2019 Patient Flow Management Summit
Optimizing Patient Flow Management through Effective Discharge Planning, Enhanced Patient Care/Satisfaction, Increased Profitability, and Efficient Hospital-Wide Collaboration
January 31 – February 1, 2019 * The Venetian * Las Vegas, NV

2019 Patient Flow Management Summit

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About the Conference

Today, patient flow has become a major concern for most hospitals and health systems as both the human and financial aspects result in poor quality care, patient dissatisfaction and lower reimbursement and profitability. Optimizing hospital wide patient flow is critical in delivering high quality patient centric healthcare. Hospitals are examining how to provide the right quality care, in the right place and at the right time.

The influx of the newly insured entering the healthcare system presents greater challenges to hospitals and the necessity to streamline flow and capacity has become enormously vital. As this landscape continues to evolve and dramatically transform, there is a huge shift towards hospital wide collaboration and throughput in order to achieve these goals. Optimizing the ED, decreasing patient wait times and enhancing care coordination are key components to moving the patient quickly, efficiently and safely through the hospital system.

This event features leaders from hospitals and health systems who will share their perspectives, valuable insights and expertise on how to be best equipped for the rapidly evolving landscape of patient flow management.

Register Early and Save! Groups of 3 or more save an additional 10% off the registration fee! Visit our website at www.brinetwork.com or call us at 800-743-8490. We look forward to seeing you in Las Vegas!

Who Should Attend?
From Hospitals/Health Systems:

  • Case Management
  • Discharge Planning
  • Patient Flow
  • Admissions
  • Nursing
  • Operations
  • CEO
  • CFO
  • Patient Care
  • Compliance
  • Clinical Care
  • Medical Directors
  • Quality
  • Patient Financial Services
  • Care Management
  • Emergency Medicine
  • Social Worker
  • Utilization Management
  • Hospitalist
  • Chief of Staff
  • Capacity Management
  • Patient Throughput
  • Bed Management
  • Patient Logistics

Also of Interest to:

  • Vendors
  • Solution Providers
  • Consultants

Conference Agenda

Day One – Thursday, January 31, 2019

7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:10am
Chairperson’s Opening Remarks

Kris Kaneta
Senior Vice President, Marketing
TeleTracking

8:10am – 8:50am
Creating Structures and Processes to Support Care Coordination and Improved Patient Throughput

In order to create a sustained process and outcome for improving patient throughput you need to develop a team of key stakeholders who have the authority and accountability to drive change. Through this team and a structured framework you can identify opportunities that improve throughput and alleviate bottlenecks for portals of entry like the Emergency Department, PACU, and Direct Admits. The results can improve revenue, decrease costs, and open beds for additional patients.

James Ballinghoff, MSN, MBA, RN, NEA-BC
Chief Nursing Officer/Associate Executive Director
Penn Presbyterian Medical Center

8:50am – 9:30am
Engaging Community Partners Enabling Timely Access to Care

University of New Mexico Hospitals will discuss keys to rapid transformation, against big odds. Geographically, New Mexico is the fifth largest state in the U.S., with its 2 million residents dispersed across a very large area. In addition, it is the lowest commercially insured state and has the second highest Medicaid population. UNM Health System is the state’s flagship facility; only level one trauma center and only academic medical center.

In a phased approach UNM Health System went live with patient placement and transfer center tools at two campuses and integrated the patient placement and transfer center departments into one Command Center. These foundational steps and the results that followed have allowed increased access to care for patients. Creating community partnerships in a state with very limited resources has allowed for care to be provided in the most appropriate venue within the state.

Irene Agostini, MD
Chief Medical Officer and Medical Director of Transfer Care
University of New Mexico Hospitals

Dusty Chavez, RN, BSN
Executive Director of Operations, Patient Placement and Transfer Center
University of New Mexico Hospitals

9:30am – 10:00am
Networking & Refreshments Break

10:00am – 10:40am
Techniques to Enhance Discharge Processes and Improve Patient Flow

Patient flow does not exist unless you discharge one patient to admit the next one, and a successful discharge process begins at the moment of admission. This session will focus on strategies to enhance patient discharge to improve patient flow. While the evolution of some patient’s LOS in the hospital can be unpredictable and dependent on some unknown factors, the vast majority of patient’s LOS in the hospital is quite predictable. Predicted LOS must be established early on and communicated clearly to the patient and family with decisive expectations regarding anticipated LOS. Daily communication with the healthcare team must occur in a multidisciplinary fashion so that care managers, physicians, and other healthcare providers are all aligned. This session will examine successful discharge processes.

