Breakout Sessions

Monday, May 5: 1a–1e | 11:00 am – 12:00 pm | Spokane Convention Center

1a. Lean Six Sigma Case Study Presentation

Owen Dahl

Lean Six Sigma is a set of management philosophies built in the manufacturing world. However, there have been many applications in the medical world that have proven successful in responding to the voice of the patient. We will review a case where the principles have been applied and the outcomes measurable realizing improved patient care and improved bottom line. The case will provide practical advice that can be taken back to the practice for implementation. If your practice is ready for change, this session is for you.

1b. HR Management: The One Thing You Need to Know and Nine Other Helpful Hints

Nicole Reed

Attendees will walk away with at least one approach to successfully manage staff in a clinical setting. FMLA, hiring, attendance, and performance improvement are just a few of the daily events experienced by managers. We'll talk about forming sound approaches and solid partnerships while avoiding common mistakes in the workplace.

1c. Financial Dashboard Essentials for Today's Practice

Lisa Marsh

In this one hour breakout session, you will learn the metrics essential to the interpretation of the current financial health your practice and how to predict future peaks and valleys in cash flow. We will discuss the mechanics of using the dashboard, understand the formulas behind the benchmarks and will review a number of case studies to gain understanding of how to interpret the dashboard metrics. Tools and spreadsheets used in this class will be provided to those who attend this session.

1d. MGMA National Legislative Update

Jennifer McLaughlin

This update will provide timely information on the status of pertinent healthcare issues under consideration by Congress and federal regulatory agencies. Attendees will learn about recent legislative and regulatory developments affecting medical groups, gaining a deeper understand of these changes and their impact on the day-to-day activities of medical group practices. Additionally, attendees will learn what resources are available to clarify these federal initiatives. Topics will include Medicare Physician Payment (SGR), Medicare changes, healthcare reform and compliance issues.

1e. Partnering to Deliver Accountable Care

Scott O'Brien and Kelly Stanford

One of the most talked-about features of health reform has been the creation of Accountable Care Organizations (ACOs). New partnerships and relationship are required to deliver on Accountable Care. Learn how Providence and Group Health in Eastern Washington have worked to evolve their relationship, partnerships with other providers, and partnerships with purchasers to better meet the needs of the community.

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Monday, May 5: 2a – 2e | 2:30 – 3:30 PM | Spokane Convention Center

2a. Meaningful Use: What You Need to Know Before the Auditor Shows Up

Chris Apgar

EHR incentives may help you defray the cost of implementing and upgrading your EHR. It can also lead to headaches and additional financial costs. It's important to know what those costs are in advance. Meaningful use can get expensive if the auditors show up. Participants will learn who is being audited, what the results of that audit are and what to do next if CMS asks for its money back. Participants will also learn what to do to reduce the cost of responding to an audit and avoid that letter from CMS.

2b.The Value Proposition for Telepsychiatry Integration in the Medical Group

Phil Hirsch, Ph.D.

Integrating psychiatric services with a primary or specialty care clinic can help medical groups achieve the health care Triple Aim: Improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. However, many practices find it difficult to obtain psychiatric care for their patients, and to integrate those services with other aspects of patient care. Advances in technology and in evidence-based psychiatric practice make it possible to deliver psychiatric services in the medical clinic in a manner that is timely, coordinated and effective. Once accomplished, this integration can improve care and reduce costs, particularly for patients with co-existing psychiatric and other chronic conditions. This presentation will explain how groups can use telemedicine, and help groups assess their readiness for telepsychiatry implementation.

2c. Reorganizing Primary Care in Three Different Medical Groups

Brian Seppi, MD; Paul Fletcher MD and Mike Stephens MD

Learn how physician leaders from three different medical groups (Providence, Group Health and Columbia Medical Associates) have identified shared outcomes and are working to implement a medical home in their respective practices. Each of these groups started from a different place and has different challenges and opportunities to deliver care differently.

2d. Compliance: What has Changed in the Seven Elements

Lori Laubach

For over 20 years, the OIG has used seven elements to guide compliance program development and regulation. To keep up with the rapidly changing health care environment, they have added new elements. In addition, the Health Enforcement Action Team (HEAT) and CMS has suggestions for implementing all of the guidelines. We will discuss the original elements, the new elements, how to implement an effective compliance program, and emerging risk areas to think about for the future.

