COLLABORATING TO STRENGTHEN CARE TRANSITIONS
November 10-11, 2014
Holiday Inn Harrisburg-Hershey
Grantville, PA
Get ready for an interactive forum where
learning happens—not just from the national
experts, but from the connections you make
with participants from all facets of the health
care continuum from across the state.
The sessions will get the audience talking
about the work, the challenges, and the
opportunities for all who are working together
to transform health care in Pennsylvania.
2014 Care
Transitions Forum
Participants will be able to:
Describe national, state, and regional efforts to improve care transitions
Discuss strategies to improve cross continuum partnerships
Identify available resources and effective practice to facilitate better care
Describe the roles to be played by both acute and post-acute providers in managing patients across a broad continuum
Discuss application of medication reconciliation, physician integration into care settings, an enhanced communication among providers to deliver better care
Evaluate how care coordination strategies interface with emerging models of care such as medical home and accountable care organizations
Forum Overview:
By improving transitions of care, providers can engage patients,
share care plans, and coordinate efforts to ensure that patients receive the right care at the right time, helping reduce unnecessary hospital readmissions.
This statewide conference will feature national, Pennsylvania, and regional perspectives on innovative strategies to improve transitions in care, with a focus on participation, action, and collaboration.
Representatives from across the care continuum will share their insights
and expertise on person-centered, effective practices, and methods for overcoming barriers. A combination of plenary speakers, breakout sessions, roundtable discussions and networking time will provide multiple opportunities for translating ideas into action.
Six different breakout sessions will allow you to maximize your learning experience and attend the sessions that
are of special interest to you! Don’t miss the opportunity to explore innovative patient care transitions concepts and
dialogue with others about how to make an impact and start the momentum towards collaborating together. Most
of all—challenge yourself and each other to think about how you can take what you learn back to your own organization and make it applicable, meaningful, and scalable to meet your unique needs and challenges.
Who Should Attend:
This conference will be of particular interest to nurses, physicians, discharge planners, case managers, emergency department staff, home health executives, nursing home administrators, quality leaders, pharmacists and any health professionals interested in improving care transitions across the continuum including hospitals, home health
agencies, skilled nursing facilities, rehab hospitals, hospices, physician practices, and numerous other providers and community organizations that support care delivery.
MONDAY, NOVEMBER 10, 2014
1:30 p.m. – 2:30 p.m. Registration
2:30 p.m. – 2:35 p.m. Welcome and Opening Remarks
Michael J. Consuelos, MD, MBA
Senior Vice President, Clinical Integration, HAP
2:35 p.m. – 3:40 p.m. Improving Care Transitions: Where We’ve Been and Where We Need to Go
Cheri Lattimer, RN, BSN
President and CEO, Consulting Management Innovators
Executive Director, National Transitions of Care Coalition (NTOCC)
Ineffective transitions of care are a symptom of the fragmented health care delivery systems. This session will look at the scope of the problem and
interventions that have shown to be effective. You’ll hear about opportunities to achieve a delivery and payment system that recognizes the preferences of the patient and their family caregivers and advances coordinated care.
3:40 p.m. – 3:50 p.m. Break
3:50 p.m. – 4:55 p.m. Behavioral Health Issues & Interventions to Support Effective Care Transitions
Susan C. Sargent, MBA
Sargent Healthcare Management Advisors
Participants will discuss the impact of patients with complex medical and comorbid behavioral (mental health and substance abuse) conditions in health systems, and present strategic alternatives for introducing evidence-based, integrated care which can positively affect the costs, access, and overall quality of care.
4:55 p.m. – 5:15 p.m. Effective Addictions Treatment—Resources for Providers
Kenneth J. Martz, PsyD CAS
Pennsylvania Department of Drug and Alcohol Programs 5:15 p.m. – 7:00 p.m. Welcome Reception with Sponsors
TUESDAY, NOVEMBER 11, 2014
7:30 a.m. – 8:30 a.m. Breakfast and Networking with Sponsors 8:30 a.m. – 9:30 a.m. BREAKOUT SESSIONS - #1
Care Coordination for the Complex Patient through the Continuum
Dana Begley, MHA, FACHE
Vice President, Medical Management & Post-Acute Services, Conemaugh Health
Jamie Jones BSN, RN
Population Health Coordinator, Holy Spirit Health System
Jane Whitney, RN, BSHA
Director of Population Health & Quality Improvement, Spirit Physician Services, Inc.
