hcmf ann arbor 2012 brochure

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This seminar provides three and a half days of comprehensive and practical sessions designed to help administrative leaders, board members, physicians, nurses and other staff, patients, and families become effective agents for patient- and family-centered change in their organizations. Participants will gain the knowledge and skills to begin to transform health care within hospitals, ambulatory care settings, and community organizations to address the challenges and recommendations discussed in the Institute of Medicine’s report, Crossing the Quality Chasm: A New Health System for the 21st Century and more recently, the National Priorities Partnership’s report, National Goals and Priorities: Aligning Our Efforts to Transform America’s Healthcare, and the U.S. government’s new health care initiative, the Partnership for Patients: Better Care, Lower Costs, a public-private partnership to help improve the quality, safety, and affordability of health care. ANN ARBOR MARRIOTT YPSILANTI

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Page 1: HCMF Ann Arbor 2012 Brochure

This seminar provides three and a half days of comprehensive and practical sessions designed

to help administrative leaders, board members, physicians, nurses and other staff, patients, and

families become effective agents for patient- and family-centered change in their organizations.

Participants will gain the knowledge and skills to begin to transform health care within hospitals,

ambulatory care settings, and community organizations to address the challenges and

recommendations discussed in the Institute of Medicine’s report, Crossing the Quality Chasm:

A New Health System for the 21st Century and more recently,

the National Priorities Partnership’s report, National Goals and

Priorities: Aligning Our Efforts to Transform America’s Healthcare,

and the U.S. government’s new health care initiative, the Partnership

for Patients: Better Care, Lower Costs, a public-private partnership

to help improve the quality, safety, and affordability of health care.

ann arbor marriott ypsilanti

Page 2: HCMF Ann Arbor 2012 Brochure

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J oin us to create new partnerships and develop action plans for change and innovation.

Who Should Attend?We urge health systems, hospitals, and community practices to send an interdisciplinary team of participants that includes administrative leaders, board members, physicians, nurses and other staff, as well as patient and family advisors whose primary association with a health care organization is as consumers of services. Team members can include:

• Patient and Family Advisors and Leaders

• Health Care Administrators and Managers

• Clinicians—Hospitalists and other Physicians, Nurses, Social Workers, Psychologists, and Developmental Specialists

• Respiratory, Occupational, and Physical Therapists

• Hospital and Other Community Board Members or Trustees

• Quality Management and Patient Safety Personnel

• Care Coordinators/ Discharge Planners

• Directors of Residency and Training Programs/Medical Student Clerkships

• Organization Development Professionals

• Researchers and Evaluators

• Facility Planning Staff

Registration Fees(Please see page 7)

This is an intensive training seminar which includes many working meals. The registration fee for this seminar includes continental breakfasts, three lunches, Monday dinner/Wednesday Tailgate dinner at stadium, breaks per the agenda, and educational materials (flashdrive with guidance resources). The registration fee does not include hotel accommodations. Please see page 5 for hotel information.

Seminar Learning ObjectivesUpon completion of this seminar, participants will be better able to:

• Describe patient- and family-centered care and how it can be applied to adult and pediatric inpatient care; primary care, medical home, and other ambulatory care; maternity care; newborn intensive care; mental health care; emergency care; and long-term care.

• Examine examples of excellence and innovation in partnering with patients and families to improve the experience of care and clinical outcomes.

• Explore patient- and family-centered approaches to address current priorities in health care—specifically, reducing readmissions, decreasing infections and preventable errors, improving medication management, providing safe care transitions, improving cost efficiency, and enhancing workforce capacity.

• Define the roles of senior executives in providing leadership for patient- and family-centered change.

• Discuss how to integrate patient- and family-centered concepts in the education of health care professionals, quality improvement, risk management, patient safety, facility design, HIPAA and other privacy regulations, evaluation, strategic planning, and the use of information technology to facilitate partnerships with patients and families.

• Identify strategies for developing and sustaining patient and family advisory councils and other collaborative endeavors with patients and families.

• Describe the skills necessary for facilitating and sustaining effective change in hospitals, primary care and other ambulatory care settings, and health systems.

• Discuss approaches to measure patient- and family-centered change.

• Develop action plans for patient- and family-centered change, individualized for each health system, hospital, or practice.

