2012 Congress on Reducing Hospital Readmissions

About the Conference

2012 Congress on
Reducing Hospital Readmissions

Groundbreaking Techniques for Effective Discharge Programs, Patient Transitions, Continuum of Care and Provider-Payer Collaboration

March 29-30, 2012 • Wynn Las Vegas • Las Vegas, NV

The passage of the healthcare reform has introduced numerous changes to the entire healthcare system with a primary focus on reducing preventable hospital readmissions. The program will concentrate on decreasing costs and reimbursements while improving quality patient care and health. Preventable hospital readmissions presently costs the United States health system an estimated $25 billion annually, and is a significant avoidable cost. Poor discharge plans and inefficient patient follow-up are the largest contributing factors, and one out of every five Medicaid patients are readmitted within 30 days of discharge.

We have created a high level forum featuring providers and payers who will share their insights and expertise on how to lower readmission rates through recognized and proven discharge programs and follow-up plans, simultaneously reducing costs and improving quality of care. This impressive program will include distinguished members from highly regarded institutions comprised of hospitals, health systems, health plans and industry experts; featuring best practices to utilize in today's rapidly evolving world.

This is the only conference on Reducing Hospital Readmissions that will equip you with innovative strategies and tools to be better prepared for 2012 and 2013. By attending the 2012 Congress on Reducing Hospital Readmissions, you will learn what others in clinical integration, utilization management, patient care and reimbursement are doing to be prepared for the challenges that lie ahead in 2012 and beyond.

Register today to reserve your seat at the conference and take advantage of early bird discounts! To register or ask questions, please register online at www.2012readmissions.com, or call 1-800-646-9581.

We look forward to greeting you in Las Vegas!

Sincerely,

2012 Reducing Hospital Readmissions Team

Who Should Attend

From Health Plans, Employer Plans, TPAs & Managed Care Organizations:

Chief Executive Officers, Chief Medical Officers. Also, Vice Presidents, Directors & Managers, Executives of:

• Medical Management
• Disease Management
• Strategic Planning
• Diabetes Management
• Health Management
• Senior Products
• Health Promotion & Wellness
• Utilization Management
• Provider Relations

• Care Management
• Case Management
• Quality Improvement
• Community Health
• Risk Management
• Finance
• Member Engagement
• Network Contracting
• Compliance

From Hospitals and Health Systems:

Chief Medical Officers, Chief Clinical Officers, Chief Operating Officers, Chief Financial Officers. Also, Vice Presidents, Directors & Managers, Executives of:

• Medical Management
• Utilization Management
• Quality
• Appeals Management
• Patient Financial Services
• Patient Care
• Emergency Department
• Hospitalists
• Billing
• Medical Records
• Operations
• Strategy
• Nursing

• Case Management
• Care Management
• Denial Management
• Compliance
• Admissions
• Patient Flow
• Emergency Department
• Managed Care
• Coding
• Risk
• Finance
• Clinical Documentation
• Physician Assistants

Also of interest to Healthcare Consultants, Solution Providers and Vendors.

Main Conference Workshop Session

MAIN CONFERENCE WORKSHOP SESSION:

Thursday, March 29, 2012 • 5:30 p.m. – 7:30 p.m.

Strategies for Effective Health Plan Contract Negotiations and Hospital Incentive Programs

As Healthcare Reform is in the process of being implemented and many changes are expected to take place, it is extremely important to be well prepared in order to survive and thrive under the new regulations.

This workshop session will discuss effective strategies on how to navigate and negotiate the new health plan contracts which will affect providers and patients. The session will also offer insight into the new programs being enacted in order to provide incentives to Providers to reduce their hospital readmission rates and to offer improved quality care. Dr. Koenig will also touch upon the changes in Medicare and how this will affect future contracts and programs.

ABOUT THE WORKSHOP LEADER:
Teresa Koenig, MD, MBA is Vice President at The Camden Group, and is an expert on designing and developing medical management programs for health plans and accountable care organizations. She has worked with provider groups and health system of all sizes, and specializes in utilization and quality management, including setting metrics to help organizations deliver accountable care. She also is skilled in the development of provider networks and incentive systems.

Prior to joining The Camden Group, Dr. Koenig served as senior vice president and chief medical officer of SummaCare, Inc./Apex, Inc., the insurance and third party administrator (“TPA”) arm of Summa Health System. She was responsible for the operations, contracting, and clinical policy development for the organization and its 170,000 members throughout Ohio, Florida, Vermont, and Tennessee. Dr. Koenig also maintained a clinical presence as a practicing physician and a faculty member of the internal medicine residency program at Akron City Hospital, one of Summa Health System’s six hospitals. Dr. Koenig has also previously served as medical director at SummaCare and at Ohio Health Choice.

She was appointed to serve on Ohio’s Medicaid Task Force as well as the Ohio Health Care Coverage and Quality Council (“OHCCQC”). While on the OHCCQC, Dr. Koenig was assigned to both the Medical Home Task Force and the Payment Reform Task Force. The Payment Reform Task Force is currently an advisory group to Ohio’s Office of Health Transformation.

