Critical Access Hospital Conference

Critical Access Hospital Conference Minneapolis, Minnesota June 6 7, 2017 www.eidebailly.com/cah2017

YOU RE INVITED You ve heard it time and time again, the only constant in the health care industry is change. It s the truth. There is uncertainty regarding the repeal of the ACA and value-based payment models are closer to reality. All of this will have the potential to impact rural community hospitals. In addition, consolidation and disruptive innovation continue to change your competitive landscape; community health needs assessments and population health necessitate effective communication with your community and patients; and data breaches continue to be a significant issue with 60 percent of attacks targeting small- to mid-sized organizations. What are your organization s goals and plans in the face of change? Attend Connecting Community & Care 2017! We will share best practices and discuss potential strategies that will help you continue to provide efficient, quality care that adds value to your community while maintaining your profitability. Here are just a few things you can expect: Discuss the possible direction legislation and regulations are headed and the impact on rural providers Discover innovative and best practices being implemented by other rural providers Determine which processes and technology will help you meet regulatory requirements in the short-term and gain a competitive advantage in the long-term Network with your peers to share insights, brainstorm solutions and find inspiration Elevate your knowledge and wisdom gained through experience. Your knowledge and wisdom not only spark the creation of value, but fuel innovation to make the changes necessary to not only survive, but thrive in the future. Trustees are Free* Educating your board members on the inner working of your hospital is important to your community, and we want to help. For every participant you register from your facility, bring one board member for free. *See insert for more ways to save! 1 paid registrant = 1 FREE board member registration Minneapolis, Minnesota June 6 7, 2017 Earn 12* CPE credits *11 credits of Specialized Knowledge and 1 credit of Personal Development www.eidebailly.com/cah2017

KEYNOTE SPEAKERS Health Care Law Update Brian Bauer will cover important legal developments that directly impact your health care operations, reimbursement and compliance. Specifically, Brian will look at recent developments related to the Merit-Based Incentive Payment System (MIPS), the CMS Final Overpayment Refund Rule, the Opioid Prescribing Guidelines for Chronic Pain, the Comprehensive Care for Joint Replacement Model, and the current status of being Provider-Based. He will also discuss other legal and policy developments that may significantly impact rural physicians, clinics and hospitals. Brian Bauer, Attorney and Shareholder, Hall Render Killian Heath & Lyman, PLLC Brian is an attorney and shareholder in the law firm of Hall Render Killian Heath & Lyman, PLLC. Bauer has more than 25 years of experience in health law. He has extensive experience in developing Accountable Care Organizations and Clinically Integrated Networks, and has worked with more than 34 ACOs and CINs. Brian concentrates his practice in the areas of health care business transactions, reimbursement, governance and regulatory compliance. He has served as general counsel to numerous rural hospitals, advising them on a wide range of legal and business issues. The Tenacity Factor: Why the Worst Can Bring Out Your Best Considering the challenges facing the health care industry in 2017, a tenacity boost is a must. Best-selling author Fawn Germer will teach you how to expect adversity and charge ahead with guts, courage and determination. Fawn Germer, Author of Fall down seven times, get up EIGHT Fawn Germer is a bestselling author, speaker and business consultant recognized for her authenticity and inspiration. Fawn is an expert on change and viability, showing how to turn the stress of a change-driven world into an opportunity to innovate and transform. Fawn is a four-time, Pulitzer-nominated investigative journalist and the author of seven books including the Oprah pick, Hard Won Wisdom. She has interviewed more than 300 of the most accomplished leaders of our times, including Olympic athletes, CEOs, prime ministers, presidents and many other trailblazers who shared with her the secrets of true success. From them, Fawn learned that success is born in risk, and power comes from the self-awareness that disables our doubt and self-esteem issues. She travels the globe with her message of viability, performance and power.

DAY 1 TUESDAY, JUNE 6, 2017 AGENDA Breakfast Opening: Federal Health Care Update - The First 100 Days of the New Administration Health Care Law Update Break Concurrent Sessions: Patient Access Issues in a Value Based World Your Cyber Security Compass: Developing a Culture of Security Networking Lunch Concurrent Sessions: Break Successfully Operationalizing Hierarchical Condition Categories Building Operational Efficiency Into Your CAH Concurrent Sessions: Maximizing Your EHR Investment: From Selection to Post Implementation Community Health Needs Assessment: So You Think You re Compliant - Now What? Open Q&A Register Today! w w w.eid eb aill y.com/cah2017 800.280.0354

