11:00-11:45 11:45-12:00 12:00-1:30 1:30-2:00 2:00-3:15 Thursday, March 31st Welcome Lunch for First-Time Attendees Attendance is limited to first-time attendees and invited guests. If you register for this luncheon, please make your travel plans accordingly. Annual Meeting Opens Ronald Amedee, MD, AIAMC President Cheryl Goliath, PhD, 2016 Annual Meeting Chairman Panel Presentation: Developing Team Competencies through the Continuum of Medical Education Darrell Kirch, MD, President and CEO, Association of American Medical Colleges (AAMC) Thomas Nasca, MD, MACP, Chief Executive Officer, Accreditation Council for Graduate Medical Education (ACGME) Graham McMahon, MD, President and CEO, Accreditation Council for Continuing Medical Education (ACCME) Our conference will open with a perennial favorite of attendees: The “Big Three” Panel. The AIAMC Annual Meeting is the only national conference to regularly feature – together on one stage -- the continuum of medical education with the C-Suite leaders of the AAMC, ACGME and ACCME. And, academic medical centers are the only venue where education, research and patient care come together, putting them in a unique position to address the challenges facing our nation’s healthcare system. Our esteemed panel will outline the trends taking place in undergraduate, graduate and continuing medical education to help ensure that we are preparing future physicians to succeed in the year 2020. Break; Exhibits Open CONCURRENT BREAKOUT WORKSHOPS Making a CLEaR Plan Linking System Priorities, Sponsoring Hospitals & GME: A WinWin Methodology: Aurora Health Care (please note this session will be repeated on Friday) Ruric “Andy: Anderson, MD, Chief Medical Officer– System & Executive Vice President Jacob Bidwell, MD, Designated Institutional Official Deborah Simpson, PhD, Director Medical Education Programs Jeffrey Stearns, MD, Medical Director and PI National Initiative V Hsieng Su, MD, Chief Medical Officer , Aurora St. Luke’s Medical Center Evolution of the CLER focus areas requires true partnerships between our system QI/PS leaders, sponsoring hospitals CMOs, and GME leaders, faculty and residents. Using the time between our first and second CLER visits we engaged in a systematic analysis to identify our CLER gaps, form mutually beneficial partnerships with our system/hospital leaders to address these gaps, and to matrix our findings from our second CLER visit and our sponsoring hospitals CMS/JC visits to focus on next cycle of joint ventures to improve the clinical learning environment for our patients and residents. This session will overview our step-wise approach and engage participants this process during small facilitated group discussions. Building Support for Medical Education: A New Tool in the CAO’s and CEO’s Toolboxes: Sinai Hospital of Baltimore, LifeBridge Health John Crumbliss, Legislative Consultant, Cornerstone Government Relations Martha Nathanson, Vice President, Government Relations 3:30-4:30 4:45-5:30 4:45-5:30 Examine the use of the legislative advocacy process as a means to transform the way government funds programming and research activity at Independent Academic Medical Centers. Identify specific differences between how the legislative advocacy process is utilized at IAMCs and university-based academic medical centers. Learn how to engage your CEO, CAO, CQO and other administrative and program staff in the advocacy process. Identify your Members of Congress and using Sinai as an example, develop a framework for your own advocacy toward the goal of enhancing funding for programming and research at your institution. The Journey from a Great Idea to Sustainable Improvement: Ochsner Health System Ronald Amedee, MD, Designated Institutional Official Janice Piazza, MSN, MBA, Associate Vice President, Graduate Medical Education The Journey from a Great Idea to sustained improvement can be one that is plagued with challenges and missteps. The Ochsner Health System’s effort to develop a robust, effective Resident Quality has been such a journey. The Ochsner team will share what worked, what didn’t and current success factors. Using examples of great ideas from participants, the presenters will walk through the phases and challenges of change, identifying re-enforcing growth factors and how to identify and address limitations, leading to sustained improvement. Teaming Through Technology Applications in the GME Office Rob Cooney, MD, Associate Program Director, Emergency Medicine, Geisinger Health System and 2014-15 IHI-AIAMC Improvement Scholar Is your GME office