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Conference Schedule


10/4/2017
Time
Session Title
7:00 AM - 8:00 AMRegistration and Networking Breakfast with Sponsors and Exhibitors
8:00 AM - 8:15 AMWelcome Announcements
8:15 AM - 9:10 AMSession 1: Transition of Care and the Prevention of Readmissions
9:10 AM - 10:00 AMNetworking Break with Sponsors and Exhibitors
10:00 AM - 11:15 AMSession 2: Practical Tools to Navigate Ethical Dilemmas within the Health Care Setting
11:15 AM - 12:40 PMNetworking Lunch with Sponsors and Exhibitors and Door Prizes
12:40 PM - 1:55 PMSession 3A: UM and CMS Updates – A Focus on Performance Improvement
12:40 PM - 1:55 PMSession 3B: Mental Health in the Emergency Department
2:00 PM - 2:15 PMChapter Business Meeting
2:15 PM - 3:15 PMSession 4: Care Management and Population Health in the Ambulatory Clinic Setting
3:20 PM - 4:20 PMSession 5: CMS Bundled Payment Program – Implications and Strategies
4:20 PM - 4:25 PMClosing Remarks

Session 1: Transition of Care and the Prevention of Readmissions

Lisa Morales, LCSW
Transition Coordinator · Care Management
Liberty Hospital · Liberty, MO

Nancy Buehrer, RRT, TTS
Transition Coordinator · Care Management
Liberty Hospital · Liberty, MO

Judy Wagner, MSN, RN
Transition Coordinator · Care Management
Liberty Hospital · Liberty, MO

ABSTRACT:
CMS has implemented penalties to hospitals for specific diagnosis and readmissions. Liberty Hospital has a robust and effective transition of care team that provides self-care instructions, diagnosis education, and post discharge follow up that helps in the prevention of readmissions and improved patient outcomes. We will discuss the team processes and continued efforts to avoid readmissions.

LEARNING OBJECTIVES:

  1. Understand the role of the transition of care team
  2. Recognize patients at risk for readmission
  3. Identify ways to help reduce patient readmissions

Session 2: Practical Tools to Navigate Ethical Dilemmas within the Health Care Setting

Tarris D. Roswell, PhD, DMin
Professor of Pastoral Theology & Clinical Associate Professor
Center of Practical Bioethics · McLouth, KS

ABSTRACT:
This presentation will review the fundamentals of both moral theory and the clinical ethics consultation process and method. Attendees will evaluate a complex ethics consultation where they will further review the fundamentals of a complex ethics consultation. Finally, this session will reference moral distress and the concept of “tragic” of the case.

LEARNING OBJECTIVES:

  1. Define “ethics” in terms of morals and methods
  2. Utilize practical tools for moral discernment and ethics analysis
  3. Describe a clinical case of moral dilemma for which the medical and technical “can do” is clear but the “ought” is not

Session 3A: UM and CMS Updates – A Focus on Performance Improvement

Simon Ahtaridis, MD
National Clinical Advisor
Sound Physicians Advisory Services · Tacoma, WA

ABSTRACT:
Hospital inpatient reimbursement continues to be at risk whether third-party payers are actively auditing for recoupment. This financial risk is coupled with new risk-based models of care (ACOs, Bundles Payment Care Initiatives (BPCI), etc.) that create a shared responsibility for keeping patients healthy, not just treating them when they are sick. This session will focus on value-driven performance improvement in care coordination and bringing back-end information about denials and DRG validation to the front-end interventions by case management and physician advisors to drive key metric improvements.

LEARNING OBJECTIVES:

  1. Connect care coordination activity to key metric improvement in Denials, Case Mix Index (CMI), Length of Stay (LOS), Obs %, etc.
  2. Implement new solutions to reduce process waste and focus on pain points that drive greatest value
  3. Understand key CMS updates

Session 3B: Mental Health in the Emergency Department

Vincent Tafolla, BSW, MSW
Program Director · Generations
Newton Medical Center · Newton, KS

ABSTRACT:
Health care systems in the United States for patients with mental health diagnosis are fragmented and often the appropriate care setting is not available to the patients during an acute care exacerbation. Psychiatric patient boarding times are a significant concern for health care professionals and patients alike. Development of a concurrent screening and transitional plan for these populations can assist in patient throughout and appropriate follow up care planning.

LEARNING OBJECTIVES:

  1. Define the services offered and the regulatory requirements of a community mental health center
  2. Demonstrate referral sources for the mental health client and application for a transitional care plan
  3. Understand and distinguish appropriate mental health screening tools to guide in transitional care planning

Chapter Business Meeting

Session 4: Care Management and Population Health in the Ambulatory Clinic Setting

Sonja Dicken, RN, BSN
Ambulatory Director · Health Home
Truman Medical Centers · Kansas City, MO

ABSTRACT:
As health care turns more and more to the ambulatory setting to keep patients healthy, what can we do to provide better care and keep patients out of the hospital?  One of the ways is through care management of complex patients and population health.  Care managers provide care coordination, education, and oversight of care provided so that the patient has one person to turn to when they have questions.  Population health is utilized to identify and aim the care at entire populations such as patients with diabetes or patients overdue for preventative care.  This session will explore the benefits of population health and care management in the ambulatory clinic setting.      

LEARNING OBJECTIVES:

  1. Define and explore population health
  2. Identify the benefits of care management in the ambulatory clinic setting
  3. Describe the differences between in-patient case management and out-patient care

Session 5: CMS Bundled Payment Program – Implications and Strategies

Bobby Olm-Shipman
President & CEO


ABSTRACT:
This presentation will provide an overview of the CMS Comprehensive Care for Joint Replacement (CJR) Bundled Payment Program, including methodology for target pricing, reconciliation, and quality composite scores. The CJR team at Saint Luke’s Health System will describe the system’s approach to CJR as well as discuss key strategic initiatives and utilization of data to improve performance. Key strategic initiatives will include the development of a post-acute provider network and engagement of key stakeholders across the continuum of care.

LEARNING OBJECTIVES:

  1. Describe the CJR model framework and key components
  2. Analyze CJR strategic and operational considerations
  3. Identify crucial CJR stakeholders

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October 4, 2017

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