1. Healthcare

Medical Assurance Company of Mississippi
Continuing Medical Education designated by Medical Assurance Company of Mississippi
Continuing Nursing Education designated by Mississippi Nurses Association
of
power
teamwork
2015
April 10
embassy suites
ridgeland, ms
for a healthy mother & baby
A Joint Program for Obstetricians and Labor and Delivery Nursing Staff
of
power
teamwork
Photo Credit: Jay Ferchaud, University of Mississippi Medical Center
for a healthy mother & baby
Effective communication is a critical component of patient safety and, within a busy
labor and delivery unit, the inability for
obstetricians and staff to communicate successfully can sometimes lead to catastrophic
results. Communication could be hindered
by a difference in training or perspectives on
clinical management. Effective communication is respectful, clear, to-the-point, and unambiguous.
So, what can be done to improve communication and teamwork among obstetricians
and the labor and delivery staff they work
with each day? This question has been a focus of the Medical Assurance Company of
Mississippi’s Risk Management Staff for the
past year, and this program is a culmination
of looking for the answer.
Through presentations and nationally recognized speakers, we hope you will gain a new
perspective and a few ideas of how to build
up the team you work with each day. We will
discuss emergencies in the labor and delivery
area and how an OB Response Team might
handle these situations. During a case presentation, one of our insured obstetricians
will share an emergency situation that occurred in his practice and will be joined by
members of the team that he worked with
in the hospital and by the legal professionals
who supported him during the trial process.
The goal of all obstetrical care is a delivery
resulting in a healthy mother and a healthy
baby. Communicating and working together
as a team are two ways to strive for that goal.
EFFECTIVE COMMUNICATION IS RESPECTFUL,
CLEAR, TO-THE-POINT, AND UNAMBIGUOUS.
©2015 Medical Assurance Company of Mississippi
AGENDA
APRIL 10, 2015
7:00 - 7:45 A.M.
7:45 - 8:00 A.M.
Welcome
Opening Remarks
Registration
Exhibits Open
Robert M. Jones
Earl T. Stubblefield, MD
James N. Martin, Jr., MD
7:45 – 8:00 A.M.
WELCOME & OPENING REMARKS
Robert M. Jones
President & Chief Executive Officer, MACM
Earl T. Stubblefield, MD
Chairman, Board of Directors, MACM
James N. Martin, Jr., MD
8:00 - 9:00 A.M.
George A. Macones, MD,
MSCE
9:00 - 10:15 A.M.
Carol Curran, RNC, MS,
OGNP
Update on Current OB
Clinical Issues
The Benefits of Using a
Rapid Response Team in an
Obstetrical Crisis
10:15 - 10:30 A.M.
10:30 - 12:00 NOON
Break & Exhibits Open
David A. Miller, MD
Intrapartum Fetal Heart
Rate Monitoring: Applying
Principles of Patient Safety
12:00 - 12:45 P.M.
12:45 - 2:00 P.M.
Preventing Severe Maternal
Morbidity and Mortality
James N. Martin, Jr., MD,
FACOG, FRCOG(H), FAHA,
FAGOS
2:00 - 2:15 P.M.
Break & Exhibits Open
2:15 - 4:15 P.M.
Gregory W. Childrey, MD
J. Gordon Flowers, JD
David W. Upchurch, JD
James Martin Tucker, MD
Cindy Petty, RN
4:15 - 4:30 P.M.
Presentations & Speakers
8:00 – 9:00 A.M.
UPDATE ON CURRENT OB CLINICAL ISSUES
The practice of obstetrics and gynecology is changing every
day and these changes can bring excitement, worry, challenges and anxiety to ob-gyns and the labor and delivery
nursing staff. So, what is new and important with the practice of obstetrics? In this presentation, Dr. Macones will ad-
dress the issue of contemporary labor management and the
role of delayed cord clamping, practices which could potentially reduce negative outcomes. The practice of obstetrics is
full of change - this presentation will provide some insight
into the future now.
