1. Co-Organized by:
NAPA
Approved for
CME/CEU/CCMC
Credits!
See website
for details.
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing
Medical education through the joint sponsorship of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP)
and World Congress. ABQAURP is accredited by the ACCME to provide continuing medical education for physicians. The American Board of
Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 12.0 AMA PRA Category 1 Credits™.
Physicians should only claim credit commensurate with the extent of their participation in the activity. The American Board of Quality
Assurance and Utilization Review Physicians, Inc. (ABQAURP) is an approved provider with the Florida Board of Nursing to provide continuing
education for nurses. ABQAURP designates this activity for 12.0 nursing contact hours through the Florida Board of Nursing, Provider # 50-94.
SAVE UP TO $300 WHEN YOU REGISTER BY 1/30/2015!
Plus! Choose Between Two Pre-
Summit Workshops:
Supporting Partner:
1. Examine metrics and how they relate to protocols to help reduce
length-of-stay
2. Compare different staff models to prevent burn out and
improve throughput
3. Navigate the complexities of the Two-Midnight rule and the
next steps to adapt should the rule be altered
4. Review CMS billing rules for Observation to learn how to apply
them for hospital and physician billing
5. Earn Credit Hours — CME, Nursing Contact Hours,
Case Management Certification CE
Workshop A:
Lay the Foundation for
an Efficient and Effective
Observation Unit
Workshop B:
Improve Financial
Outcomes in the Existing
Observation Unit
The National Association of Physician Advisors presents the 12th Annual
Observation
Management Summit
Strategies to Improve Throughput, Increase Capacity, Decrease Length-of-Stay, and Balance Costs
April 28 - 29, 2015
Hyatt Rosemont
Chicago, IL
To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
T o p 5 R e a s o n s t o A t t e n d :
F e a t u r e d S p e a k e r s :
Tibian Abramovitz, MD
Director, Case Management
and Denials
Brookdale University
Hospital and Medical Center
Stephanie M. Figueroa,
Chief PA-C, MPAS
Assistant Director,
Observation Services,
Chief Senior Physician Assistant
Johns Hopkins Department
of Emergency Medicine
Ada Rivera, MBA
Director, Department of Medicine
Lehigh Valley
Health Network
Sharon E. Mace,
MD, FACEP, FAAP
Director, Observation Unit,
Director, Research, Faculty
Cleveland Clinic
Mrinalini Sarkar, MD
Director, Observation Unit,
Assistant Professor, Clinical Medicine,
Department of Internal Medicine
Penn Presbyterian Medical
Center- Penn Medicine
Plus!
Choose Between Two
Pre-SummitWorkshops:
NAPA
Can’t travel to Chicago? Join us via the Live-StreamingWebcast!
What you get with your webcast registration:
• Real-time footage directly to your computer
• Ability to participate in live Q&A sessions
• No travel or hotel costs • CME credits (when applicable)
• Benefit of being able to implement strategies and best practices
This program has been pre-approved by the Commission for Case Manager
Certification to provide continuing education credit to Certified Case Managers
(CCMs). The total number of clock hours attended or completed for general and
ethics content sessions should be entered by a representative of your organi-
zation at the completion of the program and must reflect the actual number of
clock hours completed by the participant (versus awarding credit for an entire
activity if the participant did not attend or complete it in its entirety)
2. Dear Distinguished Colleague,
The ever-changing rules and regulations set forth by the Centers for Medicaid
and Medicare Services and a shifting economic climate continue to change
the landscape of health care. Hospitals and health systems with Observation
Units face the daunting task of ensuring compliance, efficiency, and quality
improvement. In order to be successful, staff in the Observation Unit must
work together to resonate a lasting positive impression with patients and
administration concerning hospital initiatives and changes to rulings and
regulations.
The 12th Annual Observation Management Summit brings together executives
with varying levels of Observation care utilization discuss ways to utilize
key personnel and resources, addressing managed care requirements, and
exploring strategies to improve patient flow and patient satisfaction.
Join me on April 28th and 29th, as we gather to network and learn strategies
to improve throughput, increase capacity, and decrease length-of-stay while
balancing cost.
I look forward to seeing you there.
