Oregon Patient Safety Commission Board of Directors DRAFT Public Meeting Minutes

Size: px
Start display at page:

Download "Oregon Patient Safety Commission Board of Directors DRAFT Public Meeting Minutes"

Transcription

1 Oregon Patient Safety Commission Board of Directors DRAFT Public Meeting Minutes April 14, 2015 Convened 12:30 p.m. Adjourned 3:30 p.m. Legacy Meridian Park Medical Center Community Health Education Center BOARD CHAIR Melinda Muller MEMBERS PRESENT MEMBERS ABSENT EXECUTIVE DIRECTOR Bethany Walmsley Marita Aguas, Beth Biggs, Gayle Evans, Linda Farris, Kecia Norling, Natasha Tobias- White, Amy Heinlen Norm Gruber, Ken Lindsey, Csaba Mera, Maureen Ober, Naomi Kaufman Price, Jill Rissi, Dana Selover MINUTES Carrie DeLong Parrish OTHER STAFF PRESENT Melissa Parkerton, Mary Post, Nicole Staudinger GUESTS Diane Waldo, Oregon Association of Hospitals and Health Systems; Jan Johnson, The Lund Report Call to Order / Introductions / Public Comment / Board Updates Melinda Muller called this meeting of the Oregon Patient Safety Commission Board of Directors to order at 12:30 p.m. with a quorum present. Melinda welcomed our newest board member, Amy Heinlen, who is filling the board s Public Purchaser seat. Board members, staff, and guests introduced themselves. Approval of Minutes Motion: Board members made a motion (Linda Farris) and seconded the motion (Gayle Evans) to approve the minutes of February 10, 2015 as written; the motion passed unanimously. Communications Carrie and Nicole provided a final report of 2014 Communications Plan achievements and an overview of 2015 Communication Plan objectives. All achievements and objectives are organized in four categories: website, social media, newsletter, and media relations. Nicole used an online tool called Storify to give board members an overview of the Commission s first year of social media outreach: Treasurer Report Natasha provided an overview of the financial dashboard. The Commission has collected 99% of 2015 fees. Bethany updated the board on the following budget-related issues: The board-approved administrative rules that modify the Commission s fee structure will undergo a public hearing in June. (Note: after the board meeting, the opportunity to combine the budget and administrative rules modifications hearings into one hearing was discussed. The combined hearing will occur in June to avoid the need for two separate hearings since the budget must be adopted before 7/1/2015. These minutes and the board materials from the meeting have been updated and board members have been informed of this change. BW) To support implementation of the modified rules, the Commission is currently developing an organizational policy to demonstrate a standard

2 Oregon Patient Safety Commission Board Meeting April 14, 2015 Page 2 approach for calculating the annual adjustment to fees based on the Consumer Price Index This policy will be reviewed at the August board meeting prior to the billing cycle for The Commission s biennium financial review will occur in September or October The board reviewed the budget for the biennium. Revenue is increasing by 18%; expenses are approximately 16% higher than the last biennium, due in part to cost increases in personnel, overhead, travel, and technology (new server). The Board discussed its strategic plan and how the budget supports the North Star goals. To best support the goals of the plan, the board had previously discussed the possibility of including a new PSRP Director by mid Currently, the Executive Director manages the Patient Safety Reporting Program directly, in addition to the other operational responsibilities for the organization. However, Bethany recommended to the board the opportunity to hold hiring a PSRP Director for one more year in order to allow the Commission to overcome the deficit created by continuing to operate for over a decade with no relief from the rising costs of goods and services. The current budget was approved with the assumption that; The PSRP Director would relieve the Executive Director of the role of managing the full reporting program team, but not until mid The Commission may wish to consider budgeting for a PSRP Director for a partial year, however, the board agreed that they were comfortable with placing a temporary hold on hiring a PSRP Director, at least for this review. The discussion will be revisited in December when the Commission s budget will be amended. Bethany concluded the conversation with details about the $15,000 in the budget for gifts and contributions. Along with many other funders from across the country, the money goes to the National Collaborative for Accountability and Improvement, which supports the development of communication and resolution programs nationally. Other Collaborative members/funders include the University of Michigan, University of Washington, University of Illinois, Stanford, and others. The Collaborative is currently working on a relationship with the National Patient Safety Foundation and the National Quality Forum to establish sustainable, long-term funding. Tom Gallagher, MD, a physician researcher with the University of Washington, and the current leader of the Collaborative, will present more information about the Collaborative to the board at the Commission s next board meeting. He will provide information about the current objectives, progress to date, and three-year strategic initiatives for the Collaborative. Motion: Board members made a motion (Beth Biggs) and seconded the motion (Natasha Tobias-White) to approve the Biennium Budget as written; the motion passed unanimously. North Star 1: Quality Improvement and Disseminating Best Practices Mary provided an update on the Commission s Oregon Stop Urinary Tract Infection (UTI) Initiatives two urinary tract infection prevention grants: 1) AHRQ Long-Term Care Collaborative and Portland Metro Collaborative Pilot. While there has been some dropout from participating facilities, the dropout rate for Oregon s effort has been lower than what is being seen in other, similar collaboratives nationally. Collaborative participants are just beginning surveillance and there is room for improvement in how data is being collected. Current data shows a decrease in the Catheter-Associated UTI rate; an increase in catheter utilization (may be due to how data is being collected), and a decrease in urine culture orders (which can reduce the unnecessary use of antibiotics to treat UTIs). All collaborative participants have received the results of their AHRQ Nursing Home Survey on Patient Safety Culture. Sixty nine percent of respondents rated resident safety in their facilities as very good or excellent. Eighty one percent would tell friends that their facility is a safe nursing home for their family. The survey identified opportunities to improve safety through training and skills and communication openness. 2

