The TwelfTh QUaliTY waShiNGToN, DC ColloQUiUM

The TwelfThNaTioNal QUaliTY

ColloQUiUMwaShiNGToN, DC

The leading forum on Patient Safety, Quality enhancement and Medical error Reduction

SPoNSoReD bY

ColloQUiUM Co ChaiRSKathleen Jennison Goonan, MD, Chief Executive Officer, Goonan Performance Strategies, LLC

Bernadette Loftus, MD, Associate Executive Director, Mid-Atlantic Permanente Medical Group, Kaiser Permanente

David Mayer, MD, Vice President, Quality and Safety, MedStar Health; Founder, Annual Telluride International Patient Safety Roundtable, and Patient Safety Medical Student Summer Camp

David B. Nash, MD, MBA, FACP, Dean, Jefferson School of Population Health and Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, Thomas Jefferson University

offeReD iN SeQUeNCe wiTh fifTh NaTioNal CoMPaRaTiVe effeCTiVeNeSS SUMMiTThe leading forum on the Role of Comparative effectiveness Research in health System Change and health Reform

September 16 – 18, 2013, hyatt Regency Crystal City, washington, DC • www.ComparativeEffectivenessSummit.com

A Hybrid Conference & Internet

Event

See page 2

Onsite:

September 18 – 20, 2013 washington, DC


Event

Online: In your own office or home live via the Internet with 24/7 access for six months

Hyatt Regency Crystal City

FEATURING A SPECIAL RECEPTION AT KAISER PERMANENTE’S CENTER FOR TOTAL HEALTH

KeYNoTe SPeaKeRSCarolyn M. Clancy, MD, Director, Agency for Healthcare Research and Quality

Susan Dentzer, Senior Policy Adviser, Robert Wood Johnson Foundation; Health Policy Analyst, The PbS News hour

Richard Gilfillan, MD, Acting Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services

Mark McClellan, MD, PhD, Director, Engelberg Center for Health Care Reform, Brookings Institution

DiaMoND GRaNToR

bRoNze GRaNToRS

www.QualityColloquium.com

SilVeR GRaNToR

ACCME Physician Credit Designation Statement: This activity has been approved for a maximum of 18 AMA PRA Category 1 Credit(s)™ for both onsite and online attendees. See page 10.

NASBA Credit Statement: a recommended maximum of 20.0 credits based on a 50-minute hour will be granted for the entire learning activity for the National association of State boards of accountancy (NaSba). See page 10.

featuring the QUaliTY aND PaTieNT SafeTY CeRTifiCaTe PRoGRaM www.QualityColloquium.com/certificate.html

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TRaDiTioNal oNSiTe aTTeNDaNCeSimply register, travel to the conference city and attend in person.

PRoS: subject matter immersion; professional networking opportunities; faculty interaction.

liVe aND aRChiVeD iNTeRNeT aTTeNDaNCewatch the conference in live streaming video over the internet and at your convenience at any time 24/7 for six months following the event.

The archived conference includes speaker videos and coordinated PowerPoint presentations.

PRoS: live digital feed and 24/7 internet access for the next six months; accessible in the office, at home or anywhere worldwide with internet access; avoid travel expense and hassle; no time away from the office.

2

Onsite

At your office . . .

. . . or home

CoNTeNT oPTioNS The Main Quality ColloquiumRegister for two days of content on patient safety and quality.

Quality and Patient Safety Certificate Program

The Quality Colloquium is offering a Quality and Patient Safety Certificate Program in the form of an optional course within the conference for attendees wishing to take a deeper dive into the Colloquium’s subject matter.

attendees will have the option to participate in two preconference sessions — Introduction to Quality and Safety or New Horizons for Responding to Medical Injury: Communication, Learning and Resolution.

The Program requirements are:• completion of

preconference readings• consideration of a series of

preconference questions• Attend either preconference

session in person or online• Attend the colloquium either

in person or online• successful completion of a post-conference online examination

attendees who successfully complete Program requirements will receive a certificate of completion.

This certificate is evidence that

has successfully completed the

Quality and Patient Safety

Certificate ProgramOffered at the Twelfth National

Quality Colloquium September 18 – 20, 2013

in Washington, DC

SiXTh NaTioNal MeDiCal hoMe SUMMiTThe Leading Forum on Developing and Implementing Patient- and Family-Centered Medical HomesSponsored by

Cosponsored by

SaVe The DaTe foR TheSe Co-loCaTeD eVeNTS! March 17 – 19, 2014 • Loews Philadelphia Hotel, Philadelphia, PA

foURTeeNTh PoPUlaTioN healTh ColloQUiUMThe Leading Forum on Innovations in Population Health Sponsored by

Cosponsored by

Media Partners:

Hybrid Conferences

& Internet Events

www.PopulationHealthColloquium.com www.MedicalHomeSummit.com

who ShoUlD aTTeND • clinicians (Physicians, Nurses, Pharmacists and Other health Professionals)

engaged in Medical and ambulatory Care

• Patient safety managers and Officers

• educators of healthcare Providers

• Trustees of health care Organizations

• employers and healthcare Purchaser Representatives

• Patients, families and others committed to making healthcare safer

• health Insurance and health Plan executives

• hospital and health system Administrators

• quality Assurance and Risk management experts

• healthcare consultants, Venture capitalists and Investment Bankers

• healthcare Attorneys and In-house counsel

• health service Researchers and health Policy experts

ColloQUiUM objeCTiVeS: • Review, assess and analyze the policies the us government and accrediting

bodies have implemented pertaining to patent safety and quality improvement

• Identify new strategies for the design and implementation of patient safety and quality innovations by hospitals, health plans, and medical groups in light of health reform

• Discuss workforce development needs and identify appropriate current and future education initiatives for healthcare leaders, clinicians, board of governors and others within an organization

• explain specific successful patient safety and quality improvement programs and share best practices

• Provide an overview of the current state of healthcare quality and patient safety challenges in an evolving environment

• Discuss how to accelerate implementation of evidence-based practices and guidelines

• critically assess current and proposed models of care to improve standardization, transitions of care and accountability and to reduce costs.

The QUaliTY ColloQUiUM

improving health care quality and patient safety are top priorities for healthcare organizations, particularly now that the financial implications of the aCa implementation are factoring into the equation. The issues regarding patient safety and health care quality have been well-documented and widely

discussed for many years. Many hospitals, clinics, health plans, patient safety organizations, and private companies have been hard at work developing innova-tive quality and safety initiatives that will improve their systems of care; others who have not yet begun that journey are looking to learn from the successes of their colleagues in the field.

