Road Trip. Fall State Conference September 18, 2015 Sheraton Suites Akron/ Cuyahoga Falls

Transcription

1 Fall State Conference September 18, 2015 Sheraton Suites Akron/ Cuyahoga Falls Cincinnati to Akron 249 miles Dayton to Akron 195 miles Cleveland to Akron 39 miles Columbus to Akron 126 miles Sandusky to Akron 88 miles Human Resources Medicare/Medicaid Update Value Based Payments Healthcare Industry Mergers and Breakups Process Improvement Road Trip

2 Fall State Conference September 18, 2015 Sheraton Suites Akron/Cuyahoga Falls Road Trip Conference Agenda 6:30am 7:30am 7:30am 8:15am 7:30am 3:00pm 7:45am 8:15am 8:10am 8:15am Exhibitor Check-In and Set-Up Attendee Check-In/Registration Exhibits Open Attendee Breakfast and Networking in Exhibit Hall Welcome and Program Introductions - Kathy Pandolfo, MBA, MSN, RN, CMPE, Ohio MGMA President - Denise M Parker, BSN, MBA, FACMPE, North East Ohio MGMA President and Ohio MGMA Secretary 8:15am 9:15am From Volume to Value: Making the Transition - Tawnya Bosko, The Camden Group As healthcare reform brings change to the delivery system, reimbursement is becoming increasingly tied to quality and value. During this change, physicians and other healthcare providers are left in a transitional period in which they must maintain volumes while focusing on quality, cost and outcomes. Data transparency, patient satisfaction, rising deductibles, meaningful use, PQRS, provider consolidation, the repeal of SGR, the rise of ACOS and many other factors are dramatically altering healthcare delivery. Understanding the trends, what is on the horizon and how best to manage in this grey zone between volume and value is integral to long term viability. This session will provide an overview of the evolution of new reimbursement models and offer strategies and considerations for success. 9:15am 10:30am Building Blocks and Breaking Blocks: how mergers of hospitals and physician groups, and the resulting breakups, have impacted the practice of medicine and how practice administrators do their jobs. - Steven M. Harris, Partner, McDonald Hopkins LLC Hundreds of thousands of physician groups merged into hospitals and health systems in the last 10 years. This has changed not only the practice of medicine, but also the role of the medical group manager. This session will explain the economic and political forces that caused the trend, explain the different ways that groups and hospitals have built new structures, and best ways to approach the new structure during the building period from legal and operational standpoints. It will address what physicians are looking for out of the new structure, including ways to secure what you are asking for in a prenuptial agreement of sorts. It will also address the recent break up trend, in which the groups and individual physicians are un-attaching themselves from the system, and provide tips on how to address medical records, EMRs, non-competes and real estate upon break-up. It will also explain some creative ways to build and break-up. This presentation is a lighthearted, entertaining and practical approach to a major shift facing physician practices and medical group administrators. 10:30am 11:00am Networking Break in Exhibit Hall 11:00am 12:00pm Cliniciency Take Control of Your Practice - Chris Powers, System Director of Process Improvement, Summa Health System Health Care is changing we hear it all the time. From Fee for Service to Quality and Value From customized treatment plans to care paths From paper charts to EMRs From many healthcare options to a few big box organizations What does this mean? How will this be accomplished? Healthcare is not the first to face challenges like these we are just the most recent. Other industries have gone through this already from manufacturing (American Auto Industry) to services (Banking) to government (IRS). In all of these areas they have looked to many tools to accelerate the transition, but universally the concepts of Lean Six Sigma have been applied. In short, Lean Six Sigma is a

