CONNECTICUT CHAPTER CASE MANAGEMENT CONFERENCE

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1 AMERCAN CASE MANAGEMENT ASSOCATON 4 T H A N N U A L CONNECTCUT CHAPTER CASE MANAGEMENT CONFERENCE September 23, 2009 Holiday nn Waterbury Waterbury, CT HOSPTAL CASE MANAGEMENT PRACTCE BASED EDUCATON

Conference Schedule 7:30 am 8:30 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:30 am 8:45 am Welcome Announcements 8:45 am 10:15 am Session 1 10:15 am 10:45 am Networking Break

2 Conference Schedule 7:30 am 8:30 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:30 am 8:45 am Welcome Announcements 8:45 am 10:15 am Session 1 10:15 am 10:45 am Networking Break with Sponsors & Exhibitors 10:45 am 11:45 am Session 2 11:45 am 12:45 pm Lunch (provided) 12:45 pm 1:15 pm Networking Break with Sponsors & Exhibitors 1:15 pm 2:15 pm Session 3 2:15 pm 2:30 pm Transition Break 2:30 pm 4:15 pm Session 4 4:15 pm 4:30 pm Chapter Business Meeting 4:30 pm Closing / Evaluations S E S S O N 1 RAC Audit Preparedness: Minimizing Compliance and Financial Risks Joseph Zebrowitz, MD Executive Vice President Executive Health Resources Newtown Square, PA Participants will learn why observation status and 1-day stays have become a major compliance concern and why hospitals often lose significant revenue from inappropriate observation claims. This session will provide insight into building and optimizing an internal compliance program that leverages Case Management expertise and Physician Advisement, and how to create a UR process that proactively defends against RAC medical necessity denials. Discussion will include a step-by-step approach to implement a consistent process that can not only ensure regulatory compliance but also create revenue integrity, and an in-depth understanding of the rules for RACs, and the Administrative Law Judge appeal process. L E A R N N G O B J E C T V E S : 1. Explain how and why auditors including QOs nationwide are targeting Short Stays and Observation Status, and how these pose a compliance problem and potential revenue loss for hospitals 2. Describe the RAC nitiative, including results of the demonstration, rollout plan, and latest updates to the final RAC Statement of Work 3. Review the rules for RACs, the RAC review process, and the Administrative Law Judge appeal process 4. Evaluate your current compliance program and revenue risks in dealing with observation

3 S E S S O N 2 ED Case Management - Collaboration Between MD and Care Coordination Staff in Determining Appropriate Level of Care Fredyne Pell, RN, BSN Care Coordinator, Clinical Effectiveness Yale New Haven Hospital New Haven, CT an Schwartz, MD Associate Chief Medical Director, Clinical Effectiveness Yale New Haven Hospital New Haven, CT This session will focus on one institution s experience with development of an Emergency Department (ED) Case Management program focusing on examining the needs of patients and providing the appropriate services at point of entry. L E A R N N G O B J E C T V E S : 1. Articulate the value of collaborative conversation with physicians, patient, and family in determining care needs 2. Discuss the value of relationships with external providers 3. Explain the elements of data collection critical to demonstrating value S E S S O N 3 Disposition Assurance One Hospital s Attempt at Getting it Right Moderator: Kathy Reilly, RN, MS, ACM Director, Care Management Gaylord Hospital Wallingford, CT This session will discuss the importance of discharge disposition coding, potential positive outcomes, and the current barriers to getting it right. The discussion will also include strategies on creating success using a multidisciplinary approach. L E A R N N G O B J E C T V E S : 1. Discuss the financial implications of correct discharge disposition coding 2. dentify resources available to increase understanding 3. dentify the multiple disciplines that must be involved to get it right S E S S O N 4 Post Acute Care along the Continuum Moderator: Colleen Sullivan, MSW, LCSW Director, Care Management The William W. Backus Hospital Norwich, CT During this session, representatives from post acute providers will describe the care patients receive in their respective settings, the types of patients that are appropriate for admission to their care, what information is required from acute care hospitals to ensure a safe transition, and how that information helps support the plan of care. The discussion will also provide an understanding of reimbursement in alternate settings/levels of care, and what the hospital case manager needs to understand to facilitate discharge. L E A R N N G O B J E C T V E S : 1. Describe the care provided in various post acute settings 2. List criteria required for admission to each level of care 3. Explain the clinical and non-clinical information needed at hand off from the hospital to ensure a safe patient transition

