8:00 AM-9:00 AM PLENARY: Architecting an Aligned AMC: Wake Forest University Baptist Medical Center s Blueprint for Integration

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1 THURSDAY, JUNE Users Group Meeting Agenda From Data to Information to Action: Architecting a Bright Future June 9-10, 2011 (Hands-On Training June 8, 2011) JW Marriott Chicago, Chicago, IL 7:00 AM-8:00 AM Networking Continental Breakfast 8:00 AM-9:00 AM PLENARY: Architecting an Aligned AMC: Wake Forest University Baptist Medical Center s Blueprint for Integration 9:00 AM-9:15 AM Networking Break Robin Meter Executive Director, Wake Forest Physicians and Vice President, Regional Business Development, Wake Forest Baptist Health As health care reform and market consolidation trends evolve, hospital-physician alignment is top of mind for academic medical centers (AMCs). This session will chronicle Wake Forest Baptist Medical Center s journey from a historically misaligned institution to one that aligned its missions and faculty over a brief period. You will learn about the strategic imperatives that drove the decision to integrate, foundational areas of engagement for Wake s fiduciary boards and management team, the role of measurement in managing enterprise performance, lessons learned, and next steps in the integration journey. 9:15 AM-10:30 AM Networking Roundtable Discussions In these informal sessions, attendees will be able to share experiences and learn from others on the following topics: FPSC Billing Office Survey Practice management reporting in the Epic system environment Quality reporting Preparing for and managing RAC audits Maintaining your FPSC data Using dashboards to inform practice management Defining a 1.0 Clinical FTE 10:30 AM-10:45 AM Networking Break Page 1

2 10:45 AM-12:00 PM FOCUS SESSIONS Focus Sessions are offered on specific topics related to practice operations, revenue cycle, and quality and each day s sessions will be offered twice. Designing a Physician Compensation Plan to Meet Today s Challenges Gauri S. Brown, MPH, Department Administrator, Department of Emergency Medicine, and Project Manager, Medical Affairs, Rush University Medical Center Braden Mantei, MHSA, Project Manager, Medical Affairs, Rush University Medical Center Matthew Scott, MHA, Director of Operations, Medical College of Virginia Physicians Aligning the structure of physician compensation plans with an AMC s mission, vision, and values has never been more critical than it is today. Traditional models of compensation that served AMC interests in past years were designed for a climate that no longer exists. In addition to recognizing clinical productivity, today s compensation arrangements need to reward clinical and service quality, promote collegiality and organizational excellence, and offer faculty incentives to maintain margins across all missions. In this session, you will learn about 2 FPSC members recently implemented physician compensation models, including the design process, performance measures and targets, and organizational impact. Enhance Your Front and Back Ends With the FPSC Revenue Cycle Suite Reports Thomas Chacko, Chief Revenue Cycle Officer, ColumbiaDoctors, The Physicians & Surgeons of Columbia University Jeff Good, MBA, Director, Budget and Planning, Northwestern Medical Faculty Foundation One constant in a sea of ongoing change is the need to get paid. Unfortunately, many opportunities to drive improved revenue cycle performance are not easily identifiable. Comparative data at the payer and specialty levels, as well as data-mining tools, are key to identifying opportunities and measuring ongoing performance. In this session, you will discover how 2 FPSC members use the FPSC Page 2

