2015 WASCA Annual Education 2015 WASCA Annual Education 2015 WASCA Annual Education

Conference & Trade ShowConference & Trade ShowConference & Trade Show

www.wasca.net

November 16 and Tulalip Spa & Resort Tulalip, WA November 17

WASCA is pleased to invite you to the 2015 Annual Education Conference & Tradeshow, which is being held at the Tulalip Resort & Spa, 10200 Quil Ceda Boulevard in Tulalip, Washington, on Monday, November 16th, and Tuesday, November, 17th. WASCA’s commitment to providing educational opportunities, delivering the most recent updates regarding health reform and advocacy for our industry’s place in the Washington healthcare market remains strong. It is through educational programs and events, like this, that our industry remains resilient and informed. Among our speakers are Steve Miller, Chief Operating Officer Ambulatory Surgery Center Association, Emily Studebaker, JD, WASCA’s Legal Counsel and Kathryn Kolan, JD, Director of Legislative and Regulatory Affairs, Washington State Medical Association, who will provide important information regarding changes in federal and state rules and regulations - and anticipated changes - affecting the ambulatory surgery industry in our state. WASCA continues to work diligently to develop strong working relationships with our legislators and state agencies such as the Department of Health. At the Annual Education Conference & Tradeshow, representatives of Department of Health’s Construction Review Services as well as the Office of Investigations and Inspections will be available to attendees to provide technical assistance at designated booths. WASCA is proud to have the support of more than 80 trade show exhibitors. These companies support ASCs with products and services and attend the trade show to offer solutions to meet your day-to-day operational needs. The tradeshow provides you the opportunity to see new products and search out solutions key to remaining competitive in a volatile market. We look forward to your attendance at the Annual Education Conference & Tradeshow. If you would like any additional information regarding the conference, please do not hesitate to contact WASCA at info@wasca.net or (206) 992-3330. Sincerely,

Debbie Perdue, Director of Surgical Services 2015 Annual Education Conference Chair

2015 WASCA Annual Education Conference & Trade Show

Tulalip Resort & Spa

10200 Quil Ceda Blvd. Tulalip, Washington 98271 (866) 716-7162 www.tulalipresortcasino.com

Tulalip Resort and Spa is conveniently located off Interstate 5 just 30 minutes

north of Seattle.

Traveling from Seattle:

Take Exit #200

Turn left onto 88th Street NE

Turn right onto Quil Ceda Boulevard

Traveling from Bellingham:

Take Exit #202

Turn right onto 116th Street NE

Turn left onto Quil Ceda Boulevard

A block of guest rooms is being held at the Tulalip Resort & Spa for conference attendees at a discounted rate starting at $139 per night. To make reservations call (360) 716-7162 or (866) 716-7162 and use code TB0368 to receive the WASCA 2015 Annual Education Conference and Tradeshow group discount. You may also make reservations online at: http://www.tulalipresortcasino.com/Resort/Accommodations to make your reservations online. WASCA recommends making reservations well in advance to ensure availability. Reservations must be made by October 31, 2015.

Shuttle service to the Tulalip Resort & Spa is available from SeaTac Airport on Sunday, November 15th at 4:00 p.m. and departing from Tulalip Resort & Spa to SeaTac Airport on Tuesday, November 17th at 4:00 p.m. Please reserve your space by contacting Patti McMinn at (206) 992-3330 or pattim@wasca.net.

Accommodations

Reservation Information

Directions

Shuttle Information

Session Times General Sessions Chinook Rooms 1 - 4

7:00 a.m. - 7:55 a.m. Registration - Continental Breakfast Foyer

8:00 a.m. - 8:10 a.m. Opening Remarks Chinook Rooms 1 - 4

8:10 a.m. - 9:40 a.m. De-escalating Rising Tensions on Tough Days

Healthcare professionals know that each day brings changes in plans, urgent requests, upset patients, or colleagues and pressures to solve problems quickly. Feeling successful requires a clear mind and resiliency. This workshop will provide you with a variety of strategies for dealing with rising tensions during the day, and how to help others. � Learn how the brain functions under stress

� Learn strategies for recognizing rising tension and reducing tension in the

moment

� Learn strategies for helping others deal with rising tension more effectively

Patti Lind, MA, Communication Consultant, Lind Consulting Group

9:40 a.m. - 10:00 a.m. Break with Exhibitors Orca Ball Room

10:00 a.m. - 11:00 a.m. ASC Issues at a Federal Level Chinook Rooms 1 - 4

This presentation will offer an explanation of ASC national issues and how recent leg-islative and regulatory changes impact ASCs. Attendees will learn about ASCA’s legislative, regulatory and research agenda and learn how they can get involved in federal advocacy efforts. Steve Miller, CAE, Chief Operating Officer, Ambulatory Surgery Center Association

