2018 Maryland Care Transitions Forum & HQI Awards Luncheon

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Turf Valley Resort

2700 Turf Valley Road

Ellicott City, MD 21042

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Maryland Care Transitions Forum: Joy in the Journey & 2018 HQI Awards Luncheon

This educational activity is jointly provided by AXIS Medical Education and Health Quality Innovators (HQI).

Join a diverse group of Maryland health care providers and partners as we explore evidence-based approaches to reduce hospital readmissions, prevent clinician burnout and strengthen patient engagement. We will also share strategies to help you find joy in your work and help patients find joy in their lives!

HQI is hosting the Maryland Care Transitions Forum to celebrate efforts to reduce hospital readmissions through successful collaborations. Participants will be actively engaged throughout the day and challenged to leave with action plans - identifying successful strategies and resources in every session.

Learning Objectives:

  • Formulate a diverse group of health care providers and community partners to support patients after hospitalizations.
  • Incorporate community organizing strategies to strengthen joy in the workplace
  • Identify the steps for implementing chronic care management, a partnership between physicians, nurses, pharmacists and the interprofessional team.
  • Outline strategies to engage patients and families as partners in health care decision-making.
  • Outline successful readmissions reduction efforts.
  • Identify your next steps toward helping patients, families and clinicians find joy along the journey to better health and improved quality.


8:30 – 9:00 am - Registration

9:00 – 9:30 am - HQI Leadership Welcome

9:30 – 10:45 am

IGNITE Maryland

A dynamic and lively session filled with multiple, mini presentations from providers and partner organizations. Discuss new ideas and celebrate successes across HQI Care Transitions Community Coalitions through this rapid-presentation style format.

  • Identify programs and practices for potential implementation.
  • Determine components for successfully engaging patients in care transitions.
  • Discuss program details with at least one presenter.

10:45 – 11:00 am - Break

11:00 am – 12:00 pm

The Journey to Joy: Simple Strategies to Overcome Burnout in Health Care

Barbara Balik, Aefina Partners

  • What: Describe joy in work; identify signals of burnout; and articulate the link between burnout and joy in work to health outcomes
  • Why: Understand and describe why leaders need to nurture joy in work
  • How: Describe three organizing actions and tools for leaders to nurture joy in work

12:00 – 1:15 pm

2018 HQI Awards Luncheon

Awards will be given in five categories:


Data-driven Care

Patient-centered Care

Population Health

Rural Health

1:15 – 3:15 pm

Concurrent Breakouts

A. Community Collaborations: The Joy in Meeting Patient Needs Together

  • Identify how partners are working together successfully to address patients’ needs during transitions of care.
  • Develop a plan to address patients’ social determinants of health (SDoH).
  • Implement new strategies to strengthen local coalition or partner activities.

B. The Joys of Patient and Family Engagement

  • Outline successful strategies for engaging patients and families in care transitions initiatives.
  • Identify criteria for evaluating the effectiveness of patient and family advisory councils for any provider setting.
  • Develop a plan to determine local community and provider opportunities through targeted patient and family meetings/interviews.

C. Step-by-Step: Mapping Successful CCM and PDMP Journeys

  • Describe the new 2018 updates and provider requirements for the Prescription Drug Monitoring Program (PDMP).
  • Identify at least two successful examples that illustrate how to use the PDMP to improve patient care.
  • Define how pharmacists can collaborate with a physician practice to implement and maintain Chronic Care Management (CCM).
  • Identify CCM strategies that care teams or practices can use for CCM services and sustainability.


HQI Leadership Welcome
Thelma Baker, MSHA, RHIA, CPHQ, Chief Operating Officer
Sheila McLean, MBA, CPHQ, LNHA, Vice President

IGNITE Maryland
Carla Thomas, MS, CTRS, CPHQ
Director, Care Transitions, HQI

Kelly Arthur, BS, CDT
Improvement Consultant, HQI

Cora Abundo, RN, BSN
Transition Guide Nurse, Suburban Hospital – Care Transitions Team

Karen Bealla, PharmD
MTM Pharmacist, Atlantic General Hospital

Lori Brewster, MS, APRN/BC, LCADC
Health Officer, Wicomico County Health Department

Cheryl Douglass, MEd, BA
Sepsis Survivor

Kara Harrer, PharmD
Director of Pharmacy, Calvert Health

Mary Jane Joseph, RN, BC, CPHQ
Project Manager, Primary Care Coalition

Sue Lachenmayr, BA, MPH, CHES
State Program Coordinator, MAC

Vicky Parikh, MD, MPH
Executive Director, MedStar Shah Medical Group

Michelle Ross, MSW
Advance Care Planning Social Worker, Frederick Memorial Hospital

