Case Management Conference

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1 9th Annual Western Pennsylvania Chapter Case Management Conference Saturday, September 28, 2013 Hyatt Regency Pittsburgh International Airport Pittsburgh, PA

2 Conference Schedule September 28, :15 am 8:15 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:15 am 8:30 am Welcome Announcements 8:30 am 9:30 am Session 1: Clearing Up the Mystery of Observation 9:30 am 9:45 am Chapter Business Meeting 9:45 am 10:15 am Networking Break with Sponsors & Exhibitors 10:15 am 11:15 am Session 2: Communication and Utilization Review 11:15 am 11:25 am Transition Break 11:25 am 12:25 pm Session 3: An Introduction to Brief Clinical Applications of Motivational Interviewing 12:25 pm 1:15 pm Lunch (provided) 1:15 pm 1:45 pm Networking Break with Sponsors & Exhibitors 1:45 pm 3:00 pm Session 4: Health Care Reform: What Do We Need to Know? 3:00 pm 3:10 pm Transition Break 3:10 pm 4:25 pm Session 5: Medical Malpractice and the Movies 4:25 pm Closing Remarks Chapter Board of Directors and conference planning committee President Christy Whetsell, BSN, RN, MBA, ACM Director Corporate Care Management UPMC Health System Pittsburgh, PA President-elect John Silipigni, LCSW, MBA, CCM, ACM Director Health Management UPMC Magee Womens Hospital Pittsburgh, PA Secretary Livia Henderson, BSN, RN, MS, MBA, ACM Manager, Health Management Care Management UPMC Magee Womens Hospital Pittsburgh, PA Treasurer Jennifer Hall, RN, MSN, CCM Director Care Management UPMC Passavant Allison Park, PA Education Chair Aimee Wilson, RN, MSN, CMSRN, ACM Manager Care Management UPMC St. Margaret Pittsburgh, PA Members-at-Large Holly D Amico, BSN, RN, CPHM, CCM Director Medical Resources Excela Health - Frick/Latrobe/Westmoreland Hospitals Greensburg, PA Doris Shields, LCSW, BCD, ACM Clinical Crisis Coordinator Supportive Care Services UPMC Shadyside Pittsburgh, PA Katherine Dougherty, RN, MSN, ACM Director Care Management UPMC East Monroeville, PA Kathy McCabe, BSN, RN-BC, ACM Clinical Preceptor Care Management West Virginia University Hospital Morgantown, WV Laura Condos, LSW, ACM Accredited Case Manager Case Management Healthsouth Harmarville Rehabilitation Hospital Pittsburgh, PA

3 Keynote Address: Clearing Up the Mystery of Observation Steven J. Meyerson, MD Senior Vice President Regulations and Education AccretivePAS Chicago, IL The speaker will discuss the relative costs and benefits for inpatient admission from observation for the patient, physician and hospital. This session will demonstrate the effect of documenting medical necessity for inpatient admission to include Medicare compliance. Examples of key words for physician documentation, clinical factors of InterQual criteria, and RAC review will also be discussed. The speaker will explain options for two-day observation stays, with typical clinical scenarios from discharge to the physician advisor s role. 1. Explain the relative costs and benefits for inpatient admission from observation 2. Assess the effectiveness of documenting medical necessity for inpatient admission 3. Review options for two-day observation stays Session 2: Communication and Utilization Review Vanessa Blaha, RN, MSN, MBA Director, Utilization Management Health Services Gateway Health Pittsburgh, PA Utilization review plays a critical role in the planning and delivery of care. Clear communication between the provider and the health plan is a key component of the process. This session will provide the basic constructs of utilization review, as well as effective best practices for communication. 1. Identify the basic principles of utilization review 2. Demonstrate mechanisms for effective communication in case management settings 3. Present information in a concise manner for more effective daily practice Session 3: An Introduction to Brief Clinical Applications of Motivational Interviewing Luann Richardson, Ph.D., FNP-BC, PMHNP CRNP, Private Practice Faculty, Nursing/Medicine Duquesne University Pittsburgh, PA Session abstract: Motivational Interviewing (MI) is a valuable tool for nurses and social workers to help patients address behavior change. MI has been found

4 Session 3 Continued effective for helping patients with multiple chronic conditions, adherence issues and lifestyle issues change their health behaviors. The speaker will provide an overview of the basic concepts of MI, as well as resources to help case managers learn more about using this tool in their daily practice. 1. Describe the basic concepts used in MI 2. Apply these concepts to scenarios that commonly benefit from MI 3. Locate additional resources for more information on MI Session 4: Health Care Reform: What Do We Need to Know? Christy Whetsell, BSN, RN, MBA, ACM Director Corporate Care Management UPMC Pittsburgh, PA Health care is changing rapidly, and case management professionals are increasingly assigned to manage the coordination and work involved with these changes. This session will identify and discuss the top health care agenda issues and how they affect the daily practice of case managers. The speaker will discuss how case management can form partnerships to help manage proposed health care reforms. 1. Identify and discuss the top issues on the health care reform agenda 2. Examine health care challenges that affect coordination of care across settings 3. Describe how case management s influence can be leveraged to produce effective partnerships Session 5: Medical Malpractice and the Movies Daniel Sullivan, MD, JD, MBA Chief of Anesthesia, Physician Advisor Department of Anesthesiology UPMC Passavant Pittsburgh, PA This session will review the law of medical malpractice in the United States, including the theoretical basis for tort law. The speaker will use film clips to illustrate the various components of trial, including expert witness examination, cross-examination, and closing arguments. Participants will leave with enhanced knowledge about medical malpractice law, as well as practical suggestions for defendants. 1. Review the theoretical basis of tort law 2. Identify the components of a malpractice trial 3. Describe practical suggestions for defendants

5 For a hard copy registration form, complete online registration and print to mail. There will be no refunds for cancellations; however, fees may be transferred to another participant for the same event. Online: Mail: West 36th Street Little Rock, AR Fax: For more information and questions, please call IMPORTANT DATES Hotel Discount Deadline September 1 Early Registration Deadline September 9 Late Registration Begins September 10 Chapter Conference Date September 28 Registration Pricing Early Registration ACMA must receive payment and registration by September 9, ACMA Member...$55 Non-Member...$75 Membership Package*:...$215 *Includes 1-year ACMA & Chapter Membership. Membership application required. Student** (Student ID Required):...$40 Late Registration Received on or after September 10, ACMA Member:...$80 Non-Member:... $100 Membership Package*:...$240 *Includes 1-year ACMA & Chapter Membership. Membership application required. Student (Student ID Required):...$40 Continuing Education Participants may earn up to the following continuing education (CE) hours: 6.6 Nursing Contact Hours (based on 50-minute hour) 5.5 Nursing Contact Hours (based on 60-minute hour) 5.5 Social Work Contact Hours 5.5 ACM

6 9th Annual Western Pennsylvania Chapter Case Management Conference Saturday, September 28, 2013 Conference Location Hyatt Regency Pittsburgh International Airport 1111 Airport Boulevard Pittsburgh, PA Phone: Parking Information: $5 discounted airport parking is available for conference attendees. Hotel Information: The Hyatt Regency Pittsburgh International Airport is offering a limited number of rooms at a discounted rate of $139 per night for the night of Friday, September 27, Group rate is available until all guest rooms in the block have been reserved or until the hotel reservation deadline of September 1, whichever comes first. To make your reservation, call the hotel directly at and ask for the ACMA group rate West 36th Street Little Rock, AR FIRST-CLASS U.S. POSTAGE PAID LITTLE ROCK, AR PERMIT #1105

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