CASE MANAGEMENT CONFERENCE

Transcription

1 A C M A C O N F E R E N C E S HealtH Care SyStem CASE MANAGEMENT EDUCATION 11TH ANNUAL FLORIDA CHAPTER CASE MANAGEMENT CONFERENCE JULY 31 AUGUST 1, 2014 OMNI ORLANDO RESORT AT CHAMPIONSGATE CHAMPIONSGATE, FL

2 CONFERENCE SCHEDULE JULY 31 AUGUST 1, 2014 Thursday, July 31, :00 pm 6:00 pm Registration 3:30 pm 5:30 pm Pre-Conference Session: Rules and Regulations of the Florida State Board of Nursing: New Mandatory Continuing Education Requirement for Nurses 5:30 pm 6:30 pm Welcome Reception and Networking with Sponsors & Exhibitors 6:30 pm 7:30 pm Session 1: Core Transitions and Co-Opetition in the Era of Accountability Friday, August 1, :30 am 8:30 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:30 am 8:45 am Opening Remarks 8:45 am 10:15 am Keynote Address: Finding the Road to the Emerald City of Oz 10:15 am 10:30 am Transition Break 10:30 am 11:30 am Session 3: The Continued Role of Case Management in Hospital Reimbursement 11:30 am 1:30 pm Networking Lunch 1:30 pm 1:45 pm Business Meeting 1:45 pm 2:45 pm Session 4: Scarecrow, Lion-Hearted or Rusted Tin: Which Are You? 2:45 pm 3:00 pm Transition Break 3:00 pm 4:00 pm Breakout Sessions Session 5A: Talking the Talk: Communicating Effectively with Physicians Session 5B: Aligning Pediatric Case Management with the New Reimbursement Model: A Change in Culture 4:00 pm Closing Remarks CHAPTER BOARD OF DIRECTORS & ANNUAL CONFERENCE PLANNING COMMITTEE CHAPTER BOARD OF DIRECTORS President Steven McGaffigan, LCSW, ACM Director Case Management Tampa General Hospital Tampa, FL President-Elect Jane Krieger, RN, BSN, ACM Pediatric Case Manager Family Support Services St. Joseph s Children s Hospital Tampa, FL Secretary Pam Shiver, BSN, RN, ACM Director Case Management UF Health Jacksonville Jacksonville, FL Treasurer Susan Kadechka, RN, BSN, CCM, CPUR Director Case Management Memorial Hospital of Tampa Tampa, FL MEMBERS-AT-LARGE Susan Muchler-Kamrad, RN, MSN, MBA, FACHE Project Manager Community Health Systems Naples, FL Brenda Breslow, MPH Director of Programs Health Start Coalition of Hillsborough County Tampa, FL Mark Michelman, MD, MBA Medical Director Case Management Morton Plant Mease Hospital Clearwater, FL Frank B. Bellamy, RN, MSN, ACM Interim Director Outcomes Management St. Joseph Mercy Health System - Pontiac, MI William Gross, LCSW Manager Social Work Case Management Tampa General Hospital Tampa, FL PLANNING COMMITTEE MEMBERS Diana Gregory, RN, BSN, CCM, CPHM, ACM, Co-Chair Clinical Appeals Specialist Case Management Lee Health System Jensen Beach, FL Marsha Stein, RN, BSN, CCM Director Hospitalist Program Florida Hospital System - Orlando, FL Gini Bass, RN, ACM, IQCI Clinical Case Management Specialist Adventist Healthcare Systems Ormond Beach, FL

