MAPS PSO Annual Culture of Safety Workshop: Oct. 27-28

Time: 8:45 AM

Location:

Virtual

Oct. 27: 8:45 am to 3:45 pm
Oct. 28: 9 am to 2:30 pm

Registration:

This event is for MAPS PSO only. There is no fee to attend.

Register Online

Exclusively for MAPS PSO members, the MAPS Annual Culture of Safety Workshop will strengthen safety culture in our 100 member organizations. The virtual workshop’s first day will take a deep dive into workplace violence prevention, an increasingly important issue for all healthcare organizations. We’ll explore de-escalation techniques, clinical violence risk assessments and case studies applicable to real-world situations.

The second day will focus on enhancing PSO operations, arming you with tools to enhance your safety culture through Patient Safety Evaluation System policy, adverse event reporting and data submission. Member engagement and participation are hallmarks of the workshop: By sharing your challenges and ideas, together we can improve patient safety!

See our program brochure.

Agenda

DAY 1 – The Role of Patient Safety in Minimizing Workplace Violence Across the Care Continuum
 
8:45 – 9 am  Online Check-in
 
9 – 9:15 am  Welcome, Introduction and MAPS Patient Safety Champion Winners
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director
 
9:15 – 10:30 am  Plenary Session 1: Successful Practices and Interventions for Workplace Violence        
Jennifer A. Croland, BSN, RN, MSN, DNP, Vice President, Patient Care and Chief Nursing Officer, OSF Saint Francis Medical Center, Peoria
Lori Wiegand, DNP, System Chief Nursing Officer, OSF HealthCare
Sarah Overton, MSN, Chief Nursing Officer, OSF HealthCare Multispecialty Services
Beth Moore, MSN, Director Nursing Quality Safety, OSF Healthcare
Jill Williamson, MSN, Director of Education, OSF HealthCare

It’s often underreported and viewed as just part of the job, yet physical violence is a leading cause of injury to nurses in the workplace. How can your organization help prevent these incidents? With behavioral health challenges a key factor in patients inciting violence, an assessment upon admission is critical to identifying patients at risk for violent behavior. To implement this intervention, Croland and her colleagues researched and designed an objective screening instrument that is appropriate for multiple patient populations. You’ll learn about this cutting-edge approach to help protect your healthcare workers.
           
10:30 – 10:45 am  Break

10:45 – 11:25 am  Member Engagement Session: Discuss Your Workplace Safety Programs – the Positive and Negative
Conversation can be a starting point for action—and for “aha!” moments. Take this opportunity to share how your organization is addressing workplace violence and to hear what your peers are doing. These group discussions will be facilitated by MAPS staff and a subject matter expert who will guide the exchange of ideas, methodologies and challenges. You’ll gain new ideas and possible next steps for tackling this challenging workplace issue.
 
11:25 – 11:50 am  Report Out from Member Engagement Session
Facilitators from the Member Engagement Session will share the collaborative learnings from the group’s discussion. You’ll learn how MAPS members are providing staff support, educating patients and visitors, and creating new protocols to reduce workplace violence.
 
11:50 am – 12:30 pm  Lunch Break                                                                 

12:30 – 1:25 pm  Plenary Session 2: Empowering Staff with Compassionate Curiosity, Recognizing Triggers and Establishing Response Teams  
Kimberly A. Urbanek, BA, NREMTP, Deputy Chief Manager, Public Safety, Elmhurst Memorial Hospital, Elmhurst
What are patient identifiers and how can they help prevent disruptive—and potentially harmful—behavior among patients? Urbanek and her team developed an innovative approach using this data that flags patients who may turn violent. In rethinking prevention efforts, the hospital now responds to workplace violence events as if they were confronting a medical emergency: They call for a clinical rapid response team. This session will cover how a comprehensive strategy—which also includes training staff in de-escalation techniques and role-playing, posting signage for patient and visitor conduct, and engaging local law enforcement—can help lower the number of workplace violence incidents.
 
