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2019 MTLI Graduate Program

April 28-May 3
Oglebay National Training Center, Wheeling, West Virginia

ONLINE REGISTRATION coming October 2018!


(From 2018)

Sunday, April 22 – Registration/Check-In

Monday, April 23rd – Full Day Session

Operating in High Consequence Environments: A Collaborative Approach to Reliability & Resilience
PAUL LESAGE, Assistant Chief (Ret.), Firefighter-EMT/P, BA, AS, MIS
Clinical Assistant Professor, OHSU School of Medicine; Partner & Senior Analyst, SG Collaborative

When we analyze risk in today’s complex, interactive environments, where teamwork, collaboration, and communication are key components to success, we commonly find issues that are “socio-technical” in nature. That means we see behavioral choices or performance issues that are found within the system that we have created for our employees. Because we all are faced with competing values every day (do that fast, but do
that safely; rescue the person, but don’t take any unsafe chances; etc.) retrospective analysis of undesirable outcomes are nearly always biased. Were you aware that “Root Cause” strategies or “Duty-Rule First” concepts are not individually effective within a high reliability environment? That instead, the journey to reliability and resiliency requires us to evaluate risk from a systems-first approach? In this course, we will learn how to use a collaborative process that will help us to develop a Reliability Management System based on these competencies:

  • See and Understand Risk – and develop skills around Risk Intelligence and Risk Tolerance
  • Discuss and Design Effective and Resilient Systems
  • Determine Minimum Performance and Behavioral Standards within our Systems
  • Provide ongoing Support – become a Learning Organization

Some of the issues we will discuss have no certain answers, but deserve a robust analysis:
What compels us to follow rules?

  • Is safety really our number one priority?
  • What is vulnerability? How would you use your understanding of vulnerabilities to develop a proactive or predictive approach to managing risk?
  • How can we use retrospective event analysis to develop proactive risk management plans?
  • Can we do this without bias? Can we use our understanding of bias to help us?
  • Do we know the difference between Risk Intelligence and Risk Tolerance? Why is this important?

By the end of the day, we will hopefully be able to:

  • Evaluate our risk management strategies, and weigh their ability to proactively manage risk;
  • Develop a balanced approach to managing risks through system design, performance standards, and human behavioral expectations;
  • See how the process requires the integration of other well-known strategies, such as CRM, Lean Concepts, Critical Communications, Just Culture, Leader Development, and others;
  • Understand the limitations of “canned programs” and a “silo” approach to high reliability;
  • Determine the “Overt” and “Covert” messaging within our organization that tends to drive behavior;
  • Develop an integrated process for seeing and evaluating risks, analyzing them, and providing feedback;
  • See other factors, such as power gradients, that erode our ability to advance.

In addition, Paul will address some of the current issues we all encounter as we drive toward delivering high quality, safe, and effective service within a high consequence business. This program is designed to be interactive and will involve some team exercises in the afternoon.

Paul LeSage worked for 29 years as a Firefighter/Paramedic in Portland, Oregon, serving several years on the Technical Rescue and Dive Team and as a Helicopter Flight Paramedic. He retired from the fire department as the Assistant Chief of Operations in January 2010, and has over 36 years of experience in emergency services as a provider and executive. He spent two years as the Interim Director at Oregon’s second-largest 911 Center, implementing a unique Quality and Performance Program.

Paul currently works as a Partner and Senior Analyst with SG-Collaborative Solutions, where his work centers on creating reliable and resilient systems within high consequence industries, primarily commercial aviation and healthcare. He also leads teams charged with deconstructing and analyzing aviation and healthcare incidents, and conducts Probabilistic and Predictive Risk Analyses that are designed to improve performance, sustain quality, and better manage risk. Paul and his teams at SG currently conduct this work across the United States, Canada, Central America, and Australia. He holds degrees in Organizational Communications, Human Factors Analysis, EMS, and Fire Science.

Paul has authored a popular book on Crew Resource Management in Emergency Services, and was also the founder of Informed Publishing, which created Nursing, Medic, and Emergency Service mobile apps for front-line care providers.

Tuesday, April 24th – Morning Session

Conflict Communication
KEIR CARROLL, Keir Carroll & Associates: Experts in Leadership Learning™

Emerge from this workshop knowing how to lower daily stress by handling high-temperature conversations with poise and purpose. This workshop is for you if you have to deal with people who pop into your day mad at you for something that:
a) wasn’t your fault in the first place or
b) you could fix only with magic.