The National Quality Colloquium, now in its 12th year, is widely regarded as the premier conference dedicated to the issues and challenges surrounding healthcare quality, patient safety and medical error reduction. with the help of national leaders in the field, the Colloquium will feature practical advice and new initiatives for plans, providers, hospital leaders and educators.

The Colloquium’s interactive sessions focus on case studies and lessons learned from a variety of safety and quality improvement initiatives, as well as presenta-tions from organizations and individuals who have succeeded in reducing or eliminating risks to patients and improving the safety of their care.

The Colloquium faculty, consisting of national and international leaders in the field, will delve deeply into the core issues facing our country and will offer real-world solutions. The program will include diverse formats, interactive sessions, and experiential tools.

3

feaTURiNG a SPeCial ReCePTioN aT KaiSeR PeRMaNeNTe’S CeNTeR foR ToTal healTh

join us for a special opening night reception on the evening of wednesday, September 18, 2013 at Kaiser Permanente’s Center for Total health. enjoy an evening of great food and cocktails as you network with colleagues in a unique

and innovative setting! The Center boasts touchscreen exhibits and state-of-the-art health technology displays, including an interactive walking wall, and is just 6 1/2 miles away from the conference hotel. Complimentary round-trip shuttle service will be provided from the hyatt.

The QUaliTY ColloQUiUM iS offeReD iN SeQUeNCe wiTh The fifTh NaTioNal CoMPaRaTiVe effeCTiVeNeSS SUMMiT

The Leading Forum on the Role of Comparative Effectiveness Research in Health System Change and Health Reform

september 16 - 18, 2013 • washington, Dc Hyatt Regency Crystal City

www.ComparativeEffectivenessSummit.com


Event

See website

Media Partners:

4

NEw HORIzONS FOR RESPONDING TO MEDICAL INjURy: COMMUNICATION, LEARNING AND RESOLUTION

who Should Attend?

This program is designed for the healthcare leaders interested in learning more about the Patient Safety and Medical liability initiative, including clinicians, patient safety profes-sionals, hospital/health system administrators, health care attorneys, as well as others.

Learning Objectives

• Provide an overview of the healthcare quality and medical errors challenges facing healthcare today.

• explain specific successful patient safety and medical liability innovations that can be applied by healthcare organizations.

• Identify new methodologies for the design and implementation of patient safety and risk management strategies by hospitals and medical groups.

Course Description

Demonstration grants from the Patient Safety and Medical liability initiative support the implementation and evaluation of evidence-based patient safety and medical liability projects. The agency for healthcare Research and Quality (ahRQ) funded a small number of demonstration grants for a total amount of $19.7 million.

These grants included a variety of models that meet one or more of the patient safety and medical liability reform initiative goals, including:

• Reducing preventable harms.

• Informing injured patients promptly, and making efforts to provide prompt compensation.

• Promoting early disclosures and settlement, through a court-directed alternative dispute resolution model.

This workshop will share research models used and the results that have been seen from these ahRQ funded projects.

CERTIFICATES OF COURSE COMPLETIONCurriculum and requirements for both certificate courses are as follows:

• complete pre-course readings (6 hours)

• Attend either preconference session in person or online (4 hours). Note that the pre-course readings will be discussed during the Pre-conference Symposium.

• Attend a minimum of 15 educational hours of the quality colloquium program.

• successfully complete the post-conference online examination (1 hour)

Certificates of Course CompletionThose who successfully complete the course requirements, including pre-course readings and an online post-conference test (achieving a score of 70% or higher) will receive a certificate of completion of the Quality Colloquium Quality and Patient Safety Certificate Program.

QUaliTY aND PaTieNT SafeTY CeRTifiCaTe PRoGRaM

PaTieNT SafeTY CeRTifiCaTe PRoGRaM

The Quality Colloquium is offering two Patient Quality and Safety Certificate Programs in the form of optional courses within the conference for attendees wishing to delve deeper into the Colloquium’s subject matter. Participants may select either Introduction to Qual-

ity and Patient Safety or New Horizons for Responding to Medical Injury: Communication, Learning and Resolution.

The Program requirements are:• completion of preconference readings • consideration of a series of preconference questions • Attend either preconference session in person or online• Attend colloquium either in person or online• successful completion of the post-conference online examination relating to the

preconference session attended.• Attendees who successfully complete Program requirements will receive a certificate of

completion.

Special Benefit for Patent Safety Certificate Holders:

Participants who successfully complete the Patient Safety Certificate Program offered in conjunction with the Twelfth National Quality Colloquium are eligible to receive a 15% tuition discount for courses taken as part of the Master of Science in healthcare Quality and Safety (MS-hQS) degree program offered through Thomas jef-ferson University’s School of Population health. To be eligible for this discount, National Quality Colloquium students must meet all admissions requirements for the program and must enroll by july 1, 2015. for more information about jefferson’s MS-hQS: http://www.jefferson.edu/population_health/request_brochure.html.

INTRODUCTION TO QUALITy AND PATIENT SAFETy

who Should Attend?This program is designed for those who are interested in understanding and working successfully in an environment geared toward optimizing the quality of care and improv-ing patient safety. This may include government agencies, consumer groups, quality organizations, health plans, hospitals, nursing homes, physicians and physician organiza-tions, home health agencies, other providers of Medicare services (ambulance, DMe, lab), nurses and other clinicians, medical coding and billing staff, health care financial and auditing personnel, and many others.

Learning ObjectivesThe introduction to Quality and Patient Safety Certificate Program will provide partici-pants with the understanding and tools necessary to work successfully with the new quality and patient safety process, requirements, and timetable. by the end of this train-ing, participants will be able to create an action plan that will outline key initiatives to be taken with respect to Patient safety implementation in their own organizations.

