Pre-Conference

PRE-CONFERENCE EVENTS - Sunday, April 14, 2019

Attendees will select from the Population Health or Strategic Planning Intensive for their Pre-Conference experience. This program combines self-assessment, assigned prework, lecture, discussion and interactive experiences to advance case management and Transitions of Care emerging and established leader development. Educational intensives within population health and strategic planning domains provide essential information to equip leaders with operational concepts, skills and vision to ignite transformative change within their health care settings.


Attendees must choose one option.


OPTION ONE


VOLUME TO VALUE: POPULATION HEALTH INTENSIVE
Sunday, April 14 | 8:00 am – 3:45 pm

Attendees will complete a short assessment and review reference materials as prework for the Population Health Intensive. Population Health sessions offer 5.5 hours of lecture and interactive learning.

Faculty:
James Whitfill, MD, Chief Medical Officer, Innovation Care Partners
Karen Vanaskie, DNP, MSN, RN, Chief Clinical Officer, Innovation Care Partners\
Ann Greiner, CEO, Patient-Centered Primary Care Collaborative
Kathleen Ferket, MSN, APN-BC, Senior Consultant, Transitions of Care and Simulation Programs

Focus Areas:
Aggregating data and analytics, outcomes and reporting, defining at-risk populations, care management frameworks and touch points, incentives and reimbursement, longitudinal care approaches and primary care partnerships.

Learning Objectives:
1. Review population health management systems and frameworks
2. Define population health metrics with a focus on at-risk populations
3. Apply best practices to leverage advanced primary care models and align incentives
4. Explore strategies to structure effective longitudinal care management


OPTION ONE – MORNING SCHEDULE

8:00 am – 9:00 am | Road from Volume to Value: Population Health Primer | Participant Level - Intermediate 1 CE

James Whitfill, MD; Karen Vanaskie, DNP, MSN, RN

Abstract: Over the past decade healthcare in America has seen a steep increase in the focus on value-based care where payments are impacted by provider cost and quality metrics. Making this transition is challenging for organizations who are used to a fee for service model. Key tools required to function in a population health environment include robust analytics, care coordination across the spectrum of care and provider engagement. This session will cover both macro trends in health policy as well as real-world experience from a Clinically Integrated Network with a proven track record of success.

Learning Objectives:
1. Discuss population health systems, frameworks and applications within various settings
2. Review health policy and practice trends and the impact on population health models
3. Apply tools and analytics to implement targeted care management approaches


9:10 am – 10:10 am | Partnering with Primary Care | Participant Level - Intermediate 1 CE

Ann Greiner

Abstract: As healthcare delivery in the US continues to transform, the primary care medical home (PCMH) has become a foundational concept. This session will provide a current state assessment of how healthcare systems, ACOs and health plans are leveraging advanced primary care models such as the PCMH to enhance value. Key legislative and environmental changes that are shaping how and where primary care is being delivered will also be reviewed with an eye towards what the future may hold for patients and clinicians.

Learning Objectives:
1. Provide an overview of current primary care medical home models as applied to health systems, ACOs and Health plans
2. Describe the impact of current and potential policy changes that will influence primary care clinicians and care delivery
3. Explain the opportunities the primary care medical home presents for assuring high quality and cost effective care for patients and families.

10:30 am – 11:30 am | Operationalizing a Longitudinal Approach to Care Management | Participant Level - Intermediate 1 CE

Kathleen Ferket, MSN, APN-BC

Abstract: Poorly managed care transitions translate to billions of lost dollars annually. This session will discuss strategies health systems can implement when moving from an episodic model of care coordination to the new model of longitudinal accountability for patients across the care continuum.

Learning Objectives:
1. Identify key factors that have influenced poorly managed care transitions
2. Describe the importance of a longitudinal approach to case management in a value-based care environment
3. Discuss strategies that can be implemented in health systems to assure accountability across the care continuum.