George A. Macones, MD, MSCE
Lunch Provided
Exhibits Open
The Power of Teamwork in
Defending an Obstetrical
Malpractice Case
Chairman, OB Ad Hoc Committee, MACM
Questions
Evaluations
Mitchell and Elaine Yanow Professor and Chair, Department of Obstetrics and Gynecology
Director, Division of Maternal-Fetal Medicine and Ultrasound, Department of Obstetrics and Gynecology
Washington University School of Medicine
Dr. Macones is an internationally recognized expert in perinatal clinical research and has held RO1 grants
from NICHD, NHLBI, and NCI. He has over 100 peer-reviewed publications related to clinical research in
obstetrics. His research interests include general obstetrical issues (labor induction, VBAC) and the prediction and prevention of preterm birth. He has served on numerous national committees, including the FDA’s Advisory Committee
on Reproductive Drugs and on several study sections for NIH. He has worked closely with ACOG, most recently as Vice Chair for
the Committee on Obstetrical Practice Bulletins. He currently serves on the Board of Directors for the Society for Maternal-Fetal
Medicine, is Associate Editor of the American Journal of Obstetrics and Gynecology, and is Co-Chair for the ACOG Task Force for
PROLOG Obstetrics.
THE GOAL OF ALL OBSTETRICAL CARE IS A DELIVERY RESULTING
IN A HEALTHY MOTHER AND A HEALTHY BABY. COMMUNICATING
AND WORKING TOGETHER AS A TEAM ARE TWO WAYS TO
STRIVE FOR THAT GOAL.
9:00 – 10:15 A.M.
THE BENEFITS OF USING A RAPID RESPONSE TEAM IN AN OBSTETRICAL CRISIS
An obstetrical emergency in a labor and delivery setting can
challenge even the most experienced physicians and staff.
It is an unexpected event that could lead to negative consequences or even maternal and fetal death. The development
of a multidisciplinary obstetrics Rapid Response Team will
often prove life-saving and beneficial to the management
of the crisis. A Rapid Response Team offers a standard reaction to the emergent event. Attendees will receive current
evidence-based information regarding statistics of successful versus non-successful obstetrical Rapid Response Teams.
Carol Curran RNC, MS, OGNP
12:45 – 2:00 P.M.
PREVENTING SEVERE MATERNAL MORBIDITY AND MORTALITY
Patient care emergencies may occur at any time and in any
setting and often result in untoward outcomes. In this presentation, Dr. Martin will review the current physician-nurse
management of obstetric emergencies, specifically involving hypertension, hemorrhage and embolism, relative to
the essential patient safety care issues included in current
maternal-perinatal bundles for hospitals. Dr. Martin will dis-
Senior Educator and Perinatal Specialist, Medical Interactive Community
James N. Martin, Jr., MD, FACOG, FRCOG(H), FAHA, FAGOS
Carol Curran has been a practitioner in high-risk obstetrics for over 25 years. Her experience spans as a clinical
staff nurse to Ob-Gyn nurse practitioner and consultant from the West Coast of Los Angeles, California, to the
East Coast of Virginia Beach, Virginia.
Ms. Curran began her long career in tertiary care settings at the Medical College of Virginia in Richmond,
Virginia, where she gained knowledge, skill, and expertise with high-risk obstetrical patients requiring arterial
lines, Swans-Ganz catheters, and ventilator support.
Ms. Curran is the senior educator, perinatal specialist, and business development specialist at LAMMICO, Medical Interactive Community. She is published in JOGNN, JOPNN, AJMCN, AWHONN’s Perinatal Nursing Textbook (3rd Ed), and is the co-author of
abcdEFM The Textbook & Pocket Guide: Electronic Fetal Monitoring. She is recognized as a national and international perinatal
educator and medical-legal expert.
10:15 – 10:30 A.M. BREAK EXHIBITS OPEN
10:30 – 12:00 NOON
INTRAPARTUM FETAL HEART RATE MONITORING: APPLYING PRINCIPLES OF PATIENT
SAFETY
In 1999, a highly publicized report from the Institute of
Medicine identified major deficiencies in the United States
health care system, which fueled the rapid growth of the
modern patient safety movement. One of the greatest risks
to patient safety in obstetrics is poor communication of
electronic fetal heart rate monitoring findings. Standardiza-
tion and elimination of unnecessary complexity are two of
the cornerstones of improved patient safety. In this presentation, you will learn a standardized, simplified approach to
the definition, interpretation, and management of electronic
fetal heart rate monitoring that is evidence-based and reflects consensus in the literature.
cuss severe maternal hypertension and immediate steps to
treat for both the doctor and nurse; list the main steps to
treat severe maternal postpartum hemorrhage; offer recommendations to recognize amniotic fluid embolus and start
emergency care; and review guidelines for the prevention of
venous thromboembolism in the obstetric patient.
