MARyLAND CHAPTER CASE MANAGEMENT CONFERENCE

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1 WWW. ACMAWEB.oRG/ MD 9th Annual MARyLAND CHAPTER CASE MANAGEMENT CONFERENCE September 17, 2011 Baltimore Convention Center Baltimore, MD

2 SeSSion descriptions KEyNoTE ADDRESS Understanding Case Management from a Physician s Perspective Ronald Hirsch, MD, FACP Medical Director, Case Management Sherman Hospital Elgin, IL SESSIoN ABSTRACT: A physician advisor from a community hospital will discuss his approach to case management and offer insights into key measures to educate and improve relations with physicians, reduce length of stay and lessen the risk of denials. The session will provide a practicing physician s perspective on the current environment of decreasing reimbursement among increased scrutiny, and share views on what practicing physicians and physician advisors expect from their case managers. SESSIoN 2A The Importance of Partnership: Palliative Medicine & Case Management Danielle J. Doberman, MD, MPH Medical Director, Palliative Medicine Program Greater Baltimore Medical Center Baltimore, MD SESSIoN ABSTRACT: Palliative medicine is a sub-specialty of internal medicine which focuses on relief of distressing physical, emotional and spiritual symptoms in patients with chronic and life-limiting illnesses. Interdisciplinary palliative medicine teams are increasingly common in small community hospitals and large academic medical centers, and growing as an out-patient clinic offering. It is vital for members of the palliative medicine team and the case management team to work as partners. This session will discuss patient populations who might benefit from palliative medicine and define an optimal relationship between case managers and the palliative medicine team. SESSIoN 2B Committing to Best Practice: A Health System s Journey to Reduce Preventable Readmissions Through an Implementation Bundle Amy Deutschendorf, MS, RN, ACNS-BC Sr. Director, Utilization/Clinical Resource Management Johns Hopkins Health System Baltimore, MD SESSIoN ABSTRACT: This session will focus on the current evidence around practices to reduce preventable readmissions and the processes required to implement a care coordination bundle of interventions across a healthcare system. The speaker will discuss the selection of strategies, implementation plans and outcomes measures.

3 SESSIoN 3 How Strong Utilization Review Committees Can Prevent Inappropriate Hospital Admissions Steven Meyerson, MD VP of Corporate Communication & Compliance Accretive Health Chicago, IL SESSIoN ABSTRACT: By building a utilization review committee that meets regulation requirements, hospitals can reduce the risk of regulatory scrutiny and ultimately denials. According to 42 CFR , the hospital must have in effect a utilization review plan that provides for review of services furnished by the institution and by members of the medical staff to patients entitled to benefits under the Medicare and Medicaid programs. This session will explore how Medicare s Conditions of Participation dictate the requirements for utilization review committees. The speaker will provide recommendations for members of the utilization review committee and discuss the role of physician advisors as peer reviewers. SESSIoN 4 Making the Business Case for Quality Improvement William J. Ward, Jr., MBA Associate Professor of Public Health and Nursing Director, Master of Health Administration Degree Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore, MD SESSIoN ABSTRACT: It is almost intuitive to think that improvements in quality can result in improved financial performance; every other industry has embraced this principle for many years. In health care, however, the need to make the business case for any quality initiative still exists. Those involved in such initiatives must be able to articulate the positive financial performance outcomes that accrue to such quality improvements. This session will help clinicians and others involved in quality improvement initiatives understand the connections between quality improvement and financial outcomes, the four principal effects of quality improvement (cost efficiency, cost reduction, throughput improvement and revenue enhancement) and how to make the business case. SESSIoN 5 The Perfect Storm in Mental Health Linda Hofmann, RN, BS, BSN, MS Director, Behavioral Health Services Frederick Memorial Hospital/Sheppard Pratt Healthcare System Frederick, MD SESSIoN ABSTRACT: This session will provide a mental health system overview with discussion of national, state and local issues that create barriers to successful navigation for both clinicians and patients. Discharge challenges and resource demands far exceed current capacity. The speaker will discuss co-occurring disorders and the challenges associated with treatment and recidivism.

