2019 HQI Annual Conference
October 14-15, 2019 in Sacramento, CA


Join your health care colleagues at the 2019 Hospital Quality Institute Conference, building on the themes of Respect, Reliability and Resilience.


There’s inspiration all around us, but some places are just special. In Sacramento, the Golden One Arena provides an extraordinary stage for great athletes to challenge their bodies and minds, achieving ever-increasing levels of performance through a culture of respect, professionalism and teamwork. Hospital professionals are no different. Doctors, nurses and care specialists of all stripes fight tirelessly to improve care reliability and value for each patient.

Join us at The Kimpton Sawyer on Oct. 14 – 15 for the HQI Annual Conference education sessions. Be inspired by interactive learning and networking opportunities, and take home transformative tools and strategies to improve outcomes and save lives.

What will you learn?
General and breakout session topics include:

  • Building staff resilience using evidence-based interventions
  • Exploring the new role of infection prevention
  • Addressing racial disparities in maternal outcomes
  • Reducing opioid overdoses and improving transitions to community-based treatment
  • Advancing health equity in integrated delivery systems
  • Shattering the wall of silence in patient harm with “CANDOR”
  • Using storytelling to strengthen engagement and a culture of caring
  • Understanding data variation to know if and when to initiate action
  • Shifting from theory to implementation in QI change management
  • Addressing implicit bias in health care and lessons learned
  • Using patient and family-centered rounds to improve engagement and reduce harm
  • Preventing delirium and post-intensive care syndrome with the A-F Bundle

Who should attend?
Health care leaders and professionals working to improve quality and patient safety, and anyone who wants to achieve the Quadruple Aim in health care.

This educational activity is jointly provided by AXIS Medical Education and HQI.


NEW: All Events Now at The Kimpton Sawyer

Pre-Event | October 13

3:30 - 5:30 pm | Early Check-In at The Kimpton Sawyer 
Beat the crowds on Monday morning and check in on Sunday afternoon. Stay a little bit longer and join the welcome reception.

4:00 – 5:30 pm | Welcome Reception, Poster Viewing 
Join old friends and make a few new ones at the welcome reception to be held in Revival, the chic rooftop lounge overlooking DOCO plaza. Enjoy wine and hors d’oeuvres, plus a preview of the conference’s 28 poster presentations in the adjacent reception area.

Day 1 | October 14: Keynote Sessions

7:30 – 8:30 am | Pre-Event Exhibit, Poster Viewing

8:30 – 8:45 am | Welcome and Opening Remarks
Robert Imhoff, President, Hospital Quality Institute

8:45 – 10:00 am | Opening Keynote

Thriving vs. Surviving During Times of Change:
The Science of Enhancing Resilience

J. Bryan Sexton, PhD, Associate Professor and Director, Duke Center for Healthcare Safety & Quality, Duke University Health System

Renown resiliency expert, Dr. Bryan Sexton will discuss ways to renew emotional, spiritual, cognitive and physical reserves in the health care workforce. His compelling message is supported by the newest and most robust research on health care worker engagement and their association with care quality. Discover how health care leaders can help build resilience for themselves and for colleagues through the use of simple, evidence-based interventions that cultivate active and constructive responding and positivity.

10:30 – 11:50 am | Power Panel Discussion
Getting Ahead of Infectious Threats — Infection Prevention’s Changing Role

Moderator: Alexander Kallen, MD, MPH, FACP, FIDSA, FSHEA, Chief, Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention​, and Panelists: Loren Miller, MD, MPH, Professor of Medicine, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Faculty Member, Division of Adult Infectious Diseases, Harbor-UCLA Medical Center and Director, Infection Control Program, Harbor-UCLA; Rekha Murthy, MD, FRCP(C), FACP, FIDSA, FSHEA, Vice President for Medical Affairs, Acting Chief Medical Officer and Professor of Medicine in the Division of Infectious Diseases, Cedars-Sinai Medical Center, and Professor of Clinical Medicine at David Geffen School of Medicine, UCLA; and Philip Robinson, MD, FIDSA, Medical Director, Infection Prevention and Hospital Epidemiology, Hoag Orthopedic Institute

Our world is changing — rapidly. As soon as we suppress an infectious threat another, more powerful one emerges. Chasing the problem won’t help us make headway. Staying ahead of the threat will require new strategies that expand the role of infection prevention (IP) within and beyond the hospital’s walls. Listen as four prominent infection preventionists share their collective knowledge and approaches to antimicrobial stewardship, controlling emerging and re-emerging infectious diseases, and leveraging IP processes to improve outcomes across the patient care continuum.

