Highlights from the 26th Health Care Risk Management Conference

Highlights from the 26th Health Care Risk Management Conference

Communication for Patient Safety

Presented by FOJP and HIC

Wednesday, March 5, 2014

Communication is a sometimes overlooked, yet critical aspect of patient safety and quality of care. During the 26th Health Care Risk Management Conference, Communication for Patient Safety, nearly 600 attendees gained important insight into initiatives and training methods that are being used to improve communication among physicians, nurses, allied health professionals and patients in order to deliver high-quality care.


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8:00 am

Patricia Kischak, RN, MBA, CPHRM
Vice President, Risk Management and Chief Nursing Officer
Hospitals Insurance Company

David L. Feldman, MD, MBA, CPE, FACS
Senior Vice President and Chief Medical Officer
Hospitals Insurance Company

From Idea to Impact: Improving Safety in Hospitals through Teamwork and Respect

8:15 am

Pamela Brier
President and Chief Executive Officer, Maimonides Medical Center

The Future of Medicine: The New Market for Quality in an Era of Transparency

8:45 am

Martin Makary, MD
Johns Hopkins surgeon and New York Times bestselling author.

Dr. Makary, co-creator of The Surgery Checklist, will review commonsense interventions that are the new focus of quality efforts nationwide. He will describe new trends in healthcare, identifying innovations in care delivery in an era of transparency. The state and future of clinical registries will be reviewed, as well as their implications for quality metrics and price transparency.

Can You Hear Me Now?

9:30 am

Kathleen Bartholomew, RN, MN
Author, international speaker, and hospital culture expert

Every year, more than 400,000 patients in this country die unnecessarily—the equivalent of 1,200 Boeing 747 crashes—and at the center of almost every disaster are substantial failures to communicate. Studies show clearly that physicians and nurses cling to the mythology that clinical communication is clear and adequate—but the opposite is painfully true. Why is communication among health care professionals so deficient? It’s not because we have bad physicians and nurses. Rather, it’s because physicians and nurses are human, and human beings are often incapable of communicating accurately or clearly. When it comes to patient safety, the key to massive improvement is stunningly simple: Acknowledge the gaps in our capacity to communicate, and put in place the techniques and methods to bridge those gaps. If we are to achieve the highest level of patient safety, deliver quality care, and create the collegial relationships that will nurture and sustain us as health care professionals, overhauling our approach to communication is crucial. 

Fostering Effective Communication among Health Care Providers

10:30 am

Louis Brusco, MD
Chief Medical Officer and Senior Vice President
Mount Sinai St. Luke's Roosevelt 

Enhancing Physician–Nurse Communication in a Co-Management Project 
Alan Briones, MD—Director, Medical Consult Service, Mount Sinai Hospital
Shalom Simmons, RN, MSN, BSN, BBA—Clinical Nurse Manager, Thoracic and Vascular Surgery Step-Down, Mount Sinai Hospital

Enhancing Surgeon–Hospitalist Communication in a Co-Management Project 
Michael Leitman, MD—Vice Chairman and Director, Surgical Residency Program, Mount Sinai Beth Israel 
Dahlia Rizk, DO—Chief, Hospital Medicine, Mount Sinai Beth Israel 

Active Interdisciplinary Communication to Improve Patient Safety and Time-Out Process
Carol Kidney, RN—Vice President, Perioperative Services, Maimonides Medical Center
Sameh Samy, MBBCh, MSA, CPHQ—Director of Quality Outcomes, Organizational Performance Department, Maimonides Medical Center

Using Simulation to Enhance Provider-to-Provider Communication in an Obstetrical Setting 
Dena Goffman, MD—Director of Maternal Safety and Simulation, Montefiore Medical Center
Colleen Lee, MS, RN—Maternal/Perinatal Patient Safety Officer, Montefiore Medical Center

"Wait. What Did You Say?" Interactive Simulation Exercise and Discussion

11:30 am

Adam Levine, MD
Professor of Anesthesiology, Otolaryngology, Structural and Chemical Biology, Vice Chair of Education, Department of Anesthesiology, Mount Sinai Hospital

Samuel DeMaria, Jr., MD
Associate Professor of Anesthesiology, Mount Sinai Hospital

Through the power of human simulation and audience participation, attendees will have the opportunity to influence an immersive live simulation that will illustrate the power of effective—and the danger of ineffective—communication. 

