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Conference Schedule


9/16/2017
Time
Session Title
7:00 AM - 8:00 AMRegistration & Networking Breakfast with Sponsors & Exhibitors
8:00 AM - 8:30 AMWelcome & Chapter Business Meeting
8:30 AM - 9:30 AMKeynote Address: Transitions - Why We Chose Case Management & Should We Stay?
9:30 AM - 10:30 AMNetworking Break
10:30 AM - 11:30 AMSession 2A: The Cloak of Invisibility: Challenges of Discovering & Responding to Human Trafficking
10:30 AM - 11:30 AMSession 2B: Latest CMS Updates: OIG Two Midnight Rule Report & Benchmarks; Short Stay Review Program Audits; Notice Act; MOON; & 2018 Outpatient Prospective Payment System (OPPS)
11:30 AM - 1:00 PMNetworking Lunch & Door Prize Drawings
1:00 PM - 2:00 PMSession 3A: Care Coordination is a Team Sport: Developing a High-Performance Care Coordination Team
1:00 PM - 2:00 PMSession 3B: Social Media's Promises & Pitfalls for Case Management: Mastering the Ethical Divide
2:10 PM - 3:40 PMSpeed Learning Session 4A: Health Equity & Mobile Health Integration
2:10 PM - 3:40 PMSpeed Learning Session 4B: Reducing Length of Stays & Managing Complex Patients in Observation
3:40 PM - 4:00 PMBreak
4:00 PM - 5:00 PMClosing Session: Mental CPR for Crazy Busy Lives
5:00 PM - 5:15 PMClosing Remarks

Keynote Address: Transitions - Why We Chose Case Management & Should We Stay?

L. Greg Cunningham, MHA
CEO
ACMA · Little Rock, AR

ABSTRACT:

Both the practice and, ultimately, the professional have been changing since the inception of case management. Increases in scope, skillset requirements, worked hours, and transition barriers are the norm. Consequently, the resulting job requires a unique person to be successful.  

ACMA research data indicating significant practice changes and the resulting impact on the case management professional will be presented.  Additionally, with respect to these practice changes, a distinction will be made regarding the type of individual needed in case management and how that knowledge should be used in recruitment and retention.

LEARNING OBJECTIVES:

  1. Review evidence-based changes in case management and transitions of care for both the practice and the professional
  2. Identify characteristics both personal and professional for the successful case manager
  3. Apply leadership strategies for case management and transitions of care recruitment and retention

Session 2A: The Cloak of Invisibility: Challenges of Discovering & Responding to Human Trafficking

Pamela Holtzinger, RN, MSN, BHA, CEN, FNE A/P, SANE-A, SANE-P
Program Coordinator · Forensic Nurse Services
Frederick Memorial Hospital · Frederick, MD

ABSTRACT:

This session will provide a brief introduction to the issue of human trafficking including what is known about the prevalence in Maryland and nationally. A brief overview of signs and symptoms that could be indicative of human trafficking will be provided. Challenges and barriers to the effective management of human trafficking patients will be discussed. This presentation will include one hospital’s approach to address the screening and response to human trafficking. 

LEARNING OBJECTIVES:

  1. Define the different types of human trafficking
  2. Discuss at least three indicators that should trigger an evaluation for possible human trafficking
  3. List a minimum of three resources for identified human trafficking victims

Session 2B: Latest CMS Updates: OIG Two Midnight Rule Report & Benchmarks; Short Stay Review Program Audits; Notice Act; MOON; & 2018 Outpatient Prospective Payment System (OPPS)

Joseph Zebrowitz, MD
CEO
Versalus Health · Newtown Square, PA

ABSTRACT:

In December 2016, the Office of Inspector General (OIG) issued a report stating that vulnerabilities exist under the Two-Midnight (2MN) Rule. In the report, the OIG recommended to the Centers for Medicare & Medicaid Services (CMS) that it conduct periodic analysis of hospital billing and target hospitals with increasing numbers of short stay inpatient stays. CMS agreed with the recommendations from the OIG and clarified its requirements for medical reviews for Part A payment of short-stays under the Two-Midnight Rule. The Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO) have changed their approach and are now using a data-driven approach to sampling, reviewing and targeting the top 175 hospitals in each BFCC-QIO area.

