Intalere Quality Podcasts

Peter Cayan, senior director for Intalere’s Nutrition and Environmental Specialist team, is joined by Dr. Tracy Smith, senior clinical manager for Abbott Nutrition to discuss nutrition in the changing healthcare landscape.

**Please view these slides as you listen to the podcast: https://members.amerinet-gpo.com/Portals/3/Marketing/misc/ENFit_Slides.pdf -----Provided by Thomas Hancock, Founder and Executive Director, The Global Enteral Device Supplier Association (GEDSA) On successful completion of this activity, you should be able to: Outline the background of Tubing Misconnections issue; Explain why new small bore connector design standards are needed; Describe features of the new enteral connector standards and their safety implications; Plan the timeline needed to effectively implement and transition new connector design; State supply chain efforts needed to increase awareness among end user.

Intalere welcomes to the discussion Mike Hodgson, Vice President of Healthcare and Corporate Partnerships at Career Step. Mike has over 25 years of proven success helping clients achieve desired outcomes in the healthcare industry. Throughout his career, Mike has been responsible for driving positive change for clients, as well as the organizations for which he has served in sales, operations and finance roles. Mike is focused on improving productivity and enhancing operations through strategic planning and a commitment to finding positive solutions that meet the business objectives of his customers. Our topic for this episode will be focused on the transition to the ICD-10 Coding system. More specifically, we will be discussing the educational and training needs associated with this transition and where your facility should be in the planning phase. We will also we talking about how to accomplish adequate training without reducing productive work time and other concerns and challenges that may be faced during this transitional period.

Intalere welcomes Brian Williamson, Pharm.D., President and Chief Executive Officer, JCB Laboratories. Dr. Williamson devotes his time and energy to compounding and supplying sterile products to ambulatory surgery centers and hospitals and working with consultant pharmacists from around the country to help them keep their clients compliant with sterile regulations. In this session Dr. Williamson will address the drug shortage issue and why it has become a common problem for hospital pharmacies. He will review the drugs which are the most problematic for hospital pharmacies to acquire at this time. Dr. Williamson will discuss the unavailability of chemotherapeutic drugs and the evolution of the Gray Market. The term pedigree drug is defined. In conclusion, Dr. Williamson will offer recommendations on managing drug shortage issues.

Intalere welcomes Brian Williamson, Pharm.D., President and Chief Executive Officer, JCB Laboratories. Dr. Williamson devotes his time and energy to compounding and supplying sterile products to ambulatory surgery centers and hospitals and working with consultant pharmacists from around the country to help them keep their clients compliant with sterile regulations. We will discuss the process of sterile compounding, USP 797 and how it relates to actual standards and operational procedures for Sterile Compounding. Dr. Williamson will discuss the role of the FDA or the State Board of Pharmacy in the oversight of Sterile Compounding and inspections of Compounding Pharmacies. The training/educational requirements for pharmacy techs and others who compound and distribute these medications is outlined. Lately, Dr. Williamson will recommend questions to ask when considering outsourcing products from a compounding pharmacy.

Intalere’s Quality and Patient Safety Department welcomes Yvette Gaughan, MS, RD, LDN from Nestlé Health Science. With an estimated 24 million cases in the U.S. alone, Dysphagia is a common condition. However, if left untreated, dysphagia can often lead to malnutrition and dehydration and if undiagnosed, can lead to aspiration pneumonia or even chronic lung disease. Our discussion today will include a brief overview of what dysphagia is, the clinical presentation of dysphagia and the signs and symptoms it presents. We hope this information will help increase your knowledge on some of the key aspects related to the management of dysphagia. If you are interested in learning more about the EAT 10 Screening tool or the wide variety of dysphagia products available through Nestlé, please contact your Nestlé Health Science representative or visit us at www.nestlehealthscience.us "This presentation has been prepared and sponsored by Nestlé HealthCare Nutrition, Inc. The material herein is intended for healthcare professionals and educational purposes only and should not be construed as a substitute for medical advice. Reproduction or distribution of these materials is prohibited. Copyright 2012 Nestlé. All rights reserved."

