Email: Phone Number: Attendee 2 Information Name: Credentials: Job Title: Email: Phone Number: Attendee 3 Information Name: Credentials: Job Title: Email: Phone Number: Registration Fees: First three attendees from each ICU at each hospital at no cost $60 per additional attendee Registration Deadline: Sept. 22, 2015 Space is limited, and registrations received after Sept. 21 will be taken on a first-come, first-served basis. On-site registrations will be accepted, room providing. Registration for four+ attendees $60 per person * These fees are only applicable if sending four or more individuals per unit per hospital Total number of people from facility registering with enclosed payment: Total fees due and included on the check: $ Check number enclosed: $ Total fees to be charged: $ Charge to card: VISA MasterCard American Express Card Information: Account Number: Expiration Date: CVV Code: (3 or 4 digit security number on the card) Cardholder Name: Cardholder Signature: Workshop Payment Policy: Following the workshop, the MHA Keystone Center will collect payment from any facility sending more than three attendees per hospital. If your hospital wants to pay with a credit card or check, please provide the payment information below. If you do not provide payment information on the registration form, the MHA Keystone Center will invoice the collaborative leader (primary contact) for the additional attendees following the workshop. Cancellation policy: If notice of cancellation is given 72 hours in advance of the workshop, 50 percent of the registration fee is refundable. No refunds will be issued after this time. The following options are available for completing registration: Mail: Tammy Nault, MHA Keystone Center, 2112 University Park Dr., Okemos, MI 48864 Email: Tammy Nault, tnault@mha.org Fax: (517) 703-0601 Register online: Visit the MHA Event Registration page and scroll to the MHA Keystone: ICU Workshop 2015 event Registration confirmation will be sent via email. If you do not receive confirmation of registration or if you have questions, contact Tammy Nault at tnault@mha.org or (517) 886-8369. 7
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