John Vazquez, MD
Assistant Professor
Emory University
Associate Director, Operations – Division of Hospital Medicine
Medical Director, System Transfer Service and Patient Flow
Emory Healthcare

10:40am – 11:20am
Effectively Managing ED Overcrowding and Patient Throughput

Many hospitals, including academic medical centers, consistently function with the ED experiencing chronic, acute overcrowding and inpatient care units routinely functioning at greater than 95% occupancy rates. Operational challenges adversely impact optimal patient placement, impede patient progression, delay timely discharge, and limit the ability to accommodate incremental patient volume. There are multiple opportunities for improving patient throughput and efficient patient flow.

Lee M. Duke II, MD, MBA
Senior Vice President, Chief Physician Executive and Chief Medical Officer
Lancaster General Hospital

11:20am – 12:00pm
Achieving Positive Patient Flow Outcomes by Creating a Capacity Command Center

Learn how establishing a centralized operations center can control patient access, inpatient throughput, ambulatory capacity and quality and safety efforts. By co-locating core functions such as bed management, patient transport, environmental services, care management and ambulance services, you can set workflows to streamline patient throughput. This presentation will review the creation of a command center, and how to leverage dashboards, technology, real time data and metrics to enhance patient flow.

Robert Leeret
Senior Director DocLine
UCHealth

Larissa Thorniley, MHA, BSN, RN
Director, UCHealth DocLine
UCHealth

12:00pm – 12:45pm
Luncheon

12:45pm – 1:25pm
Identifying Patient Flow Challenges and Implementing Successful Strategies to Address Them
This session will explore the steps required in identifying patient flow challenges and its causes. Learn how to approach patient flow challenges, and the best methods to yield optimal results in enhancing hospital-wide patient flow.

Carol Rajchel, RN, BS, CCM
Director of Operations Center
Dignity Health – St. Rose Dominican Hospital

1:25pm – 2:05pm
Improving Patient Flow Using LEAN Methodology

LEAN Methodology is one of the hidden gems in a healthcare leader’s toolbox. The use of LEAN principles and tools allow hospitals and other healthcare organizations to drive performance and clinical outcomes by leveraging the skill sets and expertise of front-line staff and by deconstructing seemingly complex problems into workable and actionable solutions. This presentation will provide an overview of LEAN Methodology, review its history in the healthcare context, discuss common tools used in LEAN Methodology, as well as share success stories from both Canadian and American healthcare settings.

Carl Balcom, RN, BSN, MHA, CHE, NEA-BC
Clinical Director, Emergency Services
Kingwood Medical Center | HCA Gulf Coast Division

2:05pm – 2:45pm
Redesigning Front-End Flow in the Emergency Department: A Patient-Centered Approach

The emergency department (ED) at Brigham and Women’s Hospital (Boston, MA) faced a strong need for change. The ED was overcrowded, walk-outs were approaching 4%, and patient satisfaction ranked as low as the 6th percentile among like-sized level I trauma centers. This performance led us to undertake a comprehensive evaluation of our care model and set new goals. Over several months, a new front-end model of care emerged. Beginning at arrival, quick check-in replaced full registration, deferring the latter to the bedside. Routine triage gave way to “rapid assessment” by a nurse, and patient-care areas were retooled to accommodate “any patient in any bed.” Care teams were charged with staying “a bed ahead,” anticipating the next-arriving patient, and allowing patients to travel “direct to bed” most hours of the day. We created a “flow manager” position to oversee throughput and troubleshoot potential bottlenecks. We grew volume and exceeded our goals within two years. Median door-to-bed time declined by 80% to less than 10 minutes. The walk-out rate fell to 1% or less on a consistent basis. Patient satisfaction now ranks in the 98th to 99th percentile. Using this patient-centered approach to ED flow, we were able to redesign an improved model for the delivery of emergency care.