Making the Business Case for Care Transitions
Cheri Lattimer, RN, BSN
President and CEO, Consulting Management Innovator
Executive Director, National Transitions of Care Coalition (NTOCC)
9:40 a.m. – 10:40 a.m. BREAKOUT SESSIONS - #2
Medication Management & Reconciliation Across Settings
Matthew Grissinger, RPh, FISMP, FASCP
Director, Error Reporting Programs Institute for Safe Medication Practices
Jacqueline Hahn, RN, BS, CPUR, CCM
Director Case Management Mount Nittany Medical Center
Advance Illness Planning & Management: The Missing Piece
Alexander R. Nesbitt, MD
Medical Director, Hospice and Palliative Care Susquehanna Health
10:50 a.m. – 11:50 a.m. BREAKOUT SESSIONS - #3
Effective Patient Teaching: Using Teach Back and Other Strategies to Tackle Health Literacy
Cindy Hipszer, RN, MSN, CCRN, CNML
Program Manager
PA-Hospital Engagement Network, HAP
Post-discharge Strategies—Working Together Across the Continuum
Lisa M. Marsilio, MBA
Executive Director, Good Shepherd Penn Partners
Elaina Kim Watts RN, BSN, MHA, CCM
Director of Care Coordination, Nazareth Hospital
Kimberly Goodall, NHA, MS
ManorCare Health Services, Post-Acute Rehab & Skilled Nursing
12:35 p.m. – 1:45 p.m. Community Engagement Across the Continuum
Jane Brock, MD
Chief Medical Director, The National Coordinating Center for the Integrating Care for Populations & Communities Aim
Empowering patients and caregivers to navigate care transitions successfully is a critical piece of improving the system. This session will explore strategies for enhancing information transfer between health care providers and patients, developing consistent workflow processes, and increasing patient activation and satisfaction.
1:45 p.m. – 2:30 p.m. Building Alliances: Communities in Action
Community-based Care Transitions Program Panel will include representation from Area Agency on Aging, hospital, long-term care, and post-acute providers.
Betty Jo Robinson
Director, Long Term Care Access, Philadelphia Corporation for Aging
Steven Carson, RN, BSN, MHA
Vice President, Clinical Integration, Temple University Health System
Cindy McGlone, MBA
Vice President Health Care Services, Einstein Health Network
Mimi Schaible, RN, MSN, MBA
Senior Vice President for Business Development, VNA of Greater Philadelphia 2:30 p.m. – 2:40 p.m. Break
2:40 p.m. – 3:30 p.m. Building the Care Coordination Team through Provider Engagement
Cheri Lattimer, RN, BSN
President and CEO, Consulting Management Innovators
Executive Director, National Transitions of Care Coalition (NTOCC)
Improving care coordination and care transitions requires not only changes to structure and process but enhanced communication and collaboration among providers, facilities, care management professionals, patients and family caregivers. It’s not an easy task, but not impossible either. This session will discuss the gaps and barriers to achieve high performance in care coordination, look at the issues of physician and team engagement, and evaluate common elements associated with improving care coordination and transitions.
CONTINUING EDUCATION CREDITS Nurses (CNE):
The Hospital & Healthsystem Association of Pennsylvania (HAP) is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association (PSNA), an accredited approver by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.
The Hospital & Healthsystem Association of Pennsylvania (HAP) designates this activity for a maximum of 8.25 contact hours.
Credit will be awarded based on self-reported attendance, and completion of a program evaluation form will be required prior to leaving the meeting venue. Nurses should only claim credit commensurate with the extent of their participation in the activity.
ACHE Qualified Education Credit (non-ACHE):
HAP is authorized to award 8.25 hours of pre-approved ACHE qualified education credit (non-ACHE) for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this
program wishing to have the continuing education hours applied toward ACHE qualified education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.
General certificates of attendance will be issued to all participants. Some national, state, and local licensing
boards and professional organizations will grant continuing education credits for attendance when you submit the course outline (save the brochure) and your certificate of attendance. It is recommended you contact your own board or organization to find out what is required.
DISCLAIMERS AND DISCLOSURES:
The Hospital & Healthsystem Association of Pennsylvania (HAP) is committed to offering educational programs that promote improvements or quality in health care and are developed free of control of commercial interests.
Reasonable efforts are taken to ensure that our programs are balanced, independent, objective, scientific, and in compliance with regulatory requirements. Faculty and planning committee members are asked to disclose all
relevant financial relationships with commercial companies, and HAP has a process in place to resolve any conflict of interest so that information is presented fairly and without bias. Disclosure of a relationship is not intended to suggest or condone bias in a presentation, but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.
DATES, LOCATION, PARKING, AND REGISTRATION FEES:
NOVEMBER 10-11, 2014
Holiday Inn Harrisburg-Hershey
Exit 80, I-81 604 Station Road Grantville, PA 17028 (717) 469-0661
(888) 465-4329 (Holiday Inn Reservations)
Room Block Cut-off Date: 5:00 p.m., Saturday, October 18
RESERVATIONS: HAP has reserved a limited block of rooms at the Holiday Inn for the evening of Monday,
November 10. Please call the hotel directly by 5:00 p.m. on Saturday, October 18, at (888) 465-4329 for
overnight accommodations, and reference “The Hospital & Healthsystem Association of Pennsylvania (HAP)” to access the special rate of $104.00 (single/double), plus applicable occupancy and state taxes. After 5:00 p.m. on October 18, reservations will be accepted on a space and rate availability basis, and the special rate cannot be guaranteed.