1:25 – 2:10 pm  Panel Discussion: Workplace Violence Challenges – Rural to Urban
Jennifer A. Croland, BSN, RN, MSN, DNP, Vice President, Patient Care and Chief Nursing Officer, OSF Saint Francis Medical Center, Peoria
Kimberly A. UrbanekBA, NREMTP, Deputy Chief Manager, Public Safety, Elmhurst Memorial Hospital, Elmhurst
Mike Hodges, MA, CPP, CHPA, System Director, Public Safety, Piedmont Healthcare, Atlanta
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director

Healthcare organizations can face unique challenges to workplace violence based on their facility type and location. This panel discussion will explore how different organizations respond to workplace violence issues in a variety of healthcare environments: inpatient, outpatient, urban/suburban and rural settings. Patient demographics also play a role in how organizations should prepare and will be part of this insightful conversation.

2:10 – 2:25 pm  Break

2:25 – 3:25 pm  Plenary Session 3: Managing Healthcare Safety via Proactive Workplace Violence Strategies   
Mike Hodges, MA, CPP, CHPA, System Director, Public Safety, Piedmont Healthcare, Atlanta
Here’s a provocative idea: Workplace violence prevention isn’t just about protecting employees, it’s also about improving patient outcomes. In this eye-opening session, you get a broader view of violence prevention from a leader in the field. Hodges will share how his organization learned to leverage support functions more effectively, using tools such as clinical violence risk assessments and patient flagging in the electronic medical records to prevent violence and improve patient care. The session will also cover how effective video analytics can turn existing security video systems into preventative instead of reactionary tools.

 3:35 – 3:45 pm  Review of Collaboration and Closing Remarks
Crystal Lathen, BS, MAPS Coordinator

 
Day 2 – PSO Strategies and Tools to Enhance Your Patient Safety Program

8:45 – 9 am  Online Check-in

9 – 9:15 am  Welcome and Introductions                                                   
Crystal Lathen, BS, MAPS Coordinator                                                                                   
                                        
9:15 – 10 am  PSO Member Feedback on MAPS Event Reporting Platform
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director
Expanded event types, a member review option, new dashboard reports and a member library: These features of the Clarity Healthcare SafetyZone® Event Reporting Platform prompted MAPS to switch from the NextPlane/Press Ganey Platform, with pilot testing in May. This session offers the opportunity to share feedback on your experience in using to the new software program. Please come ready with your ideas and suggestions for how to better understand submitted data, discuss the event investigation process and tackle the challenges of accurate reporting.  

10 – 10:40 am  Small Group Sessions – PSES Questions and Clarifications Consistencies in Staff Reporting of Adverse Events
There are consequences when staff and temporary workers do not follow reporting guidelines to enter events into electronic medical records or patient safety/risk software programs. That missing information means healthcare organizations are not protected from litigation for those specific adverse events, near misses and unsafe conditions. What’s more, it hinders process improvement to prevent further harm. These small group breakout discussions will reveal how important it is to encourage reporting accuracy, conduct event investigations and provide feedback to staff. 
 
10:40 – 10:55 am  Break                  
 
10:55 – 11:30 am  PSO Workforce Training: Critical Insights for You and Your Workforce
Peggy Binzer, JD, Executive Director, Alliance for Quality Improvement and Patient Safety
Get the essentials of PSO operations, from basic skills to Patient Safety Work Product and legal protections: This expert-led session brings Binzer’s hands-on experience as the top executive of the nation’s leading professional association for PSOs. Binzer has developed essential PSO workforce training on the importance of having a Patient Safety Evaluation System (PSES) policy, adopting consistent event reporting and championing adherence to safety protocols. This session will explore PSO basics, federal protections and team culture necessary for a strong PSO program.
                           
11:30 am – 12:10 pm  Conducting an Internal Safe Table and Including Outside Parties
Peggy Binzer, JD, Executive Director, Alliance for Quality Improvement and Patient Safety
Unique to PSOs, Safe Table events present valuable opportunities for shared learnings across a health system or within a specific organization. In this session, Binzer will outline best practices for conducting internal Safe Tables and discuss how PSO temporary workforce can be utilized to bring in vendors, external experts or other resources to create meaningful collaborative learning. You’ll also see how fundamental these events are to following through on your organization’s Patient Safety Evaluation Policy (PSES)—to share learnings in a confidential and safe environment.

