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Navigating Healthcare Reform at the Bedside:
Optimizing Clinical Outcomes and Reducing Readmissions
through Collaborative Nursing Interventions
MARIANJOY
PROFESSIONAL
LEARNING
INSTITUTE
Navigating
Healthcare Reform
at the Bedside
KEYNOTE ADDRESS:
Kathleen Yosko,
President and CEO,
Marianjoy Rehabilitation
Hospital
RN, BSN, MS, MBA, Ph.D.
Friday and Saturday
October 17−18, 2014
Intended Audience: Nurses, Discharge Planners, Case Managers, Nurse Navigators, Nurse
Administrators and Leaders, Rehab Leaders, Social Workers
Intermediate Level Contact Hours: 13 hours
Day 1: 8:00 a.m. - 4:30 p.m. Day 2: 8:00 a.m. - 3:30 p.m.
Presenters: Kathleen Yosko, RN, BSN, MS, MBA, Ph.D.; John Brady, DHA; Kathleen Ruroede, RN,
Ph.D., MEd; Amelia Bumsted, RN, BA, BS, CRRN, CIC; Susan Brady, MS, CCC-SLP, BCS-S; Lisa
Boudreau, RN, APN, MSN, CWOCN; Angelique Strand, Ph.D.; Sally Strong, RN, APN-CNS, CNRN,
CRRN; Sarah Keller, PT, DPT, NCS; Susan Kometz, RN, BSN, CRRN, CBIS
Course Description
The Patient Protection and Affordable Care Act (PPACA) was enacted to improve the affordability and
access to healthcare, reduce healthcare costs, and improve health and outcomes by shifting the focus
towards prevention, wellness and the use of proven interventions aimed at delivering higher quality
care. As the PPACA moves from legislation to implementation, nurses find themselves in the unique
position to influence the above goals in their roles as direct care providers, discharge planners, and
patient navigators. Foundational to these healthcare reform goals is the concept of patient centered
care coordination which is consistent with nursing’s professional standards and holistic framework of
care.
As healthcare reform takes shape, it is clear that nurses will be expected to contribute to improved
clinical outcomes and the reduction of care complications through the knowledge and integration
of early clinical interventions at the bedside. Key areas such as skin care, bowel and bladder
management, early mobilization and positioning, pain management, medication management, and
swallowing and speech disorders will be addressed in this course. Literature supports that early
clinical interventions in these areas positively affect outcomes, reduce care complications, and
promote earlier transitions to post-acute care (PAC) settings.
In addition, nurses will be expected to have a solid understanding of the available levels of post-acute
care (PAC) services in order to facilitate successful, cost-effective transitions and reduce unplanned
hospital re-admissions and financial penalties. Rehabilitation is an integral component in most postacute care transitions, and nurses will need knowledge of how the wide array of specialized clinicians
within the varied PAC settings can impact the long term success and outcomes of the patient.
This dynamic and interactive course will seek to equip participants with a better understanding of what
the PPACA means to them while also empowering nurses to apply early and collaborative clinical
interventions at the bedside. The course further aims to provide lab based learning opportunities
and tools that can be integrated by nurses at the bedside to optimize patient centered care, clinical
outcomes, patient safety and successful PAC transitions.
Course Purpose Statement: Participants will identify practice strategies that can promote seamless
transition between acute care and post-acute care facilities. Contact hours will be available for nurses
who have not previously taken this course.
Course Objectives
At the completion of the course, participants shall be able to:
Sponsored by:
Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road
Wheaton, IL 60187
www.Marianjoy.org/MPLI
1. Discuss the key components of Healthcare Reform and the Affordable Care Act and the
implications for nurses along the continuum of acute and post-acute care.
2. Discuss factors that positively and negatively impact hospital re-admission rates.
3. Identify strategies that can assist in the prevention of re-admissions.
4. Describe the role of the nurse in the discharge planning process.
5. Identify post-acute rehabilitation levels of care that can assist in promoting patients to maximize
health and wellness.
6. Identify collaborative interventions that can be initiated in the acute care environment to facilitate
best outcomes for speech and swallowing disorders.
7. Describe effective medication management strategies.
8. List non-pharmacologic pain management strategies that optimize patient’s outcomes along the
continuum of care.
9. Identify and implement the components of an effective bowel and bladder program.
10. Discuss early skin and wound management strategies including the identification of risk factors,
preventative measures, and management of impaired skin integrity.
11. Demonstrate safe and effective early mobilization and positioning techniques to decrease the
likelihood of post-acute complications.
