MedAxiom Spring 2015 Conference
 

This agenda may change prior to the event as we add or update educational sessions. Please check back for updates, detailed descriptions and speaker information.

Friday, April 17
Pre-Conference Sessions
7:00 am - 8:15 am Learn Your ABCs
CATHIE BIGA, CEO, CARDIOVASCULAR MANAGEMENT OF ILLINOIS
MICHELLE REESE, REVENUE CYCLE SOLUTIONS SENIOR CONSULTANT, CPC MEDAXIOM CONSULTING

In the fast-changing world of healthcare reform, there is an evolving language with a multitude of acronyms to master. CV leaders’ understanding of healthcare acronyms, their definition and meaning, is imperative to functioning and succeeding in today’s environment. With so many new programs, it’s almost impossible to keep up. (What’s a QRUR, a GPRO, RAC, and ZPIC?) Yet, these programs, reports, and organizations impact us at every level, every day. We will provide a better understanding of the acronyms, how they fit into today’s world and their place within the four “buckets” of: Payment Reform, Quality, Billing & Compliance and Medical Necessity. Attendees will receive a copy of our updated Glossary of Terms and Acronyms.
8:15 am - 8:30 am Break
8:30 am - 11:30 am The Smart Data Difference
MEDAXIOM CONSULTING TEAM
Overwhelmed by the sea of big data? The Smart Data Difference makes today’s massive amounts of data meaningful and actionable. This very in-depth session illustrates the power of evaluating particular composite data points to inform strategic and management decisions. The MedAxiom Consulting Team will detail:
  • Benchmarking Data as a Guide for Ops Management
  • Clinical Data: What Data You Should Be Tracking
  • Managing Payer Measured Metrics
  • Revenue Cycle Solutions: Data and the Financial Health of the Practice
  • Physician Compensation Data: Annual Survey Preview
  • Aligning Compensation with Organizational Objectives
  • Provider Resource Management and Workforce Planning
The presentation will conclude with a question-and-answer session.
General Session
8:00 am - 5:00 pm Registration 
1:00 pm - 1:15 pm Welcome and Introductions
1:15 pm - 1:45 pm The Heart of Transformational Pursuit
SUZETTE JASKIE, PRESIDENT AND CEO, MEDAXIOM CONSULTING
What are the successful and practical clinical strategies that will lead your program through transformation? This session explores the key factors—including new delivery models, mindset and vision—that are pushing programs to transform into high-value, patient-pleasing delivery units.
1:45 pm - 2:00 pm Related Case Study: Co-management
TERRI MCDONALD, CARDIOVASCULAR SERVICE LINE ADMINISTRATOR, TALLAHASSEE MEMORIAL HEALTHCARE
Aligning cardiology compensation around critical organizational strategies was one of the main goals in implementing a co-management program. Getting these alignments right and oriented around measurable and improvable metrics is a real challenge. Attendees will learn from an actual program’s journey, hearing not only where they got things right, but some of the challenges experienced along the way.
2:00 pm - 2:15 pm Q&A
2:15 pm - 2:45 pm MedAxcess Data Review: MedAxiom’s Key Indicator Report
JOEL SAUER, VICE PRESIDENT, MEDAXIOM CONSULTING
For nearly 15 years MedAxiom has conducted an annual survey of its membership tracking over 600 critical cardiovascular metrics. Attendees of this session will learn how to quickly and easily run their own personal Key Indicator Report, which synthesizes this powerful database into an easily understandable and highly useful management tool. In addition, attendees will be the first to see the most recent CV trends based on the 2015 data.
2:45 pm - 3:15 pm Related Case Studies and Q&A

Case Study # 1: Workforce Analysis
EDDIE BARBER, CEO, CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI
Cardiovascular programs are experiencing dramatic shifts in utilization along with a change in care expectations, moving away from individual patients in lieu of populations. Attendees will see how a practice used MedAxiom data along with other key indicators to identify current cardiovascular trends as a means to predict the future. These data were then synthesized to right-size provider needs while maintaining quality outcomes.