11:50 am – 12:10 pm | Awards Presentation

C. Duane Dauner Quality Award
Celebrate the winner and the finalists of the C. Duane Dauner Quality Award with a special presentation.

12:10 – 1:30 pm | Hosted Luncheon and Exhibit Viewing

1:30  – 2:10 pm | General Session

Building the Culture of Safety — Moving To Zero Preventable Deaths
David Mayer, MD, Chief Executive Officer, Patient Safety Movement Foundation and Executive Director, MedStar Institute for Quality and Safety

Human factors, resilience science, transparency, person and family engagement, evidence-based practice — all key concepts in safe and effective health care. Not often do we have the opportunity to learn how to link these together to create a robust organizational safety program. Dr. Mayer has led such an effort at MedStar Health, harmonizing these innovative programs to jointly drive organizational change and build the culture of safety. As the new CEO of Patient Safety Movement Foundation, Dr. Mayer will discuss his vision for how we can work within and across organizations to achieve the goal of Zero Preventable Deaths.

2:10 – 3:10 pm | General Session

Advancing Health Equity in an Integrated Health Care System
Madrone Styles, MSN, RN, System Vice President, Quality and Clinical Effectiveness, Office of Patient Experience, Sutter Health

Health care data often reveals a troubling trend — disparities in health outcomes across the different populations we serve. One health care system explored this health equity issue by examining 18 quality metrics by patient race and ethnicity. What began as a process of self-examination has evolved into a strategic organizational approach to safeguard equity in quality outcomes. Find out how they used metrics to capture and report on equity concerns, gained leadership buy-in, raised awareness among staff, and developed community partnerships to advance health equity.tations showcasing their achievements and lessons learned.

3:40 – 5:00 pm| General Session

Reconnecting to Purpose: The Power of Stories
Jill Golde, MS, Partner, Language of Caring

Most of us entered the health care profession with the hope of making an important difference in people’s lives. In this session, Jill Golde will engage attendees in a powerful and inspirational process of story-sharing that will connect us with each other, inspire us and refresh our sense of purpose and contribution. She will also share concrete tools we can use to facilitate and advocate for the sharing of stories to advance our quality goals in our home organizations.

5:00 – 6:30 pm | Reception with Exhibitors and Poster Showcase

Day 2 | October 15: Breakout Sessions

7 – 8 am | Breakfast and Poster Sessions

8 – 9 am | Breakout Sessions, Choose One

Moving Beyond Bias to Improve Maternal Care and Outcomes
Elliott Main, MD, Professor of Obstetrics and Gynecology, Stanford University, and Director, California Maternal Quality Care Collaborative

While California has made strides in reducing overall maternal mortality, Black women persistently die of pregnancy-related causes three to four times more frequently than other racial groups. Why? Systemic racism may well be at the heart of this shocking statistic. In this session, Dr. Main will describe the efforts of the California Maternal Quality Care Collaborative (CMQCC) to move beyond bias to improve maternal outcomes. He will discuss the value of patient-reported metrics on respect and dignity, describe the efforts to develop effective training programs, and discuss best practices for developing hospital-community partnership and trust.

Shattering the Wall of Silence: The Case for CANDOR
Timothy McDonald, MD, JD, Pediatric Anesthesiologist and Director, Center for Open and Honest Communication, MedStar Institute for Quality and Safety 

Despite recent advances in patient safety, some patients still experience harm in the process of hospital care. What happens next is critical. Dr. McDonald will make the case for CANDOR, a process which focuses on honest, transparent and empathetic communication when something goes wrong with patient care. Breaking through the wall of silence can prevent further harm to patients, families and providers. Dr. McDonald will discuss how hospitals can achieve a paradigm shift from “delay, deny and defend” toward discovery, learning and improvement. He will demonstrate the power of connecting the heart with the head, leading to both emotional healing and financial benefits.

