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Resources associated with CAI Learning Community

Learning Community
Resources associated with CAI Learning Community
Presentation/Webinar
Recorded webinars and presentations
Video
CRP related video, movie
APOLOGY AND DISCLOSURE GRAND ROUNDS — NWH

The Apology and Disclosure Grand Rounds NWH incorporates a video simulated error and a presentation about “When Things Go Wrong”. The presentation discusses disclosure coaching & peer support, the emotional impact of errors on clinicians, and principles for transparent & compassionate disclosure and apology.


Timothy McDonald, MD, JD, discusses factors that can make already difficult conversations with patients and their loved ones after harm events even more challenging and complex and offers recommendations to mitigate these challenges.


Learning Community
Resources associated with CAI Learning Community
CAI Issue Brief 2: Mitigating the Toll of Medical Errors on Clinicians

Jo Shapiro, MD, FACS, talked about how peer support programs can both help alleviate some negative emotional impact of medical errors on the involved clinicians and in progression towards a culture of psychological safety in organizations.


Learning Community
Resources associated with CAI Learning Community
Presentation/Webinar
Recorded webinars and presentations
Video
CRP related video, movie
CAI Webinar: Challenging Conversations with Patients and Families

Challenging Conversations with Patients and Families presented by Dr. Tim McDonald

Communicating with patients and families following unexpected patient harm can be challenging even in optimal conditions; it is a learned skill. Taking into consideration factors such as socio-economic status, religion, cultural preferences, marital status, sexual orientation and gender identity is important to communicating effectively. This webinar covers methods successfully employed by healthcare institutions to recognize, plan for, and communicate effectively in complex situations and with special groups.

Learning Objectives

After completing this webinar, attendees will be able to…

1. Demonstrate recognition of situations that require advanced techniques for communicating unexpected patient outcomes;

2. Utilize communication enactments in conducting ongoing training in these complex situations within their organizations.


Learning Community
Resources associated with CAI Learning Community
Legislation/Regulation/Other legislative
Laws relating to CRP
Presentation/Webinar
Recorded webinars and presentations
CAI Webinar: Covid-19 and Medicolegal Liability

WEBINAR DATE: May 1, 2020

The COVID-19 pandemic is posing a host of potential medicolegal risks for healthcare providers, institutions, and liability insurers. How should one respond to the patient with behavioral challenges who refuses to comply with social distancing? How do COVID requirements affect consent and surrogate decision-making? What new legal issues are arising with rapid expanding telehealth programs or deploying providers to new care environments such as nursing homes? In what situations should healthcare providers or organizations be provided with immunity for potential adverse events associated with COVID-19 care?

PRESENTERS:

Moderator
Thomas H. Gallagher, University of Washington
Panelists
Marcia Rhodes, University of Washington
Leilani Schweitzer, Stanford Health
Michael Severyn, ProAssurance
Kyle Sweet, Sweet Law Firm

OBJECTIVES:

1. Identify current medicolegal issues associated with COVID-19
2. Consider how medicolegal issues associated with COVID-19 may evolve in the future
3. Discuss possible ways to address these issues

 


Learning Community
Resources associated with CAI Learning Community
Presentation/Webinar
Recorded webinars and presentations
Video
CRP related video, movie
CAI Webinar: CRPs: Why the insurance industry hasn’t embraced them . . . and why it should

CRPs: Why the insurance industry hasn’t embraced them . . . and why it should presented by Richard Boothman, JD

The driving ideas behind CRPs continue to draw interest and debate, now twenty years after Steve Kraman and Ginny Hamm published their Lexington, KY VA experience with “Extreme Honesty”.  After more than 17 years, the University of Michigan continues to draw attention transparent with their “Michigan Model”, the most successful and longest continual example of a principled, and proactive approach to patients injured in unexpected clinical outcomes.  After years of balking at abandoning “deny and defend” more health systems around the country and around the world are exploring the transition, but a skeptical insurance industry continues to hold back and sometimes, frustrate the desires of their insureds to move in this direction.  Why?  Is the industry’s skepticism well-founded and prudent?  Or is it missing a valuable opportunity?

Rick Boothman, the architect of the “Michigan Model” will initiate a long-deserved discussion into this topic.  His experience suggests that there are multiple insurance advantages in the CRP approach and the insurance industry should rethink old beliefs, practices and prejudices and embrace this model.

Outline

  1. Insurance 101 – a dummy’s guide to the construct
  2. True CRPs – the essential elements and how the model differs from “deny and defend”
  3. What holds the insurance industry back from jumping on board?
  4. What is the insurance industry missing and why should it matter?

Learning Objectives

  • That too many equate CRPs only with selective, early resolution of potential and asserted claims – what are the essential elements that distinguish a true CRP from established, traditional risk management practices?
  • What are the unique outcomes of a CRP and why do they matter?
  • Why a CRP better serves the interests of healthcare insureds?
  • What unique consequences of a CRP would benefit the insurance industry especially?

Learning Community
Resources associated with CAI Learning Community
Presentation/Webinar
Recorded webinars and presentations
Tool/Toolkit
CRP resource or tool (e.g. CANDOR)
Video
CRP related video, movie
CAI Webinar: Large Scale Implementation of Communication and Resolution Programs

Large Scale Implementation of Communication and Resolution Programs

Presented by: Heather Gocke, M.S., RNC-OB, CPHRM, C-EFM

Webinar Date: January 29, 2020

Ms. Gocke introduces a comprehensive program and a holistic approach in reducing harm in healthcare through large scale implementation of CRP. In her presentation, she highlights the importance of disclosure and engagement, and she shares real-life challenges and secrets to success.