This session will examine the OIG Report on vulnerabilities related to the 2MN Rule process, the implications for hospitals and discuss recommendations for addressing the issues. In addition, the speaker will provide an update on the BFCC-QIO audits and lessons learned. We will cover the latest regulatory requirements for compliance with the Medicare Outpatient Observation Notice (MOON) as required by the NOTICE Act, Condition Code 44, Condition Code W2 as well as discuss any new regulatory provisions related to Inpatient and Observation included in 2018 Outpatient Prospective Payment System (OPPS).


LEARNING OBJECTIVES:

  1. Understand the OIG Report implications for hospitals' Utilization Review programs
  2. Learn how to safeguard your processes so you are not a target of BFCC-QIO audits and review a recent hospital experience with an audit
  3. Examine MOON requirements and implementation, Condition Code 44, and Condition Code W2 in the 2MN Rule Era

Session 3A: Care Coordination is a Team Sport: Developing a High-Performance Care Coordination Team

Julie Mirkin, MA, RN, Wharton Fellow
Vice President · Care Coordination
NewYork-Presbyterian Health System · Hewlett Harbor, NY

ABSTRACT:

Developing a high-performing Care Coordination Team is critical to achieving departmental and organizational goals. This presentation will review critical elements of developing a collaborative team and examine key roles and personalities that could help or hinder team development. Examples of team building activities will be highlighted and the participants will engage in fun and educational team building activities that can be replicated in their organizations. At the end of the presentation, participants will have a greater understanding of how they can contribute to their team’s success.

LEARNING OBJECTIVES:

  1. Define the attributes of a high-performing team
  2. Describe effective team building strategies
  3. Explain how the case management and transitions of care professionals can contribute to their team's success

Session 3B: Social Media's Promises & Pitfalls for Case Management: Mastering the Ethical Divide

Ellen Fink-Samnick, MSW, ACMSW, LCSW, CCM, CRP
Principal/Owner
EFS Supervision Strategies, LLC · Burke, VA

ABSTRACT:

Social media is a powerful tool to drive case management success. It provides immediate access to the latest outcomes and resources for patients and professionals. Case managers can engage in interactive dialogues with colleagues and providers of care. However, with social media’s promise comes a double-edged sword of new ethical challenges to address. Case managers strive to balance the ease of electronic communication while adhering to laws and professional boundaries. Networking through professional list serves and sites promotes access to jobs and in the moment consultation, but brings a host of fears surrounding privacy and confidentiality of content. Even the development of a professional profile evokes concern. How do case managers leverage social media ethically, legally and appropriately?

Integrating real-world case scenarios with regulations, professional standards and codes, the presenter will provide case managers with strategies to confidently master Social Media’s Ethical Divide. Engage in an entertaining, empowering and educational experience.

LEARNING OBJECTIVES:

  1. Discuss three social media merits for case managers
  2. Define current ethical challenges for case managers specific to social media
  3. Identify the key elements of an online professional profile and ethical parameters for case managers

Speed Learning Session 4A: Health Equity & Mobile Health Integration

Stephen B. Thomas, PhD
Professor and Director, Maryland Center for Health Equity · Health Services Administration
University of Maryland School of Public Health · College Park, MD

Jared Smith, MA, BS, NRP
Program Manager · Mobile Integrated Community Health
Queen Anne's County Department of Health and Department of Emergency Services · Parkville, MD

ABSTRACT:

Utilizing Barbershops and Salons to Conduct a Family Health History Intervention to Promote Colorectal Cancer Screening Among African Americans

Racial disparities in colorectal cancer (CRC) persist due to underutilization of screening, which is associated with higher mortality rates among African Americans. A growing body of literature provides evidence that non-traditional outreach settings such as barbershops/salons are effective community portals for the delivery of health interventions.  The session will examine a community-engaged family health history intervention (FHHI) to promote CRC screening and assess acceptance, feasibility and effectiveness in increasing CRC screening in these community settings. As the body of literature describing and evaluating cancer screening interventions in trusted community settings grows, researchers can better synthesize the results to develop models/best practices for successful implementation of health promotion interventions to improve the health of underserved/minority populations.

