Dynamic updates on patient safety culture, strategic risk control, risk assessment, liability management, and outcomes disclosure perfectly tailored for your association meetings. Our six most popular programs include:

1. Establishing a Safety Culture in your Organization
2. FMEA on the Frontline
3. Root Cause Analysis for Healthcare Quality Managers
4. Protecting and Disclosing Proactive Risk Assessments
5. Strategic Risk Control
6. Patient Safety Leadership


1. Safety Culture Seminar
What is a safety culture and what does it take to develop a safety culture in your organization? Can a safety culture of an organization be measured and if so, what does the measurement tell you?

For associations whose members are ready to go beyond safety culture surveys, in this seminar attendees will learn how to align employee safety attitudes, behaviors, and outcomes. Learn the attributes of all high reliability organizations and how to apply these to healthcare organizations. Seminar focus is on what effective actions can be taken to begin to improve safety outcomes in healthcare organizations in the near term (and what traditional actions are of relatively low value).

At this half-day program participants will learn to:
• Select and Administer a safety culture survey
• Interpret the results of a safety culture survey
• Present the results to stakeholders and get buy-in for a focused safety program
• Align survey results with the organization’s mission and strategic plan
• Work toward safety culture improvement by integrating existing employee and patient safety initiatives
• Measure results at the bottom line

Patient safety should be designed in to your programs, your processes and your organization. We’ll show your members how to get there.


2. FMEA On the Frontline Seminar and Workshop
Complex hospital processes often rely on faultless performance by healthcare workers to avoid error and adverse outcomes. Failure Modes and Effects Analyses (FMEA) can be used to proactively identify the potential failure of individual process steps and the outcomes of those failures. FMEA is proactive and can identify potential risks, vulnerabilities and their effects before an adverse or sentinel event occurs. The JCAHO desires that hospitals select at least one high-risk process annually and use FMEA to identify and evaluate the potential failure modes to patient safety. Our approach to FMEA is straight forward and easy to apply; no expensive software or confusing terminology.

At this half-day interactive hands-on program participants will learn to:
• Identify hospital processes for application of FMEA
• The five steps to the FMEA process
• Documentation techniques for FMEA
• Evaluation of identified risks and development of action plans and counter measures
• Analyze case studies and apply FMEA tools
• Use of JCAHO-acceptable FMEA forms and documents


3. RCA for Healthcare Managers Seminar and Workshop
A Root Cause Analysis (RCA) in healthcare should be straight forward and easy for all participants. Our training will give you the tools and techniques for RCA that have been developed specifically for healthcare and teach you to facilitate the RCA process in your facility. No expensive soft ware, unfamiliar jargon, or intractable forms will be used.

At this half day hands-on program participants will learn to:
• Choose the right RCA tools
• Tell the difference between a root case and a contributing factor
• Identify system vulnerabilities
• Analyze case studies and apply RCA tools
• Write causative statements that focus on system failure (and avoid individual blame)
• Find countermeasures and write action plans that can produce measurable improvement
• Protect your RCA work product from discovery and litigation


4. Protecting and Disclosing Proactive Risk Assessments
One of toughest risk management issues today is how to satisfy the requirements for proactive risk assessments such as ICRA, RCA, and FMEA and yet protect them from discovery. How can we balance this requirement for risk assessment and protection against the equally compelling JCAHO requirement for disclosure of unexpected outcomes?

In this half-day seminar participants will:
• Review the types of proactive risk assessments now required by JCAHO and CMS
• Consider the risk of risk assessments being discovered through litigation
• Understand what strategies are available to risk managers to protect risk assessments from discovery and admission as evidence
• Review what triggers can be used to determine if an unanticipated outcome should be disclosed
• Learn how and what to disclose outcomes to patients and families
• Learn what four critical things must be in every satisfactory unanticipated outcomes disclosure made to a patient and/or their family to reduce your risk exposure


5. Strategic Risk Control Seminar
A strategic plan should be developed whenever an organization undertakes a major new initiative (such as patient safety). The plan adds the perspective of the long view to short term externally driven initiatives such as compliance with the National Patient Safety Goals.

