Symposium Agenda – Thursday, May 3, 2018

  • 7:45 – 8:30 AM

  • Lobby

    Registration & Coffee

  • 8:30 – 9:30 AM


  • Covel Commons

    Welcome & Keynote Speaker

    CMS – Challenges in the Physical Environment


    Richard Curtis RN, MS, HACP, Chief Executive Officer, Center for Improvement in Healthcare Quality

    Regardless of who accredits your organization –if you participate in Medicare –you must answer to CMS. This informative presentation will highlight top compliance challenges in the Medicare Condition of Participation for the Physical Environment. Topics to be covered include: new ligature risk reduction requirements in behavioral health settings, life safety systems and testing requirements, compliance to the NFPA life safety code and building tours, time limited waivers, alternate equipment management plans, environmental controls, and more.

  • 9:30 – 9:40 AM



  • 9:40 – 10:30 AM


  • Track 1:

    Chemical Spill –10 minutes to HazWOpER


    Shelley R. Carry, NEH&S Principal Consultant, Kaiser Permanente

    Does your organization struggle quantifying chemical spill size for incidental and large (HazWOpER) spills? You are not alone. Come hear how Kaiser Permanente has cracked the code to define incidental and large spills.

  • Track 2:

    Best Practices for Reducing Needle Stick and Sharps Injuries


    Christy Foster, Director, Healthcare BSI EHS Services and Solutions

    Has your organization resigned itself to the inevitability of needle stick and sharps injuries? Do you accept them as “just a part of the job”, despite the toll they take on staff, patients and your bottom line? Learn how to achieve measurable improvement, quickly and with minimal investment, by utilizing best practices and tools proven to reduce injuries and costs. Plus you’ll hear about specific strategies and tools that one healthcare provider used to reduce their annual number of needle sticks by 37% over a two-year period.

  • 10:30 – 10:40 AM



  • 10:40 – 11:30 AM


  • Track 1:

    How to Win Friends and Influence Waste


    Joel Sigler, Senior Manager, National Environmental Health and Safety, Kaiser Permanente
    Matthew J. Huray, Senior Consultant, Corporate Environmental Health and Safety Department, Kaiser Permanente

    Healthcare generates more types of waste than just about any other industry. This includes medical waste, hazardous waste, universal waste, confidential waste, radioactive waste, food waste, landscaping waste, recyclable solid waste, and municipal solid waste. It is critical that healthcare organizations maintain and continually improve waste management programs that meet regulatory requirements and minimize environmental impact. This presentation will highlight actions that a large health care system has implemented to meet these challenges, and provide examples of steps taken to garner stakeholder support that is necessary for success.

  • Track 2:

    Evaluation of Biosafety Cabinets at Controlling Exposures to Chemotherapy Agents


    Xavier Alcaraz, CIH, CSP, Principal Consultant, BSI EHS Services and Solutions

    Class II B2 Biosafety Cabinets (BSC) are considered the minimum safety standard for compounding of chemotherapy drugs because they exhaust 100% of all intake air to the exterior of the building to prevent recirculation of hazardous drugs. However, many healthcare facilities throughout the U.S. use Class II A2 BSC for compounding of chemo drugs. Recirculating Class II A2 BSC exhaust 30% of their airflow to the exterior of the building and recirculate the balance of air back into the BSC. There are few studies demonstrating whether recirculating Class II A2 BSC are similarly effective as Class II B2 BSC in protecting employees during chemo-drug compounding activities. The purpose of this study was to evaluate whether the use of Class II A2 BSC together with administrative controls used by many healthcare facilities for compounding tasks are effective at controlling worker exposures or require change/modification to improve their safety. This presentation looks into an Airborne Exposure Assessment and the results found regarding the effectiveness of Class II A2 Biosafety Cabinets at controlling workplace exposures to chemotherapy agents.

  • 11:30 – 12:30 PM


    Mid-Day Remarks / Lunch / Poster Session

  • 12:30 – 1:30 PM


  • Plenary Session

    The Fire Department is Taking a Last Stand. What Happened When Our Hospital Heard These Words.


    Judi Goodin, RN, Safety Leader, Kaiser Permanente Santa Rosa
    John Baker, RN, Clinical Nurse Educator, Kaiser Permanente, Santa Rosa Emergency Department

    What happens when the Fire Department comes into your Hospital and says to the Incident Commander “We are taking a last Stand” at the very edge of your property? In Kaiser Santa Rosa October 9th at 2:30 AM that is exactly what happened to us. A wildfire, within hours, became an urban fire which quickly escalated to a trailer park 100 yards from our Kaiser Hospital.

    When 80 trailers were literally blowing up next door, we had to decide what to do and how best to do it. Kaiser Command Center Team Members will share with you their experience and how they evacuated more than 120 patients in 3.5 hours. Presenters will answer questions and engage the participants.