Intalere welcomes Attorney William H. Maruca, Partner from the prestigious Fox Rothschild firm in Pittsburgh. Mr. Maruca will discuss the changes providers can expect to experience in the near future as a result of Supreme Court decision to uphold the Affordable Care Act. He will describe the purpose and initiatives on the Center for Medicare and Medicaid Innovation (CMMI), ACA provisions that will resonate positively from a consumer standpoint and how employers will be affected in terms of health benefit provisions to their employees. Attorney Maruca will address the ACA's expansion in Medicaid coverage and its impact on the states. Bill will explain how hospitals in states choosing not to implement the expansion will be affected. Bill concludes with describing what is next for state "insurance exchanges" and some of the other ACA-related changes and challenges we might anticipate over the next few years.

Intalere welcomes Attorney William H. Maruca, Partner from the prestigious Fox Rothschild firm here in Pittsburgh. Mr. Maruca will discuss the 2012 U.S. Supreme Court Ruling on the Patient Protection and Affordable Care Act. On June 28th, 2012, by a narrow 5-4 decision, the United States Supreme Court ruled largely in favor of upholding nearly all provisions of the Affordable Care Act. Mr. Maruca will provide an overview of what was at issue and why the court’s ruling was so consequential. He will explain the court’s ruling on the constitutionality of the "individual mandate" provision of the ACA and why Chief Justice Roberts' opinion was so significant to the outcome. Attorney Maruca will address the implications and penalties for those who choose not to purchase health insurance, the intent of the "Medicaid expansion", financial implications for those states giving consideration to a refusal to expand their Medicaid programs under PPACA, and some of the open questions in the wake of the decision.

Intalere welcomes Steven M Riddle, BS Pharm, BCPS, FASHP, Vice President of Clinical Affairs for Pharmacy OneSource (part of Wolters Kluwer Health); a healthcare information technology company that provides web-based solutions that improve quality of care and financial performance for hospitals. Mr. Riddle will review the drivers of readmissions reduction, transitions in the continuum of care, and helpful data for organizations beginning to implement improvement strategies around reducing avoidable readmission. Mr. Riddle will review evidence-based strategies and best practices for reducing readmissions including studies and initiatives involving discharge advocates, the pharmacist’s role, care transition programs, a focus on managing a specific high risk population for readmission, and medication management/counseling processes. Lastly, Steven will offer recommendations to pharmacists as they address the readmissions issue at their organizations.

Intalere welcomes Peter H Gilligan PhD Professor of Microbiology-Immunology and Pathology-Laboratory Medicine at the University of North Carolina School of Medicine and the Director of the Clinical Microbiology-Immunology Laboratories at the University of North Carolina Hospitals, for a discussion on Clostridium difficile. Dr. Gilligan will address risk factor for CDiff, who should be tested for CDiff, carriers of CDiff and CDiff as a Hospital Acquired Infection.

During National Diabetes Awareness Month, Intalere focuses on the important health concern of diabetes. This episode features a discussion with Jann Johnston, MD. Dr. Johnston, a Diabetes, Metabolism & Endocrinology, Internal Medicine physician in Pittsburgh, PA will share insight into setting goals for glycemic control in the hospital. Our discussion will feature current published guidelines regarding inpatient glucose control, how hospitals can promote appropriate diabetes management and optimal strategies for transition from in hospital care to outpatient care.

Intalere welcomes Terri G. McCubbin, RN, CPUR, CMC, CPC, Director of Consulting Services at 3M Health Information Systems Division for a discussion on ICD-10 coding including the code structure of ICD-10, the characteristics, coding guidelines, and what we can learn from other countries that have already implemented ICD-10.

During National Diabetes Awareness Month, Intalere focuses on the important health concern of diabetes. This episode features a discussion with Jann Johnston, MD. Dr. Johnston, a Diabetes, Metabolism & Endocrinology, Internal Medicine physician in Pittsburgh, PA discusses how to properly manage hyperglycemia in our hospitalized patients, the risk of hypoglycemia in hospitalized patients, and the best treatment options available in the hospital for this patient population.

Intalere welcomes Terri G. McCubbin, RN, CPUR, CMC, CPC, Director of Consulting Services at 3M Health Information Systems Division for a discussion on the transition to ICD-10 coding. Terri will specifically address the implications, challenges, preparation, and training needs related to ICD-10 conversion.

During National Diabetes Awareness Month, Intalere focuses on the important health concern of diabetes. This episode features a discussion with Jann Johnston, MD. Dr. Johnston, a Diabetes, Metabolism & Endocrinology, Internal Medicine physician in Pittsburgh, PA shares with us an overview of diabetes, the different types of diabetes, the prevalence of diabetes in the United States and the effect diabetes has on other diseases and/or chronic complications.