working as a competent team? Teaming as a verb is a relatively new concept describing how we work. Emerging technology holds promise to improve our teaming behavior and team competence. This presentation will focus on a case-based approach to integrating technology to achieve these goals. AIAMC Speed Dating Back by popular demand for the third year is AIAMC Speed Dating, and we anticipate this session will fill quickly. Please note that pre-registration is required and will include completion of pre-work (see description of template form below). Attendance is limited to AIAMC members and to the first 20 registrants. Every year, we hear from attendees that the opportunity for NETWORKING is the #1 most beneficial aspect of the meeting. This session will maximize that networking potential .Participants will be split into two equal groups and will be seated facing one another. At the sound of the bell, each facing pair of participants will have one minute to introduce themselves and to share descriptions of something each of their institutions does particularly well. Participants will be provided with a “Speed-Dating Template” form prior to the conference which they will be required to complete and return to the AIAMC office. Note that this form will be easy to fill out and will be limited to ONE page. This form will include the participant’s contact information, a photo, and one idea they wish to share. “Speed-Dating Template” forms will be copied by AIAMC staff and brought to the session, so that each participant will be able to distribute a hard-copy of the idea he/she has brought to share. This will be a fun, fast-paced and valuable session; we hope you register! Resident Networking Session This is a great opportunity for our resident attendees to meet one another in a relaxed environment. Network with residents from AIAMC-member institutions 4:45-5:30 5:30–7:00 7:00-8:00 8:00 – 9:30 across the country, make new contacts and share ideas. You can continue the conversations at our Opening Reception to follow at 5:30 pm. IHI-AIAMC Improvement Scholars Alumni Networking Session This is a NEW addition to our Annual Meeting agenda and will allow IHI-AIAMC Improvement Scholars alumni to meet one another in a relaxed environment. Network with Scholars who have participated in the program over the past three years, make new contacts and share ideas. You can continue the conversations at our Opening Reception to follow at 5:30 pm. Reception End the first day of the Annual Meeting by catching up with old friends and making new ones in an atmosphere that is light and collegial. The food and beverage fare will include a substantial assortment of hors d’oeuvres and one drink ticket, followed by cash bar. There is no additional fee for this event; however, to help us budget and keep costs in line, we do ask that you adhere to your stated “attendance plans” as outlined in the conference registration form. Friday, April 1st Buffet Breakfast; Exhibits Open Keynote Address: Collective Competence: Adapting our Concept of Competence to Healthcare Teams Lorelei Lingard, PhD, Director, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, University of Western Ontario Abstract: Patient care is widely recognized to be a "team sport". In clinical training and assessment, however, our orientation remains focused on individual competence, leaving us poorly equipped to deal with situations in which competent individuals form incompetent teams. This presentation introduces the concept of collective competence and discusses the philosophical and practical shifts that it would entail for clinical training. Objectives: 1. To review the conventional, individualist discourse on competence 2. To suggest another discourse, characterizing competence as a collective construct 3. To consider the implications of the concept of collective competence for health professional education 9:30 – 10:00 10:00 – 11:00 Key Messages: The individualist discourse of competence has supported certain kinds of education and assessment, and constrained others. Given the emphasis on expert teamwork in current clinical and educational frameworks, we need to extend this conventional discourse to allow for the distributed and collective nature of competence in team situations. This new discourse will challenge our traditional approaches to "measuring" and "maintaining" competence. Break; Exhibits Open Team Competency in Action Baystate Medical Center: Douglas Salvador, MD, VP Quality & Safety and Associate Chief Medical Officer Tri Health: David Dhanraj, MD, Medical