What Makes This Seminar So Unique?Participants will benefit from a wide range of resources including:

• Faculty review of pre-seminar personal learning goals;

• Three and a half days of intensive training, including a variety of plenary presentations, as well as small group, interactive topical sessions, offering the opportunity to tailor the program to meet specific needs and interests;

• Focused sessions for administrative and clinical leaders;

• Individualized planning time with faculty;

• Take-home resources for presentations, orientation, and in-service sessions; and

• Post-seminar support.

Continuing Education CreditTo be eligible for continuing education credit, participants must attend the program in its entirety, sign-in daily, and complete the online seminar evaluation. Please check the Institute’s registration website for updated information about continuing education credit.

Physicians: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Nurses: Approval is pending for this activity by the Maryland Nurses Association which is accredited as an approver of continuing education in nursing by the American Nurses’ Credentialing Center’s Commission on Accreditation.

Social Workers: This program is pending approval from the National Association of Social Workers.

Page 3: HCMF Ann Arbor 2012 Brochure

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FacultyINSTITUTE FOR PATIENT- AND FAMILY-CENTERED CARE

Beverley H. JohnsonPresident and CEO

Marie R. Abraham, MASenior Policy and Program Specialist

Marlene Fondrick, bSN, MSN, RNProgram Specialist

Joanna Kaufman, RN, MSInformation Specialist

Mary Minniti, CPhqProgram and Resource Specialist

Julie G. Moretz, bSDirector of Special Projects

Patty Black, bSPatient Leader/Co-Chair, Patient

Advisory CouncilPeaceHealth Medical GroupEugene, OR

Paul Boucher, MD, RFCPMedical Director, CVICU, Foothills HospitalClinical Associate Professor,

University of CalgaryCalgary, Alberta, Canada

Maureen Connor, bSN, MPhExecutive Director, Quality and Safety

Patient Care ServicesNorth Shore Medical CenterSalem, MA

Cherie A. Craft, MEdDirector of Smart from the Start City of Boston, Mayor’s OfficeBoston Centers for Youth and Families Boston, MA

Liz Crocker, bA, MEdVice President, Board of DirectorsInstitute for Patient- and Family-

Centered CareEast Chester, Nova Scotia, Canada

Nancy DiVenere, bAFounder/Past PresidentParent to Parent of Vermont/

Parent to Parent USAEssex Junction, VT

Kathy Dressman, RN, MS, NEA-bCSenior Clinical DirectorPulmonary Business UnitCincinnati Children’s Hospital Medical CenterCincinnati, OH

Maret Felzien, MACommunity Member, Health ResearchHigh Plains Research NetworkSterling, CO

Terry Griffin, RNC, MS, NNPNeonatal Nurse Practitioner Special Care NurserySt. Alexius Medical Center Hoffman Estates, IL

Gordy Harvieux, MD, FAAPMedical Director, Health Care Home ProgramEssentia Health Children’s ServicesDuluth, MN

Sandy Hobbs, MSNDirector, Network Partnerships and OutreachGeorgia Health Sciences University

Medical CenterAugusta, GA

Chuck HofiusChief Executive OfficerPerham HealthPerham, MN

Wendy Jones, MEd, MSwDirector, Children and Youth with Special Health

Care Needs ProjectNational Center for Cultural CompetenceGeorgetown University Center for Child &

Human DevelopmentWashington, DC

Roslyn S. Marshall, RN, bSN, MhSANurse Manager, Neuroscience CenterGeorgia Health Sciences University

Medical CenterAugusta, GA

Kelly Parent, bSPatient- and Family-Centered Care Program

Coordinator and Family LeaderUniversity of Michigan Health SystemAnn Arbor, MI

Anna M. Roth, RN, MS, MPhChief Executive OfficerContra Costa Regional Medical Center and

Health CentersMartinez, CA

Judith L. Roudebush, RN, NE-bCFormer Director, Women and Children’s ServicesProvidence Regional Medical Center EverettEverett, WA

Hollis Guill RyanFamily Leader and Program Coordinator Patient and Family Centered Care ServicesUniversity of Washington Medical CenterSeattle, WA

Jeff Schlaudecker, MDAssistant Professor of Family MedicineThe University of CincinnatiCincinnati, OH

Juliette Schlucter, bSParent Advocate and Former Patient- and

Family-Centered Care ConsultantThe Children’s Hospital of PhiladelphiaOcean City, NJ

William E. Schwab, MDProfessor and Vice Chair, Department of

Family Medicine University of Wisconsin School of Medicine

and Public HealthMadison, WI

“This seminar shed light on how very little I really knew about what patient- and family-centered care meant. Now I KNOW!”