Case Study # 2: Improving Access with Data
KAREN ENGELHARDT, EXECUTIVE DIRECTOR, LOUISIANA CARDIOLOGY ASSOCIATES
 Getting patients in the front door is critical to the life of a cardiovascular program. Attendees will learn how a practice used MedAxiom data to pinpoint strengths and weaknesses, identify its unique value proposition, optimize staffing and improve patient access and throughput, all of which led to increased efficiency as well as better patient quality of care and satisfaction.
3:15 pm - 3:30 pm Q&A
3:30 pm - 3:45 pm Corporate Partner Introductions (Part 1 of 2)
3:45 pm - 4:15 pm Break with Partners
4:15 pm - 4:45 pm Volume to Value Fast Track
CATHIE BIGA, CEO, CARDIOVASCULAR MANAGEMENT OF ILLINOIS
Medicare’s recent announcement regarding the move from volume to value states that 30% of Medicare payments must be in value-based payment models by the end of 2016 and 50% by the end of 2018. What does the value-based reimbursement landscape mean for the CVSL? How does it tie to performance? Cathie explains the key details of the announcement and highlights what you need to know about the four categories under the new Payment Taxonomy Framework.
4:45 pm - 5:00 pm ASNC Registry: The Delivery of Quality Care in Nuclear Cardiology
DR. DAVID WOLINSKY, SECTION HEAD, NUCLEAR CARDIOLOGY, CLEVELAND CLINIC–FLORIDA AND PRESIDENT-ELECT AMERICAN SOCIETY OF NUCLEAR CARDIOLOGY
ASNC ImageGuide is the first cardiovascular imaging registry being put in place to promote and demonstrate the delivery of quality care in the field of nuclear cardiology. This registry will seamlessly collect data related to all aspects of the performance of nuclear cardiology testing and establish clinical benchmarks in quality.
5:00 pm - 5:15 pm Corporate Partner Introductions (Part 2 of 2)
5:30 pm - 6:30 pm Networking Reception with Partners
6:30 pm - 8:00 pm Group Dinner

Saturday, April 18
7:00 am - 8:30 am Breakfast with Partners
7:00 am - 8:30 am Physician-Only Breakfast Meeting
7:30 am - 8:30 am Hospital Issues Roundtable Breakfast
General Session
8:30 am - 9:00 am Dollars and Sense: Bundle Payment Deep Dive
KAREN ENGELHARDT, EXECUTIVE DIRECTOR, LOUISIANA CARDIOLOGY ASSOCIATES
How do you properly vet a bundled payment program before signing up? Why would you or would you not participate? How do you get your physicians involved from the beginning as a key to success? Once you’ve listened to this presentation, you should be able to apply Karen’s lessons learned in your own program and receive shared savings from a bundled payment program and/or avoid paying a penalty. Discussion followed by Q&A.
9:00 am - 9:30 am APP Utilization: How Various Models Contribute to Value-Based Care
Do you have your provider team ready for bundled payments? We will review multiple examples of APP Utilization models that contribute to transitional care, throughput and access, and compressed care—all important components to a value-based approach to delivering care. Payment reform programs impact cardiovascular facilities with economic challenges on a national scale. At-risk models and bundled payments are just two examples. As we embark on these models, the challenges represent opportunities for us to explore alternative methods of effective healthcare delivery. Creating a team-based care model has been shown to improve value by increasing quality and decreasing cost, and appropriate deployment of APPs in these models can be an innovative approach to healthcare delivery. In order to be ready to deploy a team-based model, please join this session for an overview of multiple, innovative ways to utilize the APPs on your team.
9:30 am - 10:15 am Rules and Regulations: CAA Update
CATHIE BIGA, CEO, CARDIOVASCULAR MANAGEMENT OF ILLINOIS
New laws and regulations are being introduced every day – both nationally and locally. These rules and requirements impact the way we care for patients. This session will review the latest developments and will provide a high level understanding of the complexity and intricacies required for implementation. As President of the Cardiology Advocacy Alliance, Cathie will include the new SGR reform bill, the recently released Meaningful Use rules, and an update on the value programs now in place. The learner will be able to understand the merging of the quality programs and list the payment adjustments that are now in place as well as what is in the proposed (or recently passed) SGR bill. Additionally, you’ll be able to identify 3 major value program elements and what you need to implement to ensure you’re meeting the standards for 2015 and beyond.
10:15 am - 10:45 am Break with Partners
10:45 am - 12:15 pm Pediatric/Adult Congenital Workshop
MARYANNE KESSEL, EXECUTIVE DIRECTOR, HERMA HEART CENTER AT CHILDREN’S HOSPITAL OF WISCONSIN
KAY STEWART-HUEY, VICE PRESIDENT, CARDIAC SERVICES AT CHILDREN’S HEALTHCARE OF ATLANTA
MARK MCDONALD, ASSOCIATE VICE PRESIDENT, THE HEART INSTITUTE AT CINCINNATI CHILDREN’S HOSPITAL MEDICAL CENTER
PATRICK WHITE, PRESIDENT, MEDAXIOM
GINGER BIESBROCK, PA-C, MPH, MPAS, AACC, VICE PRESIDENT, MEDAXIOM CONSULTING

