Meeting/Event Information

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2017 MSHRM Fall Program

October 03, 2017 to October 03, 2017
9:30 AM to 4:00 PM
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James B. Henry Center for Executive Development
3535 Forest Road
Lansing, MI 48910

Contemporary Topics in Risk Management


  • 9:30 a.m. - Can We FINALLY Get Serious About Violence in Healthcare?, Monica Cooke, RNC, MA, CPHQ, CPHRM, FASHRM (Slides, Defects Tool, Debriefing Worksheet, Staff Assessment)
  • 11 a.m. - Break
  • 11:15 a.m. - Family Consent to End of Life Care in Michigan, Constance Brigman, JD (Handout)
  • 12:15 p.m. - Lunch
  • 1:30 p.m. - Business Meeting
  • 2 p.m. - Female Genital Mutilation in Law and in the Workplace, Senator Margaret O'Brien (No handouts)
  • 3 p.m. - Take a Closer Look: Human Trafficking in Healthcare, Sheila Meshinski, BSN, CEN, CFN (Slides)
  • 4 p.m. - Adjournment


Monica Cooke, RNC, MA, CPHQ, CPHRM, FASHRM, has more than 40 years of experience in the field of behavioral health and substance abuse in both administrative and executive quality/risk positions. As a seasoned professional, in 2006, she founded Quality Plus Solutions LLC, a behavioral health risk and quality management consulting firm that provides on-site risk assessments and risk & quality support for behavioral health, emergency rooms, and acute care settings. She provides legal nurse expert services, and as a Certified Psychiatric/Mental Health Nurse, Monica continues to work at least two shifts a month as an RN in a detox and rehab treatment setting. She provides educational presentations nationwide and is recognized as an expert in the field of behavioral health risk and quality care. 

Constance Brigman, JD, is the principal attorney at with the Law Office at Constance L. Brigman , PC.  Before she was a lawyer, she was licensed in Occupational Therapy. She gained compassion and insights about how different individuals react to crises and change from working in rehabilitation facilities with mentally and physically disabled individuals of all ages. She has been a valuable contributor to scholarship and legislation on guardianships, conservatorships and end of life care for the State Bar of Michigan because of her background in rehabilitation and healthcare. She participated in legislative drafting regarding DNRs for adults under guardianship established under the Michigan probate code. She is the former chairperson of the Council’s Guardianships, Conservatorships and End of Life Committee. Ms. Brigman was appointed to the Guardianships and Conservatorships Workgroup for the Michigan Supreme Court Administrative Office Forms Committee in 2012. She continues to serve on this committee.

State Senator Margaret O’Brien was elected to represent the 20th Senate District, which includes all of Kalamazoo County, in November 2014. She was chosen by her colleagues to serve in a leadership position as Assistant President Pro Tempore and is deeply honored to represent the residents of Kalamazoo. Senator O’Brien serves as Chairwoman of the Senate Veterans and Military Affairs committee. She also serves as Vice Chair of the Banking and Financial Services committee, and is a member of the Commerce, Health Policy and Insurance committees. Previously, she served two terms in the State House of Representatives, representing the 61st House district from 2010-2014. She was unanimously selected both terms to the position of Associate Speaker Pro Tempore and frequently chaired the House proceedings. She was a sponsor of Senate Bills 337 and 338 which ban the practice of female genital mutilation in Michigan.

Sheila Meshinski, BSN, CEN, CFN, has been an emergency nurse for over 35 years. She works as a forensic nurse dealing with sexual assault cases in both children and adults. Sheila is on the Human Trafficking Task Force for the State of Michigan and has been appointed by Governor Snyder to the Health Advisory Board for Human Trafficking for the State of Michigan. She is also actively involved in the Child Abuse Task Force in Macomb County. Her experience has led her to believe that many health care providers do not recognize victims of trafficking. She currently lectures to multiple disciplines in the health care field and in the community.


This program will enable participants to:

  • List multiple reasons for the persistent tolerance of aggression in our health care settings.
  • Describe OSHA's general duty clause and methods of abatement for workplace violence in healthcare.
  • Discuss the components of a workplace violence prevention program.
  • Explain that a surrogate decision-maker is exercising the patient’s right to provide informed consent - to either receive or not receive medical care according to the patient’s wishes.
  • Determine which situations require judicial intervention.
  • Respond with best practices to mitigate risk when providing end of life treatment to a patient lacking advance directives or a guardian.
  • Describe how a family consent law could help protect both the state’s and the patient’s interests.
  • Describe signs of Female Genital Mutilation (FGM).
  • Analyze FGM bill package signed into law.
  • Incorporate knowledge of law and FGM into action steps at hospital/physician’s office if a case of FGM is suspected.
  • Describe the dynamics of human trafficking.
  • Recognize patients that might be victims of human trafficking.
  • Discuss various methods and the importance of sensitivity when communicating with the human trafficking patient.
  • Identify resources for follow up care for the trafficking patient.


This educational activity is being jointly provided by Coverys and the Michigan Society for Healthcare Risk Management.

This nursing activity has been approved for up to 4.5 contact hours.

Coverys is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This meeting has been approved for a total of 4.5 contact hours of Continuing Education
Credit toward fulfillment of the requirements of ASHRM designations of FASHRM
(Fellow) and DFASHRM (Distinguished Fellow) and towards CPHRM renewal.


September 26, 2017


$0.00 MSHRM Member Registration

$150.00 Non-Member Registration


Healthcare Violence Slides

Learning From Defects Tool

Staff Debriefing Worksheet

Workplace Violence Staff Assessment

Family Consent-End of Life Handout

Human Trafficking in Healthcare Slides