Course DescriptionThis is a practical, in-depth course for professionals who want to understand patient safety issues in the context of their own local setting. The course will be geared to those who have limited training, but will also cater to those who have increasing levels of knowledge and training in the field. at the end of the course, participants will have 90 days to complete the online examination. Completion of the five elements of the training will earn the participants a certificate of completion.

weDNeSDaY, SePTeMbeR 18, 2013 7:00 am Colloquium Registration

oPTioNal PReCoNfeReNCe SYMPoSia PRECONFERENCE QUALITy AND PATIENT SAFETy CERTIFICATE BOOT CAMPS (Optional; Choose One)

BOOT CAMP I: INTRODUCTION TO QUALITy AND PATIENT SAFETy

This intensive session is designed for healthcare professionals who wish to improve their knowledge and understanding of the tenets of quality and safety and its application in real-world settings.

Quality improvement and safety are among the key cornerstones of health reform. This session will provide you with the foundation to implement innovative quality initiatives in your institutions. we will examine the latest clinical guidelines and emerging trends in healthcare quality and safety.

Program Faculty:

David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, Thomas Jefferson University, Philadelphia, PA

James Pelegano, MD, MS, Assistant Professor, Jefferson School of Population Health; Program Director, Master of Healthcare Quality and Safety Management, Jefferson School of Population Health, Philadelphia, PA

8:00 am welcome and IntroductionDavid B. Nash, MD, MBA

8:15 am Quality and Safety: OverviewDavid B. Nash, MD, MBA

9:15 am Quality and Safety under the ACADavid B. Nash, MD, MBA

9:45 am Break

10:15 am A Quality Continuum across Transitions of Care: what Do we Measure?

James Pelegano, MD, MS

11:15 am A Quality Model for Outpatient Medical ProvidersJames Pelegano, MD, MS

Noon Preconference Adjournment; Lunch on your Own

BOOT CAMP II: NEw HORIzONS FOR RESPONDING TO MEDICAL INjURy: COMMUNICATION, LEARNING, AND RESOLUTION

Demonstration grants from the Patient Safety and Medical liability initiative support the implementation and evaluation of evidence-based patient safety and medical liability projects. The agency for healthcare Research and Quality (ahRQ) funded a small number of demonstration grants for a total amount of $19.7 million.

These grants included a variety of models that meet one or more of the patient safety and medical liability reform initiative goals, including:

• Reducing preventable harms.

• Informing injured patients promptly, and making efforts to provide prompt compensation.

• Promoting early disclosures and settlement, through a court-directed alternative dispute resolution model.

This workshop will share research models used and the results that have been seen from these ahRQ funded projects.

8:00 am welcome and Introduction

Kathleen Jennison Goonan, MD, President and Chief Executive Officer, Goonan Performance Strategies, LLC, Boston, MA

David Mayer, MD, Vice President, Quality and Safety, MedStar Health; Founder, Annual Telluride International Patient Safety Roundtable and Patient Safety Medical Student Summer Camp, Columbia, MD

8:10 am Overview of the Patient Safety and Medical Liability Initiative

Thomas Gallagher, MD, Associate Professor of Medicine and Medical History & Ethics, University of Washington School of Medicine; Attending Physician, UWMC - Roosevelt, General Internal Medicine Center, Division of General Internal Medicine, Department of Medicine, Seattle WA

Timothy B. McDonald, MD, JD, Chief Safety and Risk Officer for Health Affairs, University of Illinois at Chicago Medical Center, Chicago, IL

8:30 am Presentations on Research Model and Results from Principal Investigators of Five AHRQ Funded Patient Safety-Medical Liability Demonstration Grants

10:30 am Break

11:00 am Panel Discussion with Audience on Results and Next Steps for the Patient Safety and Medical Liability Initiative

Noon Preconference Adjournment; Lunch on your Own

5

SPeCial SUbSCRiPTioN offeRAccountable Care News, Health Insurance Marketplace News, Medical Home News, Predictive Modeling News and Readmissions News represent a family of publications dedicated to providing the most in-depth and up-to-date news and analysis in their respective fields. They are now pleased to offer attendees of the Population health Colloquium a very special discounted subscription offer.

all five publications offer 12 pages of outstanding content each month on aCos, the health insurance marketplace, the patient-centered medical home, predictive model-ing, and all payer all cause hospital readmissions, respectively. every issue includes three in-depth feature articles, brief updates on late-breaking indus try news and resources, a Thought leader segment featuring national opinion leaders commenting on an important issue of the day, and an interview with a key figure in the field.

SPeCial ColloQUiUM aTTeNDee SUbSCRiPTioN offeRSave $173 off the annual subscription rate for your first year, plus you can cancel at any time and receive a pro rata refund.

SPeCial aNNUal SUbSCRiPTioN RaTe — pay just $295 instead of the regular $468. Use the Colloquium Registration form in this brochure and complete the respective newsletter subscription information.

66

weDNeSDaY, SePTeMbeR 18, 2013

aGeNDa DaY i

OPENING PLENARy SESSION: THE DOMESTIC HEALTHCARE QUALITy AND PATIENT SAFETy AGENDA1:00 pm welcome and Introduction

David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, Thomas Jefferson University, Philadelphia, PA (Co chair)

1:15 pm Health Care Reform for Person-Centered Care

Mark McClellan, MD, PhD, Director, Engelberg Center for Health Care Reform, Brookings Institution; Former CMS Administrator and FDA Commissioner, Washington, DC

2:00 pm Can Payment and Delivery System Reform Serve as Levers to Improve Healthcare Quality and Patient Safety?

Richard Gilfillan, MD, Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services; Former President and Chief Executive Officer, Geisinger Health Plan; Former Executive Vice President of Insurance Operations, Geisinger Health System, Washington, DC

2:45 pm Break

3:15 pm where Policy and Practice Meet to Improve Healthcare Quality and Patient Safety

Carolyn M. Clancy, MD, Director, Agency for Healthcare Research and Quality, Rockville, MD

4:00 pm Leaping the Knowing-Doing Gap: Using Data and Transparency to Forge Rapid Quality and Safety Improvements

Bernadette Loftus, MD, Associate Executive Director, Mid-Atlantic Permanente Medical Group, Kaiser Permanente, Rockville, MD

4:30 pm Achieving the Outcomes we Deserve — How to Use Data and Best Practices Effectively

Richard Corder, MHA, FACHE, Assistant Vice President, Business Development, CRICO Strategies, Cambridge, MA

5:00 pm ADjOURNMENT AND BOARD SHUTTLE BUSES TO SPECIAL NETwORKING RECEPTION AT THE KAISER PERMANENTE’S NEw CENTER FOR TOTAL HEALTH

featuring cutting-edge technologies that attendees can review and try out and interactive walls that participants can touch to learn more about health care and healthy living!