3 Oregon Patient Safety Commission Board Meeting April 14, 2015 Page 3 Improvement opportunities beyond CAUTI prevention are being identified and addressed, including: Continued emphasis on reducing unnecessary urine cultures Keep messaging very simple and easy to do Acute care hospital partnership is crucial Senior leader support is essential North Star 2: Patient Safety Reporting Program Bethany provided an update on current PSRP efforts, which include: Continued quarterly face-to-face trainings for ambulatory surgery centers, hospitals, nursing facilities, and community pharmacies on conducting root cause analysis and developing strong action plans Developing metrics to demonstrate how much the Commission s patient safety consultants are used to provide feedback to participants Dashboard enhancements are currently underway; a newly redesigned dashboard is anticipated to launch in May 2015 Recognition Targets were released to participants in March 2015 PSRP annual summary is expected to be published in early May Patient Safety Annual Events (Patient Safety Breakfast and peer support training day) The Commission collected post-event surveys from 30% of attendees. Responses were very positive. A $9,000 surplus remains from event sponsorship and ticket sales. The board discussed options for how best to use the funds; options included: Investing in a more expensive, well-known speaker Holding money to pay for future annual event costs in case sponsorship levels drop Sponsor complimentary seats for students and frontline staff Treat Commission staff to a meal as a thank you and job well done Members agreed to carry forward the surplus funding to support any or all of the items discussed. Bethany encouraged board members to contact her if they have any speaker recommendations for future events. We are already looking for our speaker for the 2016 Patient Safety Breakfast and we will likely have additional slots to fill in terms of faculty to support training and education for the remainder of the day. Engaging Non-Reporting Pharmacies The Commission is working to develop strategy to improve community pharmacy engagement in PSRP. One potential method of targeted outreach includes partnering with the Board of Pharmacy to help promote PSRP through their communication channels. The Board discussed the appropriateness of partnering with the Board of Pharmacy when they are in a regulatory position and the Commission is providing an independent/safe table. Board members had no concerns as long as messaging clearly communicates the extent of separation between the two groups and clearly states the benefits of engaging with the PSRP program. North Star 3: Early Discussion and Resolution Melissa provided an overview of the current status of work related to EDR, including: 20 notices have been filed by a mixture of providers and patients Continue to explore methods for educating patients and the public Outreach opportunities to educate provider and patient groups continues First annual report about EDR will be published in the fall of

4 Oregon Patient Safety Commission Board Meeting April 14, 2015 Page 4 The term of service for four Task Force members is ending this summer, including for the Patient Advocate seat, which has been filled by Bonnie Thompson. Having a board member serve both groups has provided a nice connection and synergy. The Commission hopes to identify another board member who would be willing to fill the Patient Advocate seat on the Task Force; however, the seat can be filled by someone not on the board. Board Subcommittees Board Recruitment Motion: Board members made a motion (Kecia Norling) and seconded the motion (Linda Farris) to approve the three existing officers for another term (Melinda Muller, Chair; Jill Rissi, Vice-chair; Natasha Tobias- White, Treasurer). The motion passed unanimously. The Public Purchaser seat has finally been filled. Welcome Amy Heinlen! Bonnie Thompson has taken a new position and is no longer able to fill the hospital administrator seat. Currently open seats are the Consumer seat and the Hospital Administrator seat. Marita Aguas and Norm Gruber are finishing their second terms in July. At that time, open seats will include the Nurse seat and another Hospital Administrator seat. Current efforts to locate new members include: Contact with associations Relationships/referrals from existing board members Website Legislative Subcommittee We are watching twelve bills; however, after Friday s legislative deadline, several of those bills will not progress in this session. The subcommittee identified three bills for the Board to review and recommends that the board take a neutral stance: HB 3378, SB 469, and HB Board discussion included: The subcommittee worked extensively to vet these bills from their perspective as advocates for the Commission so that the full board would not have to invest the same amount of time in formulating a recommendation. Since the Commission is intended to be independent and a neutral party, the board should have ongoing discussion to understand what the Commission s role is if we are approached to take position on a bill. Our visibility has changed, which is also requiring that our process for reviewing bills may need to change in the future. The board should explore a charter or guidance for our stance/process for managing legislative recommendations. In some cases, the Commission may very well support the concept of a particular bill to improve patient safety, but may not necessarily support that it is appropriate for a legislative mandate. Motion: Board members made a motion (Kecia Norling) and seconded the motion (Linda Farris) to take a neutral stance on HB 3378, SB 469, and HB 2930; the motion passed unanimously. Public Comment Members of the public had no comments. Executive Session Members reviewed a candidate for the Consumer seat of the board and agreed to encourage applicant to submit an Executive Interest Form as long as there is the support of the Governor s Office. The candidate disclosed two issues that are being evaluated in terms of conflict of interest to assure compliance with the 4

5 Oregon Patient Safety Commission Board Meeting April 14, 2015 Page 5 definition of the consumer seat mandated state statute. Meeting Evaluation Board members completed an evaluation of the meeting. Adjournment The meeting was adjourned at 3:30pm. The next meeting will be June 9 at Legacy Meridian Park s CHEC Center, SW 65 th Ave., Tualatin OR The 2015 schedule is posted on the Board of Directors page at the Commission s website. 5

Full Council Meeting

Full Council Meeting Full Council Meeting DRAFT March 9, 2018 Jaguar Land Rover Tech Incubator Portland Attendance Members Present: Erin Flynn, Chair, PSU; Chris Harder, Business Oregon; Vidya Spandana, Vidya LLC; Ian Lombard,

More information

HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017

HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 Nebraska Medicine $1.2 billion academic health system 8,000 employees More than 1,000 affiliated physicians Primary

More information

Physician Performance Analytics: A Key to Cost Savings

Physician Performance Analytics: A Key to Cost Savings Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business

More information

BRAC. Sponsorship Opportunities. Engage. Connect. Build your brand.

