Strengthen Your Healthcare Quality Competencies

ACCOUNTABILITY

QUALITYREVIEW AND

ACCR

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D

SAFETYPATIENT

ANALYTICS

HEALTH DATAAND CARE TRANSITIO

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POPULATION HEALTH

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QUALITYLEADERSHIP

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COMPETENCY FRAMEWORKHEALTHCARE QUALITY

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Strengthen Your Healthcare Quality Competencies

TM

September 13-15, 2021

Chantel Director, Quality Management

CPHQ since 2018

Being a CPHQ means that I am equipped with the knowledge and

skillset necessary to optimize my organization’s performance.

Become a Certified Professional in Healthcare Quality ®

(CPHQ) and join more than 13,000 CPHQs, including Chantel, in demonstrating readiness and commitment to advancing quality, safety and value.

Learn more at NAHQ.org/CPHQ

https://nahq.org/cphq

Welcome to NAHQ NEXT 2021! We appreciate your participation this year despite pressing demands on your time. We know you continue to face extraordinary challenges as the COVID-19 pandemic continues to test your dedication, your resourcefulness and your passion on the front lines of healthcare quality, safety, equity and value. We salute you for everything you do as we face this persistent global health crisis together.

We are stronger when we come together, something that is especially true during these trying times. We’d like to thank those who have shared their knowledge and experiences through our sessions, all of which fall into programming blocks tied to the domains of the NAHQ Healthcare Quality Competency Framework TM.

We are also grateful to the many visionary healthcare leaders joining us to deliver hard-hitting, assumption-challenging messages on the state of healthcare and its future. We’re humbled to have the opportunity to learn from their insights, many of which highlight innovative healthcare quality responses during the pandemic. And please join us on Monday afternoon for a Fireside Chat with the entire NAHQ Board of Directors as we share “Stories from the Healthcare Quality Trenches.”

With such vast and outstanding content, we want to remind you that you can continue to access all on-demand sessions and live session recordings through December 31, 2021.

Along with access to valuable content, NAHQ NEXT gives you the chance to broaden your professional network. We have increased the level of virtual networking and personalization this year. Leveraging your customizable personal profile, you can engage and connect through multiple mediums with other registrants, including speakers.

A live interactive online chat feature will allow you to share insights and engage with other attendees and NAHQ staff in real time throughout the conference. Just for fun, be sure to join your colleagues and friends for our “Dueling Pianos Lunch Break” on Monday at 12:30 pm CT; the Peloton ride on Tuesday at 6 am CT and “It’s Yoga Time!” virtual yoga class on Tuesday at 4:45 pm CT.

It has been another year of relentless challenges and abundant new opportunities for delivering ever higher levels of quality and value. We hope our 2 ½ day meeting of healthcare quality peers fosters a renewed spirit of learning, cooperation and hope for the year ahead.

Stay well, stay strong and stay positive!

Sincerely,

Marian Savage, PhD RN NEA-BC CPHQ PMP NAHQ President

Stephanie Mercado, CAE CPHQ NAHQ CEO and Executive Director

Marian Savage

Stephanie Mercado

NAHQ.org/NEXT3

TM

https://f.hubspotusercontent10.net/hubfs/4990711/NAHQ%20NEXT%202021/Quality%20in%20Practice%20Programming%20Blocks.jpg

https://nahq.org/nahq-next

http://NAHQ.org/NEXT

NAHQ.org/NEXT4

Table of Contents

Prepare 8

Healthcare Quality Competency FrameworkTM 9

Agenda 11

Post-Conference Next Steps 14

On-Demand Sessions

60-Minute Presentations 15

HQ Best Practice Tools 17

Posters 18

Action Plan 25

TM


1-K140

• QUALITY IMPROVEMENT • PATIENT SAFETY • PERFORMANCE MEASUREMENT • BEST PRACTICES IN CLINICAL AND OPERATIONAL PROCESSES • INNOVATION

• LEADERSHIP • INFORMATION TECHNOLOGY • SPREADING IMPROVEMENT • SUSTAINING IMPROVEMENT • COST REDUCTION • PAYMENT REFORM

ADVANCING THE FUTURE OF HEALTHCARE

Official Journal of

JHQonline.comJournal for Healthcare Quality (JHQ), a peer-reviewed journal, is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. JHQ publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely, and impactful evidence in healthcare system transformation. JHQ covers topics such as:

CE OPPORTUNITIES

AVAILABLE IN EACH ISSUE!

Confidential, Copyright © National Association for Healthcare Quality

Quality Leadership and Integration

Quality Review and Accountability

Organizational Quality and Safety Agenda

Performance and Process Improvement

Professional Engagement

Emerging Quality Leaders




Quality Executives and Directors


Health Data Analytics

Population Health and Care Transitions

Scalability and Technology Enablement

Patient Safety


Regulatory and Accreditation

Regulatory Quality and Safety

QUALITY IN PRACTICEAll NAHQ NEXT sessions map to one or more domains of the

NAHQ Healthcare Quality Competency Framework.