ThURSDaY, SePTeMbeR 19, 2013

aGeNDa DaY ii7:00 am Registration Opens; Continental Breakfast in Exhibit Hall

MORNING PLENARy SESSION: TRANSLATING POLICy TO PRACTICE8:00 am welcome and Introduction; How to Move from Policy to Practice in Improving Healthcare Quality and Patient Safety

David Mayer, MD, Vice President, Quality and Safety, MedStar Health; Founder, Annual Telluride International Patient Safety Roundtable and Patient Safety Medical Student Summer Camp; Former Co-Executive Director, UIC Institute for Patient Safety Excellence, Columbia, MD (Co chair)

8:30 am Achieving Breakthrough Transformation in US Health Care

Peggy O’Kane PhD, President, National Committee for Quality Assurance (NCQA), Washington, DC

9:00 am Human Factors Engineering

Rollin (Terry) Fairbanks, MD, MS, FACEP, Director, National Center for Human Factors Engineering in Healthcare, Hyattsville, MD

9:30 am New Approaches to Transparency


10:00 am Break

10:30 am Patient Partnerships in Quality and Safety

Rosemary Gibson, MSc Author, Speaker and National Leader in Safety; Former Senior Advisor, Robert Wood Johnson Foundation, Arlington, VA

Victoria Nahum, Co-Founder and Executive Director, Safe Care Campaign, Joint Commission Center for Transforming Healthcare, Atlanta, GA

11:00 am High Reliability

Gary R. Yates, MD, President, Healthcare Performance Improvement (HPI); President, Sentara Healthcare Quality Care Network (SQCN), Norfolk, VA

11:30 am Care for the Caregiver

Susan Scott, RN, MSN, Patient Safety Officer, University of Missouri Health Care System, Columbia, MO

Noon NETwORKING LUNCHEON

HOTEL INFORMATION/RESERVATIONSThe hyatt Regency Crystal City is the official hotel for the Twelfth National Quality Colloquium. a special group rate of $239.00 single/double per night (plus tax) has been arranged for Colloquium attendees. To make your hotel reservations online please go to www.QualityColloquium.com/travel.html for instructions on how to make your reservation and obtain the group rate. You may also make a reservation by calling Central Reservations toll free at 1-888-421-1442 or 703-418-1234 to reach the hotel directly. Please refer to QUaliTY ColloQUiUM (hCCa) when calling. Reservations at the group rate will be accepted while rooms are available or until the cut-off date of Tuesday, august 27, 2013. after this, reservations will be accepted on a space-available basis at the prevailing rate.

Hyatt Regency Crystal City at Reagan National Airport • 2799 Jefferson Davis highway • Arlington, VA 22202 • Tel: 1-703-418-1234

AFTERNOON TRACK SESSIONS

TRACK I: CAPABILITIES FOR HEALTH REFORM AND PERFORMANCE EXCELLENCE

1:00 pm Overview and IntroductionsKathleen Jennison Goonan, MD, President and Chief Executive Officer, Goonan Performance Strategies, LLC, Boston, MA (Moderator)

1:15 pm Overview of High Performance and High ReliabilityKathleen Jennison Goonan, MD, President and Chief Executive Officer, Goonan Performance Strategies, LLC, Boston, MA

1:45 pm Building a Culture of High Reliability and SafetyGary R. Yates, MD, President, Healthcare Performance Improvement (HPI); President, Sentara Healthcare Quality Care Network (SQCN), Norfolk, VA

2:15 pm Henry Ford’s No Harm CampaignWilliam Conway, MD, Chief Executive Officer, Henry Ford Medical Group; Chief Quality Officer, Henry Ford Health System, Detroit, MI

2:45 pm Break

3:15 pm Innovations in Safety, Quality and Use of Real-Time Patient Reports for Improvement

Seth Glickman, MD, MBA, Professor of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC

3:45 pm Leadership Development and Structures for Quality Success

H. Douglas Sears, MBA, Goonan Performance Strategies; Former Director of Performance Improvement and Knowledge Transfer, Bon Secours Health System, Marriottsville, MD

4:15 pm Bringing Focus to Health Care Strategy DeploymentEd Barrows, Goonan Performance Strategies, Formerly Balanced Scorecard Collaborative, Bentley University School of Business, Cambridge, MA

4:45 pm ADjOURNMENT, NETwORKING RECEPTION AND POSTER BOARDS

TRACK II: HUMAN FACTORS ENGINEERING AND INNOVATION APPLICATIONS IN QUALITy AND SAFETy PERFORMANCE EXCELLENCE

1:00 pm Overview and IntroductionsDavid Mayer, MD, Vice President, Quality and Safety, MedStar Health; Founder, Annual Telluride International Patient Safety Roundtable and Patient Safety Summer Camps, Columbia, MD (Moderator)

1:15 pm Usability Models for Safe CareVicki R. Lewis, PhD, Scientific Director and Usability Division Chief; National Center for Human Factors Engineering, Washington, DC

1:45 pm Systems Engineering Approaches to Root Cause Analysis

A. Zach Hettinger, MD, MS, Director of Informatics Research, National Center for Human Factors Engineering, Washington, DC

2:15 pm Understanding the Skill-Based Error ProblemRaj Ratwani, PhD, Senior Human Factors Research Scientist, National Center for Human Factors Engineering , Washington, DC

2:45 pm Break

3:15 pm Human Factors Strategies Related to Team BuildingSarah Henrickson Parker, PhD, Human Factors Research Scientist, National Center for Human Factors Engineering, Washington, DC

3:45 pm Evidence-Based Risk Reduction: A Tale of Three Colored Swans

Mark S. Smith, MD, FACEP, Director, MedStar Institute for Innovation; Chairman, MedStar Emergency Physicians; Professor and Chairman of Emergency Medicine, Georgetown University School of Medicine, Washington, DC

4:15 pm More Than just “Likes”: Using Social Networks to Change Health Behavior

Tracy Granzyk, MS, Director, Patient Safety and Quality Innovation, MedStar Health, Columbia, MD


TRACK III: BEST PRACTICES IN PATIENT SAFETy AND QUALITy

1:00 pm Overview and Introductions

1:15 pm Unlocking the Potential of Medication Management and Medication Adherence

Valerie Fleishman, Executive Director, NEHI, Cambridge, MA

1:45 pm Achieving Optimization and Functional Outcomes for the Orthopedic Patient

