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Business technology continues to play an integral role in the effective delivery, financing and administration of healthcare solutions. With the industry’s propensity for constant change, it is our goal to address the Business Information System Professionals and Payor community’s current financial, legal and technological challenges. HIMSS07 meets your needs with robust educational programs on today’s most pressing issues.

Pay for Performance: How Did They Do That?

Monday, February 26, 10:00 AM - 11:00 AM

Stephanie Alexander
Caroline Piselli, RN, MBA, CHE
Education Session Number: 10

Topic Information:
Public Policy Initiatives - Primary Topic

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Description:
The CMS/Premier HQID project is the first national project to measure hospital performance and offer additional Medicare payment for quality care. Take an in-depth look the benefits and challenges in pay for performance programs.

Speaker Information:
Stephanie Alexander
Sr. Vice President, Health Informatics, Premier, Inc.
Caroline Piselli, RN, MBA, CHE
3M APR DRG Program Manager, 3M Health Information Systems

Level:
Intermediate

Objectives:

  • Determine the national issues underlying current pay for performance initiatives
  • Analyze the relationship between cost and quality in the design of the national CMS/Premier Hospital Quality Initiative Demonstration (HQID)
  • Evaluate lessons learned from top performers operating in a pay for performance environment and how to use data to identify clinical opportunities for improvement
  • Review the classification methodologies employed in pay for performance initiatives to ensure fair and equitable measurement
  • Identify the strategic/operational benefits, the challenges and disadvantages for hospitals participating in pay for performance programs

CEUs Information:
ACHE (American College of Healthcare Executives )
CME (Continuing Medical Education)
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
252

MOP-ping Up

Monday, February 26, 11:15 AM - 12:15 PM

David Finkel
Mark Shinmoto, PharmD
Education Session Number: 25

Topic Information:
Enabling Technology - Primary Topic

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Description:
A Web-based Medical Operations Portal (MOP) provides reference and reporting of medical guidelines and measures while serving a managed care group of more than 350 physicians and 3,000 contracted physicians. Learn how MOPs can help "clean up" your organization's medical guidelines reference and reporting.

Speaker Information:
David Finkel
Chief Software Architect, Ventricle Software Systems
Mark Shinmoto, PharmD
Director of Pharmacy, HealthCare Partners Medical Group

Level:
Intermediate

Objectives:

  • Review information portal solutions and decide whether it provides measurable operational value to your medical group
  • Describe key operational guidelines and protocols for inclusion in a portal based solution
  • Prepare a list of key performance operational measures a medical group would benefit from having frequent access to updated accurate values
  • Identify information that can dramatically help in the standardization of care and the adherence to organizational quality measurements
  • Design an effective bi-directional communication tool to allow medical and operational leadership to communicate with clinicians throughout the organization

CEUs Information:
ACHE (American College of Healthcare Executives )
CME (Continuing Medical Education)
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
383

Roundtable: Online Patient Interaction: The Growing Use of Patient Portals

Tuesday, February 27, 1:00 PM - 2:00 PM

Deborah Kohn, MPH, RHIA, CHE, CPHIMS, FHIMSS
John Sharp, MSSA, PMP
Roundtable: 304

Topic Information:
Enabling Technology - Primary Topic

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Description:
This roundtable discussion session will focus on the features and functions of the growing number of patient-centered portals offered by healthcare provider and payor organizations.

Speaker Information:
Deborah Kohn, MPH, RHIA, CHE, CPHIMS, FHIMSS
Principal, Dak Systems Consulting
John Sharp, MSSA, PMP
Web Administrator, Cleveland Clinic

Contact speaker John Sharp

Level:
Intermediate

Objectives:

  • Identify the technical and functional requirements for patient-centered web portals
  • Discuss the hurdles in implementing patient portals
  • Recommend when patient-centered portals should be implemented as part of an organization's strategy to use enabling technologies improve patient care and lower costs
  • Define what providers and payors expect from the organization's patient portal
  • Determine how to market the organization's patient portal to the organization's constituents

CEUs Information:
ACHE (American College of Healthcare Executives )
CME (Continuing Medical Education)
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
271

Virtual Business Office Breakthroughs!

