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Conference Schedule


9/26/2017
Time
Session Title
7:30 AM - 8:30 AMRegistration
8:30 AM - 8:50 AMWelcome & Chapter Business Meeting (everyone is invited!)
8:50 AM - 9:50 AMKeynote: Instant Stress-Busters for Case Managers
9:50 AM - 10:30 AMNetworking Break
10:30 AM - 11:30 AMSession 2: CMS Updates: What it Means to Your Hospital
11:30 AM - 11:35 AMBreak
11:35 AM - 12:35 PMSession 3: School Nursing: Understanding the Daily Case Management of Students in Public Schools
12:35 PM - 2:00 PMNetworking Lunch
2:00 PM - 3:15 PMSession 4: Panel: Case Management in the Mountain State
3:15 PM - 3:25 PMBreak
3:25 PM - 4:25 PMSession 5: Case Management and Nursing Practice: “Are We There Yet?”
4:25 PM - 4:30 PMClosing Remarks & Prize Drawings

Keynote: Instant Stress-Busters for Case Managers

Aila Accad, MSN, RN
Speaker, Author, Well-Being Coach
LifeQuest International, LLC · Charleston, WV

ABSTRACT:

Based on the bestselling book, “34 Instant Stress-Busters, Quick tips to de-stress fast with no extra time or money,” this presentation gives you the knowledge, tools, and skills to release stress and get back control of your life instantly. In this energizing session, you will discover the one cause of all stress and the only principle you need to release stress instantly. You’ll also practice quick techniques that put you back in the driver’s seat of your personal and professional life.  At the end of this session you will have more energy, feel great, and be able to help yourself and others de-stress instantly.

LEARNING OBJECTIVES:

  1. Learn the major cause of all distress
  2. Identify the one principle for releasing stress instantly
  3. Practice at least three instant stress relief techniques

Session 2: CMS Updates: What it Means to Your Hospital

John Zelem, MD, FACS
Vice President- Compliance and Physician Education
Optum Executive Health Services · Bethany, CT

ABSTRACT:

The Centers for Medicare & Medicaid Services’ (CMS) release of the 2016 Hospital Outpatient Prospective Payment System (OPPS) final rule of January 1, 2016 solidified updates to the “Two-Midnight” rule regarding inpatient admissions, leaving hospitals to evaluate their current compliance programs. With a renewed emphasis on physician judgment and medical necessity – not hospital level of care – providers must demonstrate a legitimate, defensible, and consistent Utilization Review process to determine and support an appropriate admission status.

 The best way to defend against inappropriate denials is to ensure a compliant process for review and certification of admission status on every patient that enters the hospital. Providers across the country may be struggling with this shift, given the time-based recommendations implemented in 2014. Further complicating the issue is the challenge for hospitals to anticipate projected enforcement under the QIOs with their extensive referral possibilities.

This session will provide guidance on the implications of 2016 OPPS final rule and the potential impact it could have on your medical necessity admission review program.

LEARNING OBJECTIVES:

  1. Review evolving roles and responsibilities of the QIO, Ras, and MACs; Potential QIO enforcement ramifications and the extensive referral opportunities that could impact hospitals
  2. Discuss updates to the Two-Midnight Rule, and how to determine if your current program will align with a renewed emphasis on physician judgment and medical necessity for inpatient hospital admissions
  3. Learn about modifications to CMS’ “rare and unusual” expectations policy for inpatient admissions that do not satisfy the Two-Midnight Rule benchmark

Session 3: School Nursing: Understanding the Daily Case Management of Students in Public Schools

ABSTRACT:

Approximately 25% (68, 293 students) have a medical order for daily case management by one of the 309 certified school nurse RNs.  The students in public schools have a broad range of health care needs from mechanical ventilator, gastric tube feedings, tracheostomy suctioning, urinary catheterization, Type 1 diabetes, seizure management, oxygenation, internal defibrillators, anaphylactic reaction, and many other medical conditions.  School nurses manage all students with or without daily health care needs but value the community and medical supports from the students managed care to ensure quality care is provided to properly case manage.

LEARNING OBJECTIVES:

  1. Understand the complex work of school nurses
  2. Discuss the case management needs of students with chronic health conditions in West Virginia public schools
  3. Learn how to support students, parents, and public schools

Session 4: Panel: Case Management in the Mountain State

Angel Smothers, DNP, APRN-BC, CHPN
Senior Lecturer Clinical Track
West Virginia School of Nursing · Morgantown, WV

Heather Jeffers, BSW, ACM
Director of Social Services
Madison Center · Morgantown, WV

Richard Ernest, MSW
Special Programs Manager
Bureau for Medical Services · Charleston, WV

Joseph Deegan, MAC, LICSW, AADC-S
Managed Care Liaison for Behavioral
Thomas Memorial Hospital · South Charleston, West Virginia

Cathy Rasnake, LPC, AADC, MAC
PSIMED Inc.
Licensed Professional Counselor · Charleston, WV

ABSTRACT:

This session will discuss various programs and solutions available to case managers to better serve patients in West Virginia. The panel will include experts in community nursing, pharmacy, diabetic education, long-term care, Department of Health & Human Resources, and behavioral health 

LEARNING OBJECTIVES:

  1. Learn knowledge that is beneficial to the case manager and patient
  2. Review answers to common concerns
  3. Learn from and interact with community leaders

Session 5: Case Management and Nursing Practice: “Are We There Yet?”

Theresa Cowan, DHE’d ACNS-BC, RN
Program Director, Assistant Professor Teaching
West Virginia University School of Nursing · Charleston, WV

ABSTRACT:

The practice of case management is designed to formulate a plan that enables the patient to move smoothly through the healthcare system. To achieve this, case managers work closely with many stakeholders: patients, their family members, their caregivers, the healthcare team, payers, and communities. This presentation will address case management awareness components of the community course of an RN-BSN program.  It will also provide a “lived experience” of the care giver navigating the health care system. 

LEARNING OBJECTIVES:

  1. Recognize that coordination of care is an integral part of nursing practice for registered nurses across settings and roles
  2. Identify strategies for integrating care coordination into nursing practice
  3. Address common barriers to care coordination

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September 26, 2017

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