3 Revenue Cycle Suite to increase collections, reduce denials, and improve accounts receivable. Building a Tool Kit to Inform Operations Management Suzanne M. Turner, MBA, Project Specialist, Massachusetts General Hospital/Massachusetts General Physicians Organization Practice Improvement Are you looking for a better way to share operational data with your practices or measure performance? In this session, you will learn about Massachusetts General Physicians Organization s experience in developing the Operations Management Tool Kit, which provides practice leaders with immediately actionable information. Scheduling, financial, and patient satisfaction data are presented in an easy-to-use, interactive Web-based format. The session will also highlight how the tool kit supports practice operations and improves new patient access. Building the Ideal Patient Experience Lynn E. Webb, PhD Assistant Vice Chancellor for Health Affairs, Vanderbilt University Medical Center Brent Bizwell, MBA, Director of Operations, The Emory Clinic, Inc. Penny Castellano, MD, Chief Medical Officer and Chief Quality Officer, The Emory Clinic, Inc. Patient satisfaction scores are closely linked both to the communication between physician and patient in the exam room and to the patient s ability to secure timely access to his or her providers of choice. In this session, you will discover how 2 FPSC members have taken unique approaches to building the ideal patient experience. In 2009, Vanderbilt University Medical Center established a coaching team that, upon request, observes physicians in the exam rooms and offers observations and suggestions about their interactions with patients. At The Emory Clinic, Inc., the Patient Access Support Services program was created to establish clinic-wide access standards that focus on patients instead of providers. Using the FPSC to Drive Decisions and Improve Performance Stephen Sigworth, MD, Chief Medical Officer and Vice President, Baylor College of Medicine Karla Heath, Senior Clinical Director, Baylor College of Medicine Page 3

4 Jerry Miron, Chief Operations Officer, University of Arizona Health Network Leslie Elam, Senior Financial Specialist, Human Resources, University of Arizona Health Network Is your group new to using the FPSC, or are you looking for ideas on how to get traction with the FPSC tools and resources? Effectively engaging clinical departments and other operating units and empowering them to use the data are key to optimizing the value of FPSC participation. This session will provide an overview and specific examples of how Baylor College of Medicine in Texas and University Physicians Healthcare in Arizona use the FPSC to drive decision making and improve clinical and revenue cycle performance. 12:00 PM-1:30 PM Networking Lunch and Awards Presentation 1:30 PM-2:45 PM Inside the Beltway Update and FPSC Town Hall Meeting Led by staff from the University HealthSystem Consortium and the Association of American Medical Colleges In this 2-part open forum, learn how current and future changes in Washington, DC, will affect faculty practice organizations from a panel of UHC and AAMC team members. Attendees will also be able to ask questions, share experiences, and provide suggestions for the FPSC. 2:45 PM-3:15 PM Networking Break 3:15 PM-4:30 PM FOCUS SESSIONS REPEATED Designing a Physician Compensation Plan Design to Meet Today s Challenges Gauri S. Brown, MPH, Department Administrator, Department of Emergency Medicine, and Project Manager, Medical Affairs, Rush University Medical Center Braden Mantei, MHSA, Project Manager, Medical Affairs, Rush University Medical Center Matthew Scott, MHA, Director of Operations, Medical College of Virginia Physicians Page 4

5 5:00 PM-7:00 PM Networking Reception Enhance Your Front and Back Ends With the FPSC Revenue Cycle Suite Reports Thomas Chacko, Chief Revenue Cycle Officer, ColumbiaDoctors, The Physicians & Surgeons of Columbia University Jeff Good, MBA, Director, Budget and Planning, Northwestern Medical Faculty Foundation Building a Tool Kit to Inform Operations Management Suzanne M. Turner, MBA, Project Specialist, Massachusetts General Physicians Organization Building the Ideal Patient Experience Lynn E. Webb, PhD, Assistant Vice Chancellor for Health Affairs, Vanderbilt University Medical Center Brent Bizwell, MBA, Director of Operations, The Emory Clinic, Inc. Penny Castellano, MD, Chief Medical Officer and Chief Quality Officer, The Emory Clinic, Inc. Using the FPSC to Drive Decisions and Improve Performance Stephen Sigworth, MD, Chief Medical Officer and Vice President, Baylor College of Medicine Karla Heath, Senior Clinical Director, Baylor College of Medicine Jerry Miron, Chief Operations Officer, University of Arizona Health Network Leslie Elam, Senior Financial Specialist, Human Resources, University of Arizona Health Network FRIDAY, JUNE 10 7:00 AM-8:00 AM Networking Breakfast 8:00 AM-9:00 AM PLENARY SESSION: Integrating Hospital and Faculty Financial Incentives to Achieve Alignment Christina A. Finlayson, MD, Associate Medical Director, University Physicians, Inc. (University of Colorado), and Associate Dean, Clinical Affairs, University of Colorado School of Medicine Page 5

