14 th ANNUAL MARYLAND PATIENT SAFETY CONFERENCE

Transcription

1 14 th ANNUAL MARYLAND PATIENT SAFETY CONFERENCE APRIL 13, 2018 HILTON BALTIMORE Transparency and Communication: The Gateway to Patient Safety Opening Keynote Speaker Rosemary Gibson Senior Advisor, The Hastings Center Closing Keynote Speaker Ridley Barron Author, speaker and patient safety advocate Ridley Barron Ministries This educational activity is jointly provided by AXIS Medical Education and by Maryland Patient Safety Center.

2 2018 MARYLAND PATIENT SAFETY CONFERENCE APRIL 13, 2018 BALTIMORE HILTON Target Audience: This activity would most likely appeal to those with an interest or occupation in the following fields: Nursing, Pharmacy, Physician, Quality, Patient Safety, Risk Management, Clinical, Nursing Home Administrator. Purpose: The 2018 Maryland Patient Safety Conference provides the setting for health care professionals from across the health care continuum and the region to discuss, learn and network with like-minded colleagues about topical patient safety issues and solutions to generate positive change within the represented organizations. Overview: The 2018 Maryland Patient Safety Conference will bring together an estimated 1,300 healthcare workers. In its 14th year, the conference will focus on today s most pressing safety issues and how transparency and communication are fundamental to improving the quality and safety of patient care. Objectives and descriptions will be listed with each session. 7:00am lobby/foyer 8:00am 8:15am 8:15am 9:15am 9:15am 9:30am DAY-AT-A-GLANCE Registration, Breakfast, Visit Exhibitors and Patient Safety Poster Presentations Welcome & Introductions: James Rost, MD, FAAP, Vice President, Chief Medical Officer, Washington Adventist Hospital, MPSC Board Chair. Opening Keynote Address: A Moment to Celebrate How Far We Have Come and Be Inspired to Take the Next Big Leap. Rosemary Gibson, Senior Advisor, The Hastings Center. Recognition of the Minogue Award for Patient Safety Innovation Winner and Distinguished Achievement in Patient Safety Innovation Winner 9:30am 10:00am Break, Visit Exhibitors and Patient Safety Poster Presentations: Lobby & Foyer A Track 1 B Track 2 C Track 3 D Track 4 10:00am 11:00am Intra-facility Patient Transfers: Risky Business Cheryl Connors, MS, RN Patient Safety Specialist Armstrong Inst. for Patient Safety and Quality Johns Hopkins Medicine Dennis Jones, DNP, RN, CCNS Safety & Quality Officer Lifeline Critical Care Transport Program, Johns Hopkins Hospital Communication Access: Improving Patient Safety by Decreasing Communication Barriers in the Healthcare Setting Denise McCall, MA, CCC-SLP Program Director Lisa Thornburg, MA, CCC-SLP Assistant Director SCALE@The League FY 17 Office of Health Care Quality Patient Safety Update Anne Jones, RN, BSN, MA Nurse Program Consultant Office of Health Care Quality From Deny and Defend to CANDOR A Comprehensive and Principled Approach to Responding when Patient Safety Events Occur Martin Hatlie, JD Co-Director Kelly Smith, PhD Senior Director, Research MedStar Institute for Quality & Safety 11:00am 11:15am Break, Visit Exhibitors and Patient Safety Poster Presentations: Lobby & Foyer 11:15am 12:15pm Medication Assisted Treatment: A Priority Response to Maryland s Opioid Crisis Kathleen Rebbert-Franklin, LCSW-C Director, Health Promotion & Prevention, Behavioral Health Administration Maryland Department of Health The End of Life Care Journey: Ensuring the Safest Care for our Patients Carol Cronin Executive Director Informed Patient Institute Seth Krevat, MD Palliative Medicine, MedStar Georgetown University Hospital Moderator Matt Austin, PhD Assistant Professor Johns Hopkins University in the Armstrong Institute for Patient Safety & Quality Minogue Award for Patient Safety Innovation Winner: S.T.A.R.T. with the Patient Leslie Clark, RN, LBSW, MSN Director, Population Health Lori Wilson, RN, BSN, MA Assistant VP, Patient Services UM Upper Chesapeake Medical Center Evidence over Ideology: Aligning SUD science, policy and practice Tracey Myers-Preston Strategist The Maryland Addictions Directors Council Kathleen O Brien, PhD Chief Executive Officer Walden Behavioral Health 12:15pm 1:00pm Lunch, Visit Exhibitors and Patient Safety Poster Presentations: Lobby & Foyer 1:00pm 2:00pm What s next when a cup of coffee is not enough? Addressing the highly valued ( untouchable?) clinician who undermines your culture of safety and respect. Gerald Hickson, MD Senior Vice President for Quality, Safety & Risk Prevention Vanderbilt University Voices of Patients & Families: A Panel Discussion