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MAIN DAY SUMMITMONDAY NOV 19

7:30 AM TO 8:15 AM BREAKFAST & REGISTRATION

8:15 AM TO 8:30 AM OPENING REMARKS Edwina Nearhood – Patient Partner, Fort St John

8:30 AM TO 9:40 AM KEYNOTE ADDRESS Dr. Don Berwick – President Emeritus and Senior Fellow, IHI

Don Berwick is the United States’ leading advocate for high-quality healthcare, and one of the top thinkers in healthcare today. Don is currently President Emeritus and Senior Fellow at the Institute for Healthcare Improvement – IHI. From July 2010, to December 2011, Dr. Berwick served as Administrator of the Centers for Medicare and Medicaid Services. For 22 years prior to that, he was the founding CEO of the Institute for Healthcare Improvement, a nonprofit dedicated to improving healthcare around the world. A pediatrician by background. Don has also served on the faculties of the Harvard Medical School and the Harvard School of Public Health. Dr. Berwick is on the Board of Advisors for Google Deep Mind Health and on the Board of Directors for LumiraDx, Virta Health and COTA, Inc.

9:40 AM TO 10:00 AM TRANSITION BREAK

PROGRAM DETAILSPRE-DAY SUMMIT(OPTIONAL)Sunday November 183:00 PM to 6:00 PMThis session is designed for Facility Engagement Medical Staff Association physicians.

POST-DAY SUMMIT(OPTIONAL)Tuesday November 208:15 AM to 4:00 PMAdvanced Training in QI event is designed for PQI Physician Cohort graduates and PQI staff.

MAIN-DAY SUMMIT

Monday November 198:15 AM to 5:30 PM

PQI Summit > Registration Link

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10:00 AM TO 11:00 AM SIMULTANEOUS RAPID FIRE SESSIONS 1) PQI Across the Province Presenters will share their PQI journey including projects underway, lessons learned along with challenges and opportunities. Presenters: Dr. Anurag Singh, Chair, PQI Steering Committee, NHA Dr. Ron Collins, Chair, PQI Steering Committee, IHA Dr. Chris Bozek, Chair, PQI Steering Committee, FHA Dr. Vinay Dhingra, Chair, PQI Steering Committee, VCH/PHC Dr. Monty Martin, Chair, PQI Steering Committee, PHSA Dr. Jason Wale, Chair, PQI Steering Committee, VIHA

2) Physician Engagement – FE and PQI Working Together Medical Staff Associations and PQI working together – examples of how these strong partnerships supports improvement. Presenters: Dr. John Hwang, General Surgery, FHA Dr. Dan Boston, Psychiatry, VIHA Dr. Chris Lee, Emergency, VCH Dr. Claire Seaton, Paediatrician, PHSA Dr. David Van Rensburg, Obstetrician/Gynecologist, NHA

3) Patients as Team Members Presenters will share a project that has had substantive patient involvement, which in turn led to a meaningful impact on the project or on the physician. Presenters: Dr. Jean Warnerboldt, Hospitalist, FHA Dr. Maki Ikemura, Maternity, VIHA Dr. Amrish Joshi, Palliative, VCH Dr. Nicole Todd, Obstetrician/Gynecologist, PHSA Edwina Nearhood, Patient Partner, NHA

4) Crossing Silos Health care delivery silos are impeding Canada’s ability to adapt to changing demands. This session will highlight a PQI project that has worked across boundaries and capture lessons learned. Presenters: Dr. Raj Johal, Family Physician, FHA Dr. Jessica Otte, Family Medicine, VIHA Dr. Trina Montemurro, Anesthesiology, PHC Dr. Michael McKenzie, Radiation Oncologist, PHSA Dr. Janet Ames, Sport Medicine Physician, NHA

CONTINUEDMONDAY NOV 19

PROGRAM DETAILS

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CONTINUEDMONDAY NOV 19

5) High Impact – High Value Get an insight into local Physician Lead projects that stand out in their ability to create diverse impact. These projects have surpassed expectations on many fronts. Presenters: Dr. Raymond Dong, Cardiologist, FHA Dr. Corey Tomlinson, General Surgeon, VIHA Dr. Cole Stanley, Family Medicine, VCH Dr. Henry Woo, Obstetrician/Gynecologist, PHSA Dr. Marijo Odulio, Obstetrician/Gynecologist, NHA

