ACCA 1998 Management Conference

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November 6-7, 1998 HOTEL INTER CONTINENTAL

Dallas, Texas

IMMEDIATELY PRIOR TO THE 71ST ANNUAL AMERICAN
HEART ASSOCIATION’S SCIENTIFIC SESSIONS

THIS CONFERENCE IS PRESENTED BY THE EDUCATION DIVISION
OF THE AMERICAN COLLEGE OF CARDIOVASCULAR ADMINISTRATORS

WHO SHOULD ATTEND . . .

  • Cardiovascular Directors
  • Cardiopulmonary Directors
  • Cath Lab Managers
  • Cardic Rehab Administrators
  • Leaders who manage the business of cardiology healthcare

INTENDED AUDIENCE:
CARDIOVASCULAR AND CARDIOPULMONARY DIRECTORS, MANAGERS, AND OTHER ADMINISTRATIVE LEADERS WHO MANAGE THE BUSINESS OF HEALTHCARE IN THE FIELD OF CARDIOLOGY

OVERVIEW:
“The key to successfully managing all of what lies before us is not in the search for ‘answers’ … rather, we must constantly strive to understand the questions.” Wayne M. Sotile, PhD, Keynote speaker, ACCA, March 1998

Cardiovascular disease continues to be the largest healthcare issue facing the country today. This constantly changing field, compounded by a rapidly aging population and an aggressive technology explosion, promises to be a continuous challenge into the next millennium. Our forward thrust in this most challenging of times is to push further, reach higher, run faster, and move toward new levels of excellence, while dealing with cost-effective delivery models, capital acquisitions, mergers, etc. Only our creativity and our understanding of the “questions” limit the overall potential for the future of cardiovascular medicine.

This conference is specifically geared toward administrators, managers, cath lab directors, and other leaders in the field of cardiovascular medicine who accept this challenge and are seeking an understanding of the questions in today’s field of medicine. The program faculty will provide an insight into many of the issues facing cardiovascular program administrators and managers, ranging from cardiac prevention and wellness, marketing of cardiovascular services, to refining leadership skills, among many others.

Whether you are a seasoned veteran or a new manager, this conference will provide you an opportunity to learn and understand, while networking with your peers, and take back the most comprehensive information ever presented.

GENERAL INFORMATION

ACCREDITATION:
This conference is approved for 12 contact hours by the American Academy of Medical Administrators Research and Education Foundation, Inc. An additional 3.6 contact hours will be awarded for attendance at the preconference program on Thursday afternoon.

SPECIAL BONUS FOR THOSE WHO ATTEND:
A workbook, courtesy of Du Pont Radiopharmaceuticals. We have 17 faculty members for this national conference and the workbook will include highlights and handouts of their presentations.

TUITION: $325 (ACCA affiliates prior to September 7, 1998) $345 (ACCA affiliates after September 7, 1998) $485 (New ACCA affiliates)

$575 (Non-affiliates)

If you are not an affiliate of ACCA and wish to become one, the dues are $140, and if you join before November 7, 1998, you will receive the tuition reduction that our affiliates receive. An application for membership is attached. For additional information, please call ACCA at (248) 540-4310.

TRAVEL ARRANGEMENTS:
American Airlines is proud to be the official airline for the American Academy of Medical Administrators and its national chapter, the American College of Cardiovascular Administrators. Please call American Airlines Meeting Services Desk at (800) 433-1790 and refer to the AAMA and the AA Star File #21N8UI for your conference needs. HERTZ IS THE OFFICIAL RENT-A-CAR FOR OUR MEETING – For rates for this ACCA national management conference call 1 (800) 654-2240 and refer to the 41st Annual Conference & Convocation of the American Academy of Medical Administrators and CV#17981.

ACCOMMODATIONS:
This conference will be held at the Hotel Inter Continental, 15201 Dallas Parkway, Dallas, Texas 75248, (972)386-6000. Room rates are $144 for single or $159 for double occupancy. We encourage registrants to call the hotel early since reservations at the Hotel Inter Continental cannot be assured after October 13, 1998. Alternative hotel accommodations may be made at the Doubletree Hotel, 5410 LBJ Freeway, Dallas, Texas 75240, (972) 934-8400. Room rates are $148 for single or $158 for double occupancy.