2e. Utilization of Mid-Level Providers in Clinical Practice

Lyle Larson, Ph.D., PA-C

At the conclusion of this presentation, attendees will be able to understand the role of the mid-level (advanced care) provider and discuss the similarities and differences between Physician Assistants and Nurse Practitioners including legislative regulations, supervision, billing, and utilization. This information will be applicable to both outpatient and inpatient settings, and will assist in maximizing the contributions these valuable providers can provide to your patients and to your practices.

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Tuesday, May 6: 3a – 3e 8:30 – 9:30 AM | Spokane Convention Center

3a. Managing Vulnerabilities: Reducing the Risk of a Data Breach

Bowe R. Hoy

The recent breaches of healthcare data have skyrocketed in recent years, causing much concern in healthcare entities. As physical offices move beyond locked doors, modern healthcare IT organizations must also focus on data aspects outside of data centers and server platforms. This session will assist in defining what constitutes a data breach, how do breaches occur, how to respond in the event of a breach, the hidden costs of a breach and what you can do to assist in preventing a breach. The same security measures that can prevent a breach of protected health information can apply to other data types.

3b. Health Information Exchange (HIE): What Providers Need to Know

Jeff Sobotka

Why HIE? This is a primer for physicians and other stakeholders regardless of whether or not they have implemented an HER in their practice or working to meet Meaningful Use. It provides an overview of the value of HIE and the impact of Stage 2 requirements that will include HIE capabilities on patient portals, etc. It will include a discussion of strategies for using a community HIE and participating in directed exchange even without an HER in the practice.

3c. Washington State Practice and Physician Legislative Update

Katie Kolan

Katie Kolan, Director of Legislative, Regulatory and Legal Affairs for the Washington State Medical Association, will provide an update on policies and provisions that will impact your practice such as administrative simplification, health care reform, network adequacy and budget provisions. She will also provide an update on Washington Health Benefit Exchange activities as well as what to look for in the coming months.

3d. Oregon Health Exchange


3e. Strategic Planning for Medical Groups: More Important than Ever

Karl Rebay

In this session, we will explore the importance of strategic planning for medical groups in light of current market and national characteristics and trends. We will discuss approaches to planning for differently sized groups and provide key elements of strategic plans.

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Tuesday May 6: 4a – 4e | 9:45 – 10:45 AM | Spokane Convention Center

4a. Health and other Employee Benefits: Employer Considerations in the Wake of the Affordable Care Act

Peter D. Svennungsen

This presentation will outline compliance issues related to the design and implementation of health and other employee benefit plans as a result of the Affordable Care Act, with an emphasis on what employers need to know now, as well as expected changes in 2015.

4b. Identifying the Hidden Costs: Finding and Quantifying Process Improvement Opportunities

Debra Wiggs, FACMPE

Do you know how much it costs to send a fax for the 3rd time? How much opportunity is lost in not investing in new technology? When is disruptive behavior costing the organization more than the value of the practitioner? Primary focus of this workshop is using data and workflow evaluations to identify and change practice performance and fiscal resource management. Discuss how to calculate the opportunity cost/loss from doing/not doing certain practice behaviors (e.g. the cost of a chart not being available for use or a MD being late ½ hr each day). Objectives for this session include identifying tools that allow attendees to calculate own internal performance benchmarks,
defining areas of opportunity for performance improvement, and providing a tool to examine options for revenue enhancement.

4c. Leveraging Community, Technology, Affinity and Branding to Grow Your Practice

Ed Renouard

This presentation will provide an overview of the evolution of practice marketing and provide a strategic foundation for putting proven marketing methods and media tactics along with social networking and affinity based community building to work for your organization. You'll see how understanding your patient's interests and concerns and applying your professional expertise to address them can build both practice growth and patient loyalty.

4d. The Link Between Communication and the Patient Experience

Christine Varela

The patient experience is more important than ever. Consumers are increasingly savvy and more engaged than ever before in helping to navigate their healthcare choices. Patients judge their experience based on many factors other than the actual quality of the medical care they receive. Everybody in the office has a role in impacting the patient experience and communication is a key foundation. Learn how to leverage some simple communication strategies and tactics that will help improve the patient experience in your practice.