11:00 a.m. - 12:30 p.m. 2015 Washington ASC Compliance Update Chinook Rooms 1 - 4

“2015 Washington ASC Compliance Update” will address new Washington State laws and regulations as well as changes to federal laws and regulations affecting ASCs. Emily R. Studebaker, JD, Garvey Schubert Barer

WASCA Legal Counsel and Executive Director

12:30 p.m. - 1:45 p.m. Lunch with Exhibitors Orca Ball Room

Monday, November 16, 2015

CE Credits - 13 CE Credits available.

Provider approved by the California Board of Registered Nursing, Provider Number 16068 for 13 Contact Hours

AEU Credits - To Be Announced

Certification of Infection Control Training - 3.0 Training Hours

Agenda

Continuing Education Credits

1:45 p.m. - 2:45 p.m. ASC Benchmarking & Salary Survey

This presentation will: � Define benchmarking and salary survey

parameters � Present data gathered from WASCA

survey including details on costs per case and details on salary by position

April Betts-Gibson, MHA,CMPE

Administrator, Puget Sound Orthopaedics

Lipid Rescue for Intravascular Local

Anesthetic Injections

This presentation will provide information on: � Local anesthetic mechanism of action � Differences between common LAs � Basis for adding epinephrine � LA side effects � Complications from LA injection � ACLS protocols and lipid rescue for

intravascular LA injection

Physicians Anesthesia Service

2:45 p.m. - 3:45 p.m. Essential Steps in Improving AR and

Cash Flow This presentation will: � Provide tips for improving work processes � Recommend tools to assist business office

employees � Identify staffing level needs Wendy Taylor, Executive Director

Overlake Surgery Center

Life Safety Code Panel

This panel presentation will:

� Provide compliance essentials � Review exemptions and waivers � Provide answers to attendee questions

Washington State Fire Marshall

Susan Simons, ASC Compliance Solutions

Mike Wager, The Wager Group

3:45 p.m. - 4:15 p.m. Break with Exhibitors Orca Ball Room

Administrative Track (Chinook 1&2) Clinical Track (Chinook 3&4)

4:15 p.m. - 5:30 p.m. 2015 Washington State Legislative Update – Mission (mostly) accomplished: Which Bills Passed,

Failed and What Might Matter to Your ASC

Ms. Kolan will present an overview of the successes and failures of the 2015 Legislative Session and provide a view of the legislative landscape in Washington State. She will provide an update on the Grace Period policies and solutions implemented in 2014 as well what was attempted as a “fix” during the 2015 legislative session. Other issues regarding insurance coverage changes, transparency in carrier/insurance claims data and other landmark legislation will also be discussed.

� Leave with a “big picture” overview of what legislators think is important to address in the

industry of “health care”

� Grace Period – then and now. Identify the Grace Period problem and attempted solutions

� Provide a perspective on how the 2015 legislature chose to address (or not address) this

problem and its impact on practices

� Identify victories that practices and physicians (and patients!) saw during the 2015

legislative session

Kathryn Kolan, JD, Director of Legislative and Regulatory Affairs

Washington State Medical Association

5:30 p.m. - 7:00 p.m. Reception with Exhibitors Orca Ball Room

Chinook Rooms 1 - 4 General Session

Agenda

Monday, November 16, 2015 - Concurrent Break Out Sessions

agenda

7:30 a.m. - 8:00 a.m. Breakfast with Exhibitors Orca Ball Room

8:00 a.m. - 8:15 a.m. Opening Remarks - Presentation of Awards Chinook Rooms 1 - 4

Voting on Association Officers

8:15 a.m. - 9:45 a.m. Simulation of A Clinical Emergency

In 2003, after opening a new surgical pavilion, the UW Medical Center experienced a partial failure of its endoscope cleaning machines. This presentation reveals the sequence of steps in which the crisis unfolded and asks the participants of the simulation to predict the next steps and discuss alternatives available at each moment to the executive and medical leadership as they struggled to contain and respond to the lapse in quality. Comparison to the actual sequence will be made as the simulation unfolds. This presentation will: � Use a simulation of an actual recent surgical adverse event, describe the steps

necessary to remediate the clinical quality failures caused by the emergency � Detail the internal communication and coordination steps necessary to contain and

manage the clinical quality lapse � Give examples of managing the external patient and media communications

necessary to remediate the emergency Ed A. Walker, MD, MHA, Professor, Departments of Psychiatry and Health Services

