CONTINUOUS SERVICE READINESS

CONTINUOUS SERVICE READINESS 1-Day Workshop Tunica, Mississippi Program Objectives: Identify common terms used in the Federal survey process Describe the different types of CMS hospital surveys and processes Distinguish between licensure, certification, accreditation and deemed status Explain CMS Pilot Worksheets: QA/PI, DCP, IC Define potential outcomes from use of CMS Worksheets Define CMS criteria for hospital readmissions Define CMS Project RED Explain current data for Project RED outcomes List examples of successful implementation of Project RED Define Primary Care Medical Home List most non-compliant standard and EPs for PCMH Each hospital may send up to three representatives to the workshop. Additional staff will be placed on a waiting list and notified if space is available. Who Should Attend Hospital Leaders Accreditation Professionals Health Care Professionals This meeting is for all CSR participants from the following states: Alabama Arkansas Mississippi Tennessee For More Information Judith Forshee, MSM VP, Education & Support Services Mississippi Hospital Association (601) 368-3216 jforshee@mhanet.org

Michelle McDonald, MPH, RN Meet the Speakers Executive Director, Government Regulations and Advisory Services, Inc. Michelle McDonald has more than 30 years of experience as a health care professional. She has extensive experience in areas of programmatic and operational functions in acute care, long term care, assisted living, home health, and public health settings. Her expertise is in facility operations, executive leadership, care management, public health initiatives, quality initiatives, and the management of federal contracts with the Centers for Medicare and Medicaid Services (CMS). She currently serves as the Executive Director, Government Regulations and Advisory Services for. In this capacity, she oversees the CMS practice area and government advisory services as well as provide guidance, education, and technical assistance in the provision of CMS content, federal laws, regulations, guidelines, federal surveillance protocols, and standards governing the operation of health care facilities. Ms. McDonald received her Bachelor s of Science in Nursing from Mount Saint Mary College, Newburgh, New York and her Master s of Public Health from New York Medical College, Valhalla, New York. Her affiliations include the American College of Healthcare Administrators, Medicare SNF Technical Advisory panel member for the Centers for Medicare and Medicaid Services, and served as a clinical reviewer for the MDS 3.0 RAI User Manual for the Centers for Medicare and Medicaid Services. Julia Tucker, RN, BSN CSR Consultant Julia Tucker joined in 2012 with expertise in medical home development and management and currently serves as the CSR Consultant for the state of Alabama. A certified Yellow Belt through the Department of Defense, she has utilized Six Sigma and Lean practices on multiple projects such as patient wait times, stagnant versus dynamic practices, and the medical impact of Army Aviation. She is also a TeamSTEPPS Trainer and has led several other initiatives for the Department of the Army. Prior to joining JCR, Ms. Tucker directed a department of the Army Patient Centered Medical Home that served the active duty population, retirees and their families, as well as serving as clinical informatics specialist. Since 2007, Ms. Tucker has worked in the ambulatory setting and has been familiar with the medical home model since its conception. She implemented the model at her facility that combined primary care, adult medicine and aviation medicine, as well as helping with the design for the Military Health system. Earlier in her career, she spent a decade in the inpatient setting moving from staff nurse to educator to manager. She is working toward a Master of Science degree in Nursing Informatics at the Troy University, Troy AL. She received her BSN from the University of South Alabama, Mobile, AL. She also holds an Associate s degree in Nursing from Wallace Community College in Dothan, AL. Ms. Tucker is a member of the American Nurses Association, American Medical Informatics Association, and the American Nursing Informatics Association. Susan McLean Whitehurst, RN, MSN, MBB Senior Consultant Specialty: Infection Prevention Susan McLean Whitehurst is a Senior Consultant and currently (JCR) Project Manager for the landmark Centers for Medicare and Medicaid Partnership for Patients Hospital Engagement Network (HEN). CMS selected JCR as a partner in late 2011 for its nationwide $220 million project to advance patient safety and quality care while reducing costs. (HEN project information) Ms. Whitehurst, who holds a Six Sigma Master Black Belt, joined JCR as an intermittent patient safety consultant in 2007 with more than 30 years of clinical and administrative health care experience. From 2004 to 2011, Susan was President and CEO of SRM Healthcare Solutions in Hillsborough, NC. She facilitated physician advisory boards regionally and nationally and provided lean health care quality improvement programs to senior health care leaders. Susan received a Bachelor of Science in nursing from East Carolina University and a Master of Science in Nursing Administration from Duke University.