Course Agenda
DAY ONE October 17, 2014
MARIANJOY
PROFESSIONAL
LEARNING
INSTITUTE
Navigating
Healthcare Reform
at the Bedside
KEYNOTE ADDRESS:
Kathleen Yosko,
President and CEO,
Marianjoy Rehabilitation
Hospital
RN, BSN, MS, MBA, Ph.D.
Friday and Saturday
October 17−18, 2014
Sponsored by:
Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road
Wheaton, IL 60187
www.Marianjoy.org/MPLI
7:30 a.m. Registration and
Continental Breakfast
8:00 a.m. Case Presentation:
A Patient’s Journey Begins
Sally Strong,
RN, APN-CNS, CNRN, CRRN
8:15 a.m. Keynote Address:
Healthcare Reform
– The Post-Acute Continuum –
Implications for Nursing Practice
Kathleen Yosko,
RN, BSN, MS,MBA, Ph.D.;
President and CEO Marianjoy
Rehabilitation Hospital
9:20 a.m. Assessment of Patient Outcomes of Rehabilitative Care –
Review of a Current Study
John Brady, DHA
10:00 a.m. Break
10:15 a.m. Re-Admissions and Prevention
of Complications: What is a
nurse’s role in ensuring high
quality, measurable outcomes and
effective utilization of resources?
Kathleen Ruroede, RN, Ph.D., MEd,
and Amelia Bumsted, RN, BA, BS,
CRRN, CIC
12:00 p.m. Lunch provided
1:00 p.m. Post ICU Syndrome –
Optimizing Outcomes
Susan Brady, MS, CCC-SLP, BCS-S
1:30 p.m. Improving Clinical Outcomes
Through Early Intervention:
Swallowing and Speech and
Language Disorders
Susan Brady, MS, CCC-SLP, BCS-S
2:15 p.m. Break
2:30 p.m. Improving Clinical Outcomes
Through Early Intervention:
Swallowing and Speech and
Language Disorders (continued)
Susan Brady, MS, CCC-SLP, BCS-S
3:30 p.m. Improving Clinical Outcomes
through Early Intervention:
Positioning and Early
Mobilization with Lab
Sarah Keller, PT, DPT, NCS
4:30 p.m.Adjourn
DAY TWO October 18, 2014
7:30 a.m. Registration and
Continental Breakfast
8:00 a.m. Improving Clinical Outcomes
through Early Intervention:
Pain Management Using
Non-Pharmacologic Strategies
Angelique Strand, Ph.D
9:00 a.m. Improving Clinical Outcomes
through Early Intervention:
Medication Management
Sally Strong,
RN, APN-CNS, CNRN, CRRN
10:00 a.m. Break
10:15 a.m. Improving Clinical Outcomes
through Early Intervention:
Skin and Wound Management
Lisa Boudreau,
RN, APN, MSN, CWOCN
11:15 a.m. Improving Clinical Outcomes
through Early Intervention:
Bowel and Bladder Management
Sally Strong,
RN, APN-CNS, CNRN, CRRN
12:15 p.m. Lunch provided
1:15 p.m. Discharge Planning and
Post-Acute Care Treatment
Settings
Susan Kometz,
RN, BSN, CRRN, CBIS
2:45 p.m. Break
3:00 p.m. Case Study:
Pulling It All Together
Sally Strong,
RN, APN-CNS, CNRN, CRRN
3:30 p.m.Adjourn
Presenters
MARIANJOY
PROFESSIONAL
LEARNING
INSTITUTE
Navigating
Healthcare Reform
at the Bedside
KEYNOTE ADDRESS:
Kathleen Yosko,
President and CEO,
Marianjoy Rehabilitation
Hospital
RN, BSN, MS, MBA, Ph.D.
Friday and Saturday
October 17−18, 2014
Sponsored by:
Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road
Wheaton, IL 60187
www.Marianjoy.org/MPLI
Kathleen Yosko, RN, BSN, MS, MBA, PhD.
Since 1998, Kathleen Yosko has served as President and CEO of Marianjoy, Inc., Marianjoy
Rehabilitation Hospital and Marianjoy Medical Group. Marianjoy is a network of nearly 500
inpatient, subacute bed and outpatient rehabilitation clinics delivering a full range of services to
both adults and children. Prior to joining Marianjoy, Ms. Yosko served as President and CEO of
Schwab Rehabilitation Hospital and began her career as an RN/Neuro Rehabilitation Specialist.
Ms. Yosko has served as Chair of the American Medical Rehabilitation Providers Association and
the Commission of Accreditation of Rehabilitation Facilities. Over her healthcare career,
Ms. Yosko has received a series of national and local achievement awards.