With a focus on adult congenital and pediatric cardiology, this workshop will offer multiple, in-depth discussions on a range of topics including: the development of congenital metrics, physician compacts, physician leadership training, financial and quality scorecards and dashboards, quality improvement programs and APP utilization.
10:45 am - 11:30 am BREAKOUT SESSIONS (PICK ONE OF THREE)
ER Collaborations to Reduce Readmission and Provide Care at the Right Time for our Patients
DR. KATIE MORIARTY, DEPARTMENT HEAD CARDIOLOGY AND MEDICAL DIRECTOR OF CONGESTIVE HEART FAILURE, AND
TERRY CARTER, DIRECTOR OF CARDIOVASCULAR SERVICE LINE,
HEALTH PARTNERS MEDICAL GROUP & CLINICS

In the spirit of developing value-based programs of the highest quality with controlled costs, we have created collaborative programs between cardiology and the Emergency Department that focus on providing care at the right time and place. These programs have impacted care for our low risk chest pain, heart failure, and atrial fibrillation patients. They have altered the ED care trends for these subsets of patients and have enhanced our quality of care, with cost savings to both the patient and to the system. Additionally, we have developed a collaborative program with our community paramedics to help address some of these care issues even prior to presenting to our institution. Collaborative programs are beginning to move the needle on appropriate care. Please join us for this session to learn more about these important collaborations.
Mapping Your Way to Transformational Excellence: The MedXcellence Report
JEFF OZMON, VP, AND LORI WALSH, SR CONSULTANT, MEDAXIOM CONSULTING
LORI WALSH, VICE PRESIDENT, MEMBERSHIP, MEDAXIOM AND SENIOR CONSULTANT, MEDAXIOM CONSULTING

What does a high-functioning CV group really look like? In 2014, MedAxiom conducted the first ever MedXcellence Study, focused on identifying the key attributes that drive performance and create value for CV programs. Now the results of a recent nationwide MedXcellence survey will be presented. Those who participated in the survey will receive their results, learn how they compare to other programs in the MedAxiom Community and take away actionable steps to improve their programs.
Learn Your ABCs (Repeat)
CATHIE BIGA, CEO, CARDIOVASCULAR MANAGEMENT OF ILLINOIS
MICHELLE REESE, SENIOR CONSULTANT, MEDAXIOM CONSULTING

In the fast-changing world of healthcare reform, there is an evolving language with a multitude of acronyms to master. CV leaders’ understanding of healthcare acronyms, their definition and meaning, is imperative to functioning and succeeding in today’s environment. With so many new programs, it’s almost impossible to keep up. (What’s a QRUR, a GPRO, RAC, and ZPIC?) Yet, these programs, reports, and organizations impact us at every level, every day. We will provide a better understanding of the acronyms, how they fit into today’s world and their place within the four “buckets” of: Payment Reform, Quality, Billing & Compliance and Medical Necessity. Attendees will receive a copy of our updated Glossary of Terms and Acronyms.
11:30 am - 12:15 pm BREAKOUT SESSIONS (PICK ONE OF THREE)
A Collaborative Effort: Clinical Integration with CV and Oncology
DR. SWATHY KOLLI, ORLANDO HEART CENTER, ORLANDO, FL
DR. CAROLINA DEMORI, ORLANDO HEART CENTER, ORLANDO, FL

CV teams are working with other subspecialties to create successful collaborations. In this discussion, we will look at how a close collaboration between cardiologists and oncologists can lead to a decrease in undesirable cardiovascular outcomes. Specifically, we will explore the fact that patients receiving chemotherapy with anthracyclines are still developing cardiomyopathy, which is not being treated in a timely manner due to inconsistent evaluation of cardiac function. There is data demonstrating that this cardiomyopathy can be reversible if treated during chemotherapy or soon after. Also, there is data showing that cardiomyopathy can potentially be prevented in these patients using cardiac biomarkers that are not being routinely used in patients receiving anthracyclines.

Cardiologists, oncologists and theirs extenders need to be aware of potential reversibility and prevention of chemotherapy-induced cardiomyopathy among other possible complications during cancer treatment. We look forward to sharing these ideas for improving and integrating efforts across the care continuum.

