Thursday, May 31: 1a–1d | 2:45 – 3:45 pm | Oregon Convention Center
1a. The Truth on Healthcare Social Media: Is it Right for your Practice? (Part 1)
With all the information and chatter about social media, how can you be sure that jumping into the mix is right for your organization? And, if it is appropriate, how can your group make the most of your online exposure and create conversations that will have a positive impact on your practice and your bottom line? During this interactive session, you will learn the “Why, Who, What, Where, and How” of utilizing social media to enhance patient experiences and attract new patients to your practice. You will walk away with the knowledge you need to understand social media and the effect it can have in your organization, along with tactical action steps for starting your own social media strategy off on the right note.
1b. Games Dishonest Employees Play
Lee Ann Webster
Recent research reveals that the typical U.S. organization loses an estimated five percent of its gross revenues to fraud. Because medical practices are especially vulnerable to employee dishonesty, improved internal controls can boost practice profitability. This discussion focus on occupational fraud in the medical practice, with emphasis on revenue cycle, accounts payable, purchasing and payroll. Discussion will include real life examples of various types of fraud.
1c. Why Employee Health Should Matter to You
This session will discuss employer-sponsored health plans and cost-saving strategies your organization should consider in 2012 and beyond. As healthcare costs continually rise, many employers find themselves in a defensive position, forced to accept the costs that are imposed upon them by their vendors. Mikel will provide insights into how managing your employee benefit plan goes well beyond negotiations with insurance carriers. By the conclusion of this presentation, you will understand how the value of improving your communication methods, empowering your employees to be informed consumers of healthcare, and encouraging wellness can be measured both in employee satisfaction and in your bottom line.
1d. Evidence Based Management
The truth is, we too often depend on traditions, emotions, politics, and anecdote to make critically important business and management decisions for which we will likely stand accountable in the future. And while no system is perfect, the use of evidence in the form of data and statistics can significantly increase the probability that our management decisions will turn out well. Evidence based management is a global management concept that employs practical applications such as process mapping, cause and effect analyses, deployment platforms such as PDSA and DMAIC, critical thinking and decision theory. Attendees will receive a complete tool box, including documentation, worksheets, templates, sample report, and all pertinent collateral materials necessary to understand EBM and how they can create a better environment for their business.
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Thursday, May 31: 2a–2d | 4:00 – 5:00 pm | Oregon Convention Center
2a. The Nuts and Bolts of Executing a Successful and Compliant Social Media Strategy
Your organization has decided to jump off the deep end and get involved in the social media wave: NOW WHAT? Or, perhaps your group is actively utilizing social media tools and seeing some success but it’s time to ramp up your efforts and ensure you engage effectively online. This session will focus on providing tactical, useful strategies for executing not only a successful social media strategy, but also a HIPAA compliant strategy that limits your organization’s risk online. You’ll hear about healthcare organizations who are “doing it right” and innovative ideas for developing engaging content that produces online conversations to drive patient referral volumes. We’ll also address commonly asked questions and stumbling blocks, such as finding the time to maintain and monitor these new tools and how to take control of your practice’s and your physicians’ online reputations through your social media efforts.
2b. Become a Medical Practice Cost Cutting Guru!
Lee Ann Webster
Faced with a gloomy economy and a political environment that is uncertain at best, medical practices face decreased reimbursement and are turning to cost control to improve their profitability. This sesssion will focus on cutting staffing and other overhead costs in the medical practice. We will explore some general concepts and philosophies of cost cutting, as well as some practical suggestions regarding specific costs that practices should consider as part of their cost-cutting strategy.
2c. Driving Service Through Employee Engagement
While it is important to train on the nuts and bolts of service, without inspiring your staff to want to give great service, there is often a disconnect. In this interactive session, we will discuss how to inspire your staff to want to give great service every time. You will learn how to set clear expectations on what service is, as well as how to motivate and inspire your staff to want to give their very best to your patients.
2d. The Art and Science of Critical Decision Making
Too often, we live by anecdote and intuition when what we need is antidote and analysis. In this session, Frank Cohen will delve into the two most important concepts in critical decision making: why we make bad decisions, and what techniques and behaviors guide us toward making good decisions. We start by examining how we make individual decisions, and progress to how organizational thinking influences the decision making process. We will cover topics covering bias, intuition, group dynamics, groupthink, brainstorming and other concepts and techniques that affect how decisions are made. Attendees will receive a complete tool box, including documentation, worksheets, templates, sample reports and all pertinent data files necessary to understand and apply critical thinking and decision making techniques.
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Friday, June 1: 3a–3d | 10:45 – 11:45 am | Oregon Convention Center
3a. Compliance & Risk Monitoring
The objective of a compliance program is to create a process for identifying and reducing
risk and improving internal controls. Effective compliance programs include proactive
monitoring and auditing functions that are designed to test and confirm compliance
with legal requirements and with the organization’s written compliance standards. This
presentation will focus on the need for continuous ongoing monitoring and auditing
functions that an organization should have in place. We will discuss how to develop an
annual work plan, design an audit, techniques in sampling, methods to complete auditing
and monitoring and the resolution of issues found during an audit. Attendees will
learn what best practice is, how to scale to your organization, and how to manage the
auditing and monitoring of the compliance plan. Each attendee will walk away with a
start on their audit work plan plus tips on monitoring electronic risk areas.
