MAPS PSO Annual Culture of Safety Workshop - Oct. 30-31

Time: 8:30 AM


Oct. 30-31, 2019
Northern Illinois University, Naperville


Complimentary for MAPS members

Day 1 fee for non-MAPS members

  • $244 — first registrant

  • $144 — each additional colleague

Register Online

Enhance your patient safety strategy—Hear from top thought leaders during our interactive and collaborative workshop on building safety culture.

You’ll gain new insights into:

  • Communication and Resolution Programs

  • Principled approach to patient harm

  • Empathic and honest communication

  • Emotional first aid

  • Go Teams

  • And more

See our brochure.


DAY 1— Adopting “Safety Culture” to Prevent and Respond to Patient Harm
Open to all healthcare professionals

8:00 – 9:00 am
Breakfast Buffet with Event Sponsors

9:00 – 9:30 am
A Comprehensive Approach to Patient Safety
David Mayer, MD, Executive Director, MedStar Institute for Quality and Safety, Columbia, Maryland
Jack and Teresa Gentry, Patient and Family Advocates, MedStar Institute for Quality and Safety

9:30 – 10:00 am
CANDOR Process: Review of a “Mega Case”  
Timothy McDonald, MD, JD, Director, Center for Open, Honest Communication, MedStar Institute for Quality and Safety

10:00 – 10:45 am
Three Keys to Safety Culture: High Reliability, Event Review and Go Teams
Dr. Mayer

10:45 – 11:15 am       

11:15 – 11:45 am
Prioritizing Initial Patient and Family Communication
Dr. McDonald

11:45 – 12:45 pm
Addressing Individual Needs: Human Factors, Just Culture and Care for the Caregiver
Dr. Mayer and Dr. McDonald

12:45 pm – 1:00 pm
MAPS “Good Catch” Award
Carrie Pinasco, MAPS Director

1:00 – 2:00 pm
Networking Lunch with Event Sponsors

2:00 pm – 2:15 pm
Enhancing Event Review Through Fairness and Accountability
Dr. McDonald and Dr. Mayer

2:15 – 3:00 pm
CANDOR: Patient and Family Communication
Dr. McDonald
Jack and Teresa Gentry

3:00 – 3:15 pm

3:15 – 3:45 pm
Achieving Resolution
Martin Hatlie, JD, Co-Director, MedStar Institute for Quality and Safety
Jack and Teresa Gentry

3:45 – 4:15 pm
Pulling It All Together
MedStar Team

DAY 2— Integrating MAPS PSO into Your Zero Harm Strategy
Open to MAPS members only 

7:45 – 8:00 am                       
Pick up breakfast to take to our Town Hall Meeting

8:00 – 8:45 am
MAPS PSO Town Hall
Carrie Pinasco, MAPS Director

9:00 – 9:15 am
Carrie Pinasco

9:15 – 10:30 am
The Benefits of Legal Protections: An Update on Recent Cases
Peggy Binzer, JD, President, Alliance for Quality Improvement and Patient Safety (AQIPS), Alexandria, Virginia

10:30 – 10:50 am
PSO Member Presentation – OSF Cares Program
Becky Robinson, BS, CPHRM, Director, Clinical Risk Management, OSF HealthCare
Layne Steffens, RN, MSN, CPPS, Program Manager, OSF HealthCare

10:50 – 11:30 am
Understanding the Value of Data Submission and Data Reports
Mike Personett, CEO of NextPlane Solutions, Fort Worth, Texas
Carrie Pinasco and Kelly McMahon, IHA Quality Manager

11:30 am – 12:45 pm
Networking Lunch with Member Story Boards

12:45 – 1:45 pm
PSO Workforce Training for You and Your Staff
Peggy Binzer, JD

1:45 – 2:45 pm

A Policy Blueprint for Reviewing Adverse Events
Peggy Binzer, JD

Building a MAPS PSO RCA Template
Ashley Frederick, IHA Clinical Manager

2:45 – 3:30 pm
MAPS PSO Panel Discussion                                                 
Kelly McMahon, IHA Quality Manager
FHN Memorial Hospital team:

  • Cheryl Rife, RN, MSN, CPHQ, CPPS, Director Clinical Quality

  • Makenzie Olsen, Quality Assistant

  • Shannon Driscoll, RN, BS, Clinical Risk Quality Specialist

  • Tammy Pals, CHC, Director Compliance/Risk Management

3:30 – 3:45 pm
Closing Remarks
Ashley Frederick


Day 1

  • Describe the comprehensive, principled and systematic approach to preventing and responding to patient harm from establishment of a psychologically safe culture and management of harm from event through resolution.

  • Understand the interconnectedness of all of the domains of harm prevention and a response to harm including Just Culture and high reliability.

  • Employ empathic communication skills at all points of contact including each attendee receiving an assessment of their own level and type of communication skill.

Day 2

  • Describe the importance of assuring that your PSO workforce understands the core confidentiality requirements of the PSQIA.

  • Discuss how the PSO can be utilized to improve culture and patient safety.

  • Describe the process for operationalizing the PSO.

  • Develop a better understanding of PSO data and its impact on making patient safety strategies.

Who Should Attend

Clinicians and professionals in:

  • Quality improvement

  • Patient safety

  • Risk management

  • Hospital operations

  • Senior leadership

  • Social work

  • Patient Family Advisory Councils


David Mayer, MD, Executive Director, MedStar Institute for Quality and Safety, Columbia, Maryland
Dr. Mayer leads quality and safety programs that support discovery, learning and innovative methods to address operational clinical challenges. He also designs and directs system-wide activity for patient safety and risk reduction programs. Before rising to executive director of MedStar’s Institute, Dr. Mayer served as Vice President of Quality and Safety for MedStar Health for over six years. He oversaw clinical quality infrastructure and its operational efficiency. He also serves as CEO of the Patient Safety Movement Foundation, where he leads global patient safety efforts and initiatives.

Martin Hatlie, JD, Co-Director, MedStar Institute for Quality and Safety, Columbia, Maryland
Hatlie leads the Institute’s work to integrate open and honest communication strategies, patient and family engagement, research, and high-reliability organization methods into quality and safety improvement. He also serves as President and CEO of Project Patient Care, a Chicago-based safety and quality improvement coalition dedicated to involving the voice of patients to improve care. Hatlie consults on federal health system transformation work through several projects funded by the Centers for Medicare & Medicaid Services, Agency for Healthcare Research and Quality, and Patient-Centered Outcomes Research Institute.

Timothy McDonald, MD, JD, Director, Center for Open, Honest Communication, MedStar Institute for Quality and Safety, Columbia, Maryland
In addition to his role at MedStar, Dr. McDonald is a law professor at Loyola University in Chicago and President of Transparent Health Consulting. He conducts research on the principled approach to patient harm and the normalization of compassionate honesty. Dr. McDonald also focuses on improving the quality of care while mitigating medical liability and other legal issues. He is the author of dozens of articles on patient safety and medical liability and recipient of several national and international patient safety awards.

Peggy Binzer, JD, Executive Director, Alliance for Quality Improvement and Patient Safety (AQIPS), Alexandria, Virginia
Binzer leads the nation’s leading professional association for PSOs, guiding PSO members in measurably improving patient safety and quality care through safety culture and high reliability. Binzer spearheaded the crafting and passage of the Patient Safety and Quality Improvement Act (PSQIA) while serving as Senior Health Counsel for the U.S. Senate Committee on Health, Education, Labor and Pensions. As a Shareholder at Polsinelli PC, she provides PSOs with legal guidance to enhance PSQIA protections and design innovative quality improvement programs.