University of Washington

9:45 a.m. - 10:00 a.m. Break with Exhibitors Orca Ball Room

10:00 a.m. - 11:15 a.m. Medicare Inspections and Survey Readiness Chinook Rooms 1 - 4

Medicare surveyors have been arriving without notice at ASCs from coast to coast after the new ASC Conditions for Coverage were published back in May 2009. This presentation will discuss what changes, updates and clarifications have been issued in the regulations since 2009 and what is being examined during surveys. Tips will be provided to ways an ASC can be prepared when Medicare’s surveyors arrive. Whether or not an ASC is CMS-certified, attendees can gain important information that can help them deepen their culture of patient safety and promote efforts aimed at eliminating preventable healthcare harm. This presentation will:

� Describe types of regulatory surveys and the differences between a Condition,

Standard and Tag

� Identify changes and updates in the ASC Medicare regulations

� Discuss non-compliant trends found during surveys and successful compliance

strategies

Jan Allison, RN, CHSP, Director of Accreditation and Survey Readiness

Surgical Care Affiliates

11:15 a.m. - 11:30 a.m. WASCA Membership Meeting Chinook Rooms 1 - 4

11:30 p.m. - 12:30 p.m. Lunch with Exhibitors Orca Ball Room

Tuesday, November 17, 2015

Agenda

12:30 p.m. - 1:30 p.m. Data Breach Liability and Prevention

This presentation will: � Inform attendees of legal duties

regarding security of patient and employee financial and medical information

� Provide overview of policies and procedures designed to enhance data security

� Inform attendees of methods of limiting exposure to data breach liability

� Explain use of insurance to reduce or eliminate risk

Dave Smith, JD, Garvey Schubert Barer

12:30 p.m. - 1:30 p.m. Process Variability and Surgical Site

Infection (SSI) Reduction Strategies

This presentation will: � Describe interventions in preparation

of the patient for surgery that will reduce the risk of (SSI)

� Identify relevant clinical studies that support these measures

� Describe guidelines and recommended practices that support each intervention

Francis “Sandy” Reilly, BSBM, CSPDT,

O.R. Technical Consultant,

Infection Prevention Division, 3M

12:30 p.m. - 1:30 p.m. No More White Gloves

This presentation will: � Describe how environmental pathogens are transmitted to patients and healthcare workers � Evaluate if an environmental surface is at risk for environmental contamination Describe which MDRO’s are most often found on environmental surfaces � Describe the current methods used to monitor environmental cleaning Maryke A Schmidt, Monitoring

Products Technical Consultant

Infection Prevention Division, 3M

1:30 p.m. - 2:30 p.m. Understanding your Contracts, Chang-

ing Medicare Payment Policies, Imple-

menting Standards for Transparency

and Tools for Optimizing Revenue.

This presentation will: � Help attendees understand contracts

and how payment methodologies are evolving, as well as how market and benefit design factors are impacting reimbursement

� Review ongoing changes to Medicare reimbursement and how they are impacting ASCs

� Review the importance of reimbursement transparency and the benefits of successfully focusing on upfront collections

R. Matthew Kilton, MBA, MHA

Principal and COO, EVEIA HEALTH

Consulting & Management

1:30 p.m. - 2:30 p.m. Biofilms – The Hidden Menace

This presentation will: � List the various types of biofilms and describe how they are formed � Discuss how biofilm formation increases the risk of disease transmission � Identify those instruments and devices that are most prone to biofilm formation � Explain why biofilm is so difficult to remove from surfaces � Compare the different methods for the control and removal of biofilm formation on surgical instruments and medical devices Francis “Sandy” Reilly, BSBM, CSPDT,

O.R. Technical Consultant,

Infection Prevention Division, 3M

1:30 p.m. - 2:30 p.m. Cleaning Endoscopes –

What a Challenge!

