Emergency Services Forum

Mission Inn Hotel & Spa | Riverside Convention Center
December 7, 2022 | 8:00AM - 4:15PM PT

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Gather. Learn. Refocus.

While there continue to be many unknowns, and ever-changing patient care delivery models in hospitals, we are long overdue to get together, in person, to support each other, gain new insights, and adjust from the frenetic pandemic. It’s time to gather to learn, refocus, and reconnect.   

The Emergency Services Forum is a conference dedicated to the uniqueness of hospital ED management and its intersection with emergency services and the community. You will leave with takeaways to implement immediately in your day-to-day operations.

The following various topics will be covered: 

  • Managing Compliance Surveys in an ED
  • State of the State EMS 
  • The Power of Data in an ED
  • Discharge and Throughput Challenges 
  • Active Threat Awareness 

Make it a family affair! The forum takes place during the Riverside Festival of Lights. Spend the day with your colleagues and your downtime with your loved ones, getting into the holiday spirit.

Audience: CEOs, chief nursing officers and clinical directors, emergency room directors, nurse managers, quality and patient safety executives

Pam Allen, MSN, RN, CEN
Director of Emergency Services, Observation/Tele/MS Unit, Stroke, EM.
Redlands Community Hospital

Pam is the director of emergency services to include the Base Station, SART program, Thrombectomy Stroke program, Emergency Management and Observation/Telemetry/MS Unit at Redlands Community Hospital. Ms. Allen was previously the manager of the emergency department, and clinical decision unit at St Joseph’s Hospital in Orange, CA. Ms. Allen has also worked in the Emergency Department at Palomar Medical Center in Escondido for over 20 years.

Hector Alvarez MSPsy, CTM
Alvarez Associates, LLC

Hector Alvarez is a security expert who specializes in workplace violence prevention, and is a Certified Threat Manager™ by the Association of Threat Assessment Professionals. Mr. Alvarez has built over 25 years of experience from serving as security director protecting one of our nation’s most sensitive critical infrastructures, to working as a city police officer and as a professional consultant. Mr. Alvarez understands the challenges organizations face when addressing the threats of violence because he has responded to them.

Pat Blaisdell, FACHE
Vice President, Policy
California Hospital Association

Pat Blaisdell provides membership support and advocacy for hospital-based post-acute care and case management services, including policy analysis and interpretation, communication with regulatory bodies and third-party payers, and planning and implementation of educational programs. Pat has more than 25 years of experience in hospital and health care management in acute and post-acute settings and has expertise in clinical operations and reimbursement across the post-acute continuum of care.  

Mark Bosque
Founder & CEO
K9 X-Factor

Mark Bosque has 20 years in event, entertainment, and corporate security. Mr. Bosque has had a passion for canines since he was a child. In 2007, he started a security company with a business partner which specializes in event and corporate security. The company went from four accounts to sixty accounts in five years. He stresses customer service and goes out of his way to make sure the client is receiving exceptional customer service.   

Bill Burfeind, MAS
Senior Specialist for Performance Improvement
Sharp Grossmont Hospital
Bill Burfeind is currently the senior specialist for performance improvement at Sharp Grossmont Hospital using throughput metrics and data analytics to identify best practice methodologies. Mr. Burfeind is an experienced healthcare professional with over fifteen years of service in the areas of emergency and perioperative analytics, operations management, and orthopedic research with the goal of continuing to help improve the totality of patient care. 

Rose Colangelo, MSN, RN, CEN, MICN
Director of Emergency Services
Sutter Health

Rose Colangelo is a director of emergency services at Sutter Roseville Medical Center. Ms. Colangelo, a registered nurse since 2004 graduated with her master’s in nursing from Point Loma Nazarene in 2015. She is a member of the ACNL Safety, Engagement, and Quality Committee and co-chair of the California Hospital Association EMS/Trauma Committee.  

