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Time Out to Reflect on Quality & Safety in Neurosurgery
McNamara Alumni Center - University of MinnesotaMinneapolis, Minnesota
July 20 - 21, 2017
NeuroSafe 2017 Symposium - Schedule at a Glance
NeuroSafe 2017 Time Out to Reflect on Quality & Safety in Neurosurgery
July 20 - July 21, 2017
McNamara Alumni Center - University of Minnesota 200 Oak Street SE Minneapolis, MN 55455
Wednesday, July 19, 2017
Travel Day
3:00 PM The Commons Hotel - Check In
Thursday, July 20, 2017, Symposium Day 1
7:00 AM 8:30 AM Breakfast in Thomas H. Swain Room
7:00 AM 8:30 AM Registration - The Commons at McNamara Alumni Center
8:00 AM 4:30 PM General Sessions
10:10 AM 10:30 AM Morning Break
12:10 PM 1:30 PM Lunch in the Thomas H. Swain Room
2:00 PM 2:20 PM Afternoon Break
4:30 PM 6:00 PM Social Hour - The Commons at McNamara Alumni Center
Friday, July 21, 2017, Symposium Day 2
7:00 AM 8:30 AM Breakfast in Thomas H. Swain Room
7:00 AM 8:30 AM Registration - The Commons at McNamara Alumni Center
8:00 AM 4:30 PM General Sessions
10:10 AM 10:30 AM Morning Break
12:10 PM 1:30 PM Lunch in the Thomas H. Swain Room
2:30 PM 2:50 PM Afternoon Break
4:30 PM 9:30 PM Weisman Art Museum Dinner and Program
Saturday, July 22, 2017
10:00 AM The Commons Hotel - Check Out
NeuroSafe 2017 Symposium Course Purpose
This two-day symposium offers a conversation about how to improve the safety and quality in neurosurgery. On local, state and national levels, providers face challenges in providing high-quality, safe neurosurgical care in complex healthcare systems. A focus by governments, commercial organizations, and neurosurgical professionals on the topics of quality and safety demonstrates gaps in this knowledge area. Considering the Triple Aim of patient outcomes, costs and patient experience, growing our knowledge and practical experience through national experts and sharing across organizations about strategies, studies and ideas will help achieve these aims via interactive case-based presentations, case reviews and discussions.
Key Topics
This innovative two-day symposium will offer cutting edge perspectives on quality and safety for neurosurgery, focusing on:
• Quality and Safety improvement efforts across all practice settings
• Quality and Safety outcome measures
• Quality and Safety challenges
• Quality and Safety leading the national conversation
• Quality and Safety building the safest environments for neurosurgery patients throughout the world.
Educational Objectives
Following completion of this educational symposium, the learner should be better able to :
• Describe how to problem solve quality and safety challenges using real-life examples
• Outline current neurosurgical quality and safety expectations
• Identify potential quality and safety outcomes measures in neurosurgery
• Create new, national collaborations in quality and safety
• Interpret regionalized quality and safety measures
• Describe outcomes and reimbursements
• Leverage your organization to improve quality and safety.
Accreditation Statement
Accreditation Statement In support of improving patient care, University of Minnesota, Interprofessional Continuing 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 StatementAmerican Medical Association (AMA) The University of Minnesota, Interprofessional Continuing Education designates this live activity for a maximum of 12.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Healthcare Professionals Other healthcare professionals who participate in this CE activity may submit this statement of participation to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education.