6

Building BlocksNAHQ NEXT content maps to one or more domains of the NAHQ Healthcare Quality Competency FrameworkTM, which have been

grouped in programming blocks, to demonstrate “Quality in Practice”.

ACCOUNTABILITY

QUALITYREVIEW AND

ACCR

EDITA

TION

REGU

LATO

RYAN

D

SAFETYPATIENT

ANALYTICS


NS

POPULATION HEALTH

PROC

ESS

IMPR

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ENT

PERF

ORM

ANCE

AND

ANDINTEGRATION

QUALITYLEADERSHIP

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PROFESSIONAL



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NAHQ’s Groundbreaking Research on Healthcare Quality Workforce Competencies

Our groundbreaking research, Why Competency Standardization Matters for Improvement: An Assessment of the Healthcare Quality Workforce, is the first of its kind to describe the critical work that healthcare quality professionals are performing across a standardized competency framework, and identifies opportunities for upskilling the healthcare quality workforce to support healthcare transformation.

®

Journal for Healthcare Quality

Read the full research article in the September/October 2021 issue of the Journal for Healthcare Quality.

https://journals.lww.com/jhqonline/Fulltext/2021/10000/Why_Competency_Standardization_Matters_for.2.aspx

http://jhq.NAHQ.org/research

NAHQ.org/NEXT8

PREPARE

Technology Requirements

• Test your audio and video connection prior to Monday, September 13.

• View the system requirements for viewing the virtual conference.

• If you experience any issues that you cannot resolve, contact NAHQ member services at [email protected] or 847.375.4720 for assistance.

Logging In & Viewing the Conference

Visit the virtual platform to the conference: webcastregister.live/nahq2021/register.php. Beginning at 6 am CT on Monday, September 13, you will have access to the on-demand sessions. The live portion of the conference kicks off at 9 am CT. You can check your start time using this time zone converter.

Please log in with the email address attached to your NAHQ account. You can verify your email by logging into your NAHQ profile here. If you experience issues after verifying your email addresses match, please contact [email protected] or 847.375.4720.

All live sessions may be viewed at their listed time as well as on-demand through Friday, December 31, 2021. On-demand sessions,

session handouts if submitted by the speaker(s), posters and other resources will be available immediately on the NAHQ NEXT portal through Friday, December 31 as well.

Handouts

Session handouts will be provided on the virtual platform if submitted by the speaker(s).

Q&A and Getting Involved

Submit your questions by typing them into the “Ask a Question” textbox in the lower right corner of your virtual conference screen.

Join the conversation on Facebook, LinkedIn, Twitter and Instagram. Share your experience using hashtags #NAHQNEXT2021 and #mynahq.

Evaluations & CE Credits

Log in to your NAHQ account and click “My Learning” under your My NAHQ/Personal Snapshot page to begin your evaluation, which will be available on September 13, 2021. Be sure to evaluate all sessions you attended before submitting the evaluation no later than October 1, 2021.

NAVIGATE YOUR VIRTUAL EVENT

• Create and publish your attendee profile (if you choose to do so) in order to connect with fellow attendees

• Watch on-demand sessions: 60-minute presentations, HQ Best Practice Tools and poster presentations

§ Remember you have access to all conference content through December 31, 2021

• Attend the social events

§ Dueling Pianos Monday, September 13 at 12:30 pm CT

§ Peloton Ride Tuesday, September 14 at 6 am CT

§ Yoga Class Tuesday, September 14 at 4:45 pm CT

More details can be found in the "Activities & Resources" area of the virtual platform.

Looking for more ways to engage during NAHQ NEXT? Make sure you …


https://events7.mediasite.com/Mediasite/Play/1fae82e4810b4b0ea4d7b78503ebcab41d

https://support.sonicfoundry.com/Training/ViewingRequirements

mailto:info%40nahq.org?subject=

http://webcastregister.live/nahq2021/register.php

https://dateful.com/time-zone-converter

https://mynahq.nahq.org/NC__Login

mailto:info%40nahq.org?subject=

https://webcastregister.live/nahq2021/login_verify.php

https://www.facebook.com/mynahq

https://www.linkedin.com/company/nationalassociationforhealthcarequality

https://twitter.com/myNAHQ

https://www.instagram.com/mynahq/


https://webcastregister.live/nahq2021/register.php

NAHQ.org/NEXT9

HEALTHCARE QUALITY COMPETENCY FRAMEWORKTM

In 2019, NAHQ published the first comprehensive framework of foundational, proficient and advanced competencies for the healthcare quality profession. NAHQ’s Healthcare Quality Competency Framework sets specific job requirements and capabilities across eight domains, 29 competencies and 486 skill statements.

