 Dear friends welcome Did you hear that number? Won't you be happy if our work had saved just one life? I would But we've done so much more than that this movement is growing stronger every year We are saving more and more lives. Thanks to all of you and your hard work and we just heard all of you had committed to zero preventable deaths and 69,519 lives were saved Well, here's how you did it. You did it through implementing our actionable patient safety solutions including those for reducing healthcare associated infections You did it through improving the culture of safety with committed hospitals and Reducing medication errors and improving both maternal and neonatal safety There were also a record number of unique Projects for example Laredo global took on the initiative of saving life through simulation education and training The secretary of health for Mexico City created a program in Mexico El Medico in Tocasa that brings hospital-level care to vulnerable homes of patients Rayler Scott and white health created a high-risk surgery initiative which implemented volume standards for 11 highly complex procedures to reduce complications and Seoul National University Hospital is reducing in-hospital cardiac arrest during procedural sedation by using a Pre-sedation checklist keeping sedation records and educating staff on sedation procedures You'll hear from over a dozen Groups in the next day and a half about what their institutions are doing to save lives every day in their hospitals by January 2016 we announced here 24,643 lives were saved and We made the goal to reach 50,000 lives saved by this year as a February 2017 we've more than doubled that number and In the last 12 months You have worked so hard You've gotten your colleagues to work so hard and you've did it with full heart So please give yourself a round of applause. Thank you. I would like to Express a debt of gratitude for all of our volunteers the regional network chairs are Steering committee members the working groups that have worked on the three new apps and have improved the existing apps and our board and The Massimo team for all of their volunteering and energy to this movement. I Also want to thank the families that are here sharing their very personal and tragic stories They probably wouldn't want to remember what happened let alone speak about it But they know their stories help save other people's lives These stories are important because they encourage all of us To act so that no one else dies from medical errors Now if these stories were just anecdotes and there wasn't 200,000 plus people dying in our country There weren't three million people around the world dying from preventable causes I would not be trotting them in front of you We would not be asking these families to do it, but these are just unfortunately Just examples of what happens every day every month every year in our hospitals. I want to thank Ariana Longley a one woman army. Let's give her a big round of applause. I also want to thank Jordan Gamert I want to thank dr. Mike Ramsey Dr. Steve Barker and dr. Dave mayor for the many sacrifices That they took to help keep this momentum of our patient safety movement going and make it stronger than ever I want to share with you some of our progress and some of our challenges for the year It's important you hear both on the progress side. We are now 43 countries strong We have 20 regional chairs 11 in the US nine outside the US Working very hard to convince the hospitals in their regions to join the movement Join the commitment to zero preventable deaths Metronics signed the data pledge. I'm really happy to say just this morning. Ed was life science signed the data pledge We got new large commitments from the American College of Obstetrician and Gynecologists Laredo, March of Dimes, the newborn Foundation Censor in Spain and the VA Medical Center They helped us blow away our goals each saved over a thousand lives per year So give them a round of applause, please and also one of my favorites perish Medical Center in Titusville, Florida Became the first hospital to Commit to implement every apps every actionable patient safety solutions and right behind them our own children's Hospital of Orange County right here Locally, so thank you. That's huge. I'm not gonna use that word again, but that's really big but But I have to say Imagine if all of you didn't just implement one or two or three or four of the apps which implemented all of them You'll learn soon how many hospitals have committed if we just did that Would be almost done well, I'm gonna say it again, but we learned that Arianna and Jordan are forces of nature and it's great to have them on our team and President Obama announced Vice President Biden's cancer moonshot project which promises to make cancer Hopefully a preventable death. I know the vice president humbly puts it ending cancer as we know it But I think it's going to do much more and The seminal work done by dr. Dave mayor our very own dr. Dave mayor with his team from MedStar in implementing the candor program has shown that Action out of kindness Can not only be clinically gainful but can be financially gainful and That work I believe is just the beginning and It's they showed 50% reduction in mortality and saved just last year 30 million dollars Now imagine if every hospital adapted the candor program would be halfway done if not entirely done This is the future of health care a health care system that assures patient safety and dignity and Health care providers safety and support Let me just briefly explain candor to you very simple concepts I called actions out of kindness and transparency The goal Apologize within an