Mike Dunning
Principle Consultant
The Healthcare Security Consulting Group, LLC

Mike Dunning is an optimist and believes healthcare can be provided in safe environments without medical staff fearing for their safety. Prior to The Healthcare Security Consulting Group, Mr. Dunning was vice president of healthcare operations, Allied Universal Healthcare, where he was responsible for the oversight of all Allied Universal Healthcare account operations in over 4,000 health care facilities, including over 800 hospitals across the United States and Canada. 

Paul Larimore, RN, BSN, MBA
Manager of Emergency Department

Sharp Grossmont Hospital
Paul Larimore is currently the manager of the emergency department at Sharp Grossmont Hospital. SGH Emergency Department sees about 110,000 patient visits per year and is the busiest Emergency Department in San Diego County. His team has achieved Level 1 Gold Geriatric Emergency Department Accreditation and is just one of 14 Emergency Departments at the time to do so. He has been a nurse in the Emergency Department since 2010, and prior to that was an EMT in the pre-hospital setting. 

Sheree Lowe
Vice President, Policy
California Hospital Association

Sheree Lowe has been a vice president on CHA’s policy team since 2003. In 2022, she began providing leadership in developing, communicating, and implementing CHA policy related to nursing, emergency services, trauma, and medication safety. Previously she managed the policy interests of Acute Psychiatric Hospitals (APH), behavioral health units in medical/surgical hospitals, and Chemical Dependency Recovery Hospitals (CDRH) providing both in and outpatient mental health and substance use disorder services – commonly referred to as behavioral health.

Marvin Mitchell, MBA, BSN, RN
Director of Case Management and Social Work
San Gorgonio Memorial Hospital
Marvin has practiced case management in nearly every venue where the specialty is integral to successful outcomes. Marvin has been in nursing for 30 years, most of that in case management. The small hospital is the perfect fit. Marvin appreciates the nimbleness of a smaller organization. Marvin holds a certain passion for helping patients in behavioral health crisis, especially in the emergency department. Initially the concern was simply throughput, then moved onto a more direct interaction with patients in crisis.

Marguerite Paradis, MHA, BSN,RN
Director Emergency Services and Critical Care
Sharp Grossmont Hospital
Marguerite Paradis has more than 30 years of nursing experience with the last 25 in leadership, both nationally and internationally. Ms. Paradis is currently the director of emergency services and critical care at Sharp Grossmont Hospital in San Diego, California. Ms. Paradis’ experience is broad and includes acute care, case management, revenue cycle, cardiac services, advance practice in the northern isolated regions of Canada, and as a medical officer in the Peace Corps.

Melody Thomas RN, BSN ACM-RN
Director of Clinical Services Case Management &

Social Services
Scripps Mercy San Diego & Chula Vista
Melody is the director of clinical services case management and social services and Scripps Mercy San Diego & Chula Vista. Ms. Thomas started her nursing career in 2006 after obtaining her Bachelor of Science in Nursing (BSN) degree from Cedarville University in Cedarville, Ohio. Ms. Thomas ventured into travel nursing which led her into her first case management position at Scripps Central Transfer Center in 2009, and in 2012, Ms. Thomas became the first ER care manager at Scripps Mercy Chula Vista hospital. In 2016, Ms. Thomas took over Case Management & Social Services for both hospitals Scripps Mercy San Diego & Chula Vista.

Mike Young, MBA
Manager of Operational Excellence
Sharp Grossmont Hospital
Michael Young is the manager of operational excellence at Sharp Grossmont Hospital, a role he has held since 2021. Mr. Young’s team is responsible for providing advisory and decision support services for enhancing and sustaining hospital performance. Specifically, Mr. Young is responsible for elevating Sharp Grossmont Hospital’s overall performance as it relates to publicly reported measures. Prior to joining Sharp Grossmont Hospital, Mr. Young held several healthcare positions which include roles in direct patient care, strategic sourcing, and management consulting.