Director, Faculty Medicine Centers, and Becky Williams, MEd, Administrative Coordinator, GME 11:15 – 12:45 Virginia Mason Medical Center: Brian Owens, MD, Director, Medical Education & DIO AIAMC member exemplars will share their National Initiative success stories regarding targeted initiatives for improvement via culture of safety, event reporting and attestation timeout. The member panel and keynote speaker Dr. Lingard will then consider each example’s affordances and limitations for promoting collective competence. CONCURRENT BREAKOUT WORKSHOPS (Lunch served in meeting rooms. Actual sessions to start at 11:30 and will be 75 minutes in length) Making a CLEaR Plan Linking System Priorities, Sponsoring Hospitals & GME: A WinWin Methodology: Aurora Health Care (please note this session will also be held on Thursday) Ruric “Andy: Anderson, MD, Chief Medical Officer– System & Executive Vice President Jacob Bidwell, MD, Designated Institutional Official Deborah Simpson, PhD, Director Medical Education Programs Jeffrey Stearns, MD, Medical Director and PI National Initiative V Hsieng Su, MD, Chief Medical Officer, Aurora St. Luke’s Medical Center Evolution of the CLER focus areas requires true partnerships between our system QI/PS leaders, sponsoring hospitals CMOs, and GME leaders, faculty and residents. Using the time between our first and second CLER visits we engaged in a systematic analysis to identify our CLER gaps, form mutually beneficial partnerships with our system/hospital leaders to address these gaps, and to matrix our findings from our second CLER visit and our sponsoring hospitals CMS/JC visits to focus on next cycle of joint ventures to improve the clinical learning environment for our patients and residents. This session will overview our step-wise approach and engage participants this process during small facilitated group discussions. Culture by Design: Leadership Exercises and Activities to Enhance Team Development: Saint Francis Hospital and Medical Center (please note this session will be repeated on Saturday) Jeri Hepworth, PhD, Director of Medical Education and DIO Ashley Negrini, MS, Supervisor, Medical Education Leaders have opportunities in small ways to intentionally create a culture of collaboration and teamwork. Though formal team development retreats can be useful, a culture of collaboration is developed through consistent acknowledgement of others’ views and intentional activities to facilitate active participation of all team members. Team members need to trust that their perspectives will be respected and that time spent in discussion will result in more informed decisions and plans. In this highly interactive break-out session, participants will practice several leadership strategies to facilitate enhanced discussion and participation, and therefore commitment to team plans and goals. The interactive exercises can be easily adapted for brief team development opportunities in the participants’ home settings. Learn. Share. Collaborate. Building a GME University©: Trinity Health System Peter Coggan MD, MSEd, Vice President and Chief Academic Officer Debi Kellogg, System Director of Medical Education gmeUniversity© is an online learning community which offers a one-stop shop for GME programs in a 29 teaching hospital system. It gives faculty and residents a place to learn, share and collaborate with each other. Residents and faculty can learn 1:00 – 2:00 2:00 – 2:30 2:30 – 3:30 3:30 – 6:30 6:30 virtually at a time and place that is convenient, share expertise with each other, and collaborate on projects with other members of their GME learning community. This session will share the journey of development of a technology solution that provides access across Hospital Systems and GME programs to program directors, faculty, residents and fellows. It creates opportunities for: sharing; teaching; virtual journal clubs; on-line faculty development with CME credit; communication and discussion forums, resident sharing of tips and advice, online new resident orientation, just-intime learning and other activities. This platform is user friendly, easily learned and easily replicated. The Clinical Learning Environment’s (CLE) Road to 2020 Ronald Amedee, MD, Designated Institutional Official, Ochsner Health System Theresa Azevedo, Associate Institutional Director, GME and DIO, Kaiser Permanente Northern California Kevin Weiss, MD, MPH, Senior Vice President, Institutional Accreditation, ACGME Barbra White, Director, Medical Education and Medical Research, Advocate Illinois Masonic Medical