hour of a patient getting home Don't charge the patient's family or the patient's insurance or payers any fees for any care that was given if they're harmed work with Legal people that are not trying to protract Settlement discussions in fact pay them a fixed fee whether it settles from half an hour or five years and Most importantly Support the health care people don't shame or blame them instead work with them to figure out How can we avoid this event again? So what did that produce it produced incredible results it makes sense and My wife was telling me today that she's convinced that when you're kind you also live longer So hopefully one of you will do that study and improve my wife right, but we also had our challenges Some hospitals that made commitments in prior years didn't update their Pledges had they updated their pledges we'd be probably announcing over a hundred thousand lives saved annually Even if you just took their numbers straightforward. I Know they're still doing the work. I Hope they're still doing the work the Affordable Care Act is under revision and so are some of the big patient safety initiatives it advanced and Also in the UK NHS is being targeted for dramatic cuts putting patient safety at risk Despite some of these threats. We've managed to not only persevere but exceed our goals for 2016 and We made it we are at our fifth summit Our first summit started this movement with your love and actions out of kindness The summit then turned into a movement. I Remember as I was sitting down This chief technical officer of CERNA said we're in we're gonna sign the pledge at the first break Robin Beth from in amount in the healthcare system said we're signing on And that's why I realized this is not just a summit. It's gonna be a movement We're also Lucky that President Clinton and Carter vice president Biden senator boxer Dr. Patrick Conway Surgeon general rich Cremona and many more influential people continued to be at our side So here are some numbers to cheer you up. Let me summarize 43 countries 70 open data pledges 3526 hospitals around the world of which 2586 are based in the US and 940 international have joined the movement their pledges have saved 69,519 lives if not over a hundred thousand and Guess what a 2017 goals are now? 150,000 lives saved annually half 150,000 life-saving Half in the US half outside the US. I'm excited, you know every life matters. That's why we're here But to be part of something that will help save a hundred fifty thousand lives That's that's meaningful We'll live longer and we did the hard work at the mid-year meeting We figured out one of the three new things we got to go after and we've created three new actionable patient safety solutions for a total of 13 apps While all of these apps are very helpful processes to avoid preventable death None is more important than the one which is the first one which is culture of safety To get to zero and to stay at zero We must have at every institution a culture of safety from top-down Protecting the patients and the caregivers a Culture where blame and shame is replaced with root cause analysis and action out of kindness. I Know many of you are familiar with the concept of high reliability organizations The concept was successfully implemented in Japan in the 50s and It in the manufacturing area and it began showing his power in the 70s and 80s When something went wrong They didn't blame each other. They didn't call the police. They didn't call lawyers. They stopped the line They fixed it and turn the line on again So just think for a moment if we didn't do any more elective Procedures Until our hospitals had all implemented all the processes that are known to help save lives from medical errors Japanese manufacturers knew that quality just didn't make their brand stronger and create more Customer loyalty they knew it also saved money It helped their costs So Statistical process control failure mode evaluation and analysis Lean manufacturing they transformed manufacturing And they did it first in Japan by actually an American engineer Edward Deming who inspired it That's what we need now at our hospitals Along with our love for the patients. We need the culture of high reliability That's why I'm so excited about candor That's the right culture and it produced expected results And the next day and a half You are here to share your knowledge Share your experiences learn from each other and recharge your batteries Because we have so much work to do To get to zero We not only have to do what we're doing what you're doing But we got to get everyone else not just some other people but everyone else in the health care ecosystem to join us You have to be the best amongst us That's what Thomas Bostrom He and his wife lost their daughter to CLABSI Central Alliance Associated Plus Stream Infection. That's what he says. So particularly last year That is a big responsibility that you've got to accept I stand humbly in front of all the doctors and nurses. I couldn't fix a broken leg or save anyone's life except through you and Your miracle of healing is What gives us hope but you've got to work together so that that miracle of hearing doesn't get Interrupted by a medical error That leads to your patient's death We have to reject the tyranny of apathy and embrace the billions of action out of kindness We can't get to zero if we work half-hearted in health care We need to constantly act out of kindness and thoughtfulness Yes to err is human but to not put processes in place that avoid errors becoming fatal is inhumane When a patient dies unnecessarily It's not just a tragedy to their family Their community, but it's a tragedy for the caregiver in