10th Annual Behavioral Health Summit: Cultivating a Culture of Safe Care

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Start Time:12:00 AM
End Time:12:00 AM
Contact Information
Additional Information

This educational activity is jointly provided by AXIS Medical Education and MHA Health Institute.
AxisLogo_4ColorProcess MHA Health Institute Logo

Supported by the Missouri Organization of Nurse Leaders

Supported by an educational grant from APS

Dates & Location

Thursday, April 18, and Friday, April 19

Tan-Tar-A Resort
494 Tan Tar A Drive
Osage Beach, Mo.

Register on or before Sunday, April 14.

This seminar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation. This seminar also is eligible for use of the MHA Health Institute coupon. Coupons were mailed to MHA-member hospital CEOs on Dec. 17, 2018.

Hotel Reservation

Request the MHA Health Institute overnight room rate of $129 + tax.
Group code: MHAP
Hotel cutoff date: Friday, March 29


everyone in today’s health care environment: clinical, operational, patient-focused, employee-centric, and community based roles


Join health care professionals and executives from around the state and nation for the 10th annual convening for behavioral health. To recognize a decade of focus on and support of behavioral health initiatives, this year’s summit will bring together a lineup of national and local practitioners and experts who are leading a change revolution.

This conference provides a great opportunity to:
  • network with other health professionals from Missouri and neighboring states
  • explore the latest innovations in engaging employees, managing agitated patients and assessing staff safety risks
  • engage in conversations that help evaluate practices and explore new opportunities to ensure we make a difference in the lives of our patients, our staff, our specialty and our community

Learning Objectives

Upon completion of this program, participants will be able to:

  • discuss how to lead change by changing how you lead
  • discuss the national and/or local perspective, more specifically, examples from states, cities, counties/parishes, tribes and/or territories, of how public health and behavioral health systems are working together to address the behavioral health crisis
  • discuss the patient and staff safety risk assessments
  • discuss the role of the emergency department in treating patients with opioid use disorders
  • summarize success of Project EPICC
  • identify the escalating behaviors of aggression and integrated interventions per the EDART
  • identify key concepts necessary in implementing security processes that focus on patient interaction and bilateral communication with clinical staff
  • describe what a cognitive bias is, and the most important biases and performance shaping factors in health care practice
  • develop individual action steps to eliminate stigma toward individuals with mental health and addiction conditions
  • discuss areas to implement changes to work toward becoming trauma-informed, and the reasoning and science between the changes
  • discuss how to live mentally healthy


Thursday, April 18

7:30 a.m. — Registration/Hot Breakfast

8 a.m. — Welcome and Open Remarks
Sarah M. Willson, MBA, BSN, CHPCA

Vice President of Clinical and Regulatory Affairs
Missouri Hospital Association
Jefferson City

8:15 a.m. — Patients Come Second
Britt Berrett, Ph.D., FACHE

Executive Coach
MEDI Leadership
Jacksonville Beach, Fla.

Dr. Berrett co-authored a New York Times Best Selling book on leadership in health care entitled, “Patients Come Second Leading Change by Changing How You Lead.”

9:30 a.m. — Understanding the Behavioral Health Crisis
Nina S. Marshall, MSW

Assistant Vice President, Healthcare Finance
National Council for Behavioral Health
Washington, D.C.

The rise of prescription drug overdoses, suicides and excessive alcohol use in this country continue to emphasize the need for collaboration between behavioral health and public health systems. Particularly striking are the profound health disparities that persist among underserved communities. So, what does this mean for behavioral health? This session will energize Missouri's behavioral health leaders and others in a call to action around addressing the behavioral health crisis using a public health lens.

10:45 a.m. — Break

11 a.m. — Breakout Sessions

Breakout 1

Building a Safe Environment of Care
Kimberly McCurray, AIA

Behavioral Health Facility Consulting, LLC
Tuscaloosa, Ala.

This session will discuss the recent events involving The Joint Commission and Centers for Medicare & Medicaid Services. This session attempts to help hospitals understand one method of assessing ligature risk in the physical environment and what to do about identified risks considering recent TJC/CMS events.

