CASE MANAGEMENT CONFERENCE H C

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HealtH Care SyStem
CASE MANAGEMENT
EDUCATION
8TH ANNUAL
VIRGINIA CHAPTER
CASE MANAGEMENT
CONFERENCE
SATURDAY, OCTOBER 11, 2014
GREATER RICHMOND CONVENTION CENTER
RICHMOND, VA
www.acmaweb.org/VA
CONFERENCE SCHEDULE
OCTOBER 11, 2014
7:30 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
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.
LEARNING OBJECTIVES:
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.
LEARNING OBJECTIVES:
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
CASE MANAGEMENT
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.
SESSION 3 (CONT):
LEARNING OBJECTIVES:
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.
LEARNING OBJECTIVES:
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.
LEARNING OBJECTIVES:
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:
www.acmaweb.org/VA
WE MAKE REGISTERING EASY!
TO REGISTER: Go to
www.acmaweb.org/VA
and click “Register.”
IMPORTANT: Please use
the attendee’s email 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 email 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 501-907-2262.
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, 2014.
ACMA MEMBER............................................$85
NON-MEMBER............................................$105
MEMBERSHIP PACKAGE*.........................$220
STUDENT (ID REQUIRED).......................... $45
LATE REGISTRATION
Registration and payment
received on or after
September 27, 2014.
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.
HOTEL LOCATION
Crowne Plaza Richmond Downtown
555 East Canal Street
Richmond, VA 23219
Phone: 804-788-0900
www.ihg.com/crowneplaza/hotels/us/en/richmond/riccs/hoteldetail
discounted rate of $129 per night for the night of Friday, October 10, 2014. 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 804-788-0900
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.
HOTEL ACCOMMODATIONS: Crowne Plaza is offering a limited number of rooms at a
Greater Richmond Convention Center: Public self-parking $6/day
Crowne Plaza: Self-parking $12/day, includes in-and-out privileges. Valet parking $17/day.
PARKING INFORMATION:
Greater Richmond Convention Center
403 North Third Street
Richmond, VA 23219
Phone: 804-783-7300
www.richmondcenter.com
CONFERENCE LOCATION:
OCTOBER 11, 2014
CASE MANAGEMENT
CONFERENCE
8TH ANNUAL
VIRGINIA CHAPTER
11701 West 36th Street • Little Rock, AR 72211
FIRST-CLASS
PERMIT #1105
LITTLE ROCK, AR
PA I D
U.S. POSTAGE