Chris Vannello, RN, BSN, Director of Quality, Main Line Health and Rothman Institute, Philadelphia, PA

2:15 pm The Science of Safety: Creating Systems of Profound Knowledge

Eric Jackson, Jr. , MD, MBA, Director, Health Care Delivery Science; Associ-ate Director, Value Institute, Christiana Care Health System, Newark, DE

2:45 pm Break

3:15 pm Hot zones: An Approach to Community-Based Design

Trent Haywood, MD, Chief Medical Officer, Blue Cross Blue Shield Association, Chicago, IL

3:45 pm Bending The Healthcare Cost Curve Richard L. Gilbert, MD, MBA, Corporate Medical Director, Southeast Anesthesiology Consultants, a division of American Anesthesiology, Charlotte, NC

4:15 pm From Chaos to Calm: How Standardizing the Admit Process Supports the Care Team and the Patient

Scott Heisler, RN, MBA, Innovation Consultancy, Kaiser Permanente, Oakland, CA

Laura Janisse, MFA Design, Innovation Consultancy, Kaiser Permanente, Oakland, CA


eXhibiT aND SPoNSoRShiP oPPoRTUNiTieSTake advantage of this unique opportunity to expand your reach! The Colloquium is attended by highly influential and experienced professionals. Sponsorship offers you strategic positioning as an industry leader. for more information call 206-673-4815 or email [email protected].

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fRiDaY, SePTeMbeR 20, 2013

aGeNDa DaY iiiTHE FUTURE OF PATIENT SAFETy AND QUALITy HEALTHCARE8:00 am welcome and Introduction to Day III Plenary Session

David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, Thomas Jefferson University, Philadelphia, PA (Co chair)

8:15 am Keynote Address: The Politics of Patient Safety: Have Forces Aligned to Drive an Effective Public/ Private Partnership to Improve Healthcare Quality and Patient Safety?

Susan Dentzer, Senior Policy Advisor, Robert Wood Johnson Foundation; Former Editor-in-Chief, health affairs; Health Policy Analyst, The PbS News hour, Washington, DC

9:00 am A National Strategy for Quality Measurement: Challenges and Opportunities

Christine K. Cassel, MD, President and Chief Executive Officer, National Quality Forum, Washington, DC

9:30 am A Dialogue on the Future of Patient Safety and Healthcare Quality

Christine K. Cassel, MD, President and Chief Executive Officer, National Quality Forum, Washington, DC

Patrick Conway, MD, MSc, Chief Medical Officer and Director, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, MD

Dave Davis, MD, CCFP, FCFP, FRCPC(hon), Senior Director, Continuing Health Education and Improvement, Association of American Medical Colleges, Washington, DC

Robert W. Dubois, MD, PhD, Chief Science Officer, National Pharmaceutical Council, Washington, DC


David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, Thomas Jefferson University, Philadelphia, PA (Moderator)

10:30 am Break

TRACK IV: TEACHING FOR QUALITy

1:00 pm Overview and IntroductionsJennifer S. Myers, MD, Associate Professor of Clinical Medicine, Patient Safety Officer, and the Director of Quality and Safety Education, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (Co-Moderator)

Brenda Helen Sheingold, PhD, RN, Assistant Professor, Secretary to the Faculty, Coordinator Healthcare Quality MSN, The George Washington University School of Nursing, Washington, DC (Co-Moderator)

1:15 pm Teaching Quality Improvement and Patient Safety: Core Competencies for Faculty

Nancy Davis, PhD, Director, Practice Based Learning and Improvement, Association of American Medical Colleges, Washington, DC

1:45 pm Preparing Future Leaders: Curriculum for HMS Fellowship in Quality and Patient Safety

Susan A. Abookire, MD, MPH, Chair of the Department of Quality and Patient Safety, Mount Auburn Hospital, Cambridge, MA

2:15 pm Optimal Timing for Educating Physicians on Quality? (It’s Always)

Peter B. Angood MD, FRCS(C), FACS, FCCM, Chief Executive Officer, American College of Physician Executives (ACPE), Tampa, FL

2:45 pm Break

3:15 pm Advancing the Science of Quality and Patient Safety in the Clinical Setting

Marilyn Szekendi, PhD, RN, Director, Quality Research, UHC, Chicago, IL

3:45 pm Instilling a Culture of Quality in Health Care through Education

Joseph Bocchino, EdD, MBA, Senior Associate Dean for Health Sciences, The George Washington University School of Medicine and Health Sciences, Washington, DC

Ozgur Ekmekci, EdD, MBA, Director, Health Care Quality Master’s Program, The George Washington University, School of Medicine and Health Sciences, Washington, DC

4:15 pm Teaching Quality: Linking Evidence, Tools and Human Capital

Sharon Hibay, RN, DNP, Director of Performance Measures, American Board of Internal Medicine, Philadelphia, PA


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CLOSING MINI SUMMITS

MINI SUMMIT I: CHALLENGES OF EFFECTIVE GOVERNANCE IN THE CHANGING HEALTHCARE ENVIRONMENT

10:45 am welcome and IntroductionsSean Patrick Murphy, AB, MHA, JD, Senior Vice President and Corporate General Counsel, Solaris Health System, Edison, NJ (Moderator)

11:00 am Panel DiscussionDouglas Brown, Esq., Senior Vice President and General Counsel, UMass Memorial Health Care System; Former General Counsel, Deputy Commissioner and Acting Commissioner, Mas-sachusetts Division of Medical Assistance, Worcester, MA

Melanie C. Dreher, PhD, RN, FAAN, John L. and Helen Kellogg Dean, Rush University College of Nursing; Chairperson of the Board of Trinity Health System Chicago, IL

Lawrence Prybil, PhD, FACHE, Professor and Associate Dean, College of Public Health, University of Kentucky, Lexington, KY

12:30 pm COLLOQUIUM ADjOURNMENT

MINI SUMMIT II: THE ROLE OF MEDICATIONS IN ACHIEVING QUALITy AND BUNDLED PAyMENT ENVIRONMENT

10:45 am welcome and IntroductionsDave Domann, MS, RPh, Director Health Care Quality, Strategic Customer Group, Johnson & Johnson Health Care Systems Inc., Titusville, NJ