Collectively, the NAHQ Competency Framework describes the knowledge and skills required for developing and leading a successful healthcare quality program.

All healthcare quality professionals should meet at least the foundational level of capability in all eight domains, but it is unlikely and unnecessary that they will possess all competencies at an advanced level. Instead, the spectrum should be represented across each organization’s quality workforce.

Learn more about NAHQ’s industry-standard Healthcare Quality Competency Framework at NAHQ.org/Competencies.

Defining the Industry-Standard Healthcare Quality Workforce Competencies

ACCOUNTABILITY

QUALITY REVIEW AND

ACCR

EDITA

TION

REGU

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D

SAFETYPATIENT

ANALYTICS


NS

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PROC

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Implement standard PPI methods.

Apply project management

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principles and tools.

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to improvem

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processes and transitions.

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Regulate the use of privileged

or confidential information.

Implement processes for

engagement and teamwork.

Create learning opportunities

to advance the organization.

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Assess patient safety culture.

Apply safety science principles

and methods.

Identify and report patient

safety risks and events.

Operationalize processes to

support standards compliance.Facilitate continuous survey

readiness activities.

Guide the organization throughsurvey processes and findings.

Collaborate to analyze patient

safety risks and events.

Relate current and emerging

payment m

odels to quality.

Execute measure requirem

ents.

Facilitate practitioner

performance review activities.

one’s competence and advancing the field.

a commitment to practicing ethically, enhancing

Engage in the healthcare quality profession with

the fabric of the organization to achieve objectives.

and communication. Lead the integration of quality into

Advance the organization through collaboration, learning

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Evaluate and improve healthcare processes and

care transitions to advance the efficient, effective

and safe care of defined populations.

Leverage the organization’s analytic environment

to help guide data driven decision making and

inform quality improvement initiatives.

Cultivate a safe healthcare environment by promoting

safe practices, nurturing a just culture and improving

processes that detect, mitigate or prevent harm.

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mandatory and contractual reporting requirements for

Direct activitie

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https://nahq.org/competencies

FOR MORE INFORMATION:

TRAIN YOUR TEAMWITH THE LEADER IN HEALTHCARE QUALITY COMPETENCIES

Develop key competencies for your healthcare quality team

Empower new and future healthcare quality professionals

Integrate all staff on quality including clinical, non-clinical and administrative

Support health system executive leaders in making quality a growth strategy

NAHQ.org /TeamTraining

https://nahq.org/teamtraining

NAHQ.org/NEXT11

AGENDA

Monday, September 13 All times are CT and are subject to change.

9:00 AM – 9:05 AM Welcome Marian Savage, PhD RN NEA-BC CPHQ PMP NAHQ President Vice President, Quality and Patient Experience Roper St. Francis Healthcare System

9:05 AM – 10:00 AM Quality Workforce of the Future Stephanie Mercado, CAE CPHQ Chief Executive Officer and Executive Director NAHQ

10:15 AM – 11:15 AM Healthcare 2020 and the Drive to Value: Destination Ahead Governor Mike Leavitt President and Co-founder Former Utah Governor Former Secretary of the U.S. Department of Health and Human Services

11:20 AM – 12: 15 PM The Leadership Challenge: Addressing Diversity, Equity, Inclusion and Accessibility in the Workplace Reginald Mebane, MS Director, Office of Equal Employment Opportunity Centers for Disease Control and Prevention

12:30 PM – 1:15 PM Dueling Pianos Lunch Break

1:15 PM – 2:15 PM CMS’s Quality Strategy: 5 Things to Know Lee A. Fleisher, MD Chief Medical Officer Director of the Center for Clinical Standards and Quality Centers for Medicare & Medicaid Services

2:20 PM – 3:15 PM Achieving Excellence Through Leapfrog: Thriving Beyond the Survey Leah Binder, MA MGA President and Chief Executive Officer The Leapfrog Group

3:20 PM – 4:20 PM Stories from the Healthcare Quality Trenches: A Fireside Chat with the NAHQ Board of Directors

4:25 PM – 5:20 PM NAHQ Membership Meeting Marian Savage, PhD RN NEA-BC CPHQ PMP NAHQ President Vice President, Quality and Patient Experience Roper St. Francis Healthcare System

Patricia Kirkpatrick, MJ RN CPHQ Director, Quality Management Prospero Health

Stephanie Mercado, CAE CPHQ Chief Executive Officer and Executive Director NAHQ

PROFESSIONAL ENGAGEMENT

QUALITY LEADERSHIP AND INTEGRATION

PERFORMANCE AND PROCESS IMPROVEMENT

POPULATION HEALTH AND CARE TRANSITIONS

HEALTH DATA ANALYTICS

PATIENT SAFETY

REGULATORY AND ACCREDITATION

QUALITY REVIEW AND ACCOUNTABILITY







PATIENT SAFETY



AGENDA

Tuesday, September 14

6:00 AM – 6:30 AM Calling All Peloton Riders

9:00 AM – 10:00 AM Step Up and Stand Out: Strategies for Elevating Your Impact and Influence in an Era of Transformation Seth Mattison Founder and Chief Executive Officer FutureSight Labs