12:10 – 12:40 pm  Lunch Break                                                                 

12:40 – 1 pm  Member Engagement Session – Discussing This Year’s Patient Safety Challenges
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director
This lively session will put your patient safety challenges and questions at the center of the conversation. We’ll highlight member questions and review responses and resources. We’ll also dive into the pre-workshop survey sent to all MAPS members. This is your time to share, collaborate and discover the critical challenges facing your peers in their work environments.
 
1 – 1:30 pm  Data Lessons and Data Points That Drive Change
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director
What methods and software programs are you using to capture and analyze adverse events? And what data points are helping drive change? This session offers an opportunity to compare notes and learn from each other about workflow processes for entering, reviewing and focusing on gaps of patient level care. We’ll cover event types, harm score, social determinants of health, contributing factors and more.

1:30 – 2:10 pm  Ambulatory Workplace Violence Prevention Toolkit
Amanda M. Conn MSN, RN, LSSGB, Director of Risk Prevention, Patient Safety and Employee Health, SIU School of Medicine, Springfield
Crystal Lathen, BS, MAPS Coordinator
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director

Six in 10 healthcare workers reported experiencing some form of workplace violence, according to recent data. That statistic includes workers in ambulatory settings, where growing patient visits means greater potential for workplace violence. In this session, you’ll learn how to prevent workplace violence in ambulatory settings through a toolkit developed by the MAPS Ambulatory Focus Group. We encourage all MAPS members to exchange ideas on workplace safety, de-escalation techniques and how to provide a safe working environment in healthcare.

2:10 – 2:30 pm  Wrap-up Summary of MAPS Learnings                                            
Carrie Pinasco, BS, CDM, BCQS, MAPS Senior Director

Objectives

Day 1

  1. Outline systematic approaches to preventing and responding to patient harm from workplace violence events. Specify the impact of a safe culture and management of harm on patient safety.

  2. Describe the interconnectedness of harm prevention domains and response including staff training/support, patient/visitor education, environmental evaluations and the organizational safety culture.

  3. Learn how to employ empathic communication skills with patients and visitors at all points of contact including assessment of heightened emotional levels as well as types of communication techniques and de-escalation skills.

Day 2

  1. Outline the impact of an organization’s participation in a Patient Safety Organization (PSO) and the achievement of PSO certification on an organization’s safety culture.

  2. Describe the Patient Safety Evaluation System (PSES) policy development process and the PSO requirements for data submission and confidentiality policies.

  3. Discuss the importance of reporting adverse events, near misses and unsafe conditions to improve patient care and identify gaps in patient safety operations.

Who Should Attend

Day 1:

  • Leadership staff

  • Patient Safety, Quality and Risk staff

  • Physicians, Nurses and Clinical staff

  • Security and Safety teams

  • Behavioral Health staff


Day 2:
  • Leadership staff

  • Patient Safety, Quality and Risk staff

  • Physicians, Nurses and Clinical staff

Speakers

Darren Barnes, RN, MHA, CPHQ, LSSBB, Director of Quality Improvement and Clinical Analytics, SIU Medicine, Carbondale
Barnes has over 20 years’ experience in quality improvement and patient safety. He is a Lean Six Sigma Black Belt and certified Just Culture trainer. As director of quality, Barnes is responsible for federal- and state-mandated reporting programs; works closely with the clinical departments on focused quality improvement projects; and provides data analytics that support quality improvement, patient safety, and clinical operations. In collaboration with the SIU Medicine Risk & Safety team, Barnes established and facilitates the department-level Patient Safety Evaluation System committees. He reviews patient safety incidents, conducts investigations into safety events and facilitates the root cause analysis process. Previously he was a quality improvement consultant with the Medicare Quality Improvement Organization and a quality improvement coordinator for a 13-hospital system.

