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Keynote Speaker: Gautam Gulati, MD, MBA, MPH
Every few decades, entire industries undergo a massive paradigm shift where business-as-usual gets fundamentally disrupted. New innovations in technology are forcing organizations - from education to finance to health care to hospitality and beyond- to re-imagine new possibilities and discover new opportunities. With the customer at the center, we are challenged with finding new ways to transform and collaborate at the speed of change without sacrificing quality in the process. The rapid growth of innovation is outpacing our ability to keep up. Exponential technologies in health and medicine - including robotics, 3D printing, genomics, artificial intelligence and much more - are beginning to uncover newly discovered opportunities to help re-imagine a future from the ground up. With the convergence of these exponential technologies, we will be able to create new experiences that start to blur the lines between humans, health and technology. It is becoming paramount for organizations to understand how to thrive in such an unpredictable environment, or risk being irrelevant.
Speaker: Peg Gilbert, RN, MS, CIC, FAPIC
The most current guidelines for injection safety will be presented with resources for healthcare workers in all settings, patients and family caregivers. The presentation will include other devices where exposure to blood borne pathogens may occur such as glucometers, multi dose medication vials, etc. Key points will include:
Speaker: Rebecca K. Moore
Population Health measures are currently based on data from a variety of disparate data sources for measuring population health outcomes. Most public health data are in the form of surveys of people within a population, or registries containing data submitted by healthcare professionals. These methods of collection and the resulting data do provide vital information about our population but leave gaps in critical information, have lag time from collection to analysis, self reporting - reporter bias, and presents challenges in data quality and completeness. Very similar to a jigsaw puzzle, to get the complete picture of our populations, we need to link data from many of the new and upcoming health information technologies with current information collected through the existing data sources. Current and upcoming health information technology can address many of the gaps in data to improve the health of individuals within the
populations and support the coordination of services among and across public and private sectors. Through the use of new technology, connecting disparate data and creating a population health record we can better understand population health. The population health record, is defined as a repository of statistics, measures, and indicators regarding the state of and influences on the health of a defined population, in computer processable form, stored and transmitted securely, and accessible by multiple authorized users. Integrating data from current and emerging health information technology systems with existing population level data into a population health record would provide valuable information for
improving population health outcomes. Initiatives and programs have been or will be developed to implement data integration across public and private systems and to aid in the improvement of national, state and local health outcomes.
Speaker: Lou Rubbo
This presentation will cover primary drivers for information technology (I.T.) security in health care. Differentiating necessary I.T. security versus optional as a cost consideration. I.T. security options available from small to enterprise including network and endpoint security. Budget considerations for hard costs, ongoing maintenance and soft costs including training.
Speaker: Lindsey Wiley
This presentation will introduce an overview of the Hospital Inpatient Quality Reporting (IQR) Program and the Electronic Health Record (EHR) Incentive Program for hospitals, as it relates to electronic clinical quality measures (eCQMs). Changes and updates as well as the alignment of the hospital EHR and IQR programs will be discussed to inform the participants of the current information provided by CMS. In addition, reporting and submission options will be reviewed to successfully reflect the value and quality of care provided by hospitals to maximize payments.
Speaker: Keith A. Swanson, PharmD, BCGP and Peter Winn, MD, CMD
Transitions between health care systems or hand-offs from one practitioner to another can be a risky time for patients. This presentation will discuss best practices for 'packaging' both the patient and the data generated during the delivery of care. Presenters will propose ways to assess the successes and opportunities for improvement for health systems here in Oklahoma and across the nation by investigating expectations of regulatory bodies and professional practice guidelines. Through an interactive approach, audience members will be engaged to identify strengths within their own systems and processes for both information transfer and patient hand-offs during both entry and departure from the facility. The ultimate goal for the presentation is for each participant to take home at least one idea to implement to assess and then improve the quality of patient transitions at their own facility.
