CASE MANAGEMENT CONFERENCE

Transcription

1 A C M A C O N F E R E N C E S HealtH Care SyStem EDUCATION 8TH ANNUAL VIRGINIA CHAPTER CONFERENCE SATURDAY, OCTOBER 11, 2014 GREATER RICHMOND CONVENTION CENTER RICHMOND, VA

2 CONFERENCE SCHEDULE OCTOBER 11, :30 am 8:30 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:30 am 8:40 am Welcome Announcements 8:40 am 9:55 am Session 1: 2014 IPPS Final Ruling: Best Practice Recommendations 9:55 am 10:40 am Networking Break with Sponsors & Exhibitors 10:40 am 11:40 am Session 2: The Virginia Way: Medicaid Expansion in Virginia 11:40 am 1:10 pm Networking Lunch with Sponsors & Exhibitors 1:10 pm 2:10 pm Session 3: Medical Ethics and Case Management 2:10 pm 2:30 pm Chapter Business Meeting 2:30 pm 2:35 pm Transition 2:35 pm 3:35 pm Session 4: Population Tools and Proactive Disease Management 3:35 pm 3:40 pm Transition 3:40 pm 4:40 pm Session 5: The Patient Experience 4:40 pm Closing Remarks CHAPTER BOARD OF DIRECTORS & ANNUAL CONFERENCE PLANNING COMMITTEE CHAPTER BOARD OF DIRECTORS President Pamela Andrews, MSW, RN, ACM, CCM Director of Clinical Services, InTotal Health Inova Health System Falls Church, VA President-elect Marga Queen, BSW, ACM, CCM Manager, Case Management Bon Secours Memorial Regional Mechanicsville, VA Secretary Julia Widman, RN, CPUR, ACM Director, Case Management HCA Reston Hospital Reston, VA Treasurer Erin Hodson, BA, BSN, ACM Senior Director, Case Management Inova Fairfax Hospital Falls Church, VA MEMBERS-AT-LARGE Sherry Parker, LCSW, ACM Manager, Social Work Services Sentara Healthcare Norfolk, VA Susan Shotter, BSN, RN, MHA, ACM Director, Case Management Specialty Hospital of Washington Washington, D.C. Dennis Brown, LMSW Operations Manager, Case Management Southside Community Hospital Farmville, VA Membership Chair Patricia Davis, BSN, RN, MHA, ACM Manager, Case Management Inova Fairfax Hospital Falls Church, VA Nominating Chair/Planning Committee Kathy Murphy-Stephenson, LCSW, C-ASWCM Manager, Social Work Services Care Management Carilion Roanoke Memorial Hospital Roanoke, VA Education Chair Nancy Loeffler, BSN, RN, MHA, ACM, CCM Director of Clinical Practice Inova Medical Group Falls Church, VA PLANNING COMMITTEE MEMBERS Steve Lanman, LCSW, ACM Coordinator, Care Management Bon Secours St. Mary s Hospital Richmond, VA Sam Kees, MS, RN, ACM Advanced Practice Nurse/CNS, Nursing Administration Bon Secours St. Mary s Hospital Richmond, VA Brenda Colley, MSN, RN, ACM Clinical Project Director, Connect Care Bon Secours Health System Richmond, VA Teresa Gonzalvo, BSN, RN, MPA, CPHQ, ACM Vice President, Care Coordination Sentara Healthcare Norfolk, VA Blair Hines, MSN, RN, ACM Virtual Admissions Case Manager, Case Management Bon Secours Memorial Regional Mechanicsville, VA Kathy Thompson, BSN, RN, ACM Director, Case Management Centra Health Lynchburg, VA

3 SESSION 1: 2014 IPPS FINAL RULING: BEST PRACTICE RECOMMENDATIONS Ralph Wuebker, MD, MBA Chief Medical Officer, Audit, Compliance and Education Team Executive Health Resources, Inc. Newton Square, PA SESSION ABSTRACT: Within the last year, the Centers for Medicare and Medicaid Services (CMS) have proposed two separate rulings (1455-P and 1599) that impact inpatient status determinations and procedures for managing appeals. This session will provide insight on the final ruling and most recent updates, with a discussion of what the regulations mean in terms of potential course adjustment and how they impact patient quality of care. The speaker will address the two-midnight rule, observation v. inpatient status, certification, rebilling and documentation requirements. 1. Summarize key points of the 2014 IPPS final ruling and discuss three consequences for providers and patients 2. Discuss criteria for determining observation v. inpatient status based on the two-midnight ruling 3. Explain the importance of accurate physician documentation and a robust utilization review process to best defend against denials SESSION 2: THE VIRGINIA WAY: MEDICAID EXPANSION IN VIRGINIA Ann Harbour, MPA Associate Vice President, Government Relations InTotal Health, An Inova Health Plan Vienna, VA SESSION ABSTRACT: This presentation will detail efforts to expand Medicaid in Virginia, with a focus on the current state Medicaid program and the commonwealth s plan for development and expansion. The speaker will discuss the politics of expansion and how to strengthen the business case for Medicaid expansion. Finally, the session will review opportunities for case managers in the changing health care environment. 1. Identify barriers to Medicaid expansion 2. Articulate the business argument for expansion 3. Cite opportunities for case managers in the current health care environment SESSION 3: MEDICAL ETHICS AND Earl D. White, II, MD Medical Director, Sentara Center for Healthcare Ethics Sentara Healthcare Hampton, VA SESSION ABSTRACT: This presentation will provide an overview of ethical background and theory in health care. The speaker will utilize ethical dilemmas and case consultation in order to illustrate the challenges and key points in health care ethics. Attendees will gain practical tips on identifying and resolving ethical dilemmas and leveraging case management to improve ethics at their facilities.