Evan Sanna, NRP, BS
Mobile Integrated Healthcare Coordinator Lieutenant, Prince George’s County Fire/EMS Department

Amber Starn, MPH
Epidemiologist, Charles County Department of Health

Karen Twigg, BSN, RN, CMCN
Director, Care Coordination & Integration, Calvert Health Medical Center

Barbara Banks-Wiggins, MSA
Faculty/Executive Director, Prince George’s Healthcare Alliance

Marjanna Winafeld, RN
Medicare Nurse Navigator, UMM Charles Regional

The Journey to Joy: Simple Strategies to Overcome Burnout in Health Care
Barbara Balik, EdD, MS, RN
Co-Founder, Aefina Partners

Concurrent Breakouts

A. Community Collaborations: The Joy in Meeting Patient Needs Together
Kelly Arthur, BS, CDT
Improvement Consultant, HQI

Margie Hackett, RN, BSN
Transition Guide Nurse Manager, Suburban Hospital – Care Transitions Team

Heather Kirby, MBA, LBSW, ACM-SW
Vice President Intregrated Care Delivery, Frederick Regional Health System

Susan Westgate, MBA, MSW, LCSW-C
Director of Community Care Coordination, Lifebridge Health

B. The Joys of Patient and Family Engagement
Sheila McLean, MBA, CPHQ, LNHA
Vice President, HQI

Beverly Johnson, BSN
President/CEO, Institute for Patient and Family-Centered Care

C. Step-by-Step: Mapping Successful CCM and PDMP Journeys
Cynthia Warriner, BS, RPh, CDE
Pharmacist, HQI

Tosin David, PharmD
Pharmacist Consultant, HQI

Lindsey Ferris, MPH
Program Director, HIE Projects, Chesapeake Regional Information System for our Patients (CRISP)

Samit Desai, MD
Chief Medical Officer, Senior Medical Advisor, Chesapeake Regional Information System for our Patients (CRISP)


Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and Health Quality Innovators. 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.

Credit Designation for Pharmacists

This application-based activity is approved for 4.25 contact hours of continuing pharmacy education credit (UAN JA4008106-9999-18-049-L04-P).

Credit Designation for Nursing

AXIS Medical Education designates this continuing nursing education activity for 4.25 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.

Quality Professionals

This program has been approved by the National Association for Healthcare Quality for 4.25 CPHQ continuing education credits.

Social Workers

This program is Approved by the National Association of Social Workers (Approval # 886749394-7448) for 4 continuing education contact hours.

Long Term Care Administrators

This program has been approved for Continuing Education for 4.25 total participant hours by NAB/NCERS—Approval #20191105-8.25-A47396-IN.

Case Managers

This program has been pre-approved by the Commission for Case Manager Certification to provide continuing education credit to Certified Case Managers (CCMs). 4.25 hours.

Healthcare Executives

ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide education programming in healthcare management. Programs may be sponsored by ACHE, chapters, or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.). You will receive a certificate of completion for 4.25 hours.

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.

All activity faculty reported no financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

All activity planners and managers reported no financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.


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.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

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 Carla Thomas at 804.289.5320 or cthomas@hqi.solutions before the meeting dates.

Requirements for credit:

  • Attend/participate in the educational activity and review all course materials.
  • Complete the CE Declaration form online by 11:59 pm ET December 6, 2018. 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.
  • Pharmacists you will not receive a certificate. Your record will be automatically loaded to CPEMonitor once you enter your ePID and MMDD or birth.
  • Long-term care administrations you will not receive a certificate. Your record will be automatically loaded to NABVerify once you enter your Registry number (R followed by 7 digits).

Event Informaton

Tuesday, November 6, 2018

Meeting begins at 9:00 AM. Luncheon only at 11:00 AM

Turf Valley Resort and Conference Center

2700 Turf Valley Road, Ellicott City, MD 21042

Free parking is available onsite.

Staying overnight? Contact Turf Valley Resort for meeting rates at 410-465-1500 or 888-833-8873. You can also make reservations online. Please reference Group Code 285801.

Questions? Contact Amy Ridolphi at aridolphi@hqi.solutions or
call 804.289.5320.

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Turf Valley Resort

2700 Turf Valley Road

Ellicott City, MD 21042

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