Speaker: David Kendrick, MD, MPH, FACP
The Comprehensive Primary Care Initiative launched in Oklahoma in 2012 and has produced >$100M in savings while substantially increasing quality of care as well as payments to primary care providers. Oklahoma was the most successful state in the CPC program and CMS has now chosen Oklahoma, and specifically 171 practices in Oklahoma, to participate in a large expansion of this program. Called CPC+, this program offers 2 tracks and providers will learn to transform their practices into patient centered medical homes and leverage health IT to support patient empanelment, risk stratification, care gap analysis, quality improvement, and alerting. The presentation will emphasize the health IT best practices for succeeding in CPC+ and other new payment and quality programs such as CMS' MIPS program, ACO's, and commercial value-based payment models.
Speaker: David S. Nilasena, MD, MSPH, MS
This session will provide an overview of the Quality Payment Program authorized under MACRA. The requirements for the Merit-based Incentive Payment System will be discussed including the Pick Your Pace options available during the transition year of 2017. There will also be a brief discussion of Advanced Alternative Payment Models (APMs).
Speaker: Lisa Wynn, MA, BSN, RN
We will begin with a brief discussion of the evolution of Quality, from Quality Assurance to Process Improvement. We will then briefly discuss the Model for Improvement and PDSA Cycles (small tests of change). With that foundation laid, we will move into the lifecycle (evolution) of a national standard (also known as a clinical quality measure, or guideline). This will include how a measure comes into being (the driving factors or motivations), the steps in the process of moving from a "good idea" to the making of a national standard of care, including NQF endorsement, and challenges along the way. We will also look at challenges with measurement, as well as challenges with following clinical guidelines.
Antibiotic Stewardship is critical to the future of healthcare and prevention of drug resistant organisms. The presentation will help the participant identify starting points to begin a program in their facility. In addition, a risk assessment tool will be discussed to assist in prioritizing mitigation strategies for a service area. A third topic will be addressed on appropriate data collection to monitor HAI in nursing homes and how to obtain the numbers accurately.
Speaker: Ancil Lea, III
Patient engagement and marketing is more than getting patients to utilize your clinic's 'patient portal.' It’s engaging with the patient where they are. In this session, I will cover ways to utilize the technology you have now, introduce you to some proven technologies and methods that will increase your patient engagement, and enhance your practice. We will also discuss ‘where to start’ with this process. We’ll talk about assessing where you are in your practice, establishing goals and objectives, and strategies to achieve these with the use of technology and marketing.
Speaker: Lindsey Wiley, Mario Cruz
Patient engagement and marketing is more than getting patients to utilize your clinic's 'patient portal'. It’s engaging with the patient where they are. In this session, I will cover ways to utilize the technology you have now, introduce you to some proven technologies and methods that will increase your patient engagement, and enhance your practice. We will also discuss ‘where to start’ with this process. We’ll talk about assessing where you are in your practice, establishing goals and objectives, and strategies to achieve these with the use of technology and marketing.
Speaker: Jason Felts
This presentation will provide an overview and updates to the Medicare EHR incentives for eligible hospitals. We will cover Modified Stage 2 and Stage 3 objectives and measures for 2017 & 2018.
Speaker: Peter Winn, MD, CMD
CMS has required that skilled nursing facilities (SNFs) and long term care nursing facilities (NFs) improve and expand their quality assurance (QA) and performance improvement (PI) programs to better meet current standards of QA and PI already highly developed in health care.
This session will demonstrate tools that can be used to facilitate data collection, review, and analysis in order to promote ongoing sustained improvement in care, outcomes and resident and family satisfaction in your facilities, including prevention of adverse events, improved transitions of care and decreased hospital admissions and readmissions.
Speaker: Ashley Rhude
The Merit-Based Incentive Payment Systems (MIPS) for this year has 3 categories. Each category will earn clinicians a payment adjustment based on evidence-based and practice-specific quality data. In this session we will review 2 of the 3 categories including: (Improvement Activities and Quality). Improvement Activities are a new performance category for 2017, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. Quality will sunset the standalone Physician Quality Reporting System (PQRS) and Value-Based Modifier (VBM) programs. Join this session to learn how to avoid a negative payment adjustment with MIPS.