11:30 am – 12:30 pm | Roundtable Discussion: Comprehensive Approaches & Success Strategies | Participant Level - Intermediate 1 CE

James Whitfill, MD, Chief Medical Officer, Innovation Care Partners
Karen Vanaskie, DNP, MSN, RN, Chief Clinical Officer, Innovation Care Partners\
Ann Greiner, CEO, Patient-Centered Primary Care Collaborative
Kathleen Ferket, MSN, APN-BC, Senior Consultant, Transitions of Care and Simulation Programs

Abstract:
During this interactive session, best practices to leverage models and achieve outcomes will be discussed. Building on the Population Health Intensive session information, pre-work assessments will be reviewed and revised to create actionable plans to achieve internal goals.

Learning Objectives:
1. Review best practices and opportunities within your setting
2. Identify two new ideas to apply within your setting to address pre-work assessment opportunities
3. Develop a plan to apply innovative approaches to address population health management



OPTION TWO

HEALTH CARE LANDSCAPE: STRATEGIC PLANNING INTENSIVE
Sunday, April 14 | 8:00 am – 3:45 pm

Attendees will complete a short assessment and review reference materials as prework for the Strategic Planning Intensive. Strategic Planning sessions offer 5.5 hours of lecture and interactive learning.

Faculty:
Debra McElroy, MPH, RN, Senior Vice President for Practice Development and Education
Julie Mirkin, DNP, MA RN Wharton Fellow, Chief Nurse Officer, Stony Brook Medicine
Robert Grant, MD, MSc, FACS, Physician Advisor and Chairman Utilization Management Committee, New York-Presbyterian
Mary Beth Pace, RN, BSN, MBA, ACM-RN, CMAC, Vice President, Care Management Trinity Health Systems
Colleen Fitzgerald, MSN, CCM, ACM-RN, System Director, Care Management, Trinity Health
Michael Gao, Ph.D., MD

Focus Areas:
Case management trends and future implications, predictive analytics and tools, strategic partnerships to achieve outcomes, value-driven health system innovations and redesign.

Learning Objectives:
1. Increase awareness of case management trends to anticipate and prepare for the future
2. Apply performance improvement and analytics to redesign processes and operations to deliver the best possible care at the best price
3. Review strategic partnership applications and potential value within your setting
4. Discuss multi-site system volume to value redesign and identify transferable concepts

OPTION TWO – MORNING SCHEDULE

8:00 am – 9:00 am | Strategic Planning: Creating A Foundation for Success | Participant Level - Intermediate 1 CE

Debra McElroy, MPH, RN; Julie Mirkin, DNP, MA, RN, Wharton Fellow

Abstract: Case Management Practice in Today’s Health Care Environment: This session will present findings and analysis from the 2018 ACMA National Survey
Strategic Planning Tools and Approaches: Successful strategic initiatives are the result of thoughtful analysis, collective problem solving and directed plans. Essential components, tools and approaches will be discussed.

Learning Objectives:
1. Present results and findings from the 2018 ACMA National Survey of more than 400 hospital Case Management departments
2. Discuss analysis of national trends that influence evolving models of healthcare delivery and impact the practice of case management across the care continuum
3. Review tools and approaches that assure successful integration and implementation of strategic initiatives


9:10 am – 10:10 am | Partnering with Physicians & IT to Create a Strategic Planning Roadmap | Participant Level - Intermediate 1 CE

Julie Mirkin, DNP, MA, RN, Wharton Fellow
Michael Gao, Ph.D., MD

Abstract: Case management leader’s problem solving, and collaborative abilities drive strategic plans within health care settings. Executing a successful strategic plan at this health system required partnering with Information Technology Services and physicians. Technology was leveraged to mine data and create meaningful reports. Engaging physician champions led to developing best practices aligned across the health care system.