CANCELLATION POLICY:
Cancellations received by October 23rd will be accepted with a $25 administrative fee deducted from each refund. After October 23rd, no refund can be provided, however, you may apply any tuition paid toward another American Academy of Medical Administrators conference you attend within one year.

ABOUT THE ACCA:
The American College of Cardiovascular Administrators is a professional organization of those individuals who are in management positions related to cardiovascular/cardiopulmonary medicine. ACCA allows for a formal and informal climate of information exchange among members so that they may develop solutions in dealing with the management concerns of cardiovascular/cardiopulmonary medicine.

FOCUS GROUP OPPORTUNITIES:
If you are a conference registrant or a Corporate Sponsor and would like to participate in a focus group on Saturday afternoon, November 7, from 1:00-3:00p.m., please contact the ACCA Corporate Office at (248) 540-4310. Participants will be awarded with complimentary tuition, books, etc. for their time. The Corporate Office will assist Corporate Sponsors interested in participating by securing a room at the hotel and supplying them with a listing of regis-trants interested in being a part of a focus group.

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Schedule of Events

THURSDAY NOVEMBER 5, 1998

7:00AM – 7:30 PM
REGISTRATION & HOSPITALITY

ACCA PRECONFERENCE PROGRAM

2:00 – 5:00 PM
YOUR TAX DOLLARS AT WORK:
THE STARK II REGULATIONS, REV PROC 9815, PSO REGULATIONS, & MORE

This presentation will give participants an update of recently promulgated government regulations that dramatically affect the way physician group practices may be structured, pay compensation, enter into joint ventures with tax- exempt hospitals, seek Medicare risk contracts, participate in gain sharing models, and more.

Thomas E. Dutton, Esquire, Partner, Jones, Day, Reavis & Pogue, Columbus, Ohio

6:00 – 7:30PM
WELCOME RECEPTION

FRIDAY, NOVEMBER 6, 1998

7:00AM – 5:00PM
REGISTRATION & HOSPITALITY

GENERAL SESSIONS
8:00 – 8:45AM

AAMA GENERAL MEMBERSHIP MEETING

8:45 – 9:45AM
OPENING KEYNOTE PRESENTATION: THE KEY TO EXCELLENCE: SUCCESSFUL EXECUTIVES

KEEP THE FLAME ALIVE AT WORK & HOME

Sponsored by Nycomed Amersham

Come & enjoy as you learn:

  • The myth of the balanced life
  • How men and women differ when reacting to stress
  • Keys to communicating with overly-busy, high-powered people
  • The secrets of stress-resilience at home and work
  • What makes a good marriage when one or both are partners and busy professionals
  • Six keys to keeping passion alive in your personal relationships
  • Four steps to controlling yourself during uncontrollable times

Wayne M. Sotile, PhD, FAACVPR
Mary O. Sotile, MA, Sotile Psychological Associates, Winston-Salem, North Carolina

9:45 – 10:15AM
BREAK
Exhibits

10:15 – 11:15AM
KEYNOTE PRESENTATION: MANAGING & MARKETING YOUR CLINICAL

OUTCOMES IN THE MANAGED CARE ARENA

Sponsored by Modern Healthcare

Purchasers are increasingly demanding value (quality & price) for their healthcare dollars. In response, successful provider groups will define, measure and improve the clinical outcomes and efficiencies of their care. This session will discuss the medical information and the educational process necessary to implement the clinical process improvement techniques to accomplish these goals. Issues covered:

  • Present physicians with the reasons to “buy-in” to managed care initiatives
  • Defining the metrics of clinical quality for inpatient and outpatient care
  • Statistical quality control techniques which reduce clinical process variations
  • Clinical care-path construction around the clinicians’ best demonstrated processes
  • Techniques which encourage physician, nurse, and administration cooperation in defining and achieving the common goal of marketability
  • Acquiring the information necessary to successfully market services