6 9:00 AM-9:15 AM Networking Break University Physicians, Inc. (University of Colorado) faced the perennial challenges of maintaining market-competitive salaries for primary care physicians, improving patient access, and increasing provider time in clinics. As a result, University of Colorado Hospital, University of Colorado School of Medicine, and University Physicians, Inc., jointly funded a new primary care support agreement beginning in fiscal year At this session, you will discover how those 3 parties coordinated their interests and designed an agreement around a core set of clinical service metrics, and you will hear about outcomes achieved in the first 2 years of implementation. 9:15 AM-10:30 AM FOCUS SESSIONS The Impact of Standardizing Clinical Effort Cynthia Lipscomb, Associate Director of Budget, Financial Planning, Performance Based Incentive Compensation, University Physicians, Inc. (University of Maryland) Jacqueline Farrell, MBA, Supervisor, Financial Analysis and Planning, University Physicians Inc., Faculty Practices of the University of Maryland Medical School Ann Peterson, Vice President of Faculty Clinical Financial Operations, Loyola University Health System Lori Straube, Director of Physician Compensation and Financial Operations, Loyola University Health System Have you found it nearly impossible to develop a standard definition of clinical effort across your division, let alone across your organization? In this session, you will learn how 2 FPSC members have implemented a standardized approach for defining clinical effort across the entire faculty practice plan. In addition, you will discover how this approach has enabled them to more accurately benchmark productivity and improve performance. Hospital-Physician Organization Revenue Cycle: To Integrate or Not? Keith Gran, Chief Executive Officer, University Physicians (University of Mississippi Health Care) Page 6

7 Katrina Reynolds, Chief Revenue Cycle Officer, University of Mississippi Health Care Randy Sites, MBA, Chief Revenue Cycle Officer, University of Mississippi Health Care Soon after consolidating the billing processes for all of its clinical departments, University of Mississippi Health Care forged ahead to combine the front and back ends of revenue cycle operations for the hospital and practice plan. This integration included a single prearrival unit, combined accounts receivable follow-up teams, and 1 call center to address billing issues. In this session, you will learn about the organization s journey and the FPSC data and process improvement tools that are used to manage performance and measure success. Optimizing Clinic Capacity and Physician Productivity Gauri S. Brown, MPH, Department Administrator, Department of Emergency Medicine, and Project Manager, Medical Affairs, Rush University Medical Center Brian T. Smith, MHA, Vice President, Medical Affairs, Clinical Practice, Rush University Medical Center and Executive Director, Rush University Medical Group As faculty practice plans strive to grow in an environment that demands greater operational efficiencies, groups are identifying opportunities to measure clinical capacity against faculty productivity to enhance performance. In this session, you will learn about an exam room utilization model that Rush University Medical Group developed at the individual provider level to help practice administrators manage capacity and access. The model identifies practices with the greatest growth opportunity by comparing individual provider exam room utilization data with productivity data measured with work relative value units from the FPSC. Managing Your Subspecialty Care Franchise: Bridging the Gap Between Patient Access and Practice Economics Marji Karlin, Vice President, Finance, Physician Revenue Cycle Services, Montefiore Medical Center Elizabeth J. Fingado, BSMT, MBA, Associate Vice President, Quality and Clinical Process Improvement, UNM Medical Group Page 7

