MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES

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MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
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
MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
CONFERENCE                                                      OVERVIEW
SPECIFICS                                                       The MHA Keystone Center will host the MHA
REGISTRATION
    Each organization may register up to three individuals      Keystone: ICU workshop Sept. 29 at the Dearborn
    from each ICU at no charge, additional attendees $60        Inn. Hospitals participating in MHA Keystone:
    per person. If you have registered for an MHA event
    and have your login information, you may register           ICU or MHA Keystone: Sepsis are strongly
    online or with the paper form within this brochure.
    Space is limited and registration is available on a         encouraged to attend.
    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.

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.
                                                                “The Aftermath” by Gary Black
CONTINUING EDUCATION OPPORTUNITIES
    William Beaumont Hospital designates this live
    activity for a maximum of 4.75 AMA PRA Category             The workshop will feature presentations from
    1Credit(s)™. Physicians should claim only the credit
    commensurate with the extent of their participation in
                                                                national and local critical care experts on ICU
    the activity. This award will expire on 9/29/16.            survivorship, patient-centered care for delirium
    This continuing nursing education activity was              prevention and management, updated best
    awarded a maximum 6.25 nursing contact hours.
    Michigan Public Health Institute – Continuing               practices for sepsis identification, treatment and
    Education Provider Unit (OH-320, 6/1/2013) is an
    approval provider of continuing nursing education
                                                                management, navigating difficult conversations
    by the Ohio Nurses Association (OBN-001-91).                with patients and families, current approaches
    An accredited approver by the American Nurses
    Credentialing Center’s Commission on Accreditation.         to palliative care and lung protective ventilation
    The ICU workshop has been awarded a maximum of              in the ICU setting.
    3.25 ACPE credit hours for pharmacy professionals.
    Partial credit can be awarded and pharmacy
    professionals should only check the sessions they attend.
    For questions regarding continuing education please
    contact us at keystone@mha.org

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MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
AGENDA                 | September 29, 2015 | Dearborn Inn | Dearborn, MI

7 – 8 a.m.                                                11 a.m. – 12 p.m.
  Registration and Breakfast                                Resting on Evidence and Experience:
                                                            A Patient-Centered Approach to Sedation
8 – 8:15 a.m.
                                                            and Delirium Management
  Welcome                                                   E. Wesley Ely, MD, MPH, pulmonary and critical care
  Sam Watson, senior vice president, patient safety and     and health services researcher at Vanderbilt University
  quality, MHA and                                          and associate director of the Tennessee Veterans
  Brian Peters, CEO, MHA                                    Affairs-Geriatric Research Education Clinical Center,
                                                            Nashville, TN
8:15 – 8:30 a.m.
                                                          12 - 12:30 p.m.
  KICU Annual Survey Results
                                                            Lung Protective Ventilation – A Performance
  Deena Costa, PhD, RN, assistant professor,
  University of Michigan School of Nursing
                                                            Measure in the Making
                                                            Robert Hyzy, MD, professor, Department of Internal
8:30 - 8:45 a.m.                                            Medicine and director, Critical Care Medical Unit,
                                                            University of Michigan, Ann Arbor
  Keystone Update
  Phyllis McLellan, RN, MSN, CNOR, CPPS,                  12:30 – 1:30 p.m.
  director of performance improvement,
  MHA Keystone Center
                                                            Lunch

8:45 – 9:30 a.m.                                          1:30 – 3 p.m.

  Sepsis from the Inside Out                                Navigating Difficult Conversations with
                                                            Patients and Families: Perspectives from the
  Gary Black, MEd, BSEd, and BFA.
  (author “Gyroscope – A Survival of Sepsis”)               Fishbowl
                                                            Rana Awdish, MD, senior staff physician, Department
9:30 - 10:30 a.m.                                           of Pulmonary & Critical Care Medicine, Henry Ford
                                                            Health System; Michael Mendez, MD, director,
  Managing Sepsis in the Era of Mandated
                                                            Medical Intensive Care Unit and the medical director,
  Public Reporting                                          Simulation Center, Henry Ford Hospital; and
  Mitchell Levy, MD, FCCM, FCCP, professor of               Dana Buick, MD, consultant for the Caring
  medicine and division chief, Pulmonary and Critical       Conversations Program, Henry Ford Health System,
  Care Medicine, Alpert Medical School of Brown             Detroit
  University; medical director, MICU, Rhode Island
  Hospital and founding executive member of the           3 – 3:45 p.m.
  Surviving Sepsis Campaign, Providence, RI
                                                            Understanding Palliative Care and End of
10:30 – 11 a.m.                                             Life Issues in the ICU
                                                            Joseph Bander, MD, FCCM, FCCP, director, surgical
  Break/Poster Presentations/Vendors
                                                            ICU, St. Joseph Mercy, Ann Arbor