Cheryl & Paul Douglass Patient & Family Advocates Jack Gentry Patient & Family Advocate Ginger Rosela Patient & Family Advocate Moderator President & CEO, MPSC Distinguished Achievement in Patient Safety Innovation Winner: Reducing Opioid Prescribing: A Health System Responds to the Epidemic Barry Meisenberg, MD Director, DeCesaris Cancer Institute Anne Arundel Medical Center The Safety Learning Collaborative: Redefining Patient Safety Jeanne Huddleston, MD President and CEO HB Healthcare Safety, SBC Tony Calabria Clinical Quality & Regulatory Programs Director MedStar Institute for Quality & Safety 2:00pm 2:30pm Break, Visit Exhibitors and Patient Safety Poster Presentations: Lobby & Foyer 2:30pm 3:30pm 3:30pm Closing Keynote Address: Every 1/2 Second Counts Ridley Barron, Author and Patient Advocate, Ridley Barron Ministries Closing Remarks and Adjournment:, President & CEO, Maryland Patient Safety Center

3 TRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY 8:15 am 9:15 am Opening Keynote A Moment to Celebrate How Far We Have Come and Be Inspired to Take the Next Big Leap Substantial improvements have occurred in patient safety in the nearly two decades since the IOM report, To Err is Human. During this presentation, participants will have the opportunity to step back from their day-to-day work and reflect on the progress made and their unique contributions to help ensure safer care. Open and honest communication with patients, families, and each other is the next big leap. Participants will come away inspired to take that big leap together! Learning Objectives 1. Identify areas of progress in patient safety and reflect on the impact their work has had on patients; and 2. State one action step you will take to improve open and honest communication. Presenter Rosemary Gibson Senior Advisor, The Hastings Center 9:15 am 9:30 am Recognition of 2018 Winners of Patient Safety Innovation Awards 9:30 am 10:00 am Break and Visit Exhibitors and Patient Safety Poster Presentations CONCURRENT SESSIONS Track 1 ( A) 10:00 am - 11:00 am Intra-facility Patient Transfers: Risky Business Transporting patients to different departments and different caregivers can be risk-prone. The process can involve several caregivers with varying skill sets, who may not be familiar with the patient. Johns Hopkins conducted an in-depth analysis to identify the root causes of risk during transport. This session will share relevant risks and strategies to improve safety for patients during transport. Learning objectives: 1. List the risks that may occur during patient transport 2. Identify at least two strategies to improve safety during patient transport 3. Use a checklist to assess safety during transport Cheryl Connors, MS, RN Patient Safety Specialist, Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine Dennis Jones, DNP, RN Safety and Quality Officer, Lifeline Critical Care Transport Program, Johns Hopkins Hospital 11:15 am 12:15 pm Medication Assisted Treatment: A Priority Response to Maryland s Opioid Crisis This presentation will provide the audience with information about how Maryland is addressing the opioid crisis, particularly through expanding access to medication-assisted treatment. Opioid overdose prevention is a major priority for Maryland, and improving access to evidence-based services is a key component. The presenter will discuss addressing stigma, expanding buprenorphine prescribers, and partnering with hospital and other health systems to implement early intervention activities. 1. Identify the overarching goals of the State in addressing the opioid overdose crisis 2. Describe how public awareness activities can address stigma 3. List the steps taken by the State to increase access to medications, specifically buprenorphine Kathleen Rebbert-Franklin, LCSW-C Director, Health Promotion & Prevention, Behavioral Health Administration, Maryland Department of Health 12:15 pm 1:00 pm Lunch and Visit Exhibitors and Patient Safety Poster Presentations 1:00 pm 2:00 pm What s next when a cup of coffee is not enough? Addressing the highly valued ( untouchable?) clinician who undermines your culture of safety and respect. Unprofessional behavior by 2-8% of physicians and advanced practice professionals in virtually all medical groups is associated with greater risk of patient complaints, professional liability claims, post-procedure complications, impaired teamwork, symptoms of burnout and reduced loyalty of patients and staff. Based on Vanderbilt s 20+ years of research and experience with medical groups now numbering more than 66,000 physicians, we ve