time out to reflect on quality & safety in neurosurgery · time out to reflect on quality &...

Time Out to Reflect on Quality & Safety in Neurosurgery

McNamara Alumni Center - University of MinnesotaMinneapolis, Minnesota

July 20 - 21, 2017

NeuroSafe 2017 Symposium - McNamara Alumni Center Floor Plan

NeuroSafe 2017 Symposium - Schedule at a Glance

NeuroSafe 2017 Time Out to Reflect on Quality & Safety in Neurosurgery

July 20 - July 21, 2017

McNamara Alumni Center - University of Minnesota 200 Oak Street SE Minneapolis, MN 55455

Wednesday, July 19, 2017

Travel Day

3:00 PM The Commons Hotel - Check In

Thursday, July 20, 2017, Symposium Day 1

7:00 AM 8:30 AM Breakfast in Thomas H. Swain Room

7:00 AM 8:30 AM Registration - The Commons at McNamara Alumni Center

8:00 AM 4:30 PM General Sessions

10:10 AM 10:30 AM Morning Break

12:10 PM 1:30 PM Lunch in the Thomas H. Swain Room

2:00 PM 2:20 PM Afternoon Break

4:30 PM 6:00 PM Social Hour - The Commons at McNamara Alumni Center

Friday, July 21, 2017, Symposium Day 2

7:00 AM 8:30 AM Breakfast in Thomas H. Swain Room

7:00 AM 8:30 AM Registration - The Commons at McNamara Alumni Center

8:00 AM 4:30 PM General Sessions




4:30 PM 9:30 PM Weisman Art Museum Dinner and Program

Saturday, July 22, 2017

10:00 AM The Commons Hotel - Check Out

NeuroSafe 2017 Symposium Course Purpose

This two-day symposium offers a conversation about how to improve the safety and quality in neurosurgery. On local, state and national levels, providers face challenges in providing high-quality, safe neurosurgical care in complex healthcare systems. A focus by governments, commercial organizations, and neurosurgical professionals on the topics of quality and safety demonstrates gaps in this knowledge area. Considering the Triple Aim of patient outcomes, costs and patient experience, growing our knowledge and practical experience through national experts and sharing across organizations about strategies, studies and ideas will help achieve these aims via interactive case-based presentations, case reviews and discussions.

Key Topics

This innovative two-day symposium will offer cutting edge perspectives on quality and safety for neurosurgery, focusing on:

• Quality and Safety improvement efforts across all practice settings

• Quality and Safety outcome measures

• Quality and Safety challenges

• Quality and Safety leading the national conversation

• Quality and Safety building the safest environments for neurosurgery patients throughout the world.

Educational Objectives

Following completion of this educational symposium, the learner should be better able to :

• Describe how to problem solve quality and safety challenges using real-life examples

• Outline current neurosurgical quality and safety expectations

• Identify potential quality and safety outcomes measures in neurosurgery

• Create new, national collaborations in quality and safety

• Interpret regionalized quality and safety measures

• Describe outcomes and reimbursements

• Leverage your organization to improve quality and safety.

Accreditation Statement

Accreditation Statement In support of improving patient care, University of Minnesota, Interprofessional Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Designation StatementAmerican Medical Association (AMA) The University of Minnesota, Interprofessional Continuing Education designates this live activity for a maximum of 12.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Healthcare Professionals Other healthcare professionals who participate in this CE activity may submit this statement of participation to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education.

Staff and Meeting Planners

Dr. Matthew Hunt, Dr. Stephen Haines, Dr. Daniel Guillaume, Dr. Andrew Grande, Barbara Daiker, Claire Graham, Hannah Cady, Morgan Riordan, Carolyn Vinup

Faculty Listing

• Matthew Hunt, MD, Neurosurgeon, Surgical Neuro-Oncologist, Associate Professor and Resident Program Director, Department of Neurosurgery University of Minnesota

• Stephen J. Haines, MD, FACS, Neurosurgeon, Professor and Lyle A. French Chair, Department Head, Department of Neurosurgery, University of Minnesota