10:05 AM – 11:20 AM Competition Is More than the Organization Next Door: Thrive During This Time of Disruption and Innovation Anat Lechner, PhD MBA Clinical Associate Professor of Management Stern School of Business, New York University

11:25 AM – 12:30 PM Why Leveraging Data and Technology Is the Key to Improving Quality and Safety: A CEO Panel Jeff Surges Chief Executive Officer RLDatix

Zahid Butt, MD FACG Chief Executive Officer Medisolv

Pelu Tran, MD Chief Executive Officer Ferrum Health

Stephanie Mercado, CAE CPHQ Chief Executive Officer and Executive Director NAHQ

12:30 PM – 1:30 PM Break View on-demand content: 60-minute sessions, HQ Best Practice Tools and Posters. Connect with other NAHQ NEXT attendees.

1:30 PM – 2:25 PM Pioneering Telehealth at the VA: Insights from the Journey Kristi Groves, MBA-HCM BSN RN CPHQ Executive Director Veterans Health Administration, Office of Quality Management

Jim Schaefer, MPH Director of Surveys, Analytics and Performance Integration Department of Veterans Affairs

Carla L. Anderson, MSN RN National Quality Manager Veterans Health Administration, Office of Connected Care

2:30 PM – 3:20 PM What We Always Knew but Couldn’t Demonstrate Until Now: The Value of the Healthcare Quality Professional Rebecca (Suzie) Miltner, PhD RN CNL NEA-BC Associate Professor and Director The University of Alabama at Birmingham

April Taylor, CPHQ CPPS CLSSBB CMQ/QE FACHE Vice President, Quality Johns Hopkins Hospital

NAHQ.org/NEXT12







PATIENT SAFETY



NAHQ.org/NEXT13

AGENDA

4:45 PM – 5:15 PM It’s Yoga Time

Wednesday, September 15

9:00 AM – 9:30 AM Communicate with Confidence to Drive Positive Outcomes Sima Dahl, MBA CSP AS Sway Factor

9:40 AM – 10:25 AM How the Incident Command Center Enabled a Quality Command Culture: Implications and Opportunities for the Future Nidia Williams, PhD MBB CPHQ FNAHQ Vice President, Quality and Patient SafetyLifespan

10:35 AM – 12:15 PM Rising Stars Who Led with Intention and Propelled Their Careers Forward During a Pandemic Teresa Pollack, MS CPHQ Program Director, Quality Operations Northwestern Medicine

Megan Turby, MSEd CHC CPHQ Director of Quality and Compliance Gulfside Healthcare Services

Kristen Cox, MD Medical Director of Quality and Safety Newton-Wellesley Hospital

Lauren Hartwell, MPH Project Manager II, Population Health Tufts Health Plan

12:15 PM A Look Ahead: Together We Will Make Strides Marian Savage, PhD RN NEA-BC CPHQ PMP NAHQ President Vice President, Quality and Patient Experience Roper St. Francis Healthcare System


NAHQ.org/NEXT14

POST-CONFERENCE NEXT STEPS

The best way to maximize your conference experience is to take action after it ends!

Don’t forget to:• Use the Action Plan starting on page 25 to

determine what you’ll do next.

• Continue referencing the on-demandcontent through Friday, December 31, 2021,to ensure you take advantage of all yourregistration offered.

• Make time to share your experienceand takeaways with your colleaguesand supervisor.

• Complete session evaluations and theoverall conference evaluation. Claim yourcontinuing education credits (CE) and earnup to 40+ CE hours by submitting yourevaluation by October 1, 2021!

Continue Your Learning With NAHQ

• Identify opportunities for improvement bytaking the NAHQ Professional Assessment,an online tool based on the industry-standard competencies, which can beaccessed through your NAHQ account.CPHQs receive a complimentary annualsubscription to the ProfessionalAssessment.

• Sign up for Learning Labs here for up-to-the-minute education on quality topics andCE credits.

• Access NAHQ’s growing library of content toenhance your knowledge and earn CEcredits. Visit mynahq.nahq.org/catalog.