Tuesday, February 27, 1:00 PM - 2:00 PM

David Hammer, FHFMA, CHFP, MBA, MHS
John Wade
Education Session Number: 87

Topic Information:
Business Management Systems - Primary Topic

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Description:
Achieve breakthrough performance with a consumer-directed virtual healthcare business office. Learn how one health system's self-service billing improves customer service, accelerates cash collections, and increases employee productivity.

Speaker Information:
David Hammer, FHFMA, CHFP, MBA, MHS
Vice President, Revenue Cycle Solutions, McKessonn Provider Technologies
John Wade
Chief Information Officer, St. Luke's Health System

Contact speaker John Wade

Level:
Intermediate

Objectives:

  • Identify the impact of the Consumer-Directed Health Care movement on the healthcare revenue cycle
  • Report how the capabilities and features of a "virtual business office" can help providers respond to the challenges of CDHC
  • Propose similar results to those achieved by "best practice" providers who implemented virtual business offices
  • List the key steps needed to deploy the virtual business office and roll out consumer self-service for the revenue cycle

CEUs Information:
ACHE (American College of Healthcare Executives )
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
356

Going Lean: Trimming the Process Fat Yields Performance Payoffs

Tuesday, February 27, 1:00 PM - 2:00 PM

Melissa Greer
Education Session Number: 90

Topic Information:
Process Improvement - Primary Topic

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Description:
University of Colorado Hospital's Lean initiative automated and streamlined it's manual billing office processes. The results? Noticeably improved patient service and business performance while embracing a culture of continuous process improvement. Examine this success and how it can work for your own facility.

Speaker Information:
Melissa Greer
Senior Director of Revenue Cycle Operations, University of Colorado Hospital

Contact speaker Melissa Greer

Level:
Intermediate

Objectives:

  • Examine the Lean concept, process and methodology and realize the value of applying it to your process improvement initiatives
  • Evaluate the challenges, time commitment and trade-offs of undertaking a Lean project and the importance of executive vision and support
  • Demonstrate excitement for a Lean project with staff and cultivate a culture of continuous process improvement
  • Review immediate, measurable results achieved following two Lean projects undertaken at UCH

CEUs Information:
ACHE (American College of Healthcare Executives )
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
275

Improve Provider-Payor Relations with Web-Based Dashboards

Tuesday, February 27, 2:15 PM - 3:15 PM

Duncan Ross, MBA
Moha Desai
Education Session Number: 105

Topic Information:
Leadership and Communication - Primary Topic

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Description:
Current deficiencies surrounding claims processing result in poor provider-payor relations. A web-based Dashboard Tool providing timely and accurate performance information can deliver efficiencies and improved performance. Learn how one payor has effectively incoporated this technology into its business practices.

Speaker Information:
Duncan Ross, MBA
Vice President, Network Management Strategy and Operations, Blue Shield of California
Moha Desai
Manager, BearingPoint - Management and Technology Consultants

Contact speaker Moha Desai

Level:
Introductory

Objectives:

  • Identify the Key Performance Indicators (KPIs) to be incorporated into an ideal Payor-Provider Dashboard
  • Design a dashboard that tracks and reports information that will represent a shared view and motivate change in behaviors
  • Utilize a dashboard to identify process improvement activities and action plans for performance enhancement
  • Evaluate remediation strategies for broken provider-payor relationship

CEUs Information:
ACHE (American College of Healthcare Executives )
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
356

Business Information Systems: HIPAA: Implementing X12 Version 5010-Expected Benefits and Major Changes from 4010A1

Wednesday, February 28, 8:30 AM - 9:30 AM

Don Bechtel
Education Session Number: 119

Topic Information:
Interoperability, Standards and Health Data Exchange - Primary Topic

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Description:
With potential Healthcare HIT legislation mandating implementation of X12 version 5010 HIPAA transaction standards by April 2009, what should the industry expect from this upgrade? Even if the Healthcare HIT legislation doesn't pass, X12 will be asking HHS to update these transactions to version 5010. This will be another regulatory change to our financial and administrative healthcare systems. Just when things were starting to settle down, why change now? Will this change be worthwhile? Or some might say, we haven't implemented all the 4010A1 HIPAA transactions yet, how will this change help?

