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CASE MANAGEMENT
EDUCATION
A C M A C O N F E R E N C E S8TH ANNUAL
VIRGINIA CHAPTER
CASE MANAGEMENT
CONFERENCE
SATURDAY, OCTOBER 11, 2014
GREATER RICHMOND CONVENTION CENTER
RICHMOND, VA
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A C M A C O N F E R E N C E S
7:30 am – 8:30 am Registration & Networking Breakfast with Sponsors & Exhibitors
8:30 am – 8:40 am Welcome Announcements
8:40 am – 9:55 am Session 1: 2014 IPPS Final Ruling: Best Practice Recommendations
9:55 am – 10:40 am Networking Break with Sponsors & Exhibitors
10:40 am – 11:40 am Session 2: The Virginia Way: Medicaid Expansion in Virginia
11:40 am – 1:10 pm Networking Lunch with Sponsors & Exhibitors
1:10 pm – 2:10 pm Session 3: Medical Ethics and Case Management
2:10 pm – 2:30 pm Chapter Business Meeting
2:30 pm – 2:35 pm Transition
2:35 pm – 3:35 pm Session 4: Population Tools and Proactive Disease Management
3:35 pm – 3:40 pm Transition
3:40 pm – 4:40 pm Session 5: The Patient Experience
4:40 pm Closing Remarks
CONFERENCE SCHEDULE
OCTOBER 11, 2014
CHAPTER BOARD OF DIRECTORS &
ANNUAL CONFERENCE PLANNING COMMITTEE
Nominating Chair/Planning Committee
Kathy Murphy-Stephenson, LCSW, C-ASWCM
Manager, Social Work Services Care Management
Carilion Roanoke Memorial Hospital • Roanoke, VA Education Chair
Nancy Loeffler, BSN, RN, MHA, ACM, CCM
Director of Clinical Practice
Inova Medical Group • Falls Church, VA
PLANNING COMMITTEE MEMBERS Steve Lanman, LCSW, ACM
Coordinator, Care Management
Bon Secours St. Mary’s Hospital • Richmond, VA
Sam Kees, MS, RN, ACM
Advanced Practice Nurse/CNS, Nursing Administration
Bon Secours St. Mary’s Hospital • Richmond, VA
Brenda Colley, MSN, RN, ACM
Clinical Project Director, Connect Care Bon Secours Health System • Richmond, VA
Teresa Gonzalvo, BSN, RN, MPA, CPHQ, ACM
Vice President, Care Coordination Sentara Healthcare • Norfolk, VA
Blair Hines, MSN, RN, ACM
Virtual Admissions Case Manager, Case Management Bon Secours Memorial Regional • Mechanicsville, VA
Kathy Thompson, BSN, RN, ACM
Director, Case Management Centra Health • Lynchburg, VA
CHAPTER BOARD OF DIRECTORS
President
Pamela Andrews, MSW, RN, ACM, CCM
Director of Clinical Services, InTotal Health Inova Health System • Falls Church, VA President-elect
Marga Queen, BSW, ACM, CCM
Manager, Case Management
Bon Secours Memorial Regional • Mechanicsville, VA Secretary
Julia Widman, RN, CPUR, ACM
Director, Case Management HCA Reston Hospital • Reston, VA Treasurer
Erin Hodson, BA, BSN, ACM
Senior Director, Case Management Inova Fairfax Hospital • Falls Church, VA
MEMBERS-AT-LARGE Sherry Parker, LCSW, ACM
Manager, Social Work Services Sentara Healthcare • Norfolk, VA
Susan Shotter, BSN, RN, MHA, ACM
Director, Case Management
Specialty Hospital of Washington • Washington, D.C.
Dennis Brown, LMSW
Operations Manager, Case Management Southside Community Hospital • Farmville, VA Membership Chair
Patricia Davis, BSN, RN, MHA, ACM
WE MAKE REGISTERING EASY!
