Case Management Conference

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9th Annual

Western Pennsylvania Chapter

CaSe management

ConferenCe

Saturday, September 28, 2013

Hyatt Regency

Pittsburgh International Airport

Pittsburgh, PA

www.acmaweb.org/wpa

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7:15 am – 8:15 am Registration & Networking Breakfast with Sponsors & Exhibitors

8:15 am – 8:30 am Welcome Announcements

8:30 am – 9:30 am Session 1: Clearing Up the Mystery of Observation

9:30 am – 9:45 am Chapter Business Meeting

9:45 am – 10:15 am Networking Break with Sponsors & Exhibitors

10:15 am – 11:15 am Session 2: Communication and Utilization Review

11:15 am – 11:25 am Transition Break

11:25 am – 12:25 pm Session 3: An Introduction to Brief Clinical Applications of

Motivational Interviewing

12:25 pm – 1:15 pm Lunch (provided)

1:15 pm – 1:45 pm Networking Break with Sponsors & Exhibitors

1:45 pm – 3:00 pm Session 4: Health Care Reform: What Do We Need to Know?

3:00 pm – 3:10 pm Transition Break

3:10 pm – 4:25 pm Session 5: Medical Malpractice and the Movies

4:25 pm Closing Remarks

President

Christy Whetsell, BSN, RN, MBA, ACM

Director • Corporate Care Management UPMC Health System • Pittsburgh, PA President-elect

John Silipigni, LCSW, MBA, CCM, ACM

Director • Health Management

UPMC Magee Womens Hospital • Pittsburgh, PA Secretary

Livia Henderson, BSN, RN, MS, MBA, ACM

Manager, Health Management • Care Management UPMC Magee Womens Hospital • Pittsburgh, PA Treasurer Jennifer Hall, RN, MSN, CCM Director • Care Management UPMC Passavant • Allison Park, PA Education Chair

Aimee Wilson, RN, MSN, CMSRN, ACM

Manager • Care Management UPMC St. Margaret • Pittsburgh, PA Members-at-Large Holly D’Amico, BSN, RN, CPHM, CCM Director • Medical Resources Excela Health - Frick/Latrobe/Westmoreland Hospitals Greensburg, PA

Doris Shields, LCSW, BCD, ACM

Clinical Crisis Coordinator • Supportive Care Services UPMC Shadyside • Pittsburgh, PA

Katherine Dougherty, RN, MSN, ACM

Director • Care Management UPMC East • Monroeville, PA

Kathy McCabe, BSN, RN-BC, ACM

Clinical Preceptor • Care Management West Virginia University Hospital Morgantown, WV

Laura Condos, LSW, ACM

Accredited Case Manager • Case Management Healthsouth Harmarville Rehabilitation Hospital Pittsburgh, PA

ConferenCe SChedule

September 28, 2013

Chapter board of direCtorS

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K e y n o t e A d d R e S S :

Clearing up the mystery of observation

Steven J. meyerson, md

Senior Vice President

Regulations and Education AccretivePAS • Chicago, IL

SeSSion AbStrAct:

The speaker will discuss the relative costs and benefits for inpatient admission from observation for the patient, physician and hospital. This session will demonstrate the effect of documenting medical necessity for inpatient admission to include Medicare compliance. Examples of key words for physician documentation, clinical factors of InterQual criteria, and RAC review will also be discussed. The speaker will explain options for two-day observation stays, with typical clinical scenarios from discharge to the physician advisor’s role.

LeArning objectiveS:

1. Explain the relative costs and benefits for inpatient admission

from observation

2. Assess the effectiveness of documenting medical necessity for

inpatient admission

3. Review options for two-day observation stays

S e S S I o n 2 :

Communication and utilization review

Vanessa blaha, rn, mSn, mba

Director, Utilization Management

Health Services

Gateway Health • Pittsburgh, PA

Utilization review plays a critical role in the planning and delivery of care. Clear communication between the provider and the health plan is a key component of the process. This session will provide the basic constructs of utilization review, as well as effective best practices for communication. LeArning objectiveS:

1. Identify the basic principles of utilization review

2. Demonstrate mechanisms for effective communication in case

management settings

3. Present information in a concise manner for more effective daily practice

S e S S I o n 3 :

an introduction to brief Clinical

applications of motivational interviewing

luann richardson, ph.d., fnp-bC, pmhnp

CRNP, Private Practice Faculty, Nursing/Medicine

Duquesne University • Pittsburgh, PA

Motivational Interviewing (MI) is a valuable tool for nurses and social workers to help patients address behavior change. MI has been found

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Session 3 – Continued

effective for helping patients with multiple chronic conditions, adherence issues and lifestyle issues change their health behaviors. The speaker will provide an overview of the basic concepts of MI, as well as resources to help case managers learn more about using this tool in their daily practice. LeArning objectiveS:

1. Describe the basic concepts used in MI

2. Apply these concepts to scenarios that commonly benefit from MI 3. Locate additional resources for more information on MI

S e S S I o n 4 :

health Care reform: What do We need

to know?

Christy Whetsell, bSn, rn, mba, aCm Director

Corporate Care Management UPMC • Pittsburgh, PA

Health care is changing rapidly, and case management professionals are increasingly assigned to manage the coordination and work involved with these changes. This session will identify and discuss the top health care agenda issues and how they affect the daily practice of case managers. The speaker will discuss how case management can form partnerships to help manage

proposed health care reforms. LeArning objectiveS:

1. Identify and discuss the top issues on the health care reform agenda 2. Examine health care challenges that affect coordination of care

across settings

3. Describe how case management’s influence can be leveraged to produce

effective partnerships

S e S S I o n 5 :

medical malpractice and the movies

daniel Sullivan, md, Jd, mba

Chief of Anesthesia, Physician Advisor

Department of Anesthesiology UPMC Passavant • Pittsburgh, PA

This session will review the law of medical malpractice in the United States, including the theoretical basis for tort law. The speaker will use film clips to illustrate the various components of trial, including expert witness

examination, cross-examination, and closing arguments. Participants will leave with enhanced knowledge about medical malpractice law, as well as practical suggestions for defendants.

LeArning objectiveS:

1. Review the theoretical basis of tort law 2. Identify the components of a malpractice trial 3. Describe practical suggestions for defendants

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important dateS

Continuing eduCation

Participants may earn up to the following continuing education (CE) hours:

6.6 Nursing Contact Hours (based on 50-minute hour) 5.5 Nursing Contact Hours (based on 60-minute hour) 5.5 Social Work Contact Hours

5.5 ACM™

online:

www.acmaweb.org/wpa 11701 West 36th Streetmail: Little Rock, AR 72211 fax: 501-227-4247 Early rEgistration DEaDlinE September 9 latE rEgistration BEgins September 10 HotEl Discount DEaDlinE September 1

For a hard copy registration form, complete online registration and print to mail.

There will be no refunds for cancellations; however, fees may be transferred to another participant for the same event.

For more information and questions, please call 501-907-2262.

cHaptEr confErEncE DatE September 28 ACMA MeMber ...$55 NoN-MeMber ...$75 MeMbership pACkAge*: ...$215

*Includes 1-year ACMA & Chapter Membership. Membership application required. studeNt** (student id required): ...$40

ACMA MeMber: ...$80

NoN-MeMber: ...$100

MeMbership pACkAge*: ...$240

*Includes 1-year ACMA & Chapter Membership. Membership application required. studeNt (student id required): ...$40

eArly registrAtioN

ACMA must receive payment and registration by September 9, 2013.

regiStration priCing

lAte registrAtioN Received on or after September 10, 2013.

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FIRST -CL ASS U.S. POST A GE PAID LIT TLE R OCK, AR P ERMIT #1 105 11 70 1 W est 36th S tr eet • Little R ock, AR 722 11

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Conferen C e lo C a tion

Hyatt Regency Pittsbur

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1111 Airport Boulevar

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Phone:

724-899-1234

www.pittsbur

ghairport.hyatt.com

parking informa tion: $5 discounted airpor t par king is av ailable for confer ence attendees . h otel informa tion: The H yatt R egency Pittsbur gh I nter national Airpor t is offer

ing a limited number of r

ooms at a discounted r

ate of

$139 per night for the night of F

riday , S eptember 27, 2013. G roup r ate is av

ailable until all guest r

ooms in the block hav

e been r eser ved or until the hotel r eser vation deadline of S eptember 1, whichev er comes first. To make y our r eser

vation, call the hotel dir

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ask for the A

CMA gr

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