William C. Mohlenbrock, MD, Chairman, Iameter, San Mateo, California

11:30 – 1:00PM
ACCA LUNCHEON
Sponsored by Nycomed Amersham

CARDIOLOGY – TRACK I

1:00 – 2:00PM
SETTING UP A PREVENTIVE CARDIOLOGY PROGRAM IN THE REAL WORLD

Due to recent scientific developments, the aging U.S. population and healthcare reform, cardiovascular risk factor management is becoming a vital component of many cardiology programs. These programs include cardiac rehabilitation, lipid clinics, screening and education programs. The goal of these programs is to differentiate the cardiology program, develop an effective cost containment strategy and create another access point into the health system. One program has combined all of these into a comprehensive program resulting in increased market share, improvement in risk factors, greater perceived health status, and lower readmission rates.

Patrick J. Dunn, MS, MBA, Vice President, Business Development, Berkeley HeartLab, San Mateo, California

2:10 – 3:10PM
THE BUSINESS OF LIPID MANAGEMENT IN THE NEW MILLENNIUM
Sponsored by Parke Davis Pharmaceuticals

Without question, systematic treatment of lipid disorders reduces clinical events, mortality and morbidity due to premature coronary heart disease. Although organized lipid management services have historically been placed in outpatient cardiology practices, there exists a multiplicity of viable settings where such preventive cardiology programs may also be effective. This presentation will discuss the following issues in lipid management:

  • The new mandate for aggressive lipid lowering therapy
  • The realities of designing and operating a solvent lipid clinic in the hospital and outpatient settings
  • New revenue markets for lipid clinic services
  • Dietary, exercise, and weight loss guidelines for personal cholesterol management

Ralph LaForge, MS Managing Director, San Diego Cardiac Center Medical Group, Lipid Clinic Preceptorship Program, & Administrative Director, Lipid Clinic & Disease Management Preceptorship Program at Duke University, Department of Endocrinology, Metabolism & Nutrition, Durham, North Carolina

3:10 – 3:45PM
BREAK
Exhibits

3:45 – 4:45PM
A PROGRAM TO SUCCESSFULLY DECREASE THE
COST OF CONGESTIVE HEART FAILURE

CHF is one of the most costly DRGs this decade. Add to that a high readmission rate and the cost to individual hospitals can be staggering. A patient with frequent hospital stays can be not only crippling to the financial side but equally frustrating to those giving the care. The Cardiovascular Wellness Team at Metropolitan Hospital has developed a multiple disciplinary team and has incorporated nursing, dietary, physical & occupational therapy and patient and family counseling services into a team of experts on patient education with proven outcomes of decreased readmissions, better patient compliance with treatment regimen, and a perceived increase in quality of life by our patients. From the model of our successful Inpatient program we have developed an Outpatient education program and are gathering data on patient compliance, perceived increase in quality of life and increase in time before first hospital admission with a significant event after diagnosis. By attending this program patients gain the knowledge base to be active participants in their own disease management program.

Elizabeth Rogers, RN, MPA, Coordinator, Cardiac Cath Lab, Metropolitan Hospital, Grand Rapids, Michigan

CARDIOLOGY – TRACK II

1:00 – 2:00PM
CARDIOLOGY CLINICAL DATABASE SYSTEM: PAST FAILURE OR FUTURE SUCCESS?
Sponsored by Marquette Medical Systems

The key elements for this presentation are:
Description of the initial expectations/requirements of a clinical database system

  • Implementation strategy
  • Purchasing and selection process
  • System results – successes & failures
  • Future objectives
  • Lessons learned

Lisa Virzi, MS, RN, Administrator, Clinical Data Analysis Center, Beth Israel Hospital, Boston, Massachusetts

2:10 – 3:10PM
NETWORKED FILMLESS SOLUTION FOR RECORDING, DISTRIBUTION & STORAGE OF HEART CATHETERIZATION ANGIOGRAPHS
Sponsored by Marquette Medical Systems

This presentation is a case review of a large community health provider with four cath labs and their experience with filmless technology over a four-year period.