4 C O N F E R E N C E R E G S T R A T O N ACMA CONNECTCUT CHAPTER CONFERENCE Name and, if desired, Credentials* (This information will appear on your name badge.) Title and Department* (This information will appear on your name badge.) Facility / Organization* (This information will appear on your name badge.) PLEASE NDCATE ATTENDANCE PLANS Business Address* n Session 1 City, State, Zip* (This information will appear on your name badge, except zip code.) Address (Your confirmation will be sent to this address. addresses are not published in Directory.) Telephone Number* Extension Fax Number n * Please check here if you do NOT want this information published in the Participant Directory. n Please check here if you have special needs that may require assistance. n Session 2 n Lunch n Session 3 n Session 4 n Chapter Business Meeting CONFERENCE RATES & PAYMENT NFORMATON EARLY REGSTRATON DSCOUNT Must be received by August 28 REGULAR REGSTRATON Must be received by September 18 LATE REGSTRATON ACMA Member:...$70 Non-Member:...$90 Group Discount (3 or more)* / Member:...$63 Group Discount (3 or more)* / Non-Member:...$81 (*All attendees must be from same organization. Registration and payment(s) must be submitted together) Membership Package**:... $230 (**ncludes 1-year ACMA & Chapter Membership. Membership Application required & must be received by 8/28) ACMA Member...$85 Non-Member... $105 Membership Package**:... $245 (**ncludes 1-year ACMA & Chapter Membership. Membership Application required & must be received by 9/18) ACMA Member... $100 Non-Member... $125 Total $ PAYMENT METHOD: Please check one option: Visa MasterCard Check (make payable to ACMA) Card Number (total of 16 digits) Expiration Date (mo/yr) V-Code (last 3 digits on back of card) Name on Card (please print): Authorized Signature: REGSTRATON NFORMATON ON BACK OF BROCHURE.

5 The American Case Management Association (ACMA) is THE professional membership association supporting the practice of Hospital/Health System Case Management with solutions, resources, education, and advocacy. ACMA chapter conferences provide education on the key issues at a regional level, and the opportunity to network with other area professionals and local Sponsors/Exhibitors. CHAPTER BOARD OF DRECTORS & CONFERENCE PLANNNG COMMTTEE Teresa Bukowski, RN, BSN / President Director Medical Management Bristol Hospital Bristol, CT Colleen D. Sullivan, MSW, LCSW / President-Elect Director Care Management The William W. Backus Hospital Norwich, CT Mary Beth Bednarz, RN, BSN, ACM / Secretary Director Quality Management Charlotte Hungerford Hospital Torrington, CT Maureen M. Zukauskas, RN, MS, ACM, CPUM / Treasurer Manager Care Management Manchester Memorial Hospital Manchester, CT Pat Morgan, RN, CCM, ACM / Member at Large Supervisor Clinical Resource Management Danbury Hospital Danbury, CT Michelle Pennington, MSW, LCSW / Member at Large Social Worker Case Management Charlotte Hungerford Hospital Torrington, CT Jill Tierney, RN, BSN, CCM / Member at Large Director Case Management Middlesex Hospital Middletown, CT Kathy Tynan-McKiernan, MSN, RN, CPUM / Member at Large Associate Director Care Coordination Yale New Haven Hospital New Haven, CT Kathy Reilly, RN, MS, ACM / Past President & Member at Large Director Care Management Gaylord Hospital Wallingford, CT MPORTANT DATES Hotel Discount August 26 Early Registration August 28 Cancellation August 31 Regular Pricing September 18 Conference Date September 23 CONTNUNG EDUCATON CE Certificates will be awarded upon completion of the conference. Participants may earn up to 7.5 Nursing Contact Hours (based on 50-min hour) and up to 6.25 Social Work Contact Hours. CE credits can be applied toward ACM Certification renewal. Complete Conference nformation and Online Registration Available at:

6 CONFERENCE LOCATON NFORMATON Holiday nn Waterbury 3580 East Main Street Waterbury, CT Phone: The Holiday nn Waterbury is offering a discounted room rate of $99 per night to conference attendees. Discounted rates are available until August 26, 2009 on a space available basis. To make reservations, contact the hotel directly at and reference the ACMA Conference. Parking is complimentary REGSTRATON NFORMATON RETURN REGSTRATON FORM TO: ACMA, West 36th Street, Little Rock, AR or you may fax this form to f you have any questions call ACMA (2262). f you do not receive a registration confirmation via within 10 business days, please contact the ACMA National Office at CANCELLATONS must be made in writing and received by ACMA by the cancellation deadline. A $25 administrative fee will be charged for all refunds requested prior to this date. No refunds will be made for cancellations received after the cancellation deadline West 36th Street Little Rock, AR FRST-CLASS MAL U.S. POSTAGE PA D LTTLE ROCK, AR PERMT #1105

KENTUCKY-TENNESSEE CHAPTER CASE MANAGEMENT CONFERENCE

AMERCAN CASE MANAGEMENT ASSOCATON 3 R D A N N U A L KENTUCKY-TENNESSEE CHAPTER CASE MANAGEMENT CONFERENCE September 16, 2009 Willis Conference Center Nashville, TN HOSPTAL CASE MANAGEMENT PRACTCE BASED