3 PRE-CONFERENCE SESSION: RULES AND REGULATIONS OF THE FLORIDA STATE BOARD OF NURSING NEW MANDATORY CONTINUING EDUCATION REQUIREMENT FOR NURSES Charles Illian, RN, BSN Director of Clinical Education Orlando Health and Rehab Center Orlando, FL SESSION ABSTRACT: This session is being offered to Florida Chapter members who are RNs and will be required to have completed this course, starting in In keeping with the Florida guidelines for a Laws and Rules course, this module includes content on Chapters 456 and 464 of the Florida Statutes and the rules in Title 64B9 of the Florida Administrative Code. 1. Verbalize specific laws and rules related to the practice of nursing and nurse assisting, and identify the pertinent levels of nursing practice in the state 2. Discuss the general requirements for continuing licensure in the state, and differentiate between ethical and legal practices 3. Discuss the process for discipline related to nursing practice, and create a professional plan for career maintenance and development within the limits of the law SESSION 1: CARE TRANSITIONS AND CO-OPETITION IN THE ERA OF ACCOUNTABILITY Kevin W. O Neill, MD, FACP, CMD Chief Medical Officer Brookdale Senior Living Sarasota, FL SESSION ABSTRACT: This session will discuss the triple aim of the Centers for Medicare and Medicaid Services (CMS) and the need for better communication among acute and postacute care (PAC) providers to reduce avoidable readmissions. The adverse impact of ineffective care transitions will be discussed, and the evidence-based innovative care models will be presented. This session will stress the importance of collaboration between acute and PAC providers. Key steps to get leadership buy-in and build the partnership relationships will be identified. 1. Discuss the triple aim of CMS and the paradigm changes taking place in the American health system 2. Identify the evidence-based innovative care models that improve care transitions and reduce avoidable hospital readmissions 3. Identify next steps for building quality partnerships between hospitals and PAC providers and among PAC providers KEYNOTE SESSION 2: FINDING THE ROAD TO THE EMERALD CITY OF OZ Stefani Daniels, RN, BSN, MSNA, ACM President and Managing Partner PHOENIX: The Hospital Case Management Company Pompano Beach, FL SESSION ABSTRACT: The continuing evolution of hospital case management is both scary and exciting. On the one hand, assumptions previously held about traditional functional models are being challenged as the health care environment is moving from volume to value. At the same time, we are exploring models to extend contemporary hospital case management practice principles beyond the boundaries of the hospital walls and into the community. Either way, hospital case management as we know it must change to reach the Emerald City of Oz. 1. Define strategies to demonstrate the value of case management to the C-suite, the health care team and the health care system 2. Explain how to capture the gaps that lie within the health care system and their impact upon effective transition planning 3. Differentiate between the practice of case management and the function of utilization review SESSION 3: THE CONTINUED ROLE OF CASE MANAGEMENT IN HOSPITAL REIMBURSEMENT Kathy Reep, MBA Vice President, Financial Services Florida Hospital Association Orlando, FL SESSION ABSTRACT: This session will look at the regulatory and legislative changes impacting the role of the case manager value-based purchasing (VBP), including the new efficiency measure; readmissions; hospital-acquired conditions (HAC); and payment bundling and the resultant implications for hospitals. The session will also look at discharge decisions and their impact on hospital efficiency and bundled pricing.

4 SESSION 3 (CONT): 1. Discuss the components of Medicare VBP 2. Discuss the payment implications of VBP, readmissions, and HACs 3. Explore the role of discharge placement on the efficiency measure and bundled pricing SESSION 4: SCARECROW, LION-HEARTED OR RUSTED TIN: WHICH ARE YOU? Diana Gregory, RN, BSN, CCM, CPHM, ACM Clinical Appeals Specialist Lee Health System Jensen Beach, FL Marsha Stein, RN, BSN, CCM Director, Hospitalist Program Florida Hospital System Orlando, FL SESSION ABSTRACT: We provide for the weak and tend to the needy; we come in early and stay late at work. We help everyone get to the yellow brick road and teach them how to look for their rainbow, where surely it will be better on the other side. Not stopping to consider ourselves vulnerable, we either fail to see the negative that surrounds us or ignore behaviors that can hurt us, whether at work or not. We re great, beyond compare, in taking care of others... yet repeatedly fail to take care of ourselves or each other. Do we not know how? Are we too busy to care or too frightened to try? This session is about us as case managers and individuals and how to be smarter about taking care of ourselves and of each other. 1. Explore the negative emotions found within health care and how aggression impacts the health care team 2. Demonstrate tactics to deal with some of the most common negative behaviors seen in the health care setting 3. Define steps to protect ourselves and how to take better care of each other SESSION 5A: TALKING THE TALK: COMMUNICATING EFFECTIVELY WITH PHYSICIANS Frank B. Bellamy, RN, MSN, ACM Interim Director, Outcomes Management St. Joseph Mercy Health System Pontiac, MI SESSION ABSTRACT: Many elements contribute to the success of the case manager, including effective physician communications. Both the settings and the methods used by the case manager impact the outcome and influence the benefits and risks of the communication process, including patient and family needs, hospital facility needs and physician satisfaction. From the physician s perspective, where they trained (abroad or in the U.S.), socialization with other physicians and among other caregivers, and a physician s priorities or non-priorities are extremely valuable for the case manager to understand. This informative session will provide insight into possible reasons for successes and non-successes in communicating with physicians; help identify when you are over your head; and define the do s and don ts to achieve better outcomes and improve patient safety. 1. Identify elements of the case manager s work that rely on effective communication with physicians 2. Describe how physicians are trained and socialized 3. Initiate and respond to interaction with physicians in a variety of settings SESSION 5B: ALIGNING PEDIATRIC CASE MANAGEMENT WITH THE NEW REIMBURSEMENT MODEL: A CHANGE IN CULTURE Hossain Marandi, MD, MBA, CPE, CPHQ, FAAP Director of Medical Affairs BayCare Health System Tampa, FL SESSION ABSTRACT: This session will provide an important and informative overview of recent changes to reimbursement guidelines that will have an impact on the pediatric hospital population. Of equal importance, we will discuss how these reimbursement changes are expected to affect current case management processes, and explore potential changes to case management and hospital culture expected to occur as part of the realignment process. Our speaker will also present process improvement initiatives developed specifically to align case management with new pediatric reimbursement guidelines. 1. Explain critical changes to pediatric hospital reimbursement 2. Recognize anticipated effects to current pediatric hospital culture related to case management processes 3. Define specific case management process improvement initiatives to promote positive transition to new guidelines