11:00 AM TO 11:15 AM TRANSITION BREAK

11:15 AM TO 12:15 PM SIMULTANEOUS KEY LEARNING SESSIONS 1) Consensus Building – Shared Governance As health care organizations strive to improve the quality and affordability of care, they’re beginning to understand the critical role of shared leadership in a traditional hierarchical structure. The presenters will cover some of the challenges to shared governance, as well as strategies they have used to overcome these challenges. Presenters: Dr. Ron Collins, Physician QI Advisor Candice Manahan, EL Physician Quality Dr. Gordon Hoag, PQI Provincial Physician Advisor

2) Teamwork & Engagement: The Heart of Healthcare Based on well-documented research, teamwork improves outcomes and helps members feel invested in their work. However, it is well documented that poorly functioning teams often achieve the opposite. In this session, presenters will share the key drivers of engagement and how to design effective team environments in the context of quality improvement initiatives. Presenters: Rob Hulyk, Director of Physician Advocacy, Physician & External Affairs, DoBC Doreen Perschon, EnGauge Consulting Dr. Lawrence Yang, Family Physician, FHA

3) Defining and Redefining Patient Involvement in QI A new wave of talent is joining teams in quality improvement worldwide. Who might be in a better position to contribute more towards “quality” than patients? Along with sharing insights from their lived expertise in health care, patient partners augment your team with a surprising array of skills, courage and strategic advantage that you’d be unlikely to recruit. Presenters: Carolyn Canfield, Citizen-Patient

PROGRAM DETAILS

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CONTINUEDMONDAY NOV 19

4) QI Project Management — Strategic Imperative We use our improvement methodologies to accelerate and organize our learning within a project, but how do we manage our project while keeping up with multiple projects managed by diverse players in our organizations? Do we rush over aspects of our project cycle in the complexity of what we are trying to do? Do we rush through the planning to get right to the Change Ideas? Have we captured all the learnings and fully integrated our new processes into the fabric of the organization or will our changes slowly revert back to where we started? We will discuss one such effort to manage over 100 projects at any given time, from generating the improvement idea through planning, testing, implementation and completion of the project. Presenters: Dr. Frank Ervin, PQI Faculty, FHA Angela Tecson, PQI Manager, FHA

5) The Business Side of Quality: Return On Investment Leading health systems have invested in physician-led quality improvement (QI) projects and capacity building. Across BC and the world, ongoing efforts are being taken to measure the Return on Investment (ROI) of these initiatives. In this session, speakers will share their real world experience defining and measuring ROI from three unique perspectives as well as tips that participants can apply to their own PQI projects. Presenters: Kelly Murphy, Corporate Director Medical Affairs, VIHA Dr. Curt Smecher, PQI Provincial Physician Lead Mark De Croos, VP, Financial & Corporate Services/CFO, NHA

12:15 PM TO 1:15 PM LUNCH

1:15 PM TO 2:45 PM SIMULTANEOUS INTERACTIVE SESSIONS 1) Building A QI Culture The culture of an organization is the embodiment of its core values and guiding principles, behaviors, and attitudes that collectively contribute to the effectiveness of its daily operations Learn how to manage and direct culture change as your organization reaches its tipping point. In this interactive session, presenters will share their experience establishing a robust quality movement culture, as well as tips and suggestions that you can adopt on your organizations quality improvement journey. Presenters: Tracey Gurton, Executive Education Professor, UBC Dr. John C. O’Horo, Curriculum Director Quality Academy, Mayo Clinic Dr. Curt Smecher, PQI Provincial Physician Lead

2) Physicians as Equal Leaders While it is widely accepted that physician leaders are critical to high performing health systems, many physician leaders feel that their role is a “token” position. Hear from these presenters who are challenging the status-quo to equip future leaders to have equal dyad partnership in decision making in health care leadership.