—Seminar Participant, Atlanta 2012

Seminar Topics•Patient- and Family-Centered

Innovations

•Executive Leadership for Transformative Change

•Creating and Sustaining Patient and Family Advisory Councils

•Enhancing Patient Safety Through Partnerships with Patients and Families

•Developing Patient and Family Faculty Programs

•Collaboration with Patients and Families in Clinical Practice and Chronic Care Management

•Changing the View that Families are Visitors—Supporting Family Presence and Participation in Rounds and Nurse Change of Shift Report

•Supporting Patients and Families in Shared Decision-Making

•Applying Patient- and Family-Centered Concepts in Emergency and Intensive Care Settings

•HIPAA and Implications for Patient- and Family-Centered Practices

•Supporting Staff and Dealing with Resistance to Change

•Enhancing Patient and Family Access to Information and Support

•Patient- and Family-Centered Approaches to Discharge and Transition Planning

•Patient- and Family-Centered Approaches in the Use of Health Information Technology

•Patient- and Family-Centered Primary Care, Medical Homes, and Ambulatory Practices

•Developing Patient- and Family-Led Peer Support Programs

•Enhancing Support for Mental Health

•Working with Families in Difficult Situations

•Enhancing Cultural Competence

•Designing Facilities to Support Patient- and Family-Centered Care

•Measurement of Patient- and Family-Centered Care

•Palliative and End of Life Care

•Communication Skills for Negotiating Change and Partnership

•Research and Patient- and Family-Centered Care

Page 4: HCMF Ann Arbor 2012 Brochure

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care (PFCC) as a significant element in meeting the strategic goal for Creating the Ideal Patient Care Experience. PFCC has been identified by health care practitioners, staff, and administrators at all levels of care at UMHS as a principle and a standard practice for planning, delivering, and evaluating health care programs, services, facilities, and policies. Therefore, UMHS has committed

Hospital Tours – University of Michigan Health SystemTuesday, October 2, 2012 at 3pm Transportation Fee: $10

Option 1: U-M Cardiovascular Center (CVC)

A commitment to providing advanced cardiovascular care to patients throughout Southeast Michigan and beyond led to the creation of the U-M Cardiovascular Center. The facility opened in 2007 and unites the Health System’s cardiovascular services which are ranked No. 12 in the nation by U.S. News and World Report for heart and heart surgery programs.

The CVC offers nationally known programs in heart failure, heart transplant, stroke, congenital heart disease, valve surgery, implanted heart-assist devices, heart rhythm disorders, preventive care, and vascular medicine and surgery.

The CVC tour will include the Atrium Garden, Heart Healthy Cafe’, Mardigian Wellness Resource Center, Cardiac Procedures Unit, Observation Unit, Donor Recognition, Outpatient Cardiovascular Clinics, Pathology Labs and Non-Invasive Testing, Operating Rooms/ Interventional Radiology, Cardiovascular ICU, Quiet Spiritual/Meditation Rooms, and Moderate Care Cardiovascular Unit. A bridge connects the CVC to other cardiovascular inpatient units (Cardiac Surgery Step-down Unit, Cardiology Step-down Unit, and Coronary ICU (CICU)) as well as services on the Hospital Campus.

Option 2: U-M C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital

The University of Michigan C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital, a 348-bed, private-room facility, opened in December 2011. This grand event was the culmination of years of collaboration among patients, families, staff, faculty, and administration as they designed, operationalized, and

moved into this state-of-the-art space. This new 12-story, 1.1 million square foot facility is located on the University of Michigan Health System campus with a convenient walkway connecting staff and families to the other UMHS health care facilities.