The Process to Achieve Effective, Lasting Change 
Glenn Billman, MD, Chief Quality Officer, Rady Children’s Hospital San Diego

So you want to make a change, or do something better? How do you get going? Dr. Billman returns for a deeper dive into the Model for Improvement, a systematic approach to accelerate change. Each step in the process will be covered including the importance of selecting the right team members, creating aims or goals that are effective, establishing measures and defining outcomes. A hands-on demo will show how to generate a run chart to identify trends or patterns, and you’ll learn about the importance of visual display and other tools to help make your case to leadership.

9:15 – 10:15 am Breakout Sessions | Choose One

Curbing the Opioid Epidemic with the California Bridge Program
Hannah Snyder, MD, Zuckerberg San Francisco General Hospital, and Assistant Professor, Department of Family and Community Medicine, University of California San Francisco, and Principal Investigator, California Bridge Program; and Aimee Moulin, MD, MAS, Associate Professor, Departments of Emergency Medicine and Psychiatry, University of California Davis, and Behavioral Health Director, Emergency Department, UC Davis Medical Center, and Principal Investigator, California Bridge Program

Last year, more people died from opioid overdoses than at the peak of the HIV epidemic. It’s a health crisis of epic proportions, but the California Bridge Program has a plan to turn this around by offering rapid access to buprenorphine in emergency departments and hospitals. 30 hospitals across California are using the program with encouraging results of reduced mortality and better follow-up treatment. In this session, attendees will learn how to reduce stigma associated with medication treatment, develop protocols for prescribing medication and establish rapid referrals to get patients into appropriate treatment fast. Learn about the effectiveness of utilizing peer navigators on the path to recovery.

Don’t Panic — Understanding Variations in Data
Scott Masten, PhD, Vice President, Measurement Science and Performance Analytics, Hospital Quality Institute

Your clinical quality data are showing some variability. Should you be concerned? Maybe. It helps to understand several principles of variation before rushing to judgment, and worse, unnecessary action. Variation is a natural occurrence in our world. Knowing when and how to respond to variation can mean the difference between effective time management and data analysis, or wasting time and valuable resources. This session will help you to identify real change vs. variation by chance, recognize underlying patterns, evaluate sample sizes and set control limits to establish a range of variance.

Everyone Has a Say — Improving Outcomes with Family-Centered Rounds
Jennifer Baird, PhD, RN, MPH, Nurse Scientist, Director, Institute for Nursing and Inter-Professional Research, Children’s Hospital Los Angeles; Glenn Rosenbluth, MD, Clinical Professor of Pediatrics, Director of Quality and Safety Programs, Office of Graduate Medical Education, and Associate Director, Pediatrics Residency Training Program, Department of Pediatrics, University of California, San Francisco; and Michele Ashland, BA, Family Advisor, Lucile Packard Children’s Hospital Stanford

What began as an intervention to improve resident handoffs evolved into model program for patient and family engagement in pediatric care. The “I-PASS” program features structured communication in family-centered rounds that create consistency and shared understanding across the entire patient team. Nurses are more engaged and families feel empowered to play an active role in planning their child’s plan of care. Data supports the power of inclusion — hospitals participating in the trials saw a 38% reduction in harm errors after implementation. Join us to learn elements of the I-PASS program and take home tools and ideas to implement a more family-centered approach to rounding.

10:30 – 11:30 am | Breakout Sessions, Choose One

How Implicit Bias Changes the Way We Provide Health Care
Jeffrey Ring, PhD, Principal, Health Management Associates

We work in health care because we care about people and the healing process. Sometimes though, we are unaware of our own biases and stereotypes that can negatively impact patient care. Our unconscious biases can lead to discriminatory decision making, misdiagnosis and ultimately sicker patients, not to mention escalating costs of care. Practitioners must face the issue to change it. This session will outline the types of biases that lead to suboptimal care and provide pathways and strategies to identify and correct biased thinking and behaviors. This interactive presentation will help you move beyond unconscious bias to view patients as individuals with cultural norms that must be respected and honored.