Staff and Meeting Planners
Dr. Matthew Hunt, Dr. Stephen Haines, Dr. Daniel Guillaume, Dr. Andrew Grande, Barbara Daiker, Claire Graham, Hannah Cady, Morgan Riordan, Carolyn Vinup
Faculty Listing
• Matthew Hunt, MD, Neurosurgeon, Surgical Neuro-Oncologist, Associate Professor and Resident Program Director, Department of Neurosurgery University of Minnesota
• Stephen J. Haines, MD, FACS, Neurosurgeon, Professor and Lyle A. French Chair, Department Head, Department of Neurosurgery, University of Minnesota
• Daniel J. Guillaume, MD, MS, Neurosurgeon, Associate Professor and Chief, Pediatric Neurosurgery at the University of Minnesota Masonic Children’s Hospital
• Andrew Grande, MD, Neurosurgeon, Assistant Professor and Co-Director, Earl Grande Stroke and Stem Cell Laboratory
• Barbara Daiker, PhD, RN, Director of Clinic Operations and Faculty Practice, Department Administrator
Welcome to NeuroSafe 2017 Symposium
Matthew A. Hunt, MD Course Director
Neurosurgeon, Surgical Neuro-Oncologist, Associate
Professor and Resident Program Director,
Department of Neurosurgery
We are very excited you are here to attend our second annual NeuroSafe 2017 Symposium - Time Out to Reflect on Quality and Safety in Neurosurgery. NeuroSafe 2017 offers a conversation about how to improve safety and quality in neurosurgery. On local, state, and national levels, providers face challenges in giving high-quality, safe neurosurgical care in complex healthcare systems. A focus by governments, commercial organizations, and neurosurgical professionals on the topics of quality and safety demonstrates gaps in this knowledge area. Considering the Triple Aim of patient outcomes, costs and patient experience, we need to grow our knowledge and practical experience through national experts and sharing across organizations about strategies, studies and ideas to accomplish these aims. Learning how to deliver positive patient outcomes for all neurosurgical patients will be achieved during NeuroSafe 2017 through interactive case-based presentations, case reviews and discussions. Conference Overview The conference, to be held Thursday and Friday, July 20-21, includes invited lectures as well as multiple breakout sessions to talk about practical quality and safety improvement applications for neurosurgery. Most of the breakouts are repeated so that everyone can attend sessions they might otherwise miss. Thursday evening there is a reception, but dinner plans are up to each individual. There are lots of great restaurants in the Twin Cities. Perhaps this would be an opportunity to network further with your colleagues from the meeting. Friday night there is a group dinner in the Weisman Art Museum to wrap up and celebrate our work during the conference. The NeuroSafe 2017 Symposium is presented by the University of Minnesota Department of Neurosurgery in cooperation with the Office of Continuing Professional Development - University of Minnesota Medical School. Over the next two days, we are honored to have five keynote presentations by leading North American neurosurgeons:
• D. Douglas Cochrane, MD, FRCSC, Surgical Improvement: A Multi-faceted Strategy
• Oren N. Gottfried, MD, FAANS, A Single Clinic Intervention to Facilitate Patient Communication, Improve Visit Satisfaction, and Provide Real-time Feedback
• Gerald A. Grant, MD, FACS, Hunt for Ambulatory Metrics in the Pediatric Neurosciences
• Ahmed M.T. Raslan, MD, Operative Efficiency, Resource Modeling and Surgical Education in Value Driven Markets
• John D. Rolston, MD, PhD, Improving Intraoperative Patient Safety.
Disclosure Summary
information will be provided in a
separate document.
NeuroSafe 2017 Symposium July 20 - Day One
Start Time End Time Heritage Gallery Room Ski-U-Mah Room Big Ten Room
7:00 AM 8:30 AMBreakfast in Thomas H. Swain Room,
Registration and Information - The Commons at McNamara Alumni Center
8:00 AM 8:10 AM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)
