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Conference Schedule


3/6/2018
Time
Session Title
7:00 AM - 8:00 AMRegistration and Networking Breakfast
8:00 AM - 8:15 AMWelcome Announcements
8:15 AM - 9:15 AMSession 1: Observation vs. Inpatient: Getting it Right
9:15 AM - 10:30 AMNetworking Break
10:30 AM - 11:30 AMSession 2: Stroke Rehabilitation: The Stepping Stones to Recovery
11:30 AM - 12:30 PMSession 3: Social Determinants of Health: Considerations for Case Management
12:30 PM - 1:45 PMNetworking Lunch
1:45 PM - 2:00 PMDrawings and Give-a-ways
2:00 PM - 3:00 PMSession 4: Gifts and Freebies- When Are They OK to Give & Receive?
3:00 PM - 3:15 PMBreak
3:15 PM - 4:15 PMSession 5: Discharge With Dignity- For My Mom and Yours
4:15 PM - 4:30 PMClosing Remarks

Welcome Announcements

Session 1: Observation vs. Inpatient: Getting it Right

John Zelem, MD, FACS
Vice President · Compliance and Physician Education
Optum Executive Health Resources · Newtown Square, PA

ABSTRACT:
Denials of complex clinical cases are rising. Because of this growing trend, case managers need to understand the process by which these cases should be reviewed to ascertain whether patients could qualify for an inpatient level of care. This presentation will help case managers better understand the ins and outs of observation vs. inpatient status.

LEARNING OBJECTIVES:

  1. Describe the financial and regulatory consequences of the level of care decision
  2. Discuss the process CMS dictates for determining level of care
  3. Explain the role documentation plays in determining level of care

Networking Break

Session 2: Stroke Rehabilitation: The Stepping Stones to Recovery

Stacey Hoffmann, MD
Medical Director
Kingston HealthCare Company · Perrysburg, OH

ABSTRACT:
This session will provide a review of various types of post-acute rehabilitation and anticipated recovery challenges after stroke.

LEARNING OBJECTIVES:

  1. List types of stroke and their clinical presentation
  2. Describe medical complications of stroke
  3. Describe levels of rehabilitation, prognosis, and styles of therapy

Session 3: Social Determinants of Health: Considerations for Case Management

Lisa Raiz, Ph.D.
Associate Professor · College of Social Work
The Ohio State University · Columbus, OH

ABSTRACT:

The association between Social Determinants of Health (SDH) and health and illness is well documented.  SDH also affect access to health care and health care utilization.  There has been increasing recognition that assessment of SDH is an important component of health care at the level of the individual.  Additionally, SDH have impacts at the geographic (neighborhood) level that must be identified.  This presentation will describe SDH, their impact on health, access to health care and health care utilization across the life course.  It will also discuss strategies to incorporate SDH assessment and intervention into case management practice.  

LEARNING OBJECTIVES:

  1. Define and describe Social Determinants of Health (SDH)
  2. Identify Social Determinants of Health associated with access to health care and health care utilization
  3. Describe strategies to incorporate relevant Social Determinants of Health throughout the course of care to clients

Session 4: Gifts and Freebies- When Are They OK to Give & Receive?

Shannon DeBra, JD
Counsel
Bricker & Eckler LLP · Cincinnati, OH

ABSTRACT:
This session will discuss of what kinds of gifts and freebies can be given to and received from referral sources and still be in compliance with federal and state laws.

LEARNING OBJECTIVES:

  1. Identify federal and state laws that are implicated by gifts and freebies to/from referral sources
  2. Provide examples demonstrating relevant federal and state laws that apply to freebies and gifts given to and received from referral sources
  3. Describe practical tips for staying compliant with the law regarding gifts and freebies

Session 5: Discharge With Dignity- For My Mom and Yours

Josh Luke, Ph.D., FACHE
Award Winning Healthcare Futurist
Health-Wealth.com · Yorba Linda, CA

ABSTRACT:
As a veteran hospital CEO and health system Vice President, Dr. Luke showcases case studies from around the country of hospital and health systems who are not only confirming to a value based model, but have developed alternative discharge options from the emergency department and home in the new model.

LEARNING OBJECTIVES:

  1. Utilize new services lines in post acute, and the transitional care space, as well as partner with non-traditional post acute providers
  2. Maintain and grow existing ACO and health plan membership as a result of new ambulatory-based service lines in post acute and the transitional care that manage the patient in the home
  3. Identify the characteristics of a financially viable value based model that improves care, patient satisfaction and profitability

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March 6, 2018

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