A series of one-hour audio conferences designed for even the busiest physicians.







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A series of one-hour audio conferences

designed for even the busiest physicians.

• Offered the first Tuesday of every month of 2015

from 1:00 – 2:00 p.m. (Eastern Time)

• Just $1,850 if you register for all 12 conferences.

• All registrants receive the MP3 at no extra charge following the conference.

Each of these programs has been approved by the National Association Medical

Staff Services for up to one hour continuing education credit(s).

Each of these activities has been approved for

AMA PRA Category 1 Credit(s)™.

Jointly sponsored by the University of Pittsburgh School of Medicine Center for

Continuing Education in the Health Sciences and HortySpringer Seminars.

The University of Pittsburgh is an affirmative action, equal opportunity institution.


January 6, 2015

Conflicts of Interest: The Devil’s in the Details

Linda Haddad and Charlotte Jefferies

New arrangements, new alliances and new competitors in the health care marketplace often create real and

imagined conflicts of interest that must be carefully managed. One thing is certain, most conflicts cannot be completely avoided, but understanding the law and implementing appropriate practices can help identify and address conflicts presented by ever-changing health care relationships. What matters is not that conflicts of interest exist, but how they are handled.

The basic rules governing procedures to deal with conflicts of interest have really not changed over the years. There are two basic aspects. The first is “disclosure” and the second is “recusal.” As long as these two rules are followed, conflicts can be appropriately managed 99% of the time. But don’t be fooled. These are not easy issues to resolve. However, they are less difficult to manage if thought is given in advance to what might occur if, for example, a competing venture is on the horizon, the conflict involves your employees, or a new type of health care provider is requesting privileges.

Join Linda Haddad and Charlotte Jefferies as they focus on:

• defining what constitutes a conflict of interest;

• describing the different types of conflicts of interest;

• identifying the root of a conflict of interest; and

• examining what steps can be taken to maximize awareness of conflicts of interest.

Educational Objectives:

• Recognize the barriers preventing amiable resolution of conflicts of interest;

• Identify the legal and ethical responsibilities of the board, medical staff, and administrators when addressing conflicts of interest;

• Examine the affirmative steps that can be taken to reduce risks associated with conflicts of interest; and


February 3, 2015

Locum Tenens

, My How You’ve Changed: New Rules for the

New Roles of Long-Term

Locum Tenens


Susan Lapenta and Ian Donaldson

Meaning “to hold the place of,” locum tenens is a term that was traditionally used for someone who filled in for a physician who was going to be away for the weekend, was taking a vacation, or was planning to be absent temporarily for some other reason. Accordingly, for decades organizations have been granting locum tenens

privileges to locum tenens providers using an expedited, abbreviated credentialing process.

But the role of locum tenens providers has changed. More and more often, they are being used to fill long-term vacancies (for example, while recruitment efforts are pursued within a particular specialty) or to regularly fill specific shifts (for example, covering one weekend per month or all evenings for a particular specialty).

This session will discuss whether the evolving role of locum tenens providers necessitates a new method of credentialing – and discuss why you need policy language specifically addressing locum tenens privileges.

Educational Objectives:

• Identify the legal and accreditation standards governing the grant of locum tenens privileges; and


March 3, 2015

Physician Leadership Programs: Identifying, Developing,

and Equipping Physicians to Lead Your Medical Staff

Barbara Blackmond and Rachel Remaley

Leadership development and succession planning are imperative in today’s world.

Physician leaders’ duties have increased exponentially over the past decade (think OPPE, FPPE, HCAHPs, and more!). But, despite this, most physicians don’t learn a thing about credentialing or other leadership responsibilities in medical school or residency. That’s why a physician leadership program is a necessity, not a luxury, for your Hospital and Medical Staff.

During this session, we will discuss current trends in physician leadership and best practices for developing a leadership pool of physicians with an interest and potential to serve.

Additional Topics:

• Characteristics/Qualifications of Good Leaders (it’s more than just availability for 7 AM meetings!)

• Making the Most of Mentoring

• Educational Prerequisites to Leadership Positions:

• Orientation

• Legal protections for those in leadership positions • Credentialing 101/Peer Review 101

• The roles of the Board/Administration/Medical Staff

• Confidentiality

• Perks of Leadership (Yes, there are a few!)

Educational Objectives:

• Identify key educational opportunities for leaders-in-training; and

• Develop a succession plan to identify, train, and help get future leaders ready to transition into leadership positions.


April 7, 2015

Docudrama — “I Want to See the MEC Minutes and My File, Now!”

