Robert L. Cramer
Manager Human Resources Services Planning
Norfolk Southern Corporation; Chair, Virginia Business Coalition on Health Board of Directors

Objective: At the conclusion of this presentation, attendees will be able to:

• Identify health care priorities for Virginia;
• Describe health care quality and safety issues from a standpoint of consumer protection and the proper role of government.

Objectives: At the conclusion of this presentation, the participants will be able to:

• Challenge themselves toward a new way of thinking about how we design and implement future health care systems;
• Reflect on the creative and innovative strategies already occurring in present health care systems;
• Describe a leadership methodology that might accelerate innovation in health systems design and implementation.

Objective: At the conclusion of this presentation, the learner will be able to:

• Identify why there is no current business case for quality;
• Outline why successful implementation of a Value Based Purchasing strategy would create a business case for quality.

Objectives: At the conclusion of this presentation, the participants will be able to:

• Describe the gap between expectations that harmful medical errors will be disclosed to patients and current practice;
• List three barriers to disclosure and strategies for overcoming them;
• Explain what is known about the relationship between disclosure and key outcomes including litigation.

Objectives: At the conclusion of this presentation, attendees will be able to:

• Identify industry trends for reporting health care outcomes, processes and patient satisfaction for hospitals and physicians;
• Describe incentives for improving outcomes, processes and satisfaction for providers;
• Explain incentives for changing hospital operation.

Objectives: At the conclusion of this presentation, participants will be able to:

• Explore innovation and how to some it appears as ‘reform,’ and others see it as ‘disruptive technology;’
• Identify strategies on how big business tackles their health care challenges
• Describe the new ‘consumerism’ from the Wal-Mart perspective
• Translate Wal-Mart’s impact on health policy

PROVIDER SESSION BREAKOUT
Ballroom 21ab

Michael T. Lundberg, Executive Director, Virginia Health Information, Richmond, Virginia

Richard F. Salluzzo, MD, MBA, President and CEO, Wellmont Health System, Bristol, Tennessee

Objectives: At the conclusion of this panel discussion, conference attendees will be able to:

• Identify the current regulatory authorities on reporting;
• Explain how these reporting initiatives improve health care delivery in the United States.
• Describe the Institute for Safe Medication Practice's, the Pennsylvania Patient Authority's and the Virginia Health Information's reporting programs;

3:45 – 4:00 PM Neonatal and Maternal Outcomes Associated with Elective Term Deliveries
Darla D. Miller, MSN, RNC, HCA Perinatal Consultant/EIRMC Quality Specialist, Eastern Idaho Regional Medical Center

Objectives: At the conclusion of this presentation, conference attendees will be able to:

• Determine the frequency of elective term deliveries prior to 39 weeks of gestation;
• Describe the neonatal and maternal morbidity associated with delivery at “term” but prior to 39 completed weeks of gestation.

4:00 – 4:15 PM “Blood Specimen Collection”
Jill M. Mercier, RN, Patient Safety Officer, VCU Health System

Objectives: At the conclusion of this presentation, conference attendees will be able to:

• Determine the frequency of elective term deliveries prior to 39 completed weeks in the United States population.
• Examine neonatal outcomes associated with elective delivery at “term” but prior to 39 completed weeks of gestation in all forms of deliveries (inductions, primary and repeat cesarean sections).
• Examine maternal consequences of elective term inductions.

4:15 – 4:25 PM “Informed Consent in Obstetrics: Patient’s Views and Preferences”
Kris Kennedy, MD, FACOG, Complete Women’s Care

Objectives: At the conclusion of this presentation, conference attendees will be able to:

• Describe the patient safety project
• Provide the ethical and legal foundations for the project
• Summarize the NIH State of the Science Conference statement on cesarean delivery on maternal request

4:25 – 4:35 PM “Apology and Disclosure: From Policy to Practice”
June C. Lyda, BSN, RN, CPHQ, Performance Improvement Manager, Prince William Hospital

Objectives: At the conclusion of this presentation, conference attendees will be able to:

• Describe stakeholders in this practice
• Learn why it is important to practice both apology and disclosure
• Describe who, what, when, where and how regarding apology and disclosure
• Translate one organization’s lessons learned into your own practice

4:35 – 4:45 PM “Diversions and Consults in the Emergency Department: Helping Minorities get the Care they Need Now”

Renee D. Reid, MD, Associate Professor, Department of Emergency Medicine, VCU Health System

Harinder S. Dhindsa, MD, MBA, MPH, Director, Division of EMS, Department of Emergency Medicine, VCU Health System

Objective: At the conclusion of this presentation, conference attendees will be able to describe this patient safety project including planning, methodology, implementation and expected results.

PURCHASER SESSION BREAKOUT
Ballroom E21bc

Objectives: At the conclusion of this presentation, participants will be able to:

• Describe what it means to activate consumers and identify the many factors that are involved;
• State why we use incentives and what is likely to happen if people are ‘not activated’;
• Distinguish strategic issues and downside risks in using incentives.