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The meeting provided a wealth of ground-level information, and participants could benefit from the experiences of others who have tackled BPOC, including the failures as well as the successes. Attendance at the unSUMMIT is probably the best investment in time and energy for any organization in the planning process for BPOC.
Kevin Bertha Pharmacy Operations Manager Baltimore Washington Medical Center
The unSUMMIT is the premier educational event for hospitals interested in Barcoding at the Point of Care (BPOC). Since 2005, our mission has been to bring together those who shared our passion for patient safety and to provide them with an environment where that passion can develop into best practice. Industrywide overviews and process theories are useful starting points, but to affect real change, care providers need the tools and lessons gained from real-world experience. The 2012 unSUMMIT for Bedside Barcoding offers three days of actionoriented education and invaluable networking that will equip and inspire your team to return home and get to the point of safer care. Weve assembled a team that promises to deliver must-have information ensuring that your hospital can ride confidently to the next stage in patient safety with BPOC.
Attendees Benefit from Basic and Advanced Tracks Earn up to 14.75 Continuing Education Hours for Pharmacists, Nurses, and Laboratorians Peer Networking Provides Valuable Lessons and Encouragement Along the Way Vendor Exhibits of Comprehensive BPOC-Related Technologies and Resources
A lot of guys make mistakes, I guess, but every one we make, a whole stack of chips goes with it. We make a mistake, and some guy dont walk away.
- John Wayne
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
Multidisciplinar y
1% 16% 13% 15% 38% 18%
Survey Results
96 percent of attendees felt better prepared to evaluate BPOC options and/or implement a solution after attending The unSUMMIT in 2011. 99 percent would recommend The unSUMMIT in 2012 as an educational resource to a colleague.
Great dialogue. Great connections. Powerful conversations. A real gem much more than just a BPOC conference.
Margie Sipe Nursing Performance Improvement Innovator Lahey Clinic
Quality of Presentations
Averaged 4.45 out of a possible 5 stars
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Copyright 2011-2012 The TerraPharma Project, LLC, ALL RIGHTS RESERVED
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
Relate with colleaguestransfer successes and Gather lessons from colleagues who have been there, challenges. done that, so you will formulate the right plan the Weigh the benefits of expansion applications, such as first time. transfusion verification, specimen ID, smart pump auto Investigate what it takes behind the scenes to programming, and improved charge capture at the barcode label medications, wristbands, and user IDs. point of care.
Pre-Conference Workshop
Implementation Essentials in Three Parts: Planning, Executing, and Optimizing
Merely installing technology will not provide the maximum benefits of BPOC safeguards. Without the proper planning and ongoing maintenance, barcoding efforts are likely to have unintended consequences including caregiver frustration and wasted resources. Initial success relies on a thorough examination of current medication management processes. Long-term efficacy requires diligent system maintenance and continual process improvement. Richard Malone, PharmD, BCPS, MHA, of Vanderbilt University Medical Center will lead a panel of highly experienced colleagues from the Veterans Health Administration, Cox Health, Midland Memorial Hospital and JFK Medical Center in an interactive discussion of lessons learned at each phase in the process.
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
UnCONVENTIONAL Insight
...Tomorrow hopes weve learned something from yesterday.
- John Wayne
Mark Neuenschwander
www.hospitalrx.com Mark Neuenschwander is a leading resource and authority on dispensing automation and barcode point-of-care systems. He has spent most of his career promoting their safe use and was awarded the Institute of Safe Medication Practices Lifetime Achievement Award in 2010. A popular writer and speaker, Mark is president of The Neuenschwander Company whose mission is promoting and facilitating wise development and sound deployment of medication-use automation. He authors the popular, Ive Been Thinking post on PointofCareForum.com. He is cofounder of The unSUMMIT.
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
Copyright 2011-2012 The TerraPharma Project, LLC, ALL RIGHTS RESERVED
E C
.75 14
p to Earn u rs CE hou
CE Requirements
Inquisit is accredited by the Accreditation Council for pharmacy education as a provider of continuing pharmacy education.