� Summarize new evidence related to the increased risk for endoscopy-associated infections

� Learn why current assumptions on the effectiveness of endoscopy reprocessing is currently being re-evaluated

� Discuss some strategies for strengthen-ing quality improvement programs

Maryke A Schmidt, Monitoring

Products Technical Consultant

Infection Prevention Division, 3M

2:30 p.m. - 3:30 p.m. Effectively Handling Employee

Complaints

This presentation will: � Provide practical tips and best

practices for ASC leaders confront-ed with employee complaints

� Identify ASC leadership incentives to proactively address employee complaints and demonstrate tangible benefits of same

� Provide easy to use tools to imple-ment applicable best practices

Sevilla Rhodes, JD

Garvey Schubert Barer

2:30 p.m. - 3:30 p.m. AAMI ST79 – Essential Information for

ASCs

This presentation will: � Discuss AAMI ST79 and the need for

the recommended practice � Discuss the different types of steam

sterilization processes and cycle parameters

� Describe the different types of sterilization monitoring devices, including PCDs

� Describe routine load release for im-plants and non-implants

Francis “Sandy” Reilly, BSBM, CSPDT,

O.R. Technical Consultant,

Infection Prevention Division, 3M

2:30 p.m. - 3:30 p.m. AAMI ST 91 – Essential Information for GI

Centers

This presentation will: � Describe the critical content in the new

AAMI ST 91 - guidelines on the processing of flexible and semi-rigid endoscopes

� Evaluate the design and workflow of the endoscope reprocessing area

Maryke A Schmidt, Monitoring Products

Technical Consultant

Infection Prevention Division

3M

General Session Chinook 1&2

General Infection Control Training Chinook 3&4

GI Infection Control Training Evergreen Room (2nd Floor)

Agenda

Tuesday, November 17, 2015 - Concurrent Break Out

The Washington Department of Health’s Construction Review Services will have an exhibitor booth and will be offering 30-minute appointments to discuss topics of your choice. Appointments will be made on a first come first serve basis. Space will be limited. Attendees can reserve appointment times now by contact-ing Marlei’ LaChance at (360) 236-2944 or via email at marlei.lachance@doh.wa.gov.

The Washington State Department of Health’s Office of Investigations & Inspections will also have an exhibitor booth. John Hilger, program manager for ambulatory surgery facilities as well as surveyors representing state licensing and Medicare participation survey programs will be available to answer questions. One-on-one appointments can be arranged at the booth throughout the conference. Please bring your questions and comments.

Bring Your Business Cards!

Gift Card Gift Basket

2015 Accreditation Handbook for

Ambulatory Health Care. A $350.00 value.

and many more prizes will be given!

Prizes

Washington State Department of Health

WASCA will have prize drawings throughout the conference. Attendees can participate in the drawings by placing their business cards in containers at the exhibitor booths. The exhibitors will then draw business cards from their containers determining the winner.

Attendees are encouraged to bring business cards for each of the approximately 100 exhibitor booths.

The Washington Ambulatory Surgery Center Association’s affiliated Political Action Committee, Our Patients Come First PAC, serves as one of the essential foundations for the association’s advocacy and political activities. We are writing to encourage you to strongly support this PAC with your contributions, allowing the PAC to provide campaign funding support for legislative candidates who have already been helpful to WASCA members, or who are seen as potentially helpful in the future with legislative challenges faced each year when the legislature is in session. It has brought the ambulatory surgery industry to the forefront of political activities in Washington State, and candidates have expressed their strong appreciation for contributions they have received. WASCA retains the services of a lobbyist, Susie Tracy, who has more than 30 years of experience lobbying for a variety of medical interests before the Washington State Legislature and the Washington State Department of Health. With the assistance of Ms. Tracy, the association has been successful in passing legislation to strengthen and clarify licensing laws, reduce proposed licensing fees, assist with encouraging pricing transparency, and defeat surgical technologist education and certification requirements that would have been unrealistic for many centers. The lobbyist’s efforts are very useful but they are augmented by the contributions made by Our Patients Come First PAC. It is the combination of the two that has increased our effectiveness in Olympia. Your contribution to the PAC, with a suggested minimal check for $1,000, will assure that the PAC remains financially viable. Checks should be made out to Our Patients Come First PAC and mailed to Our Patients Come First PAC, 805 Madison St, Suite 901, Seattle, WA 98104. If you have any questions, please feel free to contact any one of us, and we would be happy to be of assistance. In the meantime, we appreciate this means of your supporting your association and helping it continue with effective political activities in the State. Sincerely,

William A. Portuese, MD Seattle Facial and Plastic Surgery WASCA PAC President

Our Patients Come First PAC

17837 1st Avenue South17837 1st Avenue South17837 1st Avenue South17837 1st Avenue South PMB #306PMB #306PMB #306PMB #306 Normandy Park, WA 98148Normandy Park, WA 98148Normandy Park, WA 98148Normandy Park, WA 98148

www.wasca.net

2015 WASCA Annual Education Conference & Trade Show Sponsors