Breakout 2

Opioid 1 – ED Meds, Medication First Therapy
Evan Schwarz, M.D., FACEP, FACMT

Associate Professor of Emergency Medicine
Medical Toxicology Fellowship Director
Section Chief Medical Toxicology
Advisory Dean in the Office of Student Affairs
Division of Emergency Medicine
Washington University School of Medicine
St. Louis

Dr. Schwarz will discuss the role of the emergency department in treating patients with opioid use disorders and alternative strategies that are being implemented in the ED for the treatment of pain.

Noon — Lunch (provided)

1:15 p.m. — Breakout Sessions

Breakout 1

Community Integration into the Health Care System in Missouri
Moderator: Shawn Billings

Director of Substance Use Programming
Missouri Hospital Association
Jefferson City

Tim Rudder, LMSW

State Opioid Coordinator
Missouri Department of Mental Health
Jefferson City

Cindy Davis, RHIA
Director of Clinical Operations
Missouri Coalition For Community Behavioral Healthcare
Jefferson City

Wendy Orson, M.S., LPC
Chief Executive Officer
Behavioral Health Network of Greater St. Louis

This session will discuss the purpose of communicating the effectiveness of cross-system collaboration. The panelist will provide an overview of Project EPICC engaging patients in care coordination.

Breakout 2

An Integrated Approach to Systemwide Agitation
Joy Strathman, BSN, R.N., CPTA

Emergency Department Clinical Resource
Saint Luke’s Northland Hospital — Barry Road
Kansas City, Mo.

Emily Campbell, BSN, R.N.
Saint Luke’s Northland Hospital — Barry Road
Kansas City, Mo.

Danielle Jessee, R.N.
Saint Luke’s Northland Hospital — Barry Road
Kansas City, Mo.

Saint Luke's Health System's strategic alignment goals for the entire System are to promote a safe environment for staff and patients alike. The emergency department is a high-risk area for violence with inconsistencies in documentation and reporting. The Emergency Department Aggression Rating Tool (EDART) is a proactive approach of analyzing the emergency room clientele with early objective interventions to be proactive in deescalating potential violent situations before they happen.

2:15 p.m. — Break

2:30 p.m. — Best Practice Integration of Security into the Health Care Team
Todd Miller, CPP

Regional Public Safety and Security Specialist
SSM Health — St. Louis

Workplace violence in health care is increasing exponentially, necessitating a change in daily process and procedure to help mitigate violence in high-risk areas. The process of purposeful rounding and the integration of security into the health care team is a violence mitigation process that uses rapport building and communication with patients and staff to assist in the early intervention and identification of patients that are exhibiting behaviors that may lead to workplace violence.

3:30 p.m. — Cognitive Bias
Shilo Anders, Ph.D.

Assistant Professor
Center for Research & Innovation in Systems Safety
Vanderbilt University, Department of Anesthesiology
Nashville, Tenn.

Cognitive biases and associated performance shaping factors can impact health care professionals' ability to maintain expert performance and provide optimal patient care. This lecture will identify some of the most common cognitive biases found in health care, evaluate cognitive bias influence on clinical performance, and provide some strategies to minimize and reduce the effects of cognitive biases on clinical performance.

4:45 p.m. — Adjournment

4:45 p.m. — Social and Vendor Fair

Friday, April 19

7:30 a.m. — Registration/Hot Breakfast

8 a.m. — Welcome and Open Remarks
Sarah M. Willson, MBA, BSN, CHPCA

8:15 a.m. — An Organization Approach to End Mental Health Stigma While Advocating for the Second Victim
Joseph Clubb, MSW, LICSW

Vice President – Operations, Mental Health Services
Mercy Hospital – Unity Campus of Allina Health
Minneapolis, Minn.

Mr. Clubb will share Allina Health’s organizational strategy to eliminate stigma towards those with mental health and addiction conditions.