• Participate in Healthcare Quality Week 2021,taking place virtually October 17-23, 2021.Details coming soon.



https://nahq.org/education/webinars/

https://mynahq.nahq.org/catalog?filter=OnDemand

NAHQ.org/NEXT15

60-MINUTE PRESENTATIONSHealth Data Analytics

The Storyteller’s Playbook: A Guide to Making Quality Unforgettable Deborah Bulger, CPHQ Vice President of Strategic Partners Syntellis Performance Solutions

Patient Safety

Patient Safety Stories as a Tool for HRO Staff Engagement Susan V. White, PhD RN NEA-BC CPHQ FNAHQ Chief of Quality Management Orlando VA Health Care System


Creating a Quality Initiative Team Charter Carole Guinane, MBA RN CPHQ BBSS FNAHQ Executive Director Cedars-Sinai

Go Team: Reducing Team Activation Time for Emergent NICU Transports Allison Barberio, MHSA CPHQ Quality Consultant Inova Children’s Hospital

Jennifer Alexander, MD Attending Neonatologist Fairfax Neonatal Associates

I-PASS: Improving Emergency DepartmentChange-of-Shift Transitions Using aStandardized Communication Tool

William G. Fernandez, MD MPH CPHQ FACEP Quality Manager, Emergency Department UT Health San Antonio

Innovation in Primary Care Setting: Using the AWARD Model to Articulate Workload Sarah Ogilvie, BSN RNC-NIC PHN CPHQ Doctoral Candidate in FNP/DNP Program Minnesota State University, Mankato


Prepared to Address Social Determinants off Health? Mary Reich Cooper, MD JD Program Director, Healthcare Quality and Safety Jefferson College of Population Health

How the Pandemic Impacted Mental Health and Increased Innovation and Investment in Behavioral Health Corbin Petro Chief Executive Officer and Co-founder Eleanor Health

Channah VanRegenmorter, MSW PMP Senior Director of National Clinical Operations and Quality Eleanor Health

Margaret Rollins, BA Market Implementation Lead Eleanor Health


Implementing Respite Rooms to Promote Staff Vitality with COVID-19 Burnout Sherri L. Jones, MS MBA RDN LDN SSGB CPHQ FAND Senior Improvement Specialist UPMC Presbyterian Shadyside






PATIENT SAFETY



NAHQ.org/NEXT15 NAHQ.org/NEXT15

ON-DEMAND SESSIONS




NAHQ.org/NEXT16






PATIENT SAFETY




ON-DEMAND SESSIONS

How Have HQS Students Used COVID-19 as a Case Study for Creating a Safe, Effective Environment in Healthcare? Tonier Caldwell, RRT BBA COPD Care Coordinator Abington - Jefferson Health MPH Student Jefferson College of Population Health

Veronica Chavez DO Student Philadelphia College of Osteopathic Medicine MPH Student Jefferson College of Population Health

Evan Kolesnick, MS DO Student Philadelphia College of Osteopathic Medicine MPH Student Jefferson College of Population Health

Rafael Torres, MD FACEP Chief Quality Officer White Plains Hospital Healthcare Executive MBA Student The George Washington University


Quality Leadership and Culture Integration in an Independent Emergency Medicine Practice Stephanie C. Mullenix, MSN RN AGCNS-CB CEN CPHQ Director of Quality, Practice and Integration Emergency Care Specialists

Christopher B. Port, MD FACEP Chief Medical Officer Emergency Care Specialists

John Throop, MD MBA FACEP President Emergency Care Specialists

Healthcare Disparities and How We All Can Improve Quality of Care Susan K. Moore, MHSA RN President/Chief Executive Officer Managed Healthcare Resources, Inc.

How Can We Make Quality Much, Much, Much Better? Kedar Mate, MD President and Chief Executive Officer Institute for Healthcare Improvement


And the Answer Is … Using Your Data to Effectively Communicate with Your Leadership and Medical Staff Kenneth Rohde President KRRohde LLC


Charting a New Course: Quality and Accreditation in the COVID-19 Era Sherri Hobbs, MSM MSN RN CPHQ Vice President, Chief Quality Officer University of Maryland Shore Regional Health




NAHQ.org/NEXT17






PATIENT SAFETY




ON-DEMAND SESSIONS

HQ BEST PRACTICE TOOLSHealth Data Analytics

The Use of Disparities Dashboard to Reduce Maternal Morbidity and Mortality Elizabeth Rochin, PhD RN NE-BC President National Perinatal Information Center

Patient Safety

Implementing a Health System Safety Score to Simplify Many Complex Outcomes John D. Six, MD Vice President of Medical Affairs and Chief Medical Officer Washington Health System

Lisa A. Goss, MD Chief Medical Information Officer Washington Health System


How the Pandemic Demonstrated That Using FOCUS-PDCA in Quality Improvement Is Like My Flower Garden Ellen J. Evans, MSN MPH RN CPHQ CJCP CPPS Northside Hospital

Transforming an Accountable Care Organization Using a Tracking Tool to Measure Quality and Financial Achievement in the Medicare Shared Savings Program Tomasina Green, MPH Quality and Regulatory Specialist University Hospitals

Heather Byrne, MPA HSA CNMT Director, Operations University Hospitals

Deanna A. Cox, MBA MSN RN Manager, Quality and Clinical Transformation University Hospitals Population Health

Sepsis in the Time of COVID: New Approaches to Keeping the Focus on Sepsis During the Pandemic Katie Rucker, MHL BSN RN Sepsis Coordinator AdventHealth Shawnee Mission


