2017 Aim for Excellence Conference

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Start Time:12:00 AM
End Time:12:00 AM
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Dates & Location

Thursday, April 6, and Friday, April 7, 2017

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Columbia Courtyard by Marriott
3301 LeMone Industrial Blvd.
Columbia, Mo.

Register on or before Thursday, March 30.

MHA member — $375
Nonmember — $475

Registration includes continental breakfast, lunch and refreshments. This seminar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.

Hotel Reservation

Request MHA room rate: Double or king $104 + tax
Group code: MHAMHAA
Hotel cut-off date: Wednesday, March 8


health care executives; clinicians; directors and supervisors engaged in population health, quality care and finance


MHA’s Aim for Excellence Conference will provide health care leaders with strategies and examples to succeed in fulfilling the future mission of health care. Beyond reducing harm and readmissions, health care leaders and providers must understand how to manage and improve health outcomes of the patients and communities they serve. This inaugural conference is a forum of national thought leaders to guide the Triple Aim strategy and create urgency toward better health, better care and lower costs for Missourians.


Thursday, April 6, 2017

8:30 a.m. — Registration/Continental Breakfast

9:45 a.m. — Welcome and Opening Remarks

10 a.m. — Implementing Leadership for the Population Health Agenda


David Nash, M.D., MBA
Dean of the Jefferson School of Population Health
Thomas Jefferson University

David Nash, a nationally renowned thought leader in population health, will challenge clinicians and leaders to move beyond foundational quality, safety and process improvement. It no longer is enough to focus on reducing harm and readmissions; rather, health care systems must engage in broader health outcomes to manage cost, improve the patient experience and improve population health.

11:30 a.m. — Lunch (provided)

1 p.m. — Strategic Analytics for Improvement and Learning: A VA Case Study


Peter Almenoff, M.D., FCCP
Director, Operational Analytics and Reporting
Veterans Health Administration
UMKC School of Medicine
Kansas City, Mo.

Dr. Almenoff will present the SAIL system used within the VA providing clinicians with point-of-care analytics to achieve and sustain safe and effective care.

2:30 p.m. — Break

2:45 p.m. — Missouri Hospital Associations’ 2016 Aim for Excellence Awardees – panel presentation

Jan Hess
Vice President
St. Luke's Hospital
Chesterfield, Mo.

Stephanie Ashworth, R.N., CPHQ, CSSGB
Director of Quality Management and Infection Control
Golden Valley Memorial Healthcare
Clinton, Mo.

Stephanie A. La Pierre, MBA, BSN, CSSBB, CPHQ
Chief Performance Improvement Officer
Saint Francis Medical Center
Cape Girardeau, Mo.

Kathleen Wohldmann, BSN, R.N.
Transitional Care Nurse Navigator
SSM Health St. Joseph HospitalSt. Charles

Missouri Hospital Association’s Aim for Excellence awards are intended to recognize Missouri hospitals’ innovation and outcomes related to the Triple Aim approach. The goal of the award is to identify achievement, disseminate successful models and motivate improvement in member hospitals. Recognizing that hospitals have different resources, the award was divided into three categories: critical access and rural hospitals, small and large metropolitan statistical area hospitals, and care collaboratives or health care systems. During this panel presentation, the three 2016 award winners will share how they approached an organization-specific patient care issue to achieve Triple Aim results.

4:15 p.m. — Wrapup

4:30 to 6 p.m. — Social – cash bar and hors d'oeuvres

Friday, April 7, 2017

7:30 a.m. — Registration/Breakfast

8 a.m. — MHA Staff Update and Review of Triple Aim Report

8:45 a.m. — Highly Reliable Health Care: The Science of Safety and Operational Excellence


Kerry Johnson
Press Ganey Associates, Inc.
Virginia Beach, Va.

This session will explain how to improve patient care, safety, clinical quality, cost and time by applying best practices from high-reliability organizations. Discussion will include, but is not limited to, attributes of an HRO and their application in high-risk, high-consequence environments; current approaches to classify serious safety events, including the serious safety event rate methodology; and the anatomy of serious safety events and how to analyze them for common causes.

9:45 a.m. — Break

10 a.m. — Missouri Initiatives: Reducing Opioid Misuse
                   The Local Approach: County-Based Prescription Drug Monitoring in Missouri

Leslie L. Porth, Ph.D., MPH, R.N.
Senior Vice President of Strategic Quality Initiatives
Missouri Hospital Association
Jefferson City

Spring Schmidt
Division of Health Promotion and Public Health Research

Kate Donaldson, MPH
Assessment, Evaluation and Policy Manager
St. Louis County Public Health Department

Rachel P. Winograd, Ph.D.
Assistant Research Professor
Missouri Institute of Mental Health
University of Missouri-St Louis

Jenny Armbruster
Director of Community Services
St. Louis

This panel will present two important ideas currently underway to address the Missouri opioid crisis. The St. Louis County prescription drug monitoring program extends throughout several Missouri counties to provide access to critical information for providers and pharmacies. The PDMP rationale, implementation plan and timeline will be shared.