BRAC. Sponsorship Opportunities. Engage. Connect. Build your brand. 2017 BRAC Opportunities Engage. Connect. Build your brand. Manager of Business Services 225.339.1169 Rev. 01/19/2017 Engage. Connect. Build your brand. BRAC offers a variety of opportunities to become

More information

North Shore Community College BOARD OF TRUSTEES April 8, 2015 Meeting Minutes Danvers

North Shore Community College BOARD OF TRUSTEES April 8, 2015 Meeting Minutes Danvers North Shore Community College BOARD OF TRUSTEES April 8, 2015 Meeting Minutes Danvers Doc: 53 Approved May 13, 2015 In Attendance: Elizabeth Hogan, James Ridley, Joseph Riley, Lesley Peters, Lyn Kaplan,

More information

Minutes of the Healthcare Data Advisory Council April 13, 2011

Minutes of the Healthcare Data Advisory Council April 13, 2011 Minutes of the Healthcare Data Advisory Council April 13, 2011 Members Present Donald E. Williamson, M.D.; State Health Officer; Chairman Laura Bell; Alabama Hospital Association Beth Goodall; Alabama

More information

A Statewide Patient- and Family-Centered Care Learning Community

A Statewide Patient- and Family-Centered Care Learning Community 1 A Statewide Patient- and Family-Centered Care Learning Community Emerging Topics in Patient and Family Engaged Care and Research Care Culture and Decision-Making Innovation Collaborative DECEMBER 7,

More information

Infection Prevention. Fundamentals of. March 21-23, 2017 Oregon Medical Association Portland, OR. oregonpatientsafety.org

Infection Prevention. Fundamentals of. March 21-23, 2017 Oregon Medical Association Portland, OR. oregonpatientsafety.org Fundamentals of Infection Prevention A Comprehensive Training Course for Infection Prevention Professionals March 21-23, 2017 Oregon Medical Association Portland, OR oregonpatientsafety.org Course Information

More information

The Green Initiative Fund

The Green Initiative Fund The Green Initiative Fund MISSION STATEMENT The Green Initiative Fund (TGIF) shall aim to empower students with active roles in reducing the University of California Irvine environmental footprint through

More information

Mandatory Public Reporting of Hospital Acquired Infections

Mandatory Public Reporting of Hospital Acquired Infections Mandatory Public Reporting of Hospital Acquired Infections The non-profit Consumers Union (CU) has recently sent a letter to every member of the Texas Legislature urging them to pass legislation mandating

More information

Helen Darling President and CEO National Business Group on Health Bernie Rosof Chair, Physician Consortium for Performance Improvement

Helen Darling President and CEO National Business Group on Health Bernie Rosof Chair, Physician Consortium for Performance Improvement Partnership for Patients National Priorities Partnership convened by the 3 rd Quarterly Meeting January 19, 2012 Welcome and Introductions National Priorities Partnership Co Chairs Chairs Helen Darling

More information

Legal Services Program

Legal Services Program Legal Services Program Standards and Guidelines May 29, 1998 Revised November 12, 2010 Oregon State Bar Legal Services Program Standards & Guidelines Table of Contents I. Mission Statement... 4 II. Governing

More information

BOARD OF TRUSTEES. Institutional Advancement. Minutes. September 27, 2016

BOARD OF TRUSTEES. Institutional Advancement. Minutes. September 27, 2016 BOARD OF TRUSTEES Institutional Advancement Minutes September 27, 2016 Institutional Advancement Committee members in attendance: Committee Chair Johnson, Trustees Queenin and Landrau. Also in attendance,

More information

The Green Initiative Fund

The Green Initiative Fund The Green Initiative Fund MISSION STATEMENT The Green Initiative Fund (TGIF) shall aim to empower students with active roles in reducing the environmental footprint of the University of California, Irvine

More information

DD Council Member Guide

DD Council Member Guide DD Council Member Guide For people appointed to serve or interested in serving on a Council for Developmental Disabilities This guide provides information about the role and responsibilities of a DD Council

More information

Intellectual Disability Waiver Transition Plan Regarding Compliance with the HCBS Final Rule Elements July 30, 2014

Intellectual Disability Waiver Transition Plan Regarding Compliance with the HCBS Final Rule Elements July 30, 2014 Intellectual Disability Waiver Transition Plan Regarding Compliance with the HCBS Final Rule Elements July 30, 2014 Assessment of Waiver and Service Definitions Virginia is currently in the process of

More information

Bylaws Of the University of Virginia Health System Professional Nursing Staff Organization

Bylaws Of the University of Virginia Health System Professional Nursing Staff Organization 2017-2018 Bylaws Of the University of Virginia Health System Professional Nursing Staff Organization QUICK LINKS: Preamble Name Purpose Members Responsibilities & Right Terms & Vacancies Elected Officers

More information

Three Rivers Hospital

Three Rivers Hospital The Three Rivers Hospital Board of Commissioners called a regular meeting to order at 4:04 p.m. Monday, June 30, 2014 in the Hillcrest Commons Area, 415 Hospital Way, Brewster, WA 98812. The presiding

More information

Association for Professionals in Infection Control and Epidemiology. State of the Association June 2014

Association for Professionals in Infection Control and Epidemiology. State of the Association June 2014 Association for Professionals in Infection Control and Epidemiology State of the Association June 2014 2014 APIC Officers and Board of Directors President: Jennie Mayfield President-Elect: Mary Lou Manning

More information

QAA/QAPI Meeting Agenda Guide

QAA/QAPI Meeting Agenda Guide QAA/QAPI Meeting Agenda Guide Date of Meeting The facility is required to have a QAA committee (do not need to use this name) that meets at least quarterly and as needed to coordinate and evaluate activities

More information

EROS NADP Spring Subcommittee Meeting. April 28, 2009

EROS NADP Spring Subcommittee Meeting. April 28, 2009 Updates and Reports: EROS NADP Spring Subcommittee Meeting April 28, 2009 Outreach Letters- Letters were sent to the site operators prior to fall meeting 2008, including 31 NRSP-3 members. Update on the

More information

Call to Order, Welcome and Roll Call: Chair, Kim Streit called the meeting to order, welcomed attendees and called roll.