charge So many great doctors and nurses that we need leave the profession when that happens to them We can't let that happen. We have to stop it We have to do all that we can do so now let me move to the part I'm sure you've been waiting for let me introduce vice president Biden. The Biden family is truly a shining example of public service grounded in compassion and action out of kindness It's sad and ironic. I'm so grateful that vice president Biden is here today because he had to go to mass today because today Bo Biden would have been 48 years old But he still came tragically Brain cancer took him away from us about two years ago I want to take a moment and reflect on an honor Bo's legacy Bo was committed to his family his home state of Delaware and to our country as Many of you know he served in Iraq as a member of the Army National Guard and also served as the Attorney General of Delaware If cancer had not taken him away from us He likely would have been governor of Delaware and perhaps following his father's footsteps Gone to become a national leader In the wake of losing his son vice president Biden noted that his family's grieving process closed the window On his potential run for the White House during our recent election Bo was a close personal friend and I'm proud that he's being remembered in so many positive ways One of the final pieces of legislation Signed into law by President Obama included funding for the Bo Biden cancer moonshot, which vice president Biden Has championed. I'm also proud that Massimo is a supporter of the Bo Biden Foundation for the protection of children Please join me in a moment of silence to remember Bo and honor his lasting legacy of service While Bo's death today is not considered preventable We hope that through vice president Biden's efforts to end cancer as we know it it will soon be considered preventable Both tragic death was not just a big loss to his children wife siblings and parents, but to the world Not only because of what great things he was set to accomplish But it also meant that one of the most enlightened honest and hard-working public servants vice president Joe Biden Did not run for president in 2016 Had he run and one of the primaries? I'm sure he would have been President and we would have been spared some of these executive orders We are about unity here. We exemplify it. We need unity It will take some time before death from cancer is considered preventable But there are over three million People dying in hospitals worldwide each year from deaths that are preventable Only God knows what some of these people would have contributed to our society to humanity to science to our progress We are all here because we don't want any more preventable deaths Ladies and gentlemen, I'm so proud to introduce a remarkable man who served our country and the world for over 45 years He was elected to the US Senate in 1972 at age 29 Served six terms sounds familiar 36 years in the Senate before becoming the greatest vice president ever That's a fact his key accomplishments in the Senate were so many I'm not gonna list them all but there is one I have to mention the Violence Against Woman Act as vice president He oversaw the Economic Recovery Act and With his efforts None of that money went to waste and with the speed of implementation that only Joe Biden could demand He and President Obama led us out of the Great Recession He launched the Affordable Care Act with the president that has at least saved 125,000 lives through initiatives like partnership for patients And was last year the recipient of our humble humanitarian awards The speed the VP took on the cancer moonshot was similar to the speed and persistence he took on with the Economic Recovery Act Under the vice president Biden's leadership the White House Cancer Moonshot Task Force catalyzed novel innovative and impactful collaborations Among 20 government agencies departments and White House offices and over 70 private sector collaborations All designed to achieve a decade's worth of progress in five years in the prevention diagnosis and treatment of cancer One initiative made clinical research trials more accessible to cancer patients Another great initiative established the Genomic Data Commons a first of its kind public data platform for storing, analyzing and sharing genomics and associated clinical data on cancer The vice president helped lead the effort to pass the 21st Century Cures Act that provides 1.8 billion dollars over seven years for the cancer's moonshot scientific priorities And many other good provisions for patient safety The vice president was also recently awarded the Presidential Medal of Freedom with distinction which is the highest level of honor a civilian can get in our country Which I was very proud to witness was humbling and inspiring experience like every time you're in his presence And he's not done yet as a private citizen is continuing his great work with the launch of the Biden Foundation Focusing on ending cancer as we know it and pursuing justice equity and fairness for all And he's been a staunch supporter of the patient safety movement from the first time I told him what we're up to I remember he immediately said to me this is important I want you to come back and spend two hours with me to teach me everything about it that you can I got there with our board with a patient safety advocate he listened intently and since that day I knew he was committed And would stick with us to decrease the number of preventable deaths and he did But personally Vice President Biden and in fact all the Bidens are really great friends to our family Ladies and gentlemen please welcome Vice President Joe Biden