Inquisit is an approved provider of continuing nursing education by the American Nurses Credentialing Centers Commission on Accreditation. Inquisit is approved by the California Board of Registered Nursing as a provider of continuing education credits. Provider number CEP 13129. Inquisit is approved by the Iowa Board of Nursing as a provider of continuing education credits. Provider number 333.
This continuing medical laboratory education activity is recognized by the American Society for Clinical Pathology as meeting the criteria for 1.0 hours of CMLE credit. ASCP CMLE credit hours are acceptable to meet the continuing education requirement for the ASCP Board of Registry Certification Maintenance Program. This approval does not qualify in California. Inquisit is approved as a provider of continuing education programs in the clinical laboratory sciences by the American Society for Clinical Laboratory Science (ASCLS) P.A.C.E. program. Inquisit is approved by the California Department of Health Services/Laboratory Field Services. Provider Number 206.
Attend/participate in the educational sessions and review all course materials. Complete this CE request form and return to The unSUMMIT conference registration desk at the conclusion of the conference OR fax to Cathy Lampa Stroup, 866.501.4037 by Thursday, May 31, 2012. Links to electronic evaluation forms for each session may be found on www.unsummit.com/CE. Complete the e-forms by Thursday, May 31, 2012. PLEASE NOTE: THE CE PROCESS IS NOT COMPLETE UNTIL THE(SE) ELECTRONIC FORMS ARE SUBMITTED. Once the e-form(s) are submitted you will receive instructions and link(s) to print your statement(s) of completion.
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
The following sessions are approved for continuing-education hours. Use the convenient check boxes to plan your schedule for CE units. WEDNESDAY MAY 2, 2012
9:00 AM - 12:00 PM
PRE-CONFERENCE WORKSHOP IMPLEMENTATION ESSENTIALS IN THREE PARTS: Planning, Executing and Optimizing 3.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-057-L04-P Applying NCC MERP Taxonomy to Medication Administration Data In Theory and In Practice 1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-058-L05-P HIGH-RISK MEDICATIONS: The Impact of Barcode Technology on Patient Safety 1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-059-L05-P
2:30 - 3:20 PM
3:30 - 4:20 PM
4:05 - 4:55 PM
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
4:05 - 5:25 PM
THE NEXT STAGE IN BARCODE SCANNING: Compounding in the I.V. Room 1.5 contact hours for pharmacists and nurses | ACPE UAN: 232-999-12-071-L05-P
10:55 - 11:45 AM
Well, there are some things a man just cant run away from.
John Wayne
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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Gold
Silver
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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ALLIANCE
MEDIA
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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Register Now
unSUMMIT.com
Hyatt Regency Orange County 11999 Harbor Blvd Garden Grove, CA 92840
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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2012 Agenda
1:00 - 1:10 pM
WELCOME REMARKS
Jamie Kelly and Mark Neuenschwander | Cofounders | The TerraPharma Project, LLC
1:10 - 2:10 pM
KEYNOTE ADDRESS
Brian Goldman, MD | ER physician, author, and CBC show host of White Coat, Black Art Dr. Brian Goldman is one of those rare individuals with great success in more than one high-pressure field. The highly regarded emergency physician at Torontos Mount Sinai Hospital has parlayed his 20plus years of medical expertise into an award-winning career in medical journalism. Goldman speaks candidly about the root of medicines ills by openly exploring the details of errors when they happen.
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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Applying NCC MERp Taxonomy to Medication Administration Data In Theory and In practice
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-058-L05-P Manisha Shah, MBA, RT | VP, Programs | National Patient Safety Foundation (NPSF) Jim Douglas, RN | Clinical Systems Administrator | Northern Michigan Regional Hospital NCC MERP Taxonomy of Medication Errors was published in 1998, for internal use among individual healthcare facilities. This document provides a standard taxonomy of medication errors, along with specific instructions to guide healthcare organizations through this structured process of classifying the event, setting, effect of the error, contributing factors, etc. The NCC MERP Taxonomy of Medication Errors has been widely adopted by healthcare organizations, to standardize the reporting of all adverse events and near misses.
