Charlotte, North Carolina

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CSR Educational Workshop

November 19 & 20, 2015

The Ballantyne Hotel &

Lodge

Charlotte, North Carolina

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CSR for the Carolinas Educational Workshop

The Ballantyne Hotel & Lodge Charlotte, NC

Thursday – Friday November 19-20, 2015

Purpose

The Continuous Service Readiness (CSR) Program for the Carolinas is a joint effort between the Joint

Commission Resources (JCR) and South Carolina Hospital Association (SCHA) to structure and

implement a program for hospitals to receive education, consultation, and feedback on a continuous basis

concerning Patient Safety and Joint Commission compliance requirements. Through CSR, hospitals have

an avenue to help share a continuous service readiness process that incorporates performance

measurement and patient safety into the quality processes.

Objectives

Upon completion of this workshop, participants will:

• Identify one revision to the Joint Commission Standards for 2015.

• Identify two of the most challenging Joint Commission Standards.

• List what surveyors are looking for during a Joint Commission Survey through discussion with a panel of individuals from hospitals that have been recently surveyed.

 Explain the requirements and discuss strategies for complying with medication management standards.

• Identify two to three challenging medical staff standards.

• Explain the logistics of the survey process.

• Identify at least one best practice for the medication reconciliation process.

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CSR for the Carolinas Educational Workshop

Thursday November 19, 2015

8:00 am - 8:30 am Registration and Continental Breakfast

8:30 am – 8:45 am Welcome

Karen Reeves, BSN, MHHA, FACHE South Carolina Hospital Association Dale Duncan, RN, MHSA, CPHQ Chair, CSR Advisory Board

8:45 am - 10:30 am The Joint Commission Update

Doreen Finn, RN, MBA

Senior Associate Director, Standards Interpretation Group The Joint Commission

10:30 am – 10:45 pm Break

10:45 am – 12:00 pm The Joint Commission Update (continued) Doreen Finn, RN, MBA

Senior Associate Director, Standards Interpretation Group The Joint Commission

12:00 pm - 1:00 pm Lunch

1:00 pm - 4:00 pm Survey Panel

Shawna Doran, RN, MSN – Beaufort Medical Center Allyson Tetterton, RN, BSN – Rex Healthcare

Jackie Pehan, RN, BSN, CPHQ – Carolinas Health-Lincoln 4:00 pm – 4:15 pm Wrap up and adjourn

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CSR for the Carolinas Educational Workshop

Friday November 20, 2015

8:00 am – 8:30 am Registration and Continental Breakfast 8:30 am – 8:45 am Welcome and Announcements

Dale Duncan, RN, MHSA, CPHQ Chair, CSR Advisory Board 8:45 am – 10:15 am Medication Management

Jeannell Mansur, RPh, Pharm.D, FASHP, FSMSO, CJCP Practice Leader, Medication Safety

Joint Commission Resources 10:15 am – 10:30 am Break

10:30 am – 12:00 pm The Medical Staff Update

Ed LeBlanc, MD

Field Director, Domestic Consulting/Physician Consultant Joint Commission Resources

12:00 pm – 1:00 pm Lunch

12:00 pm – 1:00 pm Advisory Board Meeting (Room TBA)

1:00 pm - 2:30 pm Breakout Sessions: A. Ready, Set, Survey

Dale Duncan, RN, MHSA, CPHQ Director, Medical Affairs

AnMed Health

B. FPPE and OPPE

Ed LeBlanc, MD

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Joint Commission Resources

2:30 – 2:45 pm Break

2:45 pm - 4:15 pm Breakout Sessions:

D. Ready, Set, Survey (Repeat Session)

Dale Duncan, RN, MHSA, CPHQ Director, Medical Affairs

AnMed Health

E. FPPE and OPPE (Repeat Session)

Ed LeBlanc, MD

F. Medication Reconciliation (Repeat Session)

Joint Commission Resources

A SPECIAL NOTE FOR THE DISABLED

The South Carolina Hospital Association wishes to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently from other individuals because of the absence of auxiliary aids and services. If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act, please write or call Educational Services at 803-744-3529. SCHA encourages a smoke-free environment; therefore no smoking is permitted in SCHA meetings.

