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Conference Schedule


10/30/2017
Time
Session Title
7:00 AM - 8:00 AMRegistration & Networking Breakfast with Sponsors & Exhibitors
8:00 AM - 8:20 AMWelcome Announcements & Chapter Business Meeting
8:20 AM - 9:20 AMSession 1: Bundled Payment Methodologies and Keys to Success
9:20 AM - 10:05 AMNetworking Break with Sponsors & Exhibitors
10:05 AM - 11:05 AMSession 2: The Top 10 Charting Errors and How to Avoid Them
11:05 AM - 12:20 PMNetworking Lunch with Sponsors & Exhibitors
12:20 PM - 12:30 PMDoor Prizes
12:30 PM - 1:30 PMSession 3: Partners at Home…Where Health Happens
1:35 PM - 2:35 PMSession 4: Latest CMS Updates: OIG Two Midnight Rule Report & Benchmarks; Short Stay Review Program Audits; Notice Act; MOON; & 2018 Outpatient Prospective Payment System (OPPS)
2:40 PM - 3:40 PMSession 5: One-Armed Juggling with So Many Balls in the Air!

Welcome Announcements & Chapter Business Meeting

Session 1: Bundled Payment Methodologies and Keys to Success

Titus Gambrell, DNP, MSN, RN-BC, ACM-RN, CMAC
Regional Director · Case Management and Clinical Education
St. Mary’s Health Care System · Athens, GA

ABSTRACT:
The bundled payment methodologies have significant history relative to case management professionals and continue to grow in popularity. Though seemingly complex in nature, effective strategies can be used to have successful outcomes, costs, and patient experience. Applying fundamental care coordination is crucial to healthcare's success with such payment programs.

LEARNING OBJECTIVES:

  1. Gain an understanding of the history of bundled payment programs, the current state, and projected future
  2. State key metrics to measure the status of a bundled payment program
  3. Identify essential case management strategies for implementation and ongoing success

Session 2: The Top 10 Charting Errors and How to Avoid Them

Caldwell G. Collins
Healthcare Litigation Attorney, Shareholder
Baker, Donelson, Bearman, Caldwell & Berkowitz, PC · Nashville, TN

ABSTRACT:

This session will explore the legal implications of poor medical charting. It will address the most common charting errors seen in medical malpractice lawsuits and will provide tips on how to both prevent charting errors and respond when they occur. It will also include a survey of recent verdicts resulting from charting errors.

 

LEARNING OBJECTIVES:

  1. Learn how to prevent most common errors in medical charting
  2. Recognize when errors have occurred and respond appropriately
  3. Appreciate the legal implications of improper charting

Session 3: Partners at Home…Where Health Happens

Marcia Colone, Ph.D.
Vice President · Transition Management Administration
Vanderbilt University Medical Center · Nashville, TN

June Simmons
President & CEO
Partners in Care Foundation · San Fernando, CA

ABSTRACT:
This session will present a collaborative care coordination model between acute, clinical, and home-based care agencies that brings greater stability to complex care patients and their caregivers. Leveraging non-clinical support services and factoring social determinants of health where patients live this system adjusted to improve outcomes. Addressing the evolving role of case managers as referral advocates, the Partners At Home Team outlines their method of patient identification, use of shared communication tools, and the leveraging of accredited community resources to structure and adjust care plans. The system steadily reduced readmit rates at three different California hospitals by an average of 30%, improved medication compliance, reduced ED use by 12.8%, and increased home safety by 77%.

LEARNING OBJECTIVES:

  1. Learn (7) objective criteria for identifying better supported by community-based care services
  2. Know how to identify community-based organizations with capacity to deliver services that meet quality standards, accreditation requirements, and targeted outcomes
  3. Identify the distinctive roles between hospital, primary care and community-based agencies and what to do to make the value-based relationships work

Session 4: 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 exists under the Two-Midnight (2MN) Rule. In the report, the OIG recommended to the Centers for Medicare & Medicaid Services’ (CMS) that it conducts periodic analysis of hospital billing and targets 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 study 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. An examination of 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 a discussion on any new regulatory provisions related to Inpatient and Observation included in 2018 Outpatient Prospective Payment System (OPPS) will be provided.

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 5: One-Armed Juggling with So Many Balls in the Air!

Joshua Williams, Ph.D.
Clinical Psychologist · Allied Health Professional
Williams Psychology Corporation, PC · Knoxville, TN

ABSTRACT:
A hospital-based psychologist’s appreciation for the complexity of Case Management in an era of managed care, compromised access, opioid addiction and highly challenging and challenged populations. A discussion about the task of networking, team building and assuring quality of care for patients. Oh, and the toll it takes on those trying to do all of the above!

LEARNING OBJECTIVES:

  1. Attendees will learn to operationalize team building strategies
  2. Understand opioid addiction from a psychosocial and bio physiological perspective
  3. Identify the role of psychologist in the management and care of patients

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October 30, 2017

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