Nick Calabrese and Ian Donaldson TOPICS:

• Committee Minutes – are they your best friend or your worst enemy?

• Credentialing Files – what goes in? What comes out?

• Who has access to the files?

• What happens if we fail to maintain confidentiality of our “confidential” files?

Educational Objectives:

• Identify what does and does not belong in a credentials file, as well as who can and cannot access it;

• Outline the challenges to confidentiality; and


May 5, 2015

Downstream Without a Paddle: Physician Referrals for SNF, HHA

and Other Services

Henry Casale and Phil Zarone

The federal government’s discharge planning regulations dictate that patients be given a list of SNFs and HHAs that are available to provide post-hospital care. These regulations also prohibit hospitals from “steering” patients to specific SNFs and HHAs. While these regulations promote patient choice, they also make it difficult for hospitals to improve patient outcomes by coordinating care with affiliated post-hospital providers.

Given these regulations, are physicians free to recommend that a patient receive care from a specific SNF or HHA? Does it make a difference if the physician is a hospital employee rather than an independent contractor? Join Henry Casale and Phil Zarone, partners at Horty, Springer & Mattern, as they discuss these and other issues related to discharge planning and referrals for post-hospital care. Among other issues, Henry and Phil will discuss:

• Are there antitrust risks to these referral decisions?

• How does the Stark law impact the discharge planning rules?

• What should discharge planners do if a physician does recommend a certain SNF, HHA, or other post-hospital provider?

• What should discharge planners do if there is no such recommendation?

• Can a hospital list affiliated SNFs and HHAs first on the list of potential providers?

• What if an SNF that would otherwise be suitable has no beds available?

Educational Objectives:

• Identify legal requirements for the provision of information about post-acute care treatment options to patients;



June 2, 2015

Boards’ Responsibility for Quality, Physicians’ Responsibility for Costs

Linda Haddad and Alan Steinberg

Board’s Responsibility for Quality, Physicians’ Responsibility for Costs. Is this flipped? To the contrary, we have long known that cost and quality are inextricably linked. The surprise in recent years is the data that shows that good care costs less than poor care. The challenge is how all responsible parties work together to achieve the shared goals. How is better care designed? How are protocols and policies embraced and enforced? This session will discuss the shared interests of the Board and physicians in offering better value through their joint efforts.

Educational Objectives:

• Identify the roles of the Medical Staff and Board as to both quality and cost;

• Recognize the Board’s accountability for the care provided by the hospital; and

• Discuss the impact of best practices and evidence-based medicine as to both quality and cost.

July 7, 2015

iBreach: Security, Privacy & Regulatory Concerns with the Use

of Personal Mobile Devices and Social Media

LeeAnne Mitchell and Ian Donaldson

Health care professionals live in a data-driven world and need clear leadership regarding patient privacy and their role in preventing unauthorized disclosures of protected health information (“PHI”). While the use of personal smartphones and phablets has become commonplace, these individuals must understand that the next HIPAA breach may only be one lost iphone away.

• Do you have policies addressing the use of smartphones and other mobile devices?

• Are your health care providers using social media or “cloud” technology like Dropbox?

• What steps can you take to prevent an ibreach at your hospital?

Educational Objectives:

• Identify the potential for HIPAA breaches when using personal mobile devices, cloud technology, and social media; and

• Develop a plan to prevent HIPAA breaches related to smartphones, mobile devices and social media in your hospital.


August 4, 2015

Obtaining Affordable, Useful, and Defensible External Peer Review

Rachel Remaley and Ian Donaldson

External review is one of those things that you probably don’t need done often, but when you do, you need it done right. Balancing fairness, cost and utility, we will offer tips for deciding when to obtain external review, how to go about defining the scope of the review and the nature of the report that is submitted by the reviewer at its conclusion. Further, we will delve into the unique issue of “external” review conducted within a health system – and the factors to be considered when constructing an intra-system external review program.


• When to obtain external review

• Choosing a reviewer

• The contract for review services

• Scope of the review

• External review reports

Join Rachel Remaley & Ian Donaldson as they discuss these topics in more detail.

Educational Objectives:

• Identify appropriate sources for external peer review;

• Define the scope of external peer review; and


September 1, 2015

HIPAA Violations by Medical Staff Members

Alan Steinberg and Phil Zarone

In light of the government’s more vigorous enforcement of HIPAA, hospitals and physician leaders are (or need to be) more focused upon HIPAA violations by Medical Staff members. Such concerns can be addressed by the HIPAA privacy officer or through the Medical Staff peer review process. However, there are significant advantages to coordinating the efforts of the two and using a hybrid process that includes both the HIPAA privacy officer and physician leaders.