Upon completing this session, attendees will be able to:
2012 Agenda
Describe the NCC MERP taxonomy. Outline the advantages of standardized error reporting system. Explain utilization of NCC MERP taxonomy with BCMA. Outline the data required to successfully apply the NCC MERP. Describe a practical methodology for applying the taxonomy to BCMA data. Describe the potential for quality improvement efforts as a result of this analysis.
WAY-pAvER AWARD 2 GENERAL SESSION HIGH-RISK MEDICATIONS: The Impact of Barcode Technology on patient Safety
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-059-L05-P
Christopher J. Urbanski, MS, BSPharm | Director, Pharmacy Informatics and Medication Integration | Indiana University Health The role of barcode automation systems on the impact of patient safety will be explained. Significant and high-profiled medication errors continue to occur and be highlighted by the media. Causes of a lethal heparin error will be discussed with solutions implemented by the organization, including barcode solutions. Other barcode systems and automation will also be discussed as they relate to specific phases of the medication-use process. Upon completing this session, attendees will be able to: Define confirmation bias and explain how it impacts patient safety. List three barcode medication systems and how they impact the medication-use process. Explain the importance of monitoring post implementation of BCMA systems.
Sponsored by
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-060-L04-P
An industry veteran will share some of the most critical lessons learned by pioneers of BPOC. The long trail to a safer point of care begins with a solid understanding of the fundamentals. Understanding a bit about the arcane world of barcode symbologies and data structure can guide scanning equipment selection to ensure the right read the first time. Gotchas that other organizations have experienced will be covered to highlight the most pertinent multidisciplinary connections that should be developed very early in the implementation process. Barcode Medication Administration (BCMA) depends upon effective medication identification and can spur a rethinking of the medication management process. Mobile computing is difficult to get right in the nurses chaotic, interrupt-driven, time-compressed world. What are some key considerations in optimizing your hospitals mobile computing hardware? The best wireless network implementation is one in which the user never notices the network. This presentation will round up some critical wireless implementation success factors. A look at RFID and other wireless technologies will help identify the areas of technology to consider now. This session is designed to outline factors to keep in mind while planning for and executing successful implementations. Upon completing this session, attendees will be able to: Explain the basics of barcode symbologies, data structure, and their impact on equipment selection. Outline connections that your BPOC team will need to make within your organization to set the stage for success. Analyze the interplay between BPOC and medication distribution. Define critical factors in deciding upon the optimal mobile computing deployment. Evaluate some key factors in wireless network deployment. Research RFID and other Auto ID technologies of the future.
2012 Agenda
ADVANCED
HIGH-RISK MEDICATION CASE STUDY OF NEAR MISS BCMA LOGS: Quantifying the Benefit
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-061-L01-P-999-12-XXX-L01-P
Fern FitzHenry, RN, PhD | Assistant Professor | Vanderbilt University Medical Center BCMA has been widely endorsed by the Institute of Medicine, the National Patient Safety Foundation, the American Society of Health-System Pharmacists, and the Food and Drug Administration. The expectation is that BCMA will reduce healthcare costs by averting medication errors at the administration stage. However, identifying the actual averted errors where the potential for harm might be significant from the near-miss logs produced by the BCMA applications is a struggle. This session will describe a process used at Vanderbilt to identify near misses with the potential for harm of a single medication, warfarin, selected because errors in dosing were believed to have a high probability of harm. Warfarin was also selected as a focus because it is given in relatively few doses (usually once daily) and warfarin was a drug administration for which BCMA could validate all the five-rights in the verification process: 1) the right patient, 2) the right medication, 3) the right dose, 4) the right route, and 5) the right time of administration. Upon completing this session, attendees will be able to: Outline methods used for determining the cost of adverse events. Explain the noise present in system-logged errors for BCMA. Analyze the complexity of estimating or capturing averted errors in BCMA with a high probability of harming the patient.