8:00 – 8:15 a.m. | OPENING COMMENTS 

Sheree Lowe, VP, Policy, California Hospital Association 

8:15 – 9:15 a.m.  | OPENING SESSION | State of the State EMS: Yesterday, Today and Tomorrow 

Sheree Lowe, VP, Policy, California Hospital Association; Pam Allen, MSN, RN, Director of Emergency Services and Observation Unit, Redlands Community Hospital, Co-chair CHA EMST Committee; Rose Colangelo, MSN, RN, CEN, Director of Emergency Services, Sutter Health, Co-chair CHA EMST Committee

California hospitals are seeing a constant emergency department patient flow that is changing the delivery of care. Members of the CHA Emergency Management Services and Trauma Committee will share information on the Emergency Medical Services Authority, APOT recommendations, and advocacy efforts. Attendees will receive updates to implement in their current EMSA Plan and concepts for independent and system providers.

9:15 – 10:15 a.m. | GENERAL SESSION | The Pros and Cons of Canine Protection in the ED

Mark Bosque, Founder & CEO; Brent Cooper, President and Supplier of Protection Dogs, K9 X-Factor; Mike Dunning, Principal Consultant, The Healthcare Security Consulting Group, LLC

Canines have proven to be an effective way to prevent and reduce hospital violence and increase safety for patients, staff, and visitors. This panel discussion explores the pros and cons of using protection dogs in hospitals and emergency rooms. Presenters currently work in hospitals using protection dogs or with security companies providing canines for hospital security.

10:15 a.m. – 10:45 a.m. | BREAK & VENDOR VISITS 

10:45 a.m. – 11:45 a.m. | GENERAL SESSION | Discharge Planning from the ED – Panel Discussion  

Pat Blaisdell, FACHA, Vice President, Policy, California Hospital Association; Stephanie Lapré, System Executive Director, Care Coordinator, MemorialCare; Marvin Mitchell, Director of Case Management and Social Work, San Gorgonio Memorial Hospital; Melody Thomas, RN, BSN ACM-RN, Case Management and Social Services, Scripps Mercy San Diego & Chula Vista 

Hospitals continue to see ever-changing patient care delivery models resulting in multifaceted ED case management. In this discussion, hear from panelists on how their respective hospitals manage unique discharge planning challenges and how partnerships with case managers result in effective patient triage.

11:45 a.m. – 12:45 p.m. | HOSTED LUNCH  

12:45 – 1:45 p.m. | GENERAL SESSION | Active Threat Awareness 

Hector Alvarez, MSPsy, CTM, President, Alvarez Associates, LLC 

Hector Alvarez, security expert and certified threat manager, will provide an overview of the four categories of workplace violence. There are many dynamics at play in an emergency department and Hector Alvarez will share strategies and solutions to minimize stressors surrounding violence and threats in your workplace.  

1:45 – 2:45 p.m. | GENERAL SESSION | Insight Center: The Power of Data 

Marguerite Paradis, MHA, RN, Director Emergency Services and Critical Care; Bill Burfeind, Senior Specialist for Performance Improvement; Paul Larimore, Manager of Emergency Department; Mike Young, Manager of Operational Excellence, Sharp Grossmont Hospital  

A panel of Sharp Grossmont Hospital ED staff will talk about how they are using metrics to improve their ambulance patient offload times and throughput numbers. Learn how to use data to drive results and develop strategies to implement change effectively.

2:45 – 3:15 p.m. | BREAK & RAFFLE 

3:15 – 4:15 p.m. | CLOSING SESSION | An Emergency Department’s Compliance Survey Journey: Surprises and Lessons Learned  

Pam Allen, MSN, RN, Director of Emergency Services and Observation Unit, Redlands Community Hospital 

The Joint Commission survey process can be cumbersome and time consuming, and with recent changes to the survey, it’s even more top of mind for hospital leadership. Hear from Redlands Community Hospital on how their survey went, lessons learned, and what has been implemented as a result.  

Member: $335

Government: $335

Nonmember: $525

Association Staff: $256

*Members are CHA member hospitals. **Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible non-member California hospitals.

