Improving Outcomes Finance & Quality through Integrated Information. December 4 & 5, 2014

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Improving Outcomes Finance & Quality

through Integrated Information

December 4 & 5, 2014

Kellogg Hotel & Conference Center

219 S. Harrison Rd.

East Lansing, MI 48824-1022

Michigan Association of Community Mental

Health Boards

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CONFERENCE AGENDA

~ Thursday, December 4, 2014

8:00am to 9:00am Registration and Breakfast

9:00am to 10:30am

Welcome and Introductions

Plenary Session: “Update from the Michigan Department of Community Health (MDCH), Office of the Health Services Inspector General”

- Gene Adamczyk, Health Services Inspector General, MDCH

- Sameer Pandya, Assistant Health Services Inspector General, MDCH - Diab Rizk, Assistant Health Services Inspector General, MDCH

This opening plenary will provide an opportunity to learn about the impetus behind the creation of the Health Services Office of the Inspector General, and will review Medicaid Provider and Behavioral Health fraud, waste and abuse. This is a can’t-miss opportunity to learn how to identify risk and help ensure proper controls surrounding the handling of public healthcare funds.

10:30am to 10:45am Refreshment Break 10:45am to 12:00pm Concurrent Workshops

1. “Financial Status Report (FSR): Finances for Autism Services, and Year-end Cost Settlement”

- John Duvendeck, CPA, Manager, Contract Management & Customer Service Section, Division of Program Development, Consultation & Contracts, Bureau of Hospitals and Behavioral Health Administration, MDCH

- Kidada Smith, Manager, Manager, Mental Health Support Section, MDCH

In this session will provide guidance to finance professionals in understanding the requirements for the FSR and doing year-end cost settlement, as well as the expectations and challenges of finance related to Autism Services.

2. “Leveraging Benchmarking through the use of Data Analytics” - Melanie E. Wilson, PhD, Director of Benchmarking & Analytics, Netsmart

In this session you will learn how to: 1) Define how business intelligence and data analytics can be applied to specific challenges faced by behavioral health and human services providers. 2) Identify how analytics and benchmarking can work in tandem to help you answer the questions of what needs to improve and how to improve it. 3) Recognize how data analytics can help lead to better decisions at the client-level and the organization-level.

3. “Behavioral Healthcare Information Exchanges (HIE)” - Bill Riley, CIO, Detroit Wayne Mental Health Authority

- Chuck Dougherty, MBA, CIO, CMH of Clinton-Eaton-Ingham Counties

In this session will bring you up-to-speed on the latest in Michigan’s emerging HIE marketplace and the key decision points to choose your HIE future.

12:00pm to 1:00pm

Lunch

Presentation of the 2014 Nick Filonow Award of Excellence

The Nick Filonow Award of Excellence recognizes a CMHSP, a CMH Group or individual staff who has made a contribution to the overall efficiency and effectiveness of an organization’s services through a process of improvement. Improvement is the measured increase in performance resulting from directed change in the organization through the process of continued quality improvement. The 2014 recipient is

Susan Lawther, who has spent a career working for the MDCH, MACMHB, and countless public behavioral healthcare organizations in Michigan to bring about improved outcomes.

1:00pm to 2:00pm

Plenary Session: “Better Thinking for Managing Stress and Change” - C. Leslie Charles, CSP, TRAININGWORKS

Leslie posits that opportunity and adversity are constant companions, making this a perfect time to "mine" your operation for untapped intelligence, innovation, and concrete actions that can make a big difference for your staff, systems, and quality of service. Regardless of the venue, Leslie speaks from experience on how to bring out your best under the worst of circumstances.

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2:00pm to 3:15pm Concurrent Workshops 4. “EDIT Coding Update”

- Kathleen Haines, Manager, Performance Measurement and Evaluation Section, MDCH 5. “Introduction to NCQA Accreditation”

- Gloria Snidersich, RN, MHA, CPHQ, Gloria Snidersich Consulting LLC

The National Committee for Quality Assurance (NCQA) has been a central figure in driving improvement throughout national healthcare systems, and is one of the accrediting bodies utilized by health plans in Michigan. NCQA expert Gloria Snidersich will bring individuals up-to-speed on the accreditation process and provide an overview of the NCQA Health Plan Standards, including: 1. Managed Behavioral Health Organization (MBHO) standards; 2. The Healthcare Effectiveness Data and Information Set (HEDIS); and 3. The Consumer Assessment of Healthcare Providers and Systems (CAHPS).