Woody Eisenberg, MD, Senior Vice President, Performance Measurement and Strategic Alliances, Pharmacy Quality Alliance, Springfield VA

Jerry Penso, MD, MBA, Chief Medical and Quality Officer, American Medical Group Association, Washington, DC

Robert W. Dubois, MD, PhD, Chief Science Officer, National Pharmaceutical Council, Washington, DC (Moderator)


MINI SUMMIT III: SCHOLARSHIP OF QUALITy AND SAFETy

10:45 am welcome and IntroductionsDavid B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Dr. Raymond C. and Doris N. Grandon Professor of Health Policy, Thomas Jefferson University, Philadelphia, PA (Co chair)

11:00 pm Getting the Biggest Impact from Publishing Applied ResearchMaulik Joshi, DrPH, President, Health Research & Educational Trust; Editor in Chief, journal for healthcare Quality, Chicago, IL

11:30 am Achieving Synergy between Designing QI Projects and writing them up for PublicationKaveh G. Shojania, MD, Director, University of Toronto Centre for Patient Safety; Associate Professor of Medicine, University of Toronto; Editor-in-Chief, bMj Quality & Safety, Toronto, Canada

Noon Panel Discussion Farrokh Alemi, PhD, Associate Editor, Quality Management in health Care, Department of Health System Administration, Georgetown University, Washington, DC

Susan Carr, Editor and Associate Publisher, Patient Safety & Quality healthcare, Concord, MA

Maulik Joshi, DrPH, President, Health Research & Educational Trust; Editor in Chief, journal for healthcare Quality, Chicago, IL

Mark W. Scerbo, PhD, FHFE, Professor, Human Factors, Department of Psychology, Old Dominion University; Associate Editor, Simulation in healthcare, Norfolk, VA

Kaveh G. Shojania, MD, Director, University of Toronto Centre for Patient Safety; Associate Professor of Medicine, University of Toronto; Editor-in-Chief, bMj Quality & Safety, Toronto, Canada


SaVe TheSe DaTeS! All are Hybrid Conferences/Internet Events

Produced by California Association of Physician Groups (CAPG) and Integrated Healthcare Association (IHA) — Co-located November 4 – 6, 2013, Los Angeles, CA:

foURTh NaTioNal aCCoUNTable CaRe oRGaNizaTioN (aCo) CoNGReSSThe Leading Forum on the Accountable Care Organizations (ACOs) and Related Delivery System and Payment ReformMedia Partners: Harvard Health Policy Review, Health Affairs, Accountable Care News and Medical Home Newswww.ACOCongress.com

fiRST NaTioNal healTh iNSURaNCe eXChaNGe SUMMiT weSTThe Leading Forum on Public and Private Health Insurance Exchanges and Responsive Strategies by Government, Plans and ProvidersMedia Partners: Harvard Health Policy Review and Health Affairswww.HealthInsuranceExchangeSummit.com

Co-located in December 2013, washington, DC:

eiGhTh NaTioNal RaC (aND MaC) SUMMiTMedia Partners: Harvard Health Policy Review and Health AffairsDecember 4 – 6 • www.RACSummit.com

SeVeNTh NaTioNal PReDiCTiVe MoDeliNG SUMMiTThe Leading Forum on Health Care Predictive Modeling Implications, Strategies and Solutions for Care Management, Underwriting, Profiling and Related ActivitiesMedia Partners: Harvard Health Policy Review, Health Affairs and Predictive Modeling NewsDecember 4 – 5 • www.PredictiveModelingSummit.com

foURTh NaTioNal MeDiCaRe ReaDMiSSioNS SUMMiTThe Leading Forum on the New Medicare 30 Day Readmissions Rules and Technology-Enabled Strategies for Transitions of CareMedia Partners: Harvard Health Policy Review and Health AffairsDecember 4 – 6 • www.ReadmissionsSummit.com

NiNTh NaTioNal PaY foR PeRfoRMaNCe SUMMiTThe Leading Forum on Pay for Performance, Transparency and Value-Driven HealthcareSponsored by the Integrated Healthcare AssociationMedia Partners: Harvard Health Policy Review and Health AffairsMarch 24 – 26, 2014, San Francisco, CA www.PFPSummit.com

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REGARDING INTERNET REGISTRATIONS1. Individuals or groups may register for Internet access. Organizations may register for group access without presenting specific registrant names. In such instances the registering organiza-tion will be presented a series of user names and passwords to distribute to participants.

2. Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts.

3. Internet registrants will enjoy six (6) months access from date of issuance of user name and password.

4. Only one user (per user name and password) may view or access archived conference. It is not permissible to share user name and password with third parties. Should Internet registrants choose to access post conference content via Flash Drive, this individual use limitation applies. It is not permissible to share alternative media with third parties.

5. User name and password use will be monitored to assure compliance.

6. Each Internet registration is subject to a “bandwidth” or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the registration lapses. Said registration will be again made available at the start of the next month so long as the registration period has not lapsed and is subject to the same capacity cap.

7. For Webcast registrants there will be no refunds for cancellations. Please call the Conference Office at 800-503-7630 or 206-452-5516 for further information.

REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SUBSTITUTIONS1. For onsite group registrations, full registration and credit card information is required for each registrant. List all members of groups registering concurrently on fax or scanned cover sheet.2. For onsite registrants there will be no refunds for “no-shows” or for cancellations. You may send a substitute or switch to the Webcast option. Please call the Conference Office at 800-503-7630 or 206-452-5516 for further information.

METHOD OF PAyMENT FOR TUITIONMake payment to Health Care Conference Administrators LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as payment to Health-Care (HC) Conf LLC. Checks or money orders should be made payable to Health Care Confer-ence Administrators LLC. A $30 fee will be charged on any returned checks.

REGISTRATION OPTIONSRegistration may be made online or via mail, fax or scan.You may register through either of the following: • Online at www.QualityColloquium.com.• Fax/Mail/Email using this printed registration form. Mail the completed form with payment to the Conference registrar at 22529 39th Ave. SE, Bothell, WA 98021, or fax the completed form to 206-319-5303, or scan and email the completed form to [email protected]. Checks or money orders should be made payable to Health Care Conference Administrators LLC.The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC.For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Colloquium, credit card payment will be processed.

TAX DEDUCTIBILITy Expenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 91-1892021.