Seven Pillars: Bridging the Patient Safety–Medical Liability Chasm

1:00 pm

Tim McDonald, MD, JD
Chief Safety and Risk Officer
University of Illinois Hospital and Health Sciences System

Dr. McDonald will review the Seven Pillars: a comprehensive approach to patient harm. His presentation will focus on the barriers to—and the array of benefits associated with—open and honest communication when harm occurs or mistakes happen in healthcare, as well as the value of a holistic approach to "Caring for the Caregiver" following unexpected patient outcomes.

Fostering Effective Communication between Health Care Providers and Patients

1:45 pm

Michael Brodman, MD
Professor and Chair, Obstetrics, Gynecology and Reproductive Science 
Mount Sinai Hospital

Communicating with Obstetrics Patients When the Unexpected Occurs: A Multi-Disciplinary, Multi-Level Program 
Raymond Sandler, MD—Director, Labor & Delivery, Mount Sinai Hospital
Loraine O’Neill, RN—Director of Quality Initiatives for Department of Obstetrics and Gynecology, Mount Sinai Hospital

Shared Decision Making in Obstetrics:  Informed Consent for the Pregnant Patient 
Michael R. Berman, MD—Associate Chairman for Quality and Patient Safety, Medical Director, Labor and Delivery, Department of Obstetrics and Gynecology, Mount Sinai Beth Israel 

Engaging and Educating Obese Surgical Patients to Achieve Informed Consent 
Peter Shamamian, MD—Chief Quality Officer, Vice Chairman, Quality Improvement and Performance, Department of Surgery, Montefiore Medical Center

Communication Strategies to Achieve Improved Outcomes with Obese Surgical Patients
Camille Scarciotta, RN, MSN—Assistant Vice President for Nursing Administration, Maimonides Medical Center
Ronald Kaleya, MD—Director of Gastrointestinal Surgical Oncology, Maimonides Medical Center

Speaker Biographies

Pamela S. Brier, MPH

Pamela S. Brier, MPH

Pamela S. Brier, MPH, is President and Chief Executive Officer of Maimonides Medical Center. She has been at Maimonides since 1995; for eight years she served as Executive Vice President/Chief Operating Officer and, since 2003, she has been the leader of this 700-bed major teaching hospital.

At Maimonides, Ms. Brier has been a staunch advocate for the highest standards of safe patient care that is also compassionate and focused on patients. She has worked to position the hospital as a major tertiary care center that remains true to its community roots. Maimonides has earned a national reputation for developing an innovative care management model program for patients with serious mental illnesses and other chronic diseases.

Ms. Brier’s commitment to investing in information technology resulted in Maimonides’ repeated recognition by the American Hospital Association as one of the nation’s top 100 “Most Wired and Wireless” hospitals. Under her leadership, Maimonides has also gained a widespread reputation for medical excellence and IT innovation. Ms. Brier currently serves as Vice Chair of the Board of the New York eHealth Collaborative (NYeC), a statewide public/private partnership organization devoted to health IT promulgation and adoption. 

Ms. Brier’s accomplishments at Maimonides reflect her extensive experience as an active part of the health care scene in New York. Her career includes senior positions in the New York City Health and Hospitals Corporation and as chief executive officer of Jacobi Medical Center and Bellevue Hospital Center.

Ms. Brier is also known throughout the city for her commitment to public health and community service. In 2003, she was appointed by Mayor Bloomberg to serve on New York City’s Board of Health. She also serves on the City’s Board of Corrections and is a board member of the Fund for Public Health in New York City. She has also served on the New York State Hospital Review and Planning Council, the city’s Community Service Board, and the UNITE HERE/Union Health Center. She has lectured at New York University’s Wagner Graduate School of Public Service and at the Zicklin School of Business Executive Program at Baruch College. In 2009, 2011, and 2013, she was recognized by Crain’s New York Business as one of the “50 Most Powerful Women in New York.”

Ms. Brier holds a bachelor of arts degree with honors from the University of California at Berkeley and a master’s degree in health administration from UCLA.