Sincerely,
Tibian Abramovitz, MD
Director, Case Management and Denials
Brookdale University Hospital and Medical Center
Chairman, 12th Annual Observation Management Summit
Who Should Attend:
From Hospitals, Health Systems, Clinics,
Medical Centers, Other Health Care
Providing Organizations:
• Chief Medical Officers
• Chief Financial Officers
• Vice President of Medical Affairs
• Emergency Medicine Physicians
• Hospitalists/Hospital
Medicine Physicians
• Physician Advisors
• Medical Directors
• Observation Unit Directors
• Physician Assistants
• Nurse Practitioners
• Observation Unit Members
• Emergency Department Members
• Utilization Management
• Case Management
To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observationTo register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
To inquire about Sponsorship, Exhibit, and Executive Networking Opportunities, Contact
Chris Karassik, Business Development Manager, World Congress • Call 781-939-2419 or email Chris.Karassik@WorldCongress.com
Approved for
CME/CEU/CCMC
Credits!
See website
for details.
The National Association of Physician Advisors presents the 12th Annual
Observation
Management Summit
Strategies to Improve Throughput, Increase Capacity, Decrease Length-of-Stay, and Balance Costs
April 28 - 29, 2015
Hyatt Rosemont
Chicago, IL
NAPA
W H Y Y O U S H O U L D S P O N S O R
POSITION
your company
as a leading
solutions and
service provider
MEET
your market
SHOWCASE
new technology
innovations
INCREASE
brand awareness
GENERATE
leads and new
business
DEVELOP
new and
current client
relationships
3. Day One — Tuesday, April 28, 2015 — Pre-Summit Workshops
7:30 am –
8:30 am Workshop Registration and Morning Coffee
8:30 am –
11:45 am
Thereisa15minutecoffeeandnetworkingbreakfrom10:00am–10:15am
WORKSHOP A: Lay the Foundation for an Efficient and Effective Observation Unit
According to the American College of Physician Executives, nearly 36% of hospitals in the United States have dedicated Observation Units. As CMS continues
to update rules and regulations, hospitals are finding it more important to develop an Observation Unit. In this workshop, explore the steps necessary to build
an Observation Unit, the goals to ensure its success, as well as ways to overcome common challenges that may stand in the way.
• Analyze the financial, personnel, and time investment required to implement an Observation Unit
* Administration buy-in * Potential overhead cost * Bed placement * Staff training
• Outline baseline goals to ensure success and sustainability, such as:
* Length-of-stay per patient in hours * Number of patients per week * Number of Condition Code 44 cases
* Percentage of patients screened by the Case Management Department
• Discover the difference in patient outcomes in a virtual or co-horted unit
• Outline effective staff models to prevent burnout and poor quality of care
• Engage and educate staff of the benefits of an Observation Unit
• Identify major diagnoses that are best treated within an Observation Unit
• Explore the advantages of a hospitalist-based and ED-based Observation Units
• Discover how using lean principles and tools can help you develop, implement, and sustain your Observation Unit processes
• Align and structure process metrics to measure the success of your Observation Unit efforts
Ada Rivera, MBA
Director, Department
of Medicine
Lehigh Valley
Health Network
Carol Teets
RN, MSN, CEN
Director, 5CP
Lehigh Valley
Health Network
Tami J. Meltsch
BSN, RN, PCCN, CNML
Director, 7T and
Express Admit Unit
Lehigh Valley
Health Network
Chris Kita, M.Ed
Senior Lean Coach,
Organizational
Effectiveness
Lehigh Valley
Health Network
WORKSHOP B: Improve Financial Outcomes in the Existing Observation Unit
In this interactive workshop, discover how to balance financial costs and revenue to maintain the Observation Unit.
• Review CMS billing rules for Observation to learn how to apply them for hospital and physician billing
• Demonstrate the hospital payment structure for Observation in contrast with Inpatient
• Understand the financial implications of Observation for patients
• Outline the process of calculating and carving out Observation hours for billing
• Interactively examine real cases to determine the correct Observation or Inpatient status
• Formulate the most common diagnoses to be managed in Observation to understand what are they and how to manage them the most efficient way
• Examine the consultant’s role in an Observation Unit
• Explain how surgery patients fit or do not fit in an Observation Unit
• Uncover hidden expenses in your Observation Unit and learn how to operate more effectively with your given resources
Ronald L. Hirsch, MD, FACP, CHCQM
Vice President, Regulations and Education Group
AccretivePAS
Tibian Abramovitz, MD
Director, Case Management and Denials
Brookdale University Hospital and Medical Center
11:45 am –
1:00 pm Lunch On Your Own / Main Summit Registration
To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observationTo register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
CONSIDER A SPONSORSHIP PACKAGE
• Present to Key Players in Your Target Market • Take Advantage of 1-on-1 Sponsor/Attendee Meetings Facilitated On-Site
CAPTURE A TRUE ROI Through Sponsorship of the Following:
Agenda Thought Leadership • Networking Cocktail Reception • Breakfast Symposia • Luncheon • Executive Networking Breaks
To inquire about Sponsorship, Exhibit, and Executive Networking Opportunities, Contact
Chris Karassik, Business Development Manager, World Congress • Call 781-939-2419 or email Chris.Karassik@WorldCongress.com
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing
Medical education through the joint sponsorship of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP)
and World Congress. ABQAURP is accredited by the ACCME to provide continuing medical education for physicians. The American Board of
Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 12.0 AMA PRA Category 1 Credits™.