8:10 AM 9:10 AM Hunt for Ambulatory Metrics in the Pediatric Neurosciences KEYNOTE - Dr. Gerald A. Grant (Johnson Great Room)
9:10 AM 10:10 AM Breakout Sessions
9:10 AM 9:40 AM
A Standardized Protocol to Reduce Baclofen Pump Infections: A
Quality Improvement Initiative
Presented by Dr. Kathryn Wagner
Essential Standard Work and Patient Care
Techniques: Stereo- electroencephalography, Stereotactic Targeting, and Laser Interstitial
Thermal Therapy Presented by
Dr. Jeffrey Raskin
9:40 AM 10:10 AM
Opioid Intake in Spine Patients: A Quality
Improvement Project Presented by
Dr. Mena Kerolus
Application of Pediatric Quality of Life
Survey for Neurosurgical Conditions
Presented by Dr. Jeffrey Raskin
Neurosurgery Surgical Site
Infection Reduction Presented by
Dr. Charles Watts
10:10 AM 10:30 AM Morning Break
10:30 AM 11:00 AM Breakout Sessions
10:30 AM 11:00 AM
Measures of Health Related Quality of Life Outcomes in Pediatric
Neurosurgery: Literature Review
Presented by Dr. Kathryn Wagner
Red Blood Cell Transfusions Following
Resection of SkullBase Meningiomas:
Risk Factors and Clinical Outcomes
Presented by Dr. Carlito Lagman
Quality and Safety at the Veterans
Administration Health Care System (VA)
with Neurosurgical Examples
Presented byDr. Cornelius Lam
11:00 AM 11:10 AM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)
11:10 AM 12:10 PM Surgical Improvement: A Multifaceted Strategy KEYNOTE - Dr. D. Douglas Cochrane (Johnson Great Room)
12:10 PM 1:30 PM Lunch in the Thomas H. Swain Room
1:30 PM 2:00 PM Breakout Sessions
1:30 PM 2:00 PM
Utilization of a PatientSelection Protocol
for Mechanical Thrombectomy in
Acute Ischemic StrokeImproves Outcomes
Presented by Dr. David Dornbos III
Institutional Priority on the Impact of Mortality Rates
Presented by Dr. John McGregor
On Neurosurgical Resident Physician
Well-Being Presented by
Dr. Jeffrey Raskin
2:00 PM 2:20 PM Afternoon Break
Breakout Sessions Breaks/Free Time Keynotes - Johnson Great RoomExtra-Curricular Activities
NeuroSafe 2017 Symposium July 20 - Day One
Start Time End Time Heritage Gallery Room Ski-U-Mah Room Big Ten Room
2:20 PM 3:50 PM Breakout Sessions
2:20 PM 2:50 PM
Pre-Optimization of Spinal Surgery Patients:
Development of a Neurosurgical
Enhanced Recovery After Surgery
(ERAS) Protocol Presented
by Dr. Tracy Ma
A Unique Program at the University of
Kansas Department of Neurosurgery
Designed to Improve and Determine Root
Causes forHospital Re-admissions
Presented by Dr. Phillip Hylton and Tammy Harmon RN
Stereoelectro- encephalography and Stereotactic Laser
Ablation and in Infants and Toddlers: Case
Series and Technical Nuances
Presented by Dr. Jeffrey Raskin
2:50 PM 3:20 PM
Predicting VenousThromboembolic
Complications FollowingNeurological Surgery
Procedures Presented by
Dr. David Dornbos III
A Proposed Protocol to Reduce
Wrong Level Spine Surgery
Presented byDr. Matthew Hunt
3:20 PM 3:50 PM
Clinical Predictors ofSatisfaction Among
Spine Patients: A Single Center Study
Presented by Dr. Rasheedat
Zakare-Fagbamila
Resident Research Mentorship Program
Presented byDr. David Darrow and
Dr. Molly Hubbard
3:50 PM 4:30 PM Questions/Answers/Wrap Up with Dr. Matthew A. Hunt (Johnson Great Room)
4:30 PM 6:00 PM Social Hour - The Commons at McNamara Alumni Center
Breakout Sessions Breaks/Free Time Keynotes - Johnson Great RoomExtra-Curricular Activities
NeuroSafe 2017 Symposium July 21 - Day Two
Start Time End Time Heritage Gallery Room Ski-U-Mah Room Big Ten Room
7:00 AM 8:30 AMBreakfast in Thomas H. Swain Room,
Registration and Information - The Commons at McNamara Alumni Center
8:00 AM 8:10 AM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)
8:10 AM 9:10 AMOperative Efficiency, Resource Modeling and Surgical Education
in Value-Driven Markets KEYNOTE - Dr. Ahmed M.T. Raslan (Johnson Great Room)
9:10 AM 10:10 AM Breakout Sessions
9:10 AM 9:40 AM
Utilization of a PatientSelection Protocol
for Mechanical Thrombectomy in
Acute Ischemic StrokeImproves Outcomes
Presented by Dr. David Dornbos III
Institutional Priority on the Impact of Mortality Rates