S E S S I O N 1 :
2014 IPPS FINAL RULING:
BEST PRACTICE RECOMMENDATIONS
Ralph Wuebker, MD, MBA
Chief Medical Officer, Audit, Compliance and Education Team
Executive Health Resources, Inc. • Newton Square, PA
SESSION ABSTRACT: Within the last year, the Centers for Medicare and Medicaid
Services (CMS) have proposed two separate rulings (1455-P and 1599) that impact inpatient status determinations and procedures for managing appeals. This session will provide insight on the final ruling and most recent updates, with a discussion of what the regulations mean in terms of potential “course adjustment” and how they impact patient quality of care. The speaker will address the
two-midnight rule, observation v. inpatient status, certification, rebilling and documentation requirements.
LEARNING OBJECTIVES:
1. Summarize key points of the 2014 IPPS final ruling and discuss three consequences for providers and patients
2. Discuss criteria for determining observation v. inpatient status based on the two-midnight ruling
3. Explain the importance of accurate physician documentation and a robust utilization review process to best defend against denials
S E S S I O N 2 :
THE VIRGINIA WAY:
MEDICAID EXPANSION IN VIRGINIA
Ann Harbour, MPA
Associate Vice President, Government Relations
InTotal Health, An Inova Health Plan • Vienna, VA
SESSION ABSTRACT: This presentation will detail efforts to expand Medicaid in Virginia,
with a focus on the current state Medicaid program and the commonwealth’s plan for development and expansion. The speaker will discuss the politics of expansion and how to strengthen the business case for Medicaid expansion. Finally, the session will review opportunities for case managers in the changing health care environment.
LEARNING OBJECTIVES:
1. Identify barriers to Medicaid expansion
2. Articulate the “business” argument for expansion
3. Cite opportunities for case managers in the current health care environment
S E S S I O N 3 :
MEDICAL ETHICS AND
CASE MANAGEMENT
Earl D. White, II, MD
Medical Director, Sentara Center for Healthcare Ethics
Sentara Healthcare • Hampton, VA
SESSION ABSTRACT: This presentation will provide an overview of ethical background
WE MAKE REGISTERING EASY!
S E S S I O N 3 ( C O N T ) :
LEARNING OBJECTIVES:
1. Describe the importance of ethical theory in ethics case consultation
2. Explain the nature of an ethical dilemma and what to expect in ethics case consultation 3. Identify opportunities for case management to assist with resolving ethical dilemmas
S E S S I O N 4 :
POPULATION TOOLS & PROACTIVE
DISEASE MANAGEMENT
Robert Fortini, PNP
Vice President/Chief Clinical Officer
Bon Secours Virginia Health System, Inc. • Midlothian, VA
SESSION ABSTRACT: Population health is a rapidly growing area of research and
development that focuses on how to effectively use tools to identify populations at risk and efficiently risk-stratify that population. This discussion will cover some of the population health tools used by Bon Secours. The speaker will discuss specific registries and their usefulness, a simple prediction modeling tool and patient outcomes, as well as a fully automated outreach tool.
LEARNING OBJECTIVES:
1. Discuss how population tools can be used in health care
2. Explain the benefits of a proactive approach to chronic disease management 3. Describe the differences between a fully automated approach and a semi-manual
approach to population health
S E S S I O N 5 :
THE PATIENT EXPERIENCE
Mark Katz, MD, MPH
Chief Medical Officer/Cardiac Surgeon Specialist
Bon Secours Heart and Vascular Institute • Richmond, VA
SESSION ABSTRACT: The patient experience is essential to Medicare reimbursement and
a priority for the hospital experience. This presentation will review how hospitals can gain perspective on achieving a positive patient experience, which is based on good communication and effective patient care with positive outcomes communicated to the patient. Finally, the speaker will discuss the role of case management in the patient experience and how to identify opportunities for improvement.
LEARNING OBJECTIVES:
1. Describe a positive patient experience
2. Identify how case management manages the patient experience 3. List actions to take that can improve the patient experience
For more information, visit our conference website:
WE MAKE REGISTERING EASY!
