KENTUCKY-TENNESSEE CHAPTER CASE MANAGEMENT CONFERENCE

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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 EDUCATON

Conference Schedule 7:45 a.m. 8:45 a.m. Registration & Networking Breakfast with Sponsors & Exhibitors 8:45 a.m. 9:00 a.m. Welcome Announcements 9:00 a.m. 10:00 a.m. Session 1 10:00 a.m. 10:30 a.m. Networking Break with Sponsors & Exhibitors 10:30 a.m. 11:30 a.m. Session 2 11:30 a.m. 12:15 p.m. Lunch (provided) 12:15 p.m. 12:45 p.m. Networking Break with Sponsors & Exhibitors 12:45 p.m. 1:45 p.m. Session 3A Session 3B 1:45 p.m. 2:00 p.m. Transition Break 2:00 p.m. 3:00 p.m. Session 4 3:00 p.m. 3:15 p.m. Transition Break 3:15 p.m. 4:45 p.m. Session 5 4:45 p.m. 5:00 p.m. Chapter Business Meeting 5:00 p.m. Closing / Evaluations S E S S O N 1 Aligning Clinical and Financial Strategies for Success Kathy M. Ramsay, RN, BC, BS, CCM, COS-C Director of Patient Care Services Vanderbilt Home Care Vanderbilt University Medical Center Nashville, TN The session will demonstrate how to achieve optimal outcomes by eliminating existing gaps between services provided from acute care and post-acute care. The discussion will examine behavioral changes needed to close these gaps and develop value based partnerships, and the importance of the hospital case manager in both the current delivery system and predicted future trends. L E A R N N G O B J E C T V E S : 1. Discuss trends and changes in the healthcare delivery system 2. Outline the barriers to collaboration and communication across the healthcare continuum and improvement recommendations 3. dentify predictions and megatrends challenging providers to develop value-based strategies for success

S e S S i o n 2 End of Life and Palliative Care Jane Owen, MSN, APRN-BC, ACHPN, RNC Palliative Care Advance Practice Nurse Palliative Care Medicine Service Methodist Healthcare - University Hospital Memphis, TN This session will demonstrate how the use of Palliative Care principles by case management can improve patient outcomes. Case management and Palliative Care, when used synergistically, will improve patient symptoms, decrease length of stay, and ultimately reduce cost. 1. Relate relevant statistics on dying in the U.S. 2. Describe simple strategies for better communication with patients and families 3. Discuss benchmarks of quality improvement in case management and palliative care S e S S i o n 3 a Recognizing the Value of Social Work in Case Management Dana Moran, MSW, CSW, LSW Director, Social Work St. Elizabeth Health Care Ft. Thomas Ft. Thomas, KY Participants will learn about the unique skills that social workers bring to the interdisciplinary team and the case management process. The discussion will examine the roles of the social worker and the nurse case manager, and develop strategies to recognize and address common conflicts that arise between the two roles. 1. Define the skill set and role of the social worker in a hospital setting 2. Describe and discuss the contributions social workers make to case management 3. Explore common conflicts that arise between the social worker and nurse case manager and discuss strategies to resolve them

S e S S i o n 3 b A South Carolina Hospital s RAC Experience: Examining Areas Targeted Bonnie Boehlke, RN, ACM Director, Case Management Conway Medical Center Conway, SC This session will discuss the areas identified from the RAC demonstration project as primary denial reasons, areas of concern, and corrective measures. Preparation strategies for the national RAC roll out will be presented, as well as proven strategies to respond to the RAC audits and the appeal process. 1. Discuss the primary goals of the RAC demonstration 2. Analyze the primary denial reasons and strategies for risk reduction 3. dentify the two types of RAC audits, trends, and processes to decrease risk S e S S i o n 4 Ethics: Problems, Decisions and Dilemmas Dana Moran, MSW, CSW, LSW Director, Social Work St. Elizabeth Health Care Ft. Thomas Ft. Thomas, KY Participants will learn two theories of ethical decision making, as well as consider the values and principles involved in solving ethical dilemmas. Client self-determination will be defined and explored, and several case scenarios will allow participants to discover their personal style of addressing ethical issues, as well as learn to employ new strategies. 1. Explain the foundations for ethical decision making 2. Develop a further understanding of client self-determination 3. Discuss case scenarios that pose ethical dilemmas and their potential solutions continuing education CE Certificates will be awarded upon completion of the conference. Participants may earn up 7.8 Nursing Contact Hours (based on a 50 minute hour), and up to 6.5 Social Work Contact Hours, including 1.0 Ethics Hour(s). CE credits can be applied toward ACM Certification renewal.

