Symposium Agenda – Thursday, November 9, 2017

  • 7:45 – 8:30 AM

  • Li Ka Shing Center Lobby

    Registration & Coffee

  • 8:30 – 9:30 AM


  • Berg Hall

  • 9:40 – 10:30 AM


  • Track A – Berg Hall A
    Health and Safety

    Improving Performance in a Hospital Safe Patient Handling Program
    Joe Daly, PT, MBA, MHA, FACHE, Director, Rehabilitation Services and Safe Patient Handling, Stanford Medical Center
    Tina Cortez, Advanced Project Manager Certification, Program Manager, Safe Patient Handling, Stanford Medical Center

    Stanford Medical Center’s Safe Patient Handling Program was implemented in 2009 and utilizes portable lift equipment, mandatory new hire and annual refresher training, unit-based lift champions, and an external lift-coach model vendor to meet training and safe patient mobility requirements mandated by California Law AB 1136. The program has produced steady declines in lift-related injuries, lost work days and incurred injury costs. Primary recurring costs associated with operations include vendor expense and SPH linen purchase/launder costs, in addition to initial/replacement equipment expense. In this session, we’ll review the evolution of Stanford Medical Center’s Safe Patient Handling Program, identify current program gaps as well as opportunities for improvement identified by new program leadership, and discuss the interventions implemented to improve service, better manage inventory and control overall program costs. We’ll focus on technology solutions related to dispatching and tracking lift assistance provided to front line staff, managing volume, type and timing of lift assistance, and optimizing the purchase, utilization, and restocking of SPH linens.

  • Track B – Berg Hall B
    Emergency Response and Environmental Stewardship

    Sustainability in Healthcare 101
    Terry Duffina, BEP, SFP, Director, Sustainability & Energy, Stanford Health Care

    Due to the nature of their work, hospitals consume tremendous amounts of resources, whether they are energy, water, or products. Hospitals have significant effects on the environment and on the community in which they serve. This session will take the audience through the sustainability elements of healthcare, using the Practice Greenhealth framework as a guide. We will deep dive into waste generation and into the complex world of Clinical Recycling Programs (Greening the OR), and illustrate the complexity of one piece of the sustainability landscape.

  • Track C – Berg Hall C
    Leadership, Technology and Tools

    Innovations in EH&S Technology (see also self assessment and behavioral safety management & use of handheld apps)
    Ed Hall, CSP, MA, Chief Executive, Strategic Risk Ventures, The Risk Authority

    Today the single largest risk management cost in healthcare is worker’s compensation and employee safety. And yet many hospitals and clinics feel they are at the mercy of these soaring costs. But they don’t have to be. Worker’s compensation is a controllable expense and increased compliance is something that Stanford wanted to address in a technological way. The solution invented and currently in use is Innovence Safety Observer from The Risk Authority Stanford. We will discuss Observation tools as a safety monitoring solution that helps organizations save on their worker’s compensation costs and increase compliance with EOC programs. Additionally, these institutions are able to attract and retain better employees because they treat worker safety as a priority.

  • 10:40 – 11:30 AM


  • Track A – Berg Hall A
    Health and Safety

    Safety and the Patient Experience: Case Studies for Injury Reduction
    Dr. Minal Moharir, Medical Director, Clinical Assistant Professor, Stanford Hospital & Clinics and Lucille Packard Children’s Hospital
    Michele Blazek, Director of Environmental Health & Safety, Stanford Health Care
    Derek Garcia, Environmental Health & Safety Specialist, Stanford Health Care
    Trang Mary Le, M.Sc., EHS Program Manager, Stanford Health Care, Department of Environmental Health & Safety, Palo Alto, CA

    The separation of patient safety and worker safety programs has stemmed from a combination of cultural and regulatory factors including the notion of patients as customers, separate regulatory drivers, differences in impacts to hospital accreditation and licensing, and liability implications. The separation of the programs exacerbates the cultural phenomenon in which clinical staff place a patient’s needs far above their own safety, sometimes at great cost and suffering for both patients and staff. At Stanford Health Care, the integration of worker safety into line management has been made possible through the deployment of the Stanford Operating System. The Stanford Operating System (SOS) embodies a LEAN management approach that stresses the transparency of problems, active and engaged problem solving, and the use of LEAN engagement and problem solving tools such as GEMBA, 5S, visual management, standard work, and Kaizen. The recent work of the Employee Safety Council has demonstrated the focus on quality initiatives designed to address the most frequent and most severe injuries and illnesses. The result of the SOS approach has been to reduce the Total Case Incident Rate (TCIR) over the past two years. The very actions that contributed to the TCIR reduction also improved patient safety. The case studies illustrate that health care workers’ safety may be a precursor for patient safety.

