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Conference Schedule


10/16/2017
Time
Session Title
12:00 PM - 1:00 PMRegistration for Pre-Conference Attendees
1:00 PM - 2:00 PMPediatrics Session 1A: Intro to Supporting Transgender and Gender Expansive Patients
1:00 PM - 2:00 PMCase Management Session 1B: Addressing Social Determinants of Health: AIMS Model in Outpatient Social Work
2:00 PM - 3:00 PMPediatrics Session 2A: Transition from Pediatric to Adult Care: Supporting the Patient and Family
2:00 PM - 3:00 PMCase Management Session 2B: It’s All About Access
2:00 PM - 3:00 PMRegistration for Main Conference Attendees
3:00 PM - 3:15 PMRefreshment Break
3:15 PM - 4:15 PMPediatrics Session 3A: Managing a Complex Care Program for Medically Complex and Fragile Children
3:15 PM - 5:15 PMCase Management Session 3B: Health Care: Where are we? Who are our patients? Who is paying the bills? How is my role changing? Who is paying for my health care?
4:15 PM - 5:15 PMPediatrics Session 4A: Discussing Transition Sickle Cell Patients
5:15 PM - 7:00 PMNetworking Reception with Exhibitors

10/17/2017
Time
Session Title
7:00 AM - 8:00 AMRegistration & Networking Breakfast with Sponsors & Exhibitors
8:00 AM - 8:25 AMWelcome Announcements & Chapter Business Meeting
8:25 AM - 9:25 AMKeynote Session 5: ACMA and Case Management - The Future of Case Management
9:25 AM - 10:30 AMNetworking Break with Sponsors & Exhibitors
10:30 AM - 11:30 AMSession 6: Comprehensive Care Coordination for Children and Youth with Special Health Care Needs
11:30 AM - 1:00 PMNetworking Lunch with Sponsors and Exhibitors
1:00 PM - 2:00 PMSession 7A: Northwestern Medicine's Heart Failure Bridge and Transition Team: Lessons Learned
1:00 PM - 2:00 PMSession 7B: Transitional Care & Chronic Care Management: A Journey to Reimbursement
2:00 PM - 3:00 PMSession 8A: The Unbefriended/Unrepresented Patient: Ethical Challenges in Clinical Decision Making
2:00 PM - 3:00 PMSession 8B: Pediatrics Transitions of Care from Hospital to Home
3:00 PM - 3:15 PMRefreshment Break
3:15 PM - 4:15 PMSession 9: Medicare Regulation Update and The Future of Health Care
4:15 PM - 4:20 PMClosing Remarks

Pediatrics Session 1A: Intro to Supporting Transgender and Gender Expansive Patients

Jennifer Leininger, M.Ed.
Program Manager · Gender & Sex Development Program
Ann & Robert H. Lurie Children’s Hospital of Chicago · Chicago, IL

ABSTRACT:

This session will provide an introduction to supporting transgender and gender expansive youth within a medical framework.  The presentation will provide key terms, an introduction to barriers that may prevent trans youth from accessing care, and an overview of Lurie Children’s gender affirming practices. This session will conclude with recommendations for other institutions and providers for how to create a gender inclusive environment.

LEARNING OBJECTIVES:

  1. 1. Discuss the importance of gender inclusion and gender diversity within a medical framework
  2. Verbalize and demonstrate best practices and tactics for creating an environment that is inclusive of transgender patients
  3. Analyze and provide information on the current state of gender support in education and medical fields

Case Management Session 1B: Addressing Social Determinants of Health: AIMS Model in Outpatient Social Work

Eve Escalante, MSW, LCSW
Clinical Social Worker · Health and Aging
Rush University Medical Center · Chicago, IL

ABSTRACT:
This session will discuss the use of the Ambulatory Integration of Medical and Social (AIMS) intervention in outpatient medical care. The session will begin with a discussion of social determinants of health. It will highlight core components of the AIMS intervention, including assessment, care planning and unique engagement techniques. Finally, this session will discuss future directions of AIMS intervention in outpatient social work as well as lessons learned along the way.

LEARNING OBJECTIVES:

  1. Discuss common social determinants of health in outpatient primary and specialty care
  2. Explain AIMS intervention, including steps for assessment, care planning, delivery and unique engagement techniques
  3. Describe lessons learned and future directions

Pediatrics Session 2A: Transition from Pediatric to Adult Care: Supporting the Patient and Family

Parag Shah, MD, MPH
Medical Director · Pediatrics Chronic Illness Transition Program
Ann & Robert H. Lurie Children’s Hospital of Chicago · Chicago, IL

Rebecca Boudos, LCSW
Social Worker · Spina Bifida Center
Ann & Robert H. Lurie Children’s Hospital of Chicago · Chicago, IL

Case Management Session 2B: It’s All About Access

Pete Miska
President · Home Health
Phoenix Home Care,LLC · Burr Ridge, IL

ABSTRACT:
This interactive presentation will explain the 2017 changes to the Medicare Home Health Benefit. This session will also review how to qualify for the benefit, how it is currently reimbursed, pre-claim review, how the care is delivered, how it keeps patients out of the hospital, how Value Based/ Bundled Payments work, how results are measured, and what is in store for the future.

