Wednesday October 22, 2014

Day One | Day Two

8:00      Registration and Coffee

9:00      Conference Opening

Tammy Haywood, Conference Producer, IIR Healthcare Informa

9:05      Opening Comments From The Chair

Jocelynn Bennet, Senior Director, Urgent and Critical Care, Mount Sinai Hospital, Toronto, ON

Innovative Hospital Based Interventions Targeting Readmissions

9:10      OPENING KEYNOTE ADDRESS | Implementing BOOST: Hospitalists Improving Care Transitions and Reducing Re-admissions

  • To describe the challenge of “avoidable hospitalizations”
  • To describe the role of hospitalists in reducing hospital re-admissions
  • To describe the Society of Hospital Medicine’s BOOST project
  • To describe the implementation of BOOST at Lakeridge Health - Oshawa

Lauren Linett, Hospitalist, Department of Medicine, Lakeridge Health - Oshawa, Adjunct Assistant Professor, Faculty of Health Sciences, Queen’s University ON

9:50      INTERNATIONAL KEYNOTE ADDRESS | Implementing an Evidence Based Discharge Process: Learning from the experience of Project RED

  • Understand the rationale for RED by reviewing problems and consequences associated with hospital discharge process
  • Learn about the RED checklist and RED intervention
  • Review results of RED RCT
  • Know ways to implement RED

Chris Manasseh, Vice Chair, Inpatient & Hospital Services for the Dept of Family Medicine at Boston University Medical Center, ‘Discharge Intervention Director’ for Project RED Boston, MA USA

10:30      Morning Refreshments

Technology Based Solutions

11:00      Case Study | Using Predictive Analytics at the Point of Care to Reduce Readmissions

Two years ago, Carolinas HealthCare System developed a point-of-care predictive model for readmissions using millions of data points on 200,000 individuals discharged from 7 N.C. acute care hospitals. Nurses and case managers now use that model to predict and intervene on patients at risk of readmitting before they leave the hospital.
  •  Summarize the major forces in healthcare that create the demand for predictive analytics.
  • Identify appropriate use cases for predictive analytics (ie. readmissions, length of stay, infection prevention)
  • Outline important considerations in the planning and implementation of a point-of-care predictive analytics program
  • Identify important primary and secondary outcomes following the implementation of a predictive analytics readmissions program

Michael Ruhlen, Vice President and Chief Medical Officer, Carolinas Medical Centre, Pineville, USA

Inter-Professional MedRec

11:40      Can Inter-Professional Medication Reconciliation Improve Patient Outcomes

  • Summarizes recently published systematic reviews associated medication reconciliation/ transitions in care in the hospital setting as well as practical critical elements for interprofessional medication reconciliation practice models that can empower clinicians to meaningfully contribute and impact patient medication reconciliation outcomes
  • Identifies patient level outcomes impacted by interprofessional medication reconciliation
  • Highlights key evidence associated with clinicians working in collaborative interprofessional teams impacting patient outcomes with the medication reconciliation patient safety intervention

Olavo Fernandes, Director of Pharmacy-Clinical, University Health Network and Assistant Professor, Leslie Dan Faculty of Pharmacy, University of Toronto, ON

12:20      Lunch and Networking

Seamless Transitions

1:20      Coordinating Care and Managing Transitions: Strategies to Reduce Hospital Readmissions

  • Provide an illustrative case study about care coordination and transition management in today’s health care delivery system
  • Explore the role of registered nurses in care coordination and managing transitions in reducing hospital readmissions
  • Describe the dimensions and competencies for coordinating care and managing transitions

Beth Ann Swan, Dean and Professor, Jefferson School of Nursing, Thomas Jefferson University PA USA

2:00      The Transitional Care Model for Complex Older Adults

  • The (TCM), designed by Dr. Mary Naylor and a multidisciplinary team of colleagues, addresses the negative effects associated with common breakdowns in care when older adults with complex needs transition from an acute care setting to their home or other care setting, preparing patients and family caregivers to more effectively manage changes in health associated with multiple chronic illness
  • Findings from multiple clinical trials have consistently demonstrated the positive impact of the TCM on older adults’ outcomes while reducing total costs of healthcare
  • Throughout the rigorously conducted clinical trials and demonstration programs to translate the evidence-base into clinical practice, as well as continuing efforts, ten essential elements have consistently emerged

Elizabeth C. Shaid, Advanced Practice Nurse, Department of Biobehavioral and Health Sciences, University of Pennsylvania, School of Nursing, Ralston-Penn PA USA

2:40      Afternoon Refreshments

Surgical Innovations to Reduce Infections and Enhance Recovery

3:10      Complications: an Avoidable Driver of Healthcare Resource Utilization?