The way a strategic plan is developed is dependant upon on the nature of the organization’s leadership, culture of the organization, complexity of the organization environment, size of the organization, and expertise of planners. Issues based strategic planning often starts by examining issues facing the organization, strategies to address those issues, and action plans. Major differences in how organizations carry out the various steps and activities in the RM strategic planning process are more a matter of size of the organization that its for-profit/not-for-profit status.

The key to strategic risk control is to establish strategies to reach the identified patient safety and risk management goals that are based on affordability, practicality, and efficacy.

In this day long seminar participants will learn to:
• Define purpose of the patient safety and risk management program
• Identify current risk exposures and align them with patient safety goals
• Evaluate the identified risks and goals
• Assign resources based on units of risk exposure and an organization’s risk tolerance
• Select cost effective counter measures and set attainable goals and objectives for the patient safety program
• Ensure the most effective use is made of an organizations resources by focusing on the key priorities
• Provide a base against which progress may be measured
• Communicate goals and objectives
• Construct a bridge between key RM staff, key stakeholders, and the Governing Body


6. Patient Safety Leadership
The JCAHO tells us that a hospital’s “Leaders plan and implement a safety management program. They are ultimately responsible for the safety of all patients and all staff. Leaders also establish expectations, plans, priorities, and manage the performance improvement process.”

Hospital governance and senior leadership define the scope of your patient safety program, give it direction, coordinate and add value to patient safety initiatives. We will show your members what it takes to give your organization a strategic patient safety plan that

• Promotes continual planning, directing and coordinating of the patient safety program with the organization’s mission and vision
• Gives both tactical and strategic direction that is practical, measurable, and adds value by decreasing the cost of risk
• Places risk management, quality management, and patient safety in an understandable and manageable context that promotes organization-wide integration
• Supports a culture of safety by reducing barriers, improving infrastructure and communication, and aligning mission and goals.

Patient safety should be designed in to your programs, your processes and your organization. We’ll show you how to get there.

 
"David made a complex issue easily understood by our members and provided practical applications. He is an outstanding presenter and was very well-received by the attendees."

-Rita Pruzan Director of Continuing Education New Jersey Hospital Association

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Built Environment
Business Continuation Plan

Center for Health Design, Healthcare Design Conference: 2017, Orlando Fl, “Ligature Attachment and Suicide Risk Assessment on Behavioral Health Inpatient Units"

Center for Health Design, Behavior Health Workshop: 2017, Washington DC “Suicide Risk Assessment on Behavioral Health Inpatient Units”

American College for Health Design, Summer Leadership Summit (SLS) 2017, Chicago, “Ethics and Architecture”

The Joint Commission (TJC) 2014, 2018, Chicago “Risk Assessments in Behavior Health “

American Society for Hospital Risk Management (ASHRM) 2017, Indianapolis “Behavior Health Risk Assessments”

American Society for Hospital Risk Management (ASHRM) 2018, Nashville TN, “Ethics Risk and Patient Centered Care”

American Society for Hospital Risk Management (ASHRM) 2013, “Enough already. Where’s my ERM Dashboard?”

Southern California Association for Healthcare Risk Management (SCAHRM), Annual Conference 2018, Palm Springs CA, “Risk and Ethics”

Department of Defense, U. S. Army MEDCOM Safety Conference, 2017, 2018 San Antonio TX “Risk Assessments”

Department of Defense, Veterans Health Administration Joint Safety Conference, 2018 Orlando FL, “Safety as a Nobel Profession”

University of Michigan, Health Learning Systems, 2018, “Ethics of Large Scale Medical Disclosures”

American Society for Hospital Risk Management (ASHRM) 2015, “The Path to Improved Outcomes: Integrating Risk Assessment with Risk Control”

 
List of Publications


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