DAY 1 TUESDAY, JUNE 6, 2017 CONCURRENT SESSIONS Patient Access Issues in a Value-Based World Rhonda Quast, LPN Health Care Consulting Senior Manager Revenue Cycle Director Eide Bailly In order to maximize patient access, it s always been important to schedule the right patient at the right time with the right provider. In addition, it s imperative to support patient flow through a health care organization. With the move to value and evidencebased care, maximizing opportunities within patient access sets the stage for successful patient outcomes. Since patient access is the first point of contact with patients, it plays a key role in supporting operational initiatives, such as chronic disease management, readmission reduction and referral retention. In this session, we will examine ways in which you can engage your Patient Access team in your organization s goals to achieve value-based care. Your Cyber Security Compass: Developing a Culture of Security Jon Ault, M.S. Technology Advisory Senior Manager Eide Bailly Cyber criminals are a persistent threat to every health care organization. (Even small CAHs!) Information security in health care has evolved passed standard HIPAA compliance to translating into HIPAA secure. During this session, we will review how your people, processes and technologies all play a critical role in your overall security posture. Successfully Operationalizing Hierarchical Condition Categories Rhonda Quast, LPN Health Care Consulting Senior Manager Revenue Cycle Director Eide Bailly Joy Krush, RHIT, CCS, CCS-P, CDIP Health Care Consulting Manager Eide Bailly With increased movement to value-based reimbursement across the market, the ability to accurately report patients complex needs to account for their resource and cost utilization is becoming increasingly important. Multiple Medicare programs utilize Hierarchical Condition Category (HCC) coding as a means of communication of a patient s diagnosis history, current health status, and projected resource utilization. A lack of understanding of HCC and how their resulting Risk Adjusted Factor (RAF) scores are used to provide reimbursement to organizations, leaves you at risk of causing an unintentional negative impact to your organization s financial health. Building Operational Efficiency Into Your Critical Access Hospital Paul Schulz Health Care Consulting Manager Eide Bailly Sam Olson Health Care Consulting Associate Eide Bailly Health care organizations have struggled to understand how to achieve cost savings while improving quality and satisfaction for the patient. Critical Access Hospitals often lack budgets to buy expensive technology and equipment other organizations may deploy to achieve better results. Today, operational efficiency can be launched with a new level of understanding that comes from business intelligence (BI). Yes, BI involves

technology, but it s affordable for CAHs. Pulling existing data from disparate systems and presenting it in a new way will help teams not only gain understanding but engage them in innovative discussions and processes needed for change. Mobilizing new and better information throughout the organization helps fuel transformation for today s challenging health care arena. Maximizing Your EHR Investment: From Selection to Post-Implementation Joy Krush, RHIT, CCS, CCS-P, CDIP Health Care Consulting Manager Eide Bailly Jon Ault, M.S. Technology Advisory Senior Manager Eide Bailly Selecting the right EHR software for your organization can help you make better clinical and operational decisions, improve your coordination of care, increase patient engagement, and increase your operational efficiency. In this session, we will discuss how you can maximize your EHR software investment from pre-selection planning to postimplementation process improvements. Community Health Needs Assessment: So You Think You re Compliant Now What? Kim Hunwardsen, CPA Partner, Director of Exempt Organization Tax Practice Eide Bailly You devoted considerable time, energy, and money completing your Community Health Needs Assessment (CHNA). You are updating your policies and procedures to be compliant with the 501(r) rules. Now what? What does the IRS require you to do with the information you have obtained from your CHNA? What does the hospital need to do for the next three years until you repeat the CHNA process? How do you ensure your organization continues to meet the IRS requirements with respect to financial assistance and billing and collection? Can you walk the walk and talk the talk meaning your CHNA wasn t merely a formality? Now that you re compliant, does anyone really care? DAY 1 GENERAL SESSION Federal Health Care Update: The First 100 Days of the New Administration Ralph Llewellyn, CPA, CHFP Partner, Director of Critical Access Hospitals Eide Bailly A new administration will undoubtedly bring with it changes in the health care landscape. There has been much speculation regarding what changes will be made at the national level and how these changes will impact providers in the rural markets. Will these changes continue to impact the financial stability of rural providers or will a new administration bring a new approach to protect safety net providers in a manner to promote access and quality of care to the nation s most vulnerable populations?