Intalere welcomes Doug Wojcieszak, the author and founder of SorryWorks! Doug is a disclosure training consultant who has had several personal and professional experiences with tort reform and medical malpractice issues. Doug will discuss empathy and why it is so important. Doug will answer the question - What does empathy look/sound like post-event with a patient/family? And, we will discuss the importance of documentation and the development of a disclosure program.

Intalere discusses rapid response preparedness with Erin Sparnon, an engineer with the Pennsylvania Patient Safety Authority. Rapid response preparedness hinges on three factors: first, rapid access to functioning equipment and up-to-date supplies; second, knowledgeable and trained staff to manage the clinical emergency; and third, after systems are in place, maintaining a state of readiness to manage a clinical emergency at any time. The Pennsylvania Patient Safety Authority’s website is www.patientsafetyauthority.org.

Intalere welcomes Doug Wojcieszak, the author and founder of SorryWorks! Doug is a disclosure training consultant who has had several personal and professional experiences with tort reform and medical malpractice issues. Doug will discuss the message of SorryWorks!, the difference between empathy and apology, the importance of building relationships with and connecting to patients and families, and how to say "sorry”.

Intalere continues the discussion on MRI Safety; specifically the dangers MRI can pose on patients and staff. Joining us today is James S. Schmidt of Kopp Development, Inc. Jim will address MRI hazards including ferrous objects external to the body, implanted ferromagnetic objects, burns and the objects that cause burns, image artifacts, and devise malfunction. Jim will also discuss the 2005 ASTM International ‘Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment’ and its impact on MRI safety. Jim will also suggest available resources to address the issues of ferrous objects in MR.

Intalere welcomes you to this podcast focusing on MRI Safety and the impact on anesthesiology. With us today is James S. Schmidt of Kopp Development, Inc. Jim will address changes in MRI over the past several years which impact the anesthesiologist and anesthetist, issues faced by anesthesiologists and anesthetists when working in the MR environment, barriers hospitals face when purchasing MR Safe equipment for the anesthesiologist or anesthetist and resources available to address the issues anesthesia may encounter in MR.

Intalere welcomes you to this podcast focusing on safe handling of hazardous drugs. With us today is Joanne Beyer, Director of Clinical Services, Carmel Pharma, Inc., the maker of PhaSeal. Joanne will be talking with us today about the history and importance of safe handling of hazardous drugs in the workplace and how to effectively follow safety guidelines designed to protect those who handle and/or are around hazardous drugs every day.

Over the past several years, we have seen a flurry of U.S. federal government interest in addressing hospital-acquired conditions and healthcare-associated infections. This uptick in activity has peaked in 2011, with major news reporting additional financial investment within just the past couple of weeks. Intalere welcomes you to this podcast as we speak with Tim Fenton, Director of Federal Government Relations for Thermo Fisher Scientific. Thermo Fisher is the world leader in serving science, enabling customers – including Amerinet – to make the world healthier, cleaner and safer. We will discuss with Mr. Fenton how the federal government defines Healthcare-Associated Infections, why the government is so interested in Healthcare-Associated Infections, the key players driving Healthcare-Associated Infections activity in the government, key policies on Healthcare-Associated Infections, the Partnership for Patients initiative, and additional Healthcare-Associated Infection initiatives and activities. Tim has also provided below a list of Websites as resources to keep up-to-date with government activities on Healthcare-Associated Infections.

Intalere welcomes you to this podcast where we will explore what we can do to reduce falls and fall-related injuries. Joining our discussion is our Guest, Dr. Michelle McCleery , from Hill-Rom located in Cary, North Carolina. Dr. McCleerey is currently the Director of Patient Safety for the Hill-Rom IT Solutions group. Previous to this role, Michelle held several other positions at Hill-Rom including the Director of Clinical Marketing and the Director of Professional Services, leading the clinical consulting services, design services, information services, and patient and caregiver safety services groups. Michelle has a background in nursing and Master’s Degrees in Education and Business Administration. She also has a Master’s and Doctorate degree in Human Factors, the study and design of the human-system interface.

Intalere welcomes Joelle Olson, Senior Entomologist for the Ecolab Pest Elimination division from Ecolab. Our topic will be focused on the issue of Bed Bugs. We will discuss specifically general facts concerning Bed Bugs including what is it they do and where do they come from, warning signs of infestation, and treatment and Prevention Programs.

