Acute Care Session = Acute Care Session
Long Term and Skilled Care Session = Long Term and Skilled Care Session
Physician Advisor, Medical Director Session = Physician Advisor, Medical Director Session
Ambulatory Session = Ambulatory-Session
Pediatric Session = Pediatric Session
Rehabilitation Session = Rehabilitation Session
Home Health Session = Home Health Session
Primary Care Session = Primary Care Session
Veterans Care Session = Veterans Care Session

PRE-CONFERENCE INDIVIDUAL SESSIONS
Tuesday, April 24, 2018

Pre-Conference General Session: Disaster Planning and Recovery: Lessons Learned
Practice Setting:  

1:00 PM - 2:00 PM

Gay Matthews, MSN, RN, CCRN-K
Assistant Director
Care Management
Texas Children's Hospital - Houston, TX

Donna Ukanowicz, RN, MS, ACM-RN
Director
Case Management
MD Anderson - Houston, TX

Robin Davis, MPA, CEM CHPCP
Director
Emergency Management and Healthcare Continuity
Memorial Hermann - Houston, TX

Abstract:
On August 25, 2017 Hurricane Harvey's devastation begin in Texas resulting in $180 billion in damage, affecting 203,000 homes, with 738,000 people needing to register for FEMA assistance. Our conference host site, George R. Brown Convention Center, provided refuge to many displaced persons. In this session, an expert panel of Houstonians will share real life examples and lessons learned to equip Case Management professionals and heath care administrators with insight to manage disaster planning and recovery.


Learning Objectives:
  1. Discuss the national disaster experience and impact on healthcare delivery systems in Houston
  2. Review essential disaster planning components for health care institutions
  3. Examine and apply strategies for proactive preparedness and recovery

ACMA Informational Session: ACMA Membership Benefits Review
5:30 PM - 5:45 PM

Dre Zeno
Specialist
Membership Services
American Case Management Association - Little Rock, AR

Abstract:



ACMA Informational Session: Compass Training Review for New Users
6:00 PM - 6:15 PM

Jeff Ward
Account Manager
Compass
American Case Management Association - Little Rock, AR

Abstract:



Pre-Conference Breakouts 1
Tuesday, April 24, 2018

1P - Providing Care for Underserved Populations
Practice Setting:  

2:10 PM - 3:10 PM

Jamie Mathis, MSN, RN, NE-BC
Associate Administrator
Population Health & Disease Management
Harris Health System - Houston, TX

Krystal Andrews Gamarra, MSW, LCSW, CCM
Director
Clinical Case Management Ambulatory Care Services
Harris Health System - Houston, TX

Abstract:
Providing access to care, treatment and services for indigent underserved populations challenges health care systems throughout the nation. During this presentation, leading practices will be shared to meet the wide range of needs for at risk adults and children within Harris Health public health system and community clinics.

Learning Objectives:
  1. Identify challenges and barriers to care for underserved patient populations
  2. Discuss services and strategies to address population health needs
  3. Review approaches to be applied in various settings within communities

2P - Cancer Rehabilitation: An Essential Component for Cancer Survivorship
Practice Setting:  

2:10 PM - 3:10 PM

Anna DeJoya, PT, D.Sc., NCS
Director
New Program Development
TIRR Memorial Hermann - Houston, TX

Jack Fu, MD
Associate Professor
Palliative Care & Rehabilitation Medicine
MD Anderson Cancer Center - Houston, TX

Abstract:
Research has demonstrated that the majority of cancer survivors will have significant impairments and that these are often undetected and/or untreated, which then may result in disability. Furthermore, physical disability is a leading cause of distress in this population. The scientific literature has shown that rehabilitation improves pain, function, and quality of life in cancer survivors. It has also been shown that rehabilitation efforts can ameliorate physical and cognitive impairments throughout the cancer course of treatment. This cancer continuum includes prehabilitation, which is rehabilitation before cancer treatment commences and interdisciplinary rehabilitation during and after acute cancer treatment. Rehabilitation appears to be cost-effective and may reduce both direct and indirect health care costs, reducing the enormous financial burden of cancer. Thus, it is critical that survivors are screened for both psychological and physical impairments and then referred appropriately to trained rehabilitation health care professionals.

Learning Objectives:
  1. Identify cancer survivors who will benefit from cancer prehabilitation/rehabilitation
  2. Explain and apply national cancer rehabilitation guidelines for high-quality cancer care
  3. List at least 3 ways that cancer rehabilitation can improve quality of life, functional outcomes and decrease healthcare costs

Pre-Conference Breakouts 2
Tuesday, April 24, 2018

1Q - Interdisciplinary Patient Rounds
Practice Setting:  

3:20 PM - 4:20 PM

Erin Asprec
Executive Vice President and Chief Transformation Officer
Acute Care Services
Memorial Hermann - Houston, TX

Greg Haralson
CEO
Memorial Hermann Sugar Land & Memorial Hermann Southwest - Houston, TX

Abstract:
Interdisciplinary communication is paramount to successful patient care planning, and patient involvement is essential. Hospitals are seeing increasing value of interdisciplinary care rounds to enhance care coordination within value-based reimbursement models. During this session, the structure, processes and tools to provide effective communicationthrough daily clinical rounds will be presented.

Learning Objectives:
  1. Discuss goals and objectives of interdisciplinary rounds
  2. Review common barriers and solutions to implementing interdisciplinary rounds
  3. Provide a framework to develop & successfully implement interdisciplinary patient care rounds

2Q - Pediatric Care Coordination Across the Continuum
Practice Setting:  

3:20 PM - 4:20 PM

Lauren Girardi, MHA, BSN, RN, CCM
Patient Care Manager
Care Management
Texas Children’s Hospital - Houston, TX

Abstract:
Coordinating continued care and assuring smooth transitions for Pediatric medically and psychosocially complex patients, their families and caregivers can present challenges. During this session case management innovative approaches and best practices will be shared to address challenges and improve care coordination across the continuum.


Learning Objectives:
  1. Review common challenges and barriers in coordinating effective transitions for Pediatric patients
  2. Discuss innovative approaches to overcome barriers and address Pediatric patient and family needs
  3. Identify and apply strategies to apply within various practice settings

MAIN CONFERENCE DAY 1 INDIVIDUAL SESSIONS
Wednesday, April 25, 2018

Welcome and Keynote Address: The Future of Health and Medicine: Where Can Technology Take Us?
Practice Setting:  

8:00 AM - 9:30 AM

Daniel Kraft, MD
Founder
IntelliMedicine

Abstract:
Dr. Daniel Kraft, a Stanford and Harvard trained physician-scientist, inventor and entrepreneur, will share his clinical and biomedical perspective on technology and its future impact on health care. Daniel is the founder of IntelliMedicine focused on enabling connected, data-driven and integrated personalized health and medicine and was recognized as one of the top 50 individuals and organizations for making exceptional progress in driving resources, attention and innovation toward a better health care system. Given the demands placed on Case Management and Transitions of Care professionals practicing in various settings — who receive information from multiple sources and influence the care delivery for optimal outcomes — technology is a requisite partner. Daniel will examine the rapidly emerging, game changing and convergent technology trends, and how they are and will be leveraged to change the face of health care and the practice of medicine in the next decade.


ACMA Informational Session in Solutions Center: Compare: Efficient, Effective Length of Stay Analysis
12:45 PM - 1:00 PM

Gabrielle O’Shea
Sales Representative
Compare
American Case Management Association - Little Rock, AR

Abstract:



Rapid Cycle Learning: Interactive Poster Review
Practice Setting:  

1:00 PM - 2:00 PM

Kimberly Browne, LCSW, ACM-SW
Assistant Director
Social Work
Tampa General Hospital - Tampa, FL

Katherine Ardalan Hochman, BA, MBA, MD
Associate Professor of Medicine
New York University School of Medicine - New York, NY

Michael McEntire, RN, CRCR, IQCI, ACM-RN
Corporate Regional Director
Care Coodination
Adventist Health Systems - Apoka, FL

Molly McNamara, RN, MHA, BSN, NE-BC, CPHQ
Clinical Program Manager
Harris Health System - Kingwood, TX

Doreen Picagli, DNP, APRN, FNP-BC, C-EFM
Clinical Instructor / Continuity of Care Coordinator and Family Nurse Practitioner
Yale university School of Nursing / Yale New Haven Hospital - Guilford, CT

Shelley Ann Potts, LCSW, ACM-SW
Social Worker, Trauma and Acute Care Surgery
University Hospital - Columbia , MO

Jennifer Prescia, MSN, RN, ACM, CCDS, NE-BC
Director
Case Management
Northwestern Lake Forest Hospital - Hawthorn Woods, IL

Tracy Schrider, LCSW, ACM-SW
Community Health Social Service Program Manager
Sutter Health Alta Bates Summit Medical Center - Oakland, CA

Karen Vanaskie, DNP, MSN, RN
Senior Network Director
Care Management
Innovation Care Partners - Scottsdale, AZ