Peggy Binzer, JD, Executive Director, Alliance for Quality Improvement and Patient Safety
Binzer leads efforts to measurably improve patient safety and the quality of patient care as the top executive at the Alliance for Quality Improvement and Patient Safety (AQIPS). She assists providers in implementing a culture of safety and high reliability, working with PSOs and the healthcare professional community to provide consistency in patient care quality and to implement innovative patient safety programs throughout the continuum of care. Binzer spearheaded the crafting and passage of the Patient Safety and Quality Improvement Act (PSQIA) while serving as Senior Health Counsel for the Senate HELP Committee. As a shareholder at the law firm Polsinelli PC, Binzer provides PSOs and their members with legal guidance to enhance PSQIA protections and design innovative quality improvement programs. She is committed to helping members of Congress and federal regulatory authorities understand the nuances of PSQIA that can improve safety culture, reduce healthcare costs and save lives.  

Amanda M. Conn, MSN, RN, LSSGB, Director of Risk Prevention, Patient Safety and Employee Health, SIU School of Medicine, Springfield
Conn develops, implements and monitors critical incidents and the reporting system through SIU’s physician practice and School of Medicine in Springfield. As part of that work, she performs all clinical safety, risk and quality evaluations for the practice. Conn initiates action plans for workflow optimization and mitigation/resolution of deviations from policies, procedures or best practices. Additionally, she collaborates with SIU Healthcare and the medical school’s legal services regarding clinical practice patient safety investigations.

Jennifer A. Croland, BSN, RN, MSN, DNP, Vice President Patient Care, Chief Nursing Officer, OSF Saint Francis Medical Center, Peoria
Chief Nursing Officer since 2014, Croland is responsible for planning, directing and evaluating the operations of the patient services division, ensuring the provision of proficient nursing care services. She began her career in nursing as a registered nurse s at OSF Saint Francis and has served as a patient care manager, director and executive director in various departments at OSF. As executive director of Tele Health Services, Croland implemented an eICU model of care and developed the telehealth program’s strategy, making recommendations for future TeleHealth services at OSF HealthCare. She is a recipient of Central Illinois 25 Women in Leadership and the Peoria area 40 Leaders Under Forty Award. Croland is a member of Sigma Theta Tau International Nursing Honor Society, American College of Healthcare Executives and American Organization of Nurse Leaders. She is a board-certified nurse executive.

Tammy De Leonardis, Executive Assistant, Midwest Alliance for Patient Safety
Since joining MAPS in 2014, De Leonardis organizes and evaluates key processes and tasks to facilitate member engagement outlined MAPS PSO goals. She previously worked as an Administrative Assistant at MXD Group, formally Excel Direct Inc., for over seven years. Her past roles also include Facility Coordinator and Project Manager. De Leonardis has over 18 years of experience improving overall office operations and processes while optimizing efficiency to support executives in various industries.

Mike Hodges, MA, CPP, CHPA, System Director, Public Safety, Piedmont Healthcare, Atlanta
An engaged and proactive healthcare leader, Hodges has over 20 years of operational security experience. His work and interests are focused on proactive prevention of violence against healthcare workers and strategic security training. Hodges is a pioneer in proactive healthcare security solutions, leading the development of a collaborative workplace violence prevention program that reduced incidents of workplace violence by over 50% prior to the pandemic. He has written for multiple publications and has provided expert support for many multidisciplinary teams working to reduce acts of violence against healthcare workers. Prior to healthcare, Hodges was a member of the U.S. Army. His service included response to Hurricane Katrina and combat tours in Iraq and Afghanistan. Hodges also currently manages the Proactive Security blog and is the co-host the Proactive Security Podcast.

Crystal Lathen, BS, Coordinator, Midwest Alliance for Patient Safety
For nearly three years, Lathan has led MAPS’ ambulatory focus group and onboarding of new members. Lathan works closely with MAPS members to outline the benefits of the PSO program and facilitate member training and educational events. She actively listens to member needs and challenges to develop targeted collaborative communications. Lathen has worked in healthcare since 2007. She was previously a patient advocate, lead patient service representative and surgical scheduler at two separate ambulatory facilities.

