Managing Change in the High Reliability,
High Consequence Environment

The Second Annual Air Medical / Critical Care Transport Symposium and Design Roundtable

October 23-25, 2014, Waldorf-Astoria, Naples, Florida

Emergency and critical care present unique challenges to prioritization and allocation of care in an increasingly cost constrained system.  Improving the system understanding, science, and practice of high-acuity transport is essential to enhance the quality and cost-effective management of time dependent disease.

AgustaWestland in collaboration with The Association of Critical Care Transport is pleased to announce our Second Annual Symposium. Our first symposium, held in Chicago in June of 2013, examined in broad terms the role of critical care transport, as an adhesive thread in the development of integrated regional care systems and the need for change in healthcare costs and coverage.  This symposium, building from our education sessions in Washington and Pinnacle will focus on managing change, complexity science, culture, and measuring change.

This second symposium will again convene a gathering of health, emergency care, and critical care transport leaders to review the progress made in last year’s symposium and then examine the rapid underlying structural and accountability evolution of the healthcare system. Our particular focus is to examine change management through various lenses to help leaders build the strategies necessary for a more fully integrated, accountable, and patient centered enterprise.

The Symposium is an invitation only event using an  interrogatory and interactive dialogue format between invited participants and a series of expert panels of healthcare leaders from the US and Canada.

Select a date for details


6:00-9:00 pm
Welcome Reception and introductions


Continental Breakfast
Setting the Stage: Maxwell Principles
Thomas Judge, Exec. Director LifeFlight of Maine/The LifeFlight Foundation
Building Block #1 – Managing change in turbulent times—innovation risk and opportunity

Framing Propositions and Questions:

  • The role of innovation—calculating rewards and risks in product development.
  • Reputational risk: valuing the loss of trust
  • Full contract costing: establishing risk context
  • Financing change: how can we meet high capital costs in the austere healthcare environment?
  • The evolution of governance models and regional systems—ownership control or influence? Are we losing the spokes to strengthen the hubs?
  • Politics and policy—building coalitions for change in the public space—can we make progress in the next decade in DC?
  • Technology and paradigm discordance—when will we have the EMR we really need?

Panel Presentations:

  • The role of innovation—calculating rewards and risks
  • Reputational risk and the loss of trust
  • Financial models for high capital cost systems
  • The evolution of governance models and regional systems-- influence or control
  • Politics and policy—building coalitions for change in the public space
  • Technology and paradigm discordance
Roundtable Panel Discussion
Symposium Participant Dialogue
Building Block #2: Organizational Culture: pearls and pitfalls—the holy grail of change

Framing Propositions and Questions:

  • Building Organizational Resilience: shareholders and stakeholders when the center will not hold.
  • Justice and Accountability: when your culture eats your organizational strategy for lunch
  • The Role of Leadership—building safer systems in medicine and aviation—buy in or ownership?
  • Solving intractable problems--- what can we learn from complexity science and positive deviance?
  • Gaining Commitment: generational change in the workplace—motivating high performance in “my time”
  • The tribes of aviation and medicine —navigating language, leverage, and lessons from the planetary gear theory of human behavior

Panel Presentations:

  • Building Organizational Resilience
  • Justice and Accountability
  • The Role of Leadership—safer systems in medicine and aviation
  • Changing the Safety Culture of EMS
  • Commitment and Generational Change in the Workplace
  • Tribal behavior—navigating points of leverage
Round Table Panel Discussion
Symposium Participant Dialogue and Wrap Up Day 1


Continental Breakfast
Measurement and Durability: HEMS—Luxury or Necessity

Framing Propositions and Questions:

  • Value for money---public utility models—performance, cost, and quality—are PUM’s the most efficient and effective delivery model for emergency care?
  • High reliability / performance systems: the role of individual performance within complex systems
  • The geography of time: design and durability—how do we build a 100% reliable system?
  • Population health—delivering the promise—what does it take and how do we know?
  • Achieving the triple aim— establishing a framework of measures – how do we gain agreement?
  • Contracting and Partnerships: the value view from the purchasers.

Framing Propositions and Questions:

  • Value for money---public utility models
  • The need for metrics and accountability—the payors view.
  • Intractable Problems and Complexity Science
  • Promising population health
  • Achieving the triple aim—measures
  • Contracting and Partnerships
Roundtable Panel Discussion
Symposium Participant Dialogue
Setting the Future Agenda -- Take Aways and Next Steps