Joshua M. Kosowsky, MD
Director of Patient Experience and Provider Engagement
Department of Emergency Medicine
Brigham and Women’s Hospital

2:45pm – 3:15pm
Networking & Refreshments Break

3:15pm – 4:15pm
Panel: Trends in Patient Access, Capacity Management and Patient Flow

The panel will explore trends in inpatient capacity, demands for care and workforce availability, as well as relate outcomes data in perspective to length of stay, mortality and cost trends. Hear about key elements addressing in-hospital admissions, number of hospitals and inpatient beds available, workforce availability, etc. The panel will also discuss future trends such as LOS, cost per case, mortality, as well as innovations to consider.

Panelists:

Beth Liebhardt
Director – Emergency Services
Froedtert Hospital

Brittany Lindsey
Director-Patient Flow
UAB Medicine-UAB Hospital

Melanie K. Morris, MSN, RN, CMTE
Senior Director-Transfer and Communications Center and Emergency Department
Carilion Clinic

Varadarajan Subbiah, MD
Chief Medical Officer
Arrowhead Regional Medical Center

4:15pm – 5:00pm
Patient Flow Strategies to Address Length of Stay and Reduce Readmissions

This presentation will reveal proven strategies on processes and systems to address LOS while maintaining quality care, patient safety and reducing readmissions. Explore the process surrounding admissions and its impact on LOS. Also learn multidisciplinary rounds and its use in reducing LOS and readmissions.

Justin Glasgow, MD, PhD
Director Medical Observation Unit, Value Institute Senior Clinical Scholar
Christiana Care Health System

5:00pm
End of Day One

Day Two – Friday, February 1, 2019

7:15am – 8:00am
Networking Breakfast

8:00am – 8:10am
Chairperson’s Remarks

Kris Kaneta
Senior Vice President, Marketing
TeleTracking

8:10am – 8:50am
Enhancing Communication for Efficient Patient Workflow: A Panacea for Today’s Inpatient Capacity Challenges

Patient flow has become a major concern for hospitals and healthcare systems. Effective communication is a crucial factor for patient flow and transitioning patients to the next level of care. It is absolutely essential for facilitating efficient patient flow. Lapses in communication among disciplines and departments can negatively affect the quality of care, patient and family satisfaction, hospital resources, patients’ length of stay, and hospital bed capacity. This presentation describes a system- wide initiative that was implemented at a compressive cancer center. The intricacies of the initiative’s development, the processes established, and future plans will be presented. The success of this project relied on a multidisciplinary approach for data collection and identifying solutions, the use of technology for bed management and standardized workflow, an interdisciplinary huddle, and other strategies for sustaining the change.

Carmen Castillo, MSN, RN, CCM
Nurse Case Manager Supervisor
Memorial Sloan Kettering Cancer Center

8:50am – 9:30am
Effective Strategies to Improve Emergency Department Throughput

Emergency department visits, in the United States, have steadily increased over the past 15 years despite a decline in the number of emergency departments during the same time and the Affordable Care Act’s promise to reduce the use of emergency departments as a site for primary care. This has created a significant mismatch in supply and demand, negatively affecting the triple aim of reduced cost, improved quality and increased patient satisfaction. Unfortunately, factors affecting ED throughput are not solely under the control of ED leadership. It requires hospital-wide collaboration to effect lasting change. This discussion will focus on operational, innovative, strategies, from the time of patient entry into the emergency department to disposition that have proven to have a positive impact. Some of the highlighted processes that will be discussed are: “provider in triage,” “split flow” sorting, nurse-provider “team- based” care, leveraging the benefits of an ED observation unit as a more appropriate site for prolonged “work-ups”, and as a pathway for direct admissions and outpatient infusions in lieu of funneling those patients through the ED. Lastly, we will discuss partnering with hospitalists to expedite patient hand-off at admission.

Anthony J. Guarracino, DO, MHA, FACEP
Chair, Department of Emergency Medicine
UPMC Pinnacle

9:30am – 10:00am
Networking & Refreshments Break

10:00am – 10:40am
Inter-Hospital Transfers: Leveraging Hospitalists as Triage Officers to Facilitate Timely and Appropriate Patient Placement

This session will examine the systems and processes established to leverage hospitalists as triage officers to facilitate timely and appropriate patient throughput and placement. Explore an in-depth approach to the development and implementation of these processes and successful outcomes.