Mary Veihdeffer, MSW, LCSW
Senior Manager
Social Work
UPMC Presbyterian Shadyside - Cranberry Township, PA

Abstract:
During these interactive sessions, attendees will select from topics of interest within their practice area and attend at least 10 rapid cycle presentations that address current healthcare planning, delivery, access, coordination, and/or transitions issues within various settings. Through interactive discussion- innovations, best practices, advancements and interventions will be explored for attendees to apply in their practice to improve outcomes.Content areas include: Financial : Value Based Purchasing, Utilization and Denial Avoidance; Care Management: Case Management Models, Collaborative Teams, Population Health; Effective Care Transitions: Risk Screening, Discharge Barriers, Readmission Avoidance

Learning Objectives:
  1. Present healthcare coordination and care management challenges and barriers to providing cost effective, quality care & transitions
  2. Discuss interventions to achieve outcomes
  3. Apply innovations, best practices and tools

ACMA Informational Session in Solutions Center: Compass: Best Practices for Engaging Trainees
1:15 PM - 1:30 PM

Jeff Ward
Account Manager
Compass
American Case Management Association - Little Rock, AR

Abstract:



ACMA Informational Session in Solutions Center: What Does Certification Say About You?
1:45 PM - 2:00 PM

Joshua Lafever
ACM Manager
Certification
American Case Management Association - Little Rock, AR

Abstract:



ACMA Informational Session in Solutions Center: Intelligent Length of Stay Analysis
5:45 PM - 6:00 PM

Gabrielle O’Shea
Sales Representative
Compare
American Case Management Association - Little Rock, AR

Abstract:



ACMA Informational Session in Solutions Center: Comprehensive Solutions for Improving Case Management
6:15 PM - 6:30 PM

Gabrielle O’Shea
Sales Representative
Compare
American Case Management Association - Little Rock, AR

Jeff Ward
Account Manager
Compass
American Case Management Association - Little Rock, AR

Dre Zeno
Specialist
Membership Services
American Case Management Association - Little Rock, AR

Abstract:



Sunset Session: Health Care Documentary Film & Discussion
Practice Setting:  

7:30 PM - 9:00 PM

Lois Cross RN, MSN,ACM-RN
Case Management
Sutter Health - San Francisco, CA

Sharon Mackall, RN, BSN, ACM-RN
Director
Care Management and Capacity
UPMC Mercy - Pittsburgh, PA

Alverta Robinson, RN BSN MSA, RN-BC, LNHA
Director
Integrated Care Management
Sentara Medical Group - Norfolk, VA

Abstract:
During this session, care coordination, access and throughput issues as experienced from ER patients, families and healthcare team perspectives will be reviewed and discussed. The audience will view an award winning documentary, The Waiting Room. Interactive audience discussion will follow the viewing, focusing on themes presented in the film and potential strategies to meet challenges in providing care for vulnerable populations.

The Waiting Room is a character-driven documentary film that uses extraordinary access to go behind the doors of an American public hospital struggling to care for a community of largely uninsured patients. The film - using a blend of cinema verité and characters' voiceover - offers a raw, intimate, and even uplifting look at how patients, staff and caregivers each cope with disease, bureaucracy and hard choices.


Learning Objectives:
  1. Assess issues, needs and desired outcomes for ER
  2. Recognize patient needs differ within geographical locations
  3. Analyze patient and staff responses based on situations at hand

Breakout Sessions (A)
Wednesday, April 25, 2018

1A - Patient Centered Medical Home: A Strategy to Reduce ED Utilization
Practice Setting:  

9:45 AM - 10:45 AM

Alverta Robinson, RN, BSN, MSA, RN-BC, LNHA
Manager
Integrated Care Management
Sentara Medical Group - Norfolk, VA

Abstract:
Overuse of emergency department visits in the United States is responsible for $38 billion in wasteful spending annually. This presentation will review patterns of emergency room utilization, the design of the care management model in the Patient Centered Medical Home, and the action plan used by the care managers to
successfully reduce ED visits.


Learning Objectives:
  1. Describe a Care Management Model in the Ambulatory setting
  2. Identify patterns of emergency room usage
  3. Define effective care management strategies to reduce emergency department utilization

2A - Physician Advisors: Change Agents to Transform Hospital Performance
Practice Setting:  

9:45 AM - 10:45 AM

Dani Hackner, MD, MBA
Chief Medical Officer
Memorial Hermann Health System

Abstract:
Physician advisors historically served on the Utilization Review Committee for medical necessity determinations and denials management. Expanding the role of the physician advisor to optimize observation utilization and drive unit-based multidisciplinary rounds not only impacts patient throughput but also staff engagement. Physician advisors are able to serve as stewards of organizational quality and patient safety initiatives at the hospital unit level.


Learning Objectives:
  1. Explain various roles physician advisors may serve
  2. Describe how to optimize unit-based performance through physician advisor-driven multidisciplinary rounds
  3. Define how physician advisors may impact organizational goals

3A - Lost and Found: EC Navigation
Practice Setting:  

9:45 AM - 10:45 AM

Kyle Galyean, LMSW
Director
Social Services
University Medical Center - Lubbock, TX

Melissa Sickles, BSN, RN
EC Navigation RN Case Manager
Case Management
University Medical Center - Lubbock, TX

Abstract:
Trends indicate that emergency departments (EDs) are over utilized for nonemergent care. According to the Becker’s Hospital Review 2016 data, 136.3 million emergency department visits occur annually, and 71% of ED visits are
unnecessary and avoidable. The Patient Navigation Program serves to connect the under insured with more appropriate outpatient resources. In this session, you will learn how the EC Navigation program deters this high-risk population from inappropriate utilization of emergency department services.


Learning Objectives:
  1. Discuss what navigation services entail
  2. Identify the ways navigation services are employed within the identified population
  3. Describe the barriers and benefits of a patient navigation program

4A - Substance Abuse PICC Program: Collaborative Solution for a Complex Population
Practice Setting:  

9:45 AM - 10:45 AM

Tammy Lindsay, RN
Clinical Specialist
UF Health Case Management
UF Health - Gainesville, FL

Alan Paulin, LCSW
Vice President
Residential Services
Meridian Behavioral Healthcare, Inc - Gainesville, FL

Abstract:
Patients with a history of substance abuse and IV drug use often have severe infections requiring long term IV antibiotic treatment. As a result, this complex patient population presents discharge coordination challenges as well as high treatment costs and readmission rates. This session focuses on positive outcomes and decreased readmission rates achieved by one organization through their collaborative approach of partnering with a drug treatment facility where patients concurrently receive IV therapy and substance abuse counseling and treatment.
 


Learning Objectives:
  1. Discuss the behaviors of patients with addiction and the demands on hospital resources
  2. Review options for treatment of patients who use IV drugs and need IV antibiotics for infection
  3. Explain steps taken to initiate “SAPP” approach and reduce extended hospital length of stay

5A - The Homeless: Bridge to Safety Net
Practice Setting:  

9:45 AM - 10:45 AM

Sharon Mackall, MSN, ACM
Director
Care Management
UPMC Mercy - Pittsburgh, PA

Abstract:
This session reviews the collaborative approach taken by one organization to reduce the 30-day readmission rate for the homeless population in their community. The program, Bridge to Safety Net, utilizes a collaborative between
the acute hospital setting, a street medicine program for the homeless, and a primary care office to reduce the health care costs of the chronically homeless by improving population health and the patient experience which ultimately reduce health care cost and readmission back into the acute care setting.


Learning Objectives:
  1. Improve identification related to the homeless population in a specific service area
  2. Illustrate the need for a referral process to community services or street medicine program serving the identified population
  3. Integrate a referral process into the transition and discharge planning activities

6A - 7 Day CM Revolution
Practice Setting:  

9:45 AM - 10:45 AM

Violet Argo, RN, BSN, CHPN
Executive Director
Cornerstone Hospice and Palliative Care - Orlando, FL

Tracy Robert, RN
Clinical Team Manager
Cornerstone Health - Lakeland, FL

Abstract:
A major challenge facing today's hospice operations is how to balance serving patient/families’ needs efficiently and effectively after “traditional” business hours with the physical and mental stress placed on the Clinical staff. The Clinical staff traditionally covers on-call support and after-hours dispatch. This session presents an innovative solution that provides both enhanced quality of care and significantly improves staff satisfaction in work/life balance and stress reduction.

Learning Objectives:
  1. Compare standard Hospice Case Management processes with the 7-day Case Management Model
  2. Apply aspects of the 7-day Case Management Model improves the satisfaction levels of both the staff and patients/families
  3. Describe how the 7-Day Case Management Model to improve quality of care

7A - Communication Matters – The Importance of Effective Transitions
Practice Setting:  

9:45 AM - 10:45 AM

Jeanne Wickliffe RN, MHA, CPN
Program Supervisor
Primary Care
Nationwide Children’s - Columbus, OH

Abstract:
Effective transitions in Pediatric care occurs when health care professionals, patients,families and individuals responsible for providing care at home communicate properly. The handoffs between specialists and primary care physicians are critical and care management helps ensure success. It’s not just up to the physicians to treat the patient, care continues at home with the parent or guardian and their abilities need taken into consideration. Poor communication or limited ability by the parents and guardians can result in poor outcomes and higher readmissions. Parents and guardians need to be informed on what is and is not an emergency and where they should go for care.