Intalere welcomes Dr. Michelle McCleerey, Director of Patient Safety for the Hill-Rom IT Solutions group. Previous to this role, Michelle held several other positions in Hill-Rom including the Director of Clinical Marketing and the Director of Professional Services, leading the clinical consulting services, design services, information services, and patient and caregiver safety services groups. Michelle has a background in nursing and Master’s Degrees in Education and Business Administration. She also has a Master’s and Doctorate degree in Human Factors, the study and design of the human-system interface. Dr. McCleery will be our guest for a series of discussions on preventing patient falls. This discussion reviews the importance of data when designing an effective falls prevention program.

Intalere welcomes Dr. Michelle McCleerey, Director of Patient Safety for the Hill-Rom IT Solutions group. Previous to this role, Michelle held several other positions in Hill-Rom including the Director of Clinical Marketing and the Director of Professional Services, leading the clinical consulting services, design services, information services, and patient and caregiver safety services groups. Michelle has a background in nursing and Master’s Degrees in Education and Business Administration. She also has a Master’s and Doctorate degree in Human Factors, the study and design of the human-system interface. Dr. McCleery will be our guest for a series of discussions on preventing patient falls. This discussion features current regulations concerning patient falls prevention including the CMS rule and the Joint Commission campaign.

Intalere welcomes Celeste Schmelzer, MSN, RN. Celeste is a full time Six Sigma Black Belt at Fairfield Medical Center in Lancaster, Ohio. She has 28 years of experience in nursing, including coronary care, surgery and OR management. Her passion for a culture of safety for all patients is apparent as she currently focuses her clinical expertise on improving patient care processes and achieving best practice performance in quality and safety. Our discussion with Celeste features key concepts that organizations need to understand as they work to improve the culture of safety within their organization including key elements for healthcare organizations to address as they pursue their efforts to provide a culture of safety to their patients

Intalere welcomes Celeste Schmelzer, MSN, RN in a discussion of Prevention Strategies for Central Line Bloodstream Infections. Celeste is a full time Six Sigma Black Belt at Fairfield Medical Center in Lancaster, Ohio. She has 28 years of experience in nursing, including coronary care, surgery and OR management. Her passion for a culture of safety for all patients is apparent as she currently focuses her clinical expertise on improving patient care processes and achieving best practice performance in quality and safety. Our discussion with Celeste features prevention strategies implemented at Fairfield Medical Center to decrease the development of central line-associated bloodstream infections as well as quality measures and monitoring strategies to attack the problem of CLABI.

Intalere welcomes Myra Varnado, BS, CDE, CWOCN, Manager, Hyperbarics and Wound Ostomy Clinical Services, LSU Health System in a quality and patient safety discussion featuring the treatment of pressure ulcers including the important issues to consider regarding pressure ulcer treatment, dressing considerations, specialty equipment and current regulatory issues related to pressure ulcers.

Intalere welcomes Myra Varnado, BS, CDE, CWOCN, Manager, Hyperbarics and Wound Ostomy Clinical Services, LSU Health System in a quality and patient safety discussion featuring the staging of pressure ulcers including the stages used to identify tissue destruction in pressures, limitations to the staging process, and discussion on the concept of back staging.

Intalere welcomes Fred Peterson in a quality and patient safety discussion featuring the Joint Commission Emergency Preparedness Standards. Holly and Fred discuss the recent Joint Commission Emergency Preparedness Standards update in Washington, D.C., the expectation for healthcare organizations to simulate an actual emergency situation, the most frequently cited standards during the Joint Commission surveys of 2009, and valuable resources to assist healthcare organizations regarding Emergency Preparedness.

Intalere welcomes Myra Varnado in a quality and patient safety discussion featuring the prevention of surgical site infections including reasons for the focus on surgical site infections, specific issues that may lead to surgical site infections, and keys to the prevention of surgical site infections.

Intalere welcomes Myra Varnado in a discussion featuring pressure ulcer prevention protocols including the benefit of a Braden Scale score for customized best practices in nursing care, the key areas of developing pressure ulcer prevention protocols, the nutritional aspect of pressure ulcer prevention, and the importance of team work from all care providers in the prevention or pressure ulcers.

Intalere welcomes Myra Varnado in a quality and patient safety discussion featuring the initiatives and steps taken at LSU to reduce pressure ulcers.