Recounting the Journey, an IPA's ACO Experience
JAN KENNEDY, EXECUTIVE DIRECTOR, CARDIOLOGY ASSOCIATES OF WATERBURY
This is the real deal: valuable pointers and invaluable lessons from a “not-always-pretty” ACO experience. Are current ACO MSSP models scalable to allow for opportunities in a small, diverse, physician network? Although attractive to maintain independence, are physicians successfully aligned and are IPAs prepared for a Medicare risk-bearing environment without hospital integration/cooperation? The strengths and weaknesses will be exposed through the re-cap of the 2-year experience of a Connecticut-based IPA and how performance has been impacted by the physician selection process, IT infrastructure, regional diversity and conflicting strategies. This is a relevant topic with increasing discussion of disintegration and next steps in practice evolution.
Reality Check: Get ICD-10 Ready, Now
NICOLE KNIGHT, DIRECTOR, REVENUE CYCLE SOLUTIONS, MEDAXIOM CONSULTING
ICD-10 is coming. And the undeniable reality is that the compliance date of Oct. 1, 2015 is near. This session will review ICD-10 CM coding and billing impacts to cardiovascular services. We will review key documentation points to assist physicians. Preparing for the potential changes affecting the revenue cycle is crucial. Are your IT systems ready? Have your physician and staff focused on necessary training? What are the payers doing? The session will discuss CMS End to End testing results and give you a framework to prepare for the transition.
12:15 pm - 1:15 pm LUNCH – PARTNER SPOTLIGHT EDUCATIONAL SESSIONS
(PICK ONE OF TWO)

Optimizing Patient Flow & Scheduling in the Device Clinic – Sponsored by Medtronic
JIM VOGL, VICE PRESIDENT STRATEGIC SOLUTIONS & SALES OPERATIONS, MEDTRONIC
TIMOTHY HIGGINS, NORTON SYSTEM DIRECTOR – PRACTICE OPERATIONS, NORTON

An overview of a Lean Sigma project at Norton Heart Specialists facilitated by Medtronic PRO|CV.
A New Stroke Risk Reduction Alternative for Patients with Non-Valvular Atrial Fibrillation – Sponsored by Boston Scientific
PRAT VERMA, DIRECTOR, GLOBAL HEALTHCARE SOLUTIONS, MINNEAPOLIS, MN
Medicare has now added Stroke to the list of clinical measures that providers and facilities will be measured on and penalized for their performance. As a result programs today are developing and implementing clinical strategies in an effort to drive preparedness for when these measures take effect. To this end programs must be able to identify the patient population at greatest risk, while measuring and implementing programs aimed at reducing the risk of stroke. Please attend this session to learn more about the value that the WATCHMAN™ device delivers and as you prepare for the evolving healthcare environment and learn how this novel treatment option may become part of your Stroke Risk Reduction strategies.
1:30 pm - 3:30 pm Pod Sessions
3:30 pm - 4:00 pm Break with Partners
4:00 pm - 5:30 pm Pod Sessions (continued)
5:30 pm - 6:30 pm Networking Reception with Partners
6:30 pm Dinner on your own

Sunday, April 19
7:00 am - 8:30 am Breakfast
7:00 am - 8:30 am Physician-Only Breakfast Meeting
7:30 am - 8:30 am EPIC Breakfast Session
8:30 am - 9:15 am Successful Use of Scribes: Growing Pains and Lessons Learned
ANN HONEYCUTT, EXECUTIVE DIRECTOR,
VIRGINIA CARDIOVASCULAR SPECIALISTS
DR. ED FRY, CHAIRMAN, CARDIOLOGY DIVISION,
ST. VINCENT MEDICAL GROUP
MODERATOR: GINGER BIESBROCK, MEDAXIOM CONSULTING