Learning Objectives:
  1. Identify the key opportunities for communication improvement
  2. Understand the best practices for enduring quality communication and follow ups
  3. Learn the (5) questions all case managers should ask the parent/guardian to improve outcomes

Breakout Sessions (B)
Wednesday, April 25, 2018

1B - A Complex Case Management Model
Practice Setting:  

11:00 AM - 12:00 PM

Debra B. Hernandez, MSN, APRN, BC
Complex Nurse Practitioner
Department of Medicine
Hartford Hospital - Hartford, CT

Jasmine Rivera, RN, BSN, BC, ACM
Readmission Navigator
Case Coordination
Hartford Hospital - Hartford, CT

Abstract:
Patients with extended stays or multiple readmissions generally have comorbidities, multiple providers, and complex psycho-social systems which often result in throughput and care transition challenges. This session will describe how
one organization saved hospital days, avoided admissions and reduced ED visits by creating a Complex Case Management Practice (CCMP) model. Metrics, strategies and patient stories will be shared.


Learning Objectives:
  1. Describe the formation of the Complex Case Management Practice (CCMP)
  2. Discuss the fundamental processes executed that lead to the success of the Complex Case Management Practice
  3. Demonstrate effectiveness of the Complex Case Management Practice outcomes through metrics and patient stories

2B - Centralized Utilization Review: Improved Productivity & System Outcomes
Practice Setting:  

11:00 AM - 12:00 PM

Kelley A. Jones, BSN, RN, MBA, CCM
Director
Utilization Management
Indiana University Health - Indianapolis, IN

Sarah M. Burns,RN, BSN
Manager
Utilization Management
Indiana University Health - Indianapolis, IN

Abstract:
To reduce practice variation and improve outcomes, Utilization Management developed a plan to centralize and integrate functions within a large academic health system. Goals included standardizing language and methodology of
review, collaboration with payers and promoting value-based care. Successful integration of 10 out of 14 facilities resulted in improved initial review timeliness, capture of inpatient-only procedures, as well as improved efficiency, productivity, and quality outcomes.


Learning Objectives:
  1. Identify how centralized utilization management functions can enhance communication and collaboration
  2. Recognize the value of standardizing UM processes within a large, multi-facility organization
  3. Describe how UM medical necessity decisions impact value-based care

3B - Mobile Integrated Health Program: A Partnership to Reduce Readmissions
Practice Setting:  

11:00 AM - 12:00 PM

Tracy Neidetcher, MBA, MSN, NE-BC
Manager
Care Management
Legacy Health System - Portland, OR

Abstract:
Mobile integrated health (MIH) programs bridge the gap that patients experience when transitioning from the hospital. This program offers services to patients provided by a community paramedic. This session will cover one hospital’s experience in implementing a MIH program. Goals of the program include improving care coordination and follow-up for patients while aiming to decrease hospital readmissions. Outcome measures associated with this program will be discussed as well as elements for consideration when planning and implementing a MIH program.


Learning Objectives:
  1. Define what mobile integrated health is and the role such programs can play in preventing hospital readmissions
  2. Discuss components to consider in planning and implementing a mobile integrated health program
  3. Analyze outcomes associated with patients enrolled in mobile integrated health program

4B - Understanding Social Determinants of Health and the Impact on Length of Stay
Practice Setting:  

11:00 AM - 12:00 PM

Karen Nelson, MSW, MBA
Director
Social Work and Case Management
Stanford Healthcare - Palo Alto, CA

Abstract:
A case manager’s ability to understand the complex psychosocial factors impacting every patient’s unique health experience is critical, particularly with patients at risk of a long length of stay. These patients can become deprioritized
on the case manager’s caseload because of the perceived difficulty and multiple barriers to transitioning smoothly and efficiently back to the community. This presentation will review successful strategies utilized by one a large teaching hospital.




Learning Objectives:
  1. Identify the Social Determinants of Health and the research which supports their contribution to health outcomes
  2. Create an interdisciplinary approach to impact LOS
  3. Develop new strategies to employ to address barriers to the transitioning of long LOS patients

5B - Care Giver Support
Practice Setting:  

11:00 AM - 12:00 PM

Lashanta Dorsey-Lee,RN,MSN
RN Caregiver
Support Coordinator
Michael E. DeBakey VA Medical Center - Houston, TX

Abstract:
Caregivers play a key role in creating effective patient centric care plans for veterans. A major initiative has been underway within the Veteran’s Affairs to examine and implement strategies to best include and support veteran caregivers. During this session, resources, tips and tools will be shared that can be applied to meet patient’s needs and support caregivers.


Learning Objectives:
  1. Understand Resources and Tools for Caregiver Support
  2. Differentiate between Approved and General Caregivers
  3. Identify techniques to be an effective Caregiver

6B - Models for Managing Adolescent Behavior Health Events
Practice Setting:  

11:00 AM - 12:00 PM

Marilyn Sullivan, MSN, RN, ACM-RN
Manager
Care Coordination, Social Work and Case Management
Stanford Health Care - Stanford, CA

Tonja Belo MSN, RN
Case Management Coordinator
Medical Behavioral Unit
Children’s Hospital of Philadelphia - Philadelphia, PA

Abstract:
During this session, referral and assessment processes to coordinate adolescent behavioral health services will be reviewed. Presenters will describe care management options within various care settings for adolescent Medical and
Psychiatric disorders. Strategies to enhance collaboration between Medical Case Managers and Psychiatry Services will be presented.
.

Learning Objectives:
  1. Understand the complexity of the care transition process when Pediatric Patients have a dual Medical and Psychiatric/ Behavioral Health Diagnosis
  2. Review a model of facilitating behavioral health inpatient admissions as a case manager
  3. Apply factors to be considered when determining appropriate patient placement for behavioral health care

7B - Regional Collaboration to Provide Care in the Community
Practice Setting:  

11:00 AM - 12:00 PM

Andrea L. Devoti, RN, MSN, MBA
Executive Vice President
National Association for Home Care & Hospice - Washington, DC

Carolyn J. Hann, RN, MSN, CPHQ
Project Coordinator
Care Coordination
Quality Insights QIO-QIN - Media, PA

Abstract:
The advantage to supporting population health models is clear, and understanding what population health means to a health system, all working parts of the community and the patient’s continuum of care is key. This session will help case managers identify key stakeholders in the community and lay the ground work for developing a formal setting for collaboration. Forums for providers, vendors, community resources and supports provide opportunities to share best practices for providing care to the community, educating consumers and developing plans to combat epidemic issues.


Learning Objectives:
  1. Define a regional collaboration
  2. Describe the use of a collaboration to provide cohesive care
  3. Provide information via several case studies of the development of a collaborative

8B - Creating Access with Virtual Social Workers
Practice Setting:  

11:00 AM - 12:00 PM

Crystal Salazar, MSW
Virtual Social Worker
Ambulatory Care Management
Carolinas HealthCare System - Charlotte, NC

Diamond Staton-Williams, RN, BSN, MHA
Director
Ambulatory Care Management
Carolinas HealthCare System - Charlotte, NC

Abstract:
With the creation of an Ambulatory Care Management department, a gap was identified related to the social needs of the patient population. As a result, a Virtual Social Worker role was created to work with practices within the Medicare patient population. The role of the Virtual Social worker is to connect with patients who need assistance with navigating their health and social needs. During this session, tips and tools will be provided for attendees to apply in their settings.

Learning Objectives:
  1. Describe the role of the Virtual Social Worker
  2. Understand the value of wrap around services in the primary care settings
  3. Evaluate opportunities to apply this approach within healthcare settings

Breakout Sessions (C)
Wednesday, April 25, 2018

1C - Canceled: Cross-Sector Partnerships: Enhancing Community Based Care Management
Practice Setting:  

2:00 PM - 3:00 PM

Abstract:
This session has been canceled.  Please see schedule for alternative sessions.



2C - Reducing Readmissions: A New Approach to Transitional Care Planning
Practice Setting:  

2:00 PM - 3:00 PM

Heather Kreger, RN, MSN, ACM-RN
Manager
Case Management and Utilization Management
UPMC Susquehanna - Williamsport, PA

Abstract:
This session will provide information about one organization’s approach of reducing readmissions through community partnerships and the creation of a readmission initiative.


Learning Objectives:
  1. Identify areas of opportunities to decrease readmissions with dynamic transitional care plans
  2. Identify key stakeholders within communities to form partnerships
  3. Describe elements necessary for an effective hand-off

3C - Canceled: Mental Health Integration in Primary Care Setting
Practice Setting:  

2:00 PM - 3:00 PM

Abstract:
This session has been canceled.  Please see schedule for alternative sessions.



