2017 FOM/IT - eSHOW test collection


7E8D3D28-4DF2-E311-B196-0025B3A62EEE


Sessions

Implementation and Scalability of a Clinic-Based Medical Assistant Training Program to Improve Recruitment, Retention, and Continued Team-Based Care Transformation

Oct 27, 2017 11:00am ‐ Oct 27, 2017 12:30pm

Identification: IFD2

Currently, training programs for medical assistants (MAs) have not caught up with the national move toward Patient-Centered Medical Home recognition and value-based care. Therefore, recruiting MAs trained for these advanced roles is challenging. Moreover, the leading primary care agencies bear the burden to provide extensive practical training for individuals they hire. These challenges result in extra recruitment and training costs, inefficiencies from staffing shortages, and lack of proper support for providers. A response is to create clinic-based training for MAs. Implementing an academic training program from the ground up requires a significant commitment and investment of resources: financial and human capital. Projections during the planning and initial start-up year for the National Institute for Medical Assistant Advancement (NIMAA) indicated a substantial need and demand for this service. While the initial investment was significant, it was projected that once the program was up and running the payback would be fairly rapid and that, over time, the project would offer significant Return on Investment that could be used to further support the mission of the health centers along with ensuring a viable answer to the challenge of recruiting highly-trained individuals into these more advanced MA roles.

Speaker(s):
  • Robert Block, Chief Financial Officer, Community Health Center, Inc.
  • Ted Henson, Director, Health Center Performance and Innovation, National Association of Community Health Centers, Director, Health Center Performance and Innovation, NACHC
  • Mary Blankson, APRN, DNP, FNP-C, Chief Nursing Officer, Community Health Center, Inc.

Grants Management: Financial Policy Considerations in Preparation for HRSA Site Visits

Oct 27, 2017 11:00am ‐ Oct 27, 2017 12:30pm

Identification: IFC2

Session presenters will review the Financial Capacity Review document, currently utilized by the Division of Financial Integrity (DFI) of HRSA, to analyze financial policies and procedures in place at health centers. This document contains 17 management control areas that HRSA believes will ensure that grant recipients have policies in place that are compliant with the Uniform Grants Guidance and the Department of Health and Human Services (HHS) Grants Policy Statement. Special consideration will be made for findings most commonly disclosed in single audit reports, HHS Office of Inspector General reports, HRSA Operational Site Visit reports, and DFI grant reviews which are designed to ensure health centers have safeguards in place for the appropriate financial stewardship of federal funds.

Speaker(s):
  • Catherine Gilpin, CPA, Senior Managing Consultant, BKD, LLP, Director, BKD, LLP
  • David C. Fields, Partner, BKD, LLP
  • Gervean Williams, Director, Health Center Financial Training, NACHC, Director, Financial Training and Technical Assistance, NACHC

Why Clinical Coding Matters... The Impact on Future Compensation

Oct 27, 2017 1:30pm ‐ Oct 27, 2017 3:00pm

Identification: IFB3

Value-based care and quality payment models have made coding an integral part of the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-Based Incentive Payment System (MIPS), and Quality Payment Program (QPP). While CHCs are eligible, but not obligated to report via QPP and penalties for 2017 data do not impact CHC PPS payments, CHC exclusion won’t last forever. Learning how current CHC coding/billing patterns impact how your organization, individually, and CHCs, collectively, are perceived may change the historic CHC tune of “coding does not matter.” During this session, attendees will gain a better understanding of the evolution and the future of the value-based care national landscape including the insurance industry perspective. Leave with tools that allow you to execute an effective ‘top-down’ QPP game plan including ICD-10 coding specifics and physician documentation improvement.      

