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Program Schedule

Registration Continental Breakfast Served

Keynote Speaker: Craig Clapper, PE, CQM, COO HPI “Assessing Patient Culture and Engaging Leaders to Cre- ate Change” Objectives Explain, using Cook & Wood’s Sharp End Model, how sys- tems cause human error and, using Reason’s Swiss Cheese Effect, how human error leads to events of harm. Describe culture in terms of shared values, beliefs, and behaviors and how attitudinal surveys can be used to measure culture. Know, and be able to apply, the three steps to culture change when using a behavior-based approach. Describe, using Reinertsen’s Board-on-Board points, the four key elements for creating an effective governance board for patient safety.

Lisa Lindell, Author of 180 Days. “Preventable Medical Errors and the Role of the Advo- cate- A Personal Experience”, Lisa will share with us her harrowing and inspirational story.

Networking and Book Signing

Dan Collard, BS, COO Studer Group “Leadership in Challenging Times—Hardwiring Behaviors for Patient Safety” Objectives Discuss how to align organizational goals to place safety in an environment of accountability Recognize how to improve patient safety while also im- proving patient satisfaction Describe how to hardwire behaviors to create sustained consistency of safety

Lunch with Book Signing

K. Scott Griffith, MS Physics, BA, COO Oe “Reinforcing Patient Safety Responsibilities in a just Cul- ture” Objectives Identify what is meant by a “Just Culture” Describe organizational and individual accountabilities; Discuss “Just Culture” strategies for improving patient safety through the management of system design and behavioral choices; Discuss successful “Just Culture” implementation strategies.

Networking and Book Signing

Forum, Craig Clapper to facilitate Phil Wentworth, President, Presbyterian Hospital of Plano Marcie Williams, RN, MS, CPHRM, CLNC, Vice-President Safety and Risk Management, THR Michael Mayo, MSHCA, FACHE, President, Methodist Dal- las Medical Center Sam Ruffing, RN, MSN, Vice-President and CNO, Method- ist Dallas Medical Center Objectives Provide real life example of implementing and maintain- ing a patient safety culture. Describe actions taken at the facilities to promote a cul- ture of patient safety, including those at the board and senior management level. Identify barriers to promoting a culture of patient safety, and the methods used to overcome them. Marcie Williams, RN, MS, CPHRM, CLNC, Vice-President

Safety and Risk Management, THR " When Bad Things Happen, Disclosing Medical errors in the age of transparency" Objectives Discuss the need for disclosures Recognize the organizational challenges to disclosures Discuss the specific steps of the disclosure process Assess your organization’s readiness for disclosure

Craig Clapper, PE, CQM, COO HPI Closing Remarks


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Registration Fees are due by November 10, 2008 Registration is not complete without payment. Tax ID: 20-3418760 Payment accepted by Check Only Mail application and check to: NTAHQ, P.O. Box 1574, Denison, TX 75020 Amount Enclosed: $

Cancellation Policy: All cancellations must be in writing. A $20 processing fee will be charged for all cancellations. Attendee substitutions can be made at any time. No refunds will be made on cancellations postmarked after October 30, 2008.

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