4C - Home Care, Hospice and Palliative Care: Educating Pts, Families, & Providers on the 'Best Fit'
Practice Setting:  

2:00 PM - 3:00 PM

Kim Lane, RN, BSN, MSN
Director
Homecare Operations
Memorial Hermann Home Care - Katy, TX

Diya LeDuc, LCSW, ACHP-SW
Chief Clinical Officer
Circle of Life Hospice - Springdale, AR

Donna Zhukovsky, MD, FACP, FAAHPM
Professor
Department of Palliative Care and Rehabilitation Medicine
The University of Texas MD Anderson Cancer Center - Houston, TX

Abstract:
Providing patients with the best care while managing utilization, length of stay and readmission starts with core education of the care team, patients and families. Home care, hospice and palliative care have overlapping areas to a degree, but there are key differences as well. Keeping a patient in the least restrictive and appropriate setting is reliant on the care team helping patients and families select the best fit for their needs on the front end while taking into consideration the care plan, end of life wishes, cultural issues and insurance coverage/benefits.


Learning Objectives:
  1. Identify the similarities and differences of care and services provided by home care, palliative care and hospice care
  2. Describe the reimbursement structure for home care, palliative care and hospice care and the implications for the patient and family
  3. Discuss an approach for discussing care options with patients and their families to facilitate patient-family selection of the "best fit."

5C - Speed Learning – Back-to-Back 30-Minute Sessions: IP Versus OP Status & Managing Denials/ Status Tips & Job Aids to Get it Right From the Start
Practice Setting:  

2:00 PM - 3:00 PM

Abstract:
Part 1: IP versus OP: Managing Denials
Embark on a concise, but a thorough journey to learn about a Children’s hospital’s rules of engagement with payers to win denial appeals.

Faculty:
Joan Cullen, BSN, RN, CCM, IQCI
Manager
Case Management
Ann & Robert H. Lurie Children's Hospital
Chicago, IL

Lesly Whitlow DNP, MBA, RN, CCM

Senior Director
Patient Services
Ann & Robert H Lurie Children's Hospital
Chicago, IL

Part 2: Status Tips and Job Aids to Get It Right from the Start
During Part 2, a Children’s teaching hospital will share best practices to proactively manage LOC status, decrease rework and avoid denials.

Faculty:
Cyndi D. Fisher RN, MSN, CPNP, ACM-RN
Director 
Case Management Services
Children's Hospital of The King's Daughters
Norfolk, VA




6C - Speed Learning – Back-to-Back 30-Minute Sessions: The Role of the Navigator/ Managing Patients Along the Continuum in Referral Based Post-Acute Settings
Practice Setting:  

2:00 PM - 3:00 PM

Abstract:
Part 1: Role of the Navigator
This session will review best practices for patient navigators in various settings and their role in providing patient education, coordinating care and physician referrals.

Faculty:
Bud Langham, PT, MBA
Chief Clinical Officer
Encompass Home Health & Hospice
Dallas, TX

Part 2: Managing Patients Along the Continuum in Referral-Based Post-Acute Settings
Part 2 will present the evolving role of the field liaison to provide the right level of care at the right time, identify barriers to care and collaborate with community partners.

Faculty:
Cindy Chaney, MSW
Director 
Case Management
LifeCare Hospitals
Denver, CO




7C - Speed Learning– Back-to-Back 30-Minute Sessions: Social Determinants of Health & Outpatient Medical Care
Practice Setting:  

2:00 PM - 3:00 PM


Abstract:
Part 1: Assessing Social Determinants of Health and the Impact on Patient Capacity for Self-Care
This session identifies an effective intervention tool implemented within primary care that screens patients for additional service needs, based upon self-reported perception of burden in health care treatment and health determinants. Participants will learn about the ICAN tool and its utilization as a means to identify relevant patient stressors that are impacting patient health management. Participants will have access to the tool and discuss ways it can improve patient outcomes and satisfaction.

Faculty:
Kristi Stuckwisch, LCSW LISAC
Social Worker, Care Management
Mayo Clinic
Scottsdale, AZ


Part 2: AIMS model in OP SW
This session will discuss the use of the AIMS (Ambulatory Integration of Medical and Social) intervention in outpatient medical care, including assessment, care planning and unique engagement techniques.

Faculty:
Eve Escalante, LCSW
Clinical Social Worker Manager, Social Work Services
Rush University Medical Center
Chicago, IL




Breakout Sessions (D)
Wednesday, April 25, 2018

1D - Geriatric Emergency Department: Improving Transitions to the Community
Practice Setting:  

3:15 PM - 4:15 PM

Lisa Entringer, RN
Emergency Department Case Manager
Case Management
Aurora Sheboygan Memorial Medical Center - Sheboygan, WI

Diane Schuh, RN, BSN
Manager of Case Management
Case Management
Aurora Sheboygan Memorial Medical Center - Sheboygan, WI

Abstract:
Hospitals are challenged with improving care for the vulnerable older adult population. Learn how a hospital Emergency Department (ED) innovatively changed its approach to better transition patients back into the community.
Partnering with geriatric physicians, participating in an ED Boot Camp and implementing a consistent assessment/referral process are key factors that have resulted in positive outcomes, including improved patient satisfaction and reduced ED readmissions.


Learning Objectives:
  1. Learn how to Incorporate ED Geriatric Guidelines into clinical practice
  2. Identify a process to effectively screen and initiate referrals for vulnerable older adults
  3. Describe positive outcomes that can be integrated across a large healthcare system

2D - CMS Two Midnight Rule: Team Approach to Accurate Admission Orders
Practice Setting:  

3:15 PM - 4:15 PM

Michaela Sullivan, RN, MSN, ACM-RN
Manager, Care Coordination
Social Work and Case Management
Stanford Health Care - Stanford, CA

Abstract:
The CMS Two Midnight Rule challenges all hospitals to ensure patients are assigned the appropriate level of care. A series of multidisciplinary, individualized interventions were developed to ensure compliance with the Two Midnight Rule and to reduce avoidable write-offs. Workflows were created with financial services, medical teams and case management to prospectively and retrospectively review at-risk accounts. The result of these efforts was an 80%
reduction in avoidable write-offs.


Learning Objectives:
  1. Identify opportunities to increase compliance with the Two Midnight Rule
  2. Distinguish multidisciplinary team members’ roles in effecting admission orders
  3. Leverage electronic medical records system to optimize short stay reviews

3D - Community Partnerships: Patient Centered Transitions
Practice Setting:  

3:15 PM - 4:15 PM

Sherry Norquist, MSN, RN, ACM-RN
Director
Integrated Care Management
Sentara - Norfold, VA

Abstract:
Partnerships with community agencies are increasingly significant to achieving quality outcomes and in providing efficient, effective transitions of care. This presentation outlines ways in which hospitals can partner with each other and develop key strategic partnerships with agencies that can help close the gap that may exist with patient transitions. Examples such as connections with free clinics to promote access to services, partnerships with the Agency on Aging, and service providers for underinsured patients will be showcased. Skilled nursing facility capabilities lists and standardized tools will be shared.


Learning Objectives:
  1. Identify community services and agencies to meet patient’s post-discharge needs
  2. Apply strategies to build a community safety net
  3. Network with the Quality Improvement Organizations to share data and develop meaningful action plans

4D - Ethics for Case Management
Practice Setting:  

3:15 PM - 4:15 PM

Jesse Ellis, LCSW
Manager of Case Management
Intermountain Healthcare/ Utah Valley Hospital - Provo, UT

Abstract:
This presentation will include a review of ethical standards for case management practice, application of the standards, addressing ethical dilemmas and methods for remaining ethically fit. Case examples including conflicts between advance directives and caregiver directives, the role of behavioral health integration for Huntington’s Chorea or other conditions not commonly supported by the mental health community, and conflicts that arise when practitioners create dual relationships with co-workers or patients will be discussed.


Learning Objectives:
  1. Review ethical standards for nurse case managers and social workers
  2. Use case examples to articulate ethics in case management practice
  3. "Describe methods for maintaining an ongoing ethical perspective Provide tactics for resolving ethical conflicts when they arise"

5D - CANCELED: Transgender Youth
Practice Setting:  

3:15 PM - 4:15 PM

Abstract:
This session has been canceled.  Please see schedule for alternative sessions.



6D - Case Management: What to Know About Living Wills, DNR & POLST
Practice Setting:  

3:15 PM - 4:15 PM

Tammy Kordes, Ph.D.
Co-Investigator
TRIAD XII
UPMC Hamot - Erie, PA

Abstract:
Emerging research suggests ethical and safety concerns related to utilization of advance directives and Physician Orders for Life Sustaining Treatment (POLST). This session will equip case managers and health care providers with tools to assess institutional practices, implement education/safeguards and minimize patient safety risks and medical errors. Operational efficiencies gained by utilizing resuscitation safety checklists and patient-to-clinician video testimonial in advance care planning will be discussed.