Lisa Boudreau, RN, APN, MSN, CWOCN
Lisa Boudreau is a Clinical Nurse Specialist (CNS). Since 2011, she has worked at Marianjoy
to provide clinical wound consultation, wound program development, and staff education.
As an integral part of her role, Lisa leads the pressure ulcer data collection, reporting and
quality improvement initiatives. She has over 25 years of nursing experience but her focus on
wound care began as the Wound Ostomy Continence Nurse (WOCN) at Northwestern Memorial
Hospital. She attended the WOCN Education Course at Emory University and became certified
by the WOCN Certification Board in 1998. In 2006, she earned a Master’s degree in Nursing at
Loyola University, Chicago. She is a member of the WOCN professional association.
John Brady, DHA
John Brady, DHA is the Vice President of Physician Services and Organizational Planning for
Marianjoy, providing leadership in organizational planning and program development for the
hospital as well as business planning for the Marianjoy Medical Group. In addition, he works
to maintain and expand Marianjoy’s external relationships with providers. Previously, he held a
position at Discovery Chicago in which he gained experience in operational and strategic planning
across a wide variety of clinical specialties including neurology, orthopedics, and mental health.
In addition, he also worked for a member of the Rush System for Health in Chicago in which
he was responsible for marketing, communication, planning, and business development. He
holds an adjunct faculty appointment with Des Moines University where he teaches courses in
healthcare management and finance and is an Illinois Licensed Nursing Home Administrator.
He earned a Doctor of Health Administration degree from Central Michigan University, MA in
Communications from Illinois State University, and BA from the University of Iowa.
Susan Brady, MS, CCC-SLP, BCS-S
Susan Brady is a board certified specialist in swallowing and swallowing disorders with over
20 years of experience of working with patients with communication and swallowing needs.
Currently, she is a clinical development coordinator and the research coordinator at Marianjoy
Rehabilitation Hospital, Wheaton, IL. Ms. Brady is also a doctoral candidate in Health Education. Her research interest includes swallowing disorders following tracheostomy tube placement and
she has published several times in peer reviewed medical journals. Ms. Brady has also lectured
across the country and taught at the graduate level on the topic of artificial airways. Amelia C. Bumsted, BA, BS, RN, CRRN, CIC
Amelia C. Bumsted is the Infection Control Coordinator for Marianjoy Rehabilitation Hospital
in Wheaton, IL and network sites. She has a background in critical care nursing and vascular
access. As a Certified Rehabilitation Registered Nurse (CRRN) with clinical experience in acute
inpatient rehabilitation, Ms. Bumsted has unique understanding of the continuum of care. She
has presented at the Illinois Hospital Quality Initiative’s Best Practices Symposium on the topic
of care coordination. She has her bachelor’s degree in psychology from Columbia College
and completed her undergraduate degree in nursing from Northern Illinois University. She is a
member of the Sigma Theta Tau International Honor Society of Nursing and is currently pursuing
her DNP at Loyola University, Chicago in Population-Based Infection Prevention & Environmental
Safety. The subject of her doctoral capstone is reducing readmissions in the acute stroke
rehabilitation patient population.
She is a member of the Association for Professionals in Infection Control and Epidemiology
(APIC), currently serving on the National Practice Guidance Committee. She is the author of the
Rehabilitation Services chapter and section editor of the APIC Text of Infection Control and
Epidemiology (2014 edition).
Presenters
MARIANJOY
PROFESSIONAL
LEARNING
INSTITUTE
Navigating
Healthcare Reform
at the Bedside
KEYNOTE ADDRESS:
Kathleen Yosko,
President and CEO,
Marianjoy Rehabilitation
Hospital
RN, BSN, MS, MBA, Ph.D.