Presented by Dr. John McGregor
Quality and Safety at the Veterans Administration
Health Care System (VA) with
Neurosurgical ExamplesPresented by
Dr. Cornelius Lam
9:40 AM 10:10 AM
A Proposed Protocol to Reduce
Wrong Level Spine Surgery
Presented byDr. Matthew Hunt
National External Ventricular Drain (EVD) Program and Database Presented by
Dr. David Darrow and Dr. Coridon Quinn
Unplanned Intraoperative Extubations in
Pediatric Neurosurgery for Epilepsy Presented by
Dr. Kathryn Wagner
10:10 AM 10:30 AM Morning Break
10:30 AM 11:00 AM Breakout Sessions
10:30 AM 11:00 AM
A Unique Program at the University of
Kansas Department of Neurosurgery
Designed to Improve and Determine Root
Causes forHospital Re-admissions
Presented by Dr. Phillip Hylton and Tammy Harmon RN
Pre-Optimization of Spinal Surgery Patients:
Development of a Neurosurgical
Enhanced Recovery After Surgery
(ERAS) Protocol Presented by Dr. Tracy Ma
Clinical Predictors ofSatisfaction Among
Spine Patients: A Single Center Study
Presented by Dr. Rasheedat
Zakare-Fagbamila
11:00 AM 11:10 AM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)
11:10 AM 12:10 AMImproving Intraoperative Patient Safety
KEYNOTE - Dr. John D. Rolston (Johnson Great Room)
12:10 PM 1:30 PM Lunch in the Thomas H. Swain Room
Breakout Sessions Breaks/Free Time General Sessions - Johnson Great RoomExtra-Curricular Activities
NeuroSafe 2017 Symposium July 21 - Day TwoStart Time End Time Heritage Gallery Room Ski-U-Mah Room Big Ten Room
1:30 PM 2:30 PM Breakout Sessions
1:30 PM 2:00 PM
On Neurosurgical Resident Physician
Well-Being Presented by
Dr. Jeffrey Raskin
Red Blood Cell Transfusions After
Resection of Skull BaseMeningiomas: A Single
Institution Retrospective Case Control Study
Presented by Dr. Carlito Lagman
Unplanned IntraoperativeExtubations in Pediatric
Neurosurgery Presented by
Dr. Kathryn Wagner
2:00 PM 2:30 PM
The Join Application: Mobile Real-time Tracking of Acute Stroke Patients
and Secure Inter-team Communication
Presented by Dr. Daniel Eddelman
A Standardized Protocol to Reduce Baclofen Pump Infections: A
Quality Improvement Initiative
Presented by Dr. Kathryn Wagner
Essential Standard Work and Patient Care
Techniques: Stereo- electroencephalography, Stereotactic Targeting, and Laser Interstitial
Thermal Therapy Presented by
Dr. Jeffrey Raskin
2:30 PM 2:50 PM Afternoon Break
2:50 PM 3:00 PM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)
3:00 PM 4:00 PMA Single Clinic Intervention to Facilitate Patient Communication,
Improve Visit Satisfaction, and Provide Real-Time Feedback KEYNOTE - Dr. Oren N. Gottfried (Johnson Great Room)
4:00 PM 4:30 PM Questions/Answers/Wrap Up with Dr. Matthew A. Hunt (Johnson Great Room)
5:00 PM 9:30 PM Weisman Art Museum Dinner and Program
Breakout Sessions Breaks/Free Time General Sessions - Johnson Great RoomExtra-Curricular Activities
NeuroSafe 2017 Symposium - Keynote Speakers
D. Douglas Cochrane, MD, FRCSC
Professor Emeritus, Division of Pediatric Nursery, University of British Columbia, British Columbia Patient Safety and Quality Council Chair, Staff Neurosurgeon Hospital for Sick Children-Toronto, Canada.
Presentation: Surgical Improvement: A Multifaceted Strategy
John D. Rolston, MD, PhD
Director of Epilepsy Surgery and Stereotactic and Functional Neurosurgery at the University of Utah.
Presentation: Improving Intraoperative Patient Safety
Gerald A. Grant, MD, FACS
Associate Professor of Neurosurgery and, by courtesy, of Neurology, Stanford University Medical Center; Arline and Pete Harmon Endowed Faculty Scholar, Stanford’s Child Research Health Institute; Division Chief of Pediatric Neurosurgery, Stanford Children’s Health Lucile Packard Children’s Hospital.
Presentation: Hunt for Ambulatory Metrics in the Pediatric Neurosciences
Ahmed M. T. Raslan, MD
Attending Neurosurgeon, Director of Clinical Operations for Neurosurgery and Neuroscience Quality Director, Oregon Health and Science University, Attending Neurosurgeon Portland Veterans Administration Medical Center.
