CHPSO January Patient Safety News

January 2013
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In this issue:

  • Annual Meeting to address payment reforms tied to patient safety
  • Complying with the Affordable Care Act
  • Exciting speaker lineup for April 8–9 Annual Meeting
  • Rhonda Filipp new CHPSO director of Quality and Patient Safety
  • Member input opportunities: Jan. 14 Member Call and survey
  • "Crucial Conversations" topic of Feb. 11 Member Call
  • Register early and save on CHPSO Annual Meeting
  • Upcoming patient safety events

Annual Meeting to address payment reforms tied to patient safety

Peter Lee, executive director of California’s Health Benefit Exchange (Covered California), will speak at CHPSO’s Second Annual Meeting—Getting to Zero: Innovate, Collaborate, Accelerate—April 8–9, 2013, at the Hyatt Regency Sacramento. Lee will discuss the nexus between payment reform and improving patient safety and quality, and its importance to the financial viability of the health care system.

The statewide meeting provides innovative strategies and practical tools to eliminate preventable harm and improve patient safety. Topics include groundbreaking patient safety work; culture change; device, medication and surgical safety; meaningful quality measures; human reliability, the legal and regulatory horizon; and much more. The program is designed for hospital senior leaders and clinical leaders, including physicians, nurses, pharmacists, as well as quality, risk management and patient safety staff. Online registration is now available. Click here for more information on the meeting and speakers.

Complying with the Affordable Care Act

The Patient Safety and Quality Improvement Act of 2005 established Patient Safety Organizations (PSOs) and gave providers a new legal privilege to encourage sharing and learning from adverse events. The Affordable Care Act (ACA) now gives hospitals a strong financial incentive to participate. Most hospitals must establish Patient Safety Evaluation Systems (PSESs) for PSO reporting to contract with Qualified Health Plans under the California Health Benefit Exchange (Covered California).

To avoid problems with the ACA requirement, hospitals need to initiate PSO reporting this year. To minimize the mandate’s burden on hospitals, CHPSO encourages automated reporting whenever possible. Automated reporting also facilitates large-volume reporting, providing the greatest opportunity for benefit from PSO participation.

Incident report system vendors continue to make progress towards automated reporting to CHPSO. MIDAS+ is farthest along: several hospital systems are now successfully sending information to CHPSO. Quantros should have a solution in place by the end of March. RL Solutions (RL) is working on reporting, and we encourage RL customers to contact us for more information and assistance. For hospitals unable to use a prepackaged reporting solution, free consulting services (available for a limited time) provide turnkey solutions to electronic reporting.

A PSES is defined as the collection, management or analysis of information for reporting to a PSO. PSO reporting invokes these activities and a hospital need not do anything more to meet the PSES requirement. However, to best manage the legal protections and take advantage of the increased communication, internal as well as external, provided by these protections, CHPSO strongly advises that hospitals develop a policy describing their PSESs. CHPSO provides a sample PSES policy, available at no charge for members, at

CHPSO will also be hosting a series of webinars to provide support, with an introductory session during our regularly scheduled monthly member call, January 14 at 10 a.m., followed by a series of detailed sessions January 16, 10 a.m., and February 13, 10 a.m. See the webinar schedule at for more details.

Exciting speaker lineup for April 8–9 Annual Meeting

Carolyn M. Clancy, M.D., director of the Agency for Healthcare Research and Quality (AHRQ) will address health care leaders at CHPSO’s Annual Meeting, April 8–9, 2013 in Sacramento. AHRQ is the leading federal agency for patient safety research and regulates PSOs under the Patient Safety Act. Clancy will report on AHRQ initiatives and the agency’s growing knowledge base of effective practices that improve the safety of patient care.

Nationally renowned patient safety advocate Sorrel King will speak about pioneering safety programs and the work of the Josie King Foundation, created after her daughter, Josie, died in 2001 as a result of medical errors. James P. Keller, Jr., M.S., who heads up ECRI Institute’s evaluation of health technology and safety, will discuss the top 10 medical device hazards that warrant particular attention in 2013. And Chip Heath, professor of organizational behavior in the Graduate School of Business at Stanford, will introduce a process to make better decisions. He is co-author of the bestseller, Switch: How to Change Things When Change is Hard. Attendees will receive a copy of his new book, Decisive: How to make Better Choices in Life and Work. A list of confirmed speakers is available on CHPSO’s website.