Physicians should only claim credit commensurate with the extent of their participation in the activity. The American Board of Quality
Assurance and Utilization Review Physicians, Inc. (ABQAURP) is an approved provider with the Florida Board of Nursing to provide continuing
education for nurses. ABQAURP designates this activity for 12.0 nursing contact hours through the Florida Board of Nursing, Provider # 50-94.
This program has been pre-approved by the Commission for Case Manager
Certification to provide continuing education credit to Certified Case Managers
(CCMs). The total number of clock hours attended or completed for general and
ethics content sessions should be entered by a representative of your organi-
zation at the completion of the program and must reflect the actual number of
clock hours completed by the participant (versus awarding credit for an entire
activity if the participant did not attend or complete it in its entirety)
4. To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observationTo register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
Day One — Tuesday, April 28, 2015 — main summit
1:00 pm –
1:15 pm Chairperson’s Welcome and Opening Remarks
Tibian Abramovitz, MD
Director, Case Management and Denials
Brookdale University Hospital and Medical Center
1:15 pm –
2:00 pm Consider the Financial Aspects of Observation Services to Leverage Buy-In with
Administration and Staff
Discover billing and other financial best practices to manage the Observation Unit to influence buy-in with administration and staff.
• Review CPT codes that Medicare favors when submitting a claim for reimbursement
• Communicate to well-trained staff the concept of “time is money”
• Learn how to create and negotiate a contract for Observation services with commercial payers
• Discuss how to relate this information to staff and administration to gain buy-in with the Observation Unit
Tibian Abramovitz, MD
Director, Case Management and Denials
Brookdale University Hospital and Medical Center
2:00 pm –
2:45 pm Positioning the Observation Unit against Recovery Audits (CMS and Third Party Payors)
Past and present Final Rules developed by CMS under the Recovery Audit Program have opened the door to increase in third party payors post payment
reviews. These reviews might not pass a payor’s first review and result in unfavorable findings based on insufficient or inconsistent care as documented the
Observation medical record.
• Understand how CMS and Third Party payors use Final Rules in post payment audits;
• Be aware of how recovery auditors use admission screening tools, and the limitations of those tools
• Develop preventative measures with medical and clinical staff from current recovery audit review findings.
• Incorporate information from audit outcomes into Observation clinical processes to prevent unfavorable Recovery Audit review results
Julia Egebrecht, PhD, PAC, CPMA
Director, Revenue Cycle Integrity, Observation Task
Howard University Hospital
2:45 pm –
3:30 pm CASE EXAMPLES: Explore Difficult Criteria Determinations of Observation Status to Decrease
Condition Code 44 Cases
In this session, navigate the challenges of patient flow and status determinations by reviewing major diagnoses, data, and case examples.
• Determine major diagnoses that are often categorized into Observation
• Review data to reduce the number of Condition Code 44 cases
• Discuss case examples of difficult patient status determinations
Sharon E. Mace, MD, FACEP, FAAP
Professor, Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Director, Observation Unit; Director, Research, Faculty
MetroHealth Medical Center/Cleveland Clinic Emergency Medicine Residency Cleveland Clinic
3:30 pm –
4:00 pm Networking and Refreshment Break
4:00 pm –
4:45 pm Make the Business Case for a Closed Observational Unit
In this session, outline a compelling business argument to gain administration buy-in on a closed Observation Unit.
• Compare patient and financial outcomes of a closed unit versus a virtual unit
• Examine data to understand the impact on throughput and capacity
• Understand the mentality and staff necessary to build an effective co-horted unit
Stephanie M. Figueroa, Chief PA-C, MPAS
Assistant Director, Observation Services; Chief Senior Physician Assistant
Johns Hopkins Department of Emergency Medicine
What you get with your webcast registration:
• Real-time footage directly to your computer
• Ability to participate in live Q&A sessions
• No travel or hotel costs • CME credits (when applicable)
• Benefit of being able to implement strategies and best practices
Can’t travel
to Chicago?