Call to Order, Welcome and Roll Call: Chair, Kim Streit called the meeting to order, welcomed attendees and called roll. DRAFT MINUTES State Consumer Health Information and Policy Advisory Council Meeting Date: June 30, 2016 Time: 10:00am 12:00pm Location: Agency for Health Care Administration, Florida Center Conference

More information

Northeast Regional Trauma Council Executive Committee Meeting Stormont Vail HealthCare ACC SW 10 th Topeka June 15, :00pm 4:30pm.

Northeast Regional Trauma Council Executive Committee Meeting Stormont Vail HealthCare ACC SW 10 th Topeka June 15, :00pm 4:30pm. Northeast Regional Trauma Council Executive Committee Meeting Stormont Vail HealthCare ACC-1 1500 SW 10 th Topeka June 15, 2015 3:00pm 4:30pm Minutes Executive Committee Members present Executive Committee

More information

National Syndromic Surveillance Program- Community of Practice Community Charter

National Syndromic Surveillance Program- Community of Practice Community Charter National Syndromic Surveillance Program- Community of Practice Community Charter Prepared by the International Society for Disease Surveillance Version: 2.0 April 2017 Table of Contents Version Control

More information

4CORE Board Meeting Minutes: July 24, 2014

4CORE Board Meeting Minutes: July 24, 2014 LOCATION Carnegie Building Meeting Room BOARD MEMBERS PRESENT Enid Brodsky Tom Holcomb Mary Beth Miles Lew Pratsch Kurt Schneider (via phone) Paul Senecal ABSENT Werner Heiber Mark McKibben Peter May Ostendorp

More information

MORPC Executive Committee Members. Joe Garrity, Senior Government Affairs Coordinator

MORPC Executive Committee Members. Joe Garrity, Senior Government Affairs Coordinator Memorandum TO: FROM: MORPC Executive Committee Members Joe Garrity, Senior Government Affairs Coordinator DATE: June 6, 2018 SUBJECT: Formation and Outline of the Leadership Strategy Group Purpose President

More information

Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study

Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study Happy Acres Nursing Center is a 99-bed skilled nursing facility (SNF). The facility is divided into

More information

Amy Eisenstein. By MPA, ACFRE. Introduction Are You Identifying Individual Prospects? Are You Growing Your List of Supporters?...

Amy Eisenstein. By MPA, ACFRE. Introduction Are You Identifying Individual Prospects? Are You Growing Your List of Supporters?... Simple Things You re NOT Doing to Raise More Money Amy Eisenstein By MPA, ACFRE Introduction........................................... 2 Are You Identifying Individual Prospects?.......................

More information

Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition. Reducing Antibiotic Harms in Long-term Care

Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition. Reducing Antibiotic Harms in Long-term Care Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition Reducing Antibiotic Harms in Long-term Care April 2018 Public Health Ontario Public Health Ontario is a Crown corporation dedicated

More information

Present: Chairman Ada Mary Gugenheim and Directors Mary Driscoll, RN, MPH and Layla P. Suleiman Gonzalez, PhD, JD (3)

Present: Chairman Ada Mary Gugenheim and Directors Mary Driscoll, RN, MPH and Layla P. Suleiman Gonzalez, PhD, JD (3) Minutes of the meeting of the Quality and Patient Safety Committee of the Board of Directors of the Cook County Health and Hospitals System held Tuesday, December 6, 2016 at the hour of 10:30 A.M. at 1900

More information

Value-Based Purchasing: A Rural Hospital Perspective

Value-Based Purchasing: A Rural Hospital Perspective Value-Based Purchasing: A Rural Hospital Perspective Stratis Health & MHA Quality & Patient Safety PPS Hospital Learning Action Network Day Glen Kegley, Hutchinson Health Tuesday, May 3, 2016 Mall of America-

More information

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836

More information

Bylaws of the College of Registered Nurses of British Columbia BYLAWS OF THE COLLEGE OF REGISTERED NURSES OF BRITISH COLUMBIA

Bylaws of the College of Registered Nurses of British Columbia BYLAWS OF THE COLLEGE OF REGISTERED NURSES OF BRITISH COLUMBIA Bylaws of the College of Registered Nurses of British Columbia 1.0 In these bylaws: BYLAWS OF THE COLLEGE OF REGISTERED NURSES OF BRITISH COLUMBIA [includes amendments up to December 17, 2011; amendments

More information

Marion County Reentry Council

Marion County Reentry Council December 1, 2015; 11:30 a.m. - 1:00 pm Silverton Conference Room Courthouse Square, 5th Floor, Board of Commissioners Office Attendees: Commissioner Janet Carlson, Commissioner Kevin Cameron, Sheriff Jason

More information

Enacted State Laws Related to Infection Prevention Through 2009

Enacted State Laws Related to Infection Prevention Through 2009 STATE Alabama ENACTED LAW Public Act 2009-490, formerly SB 89 was signed into law on May 13, 2009. The law requires the Alabama Department of Public Health to develop regulations, in consultation with

More information

HIMSS 2013 Davies Enterprise Award Application Texas Health Resources. Core Case Study Clinical Value

HIMSS 2013 Davies Enterprise Award Application Texas Health Resources. Core Case Study Clinical Value HIMSS 2013 Davies Enterprise Award Application Texas Health Resources Core Case Study Clinical Value Applicant Organization: Texas Health Resources Organization s Address: 612 E. Lamar, Arlington, Texas

More information

Joint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse

Joint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse TRUST BOARD IN PUBLIC REPORT TITLE: Date: 28 March 2013 Agenda Item: 2.4 Joint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse EXECUTIVE SPONSOR: Dr. Des Holden, Medical Director

More information

3. STANDARD COMMITTEE ITEMS Reminder: Meeting attendance confirmation required at least 48 hours prior to meeting date. data review.