learned that every organization needs a plan, a tiered intervention process (a Professionalism Pyramid), and an infrastructure for early identification and action in support of that small proportion of professionals who disproportionately dissatisfy their patients and/or raise concerns among their co-workers. This presentation begins with the case of Dr. X, a highly valued ( untouchable?) clinician who nevertheless undermines the organization s culture of safety and respect. The presentation describes how Dr. X s leaders learned to begin with informal feedback ( cup of coffee conversations ) from colleagues, but when that didn t work, learned to intervene with local and national peer-comparative data and stories. Based on a tiered intervention approach his feedback is designed to make Dr. X aware of her/his status vs. others both in the local medical group and in the particular practice specialty nationally. These non-directive, non-judgmental feedback sessions are designed to prompt physician/app self-regulation, which occurs 75-80% of the time. Unfortunately, Dr. X failed to self-regulate, so

4 TRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY the presentation describes the next steps involving carefully tailored interventions guided by an authority. The authorities develop action plans involving ongoing assessment and accountability and improve results for more than 60% of intervention recipients. As a result of interventions guided by Dr. X s authority (Clinical Department Chair, Chief, VPMA, CMO or equivalent), Dr. X s patient and co-worker complaints fell substantially, reducing Dr. X s malpractice claims and risk of other adverse outcomes to Dr. X s organization and patients. The presentation concludes with an overview of best practices associated with our tiered intervention approach and tools leaders need that address, support, incentivize, and monitor those clinical colleagues identified as high risk. 1. Describe a range of unprofessional behaviors that increase risk of professional liability claims and adverse surgical outcomes; 2. List key elements of an organizational infrastructure required to support effective efforts to reduce unprofessional conduct among clinicians; 3. Identify the levels of a model of tiered accountability for addressing single incidents, apparent patterns, and persistent patterns of unprofessional behavior; and 4. Discuss how the same infrastructure and model of tiered accountability may be implemented to increase the likelihood of successful organizational safety and quality improvement initiatives. Gerald Hickson, MD Senior Vice President for Quality, Safety and Risk Prevention, Vanderbilt University Track 2 ( B) 10:00 am 11:00 am Communication Access: Improving Patient Safety by Decreasing Communication Barriers Effective patient-provider communication is an essential component of quality healthcare and patient safety, as well as a basic right of every patient. However, employees in health care settings are typically unaware of methods of facilitating communication for individuals who have difficulty speaking, hearing, seeing, understand, reading, writing or remembering. This presentation will provide participants with the knowledge, training, tools and resources needed to implement change in their health care setting. Tool kits and free downloadable resources will be presented, with action ideas for implementing these materials. 1. Describe the impact of ineffective patient provider communication on patient safety 2. Define the barriers to effective patient provider communication 3. Explore on-line communication tools, videos and training materials designed to reduce safety risks 4. Name supportive communication tools and techniques to improve effective communication in medical settings. Denise McCall, SLP Program Director, The League Lisa Thornburg, SLP Assistant Director, The League 11:15 am 12:15 pm The End of Life Care Journey: Ensuring the Safest Care for our Patients Through the lens of a patient s journey through the healthcare system, we will explore with experts in patient-centered and palliative care how the healthcare system can better ensure end of life care that is both safe and follows the values and preferences of our patients. 