PARKING: Hotel provides complimentary parking for all hotel guests in an open lot.
FEE*: (includes morning and afternoon breaks, evening welcome reception, group luncheon on Tuesday, and
access to online handout materials)
$199 per person – HAP member hospitals and health systems, LeadingAge PA, The Pennsylvania Home Care Association
$299 per person – non-HAP member rate *Payment of fee required by date of program.
REGISTRATION DEADLINE: November 3.
Early registration is encouraged since space is limited.
CANCELLATION POLICY AND REFUNDS:
Registrants are responsible for the full fee if cancellations are received after November 3. Cancellations must be received in writing.
2014 Care Transitions Forum
(2014-531)November 10-11, 2014
Holiday Inn Harrisburg-Hershey, Grantville, PA
A. PERSONAL INFORMATION: Hospital/Health System: ____________________________________________ Address: ________________________________________________________ City/State/Zip:____________________________________________________ Name: __________________________________________________________ Title: ___________________________________________________________ Telephone: ______________________________________________________ Email:___________________________________________________________ (Confirmation will be sent to registrant’s email address)
Please list any special needs or dietary restrictions: __________________
B. WELCOME RECEPTION AND SPONSOR EXHIBITS:
(included in registration fee):
Yes, I will attend the Welcome Reception and Sponsor Exhibits on Monday evening, November 10, from 5:15 p.m. – 7 p.m.
No, I will not attend.
C. BREAKOUT SESSION SELECTIONS:
Please select the breakouts you plan to attend on the morning of day two.
CHECK ONLY ONE PER TIME BLOCK. Your selections are important, as
your choices will determine the seating for each session.
FIRST Breakout Session (select ONLY ONE): 8:30 a.m. – 9:30 a.m.
Care Coordination for the Complex Patient through the Continuum Making the Business Case for Care Transitions
SECOND Breakout Session (select ONLY ONE): 9:40 a.m. – 10:40 a.m.
Medication Management Across Settings
Advanced Illness Planning & Management: The Missing Piece
THIRD Breakout Session (select ONLY ONE): 10:50 a.m. – 11:50 a.m.
Effective Patient Teaching: Using Teach Back and Other Strategies to
Tackle Health Literacy
Post-discharge Strategies—Working Together Across the Continuum (continued)
EASY AND CONVENIENT
WAYS TO REGISTER:
FAX: Register by faxing
registration form to (717) 561-5220. Include your credit card information.
MAIL: When registering by mail,
first fax form to (717) 561-5220. Follow by mailing original
registration form and check made payable to HAP Education and Research Services to:
HAP Education and Research Services
PO Box 3344
Harrisburg, PA 17105-3344
REGISTRATION DEADLINE IS NOVEMBER 3, 2014
Early registration is encouraged since space is limited. (Walk-in
registrations will require payment onsite).
Registration cancellation policy and refunds:
Registrants are responsible for the full fee if cancellations are
received after November 3, 2014. No refunds will be issued for non-attendance.
Substitutions are permitted. Cancellations must be received in writing.
For more information, contact HAP Education Services, at (717) 561-5270, or email
REGISTRANT NAME (continued): D. FEE:
Please check the appropriate box below.
$199 per person – HAP member, LeadingAge PA, or The Pennsylvania Home Care Association rate $299 per person – non-HAP member rate
E. PAYMENT (payment of fee required by date of program):
Check payable to HAP Education and Research Services Amount enclosed: $
Visa MasterCard ONLY (American Express and Discover not accepted) Authorized Charge Amount: $
Card Number: Expiration Date: /
Cardholder’s Name: Phone:
Cardholder’s Signature (REQUIRED)
**RETURN TO HAP BY NOVEMBER 3, 2014**
FAX: Register by faxing registration form to (717) 561-5220. Include your credit card information.
MAIL: When registering by mail, first FAX FORM TO (717) 561-5220. Follow by mailing original registration form and check made payable to “HAP Education and Research Services” to: HAP Education and Research
Services, PO Box 3344, Harrisburg, PA 17105-3344
Early registration is encouraged since space is limited. (Walk-in registrations will require payment onsite). Registration cancellation policy and refunds: Registrants are responsible for the full fee if cancellations are
received after November 3, 2014. No refunds will be issued for non-attendance. Substitutions are permitted.
Cancellations must be received in writing.
As a courtesy to participants, it is HAP’s general practice to distribute attendance lists at conferences. Lists do NOT include any personal contact information, such as telephone number, email address, or mailing address; however, if you wish to opt-out of having your name, title, and organization
included on the attendance list, please check the box above.
Questions? Contact HAP Education Services at (717) 561-5270, or email