Jamie Newman, MD, MHA
Hospital Medicine
Hospital Optimization
Admission and Transfer Center
Mayo Clinic

10:40am – 11:30am
What’s the Big Idea? The Big Picture of Patient Flow in a Children’s Hospital

As the enterprise expands its network, the heart of the network, the children’s hospital continues to encounter daily challenges with patient flow. The questions we continue to encounter are, “how does increased capacity help patient flow? Are capacity and flow the same?” This presentation will tell a story of the challenges, successes and lessons learned we had when we opened a new billion dollar tower with more beds. Did we fix the problem? What other problems did we start seeing? In this session we will explore challenges and creative ways we have implemented to continue to flow the patients through the system as seamlessly as possible.

Ryan Sanchez, RN, MSN, CCRN
Patient Placement Specialist
Lucile Packard Children’s Hospital Stanford

Luanne Smedley, MHA, BSN, RN, NEA-BC
Administrative Director, Clinical Access and Care Coordination
Lucile Packard Children’s Hospital Stanford

11:30am – 12:10pm
Enhancing Clinical Documentation to Improve Patient Flow, Revenue and Quality

Clinical documentation has a wide impact on patient flow model, revenue and quality. Patient flow is affected by appropriate documentation as the clinical documentation is used to validate and adjust appropriate length of stay. The quality in reference to clinical documentation affects readmission as appropriate clinical documentation can help avoid errors in coding that then lead to readmissions. In this session examine how the way we communicate through documentation has a robust impact on our care, quality and reimbursement.

Svetlana Chernyavsky, DO
Medical Director of Clinical Documentation and Improvement
Assistant Professor of Medicine
 Mount Sinai Beth Israel Hospital

12:30pm
Conference Concludes

Workshop – Thursday, January 31, 2019
5:15pm – 7:15pm
Essential Hospital-Wide Strategies to Support Patient Flow and Promote Patient-Centered Care

This workshop will offer experience and perspectives on proven strategies and approaches to improve quality and patient flow through hospital-wide strategies and patient centered care. The workshop speaker will discuss proven case studies and examples of successful programs and processes that have been implemented. Other topics to be discussed will include:

– Key performance indicators and methods for measurement and accountability
– Structure of an effective and sustainable throughput improvement team and model of practice
– Methods to engage and align medical staff
– Critical success factors to maintain momentum and sustain improvements
– How effective communication can streamline patient throughput

Mark Clemens
Senior Managing Consultant
Berkeley Research Group, LLC

Mark Clemens has over 30 years of experience in nursing operations and leadership, primarily focused on leading process improvement and change management in complex healthcare organizations. He has expertise in leading multi-disciplinary rounds design, emergency department, case management, patient placement, transport, and environmental services departmental optimization initiatives and tool implementations (e.g. emergency department EMR, electronic bed board, case management work drivers and performance management reporting) in community and academic hospital systems.

Prior to joining Berkeley Research Group Mark worked with an international consulting firm as a Manager. Prior to consulting, Mark was employed as a Nursing Director for 12 years in complex hospital systems. Past responsibilities included developing and implementing a system wide transfer center, care management redesign and implementation of multi-disciplinary rounds with a sustained decrease in length of stay. Mark served as a Nursing Director with responsibility for 60 ICU beds and four PCU units with a focus on improving quality of care reducing LOS and decreasing readmissions. Mark has also developed and designed a 37 bed Observation unit and managed a 63,000 visit ED/ level two Trauma Center.

Featured Speakers

James Ballinghoff, MSN, MBA, RN, NEA-BC

James Ballinghoff, MSN, MBA, RN, NEA-BC

Chief Nursing Officer/Associate Executive Director

Penn Presbyterian Medical Center
John Vazquez, MD

John Vazquez, MD

Assistant Professor

Emory University
Associate Director, Operations – Division of Hospital Medicine
Medical Director, System Transfer Service and Patient Flow
Emory Healthcare
Lee M. Duke II, MD, MBA