Learning Objectives:
  1. Examine current ethical & patient safety concerns related to advance directives (the Living Will & POLST) and advance medical orders
  2. Define Living Wills, POLST, DNR & Out of Hospital DNR orders
  3. "Develop an institutional safety platform around these instruments for improved patient care centered on the principals of medical ethics Review TRIAD VIII and the use of patient to clinician video testimonial to ensure appropriate Emergency & End of Life treatment decisions"

Breakout Sessions (E)
Wednesday, April 25, 2018

1E - Critical Care Partnerships for Improved Throughput
Practice Setting:  

4:30 PM - 5:30 PM

Debra B. Hernandez, MSN, APRN, BC
Complex Nurse Practitioner
Medicine
Hartford Hospital - Hartfod, CT

Michelle Wallace, RN, BSN, ACM- RN
Case Coordinator
Case Coordination
Hartford Hospital - Hartford, CT

Abstract:
Critical care departments at academic tertiary hospitals are commonly driven by a medical model that focuses on stabilization and transfers to the next level of care. At this institution, the Complex Case Management Practice Team (CCMP) noted referral delays until after a patient reached outlier status or until it was too late to establish a relationship that could have influenced throughput. An interdisciplinary process flow was created to promote a more timely referral process for transition planning. This collaborative strategy was essential in improving consultant usage efficiency as well as patient throughput and length of stay.


Learning Objectives:
  1. Describe the formation of the interdisciplinary Criticla Care process flow
  2. Describe the referall process flow for transition planning
  3. Discuss Critical Care Partnership’s successes through metrics and patient stories

2E - Data Driven Performance with Dashboards
Practice Setting:  

4:30 PM - 5:30 PM

Paula Lenhart, RNC, MSN, ACM, FABC
Associate Vice President
Care Management
Memorial Hermann Health System - Houston, TX

Dani Hackner, MD, MBA
Chief Medical Officer
Care Management/Health Management
Memorial Hermann Health System - Houston, TX

Abstract:
Organizations are data rich but can be limited in their ability to translate data into actionable information. A dashboard format allows data users the ability to quickly identify patterns and trends. This session will discuss a data-driven approach to monitor and improve key case management performance indicators. The dashboard is designed to use the organization’s existing data sources and widely available software programs to provide accessible information about care management performance.


Learning Objectives:
  1. Discuss key concepts to obtain the right data
  2. Explain the process of data harvest and dashboard design
  3. Describe how the use of data can drive team performance

3E - Bundled Together: A Collaborative Approach to Post Acute Care Transitions
Practice Setting:  

4:30 PM - 5:30 PM

Angela Alley, RN, BSN, MHA, IQCI, ACM
Senior Director, Case Management
Novant Health - Winston Salem, NC

Alexandria Buie, RN, BSN, SANE-A
Manager, Care Connections
Novant Health - Charlotte, NC

Abstract:
Has your organization taken the necessary steps to breakdown organizational silos, invested time making connections and improving communication with skilled nursing facility (SNF) provider’s to improve patient outcomes? This session is designed to provide an overview of the journey and successes achieved when a multidisciplinary team aligns to support one another to effectively meet patient needs across the continuum. Insights and outcomes will be shared on two unique pilot programs that fostered improved communication, best practice sharing, reduced clinical variation, and maximized the utilization of electronic medical record technology that impacted skilled nursing facility length of stay and reduction in readmissions.


Learning Objectives:
  1. Describe the value of the collaborative multidisciplinary team efforts to ensure patients receive the right care, at the right place and time, and at a lower cost
  2. Discuss key components of a multidisciplinary team approach aimed to improve transitions of care
  3. Evaluate the impact when healthcare team members cross organizational boundaries to support optimal patient outcomes

4E - The Millennial Case Manager
Practice Setting:  

4:30 PM - 5:30 PM

Carolyn Hamilton, MS, RN-BC, CPHQ, CCDS
Corporate Director Care Coordination
DCH Health System - Tuscaloosa, AL

Abstract:
Millennials have different workplace expectations, behaviors and desires that must be effectively managed in order to engage and retain them as employees. As a result, organizational leaders will need to enhance their skills and communication styles to handle generational differences between Baby Boomers, Generation Xers and Millennials. This presentation provides insight on how one hospital system has been successful in developing strategies to lead a case management workforce made up primarily of Millennial nurses and social workers.


Learning Objectives:
  1. Describe the generational demographic working in case management today
  2. Identify strengths of Baby Boomers, Generation X, and Millennials along with common experiences and shared values
  3. List management and administrative strategies to engage and retain Millennial case managers to impact case management outcomes

5E - Denial Prevention: Managing Financial Risk
Practice Setting:  

4:30 PM - 5:30 PM

Joan Chernowski, RN, BSN, CCM
Manager
Case Management
Thomas Jefferson University Hospital - Philadelphia, PA

Charleeda Redman, RN, MSN, ACM, FAACM
Vice President
Information Services & Technology
Thomas Jefferson University Hospital - Philadelphia, PA

Abstract:
Learn how an Academic Medical Center (AMC) re-evaluated it’s denial management processes while in the midst of a new electronic medical record (EMR) implementation and contract renegotiation with a major payer. Collaboration between Case Management, physician offices, physician advisors, Patient Access, and the business office staff was key for this successful transformation. During this session, presenters will navigate the audience through a checklist the organization utilized to help transform processes with insightful data used to inform executives and influence decisions.


Learning Objectives:
  1. Describe strategies for organizing concurrent and retrospective clinical denial processes
  2. List strategies for reducing level of care, medical necessity, and authorization-related denials
  3. "Analyze methods for tracking clinical denial root cause, and educational interventions Design a process for collaboration with physician offices and Revenue Cycle staff to mitigate future risk"

6E - Pediatric CM Forum: Roundtable Discussion
Practice Setting:  

4:30 PM - 5:30 PM

Joan Cullen, BSN, RN, CCM, IQCI
Manager
Case Management
Ann & Robert H. Lurie Children's Hospital - Chicago, IL

Margie Dorman-O'Donnell, MSN, RN
Director
Case Management
Cook Children's Hospital - Fort Worth, TX

Ediedra Gooden, BS, RN, CCM, RN-BC, CNML
Manager
Case Management
Children's Healthcare of Atlanta - Atlanta, GA

Susan Navarro, RN, ACM-RN
PICU Case Manager
Ann & Robert H. Lurie Children’s Hospital of Chicago - Chicago, IL

Jennifer Readman
Coordinator
Patient Care
Children's Hospital of Philadelphia - Philadelphia, PA

Lesly Whitlow, DNP, MBA, RN
Senior Director
Patient Services
Ann & Robert H Lurie Children's Hospital - Chicago, IL

Abstract:
During this interactive forum, panelists will discuss challenges and innovations within Pediatric case management and care transition coordination. Interactive audience participation will be encouraged to facilitate sharing of approaches and best practices.



Learning Objectives:
  1. Discuss case management and care transition coordination challenges within the Pediatric population
  2. Provide strategies and solutions to address challenges
  3. Share innovative case management approaches within the health care community

7E - Community Facilities ( SNF LTAC Rehab ) Roundtable Discussion
Practice Setting:  

4:30 PM - 5:30 PM

Janeen Foreman, RN
Corporate Director
Case Management
LifeCare Management - Dallas, TX

Megan Redden, LMSW, ACM-SW
Regional Case Management Trainer
HealthSouth Southwest Region - Birmingham, AL

Donna Smith, APRN
Manager
Case Management
TIRR Memorial Hermann - Houston, TX

Abstract:
During this interactive forum, panelists will discuss challenges and innovations within Skilled Facility, Long Term Acute Care and Rehabilitation case management and care transition coordination. Interactive audience participation will be encouraged to facilitate sharing of approaches and best practices.



Learning Objectives:
  1. Discuss case management and care transition coordination challenges for patients within community facilities
  2. Provide strategies and solutions to address challenges
  3. Share innovative case management approaches within the health care community

8E - Ambulatory/ Outpatient Services (VA, HH, Hospice and Ambulatory Care) Roundtable discussion
Practice Setting:  

4:30 PM - 5:30 PM

Joanne Hogan, RN, MS
Associate Chief Nurse
Brigham And Women's Hosptial - Foxborough, MA

Daren Giberson, RN, ACM-RN
Director
Ambulatory Case Management
Sutter Health System - Davis, CA

Diya LeDuc, LCSW, ACHP-SW
Chief Financial Officer
Circle of Life Hospice - Springdale, AR

Sarah Petersen, RN, BSN, ACM-RN
System Case Management Education Specialist
Intermountain Medical Center - Salt Lake City, UT

Jeanne Wickliffe, RN
Program Supervisor
Nationwide Children's Hospital - Columbus, OH

Abstract:
During this interactive forum, panelists will discuss challenges and innovations related to Ambulatory and Outpatient Service case management and care transition coordination. Interactive audience participation will be encouraged to facilitate sharing of approaches and best practices.