3 scientific approach to performance management and quality improvement. It takes an approach (the scientific method) along with a tested toolset (Lean Six Sigma) and addresses the efficiency and effectiveness of our processes. In our time together we will discuss an overview of these topics and go over a few tools that you can immediately take back to your offices and implement. 12:00pm 12:30pm 12:30pm 1:15pm Ohio MGMA Business Meeting and Ohio Legislative Updates - Ohio MGMA Board of Directors and Officers Networking Luncheon ACMPE Informational Breakout Luncheon - Ohio MGMA ACMPE Advancement Committee 1:15pm 2:30pm The Employment Law Game - Scott Warrick, JD, MLHR, CEQC, SPHR, Scott Warrick Consulting, Training & Employment Law Services In this session, YOU choose the scenarios to discuss. There are dozens of various scenarios for you to choose from, such as: Can I discipline employees for what they post on Facebook? If an employee suffers from depression, is she covered by the Americans With Disabilities Act? Can I suspend exempt employees? Do I have to let my employees off from work five times a day to pray? Join Scott Warrick, one of Ohio s most popular speakers, as you play THE EMPLOYMENT LAW GAME! 2:30pm 3:00pm 3:00pm 3:30pm 3:30pm 4:00pm 4:00pm 4:10pm 4:10pm 4:15pm Networking Break in Exhibit Hall Medicaid Update - Laura Gipson, Ohio Department of Medicaid, External Business Relations Medicare Update - Vanessa Williams, Provider Relations Senior Analyst Provider Outreach & Education, Ohio Medicare Part B Door Prize Giveaways Final Announcements and Conference Adjournment *Ohio MGMA reserves the right to change or modify the conference agenda or to cancel any sessions at any time due to circumstances beyond our control. Conference Speakers Vanessa A. Williams Provider Relations Senior Analyst, Provider Outreach & Education, CGS Administrators, LLC Jurisdiction 15 MAC - Kentucky / Ohio Medicare Part B Vanessa Williams is a Provider Relations Senior Analyst going into her 25th year with the Ohio Medicare program. She has held several positions throughout her years of service with Medicare, from claims examiner to supervisor in the Provider Call Center to district manager for Ohio. Laura Gipson, MBA External Business Relations, Ombudsman MBA University of Akron with a focus on management and organizational development. My career began 22 years with the State of Ohio in the Office of Child Support. The last 12 years have been with the Ohio Department of Medicaid in External Business Relations. I reside in New Albany Ohio but enjoy traveling throughout Ohio providing Medicaid updates and guidance to the provider community. Scott Warrick, JD, MLHR, CEQC, SPHR Scott Warrick Consulting, Training & Employment Law Services Scott Warrick s Consulting & Training Services combines his unique background in law and human resources to assist organizations in Solving Employee Problems BEFORE They Happen. Scott works with companies to put proper human resource measures in place, as well as coaching and training managers and employees in over 50 different topics in his own unique, practical and entertaining style. Scott is a nationally Certified Emotional Intelligence Counselor and Diversity/Tolerance presenter who travels the country presenting his Living The Skills of Tolerance, Let s Bully The Oddball! Preventing All Forms Of Bullying and Harassment In The Workplace, and Emotional Intelligence For Humans. Scott s Do It Yourself HR Department Service is a favorite among Human Resource Professionals across the country to bring their departments into compliance AND KEEP THEM THERE! Scott is also a 6 Time SHRM National Diversity Conference Presenter. For more information, go to

4 Conference Speakers (continued) Tawnya Bosko, MHA, MSHL, MS Vice President, The Camden Group Ms. Bosko is a Vice President with The Camden Group and has over twenty years of experience in healthcare administration and management. She specializes in quality, value and transparency, reimbursement and incentive model methodologies, payer strategy and medical group and hospital performance optimization. Before joining The Camden Group, Ms. Bosko served as Vice President and Chief Operating Officer for Western Reserve Health System, a physician-hospital organization (PHO) in northeast Ohio as well as Vice President and Chief Operating Officer for Unity Health Network, the organizations affiliated multi-specialty medical group, and of Premiere Medical Resources, the organizations management services organization. Prior to this role, Ms. Bosko led provider relations and network contracting for the PHO affiliated with Summa Health System. She has additional experience in the health insurance industry, where she has overseen underwriting for health and life insurance products. Ms. Bosko was a member of the steering committee for development of the master s in business administration in healthcare management program at Kent State University and has served as an adjunct instructor for the economics of healthcare and managerial economics for healthcare managers courses. Her articles on performance optimization, quality and price transparency, reimbursement and incentive models have been published by the Healthcare Financial Management Association, Healthcare Compliance Association, The Governance Institute, American Medical Group Association and others. She has spoken extensively on these topics at the national level for trade associations such as the Medical Group Management Association and The Society for Healthcare Strategy and Market Development as well as for industry leading institutions such as The Cleveland Clinic and The Doctors Company. Ms. Bosko holds a master s degree in healthcare administration from the University of North Carolina at Chapel Hill, a master s degree in applied economics from Georgia Southern University, a master s degree in health law from Nova Southeastern University Shepard Broad Law School, and a bachelor s degree from Kent State University. She is currently completing her doctorate in healthcare administration at the Medical University of South Carolina where her research focuses on effective reimbursement and incentive models in healthcare. Christopher Powers Director, System and Process Improvement Summa Health System Chris Powers, the System Director of Process Improvement at Summa Health System, is responsible for facilitating system and process improvement efforts to optimize the organization s underlying processes to achieve more efficient results. His educational background is in communications, group dynamics, and management. He holds a Bachelor of Arts from John Carroll University and currently serves as adjunct faculty for the executive Masters of Business Administration program at Kent State University. He has an extensive background in business management and organizational improvement and is an experienced leader in a number of industries: healthcare, information technology, corporate and retail banking, legal, procurement, mortgage services, and human resources. Some of his past roles include Senior Project Manager at Cleveland Clinic and Transformation Manager at National City Corporation. He also holds a Master Black Belt in Six Sigma and leads teams in change management, organizational transformation, team facilitation, and application of both Lean and Six Sigma methodologies. During his time at Summa, he has trained over 900 employees in Six Sigma and completed numerous Lean/Six Sigma projects. In addition, his military career consists of active duty service as a Field Artillery Officer and Captain in the 2nd Armored Division of the United States Army in Fort Hood, Texas. While in this role, he received an Army Commendation Medal for his work executing training events along with two Army Achievement Medals for performance and developing operating procedures for a new weapon system. He returned to NE Ohio after his service and has been here for 17 years. Currently he lives in Stow with his wife Sue, two daughters, Allison and Lauren and his dog, Kyla. Chris enjoys spending time with his family and orienteering. Steven M. Harris, Partner McDonald Hopkins LLC Steve has a national reputation as an advisor to business and professional organizations, counsels privately and publicly owned corporations and healthcare clients on contractual and regulatory issues, succession planning, and related transactional matters. He represents clients in acquisitions, divestitures, joint ventures, and contract disputes. Steve also commits substantial time educating the medical profession on business and regulatory matters. Presentations include the American Academy of Orthopedic Surgeons, the American College of Occupational and Environmental Medicine, Northwestern Memorial Hospital, the University of Chicago Hospital, the American Dental Association and Illinois Medical Group Management Association (ILMGMA). His medical-legal columns appear in ENT Today, the Hospitalist and the Rheumatologist. Steve has been quoted in various national publications on healthcare matters including the New York Times.