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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Joanne L. Abbotoy, RN, BSN | Nurse Administrator, Nursing Informatics | Roswell Park Cancer Institute Maureen Kelly, RN, MSN, OCN | Chief Nursing Officer | Roswell Park Cancer Institute Roswell Park Cancer Institute implemented its first unit for barcode medication administration in February 2009 and is still in the implementation process, as we have opted to go live, one unit at a time. As more nursing units incorporate barcoding into nursing practice we have identified problems that may have been prevented if we knew then what we know now. Some of the areas identified were information technology, pharmacy, nursing administration, and quality. Changes were made as we identified opportunities for improvements, but knowing this ahead of time would have saved the valuable resource of time. As many are now trying to meet meaningful-use deadlines, these time savers may be extremely helpful to those beginning the barcoding process. Upon completing this session, attendees will be able to: Identify the importance of including pharmacy in the nursing side of medication barcode scanning. Describe the importance of including the nurse managers in the hands-on training of barcode scanning and acting as a super user to facilitate barcode scanning buy-in. List acceptable reasons for overriding the barcode scanning process for their own healthcare facility. Identify quality measures for benchmarking.
2012 Agenda
ADVANCED
Clyde Spence, PharmD, MBA, ASQ SSGB | Director of Pharmacy Services | Charleston Area Medical Center/Comprehensive Pharmacy Services Medication security and diversion are topics often associated with reactionary steps. Tactics are sometimes deployed after an event has highlighted a need for additional precautions. This session, however, highlights processes implemented by Charleston Area Medical Center to identify potential opportunities for diversion and how the health system has incorporated it into their monitoring strategy. Upon completing this session, attendees will be able to: Identify hospital scenarios that are at high risk for medication diversion. Identify strategies that can be employed to combat medication diversion. Outline how BPOC data can be used to identify potential medication diversion.
CONCURRENT TRACKS BARCODE NIRvANA: Leveraging Technology and Your Wholesaler for a Seamless Barcode Data Import and packaging Solution
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-064-L04-P
Thomas Siepka, RPh, MS | Director of Pharmacy Services | Lahey Medical Center Review the current state process of: 1. Building your Medication Barcode Value Database/packaging needs and system 2. Maintaining your Medication Barcode Value database/packaging systems; outlining pitfalls, challenges and benefits. The second portion of the discussion will focus on a developmental project Lahey Clinic has recently embarked upon in which we are partnering with our current wholesaler to finalize an automated process to send all barcode value data from daily orders to multiple systems electronically; barcode medication administration system at the bedside, our carousel system, and our automated cabinet system turning a very manual process into a data-import process all before the medication pallets show up for site delivery in the morning. Tied with this solution project is a much more seamless packaging solution that delivers targeted oral solid and liquid medications that are not typically packaged in a unit-dose, barcode-ready state. The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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Define current technology challenges in building and maintaining a barcode medication administration system. Identify pitfall dangers in the manual mapping process steps in building and maintaining such systems. State the benefits of automating the process and decreased error potential across several systems.