To see more patients in less time, some programs are using scribes while others are choosing not to. This panel will share their experiences and provide a checklist of scribe dos and dont’s.
9:30 am - 10:15 am BREAKOUT SESSIONS (PICK ONE OF TWO)
Strategies for Developing a Comprehensive A Fib Program
DR. BRAD HUBBARD, CHIEF OF CARDIOLOGY, MICHIGAN HEART
This A Fib case study will review the development of a partnership strategy among ED, primary care and cardiology. According to the AHA, approximately 2.7 million Americans are living with Atrial Fibrillation. These patients are presenting to the ED, their primary care offices and our cardiology offices. The good news is that Atrial Fibrillation has strong evidence-based guidelines for evaluation, management and intervention. Dr. Hubbard will outline a community-based approach that requires partnership and collaboration of multiple touch points that ensures all patients get high-quality, evidence-based care. Please join this valuable session to learn more about the requirements of such a program.
Physician Workforce Analysis & Planning
JEFF OZMON, VICE PRESIDENT, MEDAXIOM CONSULTING
In recent years several trends including declining volumes, an aging workforce and integration have challenged cardiology programs to know exactly how many physicians are required now and in the future. Historically, cardiology programs focused on call requirements; now programs are considering new issues like care teams, sub-specialization and program growth strategies through expanding access. In this session, MedAxiom will identify key quantitative and qualitative data sets that can be used to analyze a cardiology physician workforce plan. Participants will learn how to apply this data analysis to their physician workforce needs, and develop an accurate forecasting of their future physician workforce plan.
10:15 am - 11:00 am BREAKOUT SESSIONS (PICK ONE OF TWO)
Best in Class: Hospital High Performers
PATRICK HOLLOWAY, CEO, OKLAHOMA HEART HOSPITAL PHYSICIANS
DR. WILLIAM KATSIYIANNIS, PRESIDENT, MINNEAPOLIS HEART INSTITUTE
TOM TALLEY, CHIEF OPERATING OFFICER AND VP, MINNEAPOLIS HEART INSTITUTE
MODERATOR: RYAN GRAVER, PRESIDENT, MEDAXIOM VENTURES

The recent Hospital Data survey shows that a few programs were on the high end of everything. What are they doing right? Top achievers share their secrets of success. Hospitals are, for the first time, faced with managing a 5.5% risk associated with performance; in 2015 thousands of hospitals are realizing penalties based on under performance, measured under the Readmission Reduction (2,610), Value-Based Purchasing (1,375), and Hospital-Acquired Condition (721) programs. Session attendees will learn about these new programs while evaluating their own performance and leaders will receive actionable insights from peers about how they have organized their efforts to improve their performance. MedAxiom will distribute a detailed analysis of hospital performance at the conference.
Multi-Specialty Clinics: Getting Started, How to Structure & Operationalize
FRED SIMMONS, CEO, CLEARWATER CARDIOVASCULAR CONSULTANTS
JEFFREY RUSSELL, CHIEF ADMINISTRATIVE OFFICER, NORTHEAST OHIO CARDIOVASCULAR SPECIALISTS

Increasingly, as disease management requires multiple specialties in the decision making, multi-specialty clinics that bring providers together to see a patient in the same space are being developed. Clinics that focus on high-risk valve disease, structural heart disease, advanced heart failure, hypertrophic cardiomyopathy, and others are providing very effective care in a patient-centered environment. The informative session is designed to help us learn from one another about where to start and how to structure and operationalize multi-specialty visits.
11:00 am - 11:45 am BREAKOUT SESSIONS (PICK ONE OF TWO)
“Ask the Consultants” Roundtable
THE MEDAXIOM CONSULTING TEAM
This is your chance to ask about industry issues or specific challenges you face in a more informal, roundtable format. Topics will range from workforce planning, infrastructure and governance to operations management and clinical optimization.
For the Record: Managing Your Billing Processes
NICOLE KNIGHT, DIRECTOR, REVENUE CYCLE SOLUTIONS, MEDAXIOM CONSULTING
What is the best way to identify issues in the billing process? Patterns of errors indicate process breakdowns. This session will analyze problem areas and identify metrics to ensure accuracy and accountability.

MedAxiom has entered a joint sponsorship agreement with the International Institute for Continuing Medical Education (iiCME) to provide CME credits to healthcare professionals who attend the Spring 2015 Conference. The fee for awarding CME credits will be $200 per person and charged during the registration process. CME is dependent on content and decided upon completion of the final agenda along with descriptions and learning objectives. We estimate approximately 16.25 to 20 credits will be available for attending this event. Our goal is to enhance the experience and commitment many of our physicians are making toward understanding the complexities of the new healthcare delivery system and to bring this information back to their organizations to truly make a difference.


This program is for all individuals with a background in cardiology practice management that want to be kept up to date on the latest issues and development in this field. Participants should be in a management position and participating in business planning and execution within their respective roles. The program level chosen is Update. There is no advance preparation required. 

MedAxiom 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 addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417. Web site: www.nasba.org


NOTE: Attendees can also self-report to the MGMA for ACPME credits. The ACHE and other organizations recognize this program for continuing education. See your organization's requirements for reporting.