Paul J. Moore, Director, Cardiology Program, Saint Joseph Mercy Hospital, Ann Arbor, Michigan

3:10 – 3:45PM
BREAK
Exhibits

3:45 – 4:45PM
INFORMATION SYSTEMS & THE SELECTION PROCESS FOR CV ADMINISTRATORS
Sponsored by Marquette Medical Systems

This presentation will examine the new role of Manager/Administrator in the purchase of medical information systems equipment and collection of clinical information, review the terminology used in the design and purchase of cardiovascular equipment, provide tools to be used in the planning and design of cardiovascular information systems, and learn how they impact the overall operation of the service and its interface with the hospital. Through this presentation, participants will have a forum to increase their level of understanding of systems integration, computers, medical equipment, and demographic data.

Jan Carr, Management Consultant, Superior Consultant Company, Inc., Southfield, Michigan

CARDIOLOGY – TRACK III

1:00 – 2:00PM
LEADERSHIP SURVIVAL SKILLS FOR THE 90’S – REDEFINING YOUR LEADERSHIP ROLE
Module I

Sponsored by Guidant Corporation

  • Strategies for survival and pitfalls to avoid
  • What followers expect from their leaders
  • The role of the leader – differences between managers and leaders
  • The transition from manager to leader
  • Action plan for creating synergy at work

Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida

2:10 – 3:10PM
LEADERSHIP THROUGH CHANGE, TEAM-WORK & EMPOWERMENT
Module II

Sponsored by Guidant Corporation

  • Leaders and managers – both are needed; the skills set for each; leadership style
  • Managing change – the change process; planning change; implementing change
  • Teamwork and empowerment – group vs team; necessary conditions; steps to empowerment; delegation and accountability

Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida

3:10 – 3:45PM
BREAK Exhibits

FRIDAY, NOVEMBER 6, 1998

5:30 – 6:00PM
PROCESSIONAL FORMATION

6:00 – 7:30PM
CONVOCATION CEREMONY

8:00 – 10:00PM
RECEPTION
Sponsored by Bristol-Myers Squibb Company & Marquette Medical Systems

You are also Invited. . .
REINVENTING CARDIOVASCULAR MEDICINE: INTEGRATING PROVIDERS, QUALITY & OUTCOMES FOR THE NEW MILLENNIUM

NOVEMBER 7-8, 1998
HOTEL INTER CONTINENTAL, DALLAS, TEXAS

Who should attend: Reinventing Cardiovascular Medicine is ideal for Cardiac Surgeons, Cardiologists, Cardiovascular Administrators, CEO’s, COO’s, Nursing Leaders, Practice Administrators, and all other decision makers in cardiology-related organizations.

Overview:
This program is designed for those interested in a comprehensive approach to advancement of their heart program and is ideal for the team approach – From each hospital we recommend that the CEO, Chief of Cardiology, and the Cardiovascular Administrator together attend this program. Participants will be provided with an overview and understanding of the value of organizing and integrating cardiovascular services. All aspects of the process will be addressed, including organizational structures, physician integration, benchmarking quality and outcomes, developing care paths and best demonstrated practices and marketing services. Case studies from successful heart institutes around the country will be presented and opportunities for roundtable discussions and questions and answers will complete the session.

Sessions include:

  • Data for Action
  • Trends in Cardiovascular Medicine and Market Evaluation
  • Care Redesign
  • Case Study – Baylor Cardiovascular Services
  • Monitoring Quality & Outcomes
  • Integrating & Organizing Around Cardiovascular Care: Hospitals & Physicians

SATURDAY, NOVEMBER 7, 1998

CARDIOLOGY – TRACK I

7:30 – 5:00PM
REGISTRATION & HOSPITALITY

8:00 – 9:00AM
TWO HOUSES, ONE HOME…THE ADMINISTRATOR’S
GUIDE TO SURVIVAL WITHIN MERGERS

Changes in healthcare are bringing more managers into the position of having to run multi-departments or facilities. This presentation will talk about:

  • Am I qualified – “Managerial Illiteracy”
  • Which department needs help
  • Survival tactics – departmental diversities
  • Restructuring your management approach

Douglas Cathon, RT(R), MA, HRD, HSM, Director, Radiology/Cardiology/Respiratory Care/Neurology, Catholic Health Partners, Chicago, Illinois

9:10 – 10:10AM
EMPLOYEE REACTION TO ACQUISITIONS & MERGERS

This presentation will:

  • Introduce the results of a survey
  • Outline the sequence of events leading up to an acquisition or merger from the senior management and legal perspective
  • Profile the expected employee reactions to change from all levels and discuss the stages employees must work through to successfully make the transition into the new organization
  • Identify strategies to guide employees through the challenges which lead to acceptance of the new organization
  • Examine ways to effectively create a new organizational culture which integrate organizations who often were fierce competitors prior to the acquisition or merger

Cindy Salyer, RN, RDCS, Administrative Leader, Cardiovascular Services, Brookwood Medical Center, Birmingham, Alabama

10:10 – 10:45AM
BREAK
Exhibits

10:45 – 11:45AM
CATH LAB BENCHMARKING IN THE 90’S: HOW DO YOU HIT A MOVING TARGET?

Attempting to run an efficient and effective cardiac cath lab can be a trying experience. Even if you are lucky enough to have internal data systems, how do you know where you stack-up against other providers? With the frequent changes in procedures and treatments, how do you know whether you will be cost competitive next month? Participants will discover a new data system which will allow them rapid access to their internal data, as well as access to quarterly external benchmarks. Benchmarks from ‘97 and the first half of ‘98 will be shared in the areas of procedure quality, procedure times, procedure costs, and product utilization. The OEP database consists of over 60,000 patient encounters from 50 states. National, regional and best-in-class benchmarks will be presented.

  • What is the Operational Effectiveness Program?
  • How rapid access to information can assist you in daily operations
  • Benchmarks for the 90’s – quality, productivity, demographics, cost, supply utilization
  • Benchmark trends for the 90’s
  • Using benchmarks to target areas for improvement and drive change

April Wells Simon, RN, BA, MSN, CCRN, Vice President, BSM Consulting Group, Atlanta, Georgia

1:00-3:00PM
CLOSING KEYNOTE PRESENTATION: APGS, APCS & OUTPATIENT PAYMENT REFORM

The following features will be discussed:

  • Key features of APGs/APCs
  • Preparing for implementation
  • Cost management and financial concerns
  • Coding implications
  • Compliance concerns
  • PPGs for other healthcare areas

Duane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants, Inc., & Co-founder, Healthcare Consulting Group, LC, Ames, Iowa

CARDIOLOGY – TRACK II

8:00 – 9:00AM
HEART & CARDIOVASCULAR CARE… WILL YOUR PROGRAM & PRODUCT SURVIVE?

Heart and cardiovascular care continues to be the largest healthcare concern for providers, administrators, payers and suppliers. For certain, there will be continued cost and resource constraints, a growing geriatric population, emerging physician and technological trends and other factors to consider. With billions of dollars invested annually in human resources, training, capital equipment, and supplies, what information and planning efforts will be needed to help your heart program survive in this volatile industry? This presentation takes a hard look at the current issues facing heart and cv programs in the U.S. It will prompt the audience to take a “hands on” approach in future planning and development efforts to help ensure overall success in the industry.

Marilyn Zitzke, RN, BS, MBA, President, Global Health Systems, Inc., Cape Coral, Florida

9:10 – 10:10AM
CARDIOVASCULAR CARE PROGRAM: STRATEGIES FOR BUSINESS DEVELOPMENT & RETENTION THROUGH MARKETING

The commercialization of healthcare in the 1980’s has forced hospitals, health systems, and care providers to focus, not only on how they care for patients, but also on how they present themselves to their patients, referring physicians, and the general public. The marketing process, which has been an integral component of the traditional business world, has become an integral component of the healthcare world, specifically in cv services. In this session, the participant will learn the keys to developing a functional marketing plan, including discussion of critical topics such as branding, positioning, identity, and image. Most