Mobile Integrated Community Health Program: A Team Approach to Population Health

Mobile Integrated Community Health uses an innovative approach that allows EMS public health nurses and social workers to work with an array of healthcare and social services partners to improve the health of the community. Queen Anne’s County has completed a pilot program that has worked well to combine efforts with the Department of Health and local hospitals. This presentation will illustrate how the program works and how it is benefiting stakeholders, partnerships, and the citizens of Queen Anne’s County.

LEARNING OBJECTIVES:

  1. Explain the purpose and function of a family health history intervention to promote colorectal cancer screening
  2. Discuss the opportunities and challenges of conducting community-engaged research in barbershops and salons
  3. Assess how risk perception plays a role in promoting colorectal cancer screening
  4. Understand how the Mobile Integrated Community Health program operates
  5. Learn how innovative approaches to population health could benefit the community
  6. Learn of the challenges that come with starting a Mobile Integrated Health (MIH) program

Speed Learning Session 4B: Reducing Length of Stays & Managing Complex Patients in Observation

Marsha Hickey, BSN, CCM
Clinical Manager · Care Management
Meritus Medical Center · Hagerstown, MD

Amit Wadhwa, MD
Medical Director · Care Management
Holy Cross Hospital · Silver Spring, MD

Jay Chintha, RN
Team Lead · Care Management
Holy Cross Hospital · Silver Spring, MD

ABSTRACT:

Reducing One Day Stay Admissions Through Standard Work in the Emergency Department

This presentation will review how a team identified one day stay opportunities utilizing standard work in the Emergency Department and implemented quality driven processes that provided services for the patient in an alternate LOC (avoiding hospital utilization) or observation status, reducing overall one day stays. The speaker will review data demonstrating outcomes and several areas of standard work currently active in the Emergency Department. A discussion on the the overall process to success will occur.  

Observation Services: Win-Win for Patients and Hospitals

Dr. Wadhwa is a nationally renowned expert on observation services and highly-respected for his winning formula: fast track observation care with exceptional diagnostic treatment and ultra-fast physician follow-up. Dr. Wadhwa and Jay Chintha developed the hospital's Green, Yellow-Red traffic light system to triage and manage observation services in a busy community hospital with an average daily observation census of 40–60 patients. This session will provide participants with key strategies to manage a wildly successful observation service line.

LEARNING OBJECTIVES:

  1. Utilize data to identify opportunities for one day stay reduction and monitor one day stay trends
  2. Target diagnoses for standard work
  3. Review the development and implementation of standard work in the Emergency Department for most common one day stay diagnoses.
  4. Understand key components of a successful observation services program
  5. Implement Traffic Light observation triage system to fast track patients to the correct treatment setting
  6. Discuss collaborative practice strategies with key community specialists to decrease observation length of stay

Closing Session: Mental CPR for Crazy Busy Lives

Ellen F. Hester, BS, MS
Motivational Speaker & Trainer
· Monroe, GA

ABSTRACT:
In a “crazy busy” environment and a rapidly changing culture, learn tips to effectively infuse humor to create positive attitudes. We can keep morale high so that we can serve each other with enthusiasm and our patients with excellence. Through humor therapy, Nurse Nancy will prescribe three remedies for gaining control, using power, and doing more with less resource to reduce the risk of negativity.

LEARNING OBJECTIVES:

  1. Become alert to the symptoms of negativity
  2. Learn to administer mental CPR
  3. Discover creative ways to stir enthusiasm and fuel encouragement

Maryland  Chapter Annual Conference Links
September 16, 2017

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