PROGRAM DETAILS

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CONTINUEDMONDAY NOV 19

Presenters: Dr. Harsh Hundal, EMD Engagement & Resource Planning, IHA Kip Woodward, Board Chair, VCH Jenna Smith-Forrester, Medical Student, Prince George

3) The Coach is In: Shape your QI Project TODAY Come armed with the projects that you are currently working on. This one-on-one mentorship session will offer advice and coaching opportunity with QI professionals and physician leaders. Participants will leave with new tools to try, creative insights and possible next steps for your project. Presenters: Wrae Hill, QI Consultant, IHA Marna deSousa, QI Coach, NHA Rosie Holmes, QI Coordinator, VIHA Bethina Abrahams, PQI Manager, PHSA Dr. Celine Kim, Physician QI Advisor Dr. Raj Johal, PQI Faculty, FHA

4) System-wide Transformation to Ensure Timely Patient Flow and Patient Safety in Hospitals System-wide efforts to ensure patient safety and improve timely patient flow to appropriate clinical units at Cincinnati Children’s Hospital have driven a three-fold decrease in patient delays while improving efficiency, safety, and patient and staff experience. A focus on “flow failures and flow delays” has helped system leaders to understand hospital-wide performance and to identify specific areas for improvement. Redesign efforts have included improving efficiencies throughout the hospital, “smoothing” elective surgery schedules, proactive discharge preparations and the use of advanced data analytics and predictive modeling. Presenters: Frederick C. Ryckman, MD, recently retired Senior Vice President for Medical Operations, Cincinnati Children’s Hospital Medical Center Patricia Rutherford, RN, MS, Vice President of the Institute for Healthcare Improvement

5) Spread & Sustainability: How do we do it Although much progress has been made, there is a need to increase the pace and scale of improvement. Acknowledging that spreading and sustaining improvement is not easy, the presenters will share their perspective on how to increase understanding of key factors underpinning successful spread and sustainability of quality improvement based on their unique experiences. Presenters: Angie Chan, Manager, Community Practice Incentives & Evaluation, Community Practice, Quality & Integration, Doctors of BC Dr. Jason Wale, Chair, VIHA PQI Steering Committee Margot Wilson, Director, Shared Care, Virtual Health/Digital Care, PHC

2:45 PM TO 3:15 PM TRANSITION BREAK

PROGRAM DETAILS

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CONTINUEDMONDAY NOV 19

3:15 PM TO 4:00 PM PANEL DISCUSSION Moderator: Dr. Daisy Dulay, Physician QI Advisor, VIHA Carolyn Canfield, Citizen Patient Dr. Matt Chow, SSC Co-Chair Patricia Rutherford, VP Institute for Healthcare Improvement TBC, Ministry of Health TBC, CEO Health Authority

4:00 PM TO 4:15 PM CLOSING REMARKS Dr. Frank Ervin, Chair, PQI Summit Planning Committee

4:15 PM TO 5:30PM RECEPTION Continue those great conversations - share your learnings, expand on your thoughts through discussions with your colleagues and presenters.

PRE-DAY SUMMITSUNDAY NOV 18

This event is designed for Facility Engagement Medical Staff Association physicians.

3:00 PM TO 6:00 PM FUNDAMENTALS OF QUALITY IMPROVEMENT Through this interactive Quality Improvement (QI) workshop, participants will have the opportunity to learn how to apply the Model for Improvement and key QI tools to their own quality work to: • Understand the current state and gaps in health care • Generate ideas for change and systematically test them • Develop appropriate measures (i.e. outcome, process, and balancing) • Learn how to use a charter to scope work and communicate with stakeholders • Engage effectively with key stakeholders and foster champions for their projects Presenters: Bethina Abrahams, PQI Manager, PHSA Dr. Celine Kim, Physician QI Advisor, PHSA Dr. Adele Harrison, EMD Quality & Safety, VIHA

6:30 PM TO 7:30 PM NETWORKING RECEPTION Great opportunity to connect with quality leaders and fellow colleagues to share knowledge and ideas.