LEARNING OBJECTIVES:

  1. Identify how to qualify for the Home Health Benefit
  2. Review the pre-claim review process
  3. Explain Value Based Purchasing and Bundle Payments for Home Health

Pediatrics Session 3A: Managing a Complex Care Program for Medically Complex and Fragile Children

Tera Bartelt, MS, RN
Ambulatory Manager/CNS · Complex Care
Children’s Hospital of Wisconsin · Milwaukee, WI

ABSTRACT:
This presentation will describe the 15-year history of the Complex Care Program and its evolution. Overview of team roles, including the new role of the care coordination assistant will be identified. The session will also review quality metrics being used to determine impact of program, including cost data, time studies, patient and employee satisfaction.

LEARNING OBJECTIVES:

  1. Discuss program participation and services provided
  2. Identify the role of different team members providing care
  3. Illustrate quality measures used to determine effectiveness of program

Case Management Session 3B: Health Care: Where are we? Who are our patients? Who is paying the bills? How is my role changing? Who is paying for my health care?

Barbara McCann, BSW, MA
Chief Industry Officer
Interim HealthCare · Alexandria, VA

ABSTRACT:
As the year has passed, executive orders issued, legislation offered and budgets presented - the future role of health care providers has remained unknown. Join us for a down to earth assessment of where we are as providers, where our patients are in regard to health care access and payment, and what both mean in defining our future role.

LEARNING OBJECTIVES:

  1. Describe major changes in the Medicare policy that directly impacts the care role
  2. Summarize major changes in Medicaid funding policy that impact patient care
  3. Identify factors that impacts the case manager’s role as the policy is implemented

Pediatrics Session 4A: Discussing Transition Sickle Cell Patients

Shonda E. King, MSW, LSW
Medical Social Consultant · Health Social Work
University of Illinois Hospital · Chicago, IL

ABSTRACT:
This session will inform attendees on transitioning youth to adult centered care. Youth with chronic and genetic disorders are often cared for more by specialist than by primary care and general pediatricians. As these patients age, it is important to not only identify an adult specialist to transition them to, but to also provide comprehensive transitioning which includes their medical, resource, education, psychosocial, and vocational transition.

LEARNING OBJECTIVES:

  1. Analyze areas important to transition
  2. Distinguish steps involved in each transition area
  3. Identify the psychosocial complexities involved in transitioning youth with limited decision making capacities

Welcome Announcements & Chapter Business Meeting

Keynote Session 5: ACMA and Case Management - The Future of Case Management

Greg Cunningham, MHA
CEO
American Case Management Association · Little Rock, AR

ABSTRACT:
The last ten years have been a time of growth and increasing importance for the role of nurses and social workers in health care. The case manager's role will continue to evolve dramatically and ACMA has become an important and active association both locally and nationally. Establishing ACMA and case management as a crucial partner in health care innovation is both of strategic and outcome orientation. Using the last ten years of ACMA's national research data and the evident trends (staffing, structure, function and national policy), the CEO of our national association will share his vision concerning the changing health care/case management environment and the importance of ACMA's strategies to both advocate for and support its members.

LEARNING OBJECTIVES:

  1. Understand the history of the case management practice and ACMA
  2. Describe national research based trends regarding historical and future case management practice
  3. Correlate and compare individual and organizational preparation for future practice issues

Session 6: Comprehensive Care Coordination for Children and Youth with Special Health Care Needs

Cynthia Booth, MS, APN, PCNS-BC
Home Care Program Liaison · Home Care Compliance and Audit
University of Illinois Specialized Care for Children · Chicago, IL

August Nall, MSW
Regional Manager · Chicago Core Office
University of Illinois Specialized Care for Children · Chicago, IL

ABSTRACT:
University of Illinois Specialized Care for Children provides care coordination to children with eligible medical conditions and facilitates approval of home care services for medically fragile, technology dependent children. This session will share case examples of families that have been assisted. Attendees will learn about who the University of Illinois Specialized Care for Children serves, how we coordinate care, outcome monitoring, and how we are changing to meet the evolving landscape of health care.

LEARNING OBJECTIVES:

  1. Identify children who may be eligible for UIC-SCC services
  2. List three care coordination activities for CYSHCN
  3. Develop strategies to address changing health care requirements

Session 7A: Northwestern Medicine's Heart Failure Bridge and Transition Team: Lessons Learned

Michelle Fine, PharmD, BCPS
Clinical Pharmacist · Bluhm Cardiovascular Institute, Heart Failure
Northwestern Medical Group · Chicago, IL

Courtney Montgomery, RN, MSN, CHFN
Heart Failure Educator, · Bluhm Cardiovascular Institute, Heart Failure
Northwestern Medical Group · Chicago, IL

Nicki Pincus, RN, MSN, APN/CNP
Advanced Practice Nurse · Bluhm Cardiovascular Institute, Heart Failure
Northwestern Medical Group · Chicago, IL