Join us via the
Live-Streaming
Webcast!
5. To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observationTo register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
Day One — Tuesday, April 28, 2015 (Continued)
4:45 pm –
5:30 pm Effectively Achieve Peak Performance in the Observation Unit
In this session, discuss the process to develop and implement a successful unit as well as how to achieve peak performance with your Observation Unit.
• Determine the need for an Observation Unit
• Explore what protocols and processes work what doesn’t
• Identify the ideal staffing matrix
• Understand how to make the EMR work for you
• Improve patient satisfaction within the unit
Dean T. Harrison, MPAS,PA-C,DFAAPA
Assistant Professor, Emergency Medicine; Director, Advanced Practice Providers; Director, Clinical Evaluation Unit
Duke University Medical Center
5:30 pm –
6:30 pm Cocktail and Networking Reception
Day two — wednesday, April 29, 2015
8:00 am –
8:30 am Morning Coffee
8:30 am –
8:45 am Chairperson’s Welcome and Review of Day One
Ronald L. Hirsch, MD, FACP, CHCQM
Vice President, Regulations and Education Group
AccretivePAS
8:45 am –
9:30 am Development and Implementation of Effective Observation Protocols
• Examine characteristics of effective observation protocols, including review of examples
• Understand the process of developing protocols, including stakeholder analysis and participatory approach
• Discuss ways to leverage your EHR for observation care, focusing on specific tools and approaches within Epic
Mark Foran, MD, MPH
Medical Director, Clinical Decision Unit, Department of Emergency Medicine, The Ohio State University Wexner Medical Center
Associate Professor of Emergency Medicine, The Ohio State University College of Medicine
9:30 am –
10:15 am CASE STUDY: Examine Patient Satisfaction through the Journey of an Observation Patient from
Waiting Room to Home Again
In this case study, hear one patient’s experience of seeking treatment in an Observation Unit and how it affects patient satisfaction.
• Understand the patient perspective throughout the care continuum
• Explore how staff should engage with the patient during admission, treatment, and discharge
• Discuss the improvements that could be made for staff and the patient to make it a more efficient process
Reezena H. Malaska, RN, MSN, CCRN
Trauma Critical Care RN Level 1 Trauma Center
Metrohealth Center
10:15 am –
10:45 am Networking and Refreshment Break
10:45 am –
11:30 am CASE STUDY: Eliminate Barriers to Increase Patient Throughput in Independent Observation Units
Hear how one hospital used a “blueprint” for quality to guide clinical operations of an independent Observation Unit, improving patient care, decreasing lost
revenue opportunities, and decreasing non-value added time within the patient experience.
• Address each of the five imperatives from the Blueprint for Quality:
* Transitions in care
* Reducing unnecessary variations in practice
* Coordination of care, patient and family centered care
* Accountability
• Explore process improvements and team collaboration in a scattered bed Observation Unit
• Review metrics focused on decreased length-of-stay, improved quality, and patient throughput
Shawn Policarpo Deutsch
BS, BSN, RN, CCRN
Clinical Nurse IV, Thoracic
Surgery and Observation Unit
Penn Presbyterian
Medical Center
Kathryn Opsasnick, BSN, RN, PCCN
Assistant Nurse Manager, Heart
Failure, Thoracic Surgery and
Observation Unit
Penn Presbyterian
Medical Center
Mrinalini Sarkar, MBBS
Assistant Professor, Clinical Medicine
University of Pennsylvania
Health System, Perelman
School of Medicine; Medical
Director, Observation unit, Penn
Presbyterian Medical Center
6. To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observationTo register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
Day two — wednesday, April 29, 2015 (Continued)
11:30 am –
12:15 pm Compare Staffing Models that Impact Unit Throughput Efficiency
In this session, learn how to get the most out of a unit’s staff through process improvements and optimal patient to caretaker ratio.
• Discuss the optimal nurse to patient ratio to prevent burnout and poor documentation
• Implement a process to educate resident staff on length-of-stay within an Observation Unit to improve throughput
• Determine the best leader for patients to provide higher patient satisfaction and quality of care
Mary Knoop, CNA
Triage Specialist and Vaccination Program Administrator
St. Anthony’s Free Clinic
12:15 pm –
1:30 pm Luncheon
1:30 pm –
2:15 pm CASE STUDY:
Sustain Clinical and Financial Practices in the Observation Unit to Improve Staff Efficiency
In this in-depth case study, hear how one hospital has continued to sustain their clinical and financial practices after making some innovative changes.