The Missouri Opioid-Heroin Overdose Prevention and Education Project, a collaboration between the Substance Abuse and Mental Health Services Administration, the Missouri Department of Mental Health, the National Council on Alcoholism & Drug Abuse, and the Missouri Institute for Mental Health-University of Missouri, St. Louis, is a program to reduce opioid overdose deaths in the eastern region of Missouri. Expanded access to prevention, public awareness, assessment, referral to treatment, overdose education and naloxone for those at risk of experiencing or witnessing an overdose event, are components of this program.

11:30 a.m. — Wrapup

Leslie L. Porth, Ph.D., MPH, R.N.

11:45 a.m. — Adjournment – Healthy Grab Bag Provided


David Nash, M.D., is the Founding Dean and Dr. Raymond C. and Doris N. Grandon Professor of Health Policy at the Jefferson School of Population Health of Thomas Jefferson University in Philadelphia. JSPH provides innovative educational programming designed to develop health care leaders for the future. Its offerings include master's programs in public health, health care quality and safety, health policy, chronic care management and applied health economics.

Nash is a board certified internist who is internationally recognized for his work in outcomes management, medical staff development and quality-of-care improvement. In 1995, he was awarded the Latiolais Prize by the Academy of Managed Care Pharmacy. He received the Philadelphia Business Journal Healthcare Heroes Award in October 1997, and was named an honorary distinguished fellow of the American College of Physician Executives in 1998. In 2006, he received the Elliot Stone Award for leadership in public accountability for health data from the National Association of Health Data Organizations. In 2009, Nash received the Wharton Healthcare Alumni Achievement Award.

Repeatedly named to Modern Healthcare’s list of Most Powerful Persons in Healthcare, his national activities cover a wide scope. He served as Chair of a National Quality Forum Technical Advisory Panel and is a member of the Board of Directors of The Care Continuum Alliance (formerly DMAA). Nash is a principal faculty member for quality of care programming for the American College of Physician Executives in Tampa, Fla., and is the developer of the Accreditation Council for Pharmacy Education capstone course on quality. He also leads the academic joint venture between ACPE and the Johns Hopkins Bloomberg School of Public Health.

Peter Almenoff, M.D., FCCP, was appointed as Chief Improvement and Analytics Officer in 2016 for VHA Office of Reporting, Analytics, Performance, Improvement and Deployment and Senior Advisor in the Office of the Secretary in 2015. Almenoff was also appointed Special Advisor in the Office of Secretary (Healthcare Value), and Senior Fellow in the VA Center for Innovation in 2013.

Almenoff served as the Assistant Deputy Under Secretary for Health for Quality and Safety from 2008 to 2012. He was the Network Director for the VA Heartland Network from 2002 to 2008, serving veterans in Missouri, Kansas, Illinois, Western Indiana, and areas of Kentucky and Arkansas. In March 2001, he was appointed Chief Medical Officer. He joined the network office as the Chief of Specialty Care in 1999 while serving as Chief of Specialty Care at the Kansas City VA Medical Center.

He is Professor of Biomedical and Health Informatics and Internal Medicine at the UMKC School of Medicine, and effective September 2013, became the inaugural Vijay Babu Rayudu Endowed Chair of Patient Safety. He has published extensively in the areas of granulomatous diseases, pulmonary physiology, outcomes research, and quality and safety. Almenoff is a Fellow of the American College of Chest Physicians, member of the American Thoracic Society, and a Diplomat of the American Board of Internal Medicine. Almenoff has worked for the Department of Veterans Affairs for 30 years.

Kerry Johnson is a founding Partner and the Chief Innovation Officer of Healthcare Performance Improvement. He has more than 25 years of experience improving reliability in nuclear power, transportation, manufacturing and health care. Johnson specializes in designing and implementing human performance reliability programs for large organizations, resulting in dramatically reduced event rates. Other specialties include cause analysis (including nuclear power events and the Texas A&M bonfire structure collapse), reliability improvement (including nuclear incident response for the U.S. Department of Energy and manufacturing production at Colorado Fuel & Iron), and safety culture improvements (for more than half the nuclear power plants in the U.S., Sandia National Laboratory, Oak Ridge National Laboratory, and the U.S. Nuclear Regulatory Commission). His health care clients have achieved up to a 91 percent reduction in preventable serious safety events in just three years. He is now the lead consultant on several safety culture engagements for integrated health care systems. Prior to forming HPI, Johnson was the Chief Operating Officer of Performance Improvement International, Technical Advisor and Assistant Engineering Manager for the Palo Verde Nuclear Generating Station, and Assistant Chief Test Engineer at the Pearl Harbor Naval Shipyard. Kerry holds a master’s degree in mechanical engineering from the University of Utah and a bachelor’s degree in Applied Physics.

Jenny Armbruster is the Director of Community Services for NCADA in St. Louis. NCADA’s counseling program provides substance abuse assessments, referrals and brief youth counseling. The Regional Support Center provides trainings and technical assistance to communities and coalitions. In addition to a master’s of counseling degree, she is a Certified Reciprocal Prevention Specialist and Missouri Alcohol Drug Counselor Associate II. With more than nine years at NCADA, she facilitates many trainings and workshops including youth mental health first aid, developmental assets and substance use prevention skills training.