1. Describe where patient safety concerns exist in the provision of end of life care 2. Identify solutions that the health care delivery system could adopt to improve patient safety in end of life care 3. Describe how the health care delivery system can best incorporate the patient s voice into improving the safety of end of life care Matt Austin, PhD Assistant Professor, Johns Hopkins University in the Armstrong Institute for Patient Safety and Quality Panel Moderator Carol Cronin Executive Director, Informed Patient Institute Seth Krevat, MD Palliative Medicine, MedStar Georgetown University Hospital 12:15 pm 1:00 pm Lunch and Visit Exhibitors and Patient Safety Poster Presentations 1:00 pm 2:00 pm Voices of Patients and Families: A Panel Discussion This panel discussion will explore the importance of the communication exchange between patients and clinicians. Patient and family experiences from three different perspectives will be presented. Included in the discussion around these patient perspectives will be the importance and necessity for transparency. An opportunity for audience interaction with panelists will be provided. 1. Discuss the impact of transparent communication after medical error, including disclosing the mistake to the patient 2. Describe the benefits of adverse event disclosure to patients and families President and CEO, Maryland Patient Safety Center Panel Moderator Cheryl and Paul Douglass, Patient and Family Advocates Jack Gentry, Patient and Family Advocate Ginger Rosela, Patient and Family Advocate Track 3 ( C) 10:00 am 11:00 am FY 17 Office of Health Care Quality Patient Safety Update This session presents adverse event cases reported through the Office of Health Care Quality s mandatory hospital reporting system. Trends in reported events, root causes, and corrective actions will be discussed, as well as findings from submitted RCAs and individual case studies. In addition, an in-depth look at the 54 preventable deaths from FY 17 will be presented. 1. Describe the data regarding reported events for FY Explain the context of trends and meaningful single events, and

5 TRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY 3. Identify some commonalities among the preventable deaths from FY17 Anne Jones, RN, BSN, MA Nurse Program Consultant, Office of Health Care Quality 11:15 am 12:15 pm Minogue Award for Patient 8 Safety Innovation Winner S.T.A.R.T. with the Patient The S.T.A.R.T. with the Patient: A Safe Transition Assessment and Risk Tool presentation will guide the audience through the creation and implementation of University of Maryland Upper Chesapeake Health s START Status Board. This tool assesses patients for readmission risks from the time of admission through discharge, and seeks to alert the clinical teams to obtain appropriate resources and interventions for these patients. During this presentation, the audience will also learn about the process, collaboration and subsequent interventions that made the success of this work possible, and improve outcomes and experiences of care transitions for their patients. 1. Describe the process of development and implementation of the START Status Board in the context of a collaborative interdisciplinary workgroup. 2. Identify risk stratification methods, interventions that mitigate readmission risk factors, and appropriate resources for patient transitions. 3. Discuss sustainability strategies for the START tool to improve the quality and experience of care transitions for patients. Leslie Clark, RN, LBSW, MSN Director, Population Health Lori Wilson, RN, BSN, MA Assistant VP, Patient Services UM Upper Chesapeake Medical Center 12:15 pm 1:00 pm Lunch and Visit Exhibitors and Patient Safety Poster Presentations 1:00 pm 2:00 pm Distinguished Achievement in Patient Safety Innovation Winner Reducing Opioid Prescribing: A Health System Responds to the Epidemic This session will describe actions taken to reduce opioid prescribing within various services of a health system, including patient and public education, prescriber education, prescriber oversight, empowerment of medical directors with actual data of prescribing patterns and enhanced electronic medical record (EMR) tools to facilitate referrals to substance abuse services. Outcomes of this work include a >50% decrease in overall prescribing amounts both in volume and rate of opioid prescriptions. The trend has spread from initial target areas, to other departments, suggesting spreading culture change in approach to prescribing these medications. Patient satisfaction with pain management did not decrease during the roll-out of these interventions. The presentation will highlight some of the interventions used to achieve these results including the content of the academic detailing for prescribers, the data report created for medical directors and elements of the patient education. 1. Describe the role medically prescribed opioids play in generating and sustaining opioid addiction. 