Center Hear from AIAMC members who have had their second CLER site visit. They will share comparisons of the first and second visits and key learnings from the experiences. Panel moderator Dr. Kevin Weiss will report on findings of the first round of site visits as well as future plans for pursuing excellence in the clinical learning environment. Annual Business Meeting All conference attendees – both AIAMC members and guests – are encouraged to attend the Annual Business Meeting. Directors and Officers of the AIAMC Board will be elected, and current officers will present highlights of the past year, including major accomplishments, new members and the year-end financial report. Be sure to attend and be the first to hear the results of our 2016 Member Needs Assessment! IHI-AIAMC Improvement Scholars Surekha Bhamidipati, MD, Medicine Faculty Hospitalist, Christiana Care Health System and 2014-15 Improvement Scholar Donald Goldmann, MD, Chief Medical and Scientific Officer, Institute for Healthcare Improvement (IHI) Lisa Powell, MBA, GME Specialist, Sparrow Hospital and 2014-15 Improvement Scholar Prepare to be impressed and inspired by the results of the IHI Improvement Scholars Program in Collaboration with AIAMC. Dr. Goldmann will provide an overview of the program, followed by reports of two alumni highlighting their QI work and sustained results. Free Time; Enjoy Your Afternoon in Beautiful Tucson! Annual Awards Dinner – Offsite at Skyline Country Club This event is always a sell-out; plan now to attend and enjoy a most memorable evening with your AIAMC colleagues and friends. In addition to our traditional Weinberg and Innovations awards, we will honor Board Officers who have completed their terms of office. The Skyline Country Club boasts unparalleled panoramic views of the Santa Cruz valley and the city lights of Tucson. It is located just 6 miles and less than 15 minutes from our conference hotel and is designated a “Platinum Club of America” by Sibbald and Associates. This prestigious honor places Skyline among the top 200 private clubs in America, and is the only Club so honored in Southern Arizona. Please note that seating is limited and that a separate registration fee is required. 7:00 – 7:45 7:45 – 8:45 9:00 – 10:15 The registration fee covers your dinner, one complimentary drink ticket and door-todoor motorcoach transportation. Saturday, April 2nd Buffet Breakfast; Exhibits Open Joy in Practice: Why it’s Missing, Why it Matters and What Can Be Done Christine Sinsky, MD, Vice President, Professional Satisfaction, American Medical Association Professional satisfaction is a powerful driver of the Trip Aim. Yet nearly half of all US physicians exhibit some sign of burnout, increasing the likelihood of mistakes, patient dissatisfaction and physician intent to leave practice. Improvements in clinical workflow, teamwork and communication are among the most potent anecdotes to burnout. This session will describe new AMA practice transformation modules that can help physicians and staff re-engineer their office practice and approach to work. CONCURRENT BREAKOUT WORKSHOPS Beginning to Ameliorate Healthcare Disparity: The Nuts and Bolts of Our Health System’s Initial Approach: Main Line Health System Barry Mann, MD, Chief Academic Officer Joseph Greco, MD, Program Director, Family Medicine Main Line Health System will present its recent 5-year journey toward the amelioration of healthcare disparities. This session will describe the following programs in a NUTS and BOLTS fashion in the hopes of enabling other health systems to implement these programs while benefitting from the Main Line Health experience: Healthcare Disparities Colloquium Medical Student Health Advocates Program Nursing Student Health Advocates Program Health Career Academy, a high school education enrichment program for underserved youth Health Careers Summer Camp for underserved youth After presentation of the concepts, participants will receive “how-to” work-books and will be challenged to map-out the specific measures required to implement the programs they deem most appropriate for their health systems. In a closing reportout, participants will then highlight the barriers that their specific health system and/or communities might present to implementation of the programs. Finally, a focused conversation will be facilitated among the participants to help each other theorize creative solutions to anticipated barriers. Patient Safety and Quality Improvement Fellowships: What is Known, How Do They Work, and What Is In It For Me?: Our Lady of the Lake Regional Medical Center and TriHealth Bahnsen Miller, MD, Patient Safety and Quality Improvement Fellow, Our Lady of the Lake Regional Medical Center Lori Ginger Klarquist, DO, Patient Safety and Quality Improvement Fellow, TriHealth Miriam Chan, PharmD, Director, Quality Improvement and Patient Safety Fellowship OhioHealth Riverside Methodist Hospital Alston E. Dunbar III MD, MBA, FAAP, Patient Safety and Clinical Quality Improvement Fellowship Director, Our Lady of the Lake Regional Medical Center There is currently a lack of consensus with design of Post-Graduate Patient Safety and 10:15 – 10:45 10:45 – 11:30 11:30 – 12:00 Quality Improvement Fellowships. Approximately 15 fellowships are offered throughout the country with large variation in curriculum and program structure. To gain a better understanding of this variation, we surveyed fellowship program directors to gain insight on program design, Fellow demographics/characteristics, and curriculum. During the breakout session, we will share our survey data and discuss our experiences in developing a QI/PS Fellowship. Through group discussion, participants will be expected to identify institutional priorities, benefits of a fellowship, and barriers to implementation. Most importantly, we hope this session will benefit institutions considering starting a post-graduate PS/QI fellowship, institutions that currently have a fellowship in place, and trainees that may be considering fellowship training. Culture by Design: Leadership Exercises and Activities to Enhance Team Development: Saint Francis Hospital and Medical Center (please note this session will also be held on Friday) Jeri Hepworth, PhD, Director of Medical Education and DIO Ashley Negrini, MS, Supervisor, Medical Education Leaders have opportunities in small ways to intentionally create a culture of collaboration and teamwork. Though formal team development retreats can be useful, a culture of collaboration is developed through consistent acknowledgement of others’ views and intentional activities to facilitate active participation of all team members. Team members need to trust that their perspectives will be respected and that time spent in discussion will result in more informed decisions and plans. In this highly interactive break-out session, participants will practice several leadership strategies to facilitate enhanced discussion and participation, and therefore commitment to team plans and goals. The interactive exercises can be easily adapted for brief team development opportunities in the participants’ home settings. Break; Exhibits Open Poster Slam The five highest-rated poster submissions will be presented in a poster slam, i.e., executive summary, format by the following AIAMC members: Effect of Ethnic Disparities on the Outcome of Stage III Colon Cancer Patients Carlos Sequera, MD, Internal Medicine Resident, Advocate Illinois Masonic Medical Center Engaging and Developing Faculty as Educators from Entry to Teaching the Teachers Deborah Simpson, PhD, Director, Medical Education Programs, Aurora Health Care Transitions of Care: Exploring the Frequency and Content of Overnight Provider Documentation on Inpatient Medicine Units at a Community Hospital Shaun Hanson, MD, Quality and Safety Administrative Fellow, Christiana Care Health System Residents as Educators: Value-Added Integration of Teaching And Leadership Skills Deepthi Yeturu, Medical Student, University of Queensland and Laura Bateman, MD, Associate Program Director, Ochsner Internal Medicine Program Examination and Cost Analysis of Inappropriate Continuation of Stress Ulcer Prophylaxis During ICU Transfer and Hospital Discharge Hayden Smith, PhD, MPH, Coordinator, Faculty Resident Research, UnityPoint Health Des Moines Staffed Poster Displays 12:00 – 1:00 All posters will be displayed throughout the entire Annual Meeting; this session is dedicated to staffed display. These include posters that support our Annual Meeting theme as well as the projects of the 2015-16 IHI-AIAMC Improvement Scholars…….prepare to be impressed and inspired by this collective body of work! Closing Session and Boxed Lunch Addressing Health Disparities: It Takes A Team Ronald Wyatt, MD, Medical Director, Division of Healthcare Improvement, The Joint Commission This session will serve as the close of the 2016 Annual Meeting and the opening of National Initiative V Meeting Two. Dr. Wyatt will discuss disparity as a patient safety issue and present potential solutions to addressing health inequity in AIAMC-member care populations.