ADVANCED
Diane K. Menasco, RNC, BSN | MAK System Administrator | Partners Healthcare/North Shore Medical Center When first implementing a barcode medication administration system, there are many critical decisions: equipment, vendor selection, and workflow changes for nursing and pharmacy. Data analysis, customized reports, and metrics demonstrating outcomes are furthest from most peoples minds. However, once systems are in place and data starts to flow, the obvious question is, How are we doing? In the fall of 2010 a group of five hospitals from the New England region agreed to start a benchmarking project across hospital systems focusing on Wrong-Patient events averted. Using the same proprietary BCMA product and the same SQL query provided a valid benchmarking methodology. Legal guidelines were agreed upon to permit data sharing without patient-specific PHI. A common language was established to refer to data elements and report criteria. Data collection began in February 2011. Currently nine hospitals are participating anonymously. Each provides a manually scrubbed report of the SQL query detailing the ratio of wrong-patient scans to correct-patient scans. Data is graphed and trended by type of patient care unit (medical, surgical, ICU, OB and telemetry). Upon completing this session, attendees will be able to: Outline how to establish a valid BCMA benchmarking methodology. Investigate lessons learned from analyzing and comparing data between hospitals. Build and establish a road to best practice system setup and workflow.
2012 Agenda
LUNCH | pOSTER pRESENTATIONS | ExHIBITS Sponsored by CONCURRENT TRACKS WHO MATTERS: Defining the Human Resources Needed for Effective BpOC
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-066-L04-P Tina Suess, RN, BSN | Medication Safety Integration Manager | Lancaster General Hospital Your organization has committed to BPOC and youve lived through the implementation. Congratulations! Now the fun begins. It is critical that you keep the focus on medication safety activities even as other organizational requirements take priority. Your organization must ascribe stewardship of this focus to the appropriate department, be it IT, pharmacy, or nursing. Ownership, resources, and staffing decisions will all have a long-term impact on the success of your BPOC program. Long-range success will hinge on your ability to use data from your BPOC system to improve the medication-use process and motivate your organization to maintain focus on point-of-care safety. Upon completing this session, attendees will be able to: Describe the hurdles and methods to keeping the focus on medication safety activities among all other organizational requirements. List the tradeoffs of assigning leadership to various stakeholders. Explain the ongoing need for medication safety IT development. Explain how to designate and groom your medication safety expert. Describe how to use data from your BPOC system to improve the medication-use process and motivate your organization.
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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2012 Agenda
ADVANCED
BEYOND BCMA: Using Barcode Metrics to Support Quality Initiatives and Core Measures
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-069-L05-P Margie Sipe | Nursing Performance Improvement Innovator | Lahey Clinic BCMA has successfully demonstrated that errors can be prevented when scanning barcodes on medications at the point of care. Scanning confirms the right medication and right patient. But errors can still occur if one does not pay attention to the technology, or fails to use the technology-produced data to dialogue with the patient, confirming that the ordered medication is indeed what the patient has been taking. Sharing barcode-produced data with the patient can identify errors in prescribing that might be missed in even the best-designed provider order entry systems. Other performance improvement initiatives can be supported by this barcode data. The creation of an exact administration time stamp will support that timing parameters for medication administration are met or surpassed. This is crucial to meet the elements of core measures in SCIP and pneumonia antibiotic administration, or for
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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confirming that vaccinations have been ordered and received. Additionally, post-medication assessment data recorded in the barcode system help support that pain-medication effectiveness is assessed in a timely matter. The possibilities are endless. Upon completing this session, attendees will be able to: Identify barcode-created data to support timeliness of pain medication effectiveness assessment. Identify barcode data to support vaccine compliance. Describe two core measure metrics that are confirmed by barcode data.