4e. The Changing Face of Identity Theft


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Tuesday, May 6: 5a – 5e | 1:15 – 2:15 PM | Spokane Convention Center

5a. HIPAA Risk Analysis Compliance and Audit Defense

Jeff Sobotka

Surviving a HIPAA Breach or Audit – a data breach is the number one risk for loss of practice information for Physician practices. You could have an unencrypted device missing, a backup device stolen, or the server is compromised. What do you do in the first 24 hours sets the stage for how your practice will be perceived among the patient community, potential auditors and colleagues. This session will help you carve out your plan to complete a Risk Analysis so you can manage a breach if it happens.

5b. Preventing Theft and Embezzlement

Lori Laubach and Lisa Ford

We hear about embezzlement and theft almost daily in the newspaper – from small companies to large public entities. In some instances, we do not hear about all the situations. Does our medical group or clinic have enough controls to protect our assets? Internal controls are developed to protect profits and reduce the risk of substantial losses from employee embezzlement and theft. We will provide examples of recent cases and then discuss controls to mitigate the risks. Our presentation will include examples with recommended controls to limit risk.

5c. Representing the Profession in a New Era of Health Care

Jennifer Hanscom

There has never been a more challenging time to practice medicine, nor to be a medical association. The health care landscape and the way care is delivered have changed drastically, with enormous implications for physicians, practices and patients. Come hear how the Washington State Medical Association is responding to this post ACA world and get an update on recent legislative achievements and the Association's work to address policies that promote access to care (not just coverage).

5d. Oregon Medical Association Legislative Update

Gwen Dayton

Gwen will update the audience on developments in health care law and policy coming out of the 2014 Oregon Legislative Assembly and what they mean for medical practices, and also discuss other important state and national health law/policy developments such as federal and state health reform progress.

5e. Contract Negotiations

Dwight Johnson

Participate in a discussion of the mechanics of payor contracting with an executive possessing over a decade of commercial insurance experience. Learn negotiating techniques and insights into the dynamics of the local market. Topics will include the Washington Exchange, value based contracting, tips for negotiating language and pricing, the strengths and weaknesses of various reimbursement methodologies, healthcare reform and the impact of the ACA on your practice and the carrier view of contracting with providers. This will be a contemporary, interactive, 'real-world/boots on the ground' discussion led by one of the leading consultants in the local and statewide marketplace.

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Breakout Presenters

Chris Apgar, CISSP, CEO and President,Apgar & Associates, LLC
Gwen Dayton, General Counsel & VP of Health Policy – Oregon Medical Association, Salem, OR
Paul Fletcher, MD, Medical Director - Spokane, Group Health, Spokane, WA
Lisa Ford, Senior Manager, Moss Adams LLP, Portland, OR
Jennifer Hanscom, Executive Director/CEO, Washington State Medical Association
Phil Hirsch, Ph.D. Chief Clinical Officer, HealthLinkNow, Seattle, WA
Bowe R. Hoy, Regional Sales Consulting Manager, Sword & Shield Enterprise Security, Vancouver, WA
Dwight Johnson, FHFMA, Director of Providing Contracting – Coopersmith Law, Seattle, WA
Kathryn Kolan, Esq. Director of Legislative, Regulatory and Legal Affairs, Washington State Medical Association
Lyle W. Larson, PhD, PA-C, Chief Physician Assistant, University of Washington Medical Center, and Teaching Associate, Division of Cardiology, Seattle, WA
Lori Laubach, Principal, Moss Adams LLP, Tacoma, WA
Lisa Marsh, President, Sound Medical Consulting LLC
Jennifer McLaughlin, Government Affairs Representative, Eastern and Western Sections, Medical Group Management Association
Scott O'Brien, Chief Strategy Officer, Providence Health Care, Spokane, WA
Karl Rebay, Director, Health Care Consulting Group, Moss Adams
Nicole Reed, Human Resources Generalist, Confluence Health, Wenatchee, WA
Ed Renouard, Ed Renouard Communications, Spokane, WA
Brian Seppi, MD Medical Director for Primary Care Redesign, Providence Medical Group, Eastern Washington
Jeff Sobotka, MBA, CPHIT, CHP, Principal, The Sobotka Group, Seattle, WA
Kelly Stanford, VP Eastern and Central Washington Markets, Group Health, Spokane, WA
Mike Stephens, MD, Columbia Medical Associates, Spokane, WA
Peter D. Svennungsen, Attorney, Witherspoon Kelley, Spokane, WA
Christine Varela, Partner, Desautel Hege Communications, Spokane, WA
Debra Wiggs, FACMPE, Vice Chair Board of Directors, MGMA and VP Physician Services, St. Joseph Regional Medical Center, Lewiston, ID