Improving Humanness of Care and ICU Outcomes with A-to-F Bundle
E. Wesley Ely, MD, Professor of Medicine, Vanderbilt University School of Medicine and Anthony Russo & Debra Yarbrough Russo, Patient & Patient Advocate

The evidence is clear — the longer a patient stays in the ICU, the more likely they will suffer from delirium and other illnesses. But hospitals that utilize the progressive A-to-F Bundle have significantly different results. By using this ICU liberation tool, hospitals reduce length of stay, delirium, coma and death, all while maximizing human dignity and minimizing human suffering. In this informative session, Dr. Ely will discuss the public health problem of ICU-acquired dementia, and present evidence in support of using the A-to-F Bundle based on experiences with more than 15,000 patients. Attendees will also learn how to overcome cultural pushback when implementing the A-to-F Bundle.

Emerging Data Resources and Measures for Hospitals
Christopher Krawczyk, PhD, Chief Analytics Officer, Healthcare Analytics Branch,  Information Services Division, Office of Statewide Health Planning & Development; Scott Masten, PhD, Vice President, Measurement Science and Performance Analytics, Hospital Quality Institute; and Steve Pon, MBA, Project Manager, Hospital Quality Institute

In this session, Dr. Christopher Krawczyk will present an overview of current OSHPD data and analytics capacities and products. Dr. Krawczyk will also present on forthcoming strategies, analytics and products that are resulting from recent direct engagement of hospitals and partners, including incorporating social determinants of health and cost data into future OSHPD data products. Dr. Scott Masten will introduce the Hospital Quality Improvement Platform, a one-stop source for hospitals to obtain up-to-date, actionable intelligence to drive quality improvement. A live demonstration will show how to access over thirty clinically rich, timely reports to help identify opportunities for improvement and areas for focus.

11:30 am | Event Conclusion


NEW: Host Hotel and Location for All Education Events
The Kimpton Sawyer
500 J Street
Sacramento, CA 95814

UPDATE: ROOM BLOCK SOLD OUT, but rooms may still be available at our overflow location, The Citizen Hotel, just a few blocks away (see below).

The Citizen Hotel

926 J Street
Sacramento, CA 95814

Overflow accommodations may still  be available at The Citizen Hotel, located just a few blocks from the host hotel (The Kimpton Sawyer – site of all education events). Call (877) 781-8559. 


Michele Ashland, BA– Michele is a lead parent in the Family Centered Care department at Stanford Children’s Health. She has been involved for 20 years, helping to engage patients and families in Family Advisory Councils, parent mentors, and parent participation in quality and safety. Michele’s connection to the hospital began with her daughter’s liver transplant. She has the lived experience of managing a child’s chronic illness and navigating the transition from pediatric to adult healthcare.
Jennifer Baird, PhD, RN, MPH – Dr. Baird is a nurse scientist and director of the Institute for Nursing and Inter-professional Research at Children’s Hospital Los Angeles. Her research focuses on the development of strategies to enhance family-centeredness in the care environment and to promote the safe transfer of patients from the hospital to home during discharge.
Glenn Billman, MD – Dr. Billman is chief quality officer at Rady Children’s Hospital San Diego. He is responsible for identifying and implementing initiatives aimed at improving patient care quality, leading continuous improvement programs throughout the organization, strengthening data and information capabilities of the organization and championing a data-driven environment.
Wes Ely, MD – Dr. Ely is a professor of medicine at Vanderbilt University School of Medicine with subspecialty training in Pulmonary and Critical Care Medicine. Dr. Ely’s research has focused on improving the care and outcomes of critically ill patients with ICU-acquired brain disease (manifested acutely as delirium and chronically as acquired dementia). He is the co-director of the Center for Critical Illness, Brain Dysfunction, and Survivorship (CIBS Center), which has amassed thousands of patients into cohort studies and randomized trials answering vital questions about ICU-acquired brain disease and other components of ICU survivorship. His team developed the primary tool (CAM-ICU, translated into 30+ languages) which is used to measure delirium in ICU-based trials and clinically at the bedside in ICUs worldwide. 
Jill Golde, MS – Jill Golde has been a partner and creative force in the Language of Caring since its inception. Currently, she is responsible for learning about market needs, championing the Language of Caring with prospective clients and also serving as presenter and coach. Ms. Golde brings to Language of Caring 20+ years of experience in organizational change, leadership development and training with private and public-sector organizations including hospitals, health systems and medical practices.
Alexander Kallen, MD, MPH, FACP, FIDSA, FSHEA – Dr. Kallen currently serves as the chief of the prevention and response branch in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention (CDC). At CDC, his branch is responsible for implementing prevention activities to reduce healthcare-associated infections, reduce antimicrobial resistance in healthcare settings, and improve antibiotic use. His branch also leads the CDC response to outbreaks in healthcare settings. Dr. Kallen is a physician and board certified in Internal Medicine and Infectious Diseases and practices clinically at the Atlanta VA Medical Center. He is a Fellow in the American College of Physicians, the Infectious Diseases Society of America, and the Society for Healthcare Epidemiology of America. His primary areas of interest are the epidemiology and prevention of healthcare–associated antimicrobial resistance, and the prevention of device and procedure infections and C. difficile infections.