1.0 contact hour for pharmacists and nurses | ACPE UAN: 232-999-12-070-L05-P Nancy Russell, RN, MS, CPN | Nurse Informaticist | Cook Childrens Healthcare System Lorrainea Williams, PharmD | Medication Safety Specialist, Pharmacist | Cook Childrens Healthcare System Many hospitals have implemented BCMA to decrease medication errors and improve patient safety. While seemingly a simple practice, BCMA is a complex process that combines a change in medication dispensing and administration practice with the introduction of new technology, documentation, equipment, and motor skills. The challenge is not only in the implementation, but maintaining high scan rates. A 288-bed, non-profit pediatric medical center encountered unique issues in their implementation due to their patient population. Extra safety precautions were necessary because 85% of medications are manipulated by pharmacy to achieve patient-specific pediatric and neonatal doses. The facility chose a 95% scan rate of all medications within one year of implementation as their goal. Pre-deployment strategies included new patient ID bands with 2-D barcodes and new technology in the pharmacy to incorporate barcode scanning at medication dispensing. Mandatory training consisted of a computer-based training module and a hands-on class. After implementation, a multidisciplinary core team was created to maintain the process. Although the medical center scan rate was 92% within three months of rollout, further action was warranted because of staff feedback. New strategies have included: scheduled unit rounding, an intranet site, new armbands and printers, concurrent reporting database and a conversion to 2-D barcodes for medications packaged by pharmacy. The facility reached their goal of a 95% scan rate approximately six months after implementation. The team is confident that the high scan rates are sustainable and will increase due to monitoring, education, and continued follow-up. Upon completing this session, attendees will be able to: List two strategies implemented by pharmacy to ensure safe medication dispensing. Explain why a core team or similar structure is necessary to improve and sustain successful BCMA post-implementation. Describe at least three strategies to maintain and improve scan rates. Explain the importance of monitoring concurrent medication administration data.
2012 Agenda
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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2012 Agenda
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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Mark Neuenschwander | President | The Neuenschwander Company Eric Cropp had a Bachelor of Science in Pharmacy. He had served as president of the Northern Ohio Academy of Pharmacy and was attending classes to earn a Doctor of Pharmacy. With eight years of I.V. admixtures experience and two years working with chemotherapy admixtures, Eric was serving as the lead pharmacist at an Ohio childrens hospital. On February 26, 2006, the understaffed pharmacy received a rush order for chemotherapy for a twoyear-old girl, Emily Jerry, who was undergoing treatment for a spinal malignancy. Robert Wachter, M.D. called what followed, a classic illustration of James Reasons Swiss Cheese Model in which numerous safety checks failed due to a confluence of systems and human errors. Tragically, little Emily died from a hypertonic saline infusion. Upon hearing of the error, a Cuyahoga County DA decided that the case merited criminal prosecution, even though Eric had no history of errors in his pharmacy career, and the root-cause analysis of the case confirmed that its cause was simple human error compounded by systems problems. At the trial, fearing even harsher penalties, Eric pleaded guilty to involuntary manslaughter and was sentenced to six months in a state prison, six months of home confinement, three years of probation, 400 hours of community service, and a $5,000 fine. Moreover, the Ohio board of pharmacy permanently stripped him of his license, depriving him of his calling and livelihood. Eric will talk about how the error occurred, how such errors can be avoided, and our responsibilities to those involved in committing errors the second victims.
2012 Agenda
8:30 - 9:20 AM
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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1.25 contact hours for pharmacists, nurses, and laboratorians | ACPE UAN: 232-999-12-073-L04-P P.A.C.E. 492-012-12 Intermediate, CALAB 2012-012