  • Track B – Berg Hall B
    Emergency Response and Environmental Stewardship

    Hospital Evacuation Planning
    Brandon Bond, MC, NHDP-BC, CBCP, Administrative Director, Stanford Health Care, Stanford Children’s Health

    Hospitals are complex environments which create unique challenges in the event of a full evacuation. This presentation will address hospital evacuation planning, the use of the Hospital Incident Command System, along with tools are resources that have been developed to assist in rapid triage and resource request and patient tracking.

  • Track C – Berg Hall C
    Leadership, Technology and Tools

    Improved Infection Prevention and Control in an ICU through the Use of LEAN Tools
    Rich Stilleke, EHS Program Manager, Stanford Health Care, Department of Environmental Health & Safety

    During FY 2017, to combat the rate of Hospital Acquired Infections (HAI), Stanford Health Care (SHC) embarked on a two-part initiative to deep clean and refurbish the intensive care units (ICUs). The process was in addition to the existing program to refreshing the rooms previously known as Room-A-Day. A multidisciplinary team used the Stanford Operating System (SOS), including LEAN Methodologies and Agile project management, to streamline the process and improve the effectiveness of the room refurbishment program. From October 1, 2016 to November 30, 2016, the team reduced the cycle time to deep clean each ICU room from 2 weeks to 1.5 days. Part two of the initiative, conducted in the Spring and Summer of 2017, further reduced the cycle time from 1.5 days to 8 hours. This paper describes the quality journey that resulted in significant efficiency gains as well as contributed to the reduction of HAI infections at SHC. The paper also demonstrates how the use of an Enterprise Asset Management System (EAMS) could be used to increase and document planned work for a hospital system.

  • 11:30 – 12:30 PM


  • Poster Presentations

    Stanford Medicine Emergency Response Teams
    Kathy Harris, M.C.R.P, EMT-B, OEM Manager, Stanford Health Care, Office of Emergency Management

    An increasing number of ambulatory clinic and business occupancy sites are located beyond the campus footprint and farther away from emergency response support. Emergency management programs developed for the hospitals do not address the unique complexities of these types of operations and locations. How will the health system protect the safety of patients, visitors, and staff; mitigate harmful impacts; and support business continuity? By developing Emergency Response Teams of specially trained personnel to activate site response procedures.

    Automated Low Dose UV-C Disinfection: What are the Exposures to Patients and Workers?
    Christine Greene, MPH, Ph.D., Principal Investigator for Sanitation and Contamination Control, NSF International,
    Applied Research Center, Ann Arbor, MI

    Trang Mary Le, M.Sc., EHS Program Manager, Stanford Health Care, Department of Environmental Health & Safety, Palo Alto, CA
    Tom Byrne, Chief Executive Officer , UV Partners, Inc.

    UV-C disinfection has been shown to be germicidal and the technology is employed in a variety of capacities to reduce environmental contamination loads and pathogen transmission. As part of the Management of Change process at Stanford Health Care and Stanford Children’s Hospital, Stanford Health Care EH&S performed an internal exposure/risk assessment of a unique technology that utilizes safe low-intensity UV-C through an automated process for continuous disinfection of environmental surfaces (UV Angel Desktop Model G-UVA-D01-000). The energy field entrance and motion sensor boundaries, motion sensor deactivation time and µW/cm2 of energy at various distances from the bulb were measured. A consumer exposure scenario was developed and evaluated using these measurements along with conservative consumer exposure assumptions. The NSF International assessment found that the estimated cumulative daily UV-C exposure from the automated device was below the permissible exposure limit, meeting the Cal/OSHA Standards when installed per manufacturer’s guidelines.