                                                          3:45– 4 p.m.
                                                            Poster Presentation/Acknowledgement and
                                                            Closing Remarks

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MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
SPEAKERS                                      GARY BLACK, MEd, BSEd, BFA,
                                                                  is a survivor of severe
                                                                  sepsis. His life
                                                                                            and Quality. He has published more
                                                                                            than 150 peer-reviewed articles and
                                                                                            book chapters.
                                                                  changed dramatically
MODERATOR                                                         on July 20th, 2009,       KEYNOTE
PHYLLIS McLELLAN, RN, MSN,                                        when severe sepsis        DR. E. WESELY, MD, MPH, is a
CNOR, CPPS, received her Bachelor                                 overcame him and                              subspecialist in
                   of Science in Nursing                          brought him to                                Pulmonary and
                   from Michigan State                            the edge of death.                            Critical Care Medicine
                   University, East           Inspired by a miraculous recovery, he                             who conducts
                   Lansing and her            wrote his first book, “Gyroscope:                                 patient-oriented,
                   Master of Science in       A Survival of Sepsis.” “Gyroscope”                                health services
                   Nursing from Walden        reveals his entire harrowing experience                           research as a
                   University, Naples,        of cascading to the edge of death                                 professor of medicine
                   MN. She worked in          from severe sepsis. It explores his           in the division of Allergy, Pulmonary,
various acute care roles for 21 years         mental, physical, and spiritual traumas       and Critical Care Medicine at
She currently manages four                    and triumphs from onset to recovery.          Vanderbilt University School of
collaboratives at the MHA Keystone            It also includes 52 illustrations that        Medicine, Nashville, TN. He is also a
Center, including MHA Keystone:               express the pain, anguish, dreams,            practicing intensivist with a focus on
Obstetrics, ICU and Sepsis, and is the        delirium, and personal awakenings.            geriatric ICU Care, as the associate
coordinating entity for the national          The book also contains a brief medical        director for research for the VA
CUSP for Mechanically-ventilated              glossary, and research references.            Tennessee Valley Geriatric Research
Patients — Ventilator-associated                                                            and Education Clinical Center,
Pneumonia (CUSP 4 MVP-VAP) project.           KEYNOTE                                       Nashville, TN. Dr. Ely’s research has
                                              DR. MITCHELL M. LEVY, MD,                     focused on improving the care and
DEENA COSTA, PhD, RN, focuses                 FCCM, FCCP, is chief medical director         outcomes of critically ill patients with
                   her research on                                for the Division of       ICU-acquired brain disease (manifested
                   identifying ways to                            Critical Care,            acutely as delirium and chronically as
                   improve outcomes                               Pulmonary, and            long-term cognitive impairment).
                   of critically ill adults                       Sleep Medicine, The       He has built the ICU Delirium and
                   by optimizing the                              Warren Alpert             Cognitive Impairment Study Group,
                   organization and                               Medical School of         amassing several thousand patients
                   management of                                  Brown University,         into cohort studies and randomized
                   critical care services.                        where he is professor     trials that were used to build the
She is most interested in ways to             of medicine, Providence, RI. He is also       methodology for ICU acquired brain
improve the structure and function of         medical director of the Medical               disease research. His team developed
the ICU interprofessional care team           Intensive Care Unit at Rhode Island           the primary tool (CAM-ICU, translated
and ICU care processes. Costa’s               Hospital, Providence. Among Dr.               into 25+ languages) by which delirium
work integrates approaches from               Levy’s professional activities, he is a       and health-related quality of life
epidemiology, health services                 member of the executive committee             outcomes are measured in ICU-based
methodology and systems science to            of the Surviving Sepsis Campaign,             trials and clinically at the bedside in
provide novel solutions to critical care      co-director of the Ocean State Clinical       ICUs worldwide. Dr. Ely has been
delivery issues. She primarily uses           Coordinating Center for multi-center          continuously federally funded (NIA
large datasets and quantitative               sepsis trials, past president of the          and/or VA) for 14 years. He has over
methods in her research; however,             Society of Critical Care Medicine             250 peer-reviewed publications and
she is expanding her work to include          (2009). He was chair of The Robert            over 50 published book chapters and
qualitative analysis and network and          Wood Johnson ICU Peer Workgroup               editorials.
systems science methodology. Prior to         in end-of-life care and The Joint
joining the University of Michigan,           Commission’s ICU Core Measure                 DR. ROBERT C. HYZY, MD, is a
Ann Arbor, faculty, Costa completed a         advisory panel for quality care.                                professor in the
pre-doctoral research fellowship at the       His current research interests include                          Department of
University of Pennsylvania Center for         sepsis, end-of-life care, and knowledge                         Internal Medicine at
Health Outcomes and Policy Research           translation. Additionally, he serves on                         the University of
and a post-doctoral fellowship in             the National Quality Form and is a                              Michigan, Ann Arbor.
Critical Care Medicine at the University      technical expert for, “Closing the                              He is also director of
of Pittsburgh in the Clinical Research,       Quality Gap: Prevention of Healthcare-                          the Critical Care
Investigations and Systems Modeling           associated Infections”, which is part of                        Medicine Unit