IMPORTANT DATES
CONTINUING EDUCATION
Participants may earn up to the following continuing education (CE) hours:
6.30
Nursing Contact Hours (based on 50-minute hour)
5.25
Nursing Contact Hours (based on 60-minute hour)
5.25
Social Work Contact Hours
5.25
ACM™
This course meets the qualifications for 5.25 hours of continuing education credit for MFTs, LPCCS, LEPs, and/or LCSWs as required by the California Board of Behavioral Sciences (CEP #4591). ACMA is also a provider approved by the California Board of Registered Nursing (CEP #15413) for 5.25 contact hours (6.30 CE in 50-minute states). ACMA is also a recognized CE provider for nursing and social work in multiple other states including, but not limited to, FL, MN, KY and TX. Conference attendees are responsible for verifying requirements of the applicable licensing board in their state.
TO REGISTER: Go to
www.acmaweb.org/VA and click “Register.”
IMPORTANT: Please use
the attendee’s email address to register, as this is where all communication regarding
the event will be sent.
PAY: Pay online by credit
card or mail a check. If registering but paying
at a later time, select “pay by check” on the payment screen. Checks must include conference
and attendee name.
PLEASE NOTE:
Registration is incomplete until the final confirmation
screen is reached. Confirmation is automatically sent to the email address
used to register. There will be no refunds for canceled registrations; however, fees may be transferred to another
participant for the same event.
EARLY REGISTRATION DEADLINE September 26 LATE REGISTRATION BEGINS September 27 CHAPTER CONFERENCE DATE October 11 HOTEL DISCOUNT DEADLINE October 1
FOR MORE INFORMATION AND QUESTIONS, PLEASE CALL 501-907-2262.
ACMA MEMBER ...$85
NON-MEMBER ...$105
MEMBERSHIP PACKAGE* ...$220
STUDENT (ID REQUIRED) ...$45
ACMA MEMBER ...$105
NON-MEMBER ...$130
MEMBERSHIP PACKAGE*: ...$240
STUDENT (ID REQUIRED) ...$45 EARLY REGISTRATION
ACMA must receive payment and registration by September 26, 2014.
REGISTRATION PRICING
LATE REGISTRATION
Registration and payment received on or after September 27, 2014.
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A C M A C O N F E R E N C E S FIRST -CL ASS U.S. POST A GEPAID
LIT TLE R OCK, AR P ERMIT #1 105 11 70 1 W est 36th S tr eet • Little R ock, AR 722 118TH ANNUAL VIRGINIA CHAPTER
CA
SE M
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AGE
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CO
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OCTOBER 11, 2014
CONFERENCE LOCA
TION:
HOTEL LOCA
TION
Gr
eater Richmond Convention Center
Cr
owne Plaza Richmond Downtown
403 North Thir d Str eet 555 East Canal Str eet Richmond, V A 23219 Richmond, V A 23219 Phone: 804-783-7300 Phone: 804-788-0900 www .richmondcenter .com www .ihg.com/cr owneplaza/hotels/us/en/richmond/riccs/hoteldetail
PARKING INFORMA
TION:
Greater Richmond Convention Center: Public self-parking $6/day
Cr
owne Plaza: Self-parking $12/day
, includes in-and-out privileges. V
alet parking $17/day
.
HOTEL ACCOMMODA
TIONS:
Cr
owne Plaza is of
fering a limited number of r
ooms at a
discounted rate of $129 per night for the night of Friday
, October 10, 2014. Gr
oup rate is available
until all guest r
ooms in the block have been r
eserved or until the hotel r
eservation deadline of
October 1, whichever comes first. T
o make your r
eservation, call the hotel dir
ectly at 804-788-0900
and ask for the ACMA gr
oup rate. The hotel is located 0.6 miles fr
om the convention center—about
a 15-minute walk. The hotel of
fers complimentary shuttle service to the convention center that
departs every half hour
. Shuttle r
eservations ar
e r