  • 12:30 – 1:20 PM


  • Plenary Session

    Risk Communications: From Intention to Implementation
    Sandy Skees, Principal Consultant, Northern California Regional Director, BSI EHS Services and Solutions

    Communication is a strategic component in any risk or disaster. While crisis/risk planning involves preparing for a host of variables, too often communications is seen as an afterthought or something that has to be done “as the situation unfolds.” In reality, most incidents and situations can benefit from a robust communications plan that includes: guiding principles, initial messages, spokesperson training, rapid message deployment protocols, and feedback loops. We’ll explore strategies for setting communications guidelines in this era of radical transparency, preparing for known incidents, counsel on how to devise authentic and factual messages, and ways to leverage all of your facility’s communications platforms (web site, social media, local news, third party partners, etc).

  • 1:30 – 2:20 PM


  • Panel Discussion

  • 2:30 – 3:20 PM


  • Track A – Berg Hall A
    Health and Safety

    Cause-Effect Mapping Techniques for Improved Incident Analysis
    Shari A. Samuels, CSP, Director, National Environmental Health and Safety, Kaiser Permanente
    Teodoro Millon, Principal Consultant, National Environmental, Health and Safety, Kaiser Permanente

    In this session attendees will learn how to conduct an effective root cause analysis process that identifies the causes and supports the development of effective corrective action plans; and, better define the problem, conduct structured, objective, evidence-based analysis and identify the best solutions for reducing the risk of recurrence. Discussion will include analysis, documentation, and communication techniques to enable you to improve your incident investigations.

  • Track B – Berg Hall B
    Emergency Response and Environmental Stewardship

    PLAIN LANGUAGE: How to tell it like it is
    David Bernstein

    Emergency Codes are a known entity in emergency preparedness and response. This is especially true in the healthcare sector, where codes can quickly provide awareness and give direction without alarming patients and visitors. But what if someone forgets the meaning of the code, or what if people other than your staff need to take action? Increasing the level of safety for everyone in a facility (not only staff) is one of the primary reasons for eliminating coded language and transitioning to plain language. This is why moving to plain language is quickly becoming a national trend. However, it is not being implemented in the same way nationally. When “plain language” is not really plain, you need to get back to basics: who needs to know, what do they need to know, and how fast do they need to know? This presentation aims to evaluate this national trend and start a conversation about how to implement it at your facility.

  • Track C – Berg Hall C
    Leadership, Technology and Tools

    Managing High Performing EHS Teams: Recruiting, Coaching, and Retaining Success
    Elise Condie, PT, M.S., CPE, Principal Consultant, BSI EHS Services and Solutions

    Healthcare EHS teams are typically small but mighty- or at least they need to be in order to be effective. This presentation explores how to build a high performing team from recruiting new staff, through to developing existing staff, and how to keep staff engaged for long term retention. Some questions we will explore include:

    • How do I design an organization chart that gives me the best bang for my buck?
    • Does new staff need previous healthcare experience in order to be effective?
    • How will I know if I am hiring the best person for my team?
    • How do I upskill my existing staff to maximize productivity and satisfaction?
    • How do I make sure my best people don’t leave?
  • 3:30 – 4:20 PM


  • Track A – Berg Hall A
    Health and Safety

  • Track B – Berg Hall B

    Standardizing Emergency Management Practices within a Large Healthcare Organization
    Mitch Saruwatari, National Director of Emergency Management, Kaiser Permanente

    Standardizing emergency management practices can improve response consistency and efficiency. During a rapidly evolving crisis, this can have immediate and long-term health and infrastructure impacts. It can also improve coordination among other healthcare organizations, healthcare coalitions, vendors, suppliers and jurisdictional entities. This presentation will highlight specific areas targeted for standardization across a large healthcare system and discuss challenges and successes encountered with implementation.

  • Track C – Berg Hall C
    Leadership, Technology and Tools

    Finally! Benchmark Your Injury Data against Similar Hospitals
    Jason Barry, Senior Consultant, BSI EHS Services & Solutions

    Many healthcare organizations have been looking for a way to benchmark injury data against similar organizations for a LONG time. Aside from the odd static benchmark report led by an insurance provider or broker, there hasn’t been anything that fulfills the need for healthcare organizations to benchmark against peers. This interactive presentation will introduce a tool that puts the power of benchmarking injury data in the hands of healthcare organizations. Using fully customizable smart filters, organizations can slice and dice information in the tool’s database in real time. No more static reports. No more waiting for someone else to do it for you. Just full control of what you want to benchmark.

  • 4:20-4:40 PM

  • Li Ka Shing Center Lobby

Environmental, Health & Safety Symposium for Healthcare