Martin Makary, MD

Martin Makary, MD

Martin Makary, MD, is an active surgeon and researcher, serving jointly on the faculty of the Johns Hopkins School of Medicine and School of Public Health. Dr. Makary serves in leadership roles for the United Nations World Health Organization (WHO) and the International Union of Risk Management, and is a regular medical guest on CNN. He is the author of several books on public health and surgery, patient safety, quality of care, and health policy.

Dr. Makary was educated at Bucknell University, Thomas Jefferson University, and Harvard University. He completed his general surgical training at Georgetown University and further subspecialty training in pancreaticobiliary and GI surgery at Johns Hopkins University.

His current research interests focus on the delivery of quality care, the science of medical errors and patient safety, international health, and health policy. His ongoing studies include the clinical and public health implications of new technologies in surgery. Dr. Makary also serves as Co-Director of the Johns Hopkins Quality and Safety Research Group at Fells Point.

Dr. Makary is the New York Times best-selling author of Unaccountable, a 2012 Library Journal Book of the Year, which discusses how transparency is revolutionizing medicine and empowering patients. He is a leading expert on workplace culture and was the lead author of the original publications on the surgery checklist. He led the WHO technical workgroup on developing metrics to measure surgical quality worldwide.

Kathleen Bartholomew, RN, MN

Kathleen Bartholomew, RN, MN

Kathleen Bartholomew, RN, MN, held positions in marketing, business, communications, and teaching before turning to health care as a career in 1994. It was these experiences that allowed her to look at nursing from a different perspective and speak poignantly to the issues that affect nurses today.

Ms. Bartholomew has been a national speaker for the nursing profession for the past 11 years. As the manager of a 57-bed surgical unit at the Swedish Medical Center in Seattle, she quickly recognized that creating a culture in which staff felt a sense of belonging was critical to retention. She spoke to the numerous factors that propel our society toward isolation and encouraged staff to connect and value one another. During her managerial tenure, staff, physician, and patient satisfaction improved significantly as she implemented her down-to-earth strategies for creating community. Despite the nursing shortage, she could always depend on a waiting list of nurses for her unit. 

Ms. Bartholomew’s liberal arts degree laid the foundation for her to correctly identify the norms particular to health care—specifically, physician–nurse relationships and nurse-to-nurse hostility. For her master’s thesis, she authored Speak Your Truth: Proven Strategies for Effective Nurse-Physician Communication, which addresses physician–nurse issues. In December 2005, she resigned her position as a manager at the Swedish Medical Center to write a second book on horizontal violence in nursing. In her 2006 book, Ending Nurse to Nurse Hostility: Why Nurses Eat Their Young and Each Other, Ms. Bartholomew offered the first comprehensive and compassionate look at the etiology, impact, and solutions to horizontal violence. In addition, with her husband, John J. Nance, she co-authored Charting the Course: Launching Patient-Centric Healthcare. Ms. Bartholomew won the best media depiction of nursing for her op-ed in the Seattle Post Intelligencer and in 2010 she was nominated by Health Leaders Media as one of the top 20 people changing health care in America.

Ms. Bartholomew’s passion for creating healthy work environments is infectious. She is an expert on hospital culture and speaks internationally to hospital boards, the military, leadership, and staff about safety, communication, cultural change, and power. From the bedside to the boardroom, she applies research to practice with humor and an ethical call to excellence.

Timothy McDonald, MD, JD

Timothy McDonald, MD, JD

Timothy McDonald, MD, JD, is Chief Safety and Risk Officer for Health Affairs at the University of Illinois at Chicago (UIC) and Co-Executive Director for UIC’s Institute for Patient Safety Excellence. Dr. McDonald has practiced pediatric anesthesia in Chicago for the past 19 years and currently serves as the Chief of Pediatric Anesthesiology at UIC. Dr. McDonald attended Loyola Law School and received his JD degree in 1997. Following his graduation from Loyola, Dr. McDonald began to work closely with the Department of Safety and Risk Management at UIC and was offered a series of progressively advancing positions, with responsibilities including oversight of the investigation and management of all unexpected adverse patient events and responsibility and input into the management of the university’s medical malpractice activities. Dr. McDonald helped create the medical center’s comprehensive program for responding to adverse patient events that includes a “full disclosure with rapid apology and rapid remedy” process.

Dr. McDonald established UIC Medical Center’s comprehensive program to prevent patient harm and to respond to adverse patient events, which integrated the efforts of the departments of patient safety, risk management, quality, and physician credentialing.