DAY 2 WEDNESDAY, JUNE 7, 2017 AGENDA Breakfast Concurrent Sessions: Medicare Access and CHIP Reauthorization Act or the C-Suite Key Market Trends and Changes for Rural Markets Break General Session: Lessons Learned from Participants in Rural ACOs Networking Lunch Motivational Speaker Closing Register Today! w w w.eid eb aill y.com/cah2017 800.280.0354

DAY 2 WEDNESDAY, JUNE 7, 2017 CONCURRENT SESSIONS Medicare Access and CHIP Reauthorization Act for the C-suite Rhonda Quast, LPN Health Care Consulting Senior Manager Revenue Cycle Director Eide Bailly On January 1, 2017, MACRA began its first performance year. You may be asking yourself what impact MACRA will have in your organization and where do you place your efforts? In this session we will review the evolution of MACRA, the potential impacts and areas of focus from a C-Suite perspective moving forward in this new MACRA world, and the information flow from your team leads. Key Market Trends and Changes on the Horizon for the Rural Market Geoff Knobloch, CPA Partner Director of Health Care Eide Bailly Brian Bertsch Principal Eide Bailly With all of the changes in the industry, you may be asking yourself the following questions. Where is rural health care headed? What do our patients need and want from our local community hospital? Can we continue performing the services we currently offer based on our financial metrics and profitability? Should we explore alternative payment models? What is our cost of care for our patient population and how do we compare to our peers? These are among the questions critical access hospital leaders (CAH) are asking themselves. In this session, we will provide insight into rural trends in health care to assist CAH leaders in better understanding the issues facing them in coming years. We will also address issues currently facing hospitals in certain markets where profitability struggles have persisted and grown. In the volatile political and economic environment that we all are trying to navigate, this conference has provided what I was looking for. An unbiased, non-politicized projection of what future possibilities and challenges the CAH Model will face. ~ Jason Johnson, Controller F.W. Huston Medical Center

DAY 2 WEDNESDAY, JUNE 7, 2017 GENERAL SESSION Lessons Learned from Participants in Rural ACOs Ralph Llewellyn, CPA, CHFP Partner, Director of Critical Access Hospitals Eide Bailly Brian Bertsch Principal Eide Bailly Over the past several years, an increasing number of critical access hospitals and other rural providers have joined rural Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs). Groups of these rural providers have come together to learn more about the future of population health and to develop the structures and programming necessary to improve the coordination, quality and cost of health care services to the patients they serve. Through the ups and downs of a new payment model, these providers are learning what works as well as the potential pitfalls along the way. Early results indicate that, while there are opportunities to reduce the cost of population health, there are also many roadblocks and challenges along the way. And while the MSSP is an attractive choice for many providers, new competing incentive programs have some providers re-evaluating what programs make most sense for their organizations in the long run. Who We Are As the nation s rural hospitals began converting to critical access hospitals, Eide Bailly was there. Since 1998, we have worked alongside more than 250 critical access hospitals to define and measure governmental and third-party rules and regulations. We understand what it is like to operate a health care entity in a rural setting, and we develop an approach that recognizes and appreciates the uniqueness of rural America. Learn more at www.eidebailly.com/cah. Eide Bailly LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org.

GENERAL INFORMATION Target Audience Our sessions are structured for all levels of critical access hospital professionals, including board of directors, administrators, CEOs, COOs, CFOs, directors of finance, reimbursement managers, business office managers, HIM managers/directors, revenue cycle managers, clinic managers and fiscal intermediary professionals. Dress Business Casual CPE 12 CPE Credits (11 credits of Specialized Knowledge and 1 credit of Personal Development) REGISTER TODAY! www.eidebailly.com/cah2017 800.280.0354 Accommodations Minneapolis, MN June 6 7, 2017 DoubleTree by Hilton Hotel Minneapolis - Park Place 1500 Park Place Blvd. Minneapolis, Minnesota 55416 800.245.9190 $149.00/night* *Discount Expires on Wednesday, May 10, 2017 Hotel reservations can be made at www.eidebailly.com/cah2017 or by calling the telephone numbers listed above. When calling, be sure to mention you are booking for the Eide Bailly Critical Access Hospital Conference to receive the discounted rate. Price* Early Registration Special: $300 per person (Register before April 15, 2017) Regular Registration: $350 per person (Register before May 26, 2017) Walk-In Registration: $400 per person *See insert for more ways to save! Cancellation & Refund Policy In the event you are unable to attend the conference after registering, please contact us at 800.280.0354 by 4 p.m. CT on Friday, May 26, 2017, to receive a full refund.

And You Can Bring a Trustee for Free! More Ways to Save Inside! June 6 7, 2017 Minneapolis, MN www.eidebailly.com/cah2017 Early Bird Registration! $300 per person Expires April 15, 2017 800 Nicollet Mall, Ste. 1300 Minneapolis, MN 55402