3. STANDARD COMMITTEE ITEMS Reminder: Meeting attendance confirmation required at least 48 hours prior to meeting date. data review. MEETING AGENDA Committee: Quality Management Committee Date/Time: Monday June 19 th, 2017 at 12:30 p.m. Location: Governmental Center Annex, A-337 Chair: Claudette Grant 1. CALL TO ORDER: Welcome, Review

More information

Recognized Student Organizations Event Funding Policy

Recognized Student Organizations Event Funding Policy Recognized Student Organizations Event Funding Policy The Office of Student Organizations (OSO) offers funding to help Recognized Student Organizations (RSOs) host events for UNC students. To use this

More information

Bringin it to the Bedside: Staff-Driven Savings

Bringin it to the Bedside: Staff-Driven Savings Bringin it to the Bedside: Staff-Driven Savings Jackie Noll, MSN, RN, CEN, Senior Director of Nursing, The Children s Hospital of Philadelphia (CHOP) Amy Gallagher, MS, PharmD, Senior Director of Home

More information

Partnership for Patients - National Priorities Partnership

Partnership for Patients - National Priorities Partnership Partnership for Patients - National Priorities Partnership convened by the Patient Safety Webinar Series Getting Your Board on Board December 9, 2011 Today s Moderator Bernie Rosof, MD Chairman, Board

More information

Agenda: Noon Overview of the regulatory sections affected by the Reform of RoP in Phase 2

Agenda: Noon Overview of the regulatory sections affected by the Reform of RoP in Phase 2 Webinar: Driving Five Star & RoP Implementation Through a QAPI Approach: Final Rule: Integrating Phase 2 New Requirements of Participation into Practice (Part 1) Presentation Date: 02/15/17 Live Webinar

More information

UI Health Hospital Dashboard September 7, 2017

UI Health Hospital Dashboard September 7, 2017 UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases

More information

DESOTO COUNTY TRANSPORTATION DISADVANTAGED LOCAL COORDINATING BOARD PUBLIC HEARING AND REGULAR MEETING AGENDA January 31, 2018

DESOTO COUNTY TRANSPORTATION DISADVANTAGED LOCAL COORDINATING BOARD PUBLIC HEARING AND REGULAR MEETING AGENDA January 31, 2018 DESOTO COUNTY TRANSPORTATION DISADVANTAGED LOCAL COORDINATING BOARD PUBLIC HEARING AND REGULAR MEETING AGENDA January 31, 2018 The DeSoto County Transportation Disadvantaged Local Coordinating Board announces

More information

Patient Safety Reporting System for Nursing Homes Patient Safety Authority Commonwealth of Pennsylvania. Government to Business (G to B)

Patient Safety Reporting System for Nursing Homes Patient Safety Authority Commonwealth of Pennsylvania. Government to Business (G to B) Patient Safety Reporting System for Nursing Homes Patient Safety Authority Commonwealth of Pennsylvania Government to Business (G to B) Prepared by: Howard Newstadt, JD, MBA CIO/Finance Manager Pennsylvania

More information

Hospital Value-Based Purchasing (VBP) Program

Hospital Value-Based Purchasing (VBP) Program Fiscal Year (FY) 2018 Percentage Payment Summary Report (PPSR) Overview Questions & Answers Moderator Maria Gugliuzza, MBA Project Manager, Hospital VBP Program Hospital Inpatient Value, Incentives, and

More information

Local Health Department Access to the National Healthcare Safety Network. January 23, 2018

Local Health Department Access to the National Healthcare Safety Network. January 23, 2018 Local Health Department Access to the National Healthcare Safety Network January 23, 2018 Learning Objectives Describe the National Healthcare Safety Network (NHSN), its functions, and uses Identify upcoming

More information

Vanderbilt University Medical Center is a 20,000-person community, where each of us is drawn to health care to help people. I see the passion and

Vanderbilt University Medical Center is a 20,000-person community, where each of us is drawn to health care to help people. I see the passion and 1 Vanderbilt University Medical Center is a 20,000-person community, where each of us is drawn to health care to help people. I see the passion and commitment for our patients and their families throughout

More information

NEBRASKA CENTER FOR NURSING

NEBRASKA CENTER FOR NURSING MINUTES OF THE MEETING NEBRASKA CENTER FOR NURSING MARCH 21, 2014 New officer elections for the Nebraska Center for Nursing Board were held in January 2014. Nominations were received by the Office of Nursing

More information

Goal Statement: Achieve reduction in CAUTI events by review and implementation of best practices for utilization and management.

Goal Statement: Achieve reduction in CAUTI events by review and implementation of best practices for utilization and management. Organization: Medstar Good Samaritan Hospital Title: Call for Action: Prevention of CAUTI in the Acute Care Setting Program/Project Description, including Goals: According to the Centers for Disease Control

More information

Bladder Instillation Therapy (Mitomycin) Department of Urology Information for patients

Bladder Instillation Therapy (Mitomycin) Department of Urology Information for patients Bladder Instillation Therapy (Mitomycin) Department of Urology Information for patients i Introduction Your consultant has prescribed a course of treatment for you called bladder instillation therapy.

More information

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)

More information

Uniform Data System. The Functional Assessment Specialists. June 21, 2011

Uniform Data System. The Functional Assessment Specialists. June 21, 2011 The Functional Assessment Specialists Uniform Data System for Medical Rehabilitation Telephone 716.817.7800 Fax 716.568.0037 E-mail info@udsmr.org Web site www.udsmr.org Suite 300 270 Northpointe Parkway

More information

Learning Session 4: Required Infection Reporting for Minnesota CAH

Learning Session 4: Required Infection Reporting for Minnesota CAH Learning Session 4: Required Infection Reporting for Minnesota CAH Presenters: Vicki Tang Olson Program Manager, Stratis Health Janet Lilleberg Quality Data Specialist, Stratis Health Marilyn Grafstrom,

More information

June 27, Dear Ms. Tavenner:

June 27, Dear Ms. Tavenner: 1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 27, 2014 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid

More information

The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures. Today s Presenters

The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures. Today s Presenters AHRQ Safety Program for Long-term Care: HAIs/CAUTI The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures National Content Webinar Series October 15, 2015 Today s Presenters Barbara