• Daniel J. Guillaume, MD, MS, Neurosurgeon, Associate Professor and Chief, Pediatric Neurosurgery at the University of Minnesota Masonic Children’s Hospital

• Andrew Grande, MD, Neurosurgeon, Assistant Professor and Co-Director, Earl Grande Stroke and Stem Cell Laboratory

• Barbara Daiker, PhD, RN, Director of Clinic Operations and Faculty Practice, Department Administrator

Welcome to NeuroSafe 2017 Symposium

Matthew A. Hunt, MD Course Director

Neurosurgeon, Surgical Neuro-Oncologist, Associate

Professor and Resident Program Director,

Department of Neurosurgery

We are very excited you are here to attend our second annual NeuroSafe 2017 Symposium - Time Out to Reflect on Quality and Safety in Neurosurgery. NeuroSafe 2017 offers a conversation about how to improve safety and quality in neurosurgery. On local, state, and national levels, providers face challenges in giving high-quality, safe neurosurgical care in complex healthcare systems. A focus by governments, commercial organizations, and neurosurgical professionals on the topics of quality and safety demonstrates gaps in this knowledge area. Considering the Triple Aim of patient outcomes, costs and patient experience, we need to grow our knowledge and practical experience through national experts and sharing across organizations about strategies, studies and ideas to accomplish these aims. Learning how to deliver positive patient outcomes for all neurosurgical patients will be achieved during NeuroSafe 2017 through interactive case-based presentations, case reviews and discussions. Conference Overview The conference, to be held Thursday and Friday, July 20-21, includes invited lectures as well as multiple breakout sessions to talk about practical quality and safety improvement applications for neurosurgery. Most of the breakouts are repeated so that everyone can attend sessions they might otherwise miss. Thursday evening there is a reception, but dinner plans are up to each individual. There are lots of great restaurants in the Twin Cities. Perhaps this would be an opportunity to network further with your colleagues from the meeting. Friday night there is a group dinner in the Weisman Art Museum to wrap up and celebrate our work during the conference. The NeuroSafe 2017 Symposium is presented by the University of Minnesota Department of Neurosurgery in cooperation with the Office of Continuing Professional Development - University of Minnesota Medical School. Over the next two days, we are honored to have five keynote presentations by leading North American neurosurgeons:

• D. Douglas Cochrane, MD, FRCSC, Surgical Improvement: A Multi-faceted Strategy

• Oren N. Gottfried, MD, FAANS, A Single Clinic Intervention to Facilitate Patient Communication, Improve Visit Satisfaction, and Provide Real-time Feedback

• Gerald A. Grant, MD, FACS, Hunt for Ambulatory Metrics in the Pediatric Neurosciences

• Ahmed M.T. Raslan, MD, Operative Efficiency, Resource Modeling and Surgical Education in Value Driven Markets

• John D. Rolston, MD, PhD, Improving Intraoperative Patient Safety.

Disclosure Summary

information will be provided in a

separate document.

NeuroSafe 2017 Symposium July 20 - Day One

Start Time End Time Heritage Gallery Room Ski-U-Mah Room Big Ten Room

7:00 AM 8:30 AMBreakfast in Thomas H. Swain Room,

Registration and Information - The Commons at McNamara Alumni Center

8:00 AM 8:10 AM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)

8:10 AM 9:10 AM Hunt for Ambulatory Metrics in the Pediatric Neurosciences KEYNOTE - Dr. Gerald A. Grant (Johnson Great Room)

9:10 AM 10:10 AM Breakout Sessions

9:10 AM 9:40 AM

A Standardized Protocol to Reduce Baclofen Pump Infections: A

Quality Improvement Initiative

Presented by Dr. Kathryn Wagner

Essential Standard Work and Patient Care

Techniques: Stereo- electroencephalography, Stereotactic Targeting, and Laser Interstitial