Seamless IT Integration Changes the Game for Vaccine Analytics – the Journey of the Houston Methodist Health System Courtenay Bruce, JD MA Program Director, Quality Operations and Associate Professor Houston Methodist Hospital System


Mortality Review Collaborative: A Comprehensive Approach to Reviewing Mortalities Roxanne R. Hyke, MSN BS RN CPHQ Director, Quality Analytics, Reporting and Consulting Stanford Health Care




NAHQ.org/NEXT18






PATIENT SAFETY




ON-DEMAND SESSIONS


Application of a COVID Safety Sweeper Tool to Maintain Consistent Safe Care Abigail Am, MS CPHQ CLSSMBB Director, Strategy Development and Performance Improvement Southern Maine Health Care

Karen Robertson, RN CLSSGB Accreditation and Compliance Specialist Southern Maine Health Care

POSTERS Health Data Analytics

Empowering Data-driven Decisions in Telehealth Operations, Quality and User Experience Laura de la Huerta, BA Enterprise Improvement Advisor Children’s Hospital of Philadelphia

Kathryn Fuller, BA Telehealth Portfolio Leader Children’s Hospital of Philadelphia

Leveraging Data Management and Business Intelligence During a Pandemic Michael Patti, MS MBA Project Manager/Data Analyst New Beth Israel Medical Center

Patient Safety

Illicit Substance Use in Acute Care Hospitals – Creating a Safe Environment Mary K. Brooks, MSN RN CPHQ CCDS Risk and Peer Director Kaiser Foundation Hospital Santa Rosa

Christina E. Sanford, DNP RN NEA-BC Clinical Adult Services Director Kaiser Permanente Medical Center Santa Rosa

Implementation of IPASS Handoff Tool in the Hospital Medicine Section at MDACC Maria C. Franco Vega, MD FACP Assistant Professor, Handoff Medical Director MD Anderson Cancer Center

Advancing Implant Visibility and Accuracy of MRI Screening Using FMEA Tara Goldberg, MSN RN CPHQ Clinical Quality Improvement Specialist UCLA Health

Andreas Ioannou, MHA CPHQ Patient Safety Specialist UCLA Health

Stesha R. Selsky, DNP RN-BC Nursing Informatics Specialist UCLA Health

Reduction of Severe Hospital Acquired Pressure Injuries in Critically-ill COVID-19 Patients Kimberly A Gray, MSN RN CPHQ Director of Quality Safety and Regulatory Services St. Joseph Mercy Hospital

Jennifer Bowerson, MS RN CNL

Development and Evaluation of a Sepsis Simulation and a Sepsis Simulation Tool

Kelly Martinez, EdD MSN APRN FNP-C Assistant Professor Southern Connecticut State University




NAHQ.org/NEXT19






PATIENT SAFETY




ON-DEMAND SESSIONS


Standardizing Care for Low/ Intermediate-Risk Chest Pain Patients in the Emergency Department Christina C. Bird, DO Director of Clinical Operations UT Health San Antonio

Bradley Goettl, DNP AGACNP-BC FNP-C ENP-C Assistant Professor UT Health San Antonio

Tatiana C. Emanuel, DMSc PA-C Assistant Director UT Health San Antonio

Reduction of Hospital Acquired C-Diff Through Interdepartmental Collaboration Kathleen M. DeFigueiredo, MS RN-BC CPHIMS CPHQ Director, Quality Baylor Scott & White Health

Alison Batenhorst, MSN RN CIC Manager of Infection Prevention and Control Baylor Scott & White Health

Preparing Nurses to Care for Research Participants During the COVID-19 Pandemic Patricia A. Eckardt, PhD RN FAAN Nurse Research Scientist Good Samaritan Hospital Medical Center

Karen A. Fitzgerald, MS RN AGCNS-BC CCRN Clinical Educator Good Samaritan Hospital

The Impact of the Implementation of Team Nursing Approach During COVID-19 Surge Patricia A. Eckardt, PhD RN FAAN Nurse Research Scientist Good Samaritan Hospital Medical Center

Karen A. Fitzgerald, MS RN AGCNS-BC CCRN Clinical Educator Good Samaritan Hospital

Dorri M. Bechtel, MS BSN NPD-BC Director of Nursing Education and Research Good Samaritan Hospital

Reduction in Postoperative Mechanical Circulation System Time to Extubation Improving Outcomes Monica Feinberg, APN Quality Coordinator Newark Beth Israel Medical Center

A Journey of Improvement: Increasing SEP-1 Bundle Compliance and Reducing Sepsis Mortality William G. Fernandez, MD MPH CPHQ FACEP Quality Manager, Emergency Department UT Health San Antonio

Clostridium Difficile Infection Prevention in the Blood and Marrow Transplant Patient Brandi L. Handel, MSN RN Performance Improvement Coordinator Robert Wood Johnson University Hospital

