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November 19, 2015, 1:00 pm - 2:30 pm ET
Disruptive Innovations & Involving Families in Root Cause Analysis
 Session Overview

TMIT is delighted to have Professor Clayton Christensen introduce the theory of Disruptive Innovation by video. He will be followed by Dan Ford, one of our nation's leading patient advocates, who will address the innovation of including patients and families in the Root Cause Analysis of their own healthcare accident. Clay Christensen is a Harvard professor who has developed 15 theories that are changing the world. Disruptive Innovation applied to healthcare, captured in his book The Innovators Prescription: A Disruptive Solution for Health Care, will be covered to introduce Dan's presentation. Dan Ford has served in many capacities, from roles with local patient and family advisory boards, to WHO and National Quality Forum initiatives, as well as being a published author in patient safety. His championship of including patients in RCAs is having traction nationally, which he will share with our audiences. A reactor panel of national patient advocates and leaders will respond to what they hear.

Webinar Video and Downloads



Clayton Christensen's video – Distruptive Innovations in Healthcare



Clayton Christensen's video – How Will You Measure Your Life



Click here to download the Polling Data.     

Speaker Slide Sets:

Click here to download the combined speakers' slide set in PDF format – one (1) slide per page.     

Click here to download the combined speakers' slide set in PDF format – four (4) slides per page.     

To view the file, click the desired link (please note: the files may take several minutes to download). To save to your hard drive, right click on the link and choose "Save Target As." (In some browsers it might say "Save Link As.")

The slide set could take several minutes to download. The "four per page" slide set may download more efficiently.
Registration Information and CE Credit Information:
 Register:
Click here to register for this Webinar.

 When:  November 19, 2015 Time: 1:00 p.m.-2:30 p.m. ET
We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.
  • Questions about the Webinar series?
    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
  • Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.

Learning Objectives

Participants will learn:

  • Awareness: Participants will become aware of the benefits and barriers to disruptive innovations and engaging patients and families in RCA after a healthcare accident.
  • Accountability: Participants will learn who should be accountable for the decisions to engage patients and families in RCAs.
  • Ability: Participants will learn what is necessary to succeed with the proposals for challenging ideas like engaging patients in RCAs. They will also learn the concept of using a theory such as disruptive innovation as a lens to examine a challenge.
  • Action: Participants will understand what actions they can take immediately after the webinar to propose engaging patients and families in RCAs.

CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

 Session Speakers
Clayton Christensen, MBA, DBA
Disruptive Innovation in Patient Safety Video Interview (recorded)

Clayton Christensen, MBA, DBA, is the Kim B. Clark Professor of Business Administration at Harvard Business School. He is regarded as one of the world's top experts on innovation and growth. He holds a B.A. with highest honors in economics from Brigham Young University (1975), and an M.Phil. in applied econometrics from Oxford University (1977), where he studied as a Rhodes Scholar.
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Dan Ford, MBA, LFACHE
Involving Patients and Families in Their Root Cause Analysis

Dan Ford, MBA, is a patient/patient safety advocate; retired Vice President of Furst Group, a healthcare executive search firm; nationally known speaker on patient safety, has served and is serving on a number of national and regional patient safety and quality, PFE and PFAC boards/committees, serves as a patient/family advisor on LEAN process improvement events at Spectrum Health, and is a writer on patient safety and leadership.
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 Introduction and Moderator
Charles R. Denham, MD
Welcome and Introduction

During Dr. Denham's business development career spanning 30 years, he and his organizations have served hundreds of innovation teams. While in practice as a radiation oncologist, he taught biomedical engineering and product development. He has taught innovation adoption, technology transfer, and commercialization in both academia and industry. He has been an adjunct Professor of Health Services Engineering at the...
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 Reaction Panelists
Becky Martins
Opening and Closing Remarks/Discussion and Reaction to Presentations

Becky Martins' advocacy spirit derives from the days when she was driving a family member 150 miles round-trip, three days a week, to dialysis treatments. She spent countless hours at the unit visiting with patients and their families. It was through their stories that she learned of the many challenges faced by patients living with chronic illness. It was by their example that she learned of the resilience of the human spirit to face health and health-related challenges head-on.
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Jennifer Dingman
Discussion and Reaction to Presentations

Jennifer Dingman realized, after her mother's death in 1995 due to errors in medical diagnoses and treatment, that there is little to no help available for patients and their families in similar situations. This life-changing experience left her feeling vulnerable, and she decided to dedicate her life to help prevent medical tragedies from happening to others.
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Arlene Salamendra
Discussion and Reaction to Presentations

Arlene Salamendra is a former Board member and Staff Coordinator of Families Advocating Injury Reduction (FAIR). A number of years ago, she was the subject of a preventable medical error. Since that time, she has devoted a portion of her time to giving support to other patients...
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Christopher R. Peabody, MD, MPH
Discussion and Reaction to Presentations

Christopher R. Peabody, MD, MPH, is an Assistant Clinical Professor, Department of Emergency Medicine, at the University of California, San Francisco. He has a strong commitment to public service and healthcare delivery to vulnerable populations. Dr. Peabody completed his residency at one of the busiest safety-net hospitals in the country, Los Angeles County Hospital and was the Chief Resident in Emergency Medicine at the University of Southern California.
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Darrin D'Agostino, DO, MPH, MBA
Discussion and Reaction to Presentations

Darrin D'Agostino, DO, MPH, MBA, is the Chairman of the Department of Medicine at the University of North Texas Health Science Center and an Associate Professor of Internal Medicine. His responsibilities are focused on balancing the clinical and academic lives of the physicians and providers employed in one of the largest multispecialty practices in North Texas.
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Related Resources
  1. McGlynn EA, McDonald KM, Cassel CK. Measurement is essential for improving diagnosis and reducing diagnostic error. JAMA 2015 Nov 16:1-2. [Epub ahead of print] Available at http://jama.jamanetwork.com/article.aspx?articleID=2471125.
  2. Singh H, Meyer AN, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. BMJ Qual Saf 2014 Sep;23(9):727-31. Epub 2014 Apr 17. Available at http://qualitysafety.bmj.com/content/early/2014/04/04/bmjqs-2013-002627.
  3. Committee on Diagnostic Error in Health Care. Balogh EP, Miller BT, Ball JR, eds. Board on Health Care Services. Institute of Medicine. Improving diagnosis in health care. Washington, DC: The National Academies Press; 2015 Sep 22. Available at http://www.nap.edu/catalog/21794/improving-diagnosis-in-health-care.
  4. Singh H, Graber ML. Improving diagnosis in health care - The next imperative for patient safety. N Engl J Med 2015 Nov 11. [Epub ahead of print] Available at http://jama.jamanetwork.com/article.aspx?articleID=2471125.
  5. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  6. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  7. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  8. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  9. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
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