4 SESSION 3 (CONT): 1. Describe the importance of ethical theory in ethics case consultation 2. Explain the nature of an ethical dilemma and what to expect in ethics case consultation 3. Identify opportunities for case management to assist with resolving ethical dilemmas SESSION 4: POPULATION TOOLS & PROACTIVE DISEASE MANAGEMENT Robert Fortini, PNP Vice President/Chief Clinical Officer Bon Secours Virginia Health System, Inc. Midlothian, VA SESSION ABSTRACT: Population health is a rapidly growing area of research and development that focuses on how to effectively use tools to identify populations at risk and efficiently risk-stratify that population. This discussion will cover some of the population health tools used by Bon Secours. The speaker will discuss specific registries and their usefulness, a simple prediction modeling tool and patient outcomes, as well as a fully automated outreach tool. 1. Discuss how population tools can be used in health care 2. Explain the benefits of a proactive approach to chronic disease management 3. Describe the differences between a fully automated approach and a semi-manual approach to population health SESSION 5: THE PATIENT EXPERIENCE Mark Katz, MD, MPH Chief Medical Officer/Cardiac Surgeon Specialist Bon Secours Heart and Vascular Institute Richmond, VA SESSION ABSTRACT: The patient experience is essential to Medicare reimbursement and a priority for the hospital experience. This presentation will review how hospitals can gain perspective on achieving a positive patient experience, which is based on good communication and effective patient care with positive outcomes communicated to the patient. Finally, the speaker will discuss the role of case management in the patient experience and how to identify opportunities for improvement. 1. Describe a positive patient experience 2. Identify how case management manages the patient experience 3. List actions to take that can improve the patient experience For more information, visit our conference website:

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 October 1 EARLY REGISTRATION DEADLINE September 26 LATE REGISTRATION BEGINS September 27 CHAPTER CONFERENCE DATE October 11 REGISTRATION PRICING EARLY REGISTRATION ACMA must receive payment and registration by September 26, ACMA MEMBER...$85 NON-MEMBER...$105 MEMBERSHIP PACKAGE*...$220 STUDENT (ID REQUIRED)... $45 LATE REGISTRATION Registration and payment received on or after September 27, ACMA MEMBER...$105 NON-MEMBER... $130 MEMBERSHIP PACKAGE*:...$240 STUDENT (ID REQUIRED)... $45 * Includes 1-year ACMA & Chapter Membership. Membership application required. CONTINUING EDUCATION Participants may earn up to the following continuing education (CE) hours: 6.30 Nursing Contact Hours (based on 50-minute hour) 5.25 Nursing Contact Hours (based on 60-minute hour) 5.25 Social Work Contact Hours 5.25 ACM This course meets the qualifications for 5.25 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 (CEP #15413) for 5.25 contact hours (6.30 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 8TH ANNUAL VIRGINIA CHAPTER CONFERENCE OCTOBER 11, 2014 CONFERENCE LOCATION: HOTEL LOCATION Greater Richmond Convention Center Crowne Plaza Richmond Downtown 403 North Third Street 555 East Canal Street Richmond, VA Richmond, VA Phone: Phone: PARKING INFORMATION: Greater Richmond Convention Center: Public self-parking $6/day Crowne Plaza: Self-parking $12/day, includes in-and-out privileges. Valet parking $17/day. HOTEL ACCOMMODATIONS: Crowne Plaza is offering a limited number of rooms at a discounted rate of $129 per night for the night of Friday, October 10, Group rate is available until all guest rooms in the block have been reserved or until the hotel reservation deadline of October 1, whichever comes first. To make your reservation, call the hotel directly at and ask for the ACMA group rate. The hotel is located 0.6 miles from the convention center about a 15-minute walk. The hotel offers complimentary shuttle service to the convention center that departs every half hour. Shuttle reservations are recommended at the time that guests check-in West 36th Street Little Rock, AR FIRST-CLASS U.S. POSTAGE PAID LITTLE ROCK, AR PERMIT #1105