5 WE MAKE REGISTERING EASY! TO REGISTER: Go to and click Register. IMPORTANT: Please use the attendee s address to register, as this is where all communication regarding the event will be sent. PAY: Pay online by credit card or mail a check. If registering but paying at a later time, select pay by check on the payment screen. Checks must include conference and attendee name. PLEASE NOTE: Registration is incomplete until the final confirmation screen is reached. Confirmation is automatically sent to the address used to register. There will be no refunds for canceled registrations; however, fees may be transferred to another participant for the same event. FOR MORE INFORMATION AND QUESTIONS, PLEASE CALL IMPORTANT DATES HOTEL DISCOUNT DEADLINE July 7 EARLY REGISTRATION DEADLINE July 17 LATE REGISTRATION BEGINS July 18 CHAPTER CONFERENCE DATES July 31 August 1 REGISTRATION PRICING EARLY REGISTRATION ACMA must receive payment and registration by July 17, LATE REGISTRATION Registration and payment received on or after July 18, ACMA MEMBER...$65 ACMA MEMBER / GROUP**...$60 NON-MEMBER...$90 NON-MEMBER / GROUP**...$85 MEMBERSHIP PACKAGE*...$225 ACMA MEMBER...$95 NON-MEMBER... $125 MEMBERSHIP PACKAGE*:...$230 * Includes 1-year ACMA & Chapter Membership. Membership application required. ** Group discount applies to 3 or more participants from the same organization who register and pay on a single order prior to the early registration deadline. CONTINUING EDUCATION Participants may earn up to the following continuing education (CE) hours: 9.0 Nursing Contact Hours (based on 50-minute hour) 7.5 Nursing Contact Hours (based on 60-minute hour) 5.5 Social Work Contact Hours 7.5 ACM Nurses 5.5 ACM Social Work This course meets the qualifications for 5.5 hours of continuing education credit for MFTs, LPCCs, LEPs, and/or LCSWs as required by the California Board of Behavioral Sciences (CEP #4591). ACMA is also a provider approved by the California Board of Registered Nursing (Provider Number CEP #15413) for 7.5 contact hours (9.0 CE in 50 minute states). ACMA is also a recognized CE provider for nursing and social work in multiple other states including, but not limited to, FL, MN, KY, and TX. Conference attendees are responsible for verifying requirements of the applicable licensing board in their state.

6 11TH ANNUAL FLORIDA CHAPTER CASE MANAGEMENT CONFERENCE JULY 31 AUGUST 1, 2014 CONFERENCE LOCATION: Omni Orlando Resort at ChampionsGate 1500 Masters Boulevard ChampionsGate, FL Phone: PARKING INFORMATION: Valet overnight is $24; Valet day-only rate is $16. Self Parking $5 (day and overnight). HOTEL ACCOMMODATIONS: The Omni is offering a limited number of rooms at a discounted rate of $99 single/double per night for the night(s) of July 31 and August 1, The resort fee has been waived. To receive this rate, you must make your reservation by July 7th. To make your reservation, call THE-OMNI ( ) and ask for the ACMA group rate West 36th Street Little Rock, AR FIRST-CLASS U.S. POSTAGE PAID LITTLE ROCK, AR PERMIT #1105