Friday and Saturday
October 17−18, 2014
Sarah Keller PT, DPT, NCS
Sarah Keller is a physical therapist who has been treating on the inpatient Stroke Rehabilitation
Unit for 8 years and a Marianjoy Master Clinician with an emphasis on Stroke. In 2011, she
became the Stroke Program Clinical Liaison at Marianjoy and led the team to a Joint Commission
Stroke Rehabilitation Specialized Accreditation in 2013. She is active in research and publication
with an emphasis on early mobility training and community re-entry following stroke. Ms. Keller
has provided education about stroke and stroke recovery to clinical staff, nursing staff, and the
community. She also helps facilitate Marianjoy’s Stroke Support Group. Ms. Keller graduated
from Saint Louis University in 2006 with a Masters of Physical Therapy and in 2007 with a
Transitional Doctorate in Physical Therapy. She became a Board Certified Clinical Specialist in
Neurology Physical Therapy by the American Board of Physical Therapy Specialties in 2009. Susan Kometz, RN, BSN, CRRN, CBIS
Susan Kometz is the Admission’s Department Supervisor at Marianjoy. Her current role in the
admissions department allows her to use her expertise in helping patients, families, and referral
sources navigate through the levels of post-acute care. Ms. Kometz has 33 years of nursing
experience in both the acute and post-acute settings. Ms. Kometz has worked all levels of
rehabilitation as a lead nurse, case manager and liaison. Ms. Kometz also enjoys facilitating
educational programs on rehabilitation topics for referral sources. The rehabilitation nurse plays
an important role in helping to prepare a patient for rehabilitation. The greatest satisfaction a
rehabilitation nurse can receive is when a patient shows improvement after being managed
with the appropriate resources. Ms. Kometz is a graduate of Purdue Calumet and Benedictine
University. She is certified as a rehabilitation registered nurse and a brain injury specialist.
Kathleen Ruroede, RN, Ph.D. Med
Kathleen Ruroede, Ph.D. Med, RN is the Vice President for Quality and Research and Chairman
of the Institutional Review Board at Marianjoy Rehabilitation Hospital. Her career includes: an
academic position as Associate Professor and Chairman of the Healthcare Risk Management
Department at Rosalind Franklin University (formerly Chicago Medical School), a position in
education services within a hospital and professional liability insurance carrier, several hospital
administrative leadership positions, healthcare consulting, and clinical nursing roles within various
academic medical centers. She holds a doctoral degree in research methodology and statistics
(Loyola University, 1998), a master degree in adult education (Loyola University, 1988), and
an undergraduate degree in nursing and allied health (University of St. Francis, 1981; Elgin
Community College, 1973).
Angelique Strand, Ph.D.
Angelique Strand is a licensed clinical psychologist with a Ph.D. in Counseling Psychology.
Since 2004, Dr. Strand, a staff psychologist with Marianjoy’s Integrative Pain Treatment Center,
has been part of the Marianjoy Medical Group specializing in chronic pain, spinal cord injury and
subacute rehabilitation. Currently, she holds privileges at Marianjoy Rehabilitation Hospital in
Wheaton and Rush/Oak Park Hospital. She has over 15 years of experience working with people
in physical rehabilitation. Prior to that, she was in independent practice and taught undergraduate
and graduate courses in psychology at several universities and colleges.
Sponsored by:
Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road
Wheaton, IL 60187
www.Marianjoy.org/MPLI
Sally Strong, RN, APN-CNS, CNRN, CRRN
Sally Strong is a Clinical Nurse Specialist at Marianjoy Rehabilitation Hospital in Wheaton, IL.
During a career that has spanned more than 30 years, Ms. Strong has cared for patients with
a variety of neuroscience disorders in the acute care, intensive care, inpatient rehabilitation
and outpatient settings. She has lectured extensively at the local, state and national levels on
topics related to neuroscience and rehabilitation nursing. She is the author of multiple articles
published in peer reviewed journals as well as chapters in 5 nursing textbooks. Ms. Strong is a
Board Member of the Northern Illinois Chapter of the Association of Rehabilitation Nurses and
serves on several national level committees and task forces for both the American Association
of Neuroscience Nurses and the Association of Rehabilitation Nurses. She holds certifications
in Neuroscience and Rehabilitation Nursing. Ms. Strong holds a Bachelor of Science in Nursing
from Northern Illinois University (1982) and a Master of Science in Nursing from Loyola University
Chicago (1988).
Contact Hours
MARIANJOY
PROFESSIONAL
LEARNING
INSTITUTE
Navigating
Healthcare Reform
at the Bedside
Illinois Department of Financial and Professional Regulation (IDFPR):
Registered Social Workers
This course has been approved for 13 continuing education hours for registered social workers.
The Illinois Department of Financial and Professional Regulation, Division of Professional
Regulation has certified Marianjoy Rehabilitation Hospital has complied with the provisions
of the Illinois statutes and/or rules and regulations and is hereby authorized to sponsor the
above named course as a Continuing Education offering. Registered Social Worker Continuing
Education Sponsor: IDFPR License number 159.001019
Ohio Nurses Association (ONA): This program will award 13 contact hours. Marianjoy
Rehabilitation Hospital-Professional Practice Committee, (OH-387, 10/1/2016) is an approved
provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91),an
accredited approver by the American Nurses Credentialing Center’s Commission on
Accreditation. Attendance at the entire program and a completed evaluation form are required
in order to be awarded continuing education credit. This educational activity’s planners and the
presenter(s) have indicated they have no bias or conflict of interest. Marianjoy Rehabilitation
Hospital has not received any commercial support for this program.
