Telemedicine: When to Embark on an Alternate Care Delivery Model?

Oct 27, 2017 12:30pm ‐ Oct 27, 2017 2:00pm

Identification: IFE3

As medical practices move from a fee-for-service reimbursement environment to fee-for-value reimbursement, it is increasingly important for the financial health of the organization to be able to optimally manage the health of the practice's patient population in a cost-effective manner. For a community health center (CHC) practice, the decision to offer medical services virtually, however, does not come without significant organizational commitment and investment cost. From a clinical perspective, virtual care requires physician acceptance of a paradigm shift in how a relationship is established between patient and physician. From a financial perspective, key areas of concern are: (1) return on investment (ROI) projections; and (2) the potential implications of not offering a virtual visit solution.

This presentation seeks to: provide a review of existing literature on the topic of telemedicine with a focus on synchronous virtual encounters in primary care; evaluate experiences of primary care practices; and, ultimately, provide additional knowledge to assist practice administrators and key stakeholders in decision-making and strategic planning as it relates to the value of virtual visits to the future of their organizations.

  • Understand how virtual visits can be utilized effectively in the primary care setting.
  • Understand the ROI from the clinical and patient perspectives in utilizing virtual visits.
  • Understand reimbursement in the fee-for-service model, as well as the opportunities in the value-based payment model.


Transformational Leadership for FQHC Management Team

Oct 27, 2017 2:30pm ‐ Oct 27, 2017 4:00pm

Identification: IFA4

Leadership is the ability to inspire individual and organizational excellence, create a shared vision, and successfully manage change to attain an organization's strategic ends and successful performance. Transformational leadership is defined as a leadership approach that causes change in individuals and social systems. In its ideal form, it creates valuable and positive change in the followers with the end goal of developing followers into leaders.

This session will focus on transformational leadership and the competencies and domain areas necessary to successfully and effectively lead in FQHC organizations.

  • Successfully lead change
  • Learn and lead simultaneously
  • Groom and develop future leaders


How Many Spreadsheets Does It Take to Run a Health Center?

Oct 27, 2017 2:30pm ‐ Oct 27, 2017 4:00pm

Identification: IFB4

We are told just about every day in health care that data is the future, we need to get better at data, we need to justify our knowledge with data, and we need data to receive funding in the future. But how are we handling data today? Are we still working with multiple spreadsheets? Inputting data by hand? If we are unable to handle the little day-to-day encounters with data, is there any hope for us when the viability of the health center depends on reporting large amounts of data on a daily basis? Creating a culture where analysts understand the data cycle will be a defining characteristic of successful health centers.

Many of us understand the revenue cycle, but alongside this and other business processes is the data cycle. This cycle involves how the various bits and pieces of information flow throughout our electronic environments (and sometimes paper environments). This cycle is full of opportunities for efficiency that we overlook in our day-to-day activities. Directors and managers don't have the time to find and improve the data cycle. This is where we need to have analysts be the eyes on the front lines of the health center.

  • Identify the data cycle in the health center operations.
  • Identify how mismanaging data can cost the health center money.
  • Utilize all employees as analysts to improve the data cycle.




Accounting Update: The New Revenue Recognition Standards, New Not-for-Profit Reporting Model, Final Lease Accounting Rule, and More

Oct 27, 2017 2:30pm ‐ Oct 27, 2017 4:00pm

Identification: IFC4

There are several large accounting and reporting changes on the horizon and it will be important for CHC finance departments to be ready. In February 2016, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2016-02, Leases (Topic 842), the long-awaited new standard on lease accounting. Lessees will now recognize assets and liabilities on their balance sheet for all leases with terms of more than 12 months. In August 2016, the FASB released ASU 2016-14, an NFP accounting standard for financial reporting. This marks the largest change to NFP financial reporting in 20 years. And ASU 2014-09, Revenue from Contracts with Customers (Topic 606) was released which impacts revenue recognition. This was followed up by guidance issued from the AICPA specific to health care organizations.

It will be beneficial to have a good understanding of these three significant changes as they all are implemented over the next two to three years.

  • Understand the new NFP financial reporting standard issued by the FASB.
  • Understand the new lease accounting standard as issued by the FASB.
  • Understand the new revenue recognition standard as issued by the FASB and the related guidance issued by the AICPA.


HIPAA Compliance After the First Health Center Settlement

Oct 27, 2017 2:30pm ‐ Oct 27, 2017 4:00pm

Identification: IFD4

In April 2017, the Office for Civil Rights (OCR) announced a $400,000 HIPAA settlement with a federally qualified health center. Although the health center responded appropriately to an email phishing incident affecting over 3,000 patient records, OCR found that the health center failed to complete the required risk assessment process and it failed to implement any corresponding risk management plans to address the risks and vulnerabilities identified in a risk analysis. With each settlement announced, OCR is sending a message to similar health care entities and this time the message was clearly directed at health centers.

In this session, we'll review the health system settlement and several other recent settlements to identify enforcement trends, settlement trends, and lessons learned.

  • Identify key HIPAA Privacy and Security Rule enforcement actions relevant to health centers and other community providers.
  • Understand risk assessment and risk management requirements under HIPAA
  • Draft activities related to HIPAA risks for inclusion in their health center's compliance work plan


Putting the Puzzle Together: A Creative Team-Based Approach to Employee Health Care Purchasing

Oct 27, 2017 2:30pm ‐ Oct 27, 2017 4:00pm

Identification: IFE4

Choosing an employee health plan should be a collective decision-making process involving employees, HR, leadership teams, and board members. But often it gets punted to a few individuals and rushed through right before renewals are due. As a result, organizations may not be getting the best financial deal, and employees may face unexpected - and possibly unwelcome - changes in their plans. With health care as both one of the largest line items on an organization's budget and the most important benefit for employees, this is far from a best practice for health care purchasing.

One solution is to establish a health care purchasing feedback program. Starting with a small group of decision-makers, a feedback program can reach out to all audiences in an organization to solicit input on potential health insurance plans. By engaging a diverse group in the process, CHCs are ensured that all voices are heard when making critical decisions about what health care program best serves the organization and the employees.

This interactive workshop will delve into health care purchasing feedback programs, specifically focusing on one CHC's experience with this model and how it created early buy-in across all audiences for a completely new - and wholly beneficial - partial self-insurance program.

  • Understand how a health care purchasing feedback program can create a sense of ownership and satisfaction with benefits across all internal audiences.
  • Identify the various data collection methods involved with a health care purchasing feedback program and how to use them effectively in the decision-making process.
  • Understand why it’s critical to start early and the strategies for engaging with all audiences in manageable ways.