8 10:30 AM-10:45 AM Networking Break Excellence in complex care is vital to ensuring the financial viability of AMCs and faculty practice organizations. Timely access to care for new patients is key to the whole equation but is often missing. In this session, you will discover how 2 FPSC members are tackling this important challenge. You will learn about their approaches to improving access to specialty care, ways in which they use FPSC data to measure access and productivity, and results they have achieved to date. Using FPSC Data to Inform Quality Reporting Programs: Workshop and Discussion Shaifali Ray, MHA, Senior Manager, Member Engagement, UHC- AAMC Faculty Practice Solutions Center Mary Patton Wheatley, MS, Senior Specialist, Association of American Medical Colleges Quality continues to be at the forefront of health care reform, and faculty practice organizations need data that help them understand and measure performance on quality reporting. In this session, you will learn how members use FPSC data to understand performance related to the Physician Quality Reporting System (including Group Reporting), e-prescribing, the primary care incentive program, and meaningful use of electronic medical records. 10:45 AM-12:00 PM FOCUS SESSIONS REPEATED The Impact of Standardizing Clinical Effort Cynthia Lipscomb, Associate Director of Budget, Financial Planning, PBIC, University Physicians, Inc. (University of Maryland) Jacqueline Farrell, MBA, Supervisor, Financial Analysis and Planning, University Physicians Inc., Faculty Practices of the University of Maryland Medical School Ann Peterson, Vice President of Faculty Clinical Financial Operations, Loyola University Health System Lori Straube, Director of Physician Compensation and Financial Operations, Loyola University Health System Page 8

9 12:00 PM Meeting Adjourns Hospital-Physician Organization Revenue Cycle: To Integrate or Not? Keith Gran, Chief Executive Officer, University Physicians (University of Mississippi HealthCare) Katrina Reynolds, Chief Revenue Cycle Officer, University of Mississippi Health Care Randy Sites, MBA, Chief Revenue Cycle Officer, University of Mississippi Health Care Optimizing Clinic Capacity and Physician Productivity Gauri S. Brown, MPH, Department Administrator, Department of Emergency Medicine, and Project Manager, Medical Affairs, Rush University Medical Center Brian T. Smith, MHA, Vice President, Medical Affairs, Clinical Practice, Rush University Medical Center and Executive Director, Rush University Medical Group Managing Your Subspecialty Care Franchise: Bridging the Gap Between Patient Access and Practice Economics Marji Karlin, Vice President, Finance, Physician Revenue Cycle Services, Montefiore Medical Center Elizabeth J. Fingado, BSMT, MBA, Associate Vice President, Quality and Clinical Process Improvement, UNM Medical Group Using FPSC Data to Inform Quality Reporting Programs: Workshop and Discussion Shaifali Ray, MHA, Senior Manager, Member Engagement, UHC- AAMC Faculty Practice Solutions Center Mary Patton Wheatley, MS, Senior Specialist, Association of American Medical Colleges Page 9

10 WEDNESDAY, JUNE 8 Hands-On Training Hands-on training sessions will each be 3 hours in length and will be offered twice. Each training session has a $250 registration fee. You may bring one additional person from your organization to that session for a charge of $50. Sessions will be limited to 20 participants (and their guest) in order to ensure the optimal learning experience. The sessions are designed to provide practical applications of FPSC data to support your local performance improvement initiatives in 2 primary areas -- clinic operations and the front and back-end revenue cycle. A description of each session is provided below. Members have shared with us that the most valuable part of these trainings is the ability to interact with peers and learn about how to apply FPSC data to understand and improve performance. In order to maximize the time on these types of opportunities during the training session, the FPSC will not provide an in-depth review of basic navigation and instead require this to be done prior to attending training. There will be required pre-training activities designed to provide a familiarity of the reports for all participants. Details are provided below. Schedule 8:30 AM-11:30 AM CHOOSE FROM ONE OF THE FOLLOWING SESSIONS: Diagnosing Your Revenue Cycle Performance Using the FPSC Revenue Cycle Suite Evaluating Your Clinical and Operational Performance Using the FPSC Clinical Activity Suite 11:30 AM-1:00 PM Lunch for Training Attendees 1:00 PM-4:00 PM Both Training Sessions Repeated Session Descriptions Diagnosing Your Revenue Cycle Performance Using the FPSC Revenue Cycle Suite This session will demonstrate innovative ways to strategically apply data from the FPSC Revenue Cycle Suite (RCS) reports to assess and optimize collections and denials performance and support contract rates management. Topics covered include: Monitor Collections Efficiency Track local and benchmark collection rates by department, payer, provider and open/closed invoices Page 10