Christopher Krawczyk, PhD – Dr. Christopher Krawczyk is Chief Analytics Officer with the California Office of Statewide Health Planning and Development (OSHPD), Information Services Division. In this role, Dr. Krawczyk provides overall strategic direction for analyses of healthcare quality, outcomes, and utilization; for data services that facilitate stakeholder access to using data in their own analyses and work; and engagement of stakeholders to increase the usefulness and impact of OSHPD data and analytic products.

Elliott Main, MD – Dr. Main is the medical director of the California Maternal Quality Care Collaborative (CMQCC) and has led multiple state and national quality improvement projects. Dr. Main is also the chair of the California Pregnancy-Associated Mortality Review Committee since its inception in 2006. For 14 years, he was the chair of the OB/GYN Department at California Pacific Medical Center in San Francisco (which has 5,500 annual births with 103 OB/GYN physicians). He is currently clinical professor of Obstetrics and Gynecology at Stanford University. Dr. Main has been actively involved or chaired multiple national committees on maternal quality measurement, including those sponsored by the American College of Obstetricians and Gynecologists (ACOG), the American Medical Association (AMA), The Joint Commission, Leapfrog and Centers for Medicare and Medicaid Services. In addition, he helps direct a number of national quality initiatives with ACOG, the CDC and Maternal Child Health Bureau (HRSA) including the multi-state AIM project. In 2013, Dr. Main received the ACOG Distinguished Service Award for his work in quality improvement. 