More information

SOUTHWESTERN COLLEGE FOUNDATION MEETING AGENDA Tuesday, April 22, :30 a.m. 8:30 a.m. LOCATION: ROOM L238 North

SOUTHWESTERN COLLEGE FOUNDATION MEETING AGENDA Tuesday, April 22, :30 a.m. 8:30 a.m. LOCATION: ROOM L238 North SOUTHWESTERN COLLEGE FOUNDATION MEETING AGENDA Tuesday, April 22, 2014 7:30 a.m. 8:30 a.m. LOCATION: ROOM L238 North 1. WELCOME / CALL TO ORDER Ben Green 2. APPROVAL OF MINUTES ACTION (Enclosure) Ben Green

More information

The Intersection of PFE, Quality, and Equity: Establishing Diverse Patient and Family Advisory Councils to Improve Patient Safety

The Intersection of PFE, Quality, and Equity: Establishing Diverse Patient and Family Advisory Councils to Improve Patient Safety The Intersection of PFE, Quality, and Equity: Establishing Diverse Patient and Family Advisory Councils to Improve Patient Safety OHA HIIN: Partnership for Patients (PfP) Webinar Lee Thompson, MS, AIR

More information

Report of the Auditor General to the Nova Scotia House of Assembly

Report of the Auditor General to the Nova Scotia House of Assembly November 22, 2017 Report of the Auditor General to the Nova Scotia House of Assembly Performance Independence Integrity Impact November 22, 2017 Honourable Kevin Murphy Speaker House of Assembly Province

More information

Performance Scorecard 2013

Performance Scorecard 2013 NORTHWESTERN LAKE FOREST HOSPITAL Performance Scorecard 2013 updated May 2013 Northwestern Lake Forest Hospital is committed to providing the communities we serve the highest quality health care through

More information

WV Center for Nursing Board of Directors April 21, 2006 Minutes

WV Center for Nursing Board of Directors April 21, 2006 Minutes WV Center for Nursing Board of Directors April 21, 2006 Minutes Members Present: Members Absent: Guests: Dr. Shelia Kyle, Pam Alderman, Cheryl Basham, Melissa Aguilar, Duane Napier, Mary Beth Barr, Amy

More information

2014 QAPI Plan for [Facility Name]

2014 QAPI Plan for [Facility Name] presented by: Quality Leadership for Long-Term Care 2014 QAPI Plan for [Facility Name] Vision A vision statement is sometimes called a picture of your organization in the future; it is your inspiration

More information

Sunnybrook s 2017/18 Quality Improvement Plan

Sunnybrook s 2017/18 Quality Improvement Plan Sunnybrook s 2017/18 Quality Improvement Plan Overview Sunnybrook Health Sciences Centre is pleased to share its seventh annual Quality Improvement Plan (QIP). This plan describes the hospital s key priorities

More information

LEGISLATIVE REPORT NORTH CAROLINA HEALTH TRANSFORMATION CENTER (TRANSFORMATION INNOVATIONS CENTER) PROGRAM DESIGN AND BUDGET PROPOSAL

LEGISLATIVE REPORT NORTH CAROLINA HEALTH TRANSFORMATION CENTER (TRANSFORMATION INNOVATIONS CENTER) PROGRAM DESIGN AND BUDGET PROPOSAL LEGISLATIVE REPORT NORTH CAROLINA HEALTH TRANSFORMATION CENTER (TRANSFORMATION INNOVATIONS CENTER) PROGRAM DESIGN AND BUDGET PROPOSAL SESSION LAW 2015-245, SECTION 8 FINAL REPORT State of North Carolina

More information

STANDING COMMITTEES

STANDING COMMITTEES STANDING COMMITTEES 2017-2018 AUDIT - Tasks: Complete the annual internal audit process by August 31, 2017; procure a professional audit if needed; Report audit findings and recommendations at the September

More information

Florida Inter-Agency Grants Consortium August 28, :00 pm to 4:00 pm Hartman Building, 2012 Capital Circle SE Room 102

Florida Inter-Agency Grants Consortium August 28, :00 pm to 4:00 pm Hartman Building, 2012 Capital Circle SE Room 102 Florida Inter-Agency Grants Consortium August 28, 2012 2:00 pm to 4:00 pm Hartman Building, 2012 Capital Circle SE Room 102 AGENDA I. Welcome Housekeeping Items Round Robin Introductions II. The State

More information

ADVISORY COMMITTEE ON WATER SUPPLY AND WASTEWATER LICENSED OPERATOR TRAINING ESTABLISHED UNDER NJSA 58:10A 14.6 BY-LAWS

ADVISORY COMMITTEE ON WATER SUPPLY AND WASTEWATER LICENSED OPERATOR TRAINING ESTABLISHED UNDER NJSA 58:10A 14.6 BY-LAWS Adopted July 15, 1993 Revised January 13, 1994 Revised July 30, 1998 Revised April 22, 1999 Revised April 20, 2000 Revised September 6, 2000 Revised January 31, 2002 Revised April 18, 2002 Revised October

More information

Corporate Partner Program Prospectus

Corporate Partner Program Prospectus Corporate Partner Program 2018 Prospectus Table of Contents About ElevatingHOME 2 About the Alliance. 2 Program Overview. 3 Program Benefits 3 Corporate Partner Membership Benefits 4 Thought Leadership

More information

Care Redesign: An Essential Feature of Bundled Payment

Care Redesign: An Essential Feature of Bundled Payment Issue Brief No. 11 September 2013 Care Redesign: An Essential Feature of Bundled Payment Jett Stansbury Director, New Payment Strategies, Integrated Healthcare Association Gabrielle White, RN, CASC Executive