5 CONFERENCE LOCATION Sheraton Suites Akron / Cuyahoga Falls 1989 Front Street Cuyahoga Falls, Ohio (330) HOTEL ACCOMMODATIONS Attendees to our conference enjoy a discounted group room rate at the Sheraton Suites, at $ Single or Double occupancy + taxes, for the evening of September 17. Discounted rates are only available until August 15. To make your reservation inside our group please call: (330) Group Code: Ohio MGMA REGISTRATION AND FEES Register and pay online at - Register by August 28, 2015 to avoid paying late fees! By August 28 After August 28 Ohio MGMA Active Member: $159 $209 Ohio MGMA Student Member: $ 0 $ 50 North East Ohio MGMA Member: $159 $209 (membership will be verified) Non-Member: $259 $309 Vendors offering/selling products and services to medical practices or providers may not register for this conference as an attendee unless you are a current 2015 Business Associate member of Ohio MGMA. Please refer to Business Associate membership or exhibit options if interesting in attending this conference. Information can be found at JOIN OHIO MGMA AS AN ACTIVE MEMBER AND SAVE Become an *Active Member for 2015 and save on conference registration! *Active Member Criteria - a person shall be a healthcare manager, administrator or an individual directly working for a medical practice with at least one full time licensed physician, formally organized for health care delivery. The person must perform permanent, day-to-day administrative duties or perform patient care and significant managerial or administrative functions. Once member dues are paid your Ohio MGMA Membership will remain active through 1/31/2016. Apply for membership at NETWORK AND LEARN FROM YOUR PEERS Share experiences, get tools, gain information, get hands-on advice and practical solutions that only your colleagues can provide. Whatever issues your practice faces through networking and sharing with others you ll return from the Ohio MGMA State Conference with additional knowledge and skills to apply at your practice. EDUCATE YOURSELF AND FIND SOLUTIONS Spend your networking breaks in our Exhibit Hall, where you ll see an array of products and services designed to help you find solutions and build important relationships EARN ACMPE CONTINUING EDUCATION CREDIT American College of Medical Practice Executives (ACMPE) credit hours have been assigned to this program. Ohio MGMA will supply, upon request, a certificate of attendance for this conference to use for submission for potential CEUs from additional accreditation bodies. WHAT TO WEAR Business casual attire is appropriate for Ohio MGMA meetings and events. We do suggest bringing a light coat or jacket to maintain your comfort as meeting room temperatures tend to fluctuate through the day. CANCELLATION AND SUBSTITUTION POLICY Cancellations received on or before August 28 are subject to a $50 processing fee. Cancellations must be sent by to main@ohiomgma.com. Cancellations after August 28 and no-shows will not be refunded. Substitutions from within the same group are acceptable. Please the Ohio MGMA office if you plan to substitute, main@ohiomgma.com QUESTIONS? Please contact our office at main@ohiomgma.com

6 P.O. Box 1460 Woodstock, GA Ohio MGMA would like to gratefully acknowledge our 2015 Annual Corporate Sponsors for their support of our association and this conference: REGISTER TODAY: Early Bird close date is August 28th! AND hotel room block closes August 15th!