Professor Emeritus, University of Mississippi Medical Center
Past President, ACOG, 2011-2012
Past President, SMGM, 2001-2002
Recognized not only in his home state of Mississippi through his practice of maternal-fetal medicine at the
University of Mississippi Medical Center, Dr. Martin is also a nationally-recognized leader and speaker on the
specialty of obstetrics and gynecology. A former President of ACOG, Dr. Martin has served on the International Federation of Gynecology and Obstetrics (FIGO) Executive Board, representing ACOG and the US. In addition, he is a past
president of the North American Society for the Study of Hypertension in Pregnancy and the Society for Maternal-Fetal Medicine.
Dr. Martin has more than 600 scientific publications and communications of various types to his credit over the past 41 years. Most
recently, Dr. Martin has been published in the area of obstetric management of patients with hypertensive and hematologic disorders
of pregnancy, especially preeclampsia, eclampsia and HELLP syndrome. Dr. Martin continues to be an active clinician, educator,
administrator and investigator with a primary focus of interest in hypertensive complications of pregnancy.
2:00 – 2:15 P.M. BREAK EXHIBITS OPEN
2:15 – 4:15 P.M.
THE POWER OF TEAMWORK IN DEFENDING AN OBSTETRICAL MALPRACTICE CASE
This case from the MACM files is an example of an unexpected clinical emergency that occurred and could have
compromised the safety of the mother and/or the baby. The
MACM insured obstetrician will review this case, along with
members of the legal team involved in defending him at
trial. In addition, you will hear from the expert witness and
the labor and delivery nurse to gain their perspectives of the
situation.
THE PANEL
David A. Miller, MD
Professor of Clinical Obstetrics, Gynecology and Pediatrics, Keck School of Medicine
University of Southern California
In addition to his varied academic, research and medical practice responsibilities, Dr. Miller is the medical
director of the Children’s Hospital, Los Angeles-University of Southern California Institute for Maternal-Fetal
Health. The institute serves as a multidisciplinary, multi-institutional center specializing in fetal and neonatal
diagnosis and therapy. Dr. Miller is also director of maternal fetal medicine and director of the USC Obstetrics
and Gynecology Residency Program Rotation at Hollywood Presbyterian Medical Center in Los Angeles. Dr.
Miller has served as a peer reviewer for a number of noted medical journals that focus on obstetrics and gynecology and he is the
co-author of the text, “Fetal Monitoring and Assessment”, 6th edition.
12:00 – 12:45 P.M. LUNCH PROVIDED
EXHIBITS OPEN
Gregory W.
Childrey, MD
J. Gordon
Flowers, JD
David W.
Upchurch, JD
James Martin
Tucker, MD
Columbus OB-GYN
Specialty Center
Obstetrician
Brunini, Grantham,
Grower & Hewes,
Attorney for
the Defendant
Obstetrician
Upchurch &
Upchurch
Attorney for the
Hospital
Jackson Healthcare
for Women
Expert Witness for
the Defendant
Cindy Petty, RN
Labor and Delivery
Nurse
CME CREDIT
EXHIBITS
ACCOMMODATIONS
Medical Assurance Company of Mississippi is accredited by
the Mississippi State Medical Association to provide continuing medical education for physicians. Medical Assurance Company of Mississippi takes responsibility for the content, quality,
and scientific integrity of this CME activity. Medical Assurance
Company of Mississippi accepts no commercial support for its
CME activities.
As part of the Power of Teamwork, exhibitors will be located in
the adjoining room and available to attendees during breaks and
lunch. Our exhibitors will bring you the latest information and
opportunities offered to build the concept of teamwork with the
area of Labor and Delivery.
Embassy Suites Jackson - North/Ridgeland
200 Township Place; Ridgeland, Mississippi, 39157
Phone: (601) 607-7112 Fax: (601) 607-7116
This activity has been planned and implemented in accordance
with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME)
through the joint providership of Medical Assurance Company
of Mississippi and the Mississippi Nurses’ Association. Medical Assurance Company of Mississippi is accredited by the ACCME to provide continuing medical education for physicians.