Scott Masten, PhD – Dr. Masten is vice president of Measurement Science and Performance Analytics at Hospital Quality Institute. He has two decades of practical research and development experience in injury epidemiology, most recently with a focus on hospital quality and safety. He lead the team that developed the quality data and reporting system for California hospitals at the Hospital Quality Institute.
David Mayer, MD – David Mayer, MD is executive director of the MedStar Institute for Quality & Safety (MIQS). In this role Dr. Mayer leads specific quality and safety programs in support of discovery, learning, and the application of innovative methods to operational clinical challenges. Dr. Mayer also serves as chief executive officer for the Patient Safety Movement Foundation, where he leads global Patient Safety efforts and initiatives. Prior to his appointment as executive director, MIQS Dr. Mayer served for over six years as vice president, quality and safety for MedStar Health. Dr. Mayer also designs and directs systemwide activity for patient safety and risk reduction programs.
Tim McDonald, MD, JD – Dr. McDonald is director of the Center for Open and Honest Communication at MedStar Institute for Quality and Safety. Dr. McDonald is a pediatric anesthesiologist, and also holds a degree in law. He is an internationally recognized expert on patient safety, communication and the delivery of high quality patient care, who served as the lead architect for the CANDOR (Communication and Optimal Resolution) toolkit. Dr. McDonald is the president and founder of Transparent Health Consulting and has been involved in the implementation and spread of Communication and Resolution Programs (CRPs) for the past 12 years. He also serves on the executive committee and the advisory board of the Collaborative for Accountability and Improvement, a group affiliated with the University of Washington in Seattle and dedicated to the spread of CRPs.
Loren Miller, MD, MPH – Dr. Miller is professor of Medicine at the David Geffen School of Medicine at University of California, Los Angeles (UCLA). Dr. Miller also is a faculty member in the Division of Adult Infectious Diseases at Harbor-UCLA Medical Center and serves as the director of the Infection Control Program at Harbor-UCLA. His primary research interests include clinical outcomes, epidemiology, and molecular epidemiology of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections and skin infections. He has been an investigator and principal investigator on many NIH, CDC, and AHQR grants related to treatment and prevention of MRSA and CA-MRSA, and performed investigations related to HIV infection, urinary tract infections, Hepatitis B and C, and other infectious diseases topics. Dr. Miller has authored many manuscripts relating to clinical and epidemiologic issues and is an author on over 70 peer-reviewed manuscripts and book chapters.
Aimee Moulin, MD, MAS, FACEP – Dr.  Moulin is an associate professor at UC Davis with dual appointments in the Departments of Emergency Medicine and Psychiatry. Dr. Moulin is the Behavioral Health Director for the Emergency Department at UC Davis. She completed a fellowship in Quality Safety and Comparative Effectiveness research through the Agency for Healthcare Research and Quality with a focus on acute care for patients with behavioral health disorders. She is a co-investigator with the California Bridge Project that provides a link for patients with opiate use disorder to recovery. Dr. Moulin is the immediate past president of the California Chapter of the American College of Emergency Physicians.
Rekha Murthy, MD, FRCP(C), FACP, FIDSA, FSHEA – Dr.  Murthy is vice president for Medical Affairs, associate chief Medical Officer and professor of Medicine in the Division of Infectious Diseases at Cedars-Sinai Medical Center and professor of Clinical Medicine at David Geffen School of Medicine, University of California Los Angeles. Dr. Murthy’s clinical and research interests include the prevention of hospital-acquired infections, epidemiology of multi-drug resistant organisms, antimicrobial management and device-associated infections. She is board certified in internal medicine and infectious diseases.
Steve Pon, MBA – Steve  is a project manager with the Hospital Quality Institute (HQI), and is lead on the Hospital Quality Improvement Platform. Mr. Pon has over 25 years of experience in the areas of business, education and military. He came to HQI in 2017 from California Department of Public Health’s Communicable Disease Branch, where he headed the statewide electronic laboratory reporting (ELR) project to convert laboratory reporting to public health agencies from paper to real-time ELR.
Jeffrey Ring, PhD – Dr. Ring is a clinical health psychologist and author who knows culturally responsive integrated healthcare from the inside out. He is an executive leadership coach and assists leaders and teams in productive functioning toward effectiveness and competitive advantage. Dr. Ring served 19 years as the director of behavioral sciences and cultural medicine at the family medicine residency program at White Memorial Medical Center in East Los Angeles and is a champion for healthcare practitioner vitality.
Philip Robinson, MD, FIDSA – Dr. Robinson is the medical director of infection prevention and hospital epidemiology at the Hoag Memorial Hospital Presbyterian and Hoag Orthopedic Institute. He is also the chair of the antimicrobial stewardship programs at Hoag and Hoag Orthopedic Institute and co-chair of the Providence St Joseph Health Infectious Disease Clinical Decision Team. He is an executive director and founder of Expert Stewardship, Inc. which implements and manages antimicrobial stewardship programs in long-term care facilities. Dr. Robinson serves on several state and national committees.

Glenn Rosenbluth, MD –  Dr. Rosenbluth is a Clinical Professor of Pediatrics and is also the Associate Director of the Pediatrics Residency Training Program at the University of San Francisco (UCSF). Dr. Rosenbluth oversees the curriculum on the inpatient rotations, develops quality improvement programs, and mentors residents. He served as Acting Program Director from 2006-08, and then transitioned to his current role as Associate Program Director. In addition, he has completed a Fellowship in Hospital Medicine through the UCSF Department of Medicine, the UCSF Teaching Scholars Program, and the Intermountain Healthcare Advanced Training Program. Dr. Rosenbluth also is Director of Quality and Safety Programs for the UCSF Office of Graduate Medical Education. In this role, he provides support and guidance to all of UCSF’s training programs.