of Acute Illness Center, Philadelphia,        the Evidence-based Practice Center of         and co-chair of the Critical Care
PA.                                           the Agency for Healthcare Research            Committee at the University of
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MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
Michigan and co-chair of the University      DR. MICHAEL MENDEZ, MD,                     DR. JOSEPH J. BANDER, MD,
of Michigan Health System, Ann Abor.                           is the director of the    FCCM, FCCP, is a fulltime intensivist
Hyzy’s research interests are critical                         Medical Intensive                              and director of the
care medicine, including ICU quality                           Care Unit and the                              surgical ICU at St.
improvement, acute respiratory                                 medical director of                            Joseph Mercy, Ann
distress syndrome and ventilator-                              the Simulation                                 Arbor. Bander was
associated pneumonia. He is the                                Center at Henry                                residency trained
project director at the University of                          Ford Hospital,                                 and certified in
Michigan for the National Heart, Lung                          Detroit, and a clinical                        internal medicine at
and Blood Institute Clinical Trials          associate professor of Medicine at                               the Los Angeles
Network for the Prevention and               Wayne State University, Detroit. His        County and University of Southern
Early Treatment of Acute Lung Injury.        educational focus is on improvement         California Medical Center, Los Angeles,
He has authored multiple articles            of communication between caregivers,        CA. He then completed his fellowship
and book chapters and edited an              patients and families in the ICU. He        training in critical care medicine at the
edition of Critical Care Clinics titled      has partnered with key faculty at           University Southern California Shock
“Enhancing the Quality of Care in the        Henry Ford Hospital to create models        Research Unit-Center for the Care of
ICU.” Hyzy has been active in MHA            that bridge communication education         the Critically Ill under the tutelage of
Keystone: ICU since its inception and        from simulated settings to the              Dr. Max Harry Weil. Bander has nearly
presently chairs the MHA Keystone:           bedside. Mendez completed his               4 decades of experience in the field of
ICU steering committee and serves on         pulmonary critical care training at the     critical care medicine. He served many
the MHA Keystone Center Board of             University of Michigan, Ann Arbor.          years as an ICU director at the Oregon
Directors. He also chairs the Quality        He attended the University of Miami         Health Services University in Portland,
Improvement Committee of the                 Medical School and completed his            OR and at St. Joseph Mercy Oakland,
American Thoracic Society and has            undergraduate degree at MIT,                Pontiac. He also was the director of
spoken nationally and internationally        Cambridge, MA.                              the MICU and Neurosciences ICU at
on quality improvement in the ICU.                                                       Harper University Hospital and Wayne
He is also director of the Critical Care     DR. DANA BUICK, MD, is a                    State University, Detroit. He has been
Medicine Unit and co-chair of the                              consultant for the        a full professor of medicine at Wayne
Critical Care Committee at the                                 Caring Conversations      State University medical school and
University of Michigan Health System,                          Program. The              also held the position of vice president
Ann Arbor                                                      program mission is        for medical affairs at Harper University
                                                               to change the culture     and Hutzel hospitals in Detroit. His
DR. RANA L. AWDISH, MD, MS,                                    of communication          research career is quite active and it
                   is a pulmonary                              in healthcare,            includes special interests in sepsis
                   hypertension                                making it more            and septic shock, end of life care,
                   specialist and critical   patient-focused, with an undercurrent       telemedicine and quality improvement.
                   care physician at         of compassion and empathy. Prior to         After 25 years he left Wayne State
                   Henry Ford Health         coming to Henry Ford Health System,         University to advance various MHA
                   System, Detroit.          Buick completed her family medicine         Keystone: ICU projects with Trinity
                   After suffering a         training at Providence–Providence           Health System. He has been
                   critical illness, she     Park Hospital in Southfield, and            recognized as a pioneer in the use of
has become a tireless advocate for           hospice & palliative medicine training      robotics and remote provision of
refocusing providers on the patient          at Wayne State University in Detroit.       medical care in the ICU’s. Bander has
experience and improving empathy             She attended Wayne State University         been the president of the Oregon
through the use of concrete                  School of Medicine, and completed           Society of Critical Care Medicine, the
communication skills. Before coming          her undergraduate degree at Reed            Michigan Society of Critical Care
to Henry Ford Health System, Dr.             College in Portland, OR. She is             Medicine, and has been chair of
Awdish completed her training at             board-certified in family medicine          internal medicine section of Society
Beth Israel in Manhattan, NY.                with additional certification in            of Critical Care Medicine. He is a
She attended Wayne State University          hospice & palliative medicine. Her          member of the Keystone ICU advisory
Medical School, Detroit, and completed       research interests are in physician         board, sits on the board of directors
her undergraduate degree at the              communication training and outcomes.        of the Michigan Palliative Care and
University of Michigan, Ann Arbor.                                                       Hospice Organization (HPCO) and is a
She is board-certified in internal,                                                      clinical lead for the MHA Keystone:
pulmonary and critical care medicine.                                                    Palliative Care pilot program.
Her research interests include
pulmonary hypertension, yoga for
rehabilitation of chronic lung disease
and communication training.
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MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
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: ____________________________________________________________________________________