  • Highlights of ERAS - evidence based consensus- driven, multidisciplinary recommendations that include several “processes of care”
  • Experience and meta-analyses show that compliance with the recommendations can reduce readmissions
  • The benefits of ERAS to the patient and the healthcare system include a reduction of resource utilization

Ronald M. Collins, Anesthesiologist, Department of Anesthesiology, Kelowna General Hospital BC

3:50      Novel Treatments Targeting Hospital Acquired Infections (HAI): Impacts for for Length of Stay and Readmissions

  • Infections acquired during hospitalization are major cause of morbidity and mortality
  • Hospital Acquired Infections, even when treated successfully, impact directly cost and length of hospital stay
  • Prevention of Hospital Acquired Infections associated with indwelling medical devices hold promise for saving life and reducing hospitalization cost

Yossef Av-Gay, Professor, Infection and Immunity Research Centre, The University of British Columbia, Division of Infectious Diseases BC

4:30      Brief summary of day one

4:40      IIR Healthcare invites all speakers, delegates and exhibitors to a networking drinks reception to discuss the days findings.

Thursday October 23, 2014

Day One | Day Two

8:00      Registration and Coffee

9:00      Opening Comments From The Chair

Jocelynn Bennet, Senior Director, Urgent and Critical Care, Mount Sinai Hospital, Toronto, ON

The Special Considerations of Addiction and Mental Health

9:10      KEYNOTE ADDRESS | The Couch of Willingness: An Alcoholic Therapist Battles the Bottle and a Broken Recovery System

  • Alcoholism and addiction are 2 of the leading causes of frequent readmissions
  • Unique perspective from a former addict
  • Psychotherapist’s explores promising new options for reducing readmissions and improved discharge planning

Michael Pond, Director, Pond Psychotherapy BC

9:50      Path to Home – Acute Care Mental Health (Covenant Health)

  • The Path to Home model has proven successful in acute care settings within program areas such as Medicine and Surgery
  • The Mental Health model focuses on this at risk population, examining clinical care and service delivery with the guiding principles of patient and family centric care, proactive inter-professional care planning and communication pathways, ensuring a consistent patient experience, and seamless transition to the next level of care

Lisa Jensen, Corporate Director, Integrated Access , Executive Lead, COV Path to Home, Covenant Health AB

10:30      Morning Refreshments

Home First - Perspectives and Implementation BC and Ontario

11:00      Home is the Best Philosophy

  • The pay for performance (P4P) initiative that started it all
  • Tools, profiles and integration between clients and case managers
  • Key to successful transitions from acute to home

Carl Meadows, Director of Home Health, Fraser Health BC

11:40      Supporting Complex Discharges – Changing the Culture: Changing the Conversation

  • Review of the implementation and current sustainability plan of the Home First Philosophy at Bruyère Hospital
  • Multiple tools and strategies were implemented, including extensive education for the interprofessional team around how best to engage patients and families in discharge planning conversations along with the creation of a weekly Discharge Review Committee
  • Case studies and 90 day follow-ups on current location and statistics on re-admission rates will be included

Shauna Thaler Adeland, Manager of Social Work and Discharge Planning, Bruyère Continuing Care ON

12:20      Lunch and Networking

Discharge Planning & End of Life : When the Focus is More About Time than Treatment

1:20      What do End-of-Life Conversations Have to Do with Discharge Planning?

  • Conversations about anticipated changes with patient who have life limiting illness can reduce unnecessary hospitalizations
  • A Fraser Health initiative engages all programs in establishing and communicating medical orders for a scope of treatment for patients at home, in hospital, and residential care

Cari Borenko Hoffmann, Project Coordinator, Advance Care Planning, Fraser Health & Della Roberts, South Delta ,End of Life Care, Fraser Health BC

2:00      Helping Palliative Patients Stay Home: Two Initiatives in Calgary

  • Discharge planning and problem management for epidural and intrathecal analgesia at home
  • Avoiding ER visits at end-of-life using the EMS Unexpected Event Protocol - project design and evaluation

Mary Wallis, Clinical Specialist, Alberta Health Services Palliative Care Consult Service - Calgary Zone AB

2:40      Afternoon Refreshments

Novel Approaches to Better Managing Chronic Conditions

3:10      Reducing lung attacks – a major cause of readmissions in Canada

  • Shifting emphasis from hospital based care to allied care workers
  • Recent guideline outlining important strategies to reduce exacerbation rates
  • Socioeconomic factors that may contribute to increased exacerbations

Jeremy Road, Professor, Dept of Respiratory Medicine, UBC BC

3:50      Breathe Well – RT’s Who Follow Their Patients Home

  • A home based program that provides collaborative case management, enhanced care and community resources for moderate to severe COPD clients with multiple co-morbidities
  • Integrating existing community services and primary healthcare in order to facilitate service to the most appropriate service, according to the patient’s priorities to avoid acute care or reduce a needed length of stay
  • A system of respiratory focused case management that builds practice support, education and electronic resources to facilitate patient directed system navigation to build a locally informed , standardized care access across the 8 regions of the Interior Health, both rural and urban

Cory Bendall ,IHA Regional Practice Lead – Breathe Well BC

4:30      Closing Comments

4:40      End of Conference. Thank you to all of the speakers for their contribution to the event. See you next year!