Learning Objectives:
  1. Discuss case management and patient care transition coordination challenges within ambulatory and outpatient settings
  2. Provide strategies and solutions to address challenges
  3. Share innovative case management approaches within the health care community

Main Conference Day 2 Sunrise Breakout Sessions
Thursday, April 26, 2018

1S - Breakout Sunrise 1: Leveraging Rideshare Apps to Expedite Patient Discharge
Practice Setting:  

6:45 AM - 7:45 AM

Jai Joseph, RN, MSN, CCM
Manager
Surgery Services
UCLA - Los Angeles, CA

Gavin Ward
Regional Director of Strategy
Strategy and Partnerships
24Hr HomeCare - El Segundo, CA

Abstract:
RideWith24™ is an innovative partnership that utilizes technology available to Uber's beta partners, allowing for simultaneous rides and the use of UberASSIST. UberASSIST was developed to train highly rated, experienced Uber drivers on assisting patients with disabilities and providing door-to-door transportation solutions. The program has provided over 1,100 rides from both inpatient and outpatient settings.

Learning Objectives:
  1. Formulate savings (potentially up to 30-40%) on discharge transportation costs
  2. Describe the impact of an on-demand transportation program on patient and staff satisfaction scores
  3. Assess if a managed on-demand rideshare program is the right solution for your organization

2S - Breakout Sunrise 2: Speed Learning- Back-to-Back 30-Minute Sessions: Using Standardized Patient Simulation for Case Management Education and Applying Simulation to Case Management
Practice Setting:  

6:45 AM - 7:45 AM

Abstract:

Breakout Sunrise 2- Part 1: Using Standardized Patient Simulation for Case Manager Education

Faculty:

Janet W. Rowland, EdD, MSN, RN-BC, ACM-RN
Assistant Professor & Assistant Director
Case Management Program
Samuel Merritt University - Oakland, CA

Abstract:
Using Standardized Patient (SP) Encounters in a cutting-edge simulation center provided an innovative, high-tech approach to the training of new case managers.  This presentation will provide information on how this training method provided opportunities for learners to prioritize clients’ needs from record review, demonstrate focused assessments and completed transition plans, all in a time sensitive environment.

Learning Objectives:

  1. Identify the goals of the Standardized Patient (SP) Simulations for Case Managers
  2. Describe the structure, process and outcomes of the SP Simulations
  3. Identify ways to implement SP Simulation in health care organizations

Breakout Sunrise 2- Part 2: Applying Simulation to Case Management 

7:30 AM - 8:00 AM

Sheri Emerine, BSN, MSN
Nurse Case Management Educator & Quality Consultant
Case Management
Intermountain Healthcare/ Utah Valley Hospital - Provo, UT

Megan Rasmussen, LCSW
Social Work Education
Case Management
Intermountain Healthcare/ Utah Valley Hospital - Provo, UT

Abstract:
Applying simulation to Case Management Simulation is on the cutting edge of health care. This presentation will show you how to incorporate it into case management practice. Simulation allows new employees the opportunity to practice skills they need to be successful in the often high stress situations our careers demands. It gives more experienced employees a chance to experiment, learn from coworkers, hone their skills.

Learning Objectives:

  1. Describe simulation goals, limits and possibilities
  2. Identify potential practice scenarios
  3. Discuss steps to implement the beginnings of a simulation program 



3S - Breakout Sunrise 3: Speed Learning- Back-to-Back 30-Minute Sessions: Interdisciplinary Partnerships: Breaking Down Silos for Senior Care and Developing a Multidisciplinary Complex Discharge Team
Practice Setting:  

6:45 AM - 7:45 AM

Abstract:

Wendy Martinson, RN, MSN
Director of Care Transitions
Care Coordination
Hartford Health Care - Wethersfield, CT

Abstract:
This program proactively targets high risk and most frail aging populations to create impact across the patient, organization and system levels while aligning strategically with new models of accountable and value based care. This community based program includes an interdisciplinary team of four staff disciplines: Resource Coordinator (socioeconomic needs), Transitional Care Nurse (medical needs), Alzheimer’s and Dementia Specialist (cognitive needs) and a Geriatric Care Manager who provide care coordination for at-risk seniors. During this presentation, a community resource toolkit for seniors will be shared and outcomes will be reviewed. 

Learning Objectives:

  1. Articulate strategies to meet the ongoing needs of older adults across the continuum of care
  2. Identify value of utilizing a community based approach to linking to community based services 
  3. Connect seniors to resources to support value based care

3SB - Breakout Sunrise 3: Managing Length of Stay Outliers: It Takes a Team

7:30 AM - 8:00 AM


Abstract:
In an urban, academic medical center, less than 2% of patients accounted for more than 10% of bed days annually. These patients were both medically and psycho-socially complex and required unique transitional plans for hospital discharge. Using lean six sigma principles, a multi-disciplinary “complex discharge team” was created, resulting in a reduction in length of stay and outlier patient volume.

Learning Objectives:
1. Discuss the impact of outliers on overall length of stay
2. Describe the roles and responsibilities of a complex discharge team
3. Identify applicable patients early in admission 




MAIN CONFERENCE DAY 2 INDIVIDUAL SESSIONS
Thursday, April 26, 2018

ACMA Annual Meeting
8:00 AM - 9:15 AM

Abstract:



General Session: Overcoming Injury: Lessons in Motivation from an Olympic Gold Medalist
Practice Setting:  

9:30 AM - 10:30 AM

Abstract:
Amy Van Dyken-Rouen is a six-time Olympic Gold Medalist. The prolific U.S. swimmer competed in the 1996 and 2000 Summer Games, and is the first American woman to earn four gold medals in a single Olympics. In 2014, Amy was paralyzed from the waist down in an ATV accident. She works every day to push the physical boundaries of her “new normal,” and encourages others to push through obstacles in their own lives to achieve their goals. Amy’s positive attitude and determination is motivational and her strategies for personal growth and happiness are inspirational.


Poster Presentations
11:45 AM - 1:45 PM

Abstract:



General Session: Public Policy Update: Planning Ahead
Practice Setting:  

2:00 PM - 3:00 PM

Monique Allen, JD
Associate General Counsel
Privacy and Clinical Operations
Memorial Hermann Health System - Houston, TX

Dheeraj Mahajan, MD, FACP, CMD, CIC, CHCQM
Physician Advisor
Advocate Healthcare - Downers Grove, IL

Michelle McDonald, RN, MPH, CJCP
Executive Director
Government Regulations & Advisory Services
Joint Commission Resources, Inc. - Oak Brook, IL

Abstract:
Given the uncertainly within the current political and regulatory landscape, health care systems and providers continue to evaluate the efficacy of internal approaches to deliver cost effective.  During this session, a expert panel will review public policy updates and the implications within their practice settings.

Learning Objectives:
  1. Discuss pending & future legislation/public policy and potential implications for health care systems
  2. Explain CMS Quality Payment Programs ( MACRA & MIPS) and the effect on Case Management and care coordination processes
  3. Review and apply a health system's perspective & strategies to address pending changes

Closing General Session: Collaboration – The Art of a Common Cause
Practice Setting:  

4:30 PM - 5:45 PM

Eric Whitacre

Abstract:
Grammy-winning composer and conductor Eric Whitacre will discuss his success in bringing together a user-generated choir with singers from around the world. With their common love of music, they overcame technological, personal and access barriers to achieve a synchronized Virtual Choir. From the first choir of 185 singers to more than 8,400 contributors from 101 countries to his most recent Virtual Choir 4, Eric will share his story of believing in something that had not been done and using the spirit of collaboration around a common cause–the love of music–to achieve it. Eric is a Juilliard School of Music graduate and has spoken for Apple, Google, the United Nations and is a repeat TED speaker. More than a message, Eric will close our conference with a performance!


Breakout Sessions (F)
Thursday, April 26, 2018

1F - Breakout Session 1F (Angel MedFlight): When Kids Fly - Rehabilitation Care for Adolescent Spinal Cord and Brain Injuries
10:45 AM - 11:45 AM

Anna Choo Elmers, MD
Staff Physician
Spinal Cord & Brain Injury Medicine
Shepherd Center - Atlanta, GA

Abstract:
Dr. Elmers, a board-certified physical medicine and rehabilitation physician at Shepherd Center in Atlanta, will discuss adolescent spinal cord and brain injuries – how they happen and the specialized care available to treat pediatric patients.

Learning Objectives:
  1. Understand what makes a good rehabilitation candidate
  2. Identify the appropriate level of rehabilitation for specific pediatric patients: Center of Excellence vs. local treatment
  3. Name the additional benefits that a Rehabilitation Center of Excellence can provide patients.
  4. Understand the continuum of care following rehab.