C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital are opening their doors to seminar participants to experience this patient- and family-centered facility that exemplifies “The Michigan Difference.” The tour will include visits to:

• Inpatient rooms including pediatric general care, pediatric intensive care, newborn intensive care, and women’s labor/birth rooms which are all complete with family sleep space, GetWellNetwork, and mini-refrigerators;

• Universal spaces including family center, chapel, family exercise room, and family lounge, complete with kitchenette and laundry facilities; and

• Special amenities including an indoor Michigan Football-themed playground, Ronald McDonald House within the hospital, and Wall of Hope/Life photo art displays.

to PFCC as a process to help drive cultural transformation. For example, C.S. Mott Chil-dren’s Hospital, Von Voigtlander Hospital, Cardiovascular Center, and Comprehensive Cancer Center have established PFCC Com-mittees and Patient Advisory Councils with over 300 patients and family members serving as advisors. UMHS has seen not only signifi-cant improvement in its patient and family satisfaction but UMHS has seen enhanced communication and partnerships among doctors, nurses, health care providers, and pa-tients and families. They continue to develop PFCC committees and advisory councils in adult critical care, psychiatry, emergency departments, and ambulatory care.

CVC Patient and Family Advisory Com-mittee Co-Chair Erik Morganroth believes that improvement is already happening...“It’s clear that the entire hierarchy of the hospital believes in their hearts that results will be better, fewer mistakes will be made, and patients and staff will be more satisfied.”

Special Thanks…The University of Michigan Health System (UMHS) is the academic health center for the University of

Michigan and has consistently been named to the honor roll of “America’s Best Hospi-tals.” Members of the U-M Faculty Group Practice and clinical providers bring hope and healing to patients across the globe as part of the health system mission of patient care and service, research, and education. The Health System includes three hospital facilities – University Hospital and the Cardiovascular Center, C.S. Mott Children’s Hospital, and Von Voigtlander Women’s Hospital – and dozens of outpatient health centers and clinics. The U-M Medical School is one of the nation’s biomedical research powerhouses and achieves high rankings for excellence in education and training of physicians and biomedical scientists.

The University of Michigan Health System has recognized patient- and family-centered

Page 5: HCMF Ann Arbor 2012 Brochure

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Hotel InformationAnn Arbor Marriott Ypsilanti at Eagle Crest Resort1275 S. Huron Street •Ypsilanti, MI 734-487-2000

The newly renovated Ann Arbor Marriott Ypsilanti at Eagle Crest is contemporary, edgy, and chic. With a resort-like feel and picturesquely situated at the area’s highest elevation unique to Eagle Crest, it is considered to be “The Resort of Southeast Michigan.” Enjoy spectacular panoramic views of the lake and Eagle Crest golf course, an 18-hole championship course, which has once again been awarded a‘4-Star’ rating by Golf Digest Magazine. Surrounded by nature’s best, the resort borders the banks of Ford Lake and presents a park-like setting — the perfect peaceful destination for this intensive training seminar experience.

The hotel offers on-site dining in Bentley’s Ameri-can Grille Restaurant and The View Lounge. Other amenities include an indoor pool, whirlpool, and a state of the art workout facility as well as a scenic walking trail and on-site tennis courts.

Hotel Reservations877-757-7133 / 800-228-9290

Ann Arbor Marriott Ypsilanti at Eagle Crest Resort is holding a limited number of rooms for seminar participants at a special group rate until Friday, September 7, 2012. Rooms may sell out before this date so be sure to make reservations early. To make a reservation, call the Hotel at 877-757-7133 or 800-228-9290 and indicate that you are with “IPFCC-Hospitals and Communities Moving Forward” (code: IPFIPFA) in order to receive the special group rate. Hotel reservations can also be made online: www.ipfcc.org/seminar-hotel.html.

The room rate is $119 per night for single/double occupancy, U.S. funds. This rate does not include taxes. Hotel reservations must be guaranteed by a major credit card. To cancel reservation, the hotel requires cancellations 24 hours prior to arrival. Check in is at 3 pm and check out is noon.

The special group rate will be in effect three days before and after the seminar for those arriving early or extending their stay to enjoy the area. For planning purposes, the seminar begins at 8:15 on Monday, October 1 and extends through noon on Thursday, October 4. Participants should plan to arrive on Sunday and leave Thursday afternoon to ensure adequate time for departure. We encourage early arrival on Sunday to pick up seminar materials from 4-7 pm to avoid early Monday morning registration.

TransportationThe Ann Arbor Marriott Hotel is located 12 miles from the Detroit Metropolitan Airport. Cab service is available but a recommended cab company is Green Cabs—877-476-8294/www.migreencabs.com. Fare is typically about $60 one way. The hotel does not have dedicated airport transportation.