Continuous Service Readiness Tunica, MS 7:30 8:00 a.m. Registration and Continental Breakfast 8:00 8:15 a.m. Welcome & Introductions 8:15 10:00 a.m. Understanding the CMS Survey Process Michelle McDonald, RN, MPH Executive Director, Government Relations and Advisory Services 10:00 10:15 a.m. Break 10:15-11:45 a.m. The CMS Pilot Worksheets: QA/PI, DCP, and IC 11:45 12:45 p.m. Lunch Michelle McDonald, RN, MPH Breakout Sessions 12:45 2:00 p.m. Transitions of Care: Effectively Reducing Readmissions Susan Whitehurst, RN, MSN, MBB Senior Consultant 2:00 2:15 p.m. Break 2:15 3:30 p.m. Transitions of Care: Project RED (re-engineering the discharge process) Primary Care Medical Home Susan Whitehurst, RN, MSN, MBB Julia Tucker, RN, BSN CSR Consultant

Continuous Service Readiness: Registration Harrah s Casino Tunica, Mississippi Register online at www.mhanet.org or complete the following Fee: $100 per person Name of Registrant(s): Organization: Address: City: State: Zip: Email print clearly please: Telephone and Fax: Payment Details Check will be Processed Once Invoice is Received, Attn: Education, PO Box 1909, Madison, MS 39130 Please include invoice number on payment. All registrations must be paid prior to the meeting date. Thank you. Check Enclosed Charge Credit Card: To protect your personal info, call Laura Kuhn at 601-368-3242 to give your credit card info over the phone. Questions Regarding This Program May Be Directed To Judith Forshee, MSM, VP of Education & Support Services at MHA (601) 368-3216 or jforshee@mhanet.org Return Completed Form: Shaunti Calloway, MHA, PO Box 1909 Madison, MS 39130-1909 Fax: (601) 368-3200 / (601) 368-3329/ Email: scalloway@mhanet.org 13615 Old Hwy 61N Tunica, MS 38676 (662) 363-2788 Room rate of $55.00 + tax Cancel: 3+days before: 100% refund 1-2 days before: 50% refund Day of program or fail to attend: 0% refund

Continuing Education You will receive 5.75 continuing education hours upon completion of the seminar. You must attend all the sessions and complete an on-line survey to receive a certificate of attendance. ANCC is accredited as a provider of continuing nurse education by the American Nurses Credentialing Center s Commission on Accreditation (ANCC). ANCC continuing education credits will be provided upon satisfying the requirements for successful completion of this continuing nursing education program activity by listening to the entire audio-conference and completing the evaluation within 14 days. Joint Commission Resources designates this continuing nursing education activity for 12 contact hours. ACHE is authorized to award the listed contact hours of pre-approved ACHE Qualified Education credit for this program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification. ACPE is authorized to award the listed contact hours of pre-approved ACPE Qualified Education credit for this program by the Accreditation Council for Pharmacy Education Disclaimer The designation of contact hours, credits, and/or approval of this activity refers to the recognition of the educational activity only and does not imply endorsement of any commercial product. The information presented at this program represents the views and opinions of individual presenters, and does not reflect the policies, opinions, endorsement of, or promotion by JCR or any accrediting/approving bodies affiliated with this program. Conflict of Interest: maintains control over all continuing education content provided to ensure content integrity and minimize educational bias. All education planners, faculty, content reviewers, authors and others involved with continuing education activities disclose any influencing relationships, or lack thereof including financial or commercial interests. Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact educational content. Register online at www.mhanet.org or complete the enclosed registration form.