Cosponsor:
In collaboration with AFEHCT

Speaker Information:
Don Bechtel
Standards and Regulatory Manager, Chief Privacy Officer, HDX, Siemens Medical Solutions Health Services

Level:
Intermediate

Objectives:

  • Identify the benefits of the newer X12 version
  • Identify the major changes or differences from version 4010A1
  • Identify where significant work will be required
  • How to support two versions during the transition

CEUs Information:
ACHE (American College of Healthcare Executives )
CME (Continuing Medical Education)
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
252

Fully Automate the Revenue Cycle

Wednesday, February 28, 8:30 AM - 9:30 AM

John Reed, Jr., MHA, MHRM, CMPE, CHE
Leyton Braud
Education Session Number: 123

Topic Information:
Process Improvement - Primary Topic

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Description:
Progressive use of technology advances automation of the revenue cycle for group practices, eligibility checking, charge captures at point-of-care, claims submission and electronic posting/remittance. Learn how the use of techonolgy continues to improve efficiency and profitability of one healthcare organization.

Speaker Information:
John Reed, Jr., MHA, MHRM, CMPE, CHE
President and CEO, Piedmont Medical Care Corporation
Leyton Braud
Director of the Central Business Office, Piedmont Medical Care Corporation

Contact speaker Leyton Braud

Level:
Intermediate

Objectives:

  • Propose strategies and tactics for achieving full automation of revenue cycle functions in group practices to improve efficiency, productivity and profitability
  • Analyze the advantages of increasing automation on the front end of the revenue cycle to improve the quality of data and streamline all related functions
  • Discuss specific technological solutions, and explore the advantages and disadvantages of each, focusing on lessons learned during the PMCC process
  • Review outcomes achieved through revenue cycle automation and explore additional technologies being considered for adoption
  • Examine the impact increased automation has on staff and share specific strategies adopted to address concerns and incentivize your staff

CEUs Information:
ACHE (American College of Healthcare Executives )
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
356

Health Savings Accounts and Consumer Driven Healthcare

Wednesday, February 28, 9:45 AM - 10:45 AM

Sheila Schweitzer
Education Session Number: 129

Topic Information:
Business Management Systems - Primary Topic

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Description:
Consumer Driven Healthcare is the fast growing segment of the healthcare payment process, with over six million consumers participating. This new participant in the payment process is going to bring challenges to providers, payers and the entities that work with them, i.e. clearinghouses. This presentation will discuss the movement with Health Savings Accounts/Consumer Driven Healthcare and the need this will generate to give consumers transparency into their financial information.

Speaker Information:
Sheila Schweitzer
Chair of the HIMSS AFEHCT Advisory Council, Chair and CEO, CareMedic Systems, Inc.

Level:
Advanced

Objectives:

  • Specifics about Consumer Driven Healthcare Movement
  • Businesses transaction that will deal with the new payment process
  • Emerging needs to give consumers transparency

Location:
Convention Center

Room:
LaNouvell AB

Accounting for HSAs: Establishing the Rules

Wednesday, February 28, 9:45 AM - 10:45 AM

Steven Lazarus, PhD,CPEHR, CPHIT, FHIMSS
Education Session Number: 141

Topic Information:
Business Management Systems - Primary Topic

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Description:
Health Saving Accounts (HSAs) present new challenges for providers, payers and patients. Discuss issues and proposed industry solutions to identify and set-up accounting procedures for health plan and patient payments (HDHP) with HSA.

Cosponsor:
In collaboration with WEDi

Speaker Information:
Steven Lazarus, PhD,CPEHR, CPHIT, FHIMSS
President, Boundary Information Group

Contact speaker Steven Lazarus

Level:
Intermediate

Objectives:

  • Identify major barriers for providers to know what is collectible from the patient when a HDHP or HSA is involved
  • Diagram a workflow and information flow for billing and collection from HDHPs, HSAs and patients directly when all three are involved
  • Discuss with patients and staff the patient responsibilities for payment when HSAs are involved, including IRS regulations
  • Report how to construct patient accounting categories to correctly identify and account for health plan and patient payments when HSAs are involved

CEUs Information:
ACHE (American College of Healthcare Executives )
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

Location:
Convention Center

Room:
356