Thermal Therapy Presented by

Dr. Jeffrey Raskin

9:40 AM 10:10 AM

Opioid Intake in Spine Patients: A Quality

Improvement Project Presented by

Dr. Mena Kerolus

Application of Pediatric Quality of Life

Survey for Neurosurgical Conditions

Presented by Dr. Jeffrey Raskin

Neurosurgery Surgical Site

Infection Reduction Presented by

Dr. Charles Watts



10:30 AM 11:00 AM

Measures of Health Related Quality of Life Outcomes in Pediatric

Neurosurgery: Literature Review


Red Blood Cell Transfusions Following

Resection of SkullBase Meningiomas:

Risk Factors and Clinical Outcomes

Presented by Dr. Carlito Lagman

Quality and Safety at the Veterans

Administration Health Care System (VA)

with Neurosurgical Examples

Presented byDr. Cornelius Lam


11:10 AM 12:10 PM Surgical Improvement: A Multifaceted Strategy KEYNOTE - Dr. D. Douglas Cochrane (Johnson Great Room)


1:30 PM 2:00 PM Breakout Sessions

1:30 PM 2:00 PM

Utilization of a PatientSelection Protocol

for Mechanical Thrombectomy in

Acute Ischemic StrokeImproves Outcomes

Presented by Dr. David Dornbos III

Institutional Priority on the Impact of Mortality Rates

Presented by Dr. John McGregor

On Neurosurgical Resident Physician

Well-Being Presented by

Dr. Jeffrey Raskin


Breakout Sessions Breaks/Free Time Keynotes - Johnson Great RoomExtra-Curricular Activities

NeuroSafe 2017 Symposium July 20 - Day One



2:20 PM 2:50 PM

Pre-Optimization of Spinal Surgery Patients:

Development of a Neurosurgical

Enhanced Recovery After Surgery

(ERAS) Protocol Presented

by Dr. Tracy Ma

A Unique Program at the University of

Kansas Department of Neurosurgery

Designed to Improve and Determine Root

Causes forHospital Re-admissions

Presented by Dr. Phillip Hylton and Tammy Harmon RN

Stereoelectro- encephalography and Stereotactic Laser

Ablation and in Infants and Toddlers: Case

Series and Technical Nuances

Presented by Dr. Jeffrey Raskin

2:50 PM 3:20 PM

Predicting VenousThromboembolic

Complications FollowingNeurological Surgery

Procedures Presented by

Dr. David Dornbos III

A Proposed Protocol to Reduce

Wrong Level Spine Surgery

Presented byDr. Matthew Hunt

3:20 PM 3:50 PM

Clinical Predictors ofSatisfaction Among

Spine Patients: A Single Center Study

Presented by Dr. Rasheedat

Zakare-Fagbamila

Resident Research Mentorship Program

Presented byDr. David Darrow and

Dr. Molly Hubbard

3:50 PM 4:30 PM Questions/Answers/Wrap Up with Dr. Matthew A. Hunt (Johnson Great Room)

4:30 PM 6:00 PM Social Hour - The Commons at McNamara Alumni Center

Breakout Sessions Breaks/Free Time Keynotes - Johnson Great RoomExtra-Curricular Activities

NeuroSafe 2017 Symposium July 21 - Day Two


7:00 AM 8:30 AMBreakfast in Thomas H. Swain Room,

Registration and Information - The Commons at McNamara Alumni Center


8:10 AM 9:10 AMOperative Efficiency, Resource Modeling and Surgical Education

in Value-Driven Markets KEYNOTE - Dr. Ahmed M.T. Raslan (Johnson Great Room)


9:10 AM 9:40 AM

Utilization of a PatientSelection Protocol

for Mechanical Thrombectomy in

Acute Ischemic StrokeImproves Outcomes

Presented by Dr. David Dornbos III

Institutional Priority on the Impact of Mortality Rates

Presented by Dr. John McGregor

Quality and Safety at the Veterans Administration

Health Care System (VA) with

Neurosurgical ExamplesPresented by

Dr. Cornelius Lam

9:40 AM 10:10 AM

A Proposed Protocol to Reduce

Wrong Level Spine Surgery

Presented byDr. Matthew Hunt

National External Ventricular Drain (EVD) Program and Database Presented by

Dr. David Darrow and Dr. Coridon Quinn

Unplanned Intraoperative Extubations in

Pediatric Neurosurgery for Epilepsy Presented by

Dr. Kathryn Wagner



10:30 AM 11:00 AM

A Unique Program at the University of

Kansas Department of Neurosurgery

Designed to Improve and Determine Root

Causes forHospital Re-admissions

Presented by Dr. Phillip Hylton and Tammy Harmon RN

Pre-Optimization of Spinal Surgery Patients:

