Time 8 AM

Presented By: Alyssa Burgart, MD, MA

Dr. Alyssa Burgart, pediatric anesthesiologist and medical ethicist, presents “Managing Expectations: Delivering the Worst News in the Best Way”, addressing common communication challenges in pediatric serious illness. With few evidence based resources, how can clinicians effectively manage parent and consultant expectations, provide sign posting for families, and compassionately navigate times of high risk and great uncertainty. This activity is applicable to all clinical areas of Natividad.

Desired Outcomes:

• Participants will gain perspective about communication in serious illness, including evidence regarding commonly used interventions, such as “complex care meetings.”
• Participants will recognize how approaching difficult communication early serves to decrease moral distress throughout the care continuum.
• Participants will have increased awareness of evidence based communication tools that may be tailored for use with patients of all ages.

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Moderated by: Bradley J. Roth, MD, Specializing in Surgical Critical Care and General Surgery
By Invitation Only

Desired Outcomes:

• Discuss literature and consensus-based recommendations for practice improvement.
• Effectively translate the acquired strategies into improved diagnostics and subsequently implement a better treatment plan for their patients

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Presented By:  Dimitri Bacos, MD

There is a need to recognize that existing systems of care designed to treat people with single diagnoses are less effective and result in under-diagnosis and under-treatment of persons with co-occurring disorders. Using an integrated care model to serve this population results in superior outcomes with regard to both the mental illness as well as the co-occurring SUDs and other co-occurring chronic illnesses/disorders that may be present.

Desired Outcomes:

• Paradigm shift in conceptualization of substance use disorders (SUDs) from categorical toward spectrum
• Paradigm shift away from diagnostic parsimony toward diagnostic plurality in approach to diagnosing and treating co-occurring disorders
• Describe classification and criteria changes from DSM IV to DSM 5 in realm of SUDs
• Employ “Chronic Disease” concept when considering illness course and treatment expectations
• Treatment considerations for co-occurring disorders using an integrated behavioral health model (role of individuals within the multidisciplinary treatment team)
• Distinguish functional and neuroanatomical overlaps between SUDs and other mental health disorders, common brain regions and neurocircuitry pathways
• Pharmacotherapy for co-occurring disorders, including medication assisted treatment aspects and the concept of harm reduction vs abstinence
• Pharmacotherapy of co-occurring mental health disorders (including adjustment disorders)
• Discuss cultural issues

Lunch is provided.

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Time 8 AM

Presented By:  Richard Roberts, MD, JD

This presentation will discuss the history, evidence, and limitations of the quality movement in health care.   The inadequacies of current methods will be highlighted and a new scientific paradigm will be offered.   The principal message is that patient values and preferences, and local circumstances, need to be incorporated when developing, implementing, and measuring quality improvement initiatives.

Desired Outcomes:

• Describe the history, methods, and limitations of quality improvement initiatives.
• Evaluate the impact of at least one major population-based quality program.
• Develop sufficient understanding of basic quality principles to use them in practice.

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