Conference Day One

Day One – Thursday, March 29, 2012

7:00	Conference Registration & Morning Breakfast
8:00	Chairperson's Opening Remarks
8:15	The CMS Perspective: Setting the Stage to Reduce Hospital Readmissions Betsy Thompson, MD, DrPH Chief Medical Officer, San Francisco Regional Office Centers for Medicare and Medicaid Services (CMS)
9:00	Colorado's Readmission Reduction Collaborative - Starting with Trust Christopher Stanley, MD, MBA Senior Medical Director, Rocky Mountain Region UnitedHealthcare
9:45	Networking Break and Refreshments
10:15	Reducing Readmissions: How Are Payers Addressing This? Michael Sherman, MD, MBA Senior Vice President & Chief Medical Officer Harvard Pilgrim Health Care
11:00	Key Strategies for Establishing Successful Patient Discharge and Planning Kathy Nipper-Johnson, RN, BSN, CCM Director, Case Management Memorial Hermann Healthcare System
11:45	Strategies to Prepare for the Hospital Value-Based Purchasing Program and its Proposed Measures on Readmissions Yosef Dlugacz, PhD Senior Vice President, Krasnoff Quality Management Institute & Chief of Clinical Quality, Education & Research North Shore-LIJ Health System
12:30	Luncheon for Speakers and Delegates
1:30	Identifying Areas of Higher Readmissions and Creating Specific Interventions Jill Frye RN, BSN, MSA Director, System Case Management Intermountain Healthcare
2:15	Panel Discussion: Collaboration of Health Plans and Providers to Deliver Improved Quality Care and Enhanced Patient Safety Antonio Linares, MD, FAAFP Regional Vice President & Medical Director Anthem Blue Cross/WellPoint Joseph Burke Director, Care Coordination Saint Louis University Hospital Barbara Walters, DO, MBA Senior Medical Director Dartmouth-Hitchcock Medical Center
3:15	Networking Break and Refreshments
3:45	New Home Based Tele-Monitoring Devices and its Role in Ensuring Patient Health and Chronic Disease Prevention Patricia Orchard, RN Director, Clinical Operations Horizon Blue Cross Blue Shield of New Jersey
4:30	New Health Plan Pilot Programs To Establish Quality Measures Ruth Fricke Vice President, Accountable Care Solutions Aetna
5:15	End of Day One

Conference Day Two

Day Two – Friday, March 30, 2012

7:15	Morning Breakfast
8:00	Recap of Day One
8:15	Engaging Providers on Improvement: Outcomes of a Pay-for-Performance Readmission Reduction Program Page Babbit, MHSA, BSHIM Director, Provider Engagement, Performance & Partnerships Highmark
9:00	PATCH Pilot Program and its Effectiveness on Readmission Reductions Uday Deshmukh, MD, MPH, CPE Senior Medical Director, Care Management Blue Cross and Blue Shield of Florida
9:45	Networking Break and Refreshments
10:15	Payer-Provider Partnerships to Reduce Readmissions and Add Value Charles Schutz, MD, MPH Medical Director Blue Cross Blue Shield of Illinois
11:00	Transitions of Care: Reducing Readmissions on High Risk Seniors Michael Avriette Utilization Management Executive, Sacramento Sierra Region Sutter Health
11:45	Decreasing Hospital Readmissions in Patients with Congestive Heart Failure Vincent Perron, MD Associate Chief Medical Officer Tampa General Hospital
12:30	Conference Concludes

Speaking Faculty

Betsy Thompson, MD, DrPH Chief Medical Officer, San Francisco Regional Office Centers for Medicare and Medicaid Services (CMS)					Christopher Stanley, MD, MBA Senior Medical Director, Rocky Mountain Region UnitedHealthcare

Michael Sherman, MD, MBA Senior Vice President & Chief Medical Officer Harvard Pilgrim Health Care					Kathy Nipper-Johnson, RN, BSN, CCM Director, Case Management Memorial Hermann Healthcare System

Yosef Dlugacz, PhD Senior Vice President, Krasnoff Quality Management Institute & Chief of Clinical Quality, Education & Research North Shore-LIJ Health System					Jill Frye, RN, BSN, MSA Director, System Case Management Intermountain Healthcare

Antonio Linares, MD, FAAFP Regional Vice President & Medical Director Anthem Blue Cross/WellPoint					Joseph Burke Director, Care Coordination Saint Louis University Hospital

Barbara Walters, DO, MBA Senior Medical Director Dartmouth-Hitchcock Medical Center					Patricia Orchard, RN Director, Clinical Operations Horizon Blue Cross Blue Shield of New Jersey

Ruth Fricke Vice President, Accountable Care Solutions Aetna					Page Babbit, MHSA, BSHIM Director, Provider Engagement, Performance & Partnerships Highmark

Uday Deshmukh, MD, MPH, CPE Senior Medical Director, Care Management Blue Cross and Blue Shield of Florida					Charles Schutz, MD, MPH Medical Director Blue Cross Blue Shield of Illinois

Michael Avriette Utilization Management Executive, Sacramento Sierra Region Sutter Health					Vincent Perron, MD Associate Chief Medical Officer Tampa General Hospital

Teresa Koenig, MD, MBA Vice President The Camden Group

Venue and Pricing

HEALTH PLANS/HOSPITALS	Register by March 29, 2012
Conference Only	$1195
Conference & Workshop	$1395

STANDARD RATE	Register by March 29, 2012
Conference Only	$1395
Conference & Workshop	$1595

Venue:

Wynn Las Vegas
3131 Las Vegas Boulevard South
Las Vegas, NV 89109
Toll Free: (866) 770-7555

*Mention Priority Code '8GLO0312' to get the discounted rate of $159/night.

Sponsors & Exhibitors

For sponsorship opportunities please contact Justin Sanders at 800-646-9581 or email him at jsanders@globalmediadynamics.com

Media Partners

Readmissions News is the leading newsletter for stakeholders interested in management of hospital readmissions. The twelve page monthly newsletter has detailed feature articles contributed by leading national experts and operators in the field, Thought Leader insights; Industry Briefs; Profile of a key individual involved with hospital readmissions management; plus more. The newsletter is available in print and electronic format.

To become to a supporting partner, please contact Jack Parrish at 800-646-9581 or email him at jparrish@globalmediadynamics.com

2012 Congress on Reducing Hospital Readmissions

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