Development of a Neurosurgical

Enhanced Recovery After Surgery

(ERAS) Protocol Presented by Dr. Tracy Ma

Clinical Predictors ofSatisfaction Among

Spine Patients: A Single Center Study

Presented by Dr. Rasheedat

Zakare-Fagbamila


11:10 AM 12:10 AMImproving Intraoperative Patient Safety

KEYNOTE - Dr. John D. Rolston (Johnson Great Room)


Breakout Sessions Breaks/Free Time General Sessions - Johnson Great RoomExtra-Curricular Activities

NeuroSafe 2017 Symposium July 21 - Day TwoStart Time End Time Heritage Gallery Room Ski-U-Mah Room Big Ten Room


1:30 PM 2:00 PM

On Neurosurgical Resident Physician

Well-Being Presented by

Dr. Jeffrey Raskin

Red Blood Cell Transfusions After

Resection of Skull BaseMeningiomas: A Single

Institution Retrospective Case Control Study

Presented by Dr. Carlito Lagman

Unplanned IntraoperativeExtubations in Pediatric

Neurosurgery Presented by

Dr. Kathryn Wagner

2:00 PM 2:30 PM

The Join Application: Mobile Real-time Tracking of Acute Stroke Patients

and Secure Inter-team Communication

Presented by Dr. Daniel Eddelman

A Standardized Protocol to Reduce Baclofen Pump Infections: A

Quality Improvement Initiative


Essential Standard Work and Patient Care

Techniques: Stereo- electroencephalography, Stereotactic Targeting, and Laser Interstitial

Thermal Therapy Presented by

Dr. Jeffrey Raskin


2:50 PM 3:00 PM Introduction of KEYNOTE - Dr. Matthew A. Hunt (Johnson Great Room)

3:00 PM 4:00 PMA Single Clinic Intervention to Facilitate Patient Communication,

Improve Visit Satisfaction, and Provide Real-Time Feedback KEYNOTE - Dr. Oren N. Gottfried (Johnson Great Room)

4:00 PM 4:30 PM Questions/Answers/Wrap Up with Dr. Matthew A. Hunt (Johnson Great Room)

5:00 PM 9:30 PM Weisman Art Museum Dinner and Program

Breakout Sessions Breaks/Free Time General Sessions - Johnson Great RoomExtra-Curricular Activities

NeuroSafe 2017 Symposium - Keynote Speakers

D. Douglas Cochrane, MD, FRCSC

Professor Emeritus, Division of Pediatric Nursery, University of British Columbia, British Columbia Patient Safety and Quality Council Chair, Staff Neurosurgeon Hospital for Sick Children-Toronto, Canada.

Presentation: Surgical Improvement: A Multifaceted Strategy

John D. Rolston, MD, PhD

Director of Epilepsy Surgery and Stereotactic and Functional Neurosurgery at the University of Utah.

Presentation: Improving Intraoperative Patient Safety

Gerald A. Grant, MD, FACS

Associate Professor of Neurosurgery and, by courtesy, of Neurology, Stanford University Medical Center; Arline and Pete Harmon Endowed Faculty Scholar, Stanford’s Child Research Health Institute; Division Chief of Pediatric Neurosurgery, Stanford Children’s Health Lucile Packard Children’s Hospital.

Presentation: Hunt for Ambulatory Metrics in the Pediatric Neurosciences

Ahmed M. T. Raslan, MD

Attending Neurosurgeon, Director of Clinical Operations for Neurosurgery and Neuroscience Quality Director, Oregon Health and Science University, Attending Neurosurgeon Portland Veterans Administration Medical Center.