9:30 a.m. — Break

9:45 a.m. — Trauma-Informed Care
Patsy Carter, Ph.D.

Clinical Director
MO CHILD/University of Missouri-Columbia School of Medicine/Department of Psychiatry
Columbia, Mo.

This presentation will build off of previous presentations around the MO Model: A Developmental Approach to Trauma-informed by, looking at specific issues, processes and practices an organization will address on their journey to become trauma-informed. This will include issues related to admission, seclusion and restraints, use of medications, treatment, and environmental interventions. Challenges and outcomes will be explored

10:45 a.m. — Cracked Not Broken
Kevin Hines

Author/Speaker and Mental Health Advocate
Germantown, Tenn.

Kevin Hines is a global speaker, best-selling author and mental health advocate who reaches audiences with his story of an unlikely survival and his strong will to live. Two years after he was diagnosed with bipolar disorder (at 19 years of age), he attempted to take his own life by jumping from the Golden Gate Bridge. He is one of only 34 (less than 1 percent) to survive the fall, and he is the only Golden Gate Bridge jump survivor who is actively spreading the message around the globe of living mentally healthy.

Noon — Closing Remarks/Adjournment
Sarah M. Willson, MBA, BSN, CHPCA


Dr. Shilo Anders is a research assistant professor in the Department of Anesthesiology at Vanderbilt University. Dr Anders’ research focus is to apply human factors engineering as an approach to improve patient safety in health care. She is interested in research on system design, individual and team performance issues, and improvements in patient safety and quality. Of particular interest is improving health information technology, through a user-centered design process.

Dr. Britt Berrett is an executive coach with MEDI and has more than 25 years of experience as a hospital president and CEO. His background includes leadership in faith-based, investor-owned and academic/teaching hospitals ranging from small to large. He brings strengths in building physician stakeholder relationships and organizational excellence, and driving clinical operations to achieve business results.

Dr. Berrett holds a doctorate from the School of Economics, Policy and Political Science at the University of Texas at Dallas. He received a Master of Science in health administration from Washington University School of Medicine, St. Louis, and a bachelor’s degree in finance from Brigham Young University. He is a Fellow in the American College of Healthcare Executives and has served as a Regent for six years.

In 2013, Dr. Berrett co-authored a New York Times Best Selling book on leadership in health care entitled, “Patients Come Second Leading Change by Changing How You Lead.” Currently, Dr. Berrett is the program director and clinical faculty of health care management at the University of Texas at Dallas in the Jindal School of Management. He lectures nationally and internationally, and is a featured speaker at industry and professional events.

Emily Campbell has been a nurse for three years, spending all of them as an emergency department nurse. Campbell graduated from St Luke's College of Health Sciences in 2015 with Danielle Jessee (below). The two needed a residency evidence-based practice project to graduate, and Joy Strathman (below) had a need to serve a unique population. The combative and aggressive ED patient needed a tool and it's been history in the making ever since.

Dr. Patsy Carter was with the Missouri Department of Mental Health for nearly 30 years addressing the clinical and systemic needs related to children's mental health. In the last nine years, she was the trauma lead for DMH and Children's Division, facilitating the State Trauma Roundtable and supporting work across the state in a variety of systems. Dr. Carter now directs the Center for Excellence in Child Health Integration, Learning and Development, MO-CHILD, at the University of Misssouri-Columbia School of Medicine/Department of Psychiatry where she continues her work on addressing children's mental health clinical and systemic issues with ongoing focus on trauma.

Joseph Clubb has more than 20 years of leadership, academic and clinical experience within the mental and addiction field. He currently serves as the vice president of mental health and addiction for Alina Health. Allina Health is one of the largest providers of mental health and addiction care spanning the state of Minnesota.

Cindy Davis has been with the Missouri Coalition for Community Behavioral Healthcare since 2016. Before joining the coalition, she worked for Capital Region Medical Center for more than 20 years, with her last hospital role being the director of case management. In her role as director of clinical operations at the coalition, Davis works closely with all clinical programs she oversees the Emergency Room Enhancement Program; serves as liaison with the Missouri Hospital Association; and oversees programs with the Department of Corrections, Missouri Army National Guard, and Emergency Preparedness. Davis received her Bachelor of Science in health information management from the University of Kansas.