S E S S O N 5 Recovery Audit Contractors and Medicare Christine Castelli Principal, Healthcare Division Connolly Healthcare Philadelphia, PA Co-presented with CMS Representative Connolly Consulting was awarded the contract to perform recovery audits in Region C, and this session will provide materials and game plans that can prepare you for the upcoming RAC audits. Successful RAC preparation can be accomplished through understanding the outcomes of the demonstration project, educating yourself on the medical record submission requirements, and understanding the RAC s and the provider s responsibilities throughout the entire process. L E A R N N G O B J E C T V E S : 1. Discuss the primary goals of the RAC demonstration 2. Analyze the primary denial reasons and strategies for risk reduction 3. dentify the two types of RAC audits, trends, and processes to decrease risk CONFERENCE LOCATON NFORMATON Willis Conference Center 26 Century Boulevard Nashville, TN 37214 Phone: 615-872-6400 Visit the conference webpage for a list of area hotels, directions, and parking information: www.acmaweb.org/kytn REGSTRATON NFORMATON RETURN REGSTRATON FORM TO: ACMA, 11701 West 36th Street, Little Rock, AR 72211 or you may fax this form to 501-227-4247. f you have any questions call 501-907-ACMA (2262). f you do not receive a registration confirmation via email within 10 business days, please contact the ACMA National Office at 501-907-2262. 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.

C O N F E R E N C E R E G S T R A T O N ACMA KENTUCKY TENNESSEE 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.) Business Address* * f you do NOT want this information published in the Participant Directory, please check here: n City, State, Zip* (This information will appear on your name badge, except zip code.) Email Address (Your confirmation will be sent to this address. Email addresses are not published in Directory.) Telephone Number* Extension Fax Number f you have special needs that may require assistance, please check here: n NDCATE ATTENDANCE PLANS n Session 1 n Session 2 n Lunch n Session 3A / n Session 3B n Session 4 n Session 5 n Chapter Meeting MEMBER TYPE ACMA MEMBER NON-MEMBER STUDENT* MEMBERSHP PACKAGE** TOTAL CONFERENCE RATES & PAYMENT NFORMATON EARLY $ $65 $85 $40 $200 REGULAR $80 $100 $40 $215 *Student D Required. **Membership Package ncludes: 1-year ACMA National & Chapter Memberships. Membership Application required. LATE N/A N/A $95 $115 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: SEE REGSTRATON NFORMATON SECTON FOR SUBMSSON DETALS

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 & PLANNNG COMMTTEE Joyce A. Mosier, MBA, RN, CPHQ, ACM / President Senior Consultant 3M Healthcare Franklin, TN Kathy Aldridge, MSN, RN, ACM, CPHQ / President-Elect & Planning Committee Consultant, Case Management Services Hopkinsville, KY Judi Stindt, RN, MSN, MBA, CNAA / Secretary Clinical Consultant Knoxville, TN Joyce Crownover, RN, CCM / Treasurer Team Leader, Care Management Baptist Hospital Nashville, TN Carolyn Wade, RN, BS, CCM, ACM / Member at Large & Planning Committee Director, Case Management Methodist Le Bonheur Healthcare South Memphis, TN Doug Williams, MSW, LCSW / Member at Large Director, Social Services St. Elizabeth Health Care Edgewood Edgewood, KY Richard A. Orland, MD / Physician Advisor Medical Advisor, Care Management Saint Thomas Health Services Nashville, TN Connie Bellamy, RN, CPHQ, CPHRM, ACM / Planning Committee Member Director, Risk Management LifePoint Hospitals, nc. Brentwood, TN Sarah E. Henning, MHSA, BSN, RN BC, ACM / Planning Committee Member Decision Support Clinical Specialist Methodist Le Bonheur Healthcare Memphis, TN Sherrie Loeffler, MSN, RN / Planning Committee Member Manager, Care Management St s Mary & Elizabeth Hospital A Service of Jewish Hospital & St. Mary s HealthCare Louisville, KY Connie Nahhas, RN, CCM, ACM / Planning Committee Member Director, Case Management Methodist Healthcare Memphis Memphis, TN Debra Villines, RN, BSN, MSM / Planning Committee Member Director, Clinical Resource Management Summit Medical Center Nashville, TN MPORTANT DATES Early Registration Deadline August 14 Cancellation Deadline August 17 Regular Pricing Deadline September 11 Conference Date September 16 Complete Conference nformation and Online Registration Available at: www.acmaweb.org/kytn