2. List the details of a multi-faceted approach to reducing opioid demand and prescribing within a health system. 3. Identify the major educational points and data support for prescriber educational sessions. Barry Meisenberg, MD Director, DeCesaris Cancer Institute, Anne Arundel Medical Center Track 4 ( D) 10:00 am 11:00 am From Deny and Defend to CANDOR A Comprehensive and Principled Approach to Responding when Patient Safety Events Occur Disclosure and apology after medical error emerged in the 1990s as both public policy goal and risk management strategy. Two decades later, CANDOR (Communication and Optimal Resolution) has evolved as a principled and comprehensive approach focused on empathic communication after Patient Safety events occur, transparency, learning & prevention, and fair & effective management of liability exposure. Innovators have demonstrated impact on event reporting, practice patterns and liability reduction. Care for healthcare workers has emerged as important to harm prevention as well as workforce wellbeing. This session will describe CANDOR components and the rationale behind a CANDOR approach. Participants will also explore implementation opportunities and challenges using a case study of impact on patient safety at one large MD health system. 1. Describe the importance of transparency and empathy in responding to patient safety events, maximizing learning and managing liability exposure 2. Identify the opportunities and challenges for health systems in adopting CANDOR 3. Discuss one health system s early results after embedding a CANDOR within their comprehensive patient safety program Martin Hatlie, JD Co-Director, MedStar Institute for Quality & Safety Kelly Smith, PhD Senior Director, Research, MedStar Institute for Quality & Safety 11:15 am 12:15 pm Evidence over Ideology: Aligning SUD (Substance Use Disorder) Science, Policy and Practice Addiction is a complex social and medical issue that requires well-informed and complex solutions. Our current treatment system often fails those in need because of its entrenchment in flawed views of the disease of addiction and approaches that are based on ideology rather than the science at hand. In this session, participants will gain insight on dismantling the long-standing and flawed assumptions that hinder high-quality addictionrelated healthcare and put science at the center of policy making and clinical best practices.

6 TRANSPARENCY AND COMMUNICATION: THE GATEWAY TO PATIENT SAFETY 1. Identify effective communication strategies that raise SUD care standards 2. Discuss how to increase transparency around data-driven decision making and outcomes 3. List activities that promote evidence-informed policies and practices. Tracey Myers-Preston Strategist, The Maryland Addictions Directors Council Kathleen O Brien, PhD Chief Executive Officer, Walden Behavioral Health 12:15 pm 1:00 pm Lunch and Visit Exhibitors and Patient Safety Poster Presentations 1:00 pm 2:00 pm The Safety Learning Collaborative: Redefining Patient Safety This session will provide learners with the information to explore principles of high reliability that will enable them to look beyond peer review and toward inter-professional change. Safety problems facing healthcare will be considered, and evidence will show that acts of omission, not commission are the largest. 1. Implement a learning system that embodies principles of high reliability specifically, deference to expertise 2. Outline strategies to move beyond the medical model of peer review to a process of inter-professional learning that leads to actionable information and change 3. Define the largest safety problems facing health care today: acts of omission, not commission. Jeanne Huddleston, MD President and CEO, HB Healthcare Safety, SBC Tony Calabria Clinical Quality & Regulatory Programs Director, MedStar Institute for Quality & Safety 2:30 pm 3:30 pm Closing Keynote Every 1/2 Second Counts What can be done in our healthcare systems to improve overall quality? As people continue to serve in healthcare, there will continue to exist a human component the potential for error. In this session, participants will learn from the family member of one victim. They will be challenged by seven simple principles that are drawn directly from his personal experience. Participants will be encouraged to apply these principles to the own situations. Listeners will leave the session with practical steps to promote safety in their culture. 