• Review how enhancements and the overall progression of an Observation Unit improves quality of care
• Recognize the benefits of working with a multidisciplinary team to increase efficiency
• Discuss patient selection and discharge procedures to ensure financial stability
Bela Nand, MD, FACP
Medical Director, Care Management
Advocate Christ Medical Center
Associate Program Director, IM Residency Program
ACMC
Susan Massatt, RN, MA, CCRN, NEA-BC
Director, Critical Care Services
Advocate Christ Medical Center
2:15 pm –
3:00 pm ROUNDTABLE DISCUSSIONS: Observation Services Models and Challenges
What works in one hospital setting may not in another — or may not be feasible to try all together. During these roundtable discussions, attendees split into
groups to meet their ‘birds of a feather’ peers who share similar experiences, challenges, and opportunities based on the type of organization they represent.
The moderator poses questions and topics of discussion to the room that each group individually discusses to come up with solutions that can be directly
applied in their type of setting.
group 1 group 2
Hospitals and Health Systems with Residency Programs Large Hospital & Health Systems
group 3 group 4
Mid-Sized Hospitals and Health Systems Critical Access Hospitals
Ronald L. Hirsch, MD, FACP, CHCQM
Vice President, Regulations and Education Group
AccretivePAS
3:00 pm Close of Summit
7. • Analyze metrics focused on decreased
length-of-stay, improved quality, and
better patient throughput
• Learn successful strategies to reduce
financial costs and improve calculating
Observation hours
• Navigate process improvements and
team collaboration in a scattered
bed Observation Unit
as well as a co-horted
Observation Unit
N e w i n 2 0 1 5 :
Registration Fee: Register By
1/30/2015
Register By
2/27/2015
Register By
4/28/2015
Standard
Conference $ 1495.00 $ 1795.00 $ 2095.00
Conference Plus 1 Workshop $ 1795.00 $ 2095.00 $ 2395.00
Workshop Only $ 695.00 $ 695.00 $ 695.00
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Workshop Only $ 395.00 $ 395.00 $ 395.00
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WEBCAST $ 895.00 $ 995.00
WEBCAST Plus Flash Drive $ 994.00 $ 1094.00
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Fee for conference includes welcome coffee, lunch, reception, refreshments, and
web-based conference documentation available pre- and post-event, accessible through
password-protected website. Checks in U.S. funds drawn from U.S. bank payable to:WC
Research Inc. No personal checks accepted.Verification may be required for rate approvals.
Please contact us should you have any special needs.
SPECIAL TEAM DISCOUNTS: Your organization may send ONE
executive FREE for every three delegates registered. All registrations
must be made at the same time to qualify. To register your team,
contact us at 800-767-9499.
Participant Substitution and Cancellations:
Your registration may be transferred to a member of your organization up to 24
hours in advance of the conference. Cancellations received in writing on or before
30 days prior to the start of the event will be refunded, less a $395 administrative
charge. No refunds will be made after this date; however, the registration fee
less the $395 administrative charge can be credited to another World Congress
conference if you register within 6 months from the date of this conference. In
case of conference cancellation, World Congress’ liability is limited to refund of the
conference registration fee only. World Congress reserves the right to alter this
program without prior notice.
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Observation
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Venue:
Hyatt Rosemont
6350 N River Rd, Rosemont, IL 60018
Phone: (847) 518-1234
rosemont.hyatt.com
Room Rate: $179
Cut-off Date: 4/14/15
PHONE
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781-939-2400 outside the U.S.
Please mention WC Research/World Congress
when registering to receive this special rate!
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conferences. If you are not satisfied with the quality of the conference, a credit will be
awarded towards a comparable World Congress conference of your choice.
To register: Call: 800-767-9499 • email: wcreg@worldcongress.com • visit www.worldcongress.com/observation
S A V E U P T O $ 3 0 0 W H E N Y O U R E G I S T E R B Y 1 / 3 0 / 2 0 1 5 !
Approved for
CME/CEU/CCMC
Credits!
See website
for details.
The National Association of Physician Advisors presents the 12th Annual
Observation
Management Summit
Strategies to Improve Throughput, Increase Capacity, Decrease Length-of-Stay, and Balance Costs
April 28 - 29, 2015
Hyatt Rosemont
Chicago, IL
NAPA