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MHA Keystone: ICU Workshop - IMPROVING QUALITY & SAVING LIVES
MHA KEYSTONE: ICU REGISTRATION FORM
     September 29, 2015 | Dearborn Inn | 20301 Oakwood Boulevard | Dearborn, MI 48124

Hospital/Organization Name:                                    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
ICU Name:                                                         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
Attendee 1 Information                                           more individuals per unit per hospital

Name:____________________________________________________         Total number of people from facility
                                                                  registering with enclosed payment:                 _______________
Credentials: _______________________________________________      Total fees due and included on the check:          $______________
Job Title: _________________________________________________      Check number enclosed:                             $______________

__________________________________________________________        Total fees to be charged:                          $______________
                                                               Charge to card:
Email: ____________________________________________________
                                                                  ■ VISA     ■ MasterCard ■ American Express
Phone Number: ___________________________________________      Card Information:

                                                               Account Number: __________________________________________
Attendee 2 Information                                         Expiration Date: ___________________________________________
Name:____________________________________________________      CVV Code: ________________________________________________
                                                                            (3 or 4 digit security number on the card)
Credentials: _______________________________________________
                                                               Cardholder Name: _________________________________________
Job Title: _________________________________________________
                                                               Cardholder Signature: ______________________________________
__________________________________________________________

Email: ____________________________________________________    Workshop Payment Policy: Following the workshop, the MHA
                                                               Keystone Center will collect payment from any facility sending
Phone Number: ___________________________________________      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
Attendee 3 Information
                                                               the collaborative leader (primary contact) for the additional
Name:____________________________________________________      attendees following the workshop.
                                                               Cancellation policy: If notice of cancellation is given 72 hours in
Credentials: _______________________________________________
                                                               advance of the workshop, 50 percent of the registration fee is
Job Title: _________________________________________________   refundable. No refunds will be issued after this time.
                                                               The following options are available for completing registration:
__________________________________________________________
                                                                 • Mail: Tammy Nault, MHA Keystone Center,
Email: ____________________________________________________          2112 University Park Dr., Okemos, MI 48864
                                                                 • Email: Tammy Nault, tnault@mha.org
Phone Number: ___________________________________________        • 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.
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MAP   Dearborn Inn | Dearborn, MI

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