1. Recognize how to create consumer./user friendly environments 2. Demonstrate increased awareness of individual patient concerns in regards to their safety 3. Create patient-centered care that takes place in threat free environments through greater awareness of safety issues 4. Explain concerns centered around the second victim (health care workers involved in adverse events) Ridley Barron Author, Speaker, Patient Advocate, Ridley Barron Ministries Meet the Board of Directors The strategic initiatives and priorities of the Maryland Patient Safety Center are guided by a voluntary board of directors. CHAIR James R. Rost, MD Vice President & Chief Medical Officer Adventist Healthcare Washington Adventist Hospital Gerald Abrams Director Abrams, Foster, Nole & Williams, PA Kelly Corbi Chief Operating Officer Northwest Hospital Joseph DeMattos, Jr., MA, President Health Facilities Association of Maryland Barbara Epke Vice President LifeBridge Health, Inc. & Sinai Hospital of Baltimore Badia Faddoul, RN, DNP, CCR, CPHQ, Director of Quality & Safety University of Maryland Community Medical Group E. Robert Feroli, Jr., PharmD, FASHP, FSMSO Medication Safety Armstrong Institute Johns Hopkins Hospital Brian J. Frankel Assistant Fire Chief Prince George s County Fire/EMS Dept. Eugene A. Friedman, Esq. Former Corporate Counsel, 1st Mariner Bank Trustee, LifeBridge Health Paul Fronstin, PhD Director, Center for Research on Health Benefits Innovation Employee Benefit Research Institute Jack Gentry Retired Police Officer, Baltimore City Patient Advocate Andrea M. Hyatt, CASC President Maryland Ambulatory Surgery Association President & CEO Maryland Patient Safety Center Sen. Katherine Klausmeier Maryland State Senate, District 8 Lawrence S. Linder, MD, FACEP, FAAEM Former President and CEO University of Maryland Community Medical Group Martin A. Makary MD, MPH, FACS Professor of Surgery, Johns Hopkins School of Medicine Professor of Health Policy & Management, Johns Hopkins University School of Public Health Chief, Islet Transplant Surgery Johns Hopkins Hospital David B. Mayer, MD Corporate Vice President, Quality & Safety MedStar Health Sherry Perkins, PhD, RN, FACHE Executive Vice President & Chief Operating Officer Dimensions Health Podge M. Reed Jr. Former Hospital Administrator Patient Advocate Del. Sheree Sample-Hughes Maryland House of Delegates, District 37A Nicole Dempsey Stallings Vice President, Policy & Data Analytics Maryland Hospital Association Barbara Tachovsky, MSN, PN, NEA-BC, FACHE Former President Mainline Hospitals, Paoli, PA Michael R. Yochelson, MD, MBA, FACHE Chief Medical Officer Shepherd Center, Atlanta GA

7 REGISTRATION 14 TH ANNUAL MARYLAND PATIENT SAFETY CONFERENCE APRIL 13, 2018 ONLINE REGISTRATION CLOSES March 30, 2018 To Register: Visit MarylandPatientSafety.org. Complete all individual registration information, most importantly the registrant s address (You may include a secondary address for others to receive correspondence regarding registration and program information). If you will be submitting a check request through your organization, please choose the Register and Pay Later option. You will receive correspondence immediately following your submission of the registration online. If you do not receive a confirmation or if you have any questions regarding our registration process, please contact Lorie Catsos at or lcatsos@marylandpatientsafety.org. FEE for all participants FREE with Maryland Patient Safety Center membership (Register by March 30, 2018). Early Registration and payment received by Friday, March 16, 2018: $299 Late Registration and payment received between March 17 March 30, 2018: $345 On-site Registration and payment (including those not yet paid): $399 Full-time Student: $99 (student ID required) No shows and cancellations received after April 3 will be subject to a $125 cancellation fee per the Center s policy All attendees, including Maryland Patient Safety Center member organizations and non-members, must register by March 30, 2018 to receive special pricing. All on-site registrations must provide payment of $399. Breakfast and lunch will be provided. While we do provide a vegetarian option, please contact Lorie Catsos if you have any other dietary restrictions at lcatsos@marylandpatientsafety.org. Weather Policy: In the event of adverse weather conditions, the decision to cancel or delay the Conference will be made by 5:00 a.m. the morning of the Conference. To find out if the Conference is delayed or cancelled, please call after 5:00 a.m. on April 13. Special Note: The Maryland Patient Safety Center 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 contact Lorie Catsos at lcatsos@marylandpatientsafety.org.