Kevin Hines is a brain/mental health advocate, award-winning global speaker, bestselling author and documentary filmmaker who reaches audiences with his story of an unlikely survival and his strong will to live. Two years after he was diagnosed with bipolar disorder (19 years of age), he attempted to take his life by jumping from the Golden Gate Bridge. He is one of only 34 to survive the fall and the only one to regain full physical mobility. He is the only Golden Gate Bridge jump survivor who is actively spreading the message of living mentally healthy. The fall would break his body, but not his spirit. Today, Hines dedicates his life to saving lives by spreading the message of hope and sharing his art of living mentally well. He is one of the most respected and admired voices of lived experience. Hines' story is a remarkable testament to the strength of the human spirit and a reminder for us to love the life we have.

Danielle Jessee began working in health care in 2002. She graduated from Saint Luke's College of Health Sciences in 2015 a bachelor's of science in Nursing. After graduation, she began working full-time at nights in the emergency room. Currently, Jessee is pursuing her master’s degree from the University of Central Missouri with expected graduation in December of 2019.

Nina Marshall has experience with behavioral health care services, as well as their organization and delivery on a national, state and community level. At the National Council for Behavioral Health, she oversees the Care Transitions Network, a CMS-funded initiative to reduce all-cause rehospitalization rates for people with serious mental illness and support organizations to transition into value-based payment arrangements. Marshall has led policy and technical assistance activities on integrating primary care and behavioral health services, as well as public health care financing for behavioral health services.

Kimberly McMurray is principal of Behavioral Health Facility Consulting, LLC of Tuscaloosa, Ala. McMurray is a practicing architect and health care planner with 33 years of leadership experience in health care and academic medical campus architecture. She has been responsible for the implementation of large architectural projects located within complex medical campus sites, delivering the highest quality for each project initiative. McMurray has a decade of experience from the owner’s perspective and working with multi-disciplinary user groups, thereby embracing a unique perspective and response to client needs, applying her knowledge of clinical operations, evidence-based design, lean operational planning and conceptual design to architecture.

Amongst McMurray’s three decades of health care architectural expertise, she brings a high-level of experience with behavioral health project types. During her experience on-staff architect at the University of Alabama at Birmingham Health System, she was planner and project manager for several inpatient nursing unit renovation projects located at the UAB Center for Psychiatric Medicine, including development of the Psychiatric Treatment Unit for the UAB Emergency Services department. After working on-staff at UAB Health System for nearly a decade, she returned to architectural practice and consulting.

Todd Miller directs health care programming of the SSM Health St. Louis region as part of the environmental safety, security and emergency preparedness department. Before his current role, he spent time in law enforcement as a patrol officer and detective for the city of St. Louis Metropolitan Police Department and five years as a special federal office with the St. Louis Division Squad 5 of the FBI Safe Streets Gang Task Force. Miller transitioned from law enforcement in 2015 to the role of team leader of security for St. Mary’s Hospital in St. Louis before moving to his current position.

Wendy Orson has been committed to behavioral health services for more than 20 years, with an emphasis on recovery and integrated care. She earned a master’s degree in counseling psychology and is licensed as a professional counselor. As CEO of the Behavioral Health Network, she has worked together with hospital, community, leadership, advocates, criminal justice and primary care networks to lead behavioral health planning and coordination in the greater St. Louis region.

Tim Rudder received his bachelor's degree from St. Louis University and master's from the University of Missouri–Columbia. Mr. Rudder has more than 16 years of experience in the behavioral health field working with individuals with substance use disorder, mental illness and developmental disabilities in a variety of clinical and macro settings. He has been employed by the Missouri Department of Mental Health/Division of Behavioral Health since 2008. Mr. Rudder currently serves as the state opioid coordinator, coordinating federal funding to address the overdose crisis in Missouri.