Moderator: Richard Malone, PharmD, BCPS, MHA | Program Director, Investigational Drug Service | Vanderbilt University Medical Center Panelists: Anne Bane, RN | Program Director, Clinical Systems Innovations and Medication Safety | Brigham & Womens Hospital with Rita Patnode | Nurse Educator NICU | Brigham & Womens Hospital Karla Miller, PharmD, BCPP | AVP Pharmacy Services & Clinical Therapeutics | HCA, Clinical Services Group Tina Suess, RN, BSN | Medication Safety Integration Manager | Lancaster General Hospital BCMA systems are the standard of care in an estimated one-third of hospitals. However, little information exists to assess the prevalence or success of these systems in areas of specialty care throughout acute care institutions. To date, numerous challenges, perceived and real, have impeded the implementation of barcode verification in areas such as the operating room/PACU, NICU, endoscopy suites, cardiac catheterization labs, interventional radiology, dialysis clinics, and various outpatient services. Likewise, barcodes can be employed to safeguard nontraditional therapies such as mothers milk administration and the tracking of investigational drugs. This session will explore the unique challenges specialty care areas present for barcoding technology and workflow while detailing the implementation methodology used by organizations that have been successful expanding their BPOC coverage. Upon completing this session, attendees will be able to: Evaluate the strategic and tactical issues BPOC presents for hospitals hoping to achieve house-wide rollout including specialized care areas and a lack of evidence of a favorable cost to benefit ratio on expanded implementations. Explain how effective barcode use can help to meet patient safety standards in nursing and how it must be paired with workflow best practices to meet the needs of general nursing, and how to plan for implementation for nurses using barcode patient identification and specimen collecting systems in the chaotic emergency department (ED) environment. Identify how barcoding can facilitate investigation drug service (IDS) by communicating study protocol and special instructions to nurses for greater protocol adherence; and providing more accurate data for monitors to review than can be gathered with manual documentation by nurses. Identify new processes, workflow changes and functionality that are required to implement barcode verification of breast milk at preparation and administration. Describe the role of BPOC technology in safeguarding laboratory specimen collection at the point of care. Explain the role BPOC can play in the safe matching of patients and blood products. Outline the challenges and solutions for implementing BPOC in each of the additional care settings: radiology, catheter lab, endoscopy suites, and various outpatient services such as same-day surgery and dialysis clinics.
2012 Agenda
10:55 - 11:45 AM
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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integrated infusion management system. Using a barcode system, information is electronically captured and transmitted between the infused medication, the infusion pump, and the electronic health record. This integration allows real-time analysis and documentation of clinical data that takes the clinician out of the role of data transcriber, thereby removing manual steps fraught with error. In addition to its use as a clinical workflow tool at the bedside, infusion management has also been deployed in the pharmacy department to enhance communication and efficiency. WellSpans journey to accomplish this groundbreaking achievement will be discussed including: functionality of infusion management, workflow changes, challenges and benefits, documentation and clinician views, and results. Early results of integrated infusion management include a reduction in medication errors, improved efficiency for nursing and pharmacy, and increased quality of care. Upon completing this session, attendees will be able to: Describe an integrated infusion management system that leverages the smart infusion pump and electronic health record to provide closed-loop medication administration in the ICU setting. Outline the safety and efficiency benefits of an integrated infusion management system. Describe how infusion management can support pharmacy workflow enhancements.
2012 Agenda
11:50 AM - 12:20 pM
CLOSING KEYNOTE
Albert M. Erisman, PhD Applied Mathematics | Executive in Residence, Seattle Pacific University | Co-founder and Executive Editor of Ethix Magazine Al Erisman is a teaching professor on business ethics and business and technology at Seattle Pacific University. He is cofounder of the Institute for Business, Technology, and Ethics and executive editor of Ethix magazine. As editor he has interviewed business, government, academic and thought leaders from around the world on issues of ethics, values, and purpose. Through Ethix, Al has pursued an understanding of the changing role of healthcare in an age of technology and new funding alternatives. He has conducted in-depth interviews with such leaders as Jonathan Perlin (HCA), Gary Kaplan (Virginia Mason CEO), Bob Wachter (chief of the Medical Service at UCSF Medical Center), and Luke McGuinness (CEO Dupage County Hospital near Chicago).