Presentation: Operative Efficiency, Resource Modeling and Surgical Education in Value-Driven Markets
Oren N. Gottfried, MD, FAANS
Co-Director of Duke Spine Center; Director, Spine Unit and Clinic, Duke University Hospital; Clinical Vice Chair, Quality, Duke Department of Neurosurgery; Associate Professor of Neurosurgery, Duke University School of Medicine.
Presentation: A Single Clinic Intervention to Facilitate Patient Communication, Im-prove Visit Satisfaction, and Provide Real-Time Feedback
NeuroSafe 2017 Symposium - Breakout Speakers
Molly Hubbard, MD
Resident, Department of Neurosurgery University of Minnesota -Minneapolis, Minnesota
Rasheedat Zakare-Fagbamila, BA MD/MS candidate, School of Medicine, Duke University- Durham, North Carolina
David Dornbos III, MD
Resident, Department of Neurological Surgery, The Ohio State University Wexner Medical Center - Columbus, Ohio
David Darrow, MD, MPH
Resident, Department of Neurosurgery University of Minnesota -Minneapolis, Minnesota
Phillip Hylton, MD
Assistant Professor, Vice Chair Clinical Affairs, Neurosurgery, University of Kansas Neurosurgery -Kansas City, Kansas
Matthew Hunt, MD
Neurosurgeon, Surgical Neuro-Oncologist, Associate Professor and Resident Program Director Department of Neurosurgery - University of Minnesota
Cornelius Lam, MD, PhD
Professor, Department of Neurosurgery and Chief of Neurosurgery, Minneapolis VA Medical Center, University of Minnesota -Minneapolis, Minnesota
Carlito Lagman, MD
Post-doctoral Research Fellow, Department of Neurosurgery, University of California, Los Angeles, California
John McGregor, MD
Associate Professor, Clinical Neurosurgery, Department of Neurosurgery, The Ohio State University- Columbus, Ohio
Tracy Ma, MD
Resident, Department of Neurosurgery University of Pennsylvania -Philadelphia, Pennsylvania
Coridon Quinn, MD
Resident, Department of Neurosurgery University of Minnesota -Minneapolis, Minnesota
Kathryn Wagner, MD
Resident, Department of Neurosurgery, Baylor College of Medicine, Texas Children’s Hospital Division of Pediatric Neurosurgery - Houston, Texas
Jeffrey Raskin, MS, MD
Assistant Professor, Riley Hospital for Children, Division of Pediatric Neurosurgery, Indiana University, Neurosurgeon, Texas Children’sHospital Division of Pediatric Neurosurgery - Houston, Texas
Daniel Eddelman, MD
Resident, Department of Neurosurgery Rush University Medical Center -Chicago, Illinois
Mena Kerolus, MD
Resident, Department of Neurosurgery Rush University Medical Center -Chicago, Illinois
Charles Watts, MD, PhD
Assistant Professor of Neurosurgery, College of Medicine, Mayo Clinic
Tammy Harmon, RN, BSN, CCRN
Clinical Nurse Discharge Coordinator, Department of Neurosurgery, University of Kansas Health System - Kansas City, Kansas
Acknowledgement of Educational Supporters
We would like to acknowledge the support of the following companies:
Codman Neuro
DePuy Synthes
Haag-Streit USA
Medtronic Restorative Therapies Group
Medtronic Transformative Solutions
NICO Corporation
Scanlan International, Inc.
Zimmer Biomet
NeuroSafe 2017 is grateful for the unrestricted educational support of these fine companies.
July 20-21, 2017 | Minneapolis, Minnesota
THANK YOU SYMPOSIUM TEAM!
University of Minnesota - Department of Neurosurgery
Office of Continuing Professional Development University of Minnesota
THANK YOU ATTENDEES We are honored by your participation in
NeuroSafe 2017.
For upcoming announcements about next year’s symposium,
visit www.neurosurgery.umn.edu/events or call 612.624.6666
Conference evaluations and participant tracking are online.
You will receive an email with a link to the evaluation and tracking worksheet https://z.umn.edu/NeuroSafeEvalandTracker
Evaluations must be completed on or before August 4, 2017.
Once you have completed your survey, you will be redirected to another page where you will be able to complete your Participant Tracking Worksheet
to obtain your credits.
Please be advised this is the ONLY way to claim your credits.