Join Alan Steinberg and Phil Zarone as they discuss the various types of HIPAA violations by Medical Staff members and how HIPAA violations can be addressed using a hybrid process that includes both the HIPAA privacy officer and physician leaders.

Educational Objectives:

• Identify the various types of HIPAA violations by Medical Staff members;

• Discuss the pros and cons of using the HIPAA privacy officer or the Medical Staff peer review process to address these violations; and

• Develop a hybrid process for addressing privacy violations involving Medical Staff members by utilizing both the HIPAA privacy officer and physician leaders.


October 6, 2015

Employed Physician Peer Review:

Maximizing Performance and Protection

Phil Zarone and Charles Chulack

Concerns about employed physicians in the hospital setting may be reviewed through either the medical staff process or the employment contract, or, in some cases, both avenues may be used simultaneously. Nonetheless, many questions often arise, including:

• Can a hybrid process be used to integrate and coordinate the efforts of the Medical Staff and the employer?

• If the employer is a hospital-affiliated entity, are there ways to share peer review information of the hospital with the employer and vice versa while still maintaining the confidentiality of the information?

• Regardless of the review path chosen, can Patient Safety Organizations and other mechanisms be used to ensure that the resulting information is privileged and not subject to discovery in a malpractice lawsuit? Join Phil Zarone and Charles Chulack as they discuss the various concerns regarding hospital-employed physicians and how best to move forward so that the hospital is protected and performance is maximized.

Educational Objectives:

• Identify the pros and cons of reviewing concerns about employed physicians through the Medical Staff process or the employment contract;

• Develop a hybrid process to integrate and coordinate the efforts of the Medical Staff and the employer;

• Identify methods of protecting the peer review information of employed physicians; and

• Develop strategies for sharing peer review information with a hospital-affiliated employer while maintaining the confidentiality of the information.


November 3, 2015

Advanced Practice Clinicians and Their Collaborating/Supervising

Physicians: Working Together to Promote Safe, Quality Care

Barbara Blackmond and Susan Lapenta

Advanced practice clinicians are important members of the health care team in every hospital. They also present challenges in terms of credentialing, privileging, and peer review.

• What training do they have?

• What clinical privileges should they be granted?

• Can they perform clinical consultations without any input from their supervising physician?

• Can they take emergency room call or provide coverage for their practice?

• What internal training or experience should they get before changing supervising/collaborating physicians or specialties?

Educational Objectives:

• Identify some of the challenges presented by advanced practice clinicians in the hospital setting; and

• Develop strategies for managing tough credentialing issues involving advanced practice clinicians.

December 1, 2015

Why Are There So Many Hospital Acquisitions, Affiliations and Mergers?

Alan Steinberg and Nick Calabrese

Because of market forces and the impact of the health care reform law, more and more hospitals are joining health care systems, merging or being acquired. Join Alan Steinberg and Nick Calabrese as they discuss the dynamics causing these changes and also what the end result of a sale or merger means for the physician’s practice at the hospital. They will also describe the main parts of such a hospital transaction: from when the Board gives the initial go ahead to when the transaction “closes” and the affiliation, merger or acquisition is complete.

Educational Objectives:

• Identify the major forces leading to consolidation among hospitals and health systems;

• Discuss the implications for a physician’s practice; and









(Please register by noon on the day of the audio conference.)

 FAX this completed form to the Seminar Department at 412-687-7806

 PHONE 1-800-245-1205  ONLINE at HortySpringer.com

Hospital _______________________________________________________________________________________ Street/City/State/Zip ____________________________________________________________________________ Phone # ________________________________ Fax # ______________________________________________ Contact Person ______________________________Title ______________________________________________ E-mail Address: _________________________________________________________________________________

Audio Conference Audio Conference

Participation CD only MP3 only

January: Conflicts of Interest

February: Locum Tenens March: Physician Leadership

April: Docudrama

May: Physician Referrals

June: Board’s Responsibility

July: iBreach

August: External Peer Review

September: HIPAA Violations by Medical Staff Members

October: Employed Physician Peer Review

November: Advanced Practice Clinicians

December: Hospital Acquisitions


$250 per audio conference for one line; $50 for each additional line (limited to two additional lines) (includes MP3) or $250 for MP3/CD only

Register for the entire series: $1,850

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