For local participants, or those driving to the hotel, on-site parking is complimentary at the Ann Arbor Marriott Ypsilanti at Eagle Crest Resort.

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ExPLORE YPSiLANTi/ANN ARBOR!Tailgate Outing at the “Big House”The Ypsilanti area offers several unique shopping opportunities, including Depot Town. This is a gloriously restored 19th century shopping and dining destination where great treasures can be found—antiques, vintage clothing, and collectibles. And, only seven miles from Ann Arbor, you will be enamored with the charm and beauty of this delightful football town. Downtown Ann Arbor, also known as the Main Street Area, is a haven for art and sculpture, museums, and boutiques inter-spersed with both elegant and casual restaurants. This pedestrian-friendly downtown also offers side-walk dining, unique shops, numerous bookstores, and cultural opportunities. There are many sites to see in Ann Arbor, including the infamous Michigan Stadium—the “Big House.” The University of Michigan stadium is the largest football stadium in America with a seating capacity of 109,901.

While not routinely open to the public, seminar participants will delight in a special opportunity to tailgate at the “Big House” on Wednesday evening—price is included as part of the seminar registration fee.

Seminar ScheduleSUNDAY, SEPTEMBER 304:00 pm – 7:00 pmRegistration

MONDAY, OCTOBER 17:00 am – 8:15 amRegistration/Continental Breakfast

� Patient/Family Advisors Networking Breakfast (optional)

8:15 am – 5:15 pmEducational Sessions including Working Lunch

�Networking Dinner (included)

TUESDAY, OCTOBER 27:00 am – 8:00 amContinental Breakfast

� Special Networking Breakfasts (optional)

8:00 am – 2:45 pmEducational Sessions including Working Lunch

3:00 pmTours (optional)*

� U-M Cardiovascular Center

� U-M C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital

� Dinner on your own*

WEDNESDAY, OCTOBER 37:00 am – 8:00 amContinental Breakfast

� Topical Networking Breakfasts (optional)

8:00 am – 5:30 pmEducational Sessions including Networking Lunch

6:00 pmTailgate Dinner Outing U-M Football Stadium

(load buses at 6 pm/return by 8:30 pm)

THURSDAY, OCTOBER 47:00 am – 7:45 am Continental Breakfast

8:00 am – NoonEducational Sessions

* Not included in registration fee

Page 6: HCMF Ann Arbor 2012 Brochure

Become a Pinwheel Sponsor! Call 301-652-0281 for information, or go to www.ipfcc.org/about/pinwheel.html.

P i N W H E E L The Institute for Patient- and Family-Centered Care appreciates the support of our Pinwheel Sponsors for their commitment to advancing the understanding and practice of patient- and family-centered care. These recognized leaders continue to make a significant difference in promoting this philosophy of care, and thus serve as role models to us all.SPONSORS

PiNWHEEL PATRONEssentia HealthDuluth, MN

PiNWHEEL CHAMPiONAkron Children’s HospitalAkron, OH

Anne Arundel Medical CenterAnnapolis, MD

Baptist Health South FloridaCoral Gables, FL

Baptist Memorial Hospital for WomenMemphis, TN

Barnes-Jewish HospitalSt. Louis, MO

Baylor Health Care SystemDallas, TX

Brigham and Women’s HospitalBoston, MA

Bronson Healthcare GroupKalamazoo, MI

Children’s Cancer Hospital at The University of Texas M.D. Anderson Cancer CenterHouston, TX