6. “Cybersecurity - Threats, Tactics, and Countermeasures” - David Martin, Special Agent, FBI

- D/Sgt Danny Cook, Michigan State Police

With an interconnected planet, the threats to data systems and personal healthcare information have never been greater. In this breakout, members of the State of Michigan Cybersecurity Task Force will offer their insights to raise awareness and help mitigate the risk to behavioral healthcare organizations.

3:15pm to 3:30pm Refreshment Break

3:30pm to 5:00pm Concurrent Workshops

7. “E & M Coding Workshop: What’s Your Risk For Not Getting This Right?” - Pam Pully, Billing & Claims Supervisor, Genesee Health System

This can’t-miss workshop is vital for individuals responsible for audit, coding and billing. Learn what is required when you bill or report E & M codes – and why they are the most-refunded codes following an audit.

8. “Performance Improvement Projects (PIP) Roundtable” - Tom Seilheimer, PhD, St. Clair County CMH Services - Mary Dumas, MSW, Northern Michigan Regional Entity

- Marquitta Massey, MSA, Quality Manager and Corporate Compliance Officer, Oakland County CMH

- Moderator: Jon Nigrine, MA, LLP, Manager, Outcomes & Data Analysis, Genesee Health System

PIHP representatives will discuss their implementations of this year’s required Performance Improvement Project, focusing on integration with physical healthcare. Discussion will include: A description of each region’s project; Challenges and opportunities in implementing the PIPs; Strengths and issues with data sources for physical health, including the role of CareConnect 360 and the Health and Other Conditions QI items; and Challenges and strategies for meeting the Federal validation standards as applied in the External Quality Review. This session will be open discussion among panelists and other conference participants.

9. “Population Health Management & Data Analytics Roundtable” - Robert Schleichert, CIO, Southwest Michigan Behavioral Health - Jackie Sproat, CIO, CMH Partnership for Southeast Michigan - Kathy Tilley, CIO, Mid-State Health Network

- Moderator: Jason Radmacher, TBD Solutions LLC

More and more behavioral healthcare organizations are adding this health plan capability and utilizing it across the plan-to-care continuum: From risk mitigation to longitudinal health at the care coordination level. Several of Michigan’s public behavioral healthcare organizations are in various stages of consideration, implementation and use. This moderated discussion will address the thinking, planning, and intended uses of PHM/DA solutions.

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~ Friday, December 5, 2014

8:00am to 9:00am

Networking Breakfast

Quality Improvement; Finance & Information or Technology

Plan on attending, share breakfast and regional updates, network with colleagues, discuss common challenges and identify topics for future conferences.

9:00am to 10:30am

Plenary Session: “The Standards Group (TSG) Finale: Next Steps and Reflections”

- Laura Vredeveld, MA-LLP, Director, The Standards Group

Born in 2008 out of the need to engage priorities identified by the Mental Health Commission, The Standards Group became a joint collaborative between MDCH, PIHPs, CMHSPs and providers in developing and setting standards for publicly-financed behavioral healthcare. The TSG Board jointly agreed with the TSG Director to sunset this organization in its fall meeting. This plenary will provide insights on past projects and future collaboration opportunities, announcements of where TSG products and work can be found, and final reflections as TSG draws to a close in January 2015.

10:30am to 10:45pm Break

10:45pm to 12:00pm Concurrent Workshops 10. “Medicaid Update”

- Lola Callihan, Medicaid Policy Specialist, Bureau of Medicaid Policy and Health System, MDCH

An update on MDCH/Medicaid policies, including What’s New, Healthy Michigan Plan update, updates on Psychotropic Medications, Medicaid Billing, claim adjustments, fee for service, and telemedicine.

11. “Using CAFAS Data for Program Improvement and Outcomes Monitoring”

- Heidi L. Wale, MS-LLP, APPRECOTS Applied Research Consultants

- Becca Sanders, PhD

- Darren Lubbers, PhD, Integrated Health Analytics LLC

- Bayley Thompson, PhD, Research Associate, The Guidance Center

- Jennifer Muller, MA, LPC, Manager of Due Process, Oakland County Community Mental Health Authority

A group of self-confessed "data nerds" representing several PIHPs/CMHSPs from around the state wondered what could be learned by diving deeper into the data collected through the FAS (CAFAS) data and combining it with other data collected. See what they have learned thus far and how you might be able to apply these lessons to your programs for Children with Serious Emotional Disturbance.