Speaker: Samantha Wegmiller, BSN, RN, LNHA
This presentation will explore opportunities to increase the momentum of health information exchange and usable technology. Spotlighting 20 plus years of one of the greatest marketing taglines ever- ‘got milk?’, this 1993 campaign drove consumers in California and really the nation back to simply drinking milk! The concept of health information exchange and usable technology as it applies to consumers seems very simple; however, the barriers and challenges are not. The consumer’s expectations and the collateral marketing for HIT have not been fully nor successfully developed yet.
MyHealth Access Network is Oklahoma's Health Information Exchange serving nearly every patient in Oklahoma and 420 healthcare organizations with thousands of doctors, hundreds of clinics, and dozens of hospitals across the state. MyHealth provides each patient with a single, longitudinal health record across all sites of care, enabling safer and higher quality care individual patients and families. This information is also useful for helping doctors, hospitals, and public health officials to understand the status of health and the quality of care delivered to help focus resources and guide improvement efforts. Among states, Oklahoma is unique in having this capability to measure quality at a community-wide level.
Description is forthcoming.
Plenary Speaker: Dale W. Bratzler, DO, MPH
Healthcare payment models are changing to increasingly hold providers accountable for the health of the population of patients they serve rather than rewarding the volume of care delivered. The strategic implementation of healthcare technology can provide tools to help providers manage the population of patients they serve. However there are many challenges to using information technology to evaluate both the quality of care and costs of care for a population of patients. This presentation will provide an overview of the Quality Payment Program and discuss the benefits and challenges of use of information technology in medical practice.
Speaker: William D. Paiva, PhD
An overview will be provided of Oklahoma State University's Center for Health Systems Innovation's efforts to mine the largest clinical database available that represents clinical information from 63 million patients collected over 16 years. The goal of this effort is to develop predictive models and clinical decision support algorithms to assist providers improve their quality of care and reduce costs. This in an environment where our demands on the health care system are far greater than our ability to meet them. Sample projects from many different areas of work will be highlighted from Phase IV drug outcome studies, clinical decision support tools to improve the management of diabetic patient complications, to tools to predict Sepsis progression.
Speaker: Brian Yeaman, MD
In a radical evolution of Health Information Exchange, seamless exchange of digital diagnostic images and reports through a cloud based model that provides real time awareness of a patient's prior medical images at the point of care is now a reality. In collaboration with Nuance's newly enhanced PowerShare technology, Coordinated Care Health Network is excited to introduce lmageSharing.
Population Health Analytics are now a strategic imperative. With the increasing adoption of data analytics, providers, health plans and accountable care organizations are quickly transitioning toward a coordinated, integrated and value-based care delivery ecosystem. A system that must embrace a hybrid model of federated and centralized data Analytics to cover previously unknown data "gaps." We are now seeing a general shift toward preventive care, along with a growing demand for accountable and coordinated care. With the Department of Health and Human Services' recent decision to tie 90 percent of Medicare payments to value based models by 2018, we expect organizations to move even faster over the next few years toward streamlining their population health management processes.
Speaker: Cheryl Hays
The introduction will brief the audience about the QAPI concept including comparisons and contrasts between QAPI and previous recognized quality assessment methodologies. QAPI includes five major elements; each of which will be discussed. Illustrations for practical applications will be provided on how QAPI can effectively be incorporated into your organization for identify areas of priority, establishing baseline assessments, monitoring, and quality improvement.
Speaker: Micki Craven, MS, RN
LTC staff frequently experience grief when working with residents who die in the nursing home. In addition, nursing home residents, and residents living with dementia, may experience grief when a fellow resident dies. Strong connections are often formed between many staff and residents who work closely together, and when a staff member dies, the entire LTC community may experience grief. Often, LTC communities do not have the resources or systems in place to affirm and support grieving staff and residents. This presentation offers insight into the many facets of grief and individual grieving expressions. The many ways that LTC staff working with residents who die, and residents living with dementia, may experience grief is explored. Affirming and supportive interventions for grieving LTC staff and residents are highlighted.