8 CONTINUING EDUCATION Accreditation Statement In support of improving patient care, AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Credit Designation for Physicians AXIS Medical Education designates this live activity for a maximum of 5.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit Designation for Pharmacists This knowledge based activity is approved for 5.0 contact hours of continuing pharmacy education credit ( JA L05-P). Credit Designation for Nursing AXIS Medical Education designates this continuing nursing education activity for 5.0 contact hours. Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity. Quality Professionals This program has been approved by the National Association for Healthcare Quality for 5.0 CPHQ continuing education hours. Risk Management This meeting has been approved for a total of 5.0 contact hours of Continuing Education Credit toward fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and towards CPHRM renewal. Respiratory Therapists This program has been approved for 5.0 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425, N. MacArthur Blvd, Suite 100, Irving TX Long Term Care Administrators This program has been approved for Continuing Education for 5.0 total participant hours by NAB/NCERS Approval # A41229-IN AXIS Contact Information For information about the accreditation of this program please contact AXIS at info@axismeded.org. Disclosure of Conflicts of Interest AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity: Name of Faculty/Presenter/Planner Rosemary Gibson Cheryl Connors Dennis Jones, DNP, RN, CCNS Martin Hatlie Kelly Smith Anne Jones, RN, BSN, MA Denise McCall, MA, CCC-SLP Lisa Thornburg, MA, CCC-SLP Reported Financial Relationship Speakers Bureau: MedStar Health, Vizient Inc. Matt Austin, PhD Carol Cronin Seth Krevat Kathleen Rebbert-Franklin Leslie Clark, RN, LBSW, MSN Lori Wilson, RN, BSN, MA Tracey Myers-Preston Kathleen O Brien, PhD Gerald Hickson, MD Cheryl Douglass Paul Douglass Jack Gentry Ginger Rosela Barry Meisenberg, MD Jeanne Huddleston, MD Richard (Tony) A. Calabria, Jr. Ridley Barron The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity: Name of Planners Reported Financial Relationship Dee Morgillo, MEd., CHCP Ronald Viggiani, MD Northing to disclose Bonnie DiPietro, MS, RN, NEA-BC, FACHE Disclaimer Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer s product information, and comparison with recommendations of other authorities Disclosure of Unlabeled Use This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Americans with Disabilities Act In compliance with the Americans with Disabilities Act, we will make every reasonable effort to accommodate your request. For any special requests, please contact Maryland Patient Safety Center at or at lcatsos@marylandpatientsafety.org before the meeting date. Requirements for credit: Attend/participate in the educational activity and review all course materials. Complete the CE Declaration/Evaluation form online by 11:59 pm ET on May 13, Instructions will be provided. If you do not complete the online evaluation by this date, you will not be able to get CME/CE credit for this event. Upon successful completion of the online form, your statement of completion will be presented to you to print. Pharmacists, your record will be automatically uploaded to CPE Monitor.