INTELLECTUAL PROPERTy POLICyUnauthorized sharing of Colloquium content via Internet access through the sharing of user names and passwords or via alternative media (Flash Drive) through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Colloquium aggressively pursues copyright infringers. If a registrant needs the ability to share Colloquium content within his or her organization, multiple Colloquium registrations are avail-able at discounted rates.

The Colloquium will pay a reward for information regarding unauthorized sharing of Colloqui-um content. The reward will be one quarter (25%) of any recovery resulting from a copyright infringement (less legal fees and other expenses related to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery. If you have knowledge regarding the unauthorized Colloquium content sharing, contact the Colloquium registration office.

QUALITy COLLOQUIUM CONTINUING EDUCATION CREDITS ACCME Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Institute for the Advancement of Human Behavior (IAHB) and Health Care Conference Administrator (dba GHC, LLC Healthcare). The IAHB is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement The IAHB designates this live activity for a maximum of 18 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CME credit is available for all onsite and online attendees.NASBA Health Care Conference Administrators, LLC (dba GHC, LLC Healthcare) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accoun-tancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org. A recommended maximum of 20.0 credits based on a 50-minute hour will be granted for the entire learning activity. This program addresses topics that are of a current concern in the healthcare quality and patient safety en-vironment. This is an update, group-live activity. For more information regarding administra-tive policies such as complaints or refunds, call 425-233-5075 or email [email protected].

POSTCONFERENCE APPLICATION FOR CREDIT

ABQAURPABQAURP Diplomates who would like to utilize CE credits received from an accredited pro-vider other than ABQAURP must complete and return this form with the required documen-tation and fees: www.abqaurp.org/pdf/recert-app.pdf. The Colloquium will issue a certificate of attendance to be submitted in conjunction with the ABQAURP form.

CERTIFICATE OF ATTENDANCEOnsite attendees can also request a Certificate of Attendance which they can file with appropriate entities for credit, and webcast attendees can request a Webcast Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit.

CANCELLATIONS/SUBSTITUTIONSNo refunds will be given for “no-shows” or for cancellations of either webcast or onsite registra-tions. You may send a substitute or transfer your onsite registration to a webcast registration. For more information, please call the Conference Office at 800-503-7630 or 206-452-5516.

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute.

GENERAL TERMS AND CONDITIONSProgram subject to cancellation or change. If the program is cancelled the only liability of the Colloquium will be to refund the registration fee paid. The Colloquium shall have no liability regarding travel or other costs. Registration form submitted via fax, mail, email or online consti-tutes binding agreement between the parties.

FOR FURTHER INFORMATIONCall 800-503-7630 (Continental US, Alaska and Hawaii only) or 206-452-5516, send e-mail to [email protected], or visit our website at www.QualityColloquium.com.

THE FOLLOwING REGISTRATION TERMS AND CONDITIONS APPLy

HOw TO REGISTER: Fully complete the form on page 11; also complete the section below if applicable (one form per registrant, photocopies acceptable). Payment must accompany each registration (U.S. funds, payable to Health Care Conference Administrators, LLC). ONLINE: Secure online registration at www.QualityColloquium.com.FAX: 206-319-5303 (include credit card information with registration)MAIL: Conference Office, 22529 39th Ave SE, Bothell, WA 98021FOR REGISTRATION QUESTIONS:PHONE: 800-503-7630 (Continental US, Alaska and Hawaii only) or206-452-5516, Monday-Friday, 7 AM - 5 PM PSTE-MAIL: [email protected]

STANDARD RATE: ❏ Through Friday, July 5, 2013* $1,985 ❏ Through Friday, August 9, 2013** $2,385 ❏ After Friday, August 9, 2013 $2,785

The Quality Colloquium is offering two Quality and Patient Safety Certificate Programs. Participants may select either Introduction to Quality and Patient Safety or New Horizons for Responding to Medical Injury: Communication, Learning, and Resolution.

To qualify for these programs you must register for a preconference workshop, the Colloquium and the program exam. The programs includes preconference readings and questions and a post conference online examination. Program registrants also receive access to the Colloquium

webcast archive for 6 months following the event.

The following special package registration offers a $300 discount to onsite registrants who wish to add the Certificate program to their Colloquium experience. The package price includes all of the above described elements of the program. Webcast registrants automatically get the Certificate program as part of their registration fee.

SPECIAL PROVIDER RATE***: ❏ Through Friday, July 5, 2013* $1,785 ❏ Through Friday, August 9, 2013** $2,085 ❏ After Friday, August 9, 2013 $2,385

ACADEMIC/GOVERNMENT/CLINIC RATE****: ❏ Through Friday, July 5, 2013* $1,385 ❏ Through Friday, August 9, 2013** $1,585 ❏ After Friday, August 9, 2013 $1,785

SPECIAL PACKAGE DISCOUNT FOR QUALITy AND PATIENT SAFETy CERTIFICATE PROGRAMS

11

quAlITy cOllOquIum • wAshINgTON, DcCOMPLETE THE FOLLOWING. PLEASE PRINT CLEARLY:

NAME

SIGNATURE OF REGISTRANT - REQUIRED

JOB TITLE

ONSITE CONFERENCE ATTENDANCEOnsite conference registration includes onsite attendance, professional networking, and live interaction with the faculty, plus a conference materials Data-DVD.

PRECONFERENCE BOOT CAMPS Wednesday, September 18 (Choose one only — a precon is required for the Patient Quality and Safety Certificate Program) $ 495 ❏ Precon I: Introduction to Quality and Patient Safety❏ Precon II: New Horizons for Responding to Medical Injury: Communication, Learning, and Resolution CONFERENCE – STANDARD RATE (Does not include Preconference):❏ Through Friday, July 5, 2013* $1,195 ❏ Through Friday, August 9, 2013** $1,595 ❏ After Friday, August 9, 2013 $1,995

SPECIAL PROVIDER RATE*** (Does not include Preconference):❏ Through Friday, July 5, 2013* $ 995 ❏ Through Friday, August 9, 2013** $1,295 ❏ After Friday, August 9, 2013 $1,595

SPECIAL ACADEMIC/GOVERNMENT/CLINIC RATE**** (Does not include Preconference):❏ Through Friday, July 5, 2013* $ 595 ❏ Through Friday, August 9, 2013** $ 795 ❏ After Friday, August 9, 2013 $ 995

❏ QUALITy AND SAFETy CERTIFICATE PROGRAM (Includes preconference readings and questions, post conference online examination, and certificate. Requires preconference and conference registration.) $ 595