Speaker: Mario Cruz
A security risk assessment (SRA) helps your organization ensure it is compliant with HIPAA’s administrative, physical, and technical safeguards. A risk assessment also helps reveal areas where your organization’s protected health information (PHI) could be at risk. In this session you will gain key insight on what a security risk assessment is, why it is needed, and how it can be used to prevent a data breach in your organization. Don't be a statistic learn how to use an SRA to avoid a financial or reputation disaster.
Plenary Speaker: J. Michael Pontious, MD
Over lunch, we will learn how to "think out loud" about information technology quality failures and needs for the new world order as envisioned by an aging primary care physician. This session will entail trying to weave the reality, as it concerns information technology, with the envisioned needs of a primary care physician attempting to manage communities of patients versus the "silo" approach that we currently see as the "acceptable norm".
Speaker: J. Michael Pontious, MD
Quality has always been an orphan stepchild for most of the electronic medical records. As we make progress in gaining the acceptance of providers for a computerized documentation system, it appears to me that we have missed the boat in terms of embedding quality improvement and quality reporting in the process.
Lessons learned from a recent job change and practice location change will be utilized as discussion points for this presentation.
Speaker: Pamela G. Forducey, PhD, ABRP
For purposes of this presentation, telehealth is defined as the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status (American Telemedicine Association). Although Oklahoma was a national leader in telehealth legislation, passing the Oklahoma Telemedicine Act in 1997 to mandate reimbursement for telemedicine for all state-based health care service plans, the adoption of telehealth in our state has been slow over the past few decades. This session will provide a historical overview of telehealth in Oklahoma as well as emerging trends in our state. National health care and market forces that are influencing telehealth adoption and increasing the viability and sustainability of telehealth will also be explored.
Speaker: Cori H. Loomis, JD
The purpose of this presentation is to provide risk management education and strategies on topics ranging from EMR usage, HIPAA, medical record security and confidentiality, quality of care issues; negligence, credentialing, and fraud and abuse by reviewing and analyzing recent lawsuit judgments and government enforcement settlements.
Speaker: Diane M. Wood, MA, Certified Geriatrics/Gerontology, CDP
The diagnosis of Alzheimer's or a related dementia is increasing every yearly. The Alzheimer's Association estimates there are 5.4 million Americans living with the disease, of which 5.2 million are people age 65 and older and approximately 200,000 individuals under the age 65 have younger-onset Alzheimer's. Oklahoma estimates for 2016 are 62,000 persons with the diagnosis and a projected number in 2026 of 76,000 persons. The prevalence of Alzheimer's or a related dementia, as a primary diagnosis is becoming more common as the population grows older. Staff persons in all healthcare settings will need to be aware of this disease and the effect on the person with the disease and the family caregiver. This presentation will discuss how to best support clients, as the
primary patient and the family caregiver, as the secondary patient, across all healthcare settings.
Speaker: Ashley Rhude, Lindsey Wiley, Jason Felts
Join us for the kick off of a series of free quarterly events OFMQ is hosting! The MIPS Networking Group brings together individuals to collaborate and discuss the MIPS environment and how it is impacting their organization. We will examine current issues on reporting, consider ways to successfully attest to each portion of MIPS, and network with peers to find best practices for compliance with the new Quality Payment Program. The first event of this series is at QualTech, but continues on each quarter through a free WebEx so you always have up to date information and a trusted set of colleagues to network with.
Speaker: Jan Webb
Effectiveness of hospital Peer Review programs is now more important than ever for reducing fraud and abuse, enhancing health care, improving quality of health care services and reducing the overall cost of those services. According the Medicare’s Conditions of Participation every hospital must have an organized medical staff that periodically appraises its members so that its board may ensure that the members of the medical staff are accountable for the quality of care being provided to patients. This presentation will show possibilities of how peer review will have a positive impact on the quality of care being provided by your hospital.
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