Improving the Care Experience for Complex Care Patients Tyneshia D. Harris, MSHS LSSGB Enterprise Improvement Advisor Children’s Hospital of Philadelphia

New Frontiers in Learning: Severe Sepsis Among Patients with COVID-19 Tarina L. Kang, MD MHA FACEP Physician Attending, Sepsis Physician Champion Keck Medicine of USC

Ling Zheng, PhD CPHQ MBBS Associate Administrator Keck Medicine of USC




NAHQ.org/NEXT20






PATIENT SAFETY




ON-DEMAND SESSIONS

Lisa Johnson, DNP RN CENP Associate Administrator Keck Medical Center of USC

Keeping the Lights on During a PANDEMIC: We Can Do This Laure E. Lisk, MS RN CPHQ CPHRM Executive Director, Quality and Regulatory Services Kaiser Permanente Northern California

Robin K. Betts, RN CPHQ MBA-HA Vice President Quality and Patient Safety Kaiser Permanente Northern California

Elizabeth A. Scruth, PhD MPH RN CNS CCRN-K CCNS CPHQ FCCM FCNS Director of Tele Critical Care Program-NCAL Kaiser Permanente

Vanessa A. Martinez, DNP MHA RN Director Virtual Nursing Care Kaiser Permanente

Implementation of Kanban System in Consumable Store Items in Medical Units Kenneth Jun Logrono, MAN IL BSN RN Clinical Improvement Team/Charge Nurse Hamad General Hospital

Belal Salem Zubi, MPP BSN RN Director of Nursing, Medical Assessment Units Hamad General Hospital

Diana Lyn Piol, BSN RN Head Nurses, Acute Medical Assessment Unit Hamad General Hospital

Engaging Process Improvement Methodology to Reduce Excess Costs of Contracted Dialysis Services Tiffany Meraz, MBA MHSM CPHQ Director, Project Deployment Office Methodist Health System

Lauren Stewart, MPH LSSGB PMP Senior Project Leader Methodist Health System

Jeremiah M. Streetman, MSN RN CPHQ CCRN-K Senior Project Leader Methodist Health System

Virtual Improvement Program: A Platform for Enterprise-wide Process Improvements Shruthi Musunuri, MS BME National Improvement Specialist U.S Department of Veterans Affairs

Kristine Groves, MBA-HCM BSN RN CPHQ Executive Director Veterans Health Administration

Lisa McClintock, MS RD Lead Consultant U.S. Department of Veterans Affairs

Katherine Cullinane, MHA CAPM Lead Consultant Veterans Health Administration

Sarah Wesgate, MS National Improvement Specialist Veterans Health Administration

Kirsten Aghen, MPH RN CPHQ C-CM Deputy Director U.S. Department of Veteran Affairs

Hollie Hudlow, MSSW LCSW Deputy Director Veterans Health Administration

Operationalizing Quality Improvement to Avoid the New PTSD: Post Traumatic Strategic Disorder Tara Roberts, PT QCP RAC-CT Vice President of Quality Nexion Health Management, Inc.




NAHQ.org/NEXT21






PATIENT SAFETY




ON-DEMAND SESSIONS

Meera Riner, OT COO Baldrige Fellow Nexion Health Management, Inc.

Dynamic Duo: Partners in Combating Sepsis Bundle Compliance Tusdi Rodriguez, MSN RN PCCN Clinical Quality Specialist Keck Hospital of USC

Maby George, CCS Quality Data Abstractor Keck Medical Center of USC

What Problems? We Don’t Have Problems! Standardized Problem-solving Using A3 Jennifer J. Skelton, MBA CPHQ MT(ASCP) Senior Engagement Advisor Deaconess Health System

Exploring Continuity of Care Studies on HEDIS Measure Transition of Care Maria Hayson, BSN RN CCRN CRC CPC Quality Compliance Manager Humana

Karen Anderson, MSN RN CNL CQE Quality Compliance Professional 2 Humana

Jennifer Runyon, BSN RN CPHQ Quality Compliance Professional Humana


Implementing Telemedicine Practices for Mechanical Circulatory Support Patients During COVID-19 Global Pandemic Beth Dinicola, RN VAD Coordinator Newark Beth Israel Medical Center

Optimizing the Palliative Care Referral Process Rachele N. Halliday, BSN RN CNML CPHQ Director, Quality Hilo Medical Center

Jeanene Helene Andrew, MSN RN Director of Clinical Services Hawaii Care Choices

Implementing a Quality Bundle to Promote Flu Vaccination Amid the COVID-19 Pandemic Alexandra Johnston, DO Assistant Professor of Medicine Allegheny Health Network

Nicole Sacca, DO Medical Director West Penn Medical Associates Allegheny Health Network

Jared Hill, DO Internal Medicine Resident

Mrudula Gadani, MD Directory of Quality and Patient Safety AHN Internal Medicine Residency Program