Anthony Russo’s and Debra Yarbrough Russo’s shared experiences as patient and patient advocate shed light on the need for continuous innovation in quality and patient safety. Their story includes Anthony’s extended time in a coma post surgery and the ramifications of that on their family.

J. Bryan Sexton, PhD – Dr. Sexton has captured the wisdom of frontline caregivers through rigorous assessments of safety culture, teamwork, and workforce resilience. His research instruments have been used around the world in over 3000 hospitals, in 30 countries. He has studied teamwork, safety and resilience in high risk environments such as the commercial aviation cockpit, the operating room and the intensive care unit. With specializations in organizational assessment, teamwork, survey development, and quantitative methods, he spends his time teaching, mentoring, conducting research, and finding practical ways of getting busy caregivers to do the right thing, by making it the easy thing to do. 
Hannah Snyder, MD – Dr. Snyder practices primary care and addiction medicine at Zuckerberg San Francisco General Hospital. She is a clinical assistant professor in the Department of Family and Community Medicine at the University of California San Francisco. She is a principal investigator of the California Bridge Program, which supports acute care hospitals in offering low barrier buprenorphine starts and linkage to ongoing treatment.
Madrone Styles, MSN, RN – Ms. Styles is system vice president of Quality and Clinical Effectiveness in the Office of Patient Experience at Sutter Health. In this role, Ms. Styles provides strategic leadership for advancing the clinical quality strategy including; setting clinical improvement priorities, defining, measuring and reporting quality performance, identifying and adopting evidence-based clinical practices and leading clinical initiatives to improve quality and clinical outcomes across 20 acute care hospitals and five medical foundations.


Sorry! The conference is now sold out…

Write education@hqinstitute.org to be added to a waitlist.


  • $650 


  • $850 

20% Discount for Poster Presenters, Students, Veterans and Patient Family Advisors (Contact HQI to receive the discount, phone 916-552-7600 or info@hqinstitute.org)

Group discount are available. Contact HQI at 916-552-7600 or at info@hqinstitute.org for details.

If you would like to pay via check, download the registration  form. 

* Members are CHA member hospitals, CHA associate members and government agencies
** Non-members are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals.

Tuition includes continental breakfasts, luncheon, education sessions, exhibit show and reception and continuing education. Onsite registrations and any unpaid registrations as of the date of the meeting will be charged an additional 10% fee.

A confirmation email will be sent to all registrants.

Cancellation Policy
A $75 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing 30 days prior to the scheduled event and faxed to (916) 554-2299. No refunds will be given after these dates. Substitutions are encouraged. Cancellation and substitution notification may be emailed to info@hqinstitute.org. In the unlikely event that the program is cancelled, refunds will be issued to paid registrants within 30 days.

Photo/Video Release
HQI may photograph and video tape this event. If you prefer not to be photographed, please email HQI at info@hqinstitute.org.

Special Accommodations or Questions
If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7600.


  1. Describe the ways health care leaders can build resilience for themselves and for colleagues through the use of simple, evidence-based interventions that cultivate active and constructive responding and positivity.
  2. Examine how the role of infection prevention (IP) is expanding within and beyond the hospital’s walls.
  3. Construct a robust organizational safety program by harmonizing innovative programs to jointly drive organizational change and support the culture of safety to achieve the goal of Zero Preventable Deaths.
  4. Use metrics to capture and report on equity concerns, attain leadership buy-in, transform staff perspective, and develop community partnerships to advance health equity.
  5. Identify implicit bias associated with black women’s maternal outcomes.
  6. Examine how lack of communication by staff when a patient is harmed creates further harm to patients, families and providers.
  7. Assess appropriateness of team members, develop aims or goals that are effective, establish measures and define outcomes for improvement.
  8. Evaluate visual display and other tools to achieve leadership support.
  9. Develop protocols for prescribing medication and establish rapid referrals to move patients more quickly into appropriate treatment.
  10. Recognize underlying patterns, evaluate sample sizes and set control limits to establish a range of variance.
  11. Define the elements of structured communication within the “I-PASS” program.
  12. Examine current OSHPD data and analytics capacities and products. 
  13. Identify a process to reduce length of stay, delirium, coma and death, all while maximizing human dignity and minimizing human suffering. 
  14. Write and distribute narrative documents to promote an individual(s) awareness of empathy and compassion to inspire person-centered care and a culture of caring.