Children’s Hospital BostonBoston, MA

Children’s Hospital ColoradoAurora, CO

Children’s Hospitals and Clinics of MinnesotaMinneapolis, MN

Children’s Hospital London Health Sciences CentreLondon, Ontario, Canada

Children’s Hospital of MichiganDetroit, MI

Children’s Hospital of Pittsburgh of UPMCPittsburgh, PA

Children’s Hospital at ProvidenceAnchorage, AK

Children’s Medical CenterDallas, TX

Children’s Mercy Hospitals and ClinicsKansas City, MO

Children’s National Medical CenterWashington, DC

Christiana Care Health SystemWilmington, DE

Cincinnati Children’s Medical CenterCincinnati, OH

Clear Lake Regional Medical CenterWebster, TX

Columbia St. Mary’sMilwaukee, WI

Covenant Children’s HospitalLubbock, TX

Dana-Farber Cancer instituteBoston, MA

Dignity HealthSan Francisco, CA

East Tennessee Children’s HospitalKnoxville, TN

Emory HealthcareAtlanta, GA

Flagstaff Medical CenterFlagstaff, AZ

Georgia Health Sciences Health SystemAugusta, GA

Hasbro Children’s Hospital/Rhode island HospitalProvidence, RI

Hennepin County Medical CenterMinneapolis, MN

Holland Bloorview Kids Rehabilitation HospitalToronto, Ontario, Canada

Hurley Medical CenterFlint, MI

Joe DiMaggio Children’s Hospital at MemorialHollywood, FL

Johns Hopkins Children’s CenterBaltimore, MD

Kaiser Permanente—San DiegoSan Diego, CA

Kingston General HospitalKingston, Ontario, Canada

Memorial Healthcare SystemHollywood, FL

Methodist Le Bonheur HealthcareMemphis, TN

Miami Children’s HospitalMiami, FL

Moffitt Cancer CenterTampa, FL

Monroe Carell Jr. Children’s Hospital at VanderbiltNashville, TN

National Partnerships for Women and Families/Campaign for Better CareWashington, DC

Nationwide Children’s HospitalColumbus, OH

Onslow Memorial HospitalJacksonville, NC

Poudre Valley Health SystemFort Collins, CO

Riley Hospital for Children at indiana University HealthIndianapolis, IN

San Jacinto Methodist HospitalBaytown, TX

Seattle Cancer Care AllianceSeattle, WA

Seattle Children’sSeattle, WA

South Shore HospitalSouth Weymouth, MA

St. Francis Medical CenterLynwood, CA

St. Louis Children’s HospitalSt. Louis, MO

St. Luke’s Children’s HospitalBoise, ID

Stollery Children’s HospitalEdmonton, Alberta, Canada

The Children’s Hospital of PhiladelphiaPhiladelphia, PA

Thunder Bay Regional Health Sciences CentreThunder Bay, Ontario, Canada

UAB HospitalBirmingham, AL

UNC Health CareChapel Hill, NC

University of Arizona Health NetworkTucson, AZ

University of Louisville HospitalLouisville, KY

University of Michigan Health SystemAnn Arbor, MI

University of Minnesota Medical Center, FairviewMinneapolis, MN

University of Rochester Medical CenterRochester, NY

University of Wisconsin Hospital and ClinicsMadison, WI

Vanderbilt University HospitalNashville, TN

Vidant HealthGreenville, NC

Women and infants Hospital of Rhode islandProvidence, RI

PiNWHEEL SUPPORTERKasian Architecture interior DesignVancouver, British Columbia, Canada

KiGreen Bay, WI

Poltronieri Tang & AssociatesSwarthmore, PA

* Commitments as of March 30, 2012

The pinwheel symbolizes the Institute’s commitment to enhance partnerships among health care providers, patients of all ages, and their families in hospitals and community settings. The pinwheel represents interaction and synergy. When all parts of the pinwheel work well together,

each part plays a vital role. This is our vision for patient- and family-centered systems of care.

Page 7: HCMF Ann Arbor 2012 Brochure

REGiSTRATiON iNFORMATiON If online registration is not an option, please fax form to: 301-652-0186.Registration Fees – please check one. The seminar fee includes tuition, materials, and working meals.

Early Bird—On or before August 1, 2012 After August 1, 2012

Individuals ...................................................$1475 Individuals .....................................................$1515 Teams of 3 or more........ $1450 per person Teams of 3 or more .........$1490 per person Patient & Family Leaders .....................$875 Patient & Family Leaders .......................$915 Pinwheel Sponsors ..................................$1425 Pinwheel Sponsors ....................................$1465

Cancellation Policy ($50 cancellation fee before August 1; $20 participant substitution fee)After August 1, 2012 ............$200 cancellation fee After August 22, 2012 .................... No Refunds

I have reviewed this cancellation policy.Please call the Institute if registering after August 24, 2012 for space availability. Seminar may sell out early.

Tax DeductibilityExpenses for training, tuition, travel, lodging, and meals to maintain or improve professional skills may be TAX DEDUCTIBLE. Consult your tax advisor.

