SUNDAY, NOVEMBER 6
4:30 – 6:00 p.m. | Reception with Napa Valley charm, music and light hors d’oeuvres
MONDAY, NOVEMBER 7
Note: Livestreaming includes all keynote and general sessions plus select breakout sessions.
8:30 – 8:45 a.m. | Welcome and Opening Comments
8:45 – 9:30 a.m. | Opening Keynote
Creating a Culture of Quality & Safety
Marty Makary, MD, MPH
International patient safety expert Dr. Makary has served in a leadership role at the United Nations World Health Organization, is a frequent medical commentator, and member of the National Academy of Medicine. In this program he will discuss why he is an advocate for transparency in medicine and common-sense solutions to healthcare’s problems, such as The Surgical Checklist, which he developed at Johns Hopkins, and which was popularized in Atul Gawande’s best-selling book “Checklist Manifesto.” He also will address key trends and offer insights on the future of the health care in California.
9:30 – 9:45 a.m. | Break
9:45 – 10:45 a.m. | Track (choose one)
| Track 1: General Pt Safety Pathway to Excellence: Framework for Continuous Learning | Track 2: Joy in Practice Avoiding Health Care Workforce Burnout | Track 3: Data Practical Applications of AI in Clinical Setting | Track 4: Health Equity The Impact of Explicit and Implicit Bias on Patient Safety |
| Robert Moore, MD, MPH | Carrie Adair, PhD | Pelu Tran, BS and Richard Friedland, MD | Michelle van Ryn, PhD, MPH |
| Dr. Moore will discuss how structural flaws doom most quality improvement efforts, and share a framework proven to increase the success of quality improvement programs. He will address the five critical underpinnings of Pathways to Excellence and offers significant insights into how hospitals can make patient safety initiatives more effective. | Dr. Adair will share findings on well-being in health care and show how to implement strategies to help avoid burnout. She will share assessment metrics and tips for establishing institution-level approaches to workforce well-being. Attendees will come away better prepared to improve their well-being and the well-being of their teams. | In this session, presenters will discuss the use of Artificial Intelligence (AI) algorithms in providing a population-level safety net for medical errors and gaps in care. They also will address an ROI justification for AI quality systems and how to overcome challenges to implementing AI systems in quality improvement programs. | Over the past two decades, thousands of studies have demonstrated inequities in patient care and safety. Dr. van Ryn will share insights from these studies, describe implications for current approaches, and recommend evidence-driven strategies for accelerating progress towards high-quality, equitable health care and safety for all patients. |
10:45 – 11:15 a.m. | Break, Exhibit Show
11:15 a.m. – 12:15 pm. | Track (choose one)
| Track 1: General Pt Safety Street Medicine and Hospital Relationships | Track 2: Joy in Practice Engaging Clinicians – Support with Outcomes | Track 3: Data Emerging Programs, Data Resources and Measures for Hospitals | Track 4: Health Equity Cherished Futures for Black Moms and Babies |
| Brett Feldman, MSPSAS, PA-C and Jehni Robinson, MD, FAAFP | Gerald Hickson, MD | Chris Krawczyk, PhD | Karen Ochoa, CDP |
| People experiencing unsheltered homelessness have higher rates of morbidity and mortality, higher rates of acute healthcare services, and lower rates of engagement in primary care compared to the housed population. Hospitals struggle to place people experiencing unsheltered homelessness and ensure treatment continuity. This session will present strategies for that intersection. | Dr. Hickson will discuss how disrespectful behaviors can undermine teamwork, hinder efforts to advance a safety culture, and lead to avoidable patient harm. He will explain how to identify problem behaviors and use the Vanderbilt Professionalism pyramid to address disrespect in the workplace, uphold professional accountability, and improve patient outcomes. | In this session Dr. Krawczyk will present an overview of new HCAI programs, and current HCAI data and analytics capacities and products. He will also discuss forthcoming strategies, analytics and products that are resulting from direct engagement with hospitals and partners, including incorporating social drivers of health and cost data into future HCAI products. | Cherished Futures is a co-op working to reduce Black infant deaths and improve patient safety for Black families in Los Angeles County. Hear Ms. Ochoa discuss how the co-op employs strategies across three domains – clinical, institutional, and community – to elevate Black voices and thought leadership, and takeaway key lessons learned. |
12:15 – 1:15 p.m. | Hosted Luncheon, Exhibit Show
1:15 – 2:15 pm. | Track (choose one)
| Track 1: General Pt Safety Causal Analysis | Track 2: Joy in Practice Workforce Support Concepts and Strategies | Track 3: Data Using Signal Detection to Reduce Harm | Track 4: Health Equity Equity Strategy and Examples |
| David Marx | Heather Farley, MD, MHCDS, FACEP | Scott Masten, PhD | Susan Ehrlich, MD, MPP |
| In this session David Marx will discuss how to apply root cause analysis techniques to strengthen quality improvement programs. He will explain the importance of system design and the need to factor human decision-making into quality improvement processes, and discuss how to identify opportunities to prevent or reduce undesired outcomes. | Dr. Farley will describe the concept of health care provider as a “second victim” and show how peer support can help health care staff affected by traumatic events. This session will explore how support and empathic communication when providing emotional first aid to caregivers can become foundational to staff wellbeing. | Data aberrations are usually considered a nuisance by analysts, but HQI’s Sentinel Signal Detection Systems convert data abnormalities into useful information. In this session Dr. Masten will discuss how HQI’s signal detection works to identify emerging trends to provide early hospital notification and ultimately decrease the risk of harm to patients. | In this session leaders from Zuckerberg San Francisco General Hospital will explain their comprehensive approach to building health care equity, including an innovative approach to measuring and addressing disparities at a departmental level. Presenters also will discuss efforts to integrate equity within the hospital’s work on community health. |
2:15 – 2:30 p.m. | Break, Exhibit Show
2:30 – 3:30 pm. | Track (choose one)
| Track 1: General Pt Safety CA Bridge Program | Track 2: Joy in Practice Purpose and Building Better Teams | Track 3: Data Using Advanced Analytics to Improve Patient Safety Event Report Analysis | Track 4: Health Equity No Safety Without Equity: Eliminating Errors in Diverse Populations |
| Aimee Moulin, MD | Kris White, RN | Jessica Howe | Joseph Betancourt, MD |
| Dr. Moulin will discuss how medication-assisted treatment (MAT) can lead to more effective care and higher survival rates for patients struggling with substance abuse. She will cite recent studies and describe how the California Bridge Program has effectively reduced the risk of death and lowered hospital readmission rates for patients. | Recent unprecedented uncertainty has brought greater focus to the question: How do we maintain a sense of purpose as we focus on our own health and safety? Kris White will share research findings, powerful case studies, and a proven framework to help organizations build programs, measure outcomes, and inspire change. | Patient safety event reports often contain rich information that can help identify contributing factors to safety issues. However a manual review of reports if often required. This session will describe how computer science techniques and advanced analytic methods can support efficient and effective analysis that leads to actionable insights. | Research has demonstrated that minorities suffer from medical errors with greater clinical consequences at higher rates than their white counterparts. This session will discuss the intersection between equity and patient safety, with a focus on strategies to eliminate errors in diverse populations and address the needs of limited-English proficiency patients. |
3:30 – 4:00 p.m. | Break, Technology Demonstrations
4:00 – 5:00 p.m. | Closing Keynote | Every ½ Second Counts
Ridley Barron
What can be done in our health care systems to improve overall quality? As long as people serve in health care, there will be 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 drawn from personal experience and be encouraged to apply them to their own situations. Listeners will leave with practical steps to promote safety.