This educational activity is jointly provided by AXIS Medical Education and HQI.

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and Hospital Quality Institute. 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 7.0 AMA PRA Category 1 Credit(s)™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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 or Presenter

Reported Financial Relationship

Bryan Sexton, PhD


Alexander Kallen, MD


Loren Miller, MD

Receives(d) research grants:
Medline and Merck
Contracted research:
Genentech and Syneos

Philip Robinson, MD


Rekha Murthy, MD


David Mayer, MD


Madrone Styles (Williams), RN, MSN,


Jill Golde


Elliott Main, MD


Tim McDonald, MD, JD


Glenn Billman, MD


Hannah Snyder, MD


Aimee Moulin, MD, MAS, FACEP


Scott Masten, PhD


Glenn Rosenbluth, MD


Jennifer Baird, PhD, RN, MPH


Michele Ashland, BA


Jeffrey Ring, PhD

Speakers’  bureau:  Merck & Co., Inc.

Wesley Ely, MD

Research funding from: Kohler Co.

Consultant: Masimo

Speakers’ bureau: Pfizer and Orion

Christopher Krawczyk, PhD


Steve Pon


Anthony Russo


Debra Yarbrough Russo


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 Planner/Manager

Reported Financial Relationship

Liz Mekjavich


Lisa Hartzell


Robin Campbell


Bob Mion,


Brooke Wade


Staci Grabill


Carmela Coyle


Robert Imhoff


Boris Kalanj


Barbara Abeling


Scott Masten, PhD


Steve Pon


Theresa Wheat


Asma Ahmad


Robert Mocharnuk, MD

Common Stock: Merck

Dee Morgillo, MEd., MT(ASCP), CHCP


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 agents that are not approved for use by the FDA and/or investigational (“off-label”) uses of agents that are approved by the FDA. The planners of this activity do not recommend the use of any agent outside of its 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 agent for information on its approved indications, contraindications, warnings, and other, related information.

Requirements for Credit

  • Attend/participate in the educational activity and review all course materials. 
  • Complete the CE Attestation/Evaluation form online by 11:59 pm ET on November 15, 2019. Instructions will be provided. If you do not complete the online evaluation by this date, you will not be able to get CME credit for this event.
  • Upon successful completion of the online form, your statement of completion will be presented to you to print.

AXIS Contact Information
For information about the accreditation of this program please contact AXIS at or info@axismeded.org

Other CEs

Continuing Education

Full attendance at the educational program is a prerequisite for receiving professional continuing education. Attendees must sign in at the event and include their license number, if required. Continuing education will be offered for:


HQI is an approved continuing education (CE) provider by the California Board of Registered Nursing. Provider Number CEP 16793 for 10.4 contact hours.


This program has been approved by the National Association for Healthcare Quality for a maximum of 8.67 CPHQ continuing education credits for this event.


Click here to download the exhibitor Packet.

The 2019 Hospital Quality Institute Conference offers a dynamic opportunity for entities interested in networking with health care professionals. A number of conference support levels are available for the 2019 Hospital Quality Institute Conference. Act now to get the exhibitor level best suited for your organization.

Contact HQI, (916) 552-7600 or education@hqinstitute.org.

Diamond Level




Emerald Level

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Poster Presentations

Poster submissions for the 2019 HQI Annual Conference have been received and the judging completed. 28 posters were selected for presentation at our annual event that will demonstrate improvements in quality, patient safety and/or patient experience. Presenters will share their accomplishments and how success was achieved. Submissions will demonstrate a range of ideas including innovative approaches, engaging multiple stakeholders and/or providers across the continuum of care. 

Click here to view the 2019 Posters.