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REGISTRATION AND FEES

The early bird registration fee is $230. Registrations received after November 11 will be considered late and the fee will be $260. All walk up registrations are required to pay the late registration fee and payment must be collected onsite.

SCHA will now offer online registration. To register for this meeting online, visit the SCHA web calendar,

www.scha.org/calendar, select CSR, and click “Online Registration” to sign up today. A registration and payment confirmation will be emailed directly to you once you complete the online registration process. To complete the online registration, you will need to use a username/password that you can create if you do not already have one. If you experience problems, please contact SCHA at 803-796-3080 for assistance.

REFUND/CANCELLATION POLICY

The deadline for registration is November 11, 2015. Any registrant who cannot attend a meeting may send a

substitute from the same organization. If possible, please notify SCHA of the substitution in writing (by letter or FAX).The registration fee (less a $25 processing fee) is refundable if SCHA is notified of the cancellation no later

than November 11, 2015 (5 business days prior to the program.) Refunds will not be made for no-shows and late cancellations.

HOTEL REGISTRATION INFORMATION

The Ballantyne Hotel & Lodge is located at 10000 Ballantyne Commons Parkway, Charlotte, NC 28277. The Room

Block rate for the CSR for the Carolinas is $189.00 a night single or double. The cut-off date for this room block is

November 6, 2015. To receive this special rate, please call 1-888-627-8048 and ask for the SCHA CSR Room block.

WORK TO BE FIT

SCHA is committed to providing a safe and healthy work environment for its employees and guests, compliant with our “Work to be Fit” wellness program. Therefore, policies and standards for tobacco, nutrition, and physical activity have been implemented to support such a culture.

Tobacco – SCHA encourages tobacco free people and places so tobacco use is prohibited at SCHA events and on SCHA grounds.

Nutrition – SCHA provides a healthy food environment where the healthy choice is the easy choice. Healthy menu items that comply with the healthy food nutrition criteria will be available at each meal service. Please note that sugar sweetened beverages do not comply with the nutrition criteria and will not be readily available.

Physical Activity- SCHA encourages the use of scheduled breaks for physical activity (stretching, walking,

etc) to help maintain optimal health. A paved community walking trail is available adjacent to SCHA

grounds.

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CSR Educational Workshop November 19-20, 2015 The Ballantyne Hotel & Lodge,

Charlotte

Online registration is available for this meeting at www.scha.org/calendar. For questions or assistance with online registration please call SCHA at 803.796.3080. Online registration closes November 11, 2015. After November 11, faxed registrations will still be accepted.

The “Early Bird” registration fee is $230.00 per person. This fee covers the cost of refreshment breaks, lunches and other program expenses. Any registration received after November 11 will be considered late and the fee will be $260 per person. Please circle the letter of the two breakout sessions you will be attending. (Circle one for 1:00 PM and one for 2:45 PM)

(Please circle the letter of the two breakouts you plan to attend)

NAME Breakout Sessions: A B C D E F

Title e-mail address

INSTITUTION

Address ___________________________________________________________ Phone ___________________

The Ballantyne Hotel & Lodge is located at 10000 Ballantyne Commons Parkway, Charlotte. The Room Block rate for the CSR for the Carolinas is $189 a night single/double. The cut-off date for this room block is November 6, 2015. To receive this special rate, please call 1-888-627-8048 and ask for the SCHA CSR Workshop block.

PAYMENT OPTIONS – Online registration is available for this meeting at www.scha.org/calendar.

If not registering online, please fill out this form and mail with your check to SCHA. You must also fax a

copy of your registration form to 803.772.7477 (unless you are registering online.)

Payment must be received prior to the meeting. [ ] CHECK

Check in the amount of $

Checks should be made payable to SCHA and returned with a copy of the registration to: SCHA Education Services 1000 Center Point Road Columbia, SC 29210