ACCME Accreditation Statement Policy.
Medical Assurance Company of Mississippi designates this live
educational activity for a maximum of 7.0 AMA PRA Category
1 CreditsTM. Physicians should only claim credit commensurate
with the extent of their participation in the activity.
CNE CREDIT
The Mississippi Nurses Association is accredited as a provider of
continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The Mississippi Nurses Association (MNA) serves as the provider of Continuing Nursing Education (CNE) for this learning
activity. The program has been developed in accordance with
the educational design process of the American Nurses Credentialing Center. MNA is responsible for the content, quality, and
integrity of the CNE program.
The program is appropriate for registered nurses and advanced
practice nurses practicing in the field of obstetrics and labor and
delivery. MNA has approved this program for a maximum of
7.0 contact hours. Contact hours will be awarded commensurate only to the extent of the nurse’s participation in the activity.
ADDITIONAL NEEDS
If you require assistance due to a disability, please call Medical
Assurance Company of Mississippi’s Risk Management Department at 1.800.325.4172 or 601.605.4882.
Medical Assurance Company of Mississippi recognizes the
rights of those persons with disabilities to participate in the programs, activities, or other beneficial services as identified in the
Americans with Disabilities Act.
If you require special dietary considerations, please notify the
Risk Management Department and we shall do our best to accommodate your need.
A limited number of sleeping rooms are being held for our
group at the Embassy Suites in Ridgeland on Thursday night,
April 9 and Friday night, April 10 at a rate of $139 (plus 8 percent
tax) for each night. The special room rate will be available until
March 26 or the group block is sold-out, whichever comes first.
Please identify yourself with Medical Assurance Company of
Mississippi (Group Code MAC) to receive the special group
rate for this program. Contact the Embassy Suites at (601) 6077112. Our room block will be assigned on a first-come basis.
You will be asked to guarantee your reservations regardless of
arrival time. Notice of cancellation must be received at least
24 hours prior to date of arrival to avoid a charge for the
room. Guests may check into the hotel after 3 P.M. on the arrival date and check out of the hotel no later than 12 NOON.
Guests arriving earlier than 3 P.M. will be checked in as soon as
rooms become available.
of
power
teamwork
for a healthy mother & baby
A Joint Program for Obstetricians and Labor and Delivery Nursing Staff
fax registration to 601.605.8849 or register online at www.macm.net
PHYSICIAN REGISTRATION
First Name
Last Name
Designation / Title
Clinic / Office Name
Clinic / Office Address
City
Phone
MS
Zip
Email
LABOR & DELIVERY NURSE REGISTRATION
REGISTRATION
First Name
Registration is FREE for MACM insured physicians and the labor and delivery staff that they work with
each day.
Designation / Title
For a labor and delivery nurse interested in attending, we ask that you bring a MACM insured obstetrician so that both of you can hear the aspect of teamwork that is the focus of this conference. We
ask that at least one MACM insured obstetrician represent a hospital, but more than one labor and
deliver nurse from the hospital can attend with the one physician.
Last Name
Clinic / Hospital Name
Clinic / Office Address
Register online at www.macm.net or fax registration form to 601.605.8849.
DEADLINE FOR REGISTRATION IS MARCH 27, 2015.
Please register early. There is limited seating available in the meeting facility. MACM insured obstetricians
and those they work with will be guaranteed a seat in the order in which registration is received. With that
in mind, we encourage you to use the online registration to expedite your request for attendance.
City
Phone
MS
Zip
Email
We ask that at least one MACM insured obstetrician represent a hospital, but more than one labor and deliver nurse from the
hospital can attend with the one physician. Please list the name of MACM insured attending with you below.
First Name
Last Name
MEDICAL ASSURANCE COMPANY OF MISSISSIPPI
404 West Parkway Place
Ridgeland, Mississippi 39157
601.605.4882
800.325.4172
macm.net
PRST STD
U.S. POSTAGE
PAID
Jackson, MS
Permit No. 775
Information contained in this publication is obtained from sources considered to be reliable. However, accuracy and completeness cannot be
guaranteed. Information herein should not be regarded as legal advice.
As part of this program, when referencing the allegations of any claims, we are not stating that the allegations are
true. We are only providing the allegations in order to show what the plaintiffs claimed, which were generally unsupported as shown by the defense verdicts.