Lee M. Duke II, MD, MBA

Senior Vice President, Chief Physician Executive and Chief Medical Officer

Lancaster General Hospital
Robert Leeret

Robert Leeret

Senior Director DocLine

UCHealth
Larissa Thorniley, MHA, BSN, RN

Larissa Thorniley, MHA, BSN, RN

Director, UCHealth DocLine

UCHealth
Kris Kaneta

Kris Kaneta

Senior Vice President, Marketing

TeleTracking
Carol Rajchel, RN, BS, CCM

Carol Rajchel, RN, BS, CCM

Director of Operations Center

Dignity Health – St. Rose Dominican Hospital
Carl Balcom, RN, BSN, MHA, CHE, NEA-BC

Carl Balcom, RN, BSN, MHA, CHE, NEA-BC

Clinical Director, Emergency Services

Kingwood Medical Center | HCA Gulf Coast Division
Joshua M. Kosowsky, MD

Joshua M. Kosowsky, MD

Director of Patient Experience and Provider Engagement, Department of Emergency Medicine

Brigham and Women’s Hospital
Beth Liebhardt

Beth Liebhardt

Director – Emergency Services

Froedtert Hospital
Melanie K. Morris, MSN, RN, CMTE

Melanie K. Morris, MSN, RN, CMTE

Senior Director-Transfer and Communications Center and Emergency Department

Carilion Clinic
Varadarajan Subbiah, MD

Varadarajan Subbiah, MD

Chief Medical Officer

Arrowhead Regional Medical Center
Justin Glasgow, MD, PhD

Justin Glasgow, MD, PhD

Director Medical Observation Unit, Value Institute Senior Clinical Scholar

Christiana Care Health System
Carmen Castillo

Carmen Castillo

Nurse Case Manager

Memorial Sloan Kettering Cancer Center
Irene Agostini, MD

Irene Agostini, MD

Chief Medical Officer

University of New Mexico Hospitals
Dusty Chavez, RN, BSN

Dusty Chavez, RN, BSN

Executive Director of Operations, Patient Placement & Transfer Center

University of New Mexico Hospitals
Anthony J. Guarracino, DO, MHA, FACEP

Anthony J. Guarracino, DO, MHA, FACEP

Chair, Department of Emergency Medicine

UPMC Pinnacle
Jamie Newman, MD, MHA

Jamie Newman, MD, MHA

Hospital Medicine, Hospital Optimization, Admission and Transfer Center

Mayo Clinic
Ryan Sanchez, RN, MSN, CCRN

Ryan Sanchez, RN, MSN, CCRN

Patient Placement Specialist

Lucile Packard Children’s Hospital Stanford

Brittany Lindsey

Brittany Lindsey

Director-Patient Flow

Director-Patient Flow

UAB Medicine – UAB Hospital

Luanne Smedley, MHA, BSN, RN, NEA-BC

Luanne Smedley, MHA, BSN, RN, NEA-BC

Administrative Director, Clinical Access and Care Coordination

Lucile Packard Children’s Hospital Stanford

Svetlana Chernyavsky, DO

Svetlana Chernyavsky, DO

Medical Director of Clinical Documentation and Improvement, Assistant Professor of Medicine

Mount Sinai Beth Israel Hospital
Mark Clemens

Mark Clemens

Senior Managing Consultant

Berkeley Research Group, LLC
Venue

The Venetian
3535 Las Vegas Blvd. South
Las Vegas, NV 89109
877-385-3885

“Mention BRI Network to get discounted rate of $119/night”

Sponsor(s) and Exhibitor(s)

Lead Sponsor

TeleTracking For every hour a patient waits for care, they face objectively worse outcomes. TeleTracking believes it is unacceptable that patients are not able to access the care they need, when they need it, due to operating inefficiencies and unnecessary cost barriers. Our mission is simple, to ensure no one waits for the care they need. Named one of Becker’s “Great Places to Work” and a Pittsburgh Business Times “Corporate Citizenship Award” winner, TeleTracking delivers extraordinary outcomes that have been the subject of study by the RAND Corporation, and is the perennial KLAS Patient Flow Category Leader. To learn more about TeleTracking visit www.teletracking.com.

Exhibitor

Since 1988, LVM Systems has developed comprehensive healthcare transfer and contact center solutions. Hundreds of healthcare facilities around the world depend on LVM Systems to provide best-in-class customer support, leading-edge reporting methodologies, and advanced customization capabilities. LVM offers a full-service solution, written on Microsoft’s latest .net platform, positioning it for long-term viability. Complementary Web services provide a direct interface to the contact center software, eliminating redundant data entry.

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
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