Beth Moore, MSN, Director, Nursing Quality and Safety, OSF HealthCare
Moore provides expertise and oversight for nursing-sensitive quality indicators and nursing quality programs to identify key drivers and outcome measures to achieve top decile performance. She is responsible for ministry-wide nursing quality programs, including prevention and management programs for nursing quality indicators: falls, pressure injuries and patient aggression. Moore’s collaborative philosophy involves working with operational leadership to implement clinical agenda initiatives and other prioritized ministry quality efforts.

Sarah Overton, MSN, RN, Chief Nursing Officer, OSF HealthCare Multispecialty Services
Overton is accountable for over 6,000 clinical staff of OSF Medical Group and Home Care. She also oversees and is accountable for OSF Healthcare System Employee & Occupational Health. Her primary areas for direct accountability are Ambulatory and Home Care quality and Safety, clinical education/professional development, and nursing excellence and professional practice.

Carrie Pinasco, BS, CDM, BSQS, Senior Director, Midwest Alliance for Patient Safety
Pinasco’s healthcare career includes 13 years of extensive experience supporting clinical benchmarking projects, patient safety data collection and PSO program development. After working in patient safety at UHC (now Vizient, Inc.), Pinasco joined MAPS to provide marketing, strategic planning, data management and educational support to the PSO program. She spearheads the coordination of all member engagement including: onboarding, data collection, training, member collaboration, advisory council activities and website education. In addition, Pinasco oversees MAPS’ collaboration efforts with other PSOs, marketing and new business development.  

Lindsay Price, PT, MBA, CPPS, System Director of Patient Safety and Accreditation, Memorial Health, Springfield
Price oversees Memorial Health’s patient safety program and collaborates with leaders across the health system to proactively focus on patient safety and quality issues. In addition, she directs efforts to ensure the health system is in compliance with Joint Commission Standards, Centers for Medicare & Medicaid Services’ Conditions of Participation and state regulations. Price is a Certified Professional in Patient Safety and a Certified Just Culture Champion. She is also a member of the American College of Healthcare Executives and the American Physical Therapy Association.   

Ruth Rankin, MS, RN, CPHRM, CPPS, CASA, System Director of Risk Management, Edward-Elmhurst Health
Rankin has over 30 years of nursing experience, serving in various leadership roles for risk, quality and case management, acute care, med surg, behavioral health, primary and specialty care practice management, and patient-centered medical home settings.

Kimberly A. Urbanek, BA, NREMTP, Deputy Chief Manager, Public Safety, Elmhurst Memorial Hospital, Elmhurst
With over 22 years of healthcare experience, Urbanek is a master-level instructor in crisis prevention. She has held clinical positions in open heart surgery, critical care, para-medicine and emergency medicine, as well as non-clinical and management level positions. A workplace violence prevention expert and educator, Urbanek is a certified instructor in public safety and emergency preparedness, including active threat, CPR, crisis prevention, first aid, advanced cardiac life support, hazmat, oleoresin capsicum (pepper spray), pepper guns, self-defense, service recovery, interview and interrogation, and taser use.

Lori L. Wiegand, DNP, NEA-BC, Senior Vice President, Chief Nursing Officer, OSF HealthCare
Since 2013, Wiegand has led the nursing enterprise across OSF HealthCare, which is includes 15 Illinois hospitals predominantly. She served as chief nursing officer for OSF St. Francis Medical Center—a 616-bed acute care hospital in Peoria with ambulatory and clinic services—building a proven track record for translating organizational strategies into actionable plans and measurable results.

Jill Williamson, MSN, Director of Education, OSF HealthCare
Serving in multiple capacities since 2000, Williamson has been charge nurse, clinical educator and, most recently, director of education with OSF HealthCare. She has been a change agent for educational and training strategies aimed at utilizing evidence-based practices to improve clinical outcomes. Williamson applies principles, standards and technology to education through simulation training and research. She has lead, developed and evaluated the work of clinical education specialists on her team as well as the contributions to developing OSF staff.