Amanda Vlcek, MSW, LCSW
Licensed Clinical Social Worker · Bluhm Cardiovascular Institute, Heart Failure
Northwestern Medical Group · Chicago, IL

ABSTRACT:
As a part of the Bundle Payment for Care Improvement Initiative (BPCI), Northwestern Medicine created a multidisciplinary team to collaboratively manage the challenging heart failure patient population. The team consists of a cardiologist, two advanced practice nurses, a clinical pharmacist, a social worker, a nurse educator, and a registered dietitian that all work to better transition the heart failure patient across the continuum of care from inpatient to outpatient settings. The Heart Failure Bridge and Transition Team have successfully increased cardiology involvement in the care of these patients while decreasing 30-day readmissions to the hospital using their unique multidisciplinary approach.

LEARNING OBJECTIVES:

  1. Name two benefits of a multidisciplinary team in the health care setting
  2. Detail two outcome measures used to assess effectiveness of a team
  3. Describe one population that could benefit from a multidisciplinary team approach

Session 7B: Transitional Care & Chronic Care Management: A Journey to Reimbursement

Joann Kress, RN, BSN, MHA
Director · Case Management & Palliative Care
SwedishAmerican Hospital · Rockford, IL

ABSTRACT:
Transitioning patients from hospital to home has the potential for a variety of failure points. This session will present what can be done to improve transitions and prevent readmissions. Attendees will learn about one hospital systems’ journey to improve transitions and capture the reimbursement available for this valuable work.

LEARNING OBJECTIVES:

  1. Understand what is involved in performing transitional care management follow up and the elements necessary for capturing TCM charges
  2. Demonstrate how to implement a chronic care management program to target the chronically ill and capture revenue
  3. Discuss potential barriers and strategies for a successful program

Session 8A: The Unbefriended/Unrepresented Patient: Ethical Challenges in Clinical Decision Making

Lisa Anderson-Shaw, DrPH, MA, MSN, ANP-BC
Director · Clinical Ethics Consult Service, Hospital Administration
University of Illinois at Chicago · Chicago, IL

Eric Swirsky, JD, MA
Director · Graduate Studies
University of Illinois at Chicago · Chicago, IL

ABSTRACT:
For decades, providers have struggled with policies regarding surrogate decision-making and their attendant clinical and ethical ramifications. Yet all along there has been another issue lingering just beneath the surface that requires more attention in a society with an aging population: What is the provider to do when the patient is unbefriended or unrepresented – the patient with neither decision-making capacity, nor advance directive, nor surrogate? This session will address clinical, ethical and medicolegal challenges that arise in the care of unrepresented patients.

LEARNING OBJECTIVES:

  1. Discuss the institutional and clinical responsibilities of providers in caring for unrepresented patients
  2. Analyze benefits and burdens of currently available policies and remedies
  3. Present guidance for ethical decision-making

Session 8B: Pediatrics Transitions of Care from Hospital to Home

Kathleen M Flynn, RN, BSN
Location Director · Home Care Nursing
PSA Healthcare · Tinley Park, IL

Amy Johnston, LCSW
Clinical Coordinator & PICU Social Worker
Ann & Robert H. Lurie Children’s Hospital of Chicago · Chicago, IL

Susan E Navarro, RN, AMC-RN
PICU Case Manager · Case Management
Ann & Robert H Lurie Children’s Hospital of Chicago · Chicago, IL

Julie M. Novak, RN, BSN
Case Manager · Neonatal Intensive Care Unit
Ann & Robert H. Lurie Children’s Hospital of Chicago · Chicago, IL

ABSTRACT:
This session will detail transitioning of medically complex technology dependent children from birth to home using a multidisciplinary approach. The presenter will provide examples utilizing early identification, patient-family focused pathways and assemble necessary comprehensive resources for successful discharge home.

LEARNING OBJECTIVES:

  1. Identify at least three disciplines included in a multidisciplinary complex care team
  2. Describe interventions and processes adopted when conducting discharge planning for medically complex children
  3. Discuss common challenges and successful strategies when providing in home private duty nursing for medically complex children

Session 9: Medicare Regulation Update and The Future of Health Care

Ronald L. Hirsch, MD, FACP, CHCQM
Vice President · Regulations and Education
R1-Physician Advisory Services · Chicago, IL

ABSTRACT:
2017 has been a rollercoaster ride of regulations with the resumption of audits of short stay inpatient admissions, the introduction of the MOON and new information on who should be admitted as inpatient. In this session, Dr. Hirsch will update the audience on the latest regulatory issues facing hospitals and case managers, provide practical solutions and provide guidance of the 2018 rules.

LEARNING OBJECTIVES:

  1. Provide updates on regulatory changes in 2017-2018 which case management professionals must understand and implement
  2. Review the latest guidance on inpatient vs. observation
  3. Anticipate future regulatory direction and provide skills for keeping ahead

Illinois  Chapter Annual Conference Links
October 16-17, 2017

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