Dr. Schwarz completed medical school at the University of Texas Medical Branch. After completing a residency in Emergency Medicine at the Washington University School of Medicine, he completed a fellowship in Medical Toxicology at the University of Texas Southwestern School of Medicine. Since then, he has become board certified in addiction medicine. Presently, he is an associate professor of emergency medicine and medical toxicology section chief at the Washington University School of Medicine. He is the current president of the Missouri College of Emergency Physicians.

Joy Strathman has been an employee of the Saint Luke's Health System since 1991 and has been part of the emergency room family since 2010. Once in the emergency room environment, she took on the task of doing the violent restraint audits to maintain CMS standards. It was apparent to her that their ED community needed a residency project in the proactive treatment of the aggressive patient.

Continuing Education

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

Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and the MHA Health Institute. AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IPCE creditThis activity was planned by and for the healthcare team, and learners will receive 10.25 Interprofessional Continuing Education (IPCE) credit for learning and change.

Credit Designation
PhysiciansAXIS Medical Education designates this live activity for a maximum of 10.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NursingAXIS Medical Education designates this continuing nursing education activity for 10.25 contact hours.
Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

ACE logo

Social Workers — As a Jointly Accredited Organization, AXIS Medical Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. AXIS Medical Education maintains responsibility for this course. Social workers completing this course receive 10.25 continuing education credits.

Quality Professionals — This program has been approved by the National Association for Healthcare Quality for 10.25 CPHQ continuing education credits. 

ACHE — MHA Health Institute is authorized to award 10.25 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

ASHE — CEUs will be requested from The American Society for Healthcare Engineering of the American Hospital Association (ASHE) through the local chapter, MOSHE.

All Other Participants — A certificate of attendance for 10.25 clock hours will be provided.

Requirements for Credit:

  • Attend/participate in the educational activity and review all course materials.
  • Complete the CE Declaration form online by 11:59 p.m. ET Friday, May 17. Instructions will be provided. If you do not enter the online portal by the above date, you will not be able to retrieve your statement of participation. Upon successful completion of the online form, your statement of completion will be presented to you to print.

AXIS Contact Information
For information about the accreditation of this program please contact AXIS at info@axismeded.org.

Disclosure of Conflicts of Interest
AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

 Name of Faculty or Presenter  Reported Financial Relationship
 Britt Berrett, Ph.D., FACHE  Nothing to disclose
 Nina S. Marshall, MSW  Nothing to disclose
 Kimberly McCurray, AIA  Nothing to disclose
 Evan Schwarz, M.D., FACEP, FACMT  Nothing to disclose
 Shawn Billings
 Nothing to disclose
 Tim Rudder, LMSW
 Nothing to disclose
 Cindy Davis, RHIA
 Nothing to disclose
 Wendy Orson, M.S., LPC
 Nothing to disclose
 Joy Strathman, BSN, R.N., CPTA
 Nothing to disclose
 Emily Campbell, BSN, R.N.
 Nothing to disclose
 Danielle Jessee, R.N.
 Nothing to disclose
 Todd Miller, CPP
 Nothing to disclose
 Shilo Anders, Ph.D.
 Nothing to disclose
 Joseph Clubb, MSW, LICSW
 Nothing to disclose
 Pasty Carter, Ph.D.
 Nothing to disclose
 Kevin Hines
 Nothing to disclose

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

 Name of Planner/Manager  Reported Financial Relationship
 Rita F. Kay  Nothing to disclose
 Dee Morgillo, M.Ed., CHCP  Nothing to disclose
 Holly M. Hampe, D.Sc., R.N., MHA, MRM  Nothing to disclose
 Robert Mocharnuk, M.D.  Common Stock: Merck
 Tim Rudder, LMSW  Nothing to disclose

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Americans With Disabilities Act
In compliance with the Americans With Disabilities Act, we will make every reasonable effort to accommodate your request. For any special requests, please contact the MHA Health Institute at 573/893-3700 before the meeting dates.