Topics include:

  • The Secret of improving all human relationships
  • Fatal mistakes
  • Fight, Flight—or Flow
  • Maintaining composure: Flattening your Buttons
  • CODE & EARS: a four-step conflict-resolution model and four skills for unwrapping the emotion from the conflict so that it can be intelligently resolved.
  • Practice!

Keir Carroll leads a global team of seasoned professionals with backgrounds in leadership development, program design, workshop delivery, instrumentation/metrics, and coaching. Collectively we have consulted and conducted programs on six continents with many of the world’s leading companies and institutions.

Born in England, Keir holds master’s degrees from Cambridge University and Boston University. He has taught at Boston University, Suffolk University, and UNC (Chapel Hill), where he was an English Speaking Union International Scholar. He has been on the faculty of the world-renowned Center for Creative Leadership, as well as the Rensselaer Learning Institute and the prestigious Center for Executive Development.

Tuesday, April 24th –  Afternoon is yours!

Wednesday, April 25th

Being Your Best on your Organization’s Worst Day
BOB McNANEY, Senior Vice President of Crisis and Critical Issues, Padilla

This interactive presentation will immediately have attendees considering their organizations’ readiness for a crisis and will include real-life examples of how and how not to handle a crisis. Tools will be provided to help attendees understand the best practices for protecting a brand. Social media has become an increasingly large player in both responding to and measuring the crisis and its impact on a company’s brand and participants will learn the approach to real-time monitoring in order to shape strategy. As part of the presentation, attendees will also learn best practices for developing a crisis communication plan, a crisis communication team and examples of effective messaging.

Bob McNaney is an award winning investigative journalist with more than 24 years of reporting experience. He has a diverse background in media, public relations, spokesperson coaching and issue management. Bob counsels global corporations through crisis situations, conducts crisis trainings across the country and trains executives to successfully communicate their messages to their intended audience. His vast experience helped him develop a unique skill set ideally suited to serve as the senior vice president of Crisis and Critical Issues at Padilla.



Thursday, April 26th


Disaster Response Planning
JOHN L. HICK, Emergency Physician, Hennepin County Medical Center and Professor of Emergency Medicine, University of Minnesota Medical School 

This four hour session will provide the attendee with an overview of disaster response structure and process, the importance of EMS integration with emergency management and hospitals, and cover specific challenges that may be faced including logistical, operational, and policy issues such as crisis standards of care and crisis leadership. A mix of didactic and table-based discussions will allow attendees to share learning and expertise with each other in an open learning environment.

JOHN L. HICK is a faculty emergency physician at Hennepin County Medical Center (HCMC) and a Professor of Emergency Medicine at the University of Minnesota Medical School. He serves as the Associate Medical Director for Hennepin County Emergency Medical Services and Medical Director for Emergency Preparedness at HCMC. He is also Assistant Medical Director and Vice Chair of the Clinical Council for LifeLink III.

He served the Minnesota Department of Health as the Medical Director for the Office of Emergency Preparedness from 2002-2014 and currently works part-time for US Health and Human Services (HHS/ASPR) as an Advisor to the Director of the Office of Emergency Management.

He is an expert on hospital preparedness and crisis medical care issues and has published over fifty peer-reviewed papers dealing with hospital preparedness for contaminated casualties, disaster standards of care, and surge capacity.

John also has a strong interest in rotor-wing and fixed wing medical care and worked in 1998 for the Royal Flying Doctors Service in rural Queensland, Australia performing fixed-wing retrievals across a large area of outback Australia from the Mt. Isa base. He returned to Australia for six months in 2012 to work as a retrieval physician for the New South Wales helicopter service performing rescue and inter-facility responses.

In his spare time, he practices disaster mitigation, response, and recovery at home with his two daughters ages 14 and 17.



2018 MTLI Graduate Registration Pricing


Single Occupancy – Premium Room – $1,425.37/$1,525.37
Double (2 persons) Occupancy – Premium Room – $1,108.63 per person/$1,208.63 per person

Single Occupancy – Deluxe Room – $1,287.16/$1,387.16
Double (2 persons) Occupancy – Deluxe Room – $1,287.16 per person/$1,387.16 per person

Single Occupancy – Value Room – $1,218.05/$1,318.05
Double (2 persons) Occupancy – Value Room – $1,004.97 per person/$1,104.97 per person

Early arrival on Saturday, April 21st – $143 + tax.

ONLINE REGISTRATION coming October 2018!