MGMA Fall 2015 ohio_brochure6

Fall State Conference
September 18, 2015
Sheraton Suites Akron/
Cuyahoga Falls
Human Resources
Medicare/Medicaid Update
Value Based Payments
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
Healthcare Industry
Mergers and Breakups
Process Improvement
Road
Trip
Fall State Conference
September 18, 2015
Sheraton Suites Akron/Cuyahoga Falls
d
a
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Trip
Conference Agenda
6:30am – 7:30am
Exhibitor Check-In and Set-Up
7:30am – 8:15am
Attendee Check-In/Registration
7:30am – 3:00pm
Exhibits Open
7:45am – 8:15am
Attendee Breakfast and Networking in Exhibit Hall
8:10am – 8:15am
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
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
Ohio MGMA Business Meeting and Ohio Legislative Updates
- Ohio MGMA Board of Directors and Officers
12:30pm – 1:15pm
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
Networking Break in Exhibit Hall
3:00pm – 3:30pm
“Medicaid Update”
- Laura Gipson, Ohio Department of Medicaid, External Business Relations
3:30pm – 4:00pm
“Medicare Update”
- Vanessa Williams, Provider Relations Senior Analyst Provider
Outreach & Education, Ohio Medicare Part B
4:00pm – 4:10pm
Door Prize Giveaways
4:10pm – 4:15pm
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
Scott Warrick, JD, MLHR, CEQC, SPHR
Provider Relations Senior Analyst, Provider
Outreach & Education, CGS Administrators, LLC
Jurisdiction 15 MAC - Kentucky / Ohio
Medicare Part B
Scott Warrick Consulting, Training &
Employment Law Services
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’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 www.scottwarrick.com.
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 .
CONFERENCE LOCATION
Sheraton Suites Akron / Cuyahoga Falls
1989 Front Street
Cuyahoga Falls, Ohio 44221-3811
(330) 929-3000
www.sheratonakron.com
HOTEL ACCOMMODATIONS
Attendees to our conference enjoy a discounted group room rate
at the Sheraton Suites, at $149.00 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) 929-3000. Group Code: Ohio MGMA
REGISTRATION AND FEES
Register and pay online at www.ohiomgma.com - Register by August 28, 2015 to avoid paying late fees!
By August 28
• Ohio MGMA Active Member:
$159
• Ohio MGMA Student Member:
$ 0
• North East Ohio MGMA Member:
$159
• Non-Member:
$259
After August 28
$209
$ 50
$209 (membership will be verified)
$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 www.ohiomgma.com
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 www.ohiomgma.com
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 email to
[email protected]. Cancellations after August 28 and no-shows will not be refunded. Substitutions from within the same
group are acceptable. Please email the Ohio MGMA office if you plan to substitute, [email protected]
QUESTIONS?
Please contact our office at [email protected]
P.O. Box 1460
Woodstock, GA 30188-1460
www.ohiomgma.com
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!