PROGRAM DETAILS

OTHER

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Advanced Training in QI event is designed for Physician PQI Cohort graduates and PQI staff

7:30 AM TO 8:15 AM BREAKFAST

8:15 AM TO 8:20 AM OPENING REMARKS Dr. Curt Smecher, PQI Provincial Physician Lead

8:20 AM TO 9:00 AM KEYNOTE ADDRESS Dr. John C. O’Horo – Curriculum Director Quality Academy, Mayo Clinic

John C. O’Horo, M.D., M.P.H., F.A.C.P. is a board certified internist, intensivist and infectious disease specialist at the Mayo Clinic in Rochester MN. Dr. O’Horo has served as chief resident in his internal medicine residency program, and chief fellow in his critical care fellowship program. While in residency, he obtained a Master’s in Public Health and worked part time with the electronic medical record implementation teams at Aurora Health Care to integrate computer physician order entry into their clinical practice. He served as chief fellow for his critical care training and was honored as the Research Fellow of the Year for Mayo Clinic as an infectious disease trainee. Dr. O’Horo joined the staff at Mayo Clinic in Rochester, Minnesota in August 2016.

9:00 AM TO NOON SIMULTANEOUS ADVANCED TRAINING SESSIONS 1) Hospital-wide Patient Flow: Right Care, Right Place, Right Time Addressing vexing issues of patient flow in hospitals is essential to ensure safe, high quality, patient- centered care. Failure to provide the “right care, in the right place, at the right time” puts patients at risk for suboptimal care. Poorly managed hospital flow also adds to the already taxing burden on clinicians and staff and diverts their attention from clinical care. Improving hospital-wide patient flow is critical for increasing value — for patients, clinicians and health care system administrators. Presenter: Patricia Rutherford, RN, MS, Vice President of the Institute for Healthcare Improvement Frederick C. Ryckman, MD, recently retired Senior Vice President for Medical Operations, Cincinnati Children’s Hospital Medical Center

2) Making the most of precious time: Effective Meetings Have you ever been to a meeting that you found to be long, monotonous and dull? Are you and your group experiencing meeting fatigue? In this workshop we will discuss practical tools and proven ideas to help make your meetings orderly, focused, efficient, inclusive and even… enjoyable as a chair or a participant. Presenter: Eli Mina, Registered Parliamentarian

PROGRAM DETAILS

POST-DAY SUMMITTUESDAY NOV 20

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12:00 PM TO 1:00 PM LUNCH

1:00 PM TO 3:20 PM SIMULTANEOUS ADVANCED TRAINING SESSIONS 1) Capability in Complex Systems Almost all health care systems involve complex processes and multiple providers. In our effort to improve these systems, it is often difficult to understand which processes contribute most to the effectiveness of the overall time and variation in providing care. Attempts to improve flow through these complex systems often involve choosing priorities. Do we choose the ones that are easiest or the best known or the costliest? Presenter: Dr. Curt Smecher, PQI Provincial Physician Lead

2) Vocal Training, Stage Presence The greatest impact speakers have in any conversation comes not only from the words they speak but from the sound of their voices. In other words, it is not just the message but the messenger that matters. In partnership with Bard on the Beach, this workshop will help improve your confidence on stage and public speaking skills. Creating and sharing the case for change is a critical component of the quality improvement process – and it depends on effective communication. Presenters: Mary Hartman, Educator, Bard on the Beach Claire Sakaki, Executive Director, Bard on the Beach

3:20 PM TO 3:40 PM TRANSITION BREAK

3:40PM TO 4:00 PM CLOSING REMARKS Dr. Gordon Hoag, PQI Provincial Physician Advisor

CONTINUEDTUESDAY NOV 20

PROGRAM DETAILS

HOUSEKEEPING INFORMATIONThe event happens at the Vancouver Marriott Downtown.

1128 West Hastings Street, in Vancouver, B.C. Call 604-684-1128 to reserve a room.

You may be eligible for a discounted block rate of $199 per night – mention you will be attending Doctors of BC PQI Summit when you reserve.