❏ Introduction to Quality and Patient Safety

❏ New Horizons for Responding to Medical Injury: Communication, Learning, and Resolution

GROUP REGISTRATION DISCOUNT (Does not include Preconference):Three or more registrations submitted from the same organization at the same time receive the following discounted rates for conference registration only. To qualify, all registrations must be submitted simultaneously:❏ Through Friday, July 5, 2013* $ 795 ❏ Through Friday, August 9, 2013** $1,095 ❏ After Friday, August 9, 2013 $1,395

CONFERENCE ELECTRONIC MEDIA:Onsite Attendees — Following the Colloquium, the video and presentations are made avail-able in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Colloquium registration:❏ Flash Drive ($99 + $15 shipping) $ 114 ❏ 6 months’ access on Web $ 99

SPECIAL SUBSCRIPTION OFFER FOR BOTH ONSITE AND ONLINE ATTENDEES:You can purchase an annual subscription to Accountable Care News, Health Insurance Marketplace News, Medical Home News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) when ordered with your conference registration.

❏ Accountable Care News $ 295 ❏ Medical Home News $ 295❏ Health Insurance Marketplace News $ 295 ❏ Readmissions News $ 295❏ Predicitive Modeling News $ 295

wEBCAST CONFERENCE ATTENDANCEAll webcast registrants are automatically registered for ALL Colloquium events — the preconference boot camp, the conference, and the Quality and Safety Certificate Pro-gram. Webcast conference registration includes the live Internet feed from the Colloquium, plus six months of continued archived webcast access, available 24/7.

INDIVIDUAL REGISTRATION (Includes the preconference, full conference, and Quality and Patient Safety Certificate Program): ❏ Through Friday, July 5, 2013* $ 795 ❏ Through Friday, August 9, 2013** $1,095 ❏ After Friday, August 9, 2013 $1,395

SPECIAL ACADEMIC/GOVERNMENT/CLINIC RATE****: ❏ Through Friday, July 5, 2013* $ 495 ❏ Through Friday, August 9, 2013** $ 595 ❏ After Friday, August 9, 2013 $ 695

GROUP REGISTRATION:Group registration offers the substantial volume discounts set forth below.

All webcast group registrants are enrolled in the preconference, conference and Quality and Safety Certificate Program.

Group registration offers the possibility of implementing an online Quality and Safety Certificate Program. Group registration permits the organizational knowledge coordinator either to share conference access with colleagues or to assign and track employee confer-ence participation. Certificate of successful completion of online post conference examina-tion evidences mastery of conference body of knowledge.Conference Access: ❏ 5 or more $595 each ❏ 20 or more $395 each ❏ 10 or more $495 each ❏ 40 or more $295 each

See INTELLECTUAL PROPERTY POLICY, page 10.

CONFERENCE ELECTRONIC MEDIA:Webcast attendees — Following the Colloquium, the video and presentations are made available on a flash drive. To take advantage of the discounted price below, you must reserve media WITH your Colloquium registration: ❏ Flash Drive ($99 + $15 shipping) $ 114

(All Webcast attendees automatically receive 6 months access on web.)

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. For online and onsite registrants there will be no refunds for “no-shows” or cancellations.

ACCOUNT #

EXPIRATION DATE SECURITY CODE

NAME OF CARDHOLDER

SIGNATURE OF CARDHOLDER

PAyMENT Discount Code:

TOTAL FOR ALL OPTIONS, ONSITE OR wEBCAST:Please enclose payment with your registration and return it to the Registrar at Quality Colloquium, 22529 39th Ave SE, Bothell, WA 98021, or fax your credit card payment to 206-319-5303.

You may also register online at www.QualityColloquium.com.

❏ Check/money order enclosed (payable to Health Care Conference Administrators LLC)

❏ Payment by credit card: ❏ American Express ❏ Visa ❏ MastercardIf a credit card number is being given to hold registration only until such time as a check is received it must be so noted. If payment is not received by seven days prior to the Colloquium, the credit card payment will be processed. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC.

ORGANIZATION

ADDRESS

CITY/STATE/ZIP

TELEPHONE

E-MAIL

❏ Special Needs (Dietary or Physical)

* This price reflects a discount for registration and payment received through Friday, July 5, 2013.** This price reflects a discount for registration and payment received through Friday, August 9, 2013.*** Provider is a hospital, Long Term Care, home health, physician, or hospice organization or its association.**** For the purpose of qualifying for a discounted rate: (1) “academic” shall apply to individuals who are full time teaching staff or full time students at an academic institution (i.e., a faculty member at a medical school or hospital residency program who also sees patients is a provider, not an academic; (2) “govern-ment” shall apply to individuals who are full time employees of federal, state or local regulatory agencies (i.e., a State university health system or local public hospital is a provider, not government); and (3) “clinic” shall apply to individuals who are full time employees of a Federally Qualified Health Center or safety net clinic. This rate does not include the Preconference for onsite attendees.

SELECT yOUR TRACK (Select one) Thursday, September 19, 1:00 pm ❏ Track I: Capabilities for Health Reform and Performance Excellence ❏ Track II: Human Factors Engineering and Innovation Applications in Quality and Safety Performance Excellence❏ Track III: Best Practices in Patient Safety and Quality ❏ Track IV: Teaching for Quality

SELECT yOUR MINI SUMMIT (Select one) Friday, September 20, 10:45 am ❏ MS I: Challenges of Effective Governance in the Changing Healthcare Environment ❏ MS II: The Role of Medications in Achieving Quality and Bundled Payment Environment❏ MS III: Scholarship of Quality and Safety

Quality ColloquiumPublications Printing Dept. 41651 Corporate way Palm Desert, Ca 92260 USa

(address for Return Mail only)

The TwelfThNaTioNal QUaliTY

ColloQUiUMOnsite:

September 18 – 20, 2013 washington, DC

The leading forum on Patient Safety, Quality enhancement and Medical error Reduction



Event

See page 2


waShiNGToN, DC


Event

See page 2

Online: In your own office or home live via the Internet with 24/7 access for six months

featuring the QUaliTY aND PaTieNT SafeTY CeRTifiCaTe PRoGRaM www.QualityColloquium.com/certificate.html

Documents

The TwelfTh QUaliTY waShiNGToN, DC ColloQUiUM