4 WHy you SHOULD ATTEND! At the ACMA Maryland Chapter Conference, you will experience professional education relevant to case management practice, a variety of resources from our Sponsors & Exhibitors and an abundance of networking opportunities. REGISTER registration pricing EARLy REGISTRATIoN ACMA must receive payment and registration by August 26, 2011 ACMA MEMBER $60 NoN-MEMBER $75 MEMBERSHIP PACKAGE* $195 REGULAR REGISTRATIoN Available through September 13, 2011 ACMA MEMBER $85 NoN-MEMBER $105 STUDENT (ID required) $65 MEMBERSHIP PACKAGE* $220 LATE REGISTRATIoN Available after September 13, 2011 ACMA MEMBER $100 NoN-MEMBER $125 *Includes 1-year ACMA & Chapter Membership, Membership Application required. ConferenCe registration We make registering easy! Simply decide which method is best for you. For a hard copy registration form, complete online registration and print to mail. Online: Mail: West 36th Street Little Rock, Arkansas Fax: important dates EARLy REGISTRATIoN DEADLINE August 26, 2011 REGULAR PRICING DEADLINE September 13, 2011 CoNFERENCE DATE September 17, 2011

5 ConferenCe SChedule 7:30 am 8:30 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:00 am 8:30 am ACMA Maryland Chapter Member Meeting 8:30 am 8:45 am Welcome Announcements 8:45 am 10:00 am Keynote Address: Understanding Case Management from a Physician s Perspective 10:00 am 10:45 am Networking Break with Sponsors & Exhibitors 10:45 am 12:00 pm Session 2: Breakout Sessions 2A: The Importance of Partnership: Palliative Medicine & Case Management 2B: Committing to Best Practice: A Health System s Journey to Reduce Preventable Readmissions Through an Implementation Bundle 12:00 pm 1:00 pm Networking Lunch with Sponsors & Exhibitors (Lunch Sponsored by Accretive Health) 1:00 pm 1:45 pm Session 3: How Strong Utilization Review Committees Can Prevent Inappropriate Hospital Admissions 1:45 pm 2:00 pm Transition Break 2:00 pm 3:30 pm Session 4: Making the Business Case for Quality Improvement 3:30 pm 3:45 pm Transition Break 3:45 pm 4:45 pm Session 5: The Perfect Storm in Mental Health 4:45 pm Closing Remarks Chapter Board of directors & ConferenCe planning Committee Janet Blondo, MSW, LCSW-C, C-ASWCM, ACSW Director, Care Management Providence Hospital Washington, D.C. Jo Cimino, MS, RN, ACM Director, Case Management Shady Grove Adventist Hospital Rockville, MD Jacqueline Dinterman, SW, MA, LSWA Manager, Case Management Frederick Memorial Hospital Frederick, MD Charles Gizara, RN, BSN, MS, CCM RN MS Director, Case Management Atlantic General Hospital Berlin, MD Heather Kirby, BSW, CCM, ACM Director, Care Management Frederick Memorial Hospital Frederick, MD Judy Kurtis, LCSW-C, ACM Director, Case Management Washington Adventist Hospital Takoma Park, MD Janan McElroy, RN, CPUR Director, Case Management Nanticoke Memorial Hospital Seaford, DE Marcella Smith, MSW, LGSW Geriatric Social Worker, Office of Seniors Holy Cross Hospital Silver Spring, MD Continuing education CE Certificates will be awarded upon completion of the conference. Participants may earn up to 8.1 Nursing Contact Hours and up to 6.75 Social Work Contact Hours. CE credits can be applied toward ACM Certification renewal.

6 9th Annual MARyLAND CHAPTER CASE MANAGEMENT CONFERENCE September 17, 2011 Baltimore Convention Center Baltimore, MD ConferenCe venue area hotel The Baltimore Convention Center One West Pratt Street Baltimore, MD Sheraton Inner Harbor Hotel 300 South Charles Street Baltimore, MD Phone: The Sheraton Inner Harbor Hotel is connected to the Baltimore Convention Center. Call the hotel directly at to check on availability and rates. driving directions To view and/or download a printable map and driving directions go to West 36th Street Little Rock, AR FIRST-CLASS PRSRT U.S. POSTAGE PAID LITTLE ROCK, AR PERMIT #1105

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