ED DIRECTOR S COURSE
Sunday, February 8
Target Audience: This program is designed for new medical directors or those aspiring to be medical directors and will provide valuable training in Emergency Department (ED) management. While this program has been designed for military physicians, it is equally applicable to civilian physicians.
Description of Education Content: The course has gathered present and past military medical directors and hospital senior leadership and utilizing lectures with PowerPoint presentations, a lunch workshop and panel discussion, address topics that all ED Directors face. Participants will attain and be able to negotiate, critically address and solve issues confronted by ED Directors in their daily jobs. An additional benefit of the program will be the opportunity to network with experienced ED directors and obtain the tools necessary to successfully be an ED director.
0700-0730 Registration/Continental Breakfast
0730-0740 Welcome
LTC Rolando Torres, MD, FACEP
Col Linda Lawrence, MD, FACEP
0740-0830
Length: 50 minutes
Speaker: James S Eadie, MD, FACEP; Emergency Medicine Faculty, Wilford Hall Medical Center; Immediate Past President of GSACEP
Title of presentation: Strategies to Improve ED Throughput
Teaching Method: PowerPoint Presentation
Learning Objectives:
Waiting time at emergency departments throughout the nation is at an all time high, and ED directors must address these issues proactively to insure patient safety and optimize space, assets and personnel utilization. Upon completion of this session the participant will have the ability to choose an effective ED design that will promote and identify limiting factors of throughput. The participant will be able to integrate bedside triage, decide how to utilize and optimize ancillary services assets, and troubleshoot obstacles that will decrease time to admission.
0830-0920
Length: 50 minutes
Speaker: Col Lee E. Payne, MD, FACEP: Commander, David Grant USAF Medical Center, Travis AFB, CA
Title of presentation: Measuring Performance: From Customers Service to Clinical Outcomes
Teaching Method: PowerPoint Presentation
Learning Objectives:
Everyone is interested in how you run your ED- You should too! At the end of the session participants will be able to determine why your Hospital Commander or CEO/Board of Directors is concerned with what happens in your ED. At the end of the lecture the participant will be able to describe how an ED operation impacts the patient's perception of quality and service. Determine what factors contribute to the customer's perception of quality care. Participants will be able to assess the best ways to measure customer service and describe how multiple private organizations, medical specialty societies, and governmental agencies are beginning to define quality Emergency Care and what data and metrics they intend to apply to measure quality outcomes in your ED and what impact that may have on you! They will also be able to describe how these measures will be used to "Pay for Performance" and to drive quality care and outcomes and describe Lean Healthcare concepts and how then can improve your ED operations, the patient's perception of their care, and your efficiency.
0920-1010
Length: 50 minutes
Speaker: CAPT Lynn Welling, MD, FACEP: Executive Officer, Naval Health Clinics, Hawaii
Title of presentation: Responsive Quality Care: What to do After an Incident
Teaching Method: PowerPoint Presentation
Learning Objectives:
Bad things happen, and emergency physicians usually are the ones to help those that are affected by accidents and sudden illness or pain. When they happen in the ED, that's another story and an ED director must be have a plan to address these events. After this lecture the participant will have working knowledge of the standard actions that an ED director must perform after an incident in the ED. These will include but are not limited to: Standard of care reviews, Incident reports, Expert legal reviews, Credentialing actions. The participant will also choose how to respond to allegations against themselves, including law suits and reports to the National Practitioner data base. The participant will be able to apply this knowledge to a proactive program to minimize the potential of an incident escalating to legal or other regulatory action.
1010-1025 Coffee Break
1025-1055
Length: 30 minutes
Speaker: Col Linda Lawrence, MD, FACEP: Chief of Medical Staff, David Grant Medical Center, Travis AFB, CA; Emergency Medicine Consultant to the Surgeon General, Air Force; Associate Professor, Dept. of Military and Emergency Medicine, USUHS, Bethesda, MD; Chair BoD/Immediate Past President, American College of Emergency Physicians
Title of presentation: How to Run an Efficient Department Meeting
Teaching Method: PowerPoint Presentation
Learning Objectives:
Most physicians dislike meetings, but as an ED director you must have them. Face to face conversations insures buy-in to new ideas, sharing of information and opinions from all key staff, and task accomplishment. Participants at the end of this session will be able to choose when you should (or shouldn't) have a meeting, how to prepare for a meeting and setting an agenda. As an ED director the participant will be able to devise discussion topics, manage conflicts within the ED and delegate tasks. They will be able to formulate a follow up plan, and what actions are needed after a meeting.