2F - Breakout Session 2F (Appeal Masters): Successfully Appealing Readmission Denials
10:45 AM - 11:45 AM

Karla Hiravi, RN, BSN
Director
Director Clinical Appeal Services
Denial Research Group d/b/a AppealMasters - Towson, MD

Denise Wilson, MS, RN, RRT
VP
Clinical Appeal Services
Denial Research Group d/b/a AppealMasters - Towson, MD

Abstract:
Learn from industry experts how to successfully overturn readmission denials from both commercial and government payers. The presenters will define appropriate and inappropriate readmissions and explain payer behaviors in denying full payment for inpatient readmissions. The presentation will provide the tools and knowledge providers need to successfully justify and defend appropriate readmissions through the appeals process.

Learning Objectives:
  1. Define a patient readmission and the payer penalties associated with inappropriate readmissions.
  2. List the common reasons why payers deny full payment for patient readmissions
  3. Describe methods of defending appropriate readmissions through the appeals process

3F - Breakout Session 3F (CarePort Health): Investing in the Future of Care Coordination - Why Allscripts Care Management is Joining CarePort Health
10:45 AM - 11:45 AM

Lissy Hu, MD
CEO
CarePort Health

Abstract:
PLEASE NOTE: Due to marketing content, CE credits will not be issued by ACMA for this session. Impacted by the rise of transitional, post-acute, and ambulatory care coordination teams, care management today has a much more expansive role within health systems. As the industry continues to shift towards value-based care, traditional care management platforms need to extend beyond the management and discharge of patients from the inpatient setting. Going forward, care coordination solutions need to connect a more diverse set of stakeholders and span transitions across multiple levels of care. Originated as ECIN in the mid-1990’s, Allscripts Care Management is now the market leader in bridging the gaps in acute care management, including discharge planning, utilization review, and referral management. The industry is also seeing the entry of a new breed of technologies, such as CarePort Health, that enable tracking of patients across the continuum in real time. In this session, meet Dr. Lissy Hu, who is leading the combined Allscripts Care Management and CarePort entity, and other senior leadership discuss their vision for the new organization and the future of care coordination.

Learning Objectives:
  1. Understanding the importance of aligning staff and programs for care coordination that bridge acute, post-acute and ambulatory
  2. Learn how to connect technology to support staff, programs and outcomes
  3. Identify best practices for managing complex and value-based patient populations

4F - Breakout Session 4F (Change Healthcare): Tipping Point - How Automation is Changing the Role of the Case Manager
10:45 AM - 11:45 AM

Laura Coughlin, RN
Vice President
Clinical Development
Change Healthcare - Newton, MA

Abstract:
Automation has brought us to a tipping point, and the way you work with InterQual is about to change. Case Management has evolved in response to the regulatory environment, the transition to value based care, and an aging population with complex needs. As a result, the administrative burden has grown. The disruptive technology of InterQual AutoReview will now feed clinical insights into your existing workflow, giving you a real-time view of your patients, improving documentation, and enabling you to take a more proactive role. In this talk, you’ll get a firsthand view of both the technology and the InterQual Criteria that have made this innovation possible.

Learning Objectives:
  1. Understand how the practice of case management is transforming and the impact it will have on practitioners
  2. Understand the importance of objective criteria in automation
  3. Explain how automated clinical decision support criteria can enable practitioners to be more proactive

5F - Breakout Session 5F (MCG Health): The Role of Evidence-Based Guidelines in Tackling the Opioid Crisis
10:45 AM - 11:45 AM

Monique Yohanan, MD, MPH
Director
State Government Relations, Subject Matter Expert, Behavioral Health
MCG, Hearst Health - San Francisco, CA

Abstract:
Since 1999 there have been 183,000 deaths and $55 billion in societal costs related to the opioid epidemic. A critical element that has been missing from attempts to address the opioid crisis is comprehensive, evidence-based guidance. Up until now, there has been a lack of substantial guidance to help tackle the crisis and develop solutions that address its root causes in a systematic way. This talk will address the role of evidence-based guidelines in standardizing a level of excellence in the management of opioid administration, decreasing variability in care, expanding access to best practice care, and providing a framework that will support future research in the field

Learning Objectives:
  1. Identify the elements of evidence-based guidelines which are essential to promoting excellence in opioid management and decreasing variability in care
  2. Determine ways guidelines can be used to improve access to best practice care
  3. Evaluate the role of guidelines in providing a framework to support future research

6F - Breakout Session 6F (MexCare): Unfunded Latin American Nationals: Placement, Care, and Best Practices for Optimal Outcomes
10:45 AM - 11:45 AM

Bob Barraza
Principal
MexCare

Abstract:
Case Managers often face challenges in providing care for undocumented patients. This session will offer strategies that can be used to develop a timely and cost effective plan to safely transition these patients to their country of origin. Attendees will also understand the role of the consulate and the many departments that operate within the office.

Learning Objectives:
  1. Identify barriers to discharge for undocumented patients
  2. Understand best practices used by the Case Management staff to help identify, transfer, discharge and place their undocumented patients
  3. Reduce length of stay while maintaining quality care in the patient’s home country

7F - Breakout Session 7F (naviHealth): Hold on, Change is Coming - What Case Managers Need to Succeed in Value-based Care
10:45 AM - 11:45 AM

Cheri Bankston, RN, MSN, ACM
Senior Director
Clinical Advisory Services
naviHealth, a Cardinal Health company - Brentwood, TN

Abstract:
Value-based care is replacing fee-for-service to provide better quality care to patients at lower costs. But this shift creates administrative challenges for case managers who already are juggling a host of responsibilities. This session will outline the current and future landscape of value-based care, and educate case managers on how to swiftly adapt to new clinical and payment models, and demonstrate how case managers’ roles will be impacted by these new models, whether in an acute or post-acute setting, and empower them to optimize discharge planning and care transitions to drive success.

Learning Objectives:
  1. Understand how to prepare for value-based care, including the skill-sets and attributes case managers need to be successful.
  2. Verbalize how to evaluate technology to support and improve value-based care.
  3. To measure the impact of value-based care programs to ensure patients are receiving more efficient, cost-effective care without compromising quality or outcomes.

8F - Breakout Session 8F (Option Care): Home Infusion Therapy: Considerations for Case Managers
10:45 AM - 11:45 AM

Lecia Snell-Kinen, MSN, APRN-CNS, CCTN
Director
Care Transitions
Option Care - Gretna, NE

Abstract:
As changes in healthcare delivery and reimbursement changes, the need to move patients to lower cost settings has never been greater. Home infusion and other alternative site services provides a safe alternative for patients to receive care management while receiving infusible medications in the comfort of their homes. Discharge planners and other healthcare providers are tasked with finding effective providers to partner with to drive efficient and effective care. This presentation will provide participants with the basics of home infusion and alternate site care, and guide them to select effective partners to drive reduced cost and positive outcomes.

Learning Objectives:
  1. Describe how home infusion services are provided with a multi-disciplinary team
  2. Discuss care planning considerations for the patient transitioning to home infusion
  3. Define criteria that characterize an effective home infusion partner

9F - Breakout Session 9F (Optum Executive Health Resources): Managing Total Knee Arthoplasty for Patient Status Determination
10:45 AM - 11:45 AM

Steven Greenspan, JD, LLM
Vice President
Regulatory Affairs
Optum Executive Health Resources - Newtown Square, PA

Ralph Wuebker, MD, MBA
Chief Medical Officer
Optum Executive Health Resources - Newtown Square, PA

Abstract:
As of January 1, 2018, the Centers for Medicare and Medicaid (CMS) has removed CPT code 27447 (arthroplasty, knee, condyle and plateau; medical and lateral compartments with or without patella resurfacing [total knee arthroplasty (TKA)]) from the Inpatient-only (IPO) List. This session will cover what the CMS Inpatient Only list is, details about the TKA removal from the IPO list, review and status recommendations, and documentation aids.

Learning Objectives:
  1. Describe methods to more accurately determine patient status
  2. Learn about the nuances of TKA removal
  3. List the documentation needed to allow for TKA medical necessity and inpatient status

10F - Breakout Session 10F (R1 RCM): 2018 Medicare and Medicare Advantage Update
10:45 AM - 11:45 AM

Ronald Hirsch, MD, FACP, CHCQM
Vice President
Regulatons and Education
R1 RCM. Inc - Chicago, IL

Abstract:
Keeping up with Medicare regulations is a full-time job, and improperly implementing regulatory changes at your facility can have compliance and financial consequences. Since the last ACMA National meeting we have faced the resumption of the RAC audits, the start or MAC targeted probe audits, the removal of total knee replacement from the inpatient only list, and the continued onslaught of MA plan audits. In this session, the speaker will discuss the latest regulatory issues facing hospitals, both new and old, and provide guidance to enhance compliance and avoid denials with a proactive approach.

Learning Objectives:
  1. Formulate a compliant plan for denial prevention
  2. Understand the admission determinants for joint replacement surgery
  3. Describe DRG validation audits and the role of case management.