Lauren Mathos, DO Assistant Professor of Medicine

Rebecca Behr, DO Core Faculty Internal Medicine Residency Program

Mary Lynn Sealey, MD Core Faculty Director of Undergraduate Medical Education

Patrick Sleckman, DO Core Faculty Internal Medicine Residency Program




NAHQ.org/NEXT22






PATIENT SAFETY




ON-DEMAND SESSIONS

Realizing ACO Savings in Post-Acute Care Without Compromising Quality and Outcomes Gary Reckart, MA LPN Quality Improvement Specialist Graves Gilbert Clinic

Sarah Roy, MSN RN NEA-BC CPHQ Director of Quality Graves Gilbert Clinic

Creating a Quality Department in Physician-owned Practice to Thrive in Value-based Care Sarah Roy, MSN RN NEA-BC CPHQ Director of Quality Graves Gilbert Clinic

Gary Reckart, MA LPN Quality Improvement Specialist Graves Gilbert Clinic

Kristy L. Weaver, LPN Quality Improvement Specialist Graves Gilbert Clinic

Stephanie L. Johnson, RN Clinical Quality Improvement Specialist Graves Gilbert Clinic


Improved Transfusion Practice and Outcomes Following Patient Blood Management Program Amber Dobbs, MHA Program Manager Keck Medical Center of USC

Tom Bates, MBA RN Executive Administrator Keck Medicine of USC

Improving Severe Sepsis Diagnosis and Management in a Country with Limited Resource Muhammed Elfaituri, MBBCh Medical Doctor/Researcher Faculty of Medicine University of Tripoli, Libya


Emergency Response Plan for COVID-19 Vaccine Distribution: An Integrated Approach Ana Esteban, MPH BSN RN PCCN-K CCRN-K CPHQ Associate Director Quality Regulatory Compliance ColumbiaDoctors

Integrating Lean Transformation and ISO 9001:2015 Standards Alisha Feightner, MPH CPHQ Vice President of Operational Excellence Solution Health

Meredith Trudel, MPH Manager of Accreditation Elliot Health System, Member of Solution Health

Severe Maternal Morbidity (SMM) Quality Review + Systems-learning Kisha Semenuk, MSN RN CPHQ Maternal Child Health Quality Nurse Kaiser Permanente San Diego

Emily McCormick, MPH BSN RNC-MNN C-ONQS Program Manager California Maternal Quality Care Collaborative




NAHQ.org/NEXT23






PATIENT SAFETY




ON-DEMAND SESSIONS


Evaluating an Opioid Stewardship Guideline on an Orthopedic Hand Surgery Practice Matthew Buesking, MSN AGACNP-BC DNP Student Creighton University

Interdisciplinary Collaboration to Improve Documentation in Relation to SEP-1 Compliance Trudy Rhodes, RN CPHQ Quality Management Specialist UCLA Health

Suki Leung, RN CPHQ Quality Management Specialist UCLA Health

Julia Marie L. Nabong, RN BSN Clinical Quality Improvement Specialist UCLA Health




Showcase Your Commitment to Quality, Safety & Value

Effectively preparing for the Certified Professional in Healthcare Quality® (CPHQ) exam is critical to earning the CPHQ, the only accredited credential in healthcare quality.

Turn to NAHQ, a trusted source for exam prep, including:

• CPHQ Virtual, Instructor-Led Review Courses

• CPHQ Prep Package

• Online CPHQ Review Course

• HQ Solutions: Resource for the Healthcare Quality Professional, Fourth Edition

• Comprehensive CPHQ Pre-Test

Learn more at NAHQ.org/CPHQPrep

https://nahq.org/education/cphq-prep/

NAHQ.org/NEXT25 NAHQ.org/NEXT25 NAHQ.org/NEXT25

ACTION PLAN

I’M GOING TO TAKE THESE THREE STEPS TO EXPAND MY HEALTHCARE QUALITY KNOWLEDGE:

TOPIC ACTIONS TIMEFRAME CONSIDERATIONS

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ACTION PLAN

I’M GOING TO TAKE THESE THREE STEPS TO LEAD AND FURTHER ADVANCE MY ORGANIZATION’S QUALITY INITIATIVES:


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ACTION PLAN

I’M GOING TO SHARE INFORMATION FROM THESE THREE PRESENTATIONS WITH MY COLLEAGUES:


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THANK YOU and See You in 2022!

Thank you for joining us this year! Remember, you have access to all content through December 31, 2021.

NAHQ NEXT 2022 dates will be announced soon.

TM

Accelerate Workforce Readiness to Deliver on Quality and SafetyAchieve your healthcare quality aspirations faster by focusing on assessing and upskilling your quality workforce.

Learn more at NAHQ.org/Accelerator.

https://nahq.org/accelerator/

Documents

Strengthen Your Healthcare Quality Competencies