Cancellation Policy

A $75 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing 7 or more days prior to the scheduled event and emailed to No refunds will be made after these dates. Substitutions are encouraged. In the unlikely event that the program is cancelled, refunds will be issued to paid registrants within 30 days.


A confirmation will be sent to all registrants. On-site registrations and any unpaid registrations may be subject to an additional 10% fee.

Special Accommodations

If you require special accommodations pursuant to the American’s with Disabilities Act please call (916) 552-7637.


CHA will photograph this event. If you prefer not to be photographed, please email CHA at

Quality Assurance/Grievance

The CHA education quality assurance/grievance policy is available upon request by emailing If you have any concerns or dissatisfaction with the quality of a CHA education program, please contact Robyn Thomason, Vice President, Education at (916) 552-7514, or email


Contact the Education Department at

Full participation in the program is a prerequisite for receiving professional continuing education (CE) credit. Registrant must complete post-event survey, attest to participation and, when required, provide a professional license number. CE certificates will be emailed approximately three weeks after the program. (Amount of CE offered subject to change.)

Behavioral/Social Work — Emergency Services Forum course meets the qualifications for up to 6.0 hours of continuing education credit for LMFTs and LCSWs as required by the California Board of Behavioral Sciences. CHA is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs and LCSWs. Provider approval number 128427. CHA maintains responsibility for this program/course and its content.

At the conclusion of program, participants will be able to:

  • Discuss the Emergency Medical Services Authority and current emergency department landscape and how to advocate for change.
  • Discuss ways protective K9s in emergency departments can effectively create a safe environment. 
  • Describe how emergency departments throughout California are improving care delivery and offload times. 
  • Learn the four categories of workplace violence and solutions to minimize violence and threats in the workplace.
  • Discuss the Sharp Grossmont Hospital’s Insight Center and ways to improve patient care delivery using data and assessment tools.
  • Hear changes to The Joint Commission survey and ways to incorporate new elements of performance.  

Compliance — The Compliance Certification Board (CCB)® has approved this event for up to 7.2 live CCB CEUs based on a 50-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.

Health Care Executives — CHA is authorized to award 6.0 hour of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

Nursing — Provider approved by the California Board of Registered Nursing, Provider CEP #11924, for up to 6.0 conference contact hours.

The Mission Inn Hotel & Spa
3649 Mission Inn Avenue
Riverside, CA 92501

The Mission Inn Hotel & Spa no longer has rooms available.

Hyatt Place Riverside Downtown (overflow room block)
3500 Market Street
Riverside, CA 92501

We currently have a small block of rooms at the Hyatt Place Riverside Downtown which is just across the street from the Riverside Convention Center.

The discounted rate at the Hyatt is starting at $169. For reservations, call 1-888-492-8847 and mention the “Behavioral Health Care Symposium” and Group Code: G-BVHA to receive the discounted rate. The deadline for discounted sleeping rooms is November 30.

Riverside Convention Center
3637 5th Street
Riverside, CA 92501

All educational sessions will be held at the Riverside Convention Center, just a short walk away from the Mission Inn.

For sponsorship opportunities at the Emergency Services Forum, call the CHA Education Department at (916) 552-7637 or email

We would like to thank our corporate sponsors for their support of the 2022 Emergency Services Forum.

Silver Sponsors:

The California Emergency Nurses Association is a membership organization dedicated to patient safety and excellence in nursing practice. CA ENA’s 4,600 members provide emergency services in all areas of the state. Emergency Nurses provide care in a number of clinical settings including poison control centers, rural, urban, and suburban hospitals, trauma centers, stroke and
cardiac centers, pediatric and geriatric emergency departments, disaster preparedness programs, emergency medical services agencies, first responders, critical care transport, EMS dispatch centers and more. CA ENA is the state affiliate of the National Emergency Nurses Association and supports its mission to advocate for patient safety and excellence in emergency nursing practice. We are the global emergency nursing resource and advocate for Safe Practice and Safe Care.