Speaker(s):
  • Raymond Jorgensen, CPC, Co-Founder, PMG, Inc.
  • Gervean Williams, Director, Health Center Financial Training, NACHC, Director, Financial Training and Technical Assistance, NACHC

Essential Elements of Employee Retention

Oct 27, 2017 1:30pm ‐ Oct 27, 2017 3:00pm

Identification: IFA3

This session explores the extraordinarily high cost of employee turnover and offers some practical solutions to provide both the organization and the new employees a greater likelihood of having made a great mutual decision. Through both new employee orientation and onboarding, the process of connecting the new hire to the organization occurs. To the extent that we get it right, we greatly heighten our chances of retaining the new hire in our organization. We'll talk about the investment we need to make if we wish to decrease employee turnover. And it doesn't end once the employee has been with your organization for a while. We'll explore the power behind 'stay interviews' with all of our existing employees, and how our staff follow and advance through relationships.

Speaker(s):
  • Paul Kopack, Director of Human Resources, Johnson Health Center
  • Ted Henson, Director, Health Center Performance and Innovation, National Association of Community Health Centers, Director, Health Center Performance and Innovation, NACHC

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

Oct 27, 2017 1:30pm ‐ Oct 27, 2017 3:00pm

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.  

Speaker(s):

CMS Emergency Preparedness Final Rule: Make Sure Your Health Center Is Ready

Oct 27, 2017 1:30pm ‐ Oct 27, 2017 3:00pm

Identification: IFD3

The Centers for Medicare & Medicaid Services (CMS) released its long-awaited final rule establishing emergency preparedness requirements for 17 healthcare providers and suppliers participating in Medicare and Medicaid programs, which specifically includes Federally Qualified health centers. The rule establishes consistent emergency preparedness requirements across provider types. The rule went into effect on November 16, 2016, and Medicare and Medicaid participating providers and suppliers, including health centers, must comply by November 17, 2017. The new rule is far-reaching and requires providers to conduct annual risk assessments and develop emergency plans. Providers must develop and implement policies and procedures to successfully execute their emergency plans, while addressing risks identified during their most recent assessment phase. Providers must also establish a communications plan to communicate and coordinate patient care within and outside their facilities during an emergency. Finally, providers must demonstrate ongoing training and testing of their emergency management programs, including conducting exercises. This session, led by FTLF attorney Dianne Pledgie and Primary Care Emergency Preparedness Network (PCEPN)’s Lead Liaison Alexander Lipovtsev, will discuss the four core elements included in the new rule and the implications for health centers: · Risk Assessment and Emergency Planning · Communications Plan · Policies and Procedures · Training and Testing Program

Speaker(s):
  • Dianne Pledgie, Esq., Feldesman Tucker Leifer Fidell LLP, Compliance Counsel, Feldesman Tucker Leifer Fidell, LLP
  • Ted Henson, Director, Health Center Performance and Innovation, National Association of Community Health Centers, Director, Health Center Performance and Innovation, NACHC
  • Alexander Lipovtsev, LCSW, Director, Emergency Management Program, Community Health Care Association of New York State

Medicare Update Including Medicare Cost Reporting and How It Intersects With Revenue

Oct 27, 2017 1:30pm ‐ Oct 27, 2017 3:00pm

Identification: IFC3

As the population ages and the Medicare percentage of total patients increases for most community health centers, a focus on optimizing revenue from this important payer continues. This session will explore the key drivers of Medicare revenue including G-Code rate development, Chronic Care Management (CCM), and others. Presenters will discuss completion of the Medicare cost report and how the information from that completed report can be used to help monitor your performance and provide you with information on opportunities with this important program.     

Speaker(s):

Pre-Happy Hour Half-Hour BreakPre-Happy Hour Half-Hour Break

Preview Available

Pre-Happy Hour Half-Hour Break

Oct 27, 2017 3:00pm ‐ Oct 27, 2017 3:30pm

Identification: HPYHR


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

Oct 27, 2017 3:30pm ‐ Oct 27, 2017 5:00pm

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.

Speaker(s):

HIPAA Compliance After the First Health Center Settlement

Oct 27, 2017 3:30pm ‐ Oct 27, 2017 5:00pm

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.

Speaker(s):
  • Andy Gulati, Manager, Health Information Technology Training, NACHC
  • Dianne Pledgie, Esq., Feldesman Tucker Leifer Fidell LLP, Compliance Counsel, Feldesman Tucker Leifer Fidell, LLP
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