Learning Objectives:
1. Provide a framework to drive strategic plans within healthcare settings
2. Discuss strategic case management partnerships and engagement strategies
3. Apply tools, technology and best practices to create meaningful reports to manage outcomes


10:10 am – 10:30 am | Break


10:30 am – 11:30 am | Assuring Value with Innovation: Integrating Care Delivery | Participant Level - Intermediate 1 CE

Colleen Fitzgerald, MSN, CCM, ACM-RN; Mary Beth Pace, MBA, BSN, RN, CMAC, ACM-RN

Abstract: Case Management has earned a seat at the table to plan, lead, and execute system-wide initiatives and organizational change. Over the past year this system began moving from Volume to Value which required a change from traditional case management to an integrated delivery system across 22 states. This session will review the strategic planning assessment, preparation and process steps to embark on the transformational change.

Learning Objectives:
1. Increase Awareness of case management trends to anticipate and prepare for the future
2. Apply performance Improvement and analytics to redesign processes and operations to deliver the best possible care at the best price
3. Review strategic partnership applications and potential value within your setting
4. Discuss multi-site system volume to value redesign and identify transferable concepts

11:30 am – 12:30 pm Roundtable Discussion: Your Roadmap for Success | Participant Level - Intermediate 1 CE

Debra McElroy, MPH, RN
Julie Mirkin, DNP, MA RN Wharton Fellow
Robert Grant, MD, MSc, FACS
Mary Beth Pace, RN, BSN, MBA, ACM-RN, CMAC
Colleen Fitzgerald, MSN, CCM, ACM-RN

Abstract: During this interactive session, future trends, best practices & strategic applications to improve performance and achieve outcomes will be discussed. Building on the Strategic Planning Intensive session information, pre-work assessments will be reviewed and revised to create actionable plans to achieve internal goals.

Learning Objectives:
1. Discuss future trends and strategies that present opportunities within your setting
2. Identify one new strategy to apply within your setting to address pre-work assessment opportunities
3. Develop a plan to apply a strategic innovative approach within your setting


OPTION 3

FOUNDATIONS FOR PHYSICIAN ADVISORS 
Attention NJ Social Workers: This session is not applicable for CE’s.

Bruce Ermann, MD, IPAS Physician Advisor, CHI IPAS Compliance Lead

Abstract: This session offers 5.5 hours of lecture and interactive learning and will equip new Physician Advisors with the knowledge requires to perform effectively and for case management directors or chief medical officers looking to improve their Physician Advisor function. The session will include an interactive session engaging participants to physician leaders in case management and those in the physician advisor role.

Learning Objectives:
1. Describe the role, responsibilities and success characteristics for Physician Advisors
2. Review and identify the CMS Utilization Management Conditions of Participation and Physician Advisor role in the UM process
3. Describe foundational areas of knowledge, skill and abilities related to Physician Advisor work, including regulatory, utilization management and workflow considerations
4. Decide the resolution of complex case studies in an interactive group discussion 


AFTERNOON PRE-CONFERENCE SESSIONS

All Pre-Conference Intensive participants are automatically registered to attend and select from among three afternoon breakout sessions. If desired, persons not attending the Intensives can register to attend only the Afternoon Pre-Conference Breakout Session component and select one of three sessions.

2:00 pm – 3:45 pm | The afternoon offers a choice of three sessions:

Advance Care Planning and Palliative Care: Discussions through Simulation Training
Case Management and Physician Partnerships: Innovations and Outcomes
Assuring Excellence in the Case Manager Role Across the Continuum

Faculty:

Antonia Ferrer, MPA, BSN, RN, Assistant Director, Supportive Care Program, NYU Langone Health
Ana Mola, PhD, RN, ANP-C Director of Care Transitions and Population Health Management, NYU Langone Health Steven McGaffigan, LCSW, ACM-SW, Administrative Director Transition Management Administration, Vanderbilt Karen Nelson, MSW, MBA, Director, Social Work, Case Management, Spiritual Care, Aging Adult Services, Stanford Annita Paolucci, MA, CCC/SLP, CCM, Director Case Management, OSU
Amy Singer, MSN, RN, Educator- Patient Care Resource Management, OSU
Stacy Galik, LMHC, CCM, Director, Hospital Care Coordination BayCare
Pamela E. Andrews, RN, MSW, MBA, CCM, ACM-SW, AVP Inova Health System Case Management