  • 1:30 – 2:20 PM

  • Workplace Violence Panel


    Ingrid Cobb, Executive Director, Assistant General Counsel, Torrance Memorial Medical Center
    Bob Durand, CPP, CHEP, HEM, CHSS, Emergency Management Planner, Kaiser Permanente
    Kristie Elton, MSPT, Systemwide Healthcare Risk and Safety Program Manager, University of California Office of the President
    Calvin Fakkema, CHSP, CHEP, Manager, Safety & Security at Children’s Hospital of Orange County (CHOC)
    Caryn P. Thornburg, S.E.M.S. Officer (Safety, Emergency Management, Sustainability), Stanford Health Care ValleyCare

    The Workplace Violence Panel will be a round table discussion on the biggest questions surrounding the workplace violence regulation. You will learn how other hospitals or healthcare systems are handing reporting, what is being reported and other hot topics.

  • 2:20 – 2:30 PM

  • Break/Networking

  • 2:30 – 3:20 PM


  • Track 1:

    Mobility as Medicine


    Elise Condie, M.S., CPE, Principal Consultant, BSI EHS Services and Solutions

    Safe Patient Handling is steadily becoming synonymous with Early Patient Handling or Early Mobility. Many facilities are assembling multidisciplinary teams to tackle both issues simultaneously. More often than not, Safe Patient Handling is associated with the use of large equipment such as sit to stand hoists, sling hoists, and air assisted lateral transfer devices.

    Many patients present with a level of mobility that allows for simpler methods of mobilization-if you know how to use the tools available on your unit. This presentation reviews the medical benefits to early patient mobilization, then demonstrates, using hands on demonstrations, how to use already available equipment such as the bed, shower chair, wheelchair, and walking frame, to mobilize your patient early and often.

  • Track 2:

    A Hospital Response: When a Radioactive Contaminated Patient Arrives At Your Doorstep


    David Blacksberg, MPH, Emergency Management, UC San Diego Health

    On February 15, 2018, UC San Diego Health joined efforts with their community partner, the Navy Nuclear Propulsion Program to understand the challenges of contaminated persons being brought into the facility. Radioactive persons coming into the hospital poses a hazardous threat to operations; patients, visitors, staff and the facility. It is essential to understand the impact their presence will have in the hospital and how that will ripple out to other areas of the health system and even the broader community.

    Using the Homeland Security Exercise and Evaluation Program (HSEEP) training and exercise building – block approach, UC San Diego brought together stakeholders from three different institutions. The intersections of these stakeholders demonstrates the benefits of regularly training and exercising. Whether the risk of an incident type is high or low, working with community partners provides many advantages. Building and maintaining working relationships internal and external to your organization is a key factor to ensuring business continuity and minimal interruption to operations.

    Use this session as an opportunity to better understand how UC San Diego Health identified this potential threat, and worked with community partners to better understand the risks radioactive contamination poses to daily operations and lessons learned.

  • 3:20 – 3:30 PM

  • Break/Networking

  • 3:30 – 4:20 PM


  • Track 1:

    Safety Management During Influenza Epidemic


    Dr. Shane Que Hee, Professor, Department of Environmental Health Sciences, Fielding School of Public Health; Director, UCLA Industrial Hygiene Program; UCLA Center for Occupational & Environmental Health

    The influenza epidemic of 2017/2018 has so far claimed many adults and 128 children. In addition, by March some 195,266 specimens or about 20% of all those tested since October 1 2017 by CDC were positive for the virus. Some reasons for the virulence are an ineffective vaccine whose effectiveness varied between 30-60%; a potent virus; and the tendency of people to ignore their contagiousness. The industrial hygiene paradigm of anticipation-identification-recognition, evaluation, control, and prevention will be applied to the situation nationally and at hospital/community clinic levels.

  • Track 2:

    Five Amazing Things Eisenhower Health Learned from their Incident Reports


    Cynthia Clipper-Gray, CDMS, CPDM, CCMP, CPFI, Injury Prevention Manager, Eisenhower Health

    This discussion will take a look into the top five problems and solutions that Eisenhower Health was able to implement with information identified from their electronic incident reporting system.

    Knowing where and what the problems were, the portal was created to integrate Employee Injury Prevention into the multi-disciplinary process of surveillance for Patient Safety, Compliance, Infection Prevention, and the Environments of Care. The latest addition to the Safety Suite of programs is the Safety Champions Program. Safety Champions are specially designated and trained staff that provide “hands on, eyes on” monthly safety checks, report inconsistencies in EOC compliance, and conduct monthly observations of staff performing tasks safely thus creating the opportunity for just in time safety discussions, training, and can potentially identify barriers to working safely that can then be remediated creating a safer work environment.

  • 4:20 – 4:30 PM

  • Closing Session

Environmental, Health & Safety Symposium for Healthcare