More information

San Mateo County Continuum of Care Steering Committee July 8, 2016 Minutes

San Mateo County Continuum of Care Steering Committee July 8, 2016 Minutes San Mateo County Continuum of Care Steering Committee July 8, 2016 Minutes Present: Pastor Paul Bains, Antione Brooks, Steve Carey, Cindy Chan, Teri Chin, Diane Dworkin, Peter Ehrhorn, Anita Farrell, Katherine

More information

MINUTES Downtown Development Authority Meeting Tuesday, March 21, 2000

MINUTES Downtown Development Authority Meeting Tuesday, March 21, 2000 MINUTES Downtown Development Authority Meeting Tuesday, Place: Time: DDA Office 301 E. Liberty, Suite 690 Ann Arbor, MI 48104 The Chair, Lorri Sipes, called the meeting to order at 12:05 p.m. 1. Roll Call

More information

CLINICAL AUDIT. The laboratory investigation of. UTI in females. in primary care

CLINICAL AUDIT. The laboratory investigation of. UTI in females. in primary care CLINICAL AUDIT The laboratory investigation of UTI in females in primary care Valid to December 2018 bpac nz better medicin e Background Approximately 50% of all females will have a urinary tract infection

More information

Cal Pre-Vet Club Date Prepared: August 14, 2008 Date Amended: June 18, 2015 Date Approved (LEAD Center staff): Approved by (LEAD Center staff):

Cal Pre-Vet Club Date Prepared: August 14, 2008 Date Amended: June 18, 2015 Date Approved (LEAD Center staff): Approved by (LEAD Center staff): Cal Pre-Vet Club Date Prepared: August 14, 2008 Date Amended: June 18, 2015 Date Approved (LEAD Center staff): Approved by (LEAD Center staff): Article I - Name Cal Pre-Vet Club (Cal PVC) Article II -

More information

Office of Internal Audit Status Report BOARD OF TRUSTEES

Office of Internal Audit Status Report BOARD OF TRUSTEES Office of Internal Audit Status Report BOARD OF TRUSTEES OFFICE OF INTERNAL AUDIT Date: To: From: Subject: Board of Trustees and Finance and Audit Committee Allen Vann, Audit Director OFFICE OF INTERNAL

More information

Evidence Based Practices to Prevent HAIs/CAUTI and Improve Resident Safety

Evidence Based Practices to Prevent HAIs/CAUTI and Improve Resident Safety AHRQ Safety Program for Long term Care: HAIs/CAUTI Evidence Based Practices to Prevent HAIs/CAUTI and Improve Resident Safety Objectives Upon completion of this module, participants will be able to: Describe

More information

Medical Center Nursing News

Medical Center Nursing News Oregon Nurses Association Bargaining Unit Newsletter Providence Portland Medical Center (PPMC) Medical Center Nursing News July 12, 2016 ONA / PPMC Officers: Bargaining Unit Chair Sabra Bederka, RN 7S/Surgical

More information

University of Illinois Hospital and Clinics Dashboard May 2018

University of Illinois Hospital and Clinics Dashboard May 2018 May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last

More information

9 th Annual Meeting of PSOs

9 th Annual Meeting of PSOs 9 th Annual Meeting of PSOs April 26-27, 2017 The Patient Safety Organization Landscape Diane Cousins, RPh, Acting Director PSO Program Center for Quality Improvement and Patient Safety (CQuIPS) 9 th Annual

More information

The Process Innovation Center at CHOP: An Inside View

The Process Innovation Center at CHOP: An Inside View The Process Innovation Center at CHOP: An Inside View Harold Strawbridge HIMSS Management Engineering Performance Improvement Task Force, April, 2007 The Children s Hospital of Philadelphia Introductions

More information

AGM Report FEBRUARY OLBA MISSION OLBA VISION OLBA VALUES. Ontario Library Boards Association

AGM Report FEBRUARY OLBA MISSION OLBA VISION OLBA VALUES. Ontario Library Boards Association Ontario Library Boards Association INSIDE THIS ISSUE AGM Report FEBRUARY 2011 Annual General Meeting President's Report 2 Minutes AGM 2010 4,5 Treasurer s Report 6 Leadership by Design 7 OLBA Council 2011

More information

VOLUNTEER HANDBOOK. 40 th Annual Conference. Thank you, once again, for volunteering your time. Please enjoy the remainder of our conference.

VOLUNTEER HANDBOOK. 40 th Annual Conference. Thank you, once again, for volunteering your time. Please enjoy the remainder of our conference. December 6-10, 2008 Washington, DC VOLUNTEER HANDBOOK Thank you, once again, for volunteering your time. Please enjoy the remainder of our conference. 2 40 th Annual Conference Table of Contents Letter

More information

Minutes. I. Organizational Items: a. Called to Order by: Kayla

Minutes. I. Organizational Items: a. Called to Order by: Kayla Minutes Tuesday, November 8, 2016 Time: 4:30pm-6:00pm Type of Meeting: General, Special Location: US-U Board Room 303 Attendees: Executive committee, General Public I. Organizational Items: a. Called to

More information

Visit to download this and other modules and to access dozens of helpful tools and resources.

Visit  to download this and other modules and to access dozens of helpful tools and resources. This is the third module of Coach Medical Home a six-module curriculum designed for practice facilitators who are coaching primary care practices around patient-centered medical home (PCMH) transformation.