3b. ICD–10 Payer Overview: Further Down the Implementation Highway (Part I)
ICD–10 implementation is closer than ever. What are your payers doing
about ICD–10? Are you prepared for likely changes coming as a result of
ICD–10 implementation? Relationships with payers and vendors will become
more important than ever, so providers need to understand what changes
payers are likely to make. This session aims to provide updates concerning
changes and challenges that payer’s are facing with ICD–10 implementation.
This session features insights from the payer perspective and tips on the
importance of keeping lines of communication open with the vendors and
payers throughout this critical change process.
3c. The Double-edged Sword: How to Manage Human Resources Records and Documentation
Managing personnel files, medical information, and disciplinary documentation
can be complicated. Done correctly, it can be the key to claim avoidance.
However, many employers discover too late that what it included,
or failed to include, in a personnel file makes or breaks a case. Learn how
to keep claims at bay through proper documentation. Presentation will
include discussion of federal and state requirements as well as practical
advice for managing electronic and paper documentation.
3d. PDSA Leadership (Plan, Do, Study, Act)
Being able to adapt to change is a necessity for survival. Being able to lead change
is the single best way to thrive and ensure continued profitability. We need a way to
deploy change in a fast, efficient and cost effective way. The solution is PDSA; Plan,
Do, Study, and Act. Not only is it the single most effective rapid change platform
available, it is required by some specialties for recertification, enforcing its importance
as both a clinical and business improvement strategy. In this session, Frank Cohen
will walk you through the four steps of PDSA and through the use of real case study
examples and interactive play. When finished, attendees will have obtained the basic
skills and knowledge necessary to begin their own PDSA improvement projects. Each
attendee will receive a toolbox containing all of the necessary collateral materials.
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Friday, June 1: 4a–4d | 2:45 – 3:45 pm | Oregon Convention Center
4a. Compliance Risk: Auditing and Monitoring Your Practice
Repeat of 3a
4b. Arrangements Between Hospitals and Medical Groups: Alternatives to Employment
Anne M. Redman and Renee M. Howard
What are the market forces today behind integration of medical practices and practitioners with hospital and hospital systems? Decreases in reimbursement, development of accountable care organizations, access to capital, and other drivers encourage medical practices to enter into some new and some familiar arrangements with hospitals. This session will review affiliation arrangements (short of employment) between medical practitioners and hospitals that make sense in today’s health care industry. The discussion will cover the benefits and drawbacks of various affiliation arrangements, and will also cover the legal issues that shape and limit compliant affiliation structures for physicians and hospitals.
4c. Practice Risk Mitigation
This presentation will review frequently asked questions posed by medical
group managers to the risk consultants at Physicians Insurance. Topics will
include treatment of minors; patient abuse reporting requirements; how
to respond to subpoenas; responding to requests to amend PHI; informed
consent and refusal of care; apology laws and other subjects.
4d. Conducting a Throughput Analysis on Visit Time
The fact is, quality is expensive and if a practice cannot be profitable, their ability to provide quality care is severely limited. This session concentrates on how to use Six Sigma and Lean techniques to improve efficiency of patient cycle time, resulting in happier patients and a more profitable practice. The basis for this presentation is a case study of a threephysician internal medicine practice that incorporated emerging business techniques to time, analyze and improve efficiency by reducing the amount of time it took for a patient to be seen by the practice. The result was an additional $275,000 in gross revenue, a reduction in costs and an increase in patient satisfaction. Attendees will receive a complete tool box with all pertinent data files necessary to apply the information from this workshop.
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Friday, June 1: 5a–5d | 4:00 – 5:00 pm | Oregon Convention Center
5a. Stark Law and Your Practice — What You Need to Know
Renee Howard and David Robbins
This presentation will provide an overview of the federal physician-self referral law, and the practical implications for physician practices. Highlights include the new self-disclosure protocol and real-world case studies highlighting the law’s far-reaching consequences.
5b. WA State HCA and L&I Update
Doug Porter and Janet Peterson
Change is dynamic and you need to stay on top of essential new information that will impact your practice, physicians and patients. Join key officials from the Washington State Health Care Authority and the Department of Labor and Industries for an informative discussion on the latest new state healthcare initiatives and programs, regulations and compliance changes, and other important facts.
5c. Progress Toward health Care Transformation in Oregon
Bruce Goldberg, MD
The presenter will discuss plans and progress toward efforts in Oregon to transform the healthcare system to achieve better health, better quality, and better value.