1055-1125
Length: 30 minutes
Speaker: Col Linda Lawrence, MD, FACEP: Chief of Medical Staff, David Grant Medical Center, Travis AFB, CA; Emergency Medicine Consultant to the Surgeon General, Air Force; Associate Professor, Dept. of Military and Emergency Medicine, USUHS, Bethesda, MD; Chair BoD/Immediate Past President, American College of Emergency Physicians
Title of presentation: Joint Commission Primer and Lessons Learned
Teaching Method: PowerPoint Presentation
Learning Objectives:
ED directors are responsible to be prepared for Joint Commission surveys and keep up to date with new regulations. By sharing lessons learned the participants will be able to appraise the key elements of Joint Commission survey applied to the ED, implement strategies to create an environment of continuous compliance and evaluate the 2009 National Patient Goals and Standard changes.
1125-1215
Length: 50 minutes
Speaker: CAPT Joel A. Roos, MD: Director Primary Care and Branch Clinics; Naval Medical Center Portsmouth, VA; Specialty Leader, Navy Emergency Medicine
Title of presentation: The Business of Emergency Medicine: Turning RVU's into $
Teaching Method: PowerPoint Presentation
Learning Objectives:
Military Institution appears to run on an unlimited budget, which is far from reality. Our efficiency, acuity level and productivity issues are similar to our civilian counterpart. Our Commanders/CEO establishes a budget based on work load and productivity, and we must accurately reflect this to our department and patient advantage. After this session the participant should be able to discuss the importance of coding, provider productivity and staffing optimization. They will be able to determine compensation strategies and negotiate contracts and work with contractors
1225-1315
Length: 50 minutes
Speakers: Moderator, Rolando Torres, MD, FACEP; Drs. Della-Gisutina, Eadie, Lawrence, Munter, Payne, Roos, Welling
Title of Activity: Lunch with the Directors - Picking their brains
Teaching Method: Workshop
Learning Objectives:
This portion is designed for the participants to sit and in a more relaxed atmosphere exchange ideas and synthesize some of the concepts already discussed during the overall course. ALL 8 speakers will sit at one of the participnants' tables for lunch and discuss topics of interest. Participants will be able to discuss common pitfalls in ED management and how to avoid them. They will also be able to discuss hospital leadership expectations and how to meet them. Participants will be able to compare different approaches to problems at their own institutions and compare ways to address them in the near future.
1315-1405
Length: 50 minutes
Speaker: COL David Della-Giustina, MD, FACEP, FAWM: Chairman of Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: Negotiating for Success
Teaching Method: PowerPoint Presentation
Learning Objectives:
Negotiating or reaching a consensus or compromise is necessary to become a successful ED director. Standard of care, principles and ethics are never compromised, but how we accomplish success is dependent on how we work with our employees and our leaders. Participants at the end of this lecture will describe methods of Communication and devise buy-in from nursing and EMT's. They will be able to handle intra-departmental issues and haggle with the Boss. They will be able to utilize position papers and outside help such as consultant, national organization and practice guidelines to insure the delivery of excellence in health care.
1410-1500
Length: 50 minutes
Speaker: David W. Munter, M.D., MBA, FACEP: President, The DESA Consulting Group, Chesapeake, VA
Title of presentation: Get to the Point
Teaching Method: PowerPoint Presentation
Learning Objectives:
Understand that in any communication, only a small portion of what is said is actually retained by the listener. This requires effective communications to be planned so that what is retained is what the speaker wants to be retained. At the end of this session the participants will be able to discuss the different learning styles in adults, and how to communicate effectively with each of those styles. Choose how to communicate succinctly and accurately when the situation requires, such as a telephone call to a consultant. Discuss how to communicate bad news, including the death of a loved one, to others. Describe 6-8 key points in preparing a presentation to medical colleagues, whether it is an informal morning report, or a more formal lecture.
1500-1515 Coffee Break
1515-1615
Length: 60 minutes
Speakers: Dr. Linda Lawrence, Dr. David Della-Giustina, Dr. Joel Roos
Title of Activity: Roundtable Discussion
Learning Objectives:
The leaders in Military Emergency Medicine from all three branches (Army, Air Force and Navy) will conduct a question and answer session with the participants. Topics will include the problem provider, deployment and readiness issues, JCAHO/HSI preparation, National Patient Safety Goals and ORYX measures. At the end of the session participants will be able to: analyze the actions they will need to perform as ED Directors; critically choose the correct actions; evaluate all in relationship to established guidelines or requirements.