Stephanie Ashworth, R.N., CPHQ, CSSGB, has been a registered nurse for more than 21 years and holds several professional certifications which include: Certified Professional in Healthcare Quality, Certified Six Sigma Green Belt, Certified in Infection Prevention and Control, and Certified Professional Baldrige Evaluator. Ashworth is the Director of Quality Management & Infection Control for Golden Valley Memorial Healthcare, and serves as a member of the Missouri Hospital Association’s Strategic Quality Advisory Committee.

Kate Donaldson, MPH, is the Manager for the Assessment, Evaluation and Policy Program in the Division of Health Promotion and Public Health Research for the Saint Louis County Department of Public Health. The program designs and conducts community and program assessment and evaluation, and provides guidance and leadership for a “health in all policies” approach to policy work around the department’s strategic priorities, including behavioral health and substance abuse, healthy eating and active living, chronic disease, sexually transmitted infections and communicable disease, and health equity. She currently manages the St. Louis County prescription drug monitoring program, the community health assessment process, and the department’s performance management system. Previously, she worked on the Robert Wood Johnson Foundation's Healthy Kids, Healthy Communities and Active Living by Design initiatives and the University of Missouri Extension’s Stock Healthy, Shop Healthy program. Her work has focused on providing technical assistance on partnership development, community collaboration, implementation and evaluation for healthy eating, active living and childhood obesity initiatives.

Spring Schmidt is the Director for Health Promotion and Public Health Research for the St. Louis County Department of Public Health and is responsible for the chronic disease epidemiology, health education, health communication, and assessment, policy and evaluation and accreditation programs. In this capacity, she oversees health department activities on a number of strategic public health topics, including chronic disease, healthy eating and active living, sexually transmitted infections, asthma, access to care, behavioral health and substance abuse, building an age-friendly community, and advancing health equity for all St. Louis County residents. She has been with St. Louis County for more than six years, but has worked in the field of health education for the last eleven years. Her previous position was a program manager for several school-based wellness programs at the University of Missouri-St. Louis that focused on obesity prevention, body image, media literacy, tobacco prevention and policy development. She currently is a doctoral candidate in the process of data collection for her Ph.D. dissertation in educational psychology, research and evaluation methods at the University of Missouri-St. Louis. Her primary research interests are in community-based participatory search methods, health equity and the social determinants of health, and examining the school and community environments for factors that support and inhibit healthy decision making and positive youth development.

Rachel Winograd, Ph.D. Winograd’s research pursuits and intellectual interests have focused on aspects of alcohol and drug use, consequences and treatment. Before her appointment with Missouri Institute of Mental Health, Winograd developed a program of research at the University of Missouri-Columbia investigating the existence and characterization of “drunk personality” through the framework of the Five-Factor Model of personality, utilizing self- and informant-report studies, as well as group alcohol administration experimental designs. While completing her pre-doctoral clinical internship with the VA St. Louis Health Care System, her empirical and program development interests shifted to opioid use and overdose prevention. Specifically, she is interested in expanding and studying public-health minded overdose education and naloxone distribution programming at the system and community levels for individuals at-risk of experiencing or witnessing an opioid overdose. Though the nature of her work has changed during her early career, her interests overlap in their focus on the power and consequences of excessive consumption of altering and habit-forming substances. Looking ahead at MIMH, Winograd anticipates developing, implementing, evaluating and significantly refining scientifically rigorous programs for mental health and substance abuse prevention and intervention services on a national and global scale.

Kathleen Wohldmann, BSN, R.N., has been a practicing registered nurse for more than 25 years. She graduated from Jewish College of Nursing in St. Louis with her BSN and currently is in school at Maryville University to obtain her Adult Gerontology Nurse Practitioner. Her area of concentration has been in critical care and cardiology, and she has worked in both the private practice and acute care settings. For the last two years, Wohldmann has lead a multi-discipline team at SSM Health St. Joseph’s Hospital in St. Charles, Mo., to prevent unnecessary hospital readmissions of heart failure and COPD patients. She has collaborated with her team in applying evidence-based best practices into the care of all heart failure and COPD patients. She is focused on optimizing patient outcomes and filling gaps in transitional care that often lead to treatment failure. Wohldmann works with all aspects of the care continuum in promoting excellent communication and care for the patients at SSM Health.

Continuing Education

Participants must attend the program in its entirety and complete an evaluation to receive a certificate of attendance and continuing education credits.

Registered Nurses — The following nursing contact hours will be awarded until April 14:
3 contact hours for April 6
1 contact hour for April 7

The MHA Center for Education is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Midwest Multistate Division approval as a provider is awarded to the MHA Center for Education in recognition of its ability to provide quality educational activities. Approved provider status does not include approval or endorsement of any commercial products at this educational activity. All planners, content experts and presenters participating in continuing education activities provided by the MHA Center for Education must adhere to a fair, unbiased and evidence-based approach to presenting content and must declare any relationships with commercial organizations.

All Other Participants — A certificate of attendance for 7.25 clock hours will be awarded.