Please complete a separate form for each participant; reproduce as necessary. Type or print clearly. Registrations cannot be confirmed unless entire form is complete and full payment is received. You will receive a confirmation number once registered.

Participant’s Full Name _________________________________________ Preferred Name (Nickname) __________________________________

Degree(s) ________________________ Email (required) _________________________________________________________________________

Organization _______________________________________________________ City ___________________________ State/Province _______

Position/Title ________________________________________________________________ Department________________________________

Preferred Mailing Address Office Home (If hospital address, please include department, unit location, mail code, etc.)

Complete Address ________________________________________________________________________________________________________

City ______________________________________________________ State/Province _______________ Zip/Mail Code __________________

Daytime Phone _____________________________________________ Fax ________________________________________________________

Please indicate special needs: (dietary, audiovisual, mobility) _______________________________________________________________________

Major Area of interest (please check one) Adult Inpatient Pediatric Inpatient Maternity Adult Critical Care

NICU PICU Adult Primary Care Pediatric Primary Care Oncology Emergency Care

Administration Mental Health Geriatrics Other _____________________________________________________

Continuing Education Credit – Please note if you will be pursuing continuing education credits for:

Nurses Physicians Social Workers Other (General Attendance Certificates will be available upon request)

Total Amount of Payment $ ______________ U.S. Funds Registration is not complete until full payment is received.

Choose payment type:

Credit Card (Call the Institute to make a credit card payment)

Check (Make check payable to: Institute for Patient- and Family-Centered Care) _________________________ Purchase Order No. (Please attach copy of PO)

I understand that my registration gives permission to the Institute for Patient- and Family-Centered Care to use my name and contact information in seminar materials and to use my photograph(s)/video images on, including but not limited to, the Institute’s media pages and website, newsletter, and other Institute promotional materials.

For further information, contact: institute for Patient- and Family-Centered Care 6917ArlingtonRoad,Suite309•Bethesda,MD20814•Ph:301-652-0281•www.ipfcc.org

Hospitals and Communities Moving Forward with Patient- and Family-Centered Care

Teams of 3 or more, please list other team members (attach list of names if more space is needed):

_______________________________________

_______________________________________

_______________________________________

Hotel AccommodationsThe host hotel is the Ann Arbor Marriott Ypsilanti at Eagle Crest Resort, 1275 S. Huron Street, Ypsilanti, MI. For reservations, call 877-757-7133/800-228-9290 or make online reservations at www.ipfcc.org/seminar-hotel.html by September 7 to receive the special group rate. Hotel may fill by this date.

Special Tours (optional)Registration required—space is limited.Tuesday, October 2; both offered at 3 pm – $10

Option 1: U-M Cardiovascular Center

Option 2: U-M C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital

EASY Online Registration!!! Visit our website to register online: www.ipfcc.org

ANN ARBOR, MiOCTOBER 1–4, 2012

Page 8: HCMF Ann Arbor 2012 Brochure

“I began the seminar

feeling somewhat

under-prepared,

small, and unsure

of how I would

engage my staff,

colleagues, and

organization with

patient- and family-

centered care. After

the first session,

I was so excited

and having ah-ha!

moments every time

I blinked.”

— Seminar Participant

Atlanta, 2012

REGISTER NOW!

RETURN SERVICE REQUESTEDINSTITUTE FOR PATIENT- AND FAMILY-CENTERED CARE6917 Arlington Road, Suite 309 Bethesda, MD 20814

October 1–4, 2012Ann Arbor Marriott Ypsilanti at Eagle Crest Ann Arbor, MI

F or more than a decade, there has been growing recognition of the enormous benefits patient- and family-centered care offers to health care organizations,

clinicians, staff, patients, and families. As hospitals, ambulatory practices, and health systems struggle with issues related to quality, safety, cost efficiency, HIPAA and other privacy regulations, workforce capacity, the use of information technology, and the need to renovate or build new facilities, they are recognizing that patient- and family-centered approaches and the perspectives of patients and families are critical to their efforts.

The Institute for Patient- and Family-Centered Care provides essential leadership for advancing the practice of patient- and family-centered care. Through the development and dissemination of materials, policy and research initiatives, training, technical assistance, and on-site consultation, the Institute serves as a central resource for increasing the understanding and skills necessary to build effective partnerships with patients and families.

Ann Arbor Marriott Ypsilanti at Eagle Crest Resort