11F - Breakout Session 11F (Sound Advisory Services): The Role of the Onsite Physician Advisor – A Focus on Performance Management and Physician
10:45 AM - 11:45 AM

Simon Ahtaridis, MD
National Clinical Advisor/CMO
Sound Advisory Services - Chicago, IL

Abstract:
Hospital inpatient reimbursement continues to be at risk, whether or not third-party payers are actively auditing for recoupment. This financial risk is coupled with new risk-based models of care (ACOs, Bundles Payment Care Initiatives (BPCI), etc.) that create a shared responsibility for keeping patients healthy, not just treating them when they are sick. This session will focus on value-driven performance improvement in care coordination and bringing back-end information about denials and DRG validation to the front-end interventions by case management and physician advisors to drive key metric improvements.

Learning Objectives:
  1. Understand the extended scope of an onsite physician advisor and how they can impact performance improvement metrics.
  2. Learn how to create a culture change and increase provider engagement.
  3. Implement new solutions to reduce process waste and focus on pain points that drive greatest value.

Poster Presentations
11:45 AM - 1:45 PM

Abstract:



Breakout Sessions (G)
Thursday, April 26, 2018

1G - Breakout Session 1G: Case Management Education & Training: A System's TEAM Approach
Practice Setting:  

3:15 PM - 4:15 PM

Ana Mola, PhD, RN, ANP-BC, MAACVPR
Director of Care Transitions and Population Health Management
Department of Care Management
New York University Langone Medical Center - New York, NY

Shreya Sinha, MPH
Senior Project Coordinator
Care Management
NYU Langone Health - New York, NY

Abstract:
In the midst of an evolving health and regulatory environment, it is increasingly important to periodically assess care coordination training and education to ensure practices are current, standardized, and evidence based. This session will present the Training and Education Alignment Mission (TEAM), an initiative at a large health care system used to explore the current state and identify gaps in inpatient staff education and training. TEAM model design, lessons learned and redefined care management roles and responsibilities will be reviewed.

Learning Objectives:
  1. Discuss the TEAM model in respect to existing care coordination operations
  2. Apply and adapt the TEAM model to streamline care coordination staff education and training
  3. Evaluate the resources needed for implementation of the TEAM model

2G - Breakout Session 2G: OMEGA Project: Ending Avoidable Days
Practice Setting:  

3:15 PM - 4:15 PM

Dianna L. Benaknin, BSW, MSW
WellSpan Case Management Consultant
Case Management
WellSpan Health - York, PA

Ann M Kunkel, RN, BSN, CPUR
Senior Director of Case Management
Case Management
WellSpan Health - York, PA

Abstract:

Our Trauma I acute care facility identified a significant number of Long Length of Stay (LLOS) patients remaining in the hospital beyond the time clinically stable for discharge, resulting in 6030 medical/surgical avoidable bed days.   

 

A three-prong approach was developed to transition medically stable patients more efficiently, reducing the average length of stay for a subset of patients with discharge barriers.   Needs assessments drove pilot strategies for  three identified populations.  

 

Learning Objectives:
  1. Apply assessment strategies and define barriers associated with discharge/transition
  2. Convene community providers and stakeholders to develop strategies to address transition barriers
  3. Duplicate strategies presented to reduce avoidable inpatient acute care beds days related to patients with challenging discharge barriers

3G - Breakout Session 3G: Intellectual & Developmental Disabilities: Successful Partnerships to Improve Patient Care
Practice Setting:  

3:15 PM - 4:15 PM

Jackie Dinterman, MA, LBSW, ACM-SW
Manager
Care Management
Frederick Regional Health System - Frederick, MD

Michael Planz, MS, BS
CEO
Community Living Inc. - Frederick, MD

Abstract:

Patients with Intellectual and Developmental Disabilities (I/DD)(DDA) are recognized as an under-served population.  They experience significant health disparities and lack adequate access to care.  This session will focus on hospital to residential setting partnerships, leading to reduced readmissions, lower lengths of stay, increased appropriate palliative care consults, improved communication, and increased staff satisfaction.

 

 

Learning Objectives:
  1. Integrate user friendly tools to increase communication for the IDD patient
  2. Describe strategies to engage community partners
  3. Leverage the electronic medical record to create a more streamlined information flow

4G - Breakout Session 4G: Standardized Discharge Screening Decision Tool
Practice Setting:  

3:15 PM - 4:15 PM

Raylene Gomez, MSN, RN
Utilization Management Director
Integrated Care Management
Intermountain Healthcare/Corporate - Salt Lake City, UT

Leslie Hadley, MSN, RN
System Education Manager
Integrated Care Management
Intermountain Healthcare/Corporate - Salt Lake City, UT

Abstract:

Ensuring patients transition to the appropriate next level of care is essential in the current healthcare climate.  Process standardization and implementation of the Discharge Screening Decision Tool improves placements in the appropriate level of care.  Outcome metrics demonstrate a decrease in skilled nursing facility placements and an increase in home care/outpatient services.

 

Learning Objectives:
  1. Create a standardized discharge decision screening tool
  2. Implement a plan for incorporating the tool into practice
  3. Define outcome metrics for return on investment

5G - Breakout Session 5G: Addressing IV Drug Use in the Hospitalized Patient
Practice Setting:  

3:15 PM - 4:15 PM

Julie Spicka, RN, MSN, NE-BC
Manager, Case Management
Clinical Resources
New Hanover Regional Medical Center - Wilmington, NC

Sarah Wiles Arthur, MSW, LCSW
Medical Social Worker
Clinical Resources
New Hanover Regional Medical Center - Wilmington, NC

Abstract:

Our country is facing an opioid crisis.  These patients present with serious medical conditions and substance use disorders.  The Code Outreach Special Team (COST) is a multi-disciplinary approach that borrows from outpatient substance abuse models to treat this population.  It ensures consistent and supportive care during a prolonged hospital admission and connects patients to necessary services once their antibiotic therapy has ended.

 

Learning Objectives:
  1. Define the unique challenges this population poses to the healthcare system
  2. Understand the benefits of an interdisciplinary team approach to managing patients with addiction
  3. Identify replicable components of the COST program for other institutions

6G - Breakout Session 6G: Leading Students into the Future and Across the Care Continuum
Practice Setting:  

3:15 PM - 4:15 PM

Lisa Bednarz, LCSW, ACM- SW
Manager
Care Coordination and Social Work
New York Presbyterian Hospital - New York, NY

Joan Brueggeman, RN, BSN, ACM-RN, CRCR
Director
Care Coordination and Utilization Management
Gundersen Health System - La Crosse, WI

Tammy Luoma, RN, BSN
Registered Nurse
Care Coordination
Gunderson Health System - La Crosse, WI

Abstract:
This session will present two programs designed to mentor social work and nursing students in caring for complex patients across the care continuum. One approach introduces nursing students to transitional care by identifying high risk readmission patients and following them from hospitalization to home and back to the outpatient setting. The second program introduces social work students to the diversity of social work opportunities in healthcare and ensures students have a solid foundation of knowledge and skills. Within the educational experience, students learn about potential patient vulnerabilities during transitions of care and observe the successes and opportunities with transitions. 


Learning Objectives:
  1. Gain insight to develop a student/mentor program with a nursing and social work universities
  2. Identify patients that are high risk for readmission and appropriate for a student/mentor program
  3. Explain how the student/nurse program will benefit students, staff nurses and patients and families

POST CONFERENCE INDIVIDUAL SESSIONS
Friday, April 27, 2018

ACM™ Certification Review: Case Management Process and Practice Registration
7:00 AM - 8:00 AM

Abstract:



ACM™ Certification Review: Case Management Process and Practice
8:00 AM - 3:00 PM

Debra Blevins, MSN-HCM, RN, ACM-RN
Senior Account Manager / Consultant
Accretive Health - Kingsport, TN

Pat Kramer, Ed. S, CCM, NCC, CSW, ACM-SW
Director
Case Management
Duke Raleigh Hospital - Raleigh, NC

Abstract:

The scope of services and standards of practice provide a case manager with a guide by which he/she can engage in the practice of case management.  Understanding the parameters within which the case manager practices assures a uniformity of services delivered to patients in need and assists the case manager in performing the duties required within Health Care Delivery systems.

This workshop is designed to provide the practicing Health Delivery System Case Manager with a review of Case Management practice standards.   It will provide intensives for focused review in four domains of Case Management practice: Screening and Assessment, Planning, Care Coordination/Intervention/Transitions and Evaluation. The workshop will also include discipline specific clinical and psychosocial scenarios presented in an interactive format allowing attendees to apply information gathering, assessment, decision-making and problem solving skills.

 




Learning Objectives:
  1. Describe the four domains of practice utilized by the Health Delivery System Case Manager
  2. Apply the essential job functions to the role of a Health Delivery System Case Manager
  3. Describe clinical and psychosocial assessment and intervention methods
  4. Utilize analytical skills to assess and plan care for the Health Delivery System patient

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

Click here to vist last year's site.