Advance Care Planning and Palliative Care: Discussions through Simulation Training | Participant Level - Intermediate 1 CE

Antonia Ferrer, MPA, BSN, RN; Ana Mola, PhD, RN, ANP-C

Abstract: When patients and their families have an increased understanding of advance care planning, diagnoses, prognoses, and palliative or hospice options, they are more able to make informed end-of-life decisions. Providing clinicians with educational opportunities to participate in simulations of difficult patient discussions, allows them to practice therapeutic communication skills in a safe environment. Their ability to facilitate these important conversations improves. Targeted activities develop the skills required to successfully explore patients’ and families’ understanding of a patient’s diagnosis and prognosis. This presentation will share two case scenarios, crafted to explore patients’ personal values, preferences, goals of care, help clinicians assess a patient’s care goals and the develop a discharge plan that honors those goals.

Learning Objectives:
1. Describe the design, implementation and evaluation of an advance care planning and palliative care simulation activity with case managers, social workers and standardized patients
2. Review two practice scenarios designed to improve advance care planning and care coordination discussions as well as family meetings focused on end of life conversations
3. Explore the impact of a didactic in-service and simulation exercise on the confidence level of case managers and social workers providing care planning and end of life conversations with patients

Case Management and Physician Partnerships: Innovations & Outcomes | Participant Level - Intermediate 1 CE

Robert Grant, MD, MSc, FACS, Physician Advisor and Chairman Utilization Management Committee, New York-Presbyterian

Abstract: Synergies created with physician-case management partnerships led to advancements in operations and clinical practice within this multi-site health care system. Providing infrastructure, training, tools, data mining and outcome monitoring were integral components in developing a team of physician champions. During this interactive session, panelists will provide case examples to illustrate key factors leading to process improvements and innovations. Successful outcomes were realized with Care Traffic Control Boards tracking pre-admission- discharge flow and proactively addressing barriers to care within adult and Pediatric care.

Learning Objectives:
1. Increase awareness of case management trends to anticipate and prepare for the future
2. Apply performance improvement and analytics to redesign processes and operations to deliver the best possible care at the best price
3. Review strategic partnership applications and potential value within your setting
4. Discuss multi-site system volume to value design and identify transferable concepts

Assuring Excellence in the Case Manager Role Across the Continuum | Participant Level - Intermediate 1 CE

Steven McGaffigan, LCSW, ACM-SW
Karen Nelson, MSW, MBA
Annita Paolucci, MA, CCC/SLP, CCM
Amy Singer, MSN, RN
Stacy Galik, LMHC, CCM
Pamela E. Andrews, RN, MSW, MBA, CCM, ACM-SW

Abstract: Providing orientation to the case management role, and supporting ongoing professional development, is critical in the case management role as systems continue to expand their care delivery continuum. Often the default for orientation, shadowing with an experienced care manager/social worker may offer positive observation of an experienced coworker but may also perpetuate non-evidenced-based practice or modeling of entrenched attitudes. Standardize, comprehensive training and ongoing professional development for the case management role have become increasingly important. ACMA engaged key organizations to beta test the addition of experiential learning to the educational journey of new and seasoned professionals. Hear strategies from leading health systems on how they are working to expand and standardize orientation, assess competency and reduce variation in practice in the case management role.

Learning Objectives:
1. Share current approaches to onboarding new case managers and providing ongoing professional development
2. Discuss opportunities and lessons learned as a beta site for application of simulation in case management
3. Describe success and opportunities in care coordination across the continuum of care within leading health systems.

ACMA Homepage

Important Dates:

Early Registration Deadline: February 8, 2019
Late Registration Price Begins:    March 20, 2019
Hotel Discount Deadline: March 21, 2019
Conference Date: April 13-17, 2019

Conference Sponsors

American Case Management Association
11701 W. 36th St.
Little Rock, Arkansas 72211
Phone: 501-907-ACMA (2262)
Fax: 501-227-4247
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