5d. Cost Accounting for the Medical Practice
For a medical practice to thrive, understanding the basics of cost accounting is a must. In this session, you will learn how to measure cost and collection per RVU, and assess growth or decline within the financial structure of the practice. We will demonstrate how to calculate cost, profit, and loss per procedure and determine the break even fee for each procedure in the fee schedule. When used to negotiate with payers, understanding the data provides the practice with the information needed to make the sign vs. don’t sign decision. This session will provide attendees with the skill set necessary to perform their own cost accounting analysis. Attendees will receive a complete tool box with everything necessary to apply the skills learned.
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Friday June 1: 6a–6d | 9:45 – 10:45 am | Oregon Convention Center
6a. Payer Contracting (Part I) Nuts and Bolts of Provider Contracting
Mark Bonanno and Joe Henery
Whether you need it or not, if you work in a health care provider setting and your job is not working as a lawyer or a contract negotiator, it helps to get familiar with the in’s and out’s of provider contracts or sit in on a refresher. This presentation will walk through some basic terms of a typical provider contract with the unique twist of looking at subtle changes that could significantly favor the payor versus the provider. Also, some initial groundwork will be laid on the so-called back end of a provider contract, i.e., payment terms, so audience participants will be ready for Part II of the contracting session on what to expect in the brave new world of health reform.
6b. EHR Implementation: What You Need to Know About Information
Security Beyond EHR
Participants will be provided with an overview of information security requirements related to EHR implementation/upgrade and beyond. EHR implementation will upgrade present practices with new information security risks. New risks go beyond EHR. As an example, many EHRs interface with other applications and are accessed by remote users, increasing the risk of a breach of PHI. This workshop will assist participants develop practical plans, reducing the risk to practices and patients when implementing or upgrading an EHR. Security requirements associated with meaningful use will e addressed. Participants will walk away with the knowledge necessary to complete a full risk analysis.
6c. Secrets of Great Managers — Using Feedback to Grow Great
Rochelle Crollard and Beth Hanley
Great managers know that meaningful feedback is the key to growing great performers. How do they do this? They encourage the employee’s own intrinsic drive to master key skills and knowledge. If you attend this session, you will learn high impact routines that are simple, frequent, focused on results and self-monitoring, along with essential components of a successful performance program. Every employee - whether a high, middle or low performer - benefits by receiving frequent feedback, as well as an annual evaluation and performance plan. In this session, you will enhance skills in assessing performance, providing clear and credible feedback, based on observed behaviors. As a bonus, you’ll learn tips for delivering corrective feedback to those oh-so-difficult employees — you know, the ones who — if you’re not prepared — they’ll eat you for lunch. Be prepared to wrinkle your brain.
6d. Pre-Audit Risk Analysis
Since 1996, the DHHS has conducted an annual study to determine the error rate for fee-for-service claims paid by Medicare contractors. The problem is, the higher the error rate, the more aggressively carriers go after providers to try to recover payments made in error. In this session, attendees will learn how the comprehensive error rate testing (CERT) study works along with the key factors that place their organizations at risk. We will interpret the results to uncover specific high risk areas, such as specific codes and code groups, specialty designations and types of practice entities, and discuss what a practice can do to mitigate their exposure. Attendees will receive a toolbox of information that can be used to conduct their own risk analysis.
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Friday, June 1: 7a–7d | 11:00 – 11:55 am | Oregon Convention Center
7a. Payer Contracting (Part II) New Payors, New Payment Methodologies, New Strategies
Mark Bonanno and Joe Henery
With the implementation of health insurance reform initiatives on both the National and State levels, traditional fee-for-service provider contracts will become less the norm and more the oddity. Conversion factors will no longer be the main focus of contract negotiations, providers will negotiate/contract with many entities in addition to insurance companies, and new payment methodologies will continue to rapidly evolve.This presentation will address who the new payors will be, what the new payment methodologies will look like, and what strategies providers (primary care physicians and specialists) should use to assure that their interests are protected.
7b. Conflict Resolution: Expecting the Unexpected
We can know the important steps for resolving conflict conversations and yet still find ourselves being quickly derailed. Some of the first responses in conflict conversations are characterized by a quick rise in tension, criticism, exaggeration and conversation ending statements. This workshop will provide you with ideas to help you move through the defensiveness that are actually quite common in conflicts but still catch us by surprise.
7c. Secrets of Great Managers — Using Feedback to Grow Great Employees
Rochelle Crollard and Beth Hanley
Repeat of Breakout 6c
7d. Post Audit Risk Mitigation
Recovery audits of all types have increased to such a degree that they are now the rule than the exception. The practice has two distinct opportunities at their disposal: pre-audit risk assessment and the post-audit risk mitigation. In this session, Frank Cohen will lead you through the step-by-step process to both analyze the audit results and mitigate the financial impact of extrapolation. The three key areas will include verifying the method and results of the extrapolation. When complete, attendees will have the information necessary to understand the workflow behind mitigating the financial impact of an extrapolation audit. Attendees will receive a complete tool box, including documentation, worksheets, templates, sample reports and all pertinent data files necessary to begin their own post-audit reviews.
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