Presentation: Operative Efficiency, Resource Modeling and Surgical Education in Value-Driven Markets

Oren N. Gottfried, MD, FAANS

Co-Director of Duke Spine Center; Director, Spine Unit and Clinic, Duke University Hospital; Clinical Vice Chair, Quality, Duke Department of Neurosurgery; Associate Professor of Neurosurgery, Duke University School of Medicine.

Presentation: A Single Clinic Intervention to Facilitate Patient Communication, Im-prove Visit Satisfaction, and Provide Real-Time Feedback

NeuroSafe 2017 Symposium - Breakout Speakers

Molly Hubbard, MD

Resident, Department of Neurosurgery University of Minnesota -Minneapolis, Minnesota

Rasheedat Zakare-Fagbamila, BA MD/MS candidate, School of Medicine, Duke University- Durham, North Carolina

David Dornbos III, MD

Resident, Department of Neurological Surgery, The Ohio State University Wexner Medical Center - Columbus, Ohio

David Darrow, MD, MPH


Phillip Hylton, MD

Assistant Professor, Vice Chair Clinical Affairs, Neurosurgery, University of Kansas Neurosurgery -Kansas City, Kansas

Matthew Hunt, MD

Neurosurgeon, Surgical Neuro-Oncologist, Associate Professor and Resident Program Director Department of Neurosurgery - University of Minnesota

Cornelius Lam, MD, PhD

Professor, Department of Neurosurgery and Chief of Neurosurgery, Minneapolis VA Medical Center, University of Minnesota -Minneapolis, Minnesota

Carlito Lagman, MD

Post-doctoral Research Fellow, Department of Neurosurgery, University of California, Los Angeles, California

John McGregor, MD

Associate Professor, Clinical Neurosurgery, Department of Neurosurgery, The Ohio State University- Columbus, Ohio

Tracy Ma, MD

Resident, Department of Neurosurgery University of Pennsylvania -Philadelphia, Pennsylvania

Coridon Quinn, MD


Kathryn Wagner, MD

Resident, Department of Neurosurgery, Baylor College of Medicine, Texas Children’s Hospital Division of Pediatric Neurosurgery - Houston, Texas

Jeffrey Raskin, MS, MD

Assistant Professor, Riley Hospital for Children, Division of Pediatric Neurosurgery, Indiana University, Neurosurgeon, Texas Children’sHospital Division of Pediatric Neurosurgery - Houston, Texas

Daniel Eddelman, MD

Resident, Department of Neurosurgery Rush University Medical Center -Chicago, Illinois

Mena Kerolus, MD

Resident, Department of Neurosurgery Rush University Medical Center -Chicago, Illinois

Charles Watts, MD, PhD

Assistant Professor of Neurosurgery, College of Medicine, Mayo Clinic

Tammy Harmon, RN, BSN, CCRN

Clinical Nurse Discharge Coordinator, Department of Neurosurgery, University of Kansas Health System - Kansas City, Kansas

Acknowledgement of Educational Supporters

We would like to acknowledge the support of the following companies:

Codman Neuro

DePuy Synthes

Haag-Streit USA

Medtronic Restorative Therapies Group

Medtronic Transformative Solutions

NICO Corporation

Scanlan International, Inc.

Zimmer Biomet

NeuroSafe 2017 is grateful for the unrestricted educational support of these fine companies.

July 20-21, 2017 | Minneapolis, Minnesota

THANK YOU SYMPOSIUM TEAM!

University of Minnesota - Department of Neurosurgery

Office of Continuing Professional Development University of Minnesota

THANK YOU ATTENDEES We are honored by your participation in

NeuroSafe 2017.

For upcoming announcements about next year’s symposium,

visit www.neurosurgery.umn.edu/events or call 612.624.6666

Conference evaluations and participant tracking are online.

You will receive an email with a link to the evaluation and tracking worksheet https://z.umn.edu/NeuroSafeEvalandTracker

Evaluations must be completed on or before August 4, 2017.

Once you have completed your survey, you will be redirected to another page where you will be able to complete your Participant Tracking Worksheet

to obtain your credits.

Please be advised this is the ONLY way to claim your credits.

SAVE THE DATE

time out to reflect on quality & safety in neurosurgery · time out to reflect on quality &...

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