12:20 - 12:30 pM
CLOSING REMARKS
Jamie Kelly and Mark Neuenschwander | Cofounders | The TerraPharma Project, LLC
12:30 pM
The unSUMMIT2012 ||| May 2-4 ||| Hyatt Regency Orange County, Anaheim CA ||| www.unSUMMIT.com
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2012 REGISTRATION
online registration: http://www.regonline.com/unsummit2012
CONTACT INFORMATION Please complete form for each person attending
Full Name______________________________________________________First name for badge ___________________________________ Title____________________________________________Company/Organization _______________________________________________ Street Address ______________________________________________________________________________________________________ City________________________________________________State____________________________________ ____________________ Zip Province (Non-U.S.)__________________________________Postal Code_________________________Country _________________________ Phone_____________________________ext______Fax_______________________________E-mail ________________________________
CONFERENCE FEES
Three-Day Conference Registrations:
Attendee: Three-Day Conference Registration (hospitals, students, government) ................................................................................................ $599.00 Reduced Attendee Registration Fee: Enter alliance discount code if applicable:____________________________________ $549.00 Sponsors/Exhibitors: Three-Day Conference Registrations (additional registrations beyond those included in vendor contract) $700.00 Enter comp code if applicable:______________________________________ One-Day Registrations: Wednesday Only............................................................................................................................................................................................................... $200.00 Thursday Only .................................................................................................................................................................................................................. $300.00 Friday Only ........................................................................................................................................................................................................................ $200.00 Other: Three-Day Conference Registration (for consultants, exhibit-only vendors, etc.) ....................................................................................... $799.00 Guest/Spouse: Includes access to lunch and evening functions only............................................................................................................................ $200.00 $___________ $___________ $___________
Preconference Workshop Wednesday morning, May 2, 2012 Implementation Essentials ............... Enter complimentary workshop code if applicable:____________________________________ $99.00
$___________
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PAYMENT Payment must accompany registration or the forms will be returned to you.
By credit card: All credit card payments will be refunded via check and mailed from The TerraPharma Project, LLC. Credit Card # ____________________________________________________________________________________________________
Expiration Date______/______/_____ Name as it appears on card_________________________________________________________ Billing Address____________________________________________________City____________________ State______Zip __________ Province (Non-U.S.) ____________________________________Postal Code_______________________ Country___________________ Billing Contact & Telephone Number_________________________________________________________________________________ TOTAL TO BE CHARGED
By check or money order: Payment by check or draft drawn on a U.S. bank in U.S. dollars made payable to The TerraPharma Project, LLC. There will be a $30.00 service charge on all returned checks. Mail check with completed forms to: The TerraPharma Project, LLC 317 Tiffany Court Gibsonia, PA 15044 Fax completed registration forms to 866.501.4037.
Copyright 2011-2012 The TerraPharma Project, LLC, ALL RIGHTS RESERVED TAX ID #: 20-5293968
2012 REGISTRATION
online registration: http://www.regonline.com/unsummit2012
CONFERENCE PREFERENCES
TRACK SESSIONS (please check one): ___Basic Track ___Advanced Track ___Combination of both tracks
___Pharmacy One Source ___Patient Safety & Quality Health ___GS1 ___Healthcare Technology Online ___Alliance Partner Communication ___Other_______________________________________
PROVIDER PROFILE To facilitate participant interaction, we would like to know more about your facility. Please check all that apply.
__Not a Provider Organization
IT Environment
__BPOC installed __Pharmacy barcoding automation __Wireless network __Bedside computing __Smart infusion pumps
Distinctions
__Magnet Facility __H&HN Most Wired __ Thomson 100 Top Hospitals __Thomson Performance Leader __U.S. News & World Report Best Hospital
HOTEL RESERVATIONSTo facilitate participant interaction, we would like to know more about your facility. Please check all that apply.
To reserve your hotel room: Online: visit https://resweb.passkey.com/go/unsummit2012 Call: (888) 421-1422 (refer to The unSUMMIT 2012) Register early and book your room this room block will sell out!
Hyatt Regency Orange County 11999 Harbor Blvd. Garden Grove, CA 92840 Phone: 714-750-1234
Registration questions? Write below or contact Natalie Burnside Email: natalie@unsummit.com Phone: (412) 287.5108 (9 a.m. to 4 p.m. EST)
Name_________________________________________________________________
Copyright 2011-2012 The TerraPharma Project, LLC, ALL RIGHTS RESERVED TAX ID #: 20-5293968