11 Assess timeliness of collections and effectiveness of payer and patient collections by department, payer and service location Develop scorecard metrics related to collections and write-offs Track patient responsibility and measure effectiveness of patient collections Identify trends in types of invoices that have outstanding aged A/R Learn how to manage A/R performance with FPSC quarterly dashboard metrics Measure, Manage and Reduce Denials Track local and benchmark denial rates by department/provider, payer, CPT code, and facility/non-facility setting Measure local and benchmark denial recovery rates and timeliness of denial recovery by department, payer and clinic setting Identify where in the revenue cycle denials are coming from Understand how specific denial reasons and CPT codes impact overall performance Use the FPSC Denials Dashboard to target denials management efforts Maximize Contract Management Develop payer scorecards Track local and benchmark contract rates by payer and CPT code Identify trends in types of undercharge and underpaid items Learn From a Member Hear how one of your peers incorporated FPSC revenue data into organization-wide reporting in a member-led workshop Walk through the steps taken to pull FPSC comparative data and generate meaningful dashboard metrics used to measure and monitor revenue cycle performance Pre-Training Requirement Attend a Learning the Basics of the FPSC Revenue Cycle Suite Reports Web conference, either by registering for a live session on April 7, May 11 or 24, or June 2 or access a prerecorded session from the E-Training Center on the FPSC Website Complete pre-training exercises to review general navigation and understand the data reporting elements of the Clinical Activity Suite While not required, you can also attend the Learning the Advanced Features of the FPSC Revenue Cycle Suite Reports Web conference on April 20 or access a pre-recorded session from the E-Training Center to learn about advanced report applications Evaluating Your Clinical and Operational Performance Using the FPSC Clinical Activity Suite The FPSC Clinical Activity Suite provides a set of tools and robust data to support informed clinical practice management decision-making. This session will demonstrate innovative ways to strategically apply the data that is available in the reports to support review and improvement of clinical and operational performance. Topics will include how to use the reports to: Page 11

12 Understand Clinical Productivity Perform a high level productivity assessment Understand why productivity differences exist between physicians within a specialty Evaluate productivity as a measure of acuity by department through WRVU per unit comparisons o E&M service acuity o Procedural intensity Measure Clinical Coding and Improve Charge Capture Identify missed coding and charge capture opportunities Analyze procedure vs. E&M code ratios Support compliance initiatives by highlighting under- and over-coding Recognize charge capture potential through inpatient and outpatient coding opportunities Understand Patient Access and Visit Mix Analyze the impact of patient mix on patient appointment access Discover revenue enhancement opportunities through calculating new patient and consult code ratios Uncover operational differences that are leading to lost revenue by looking at performance by location Learn From a Member Hear how one of your peers incorporated FPSC data into quarterly department reporting in a member-led workshop Learn how to create the report templates in the online tool and export the data into Excel in order to set up interactive reports to track provider, specialty and FPSC E&M coding distributions over time Pre-Training Requirement Attend a Learning the Basics of the FPSC Clinical Activity Suite Reports Web conference, either by registering for a live session on April 6, May 4 or 17, or June 1 or access a prerecorded session from the E-Training Center on the FPSC Website Complete pre-training exercises to review general navigation and understand the data reporting elements of the Clinical Activity Suite While not required, you can also attend the Learning the Advanced Features of the FPSC Clinical Activity Reports Web conference on April 19 or access a pre-recorded session from the E-Training Center to learn about advanced report application Page 12