Learning Objectives:

  1. Outline the method used to engage member sites in culture transformation
  2. Learn  how culture measurement, survey data debriefs, and cognitive interviewing techniques are used to inform this body of work
  3. Introduce the five domains and components of BETA HEART

Learning Community
Resources associated with CAI Learning Community
Presentation/Webinar
Recorded webinars and presentations
Video
CRP related video, movie
CAI Webinar: Mitigating the Toll of Medical Errors on Clinicians

Mitigating the Toll of Medical Errors on Clinicians by Jo Shapiro, MD, FACS

Webinar Date: October 31, 2019

As a clinician, being involved in adverse events can have devastating emotional consequences. How we react to these events – as individuals, colleagues and organizations – has a major effect on our organizational culture of psychological safety, provider wellbeing, disclosure and reporting, and patient safety.  Dr. Shapiro’s presentation will detail these effects and address the unique role that frontline physicians can play in supporting one another after adverse events. She will describe the peer support program developed at Brigham and Women’s Hospital and adopted by dozens of healthcare organizations. She will describe the building blocks of a creating and sustaining a peer support program, including providing the participants with the rationale to bring to leadership in advocating for peer support program resources.

Learning Objectives:

  1. Identify the emotional impact of adverse events on clinicians
  2. Recognize the impact this has on a culture of psychological safety, provider wellbeing, disclosure and reporting, and patient safety.
  3. Provide a rationale to leadership for developing a peer support program
  4. Delineate the foundational aspects of a peer support program

 


Learning Community
Resources associated with CAI Learning Community
Presentation/Webinar
Recorded webinars and presentations
Video
CRP related video, movie
CAI Webinar: Responding to Large Scale Adverse Events

Webinar presented by Dr. Tom Gallagher on Thursday, June 6, 2019

Large-scale adverse events, situations in which a breakdown in care has affected multiple (sometimes thousands) of patients, pose significant challenges for institutions related to responding in ways that inform potentially affected patients without unduly alarming them and managing the follow-up. This webinar will highlight lessons learned from the field around responding effectively to adverse events, as well as key unanswered questions.

Learning objectives:

  1. Describe the diversity of large-scale adverse events, and how responding to these events differs from managing adverse events that affect individual patients
  2. List the key elements of an effective response to a large-scale adverse events and the tools that are currently available to assist with this process
  3. Critique an actual large-scale adverse event patient notification letter and press release, and articulate opportunities for improvement in these documents.

Learning Community
Resources associated with CAI Learning Community
Video
CRP related video, movie
CANDOR: Conversation with Family (Video)

The Communication and Optimal Resolution (CANDOR) process is a patient-centered approach used by health care institutions and practitioners to respond in a timely, thorough, and just way when unexpected patient harm events occur. It focuses on early disclosure of adverse events and a proactive method to achieving an amicable resolution for the patient/family and health care providers.

The video demonstrates an example of the care team’s disclosure meeting conversation with the affected family.


Learning Community
Resources associated with CAI Learning Community
Video
CRP related video, movie
DISCLOSURE TO FAMILY — WISDOM IN MEDICINE, PATH THROUGH ADVERSITY

A short video of Dr. Shapiro speaking on disclosure of medical error to patients and families. This video is part of “Choosing Wisdom: The Path Through Adversity” documentary.


Learning Community
Resources associated with CAI Learning Community
Video
CRP related video, movie
FDNH 3: Disclosure of Medical Error

The video includes three scenarios to demonstrate how different approaches to disclosure can have an effect on the course of communication with a patient’s loved one.

Disclosure Scenarios:

  1. Disclosure with No Apology
  2. Disclosure with Apology of Sympathy
  3. Disclosure with Apology or Responsibility

Learning Community
Resources associated with CAI Learning Community
Video
CRP related video, movie
Medical Error: A Case Based Approach to Apology and Disclosure Video – Brigham & Women’s Hospital

The video demonstrates how medical professionals can talk about medical errors with the care team, patients and their families. It includes two disclosure scenarios and didactic lecture on disclosure.

Key points:

  1. common emotional response
  2. preparing for the conversation
  3. the initial conversation
  4. avoiding common mistakes
  5. physician support

Learning Community
Resources associated with CAI Learning Community
Video
CRP related video, movie
THE ROLE OF THE DISCLOSURE COACH

Dr. Shapiro talks about the importance of having disclosure coaching program and fundamental principles of disclosure coaching. For more videos related to Disclosure and Apology, view the video gallery.


Journal Article
Published articles related to CRP
Learning Community
Resources associated with CAI Learning Community
“We Signed Up for This!” — Student and Trainee Responses to the Covid-19 Pandemic

“We Signed Up for This!” — Student and Trainee Responses to the Covid-19 Pandemic by Thomas H. Gallagher, M.D., and Anneliese M. Schleyer, M.D., M.H.A.

Despite the risk and challenges, students and trainees showed their unrelenting desire and commitment to care for the sick. Residents helped cover extra shifts, students prepared home care kits for Covid-19 patients, and even provided child care for health care workers. The unprecedented public health crisis caused students and trainees to experienced considerable loss.

A short anonymous survey was conducted to learn how COVID-19 is affecting students and trainees. Responses from University of Washington medical students, residents and fellow reveal a mixture of safety, quality of care and practical concerns among the participants. The article also includes how leaders in medical education can provide support and convert this crisis to a valuable learning experience for all the students and trainees.