12. “Behavioral Healthcare Consents to Share Information”

- Bill Riley, CIO, Detroit Wayne Mental Health Authority

- Chuck Dougherty, MBA, CIO, CMH of Clinton-Eaton-Ingham Counties

Foundational to HIE has been behavioral healthcare’s leadership in developing a consent process and form to share consumer information between provider organizations. Having consumer permission to share their care information is vital to improves care coordination, treatment and outcomes. From form design to electronic mechanisms to share information, this session will inform the audience on the current status of this vital plank of care improvement.

Save the Date!!!! Improving Outcomes Conference

May 28 & 29, 2015 ~ Crystal Mountain, Thompsonville

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CONFERENCE DETAILS

When: December 4 & 5, 2014

Where: Kellogg Hotel & Conference Center at Michigan State University

219 S. Harrison Rd., East Lansing, MI 48824-1022

Overnight Accommodations

A block of rooms have been reserved at Kellogg Hotel & Conference Center. Reservations must be made by November 3, 2014. Reservations received after this date will be taken on a space-available basis. To make your reservation call (517) 432-4000 and use the group code: MIA 120313 to receive a $95/night + tax rate. The maximum number of people per guest room is two. Overnight rates are subject to a $5.00 per night hotel fee, state and local taxes. Check in is after 5:00pm and Check out is 12:00pm. Early check-in is not guaranteed.

Parking

Parking (parking fees are not included in conference registration): $3 per car each day.

Directions

Kellogg Hotel & Conference Center at Michigan State University, 219 S. Harrison Rd., East Lansing, MI 48824-1022.

http://kelloggcenter.com/map/map-michigan-state-university-east-lansing-map-kellogg-hotel

Registration (per person)

*full conference rate includes: 1 full breakfast, 1 continental breakfast, 1 lunch networking reception and all breaks

MACMHB Member Rates Non Member Rates

Early Bird After 11/21 Early Bird After 11/21

Full Conference $170 $205 $200 $240

One Day $105 $120 $125 $140

3 Easy Ways To Register

Online:

www.macmhb.org/education 517-374-1053 By Fax: 426 S. Walnut, Lansing, MI 48933 By Mail: MACMHB

MACMHB Cancellation Policy

**Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. Cancellations must be received in writing 10 business days prior to the training for a full refund less a $25 administrative fee. If cancellation is received less than 10 business days prior to the conference the full charge will be incurred. By submitting this registration, I am agreeing to the terms and conditions to MACMHB’s cancellation policy.

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**Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. Cancellations must be received in writing 10 business days prior to the training for a full refund less a $25 administrative fee. If cancellation is received less than 10 business days prior to the conference the

full charge will be incurred. By submitting this registration, I am agreeing to the terms and conditions to MACMHB’s cancellation policy. Please Check  Conference Attendance:  Full Conference  One Day-Thursday One Day-Friday

Please Check  the Meals You Plan to Attend: (Meals are Included in the Cost of the Conference Registration):  Thurs. Breakfast  Thurs. Lunch  Thurs. Networking Reception  Fri. Breakfast

PLEASE PRINT OR TYPE

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City: State: Zip:

Phone: Fax

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Special Needs: If you have special needs, please specify:

Arrangements for special needs will be honored for those written requests received 10 business days prior to the training. Clearly state your specific needs for dietary restrictions, mobility assistance, interpreters, etc. All attempts for on-site requests will be made.

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Payment Method: Payment DOES NOT need to accompany registration form. However, payment or purchase order must be received by the day of the conference. Please note that confirmation letters are NOT sent. If you require confirmation, please contact Annette Pepper at [email protected] or 517-374-6848.

Check Enclosed (payable to MACMHB);  Purchase Order (attached);

 MACMHB uses PayPal to process all credit card payments.

If you are paying by credit card you must pay through PayPal. A PayPal account is not required. Go to www.macmhb.org ; click on “Services,” click on “Make a Payment,” then follow the prompts to complete the process. No on-site credit card payments will be accepted.

Questions? Contact MACMHB at 517-374-6848

IMPROVING OUTCOMES FINANCE & QUALITY THROUGH INTEGRATED INFORMATION

DECEMBER 4 & 5, 2014  KELLOGG HOTEL & CONFERENCE CENTER AT MICHIGAN STATE UNIVERSITY, EAST LANSING, MI 48824-1022

REGISTRATION FEE (PER PERSON)