More information

Guidance for Authorities. Submitting a Proposal to host the. International Conference of Data Protection and Privacy Commissioners

Guidance for Authorities. Submitting a Proposal to host the. International Conference of Data Protection and Privacy Commissioners Guidance for Authorities Submitting a Proposal to host the International Conference of Data Protection and Privacy Commissioners Any accredited authority that wishes to be considered as a possible host

More information

SECTION 8 JANUARy 2015

SECTION 8 JANUARy 2015 SECTION 8 SFI Standards Development and Interpretations Process January 2015 SFI Standards Development and Interpretations Process 1. Procedures for SFI Standard Revision 2 2. Development of the SFI 2015-2019

More information

Meeting the Needs of Vulnerable Patients at Discharge

Meeting the Needs of Vulnerable Patients at Discharge Meeting the Needs of Vulnerable Patients at Discharge Institute for Health Care Improvement - Annual Conference December 12 th, 2017 Presented by Shelley Yoder, MSW - Program Manager, Community Health

More information

BY-LAWS. Current Revision Amended on February per Resolution R50-62 through R50-68

BY-LAWS. Current Revision Amended on February per Resolution R50-62 through R50-68 BY-LAWS Current Revision Amended on February 26 2015 per Resolution R50-62 through R50-68 TABLE OF CONTENTS MISSION STATEMENT, GOALS, VISIONS Pg 3 ARTICLE I. THE GREEN INITIATIVE FUND (TGIF) Pg 4 ARTICLE

More information

UNIVERSITY OF CALIFORNIA, IRVINE INTEGRATED UC IRVINE MEDICAL CENTER & SUE & BILL GROSS SCHOOL OF NURSING STRATEGIC PLAN

UNIVERSITY OF CALIFORNIA, IRVINE INTEGRATED UC IRVINE MEDICAL CENTER & SUE & BILL GROSS SCHOOL OF NURSING STRATEGIC PLAN 1 UNIVERSITY OF CALIFORNIA, IRVINE INTEGRATED UC IRVINE MEDICAL CENTER & SUE & BILL GROSS SCHOOL OF NURSING STRATEGIC PLAN Clinical Program Goals Revised 11/13/2017 2 CLINICAL PROGRAM GOALS Create a UCI

More information

ICD-10: The First 180 Days. Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair

ICD-10: The First 180 Days. Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair ICD-10: The First 180 Days Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair Agenda ICD-10 Background and Timeline Provider Implementation Efforts Hospital Implementation Efforts

More information

Network Governance and Management

Network Governance and Management Network Governance and Management Barbara Clemons California Carrie J. Little Illinois Mission Statement: We are a network of successful REALTORS, advancing women as professionals and leaders in business,

More information

Electronic Physician Documentation: Increased Satisfaction

Electronic Physician Documentation: Increased Satisfaction Electronic Physician Documentation: Increased Satisfaction Session 222, February 23, 2017 Robert (Bob) Diamond, Sr. Vice President / CIO, Health Quest Kshitij (Tij) Saxena, MD, CMIO, Health Quest 1 Speaker

More information

SUBJECT: May Update of Implementation Plan for Public Law

SUBJECT: May Update of Implementation Plan for Public Law June 25, 2003 VETERANS' PROGRAM LETTER (VPL) NO. _11-03_ FOR: ALL REGIONAL ADMINISTRATORS (RAVETs) AND DIRECTORS FOR VETERANS' EMPLOYMENT AND TRAINING (DVETs) ALL STATE WORKFORCE AGENCY ADMINISTRATORS

More information

National Tribal Water & Wastewater Operations & Maintenance Summit August 27-31, hosted by Pechanga Band of Luiseno Indians Temecula, California

National Tribal Water & Wastewater Operations & Maintenance Summit August 27-31, hosted by Pechanga Band of Luiseno Indians Temecula, California National Tribal Water & Wastewater Operations & Maintenance Summit August 27-31, 2018 hosted by Pechanga Band of Luiseno Indians Temecula, California Featuring: Tribal Op-Cert Advisory Committee Meeting

More information

MINUTES MONTHLY BUSINESS MEETING TUESDAY, AUGUST 28, 2018 RYAN S STEAKHOUSE EFFINGHAM, ILLINOIS. Commissioners Present.

MINUTES MONTHLY BUSINESS MEETING TUESDAY, AUGUST 28, 2018 RYAN S STEAKHOUSE EFFINGHAM, ILLINOIS. Commissioners Present. South Central Illinois Regional Planning Development Commission 120 Delmar Avenue / Suite A - Salem, Illinois 62881-2000 Phone: (618) 548-4234 Fax: (618) 548-4236 www.scirpdc.com Serving the Illinois Counties

More information

Management Response as of May 24, Finding Recommendation(s) Previous Management Response

Management Response as of May 24, Finding Recommendation(s) Previous Management Response Status Finding Recommendation(s) Previous BSI did not adequately monitor turnaround option plan (TOP) implement ation. We recommend BSI develop TOP monitoring procedures to ensure school districts implement

More information

BCIT REUNION INFORMATION DOCUMENT

BCIT REUNION INFORMATION DOCUMENT BCIT REUNION INFORMATION DOCUMENT Alumni Office The BCIT alumni office can help you plan a successful reunion for your set, program or school. The following are several ways in which we can assist you.

More information

Volunteering in NHS Scotland Developing Volunteering Toolkit Summary of Pilot

Volunteering in NHS Scotland Developing Volunteering Toolkit Summary of Pilot Volunteering in NHS Scotland Developing Volunteering Toolkit Summary of Pilot NG09-06a Introduction Direct volunteering has been evolving within the NHS for some time. For more than a decade a strong emphasis

More information

Sponsorship Prospectus

Sponsorship Prospectus Sponsorship Prospectus Our Mission is to build a better world by helping organizations become Great Places to Work For All Organizations that are better for business, for people, and for the world. Why

More information

1. Preface Purpose Objectives Award Amount and Duration Eligibility Requirements Additional Support...

1. Preface Purpose Objectives Award Amount and Duration Eligibility Requirements Additional Support... Last updated: April 24, 2018 Contents 1. Preface... 3 2. Purpose... 3 3. Objectives... 4 4. Award Amount and Duration... 5 5. Eligibility Requirements... 5 6. Additional Support... 6 7. Review Process...

More information

UNIVERSITY OF COLORADO ADMINISTRATION STAFF COUNCIL MINUTES

UNIVERSITY OF COLORADO ADMINISTRATION STAFF COUNCIL MINUTES UNIVERSITY OF COLORADO ADMINISTRATION STAFF COUNCIL MINUTES Thursday, System Charles VS Conference Room 1800 Grant Street, Suite 700 Nancy Moore called the regular meeting of the University of Colorado

More information