Rhonda Filipp new CHPSO director of Quality and Patient Safety

Rhonda Filipp, R.N., MPA, has joined CHPSO’s team as the director of Quality and Patient Safety. Most recently she worked at Children’s Hospital Los Angeles, where she was the program manager for Patient Safety and led initiatives to improve the quality and safety of patient care. Her clinical and management experience is primarily in the critical care and postoperative care of pediatric patients. She has recently certified in Lean Six Sigma process improvement with a focus on the health care environment. Rhonda is a member of the Pi Alpha Alpha national honor society for Public Affairs and Administration and interned with Kim Reynolds who is now Iowa’s Lieutenant Governor.

Member input opportunities: Jan. 14 Member Call and survey

CHPSO is always looking for ways to improve how we work together. Help us better meet your needs by participating in our Jan. 14 Member Call from 10–11 a.m., as well as completing a brief online survey that will be sent afterwards. Until recently, PSO participation, while the right thing to do, has not been mandated. The Jan. 14 member call will explain how this is changing for most hospitals under the Affordable Care Act and how CHPSO can help you get ready—starting now. Members are encouraged to provide input on specific needs.

The call is for members only. Members will receive an email with participation information by Jan. 10. If you are a CHPSO member and want to ensure you are on our member mailing list, please email

"Crucial Conversations" topic of Feb. 11 Member Call

Hospitals are aggressively trying to address the challenges of new technologies, quality care delivery, and outcomes reimbursement. However, there is a culture of silence that threatens progress. During CHPSO’s Member Call, Feb. 11, 10–11 a.m., we will explore why it is difficult to speak up and how to overcome the obstacles to holding these “crucial conversations.” The Joint Commission suggests that lack of communication is a top contributor to sentinel events. A recent study found that 84 percent of physicians and 62 percent of nurses and other clinicians had witnessed coworkers taking shortcuts that could be dangerous to patients. Unfortunately, only about 10 percent of them felt comfortable in approaching their peers to discuss their concerns. 

Register early and save on CHPSO Annual Meeting

Online registration is now available for CHPSO's Second Annual Meeting—Getting to Zero: Innovate, Collaborate, Accelerate—April 8–9, 2013, at the Hyatt Regency Sacramento. Member cost is $295 and non-member cost is $400. Fees increase $105 after March 7. For those who prefer registering by mail, CHPSO will send out program brochures with registration forms in late January. The Hyatt Regency Sacramento is the host hotel for the meeting. A block of rooms has been set aside at a special room rate of $179 for single/double occupancy. Please call the hotel directly at (888) 421-1442 and mention the “CHPSO conference” to make your reservation at the discounted rate or click here to reserve your room online. Don't delay, the discounted rate is first-come-first-serve and expires March 18, 2013.

Upcoming patient safety events


Unless noted, all events are for CHPSO members only. Members will receive an email a few days before each event with information on how to participate. All times are for the Pacific Time Zone. For more information, contact or call (916) 552-2600.

January 14 Monthly Member Call: What to Expect from CHPSO in 2013, 10–11 a.m.
January 16 CHPSO / ECRI PSO Basics Webinar, 10–11 a.m.
January 28 CHPSO / ECRI Smartphone Use by Clinical Staff and the Impact on Patient Privacy Webinar, 11:30 a.m.–12:30 p.m.
February 1 Retained Surgical Items Webinar: Results from the Multi-State Collaborative, 8–9 a.m.
Feburary 11 Monthly Member Call: Crucial Conversations, 10–11 a.m.
February 13 CHPSO / ECRI Patient Safety Evaluation System Webinar, 10–11:30 a.m.
April 8-9 2013 Annual Meeting, Hyatt Regency Sacramento

Hospital Association of Southern California

January 23 HASC’s 5th Annual Patient Safety Colloquium, 7:30 a.m.–3:45 p.m., Hyatt Regency, Orange County.
March 12 Southern California Patient Safety First - Phase 2 Kickoff Event, Pacific Palms Conference Resort, Industry Hills, CA

Hospital Association of San Diego and Imperial Counties

February 26 Perinatal Patient Safety Council, National University, 11 a.m.–2 p.m.
May 28 Perinatal Patient Safety Council, National University, 11 a.m.–2 p.m.

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