Cancellation/Refund Policy
KEYNOTE ADDRESS:
Kathleen Yosko,
President and CEO,
Marianjoy Rehabilitation
Hospital
RN, BSN, MS, MBA, Ph.D.
October 17−18, 2014
Sponsored by:
Marianjoy Rehabilitation Hospital
26W171 Roosevelt Road
Wheaton, IL 60187
www.Marianjoy.org/MPLI
A tuition refund less $50.00 administrative fee is available if your cancellation request is received
in writing within 7 days prior to the program date. No refunds will be granted after that date. In the
unlikely event that Marianjoy must cancel an educational event for any reason, you will receive a
full refund of your paid tuition. Marianjoy does not assume responsibility for any other expenses
incurred by the registrant.
REGISTRATION INSTRUCTIONS
MARIANJOY
PROFESSIONAL
LEARNING
INSTITUTE
1.Select the course(s) you are registering for from the menu below.
Please Note: If registering for a group rate, please complete a registration form for each participant.
All registration forms must be included with payment.
2.Complete participant and payment information and return this entire form.
JULY 19, 2014
Tests and Measures in Rehabilitation Settings
Registration Deadline: 7-11-14
SINGLE REGISTRATION FEE: $179
GROUP REGISTRATION FEE PER REGISTRANT: $159
(2 or more from one facility)
AUGUST 22 − 23, 2014
Physical Rehabilitation of the Knee and Ankle:
Integrating Structure, Function and Treatment
Registration Deadline: 8-8-14
 SINGLE REGISTRATION FEE: $450
 GROUP REGISTRATION FEE PER REGISTRANT: $430
(2 or more from one facility)
OCTOBER 3 − 4, 2014
Thermal and Electrical Modalities with an Upper
Extremity Focus
October 17 − 18, 2014
Navigating Healthcare Reform at the Bedside:
Optimizing Clinical Outcomes and Reducing Readmissions
through Collaborative Nursing Interventions
Registration Deadline: 10-3-14
SINGLE REGISTRATION FEE: $450 $295
STUDENT REGISTRATION FEE PER REGISTRANT: $430 $145
(2 or more from one facility)
NOVEMBER 14 − 15, 2014
Vestibular Rehabilitation:
Theory, Evidence and Practical Application
Registration Deadline: 10-31-14
 SINGLE registration fee: $450
GROUP REGISTRATION FEE PER REGISTRANT: $430
(2 or more from one facility)
Registration Deadline: 9-26-14
SINGLE REGISTRATION FEE: $450
GROUP REGISTRATION FEE PER REGISTRANT: $430
(2 or more from one facility)
PHOTO CONSENT: Please note that photos will be taken during
these classes and may be used in marketing materials. If you prefer
to not have your likeness used in photos, please let a Marianjoy
Professional Learning Institute associate know and we will make the
appropriate accommodations.
PARTICIPANT INFORMATION:
PAYMENT METHOD:
Name______________________________________________
 CHECK made payable to “Marianjoy Rehabilitation Hospital”
 VISA  MASTERCARD  AMEX  DISCOVER
Organization________________________________________
Billing Address_______________________________________
City/State/ZIP_______________________________________
Phone_____________________________________________
E-Mail_____________________________________________
 Check here to receive email updates on future classes.
Account Number_____________________________________
Exp. Date________________________CVV# ______________
Name on Card_______________________________________
Signature___________________________________________
RETURN METHOD:
DISCIPLINE:
 OT  OTA  PT  PTA  Nurse  SLP
 School Couns.  Other __________________________
 Social Worker: license # ____________________________
MAIL: Mail entire completed form to:
Registration Questions? Call 630-909-6923
FAX: Fax completed form with payment information to 630-909-6960
Marianjoy Rehabilitation Hospital
Attn: Jaime Gorska
26W171 Roosevelt Road • Wheaton, IL 60187
EMAIL: Email completed form to education@marianjoy.org
Require Special Accommodations (Please Specify):
__________________________________________________
PHONE: 630-909-6923
__________________________________________________
NOTE: Due to fluctuations in room temperature, please bring a sweater
or light jacket.
A tuition refund less $50.00 administrative fee is available if your cancellation request
is received in writing within 7 days prior to the program date. No refunds will be granted
after that date. In the unlikely event that Marianjoy must cancel an educational event for
any reason, you will receive a full refund of your paid tuition. Marianjoy does not assume
responsibility for any other expenses incurred by the registrant.
Cancellation/Refund Policy