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NOVEMBER 13-15, 2017
PHILADELPHIA, PA

MAIN CONFERENCE DAY TWO

8:00 am - 9:00 am REGISTRATION & MORNING JUMPSTART

9:00 am - 9:15 am CHAIR’S RECAP OF DAY ONE

Victor Wang - CEO care.coach
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Victor Wang

CEO
care.coach

Memorial Hermann Memorial City (MHMC) is a 444-bed hospital in southeast Texas. The hospital chose to participate in nation-wide collaborative project with The Center for Transforming Healthcare on preventing falls with
injury, beginning with a study of fall on its cardiology unit. Over 20 months, an interdisciplinary hospital fall team led by a dedicated Process Owner and Six Sigma Black Belt identified 28 contributing factors to falls with injury. As a result The rate of falls on the Cardiology unit decreased 50.5 and falls with injuries decreased 49.2 percent. The team credits the success of the program to three factors: robust process improvement, safety culture, and leadership commitment.
·                     Implement RPI tools, such as a measurement system analysis and robust data collection plan, to assess reliability in fall risk assessment and factors to falls, such as medications, call light response time, call light behavior, and change in condition
·                     Utilize Best Practice solutions, such as a post-fall huddle tool, to track, communicate, and follow-up on root causes to falls
·                     Establish a robust accountability system and safety culture for fall prevention 
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Maryellen Mcglothlin

Senior Director –Acute Services
Memorial Hermann Health System

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Christina Morrison

Enterprise Quality Patient Safety & Infection Control
Memorial Hermann Health System

10:00 am - 10:45 am STRATEGIES FOR PREVENTING FALLS DURING TRANSITIONS OF CARE AND BEYOND

Kathleen Cameron - Senior Director National Council on Aging
 
Poorly coordinated care transitions from hospital to home or other care settings can result in negative outcomes for patients who experienced falls in the hospital or were deemed at high risk for falls. This session will discuss strategies for reducing falls risk, falls and injuries during and after transitions of care from hospital to home or skilled nursing facility. Assessment tools and other resources will be described and examples of applications of these tools will be provided. Evidence-based community programs will be described as a means to reduce risks for older adults post-discharge as a means to reduce falls-related readmissions. Quality measures and value-based cost implications will be explored.
·                     Identify strategies to reduce falls and falls risk during transitions of care/post-discharge
·                     Learn and incorporate how to apply assessment tools and other resources for falls and injury prevention
·                     Assess why individualized falls interventions, including evidence-based community falls prevention programs, are key to improving outcomes and quality measures and reducing readmissions
 
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Kathleen Cameron

Senior Director
National Council on Aging

10:45 am - 11:15 am NETWORKING BREAK

11:15 am - 12:00 pm WHEN PREVENTION FAILS - HIPHOPE ACTIVE HIP PROTECTOR: A USER FRIENDLY LIGHTWEIGHT AIRBAG SYSTEM FOR AT RISK POPULATIONS

Ran Manor - Co-Founder and VP Hip-Hope Technologies

- Understand how new technologies in patient care and protection is changing the quality of life for elders 
- Review the background of Fall Protection
- Discuss key concepts: Fall Prevention vs. Fall Protection 
- Identify requirements for a day to day Hip / Fall protection system
- Walk through Hip-Hope active protection belt and its progress from the past to the future

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Ran Manor

Co-Founder and VP
Hip-Hope Technologies

12:00 pm - 1:00 pm NETWORKING LUNCHEON

1:00 pm - 1:45 pm CASE STUDY: FALL AND INJURY PREVENTION THROUGH A FOCUS ON MOBILITY- THE STORY OF WAKE FOREST BAPTIST MEDICAL CENTER’S MOBILITY INITIATIVE

Kim Stanbery - Director of Nursing Wake Forest Baptist Health
As healthcare professionals, patient safety is our number one goal. In this session, the audience will have the chance to hear Wake Forest Baptist Medical Center’s Patient Safety Initiative and the population specific strategies that were developed. Our journey began in 2012 when we participated in a Joint Commission Center for Healthcare Collaborative. In addition, we will discuss change management, documentation strategies, and our current initiatives aimed at identifying patients at high risk of fall injury.
·                     Hear Wake Forest Baptist Medical Center’s journey into adopting a system wide Six Sigma methodology
·                     Walk through project recruitment strategies and learn how a project team from across the organization, including members from pharmacy, nutrition, nursing, rehabilitation, legal, safety, and performance improvement was brought together
·                     Listen how Wake Forest Baptist Health identified five root causes to address: Medication management, impaired mobility and cognitive function, call light utilization, video monitoring, and a mobility aide Identify at least 3 best practices for reducing falls and fall-related injuries
·                     Understand the benefits of using performance based measures such as the ‘timed up and go’ (TUG) test and Egress to assess the functional mobility of patients
·                     Appraise the use of video-monitoring to reduce patient falls
·                     Learn how the electronic health record can help identify patients at highest risk of injury 
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Kim Stanbery

Director of Nursing
Wake Forest Baptist Health

1:45 pm - 2:30 pm INTERDISCIPLINARY APPROACHES FOR PREVENTING DELIRIUM AND FALLS IN THE NURSING HOME SETTING

Kenneth Boockvar - Professor of Geriatrics and Palliative Medicine Mount Sinai
In 2014, older Americans experienced 29 million falls causing seven million injuries and costing $31 billion to Medicare.  In addition to fractures and other fall-related injuries, falls lead to disability, institutionalization, activity restriction and reduction in quality of life.  A robust body of evidence supports an interdisciplinary approach to geriatrics syndromes such as falls.  This includes medical, nursing, rehabilitation, and pharmacy interventions.  One focus of this talk will be on medications, which are a major causal factor for falls in older adults.  Medication deprescribing is a part of almost all tested multi-component fall prevention strategies


·Assess the association between delirium and falls in the nursing home setting
·Evaluate and  grasp interdisciplinary approaches for preventing delirium and falls, including roles for medical, nursing, rehabilitation and pharmacy staff
·Review  intervention implementation and outcomes



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Kenneth Boockvar

Professor of Geriatrics and Palliative Medicine
Mount Sinai

2:30 pm - 12:00 am NETWORKING BREAK

3:00 pm - 3:45 pm REDUCE INPATIENT FALLS BY INTEGRATING NEW TECHNOLOGY WITH WORKFLOW REDESIGN

Chase Pedersen - Associate Chief Nursing Officer St. David’s North Austin Medical Center
Over the last decade, numerous publications have quantified the quality and financial impact of patient falls both on patients and healthcare providers. Balancing risk verse reward, St. David’s North Austin Medical Center has implemented a fall reduction program that has achieved a reduced in patient falls and the labor constraints needed to implement an effective fall reduction program.
·                     Review your institution’s multicomponent fall-prevention program and monthly falls data to identify opportunities for improvement.
·                     Use a multidisciplinary team to come up with creative ways to reduce inpatient falls; involve that team in the implementation phase.
·                     Ensure that technology solutions and redesigned clinical workflows complement each other 
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Chase Pedersen

Associate Chief Nursing Officer
St. David’s North Austin Medical Center

3:45 pm - 12:00 am STRATEGIES TO REDUCE INJURIES AND DEVELOP CONFIDENCE IN ELDERS (STRIDE): A PRAGMATIC TRIAL OF A MULTIFACTORIAL FALL INJURY PREVENTION INTERVENTION

Fred Ko - Assistant Professor, Geriatrics and Palliative Medicine Mount Sinai
Fall injuries are a major cause of morbidity and mortality among older adults. The focus of this talk will be on the design and implementation of the STRIDE study, a multisite cluster-randomized pragmatic clinical trial comparing the effectiveness of an evidence-based, multifactorial, individualized intervention strategy to an enhanced usual care in reducing serious fall injuries in at-risk, noninstitutionalized older persons


- Review STRIDE trial study design and implementation
- Understand the multifactorial individualized intervention strategy implemented through a nurse co-management model    
- Explore strategies to reduce injuries and develop confidence in elders
 

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Fred Ko

Assistant Professor, Geriatrics and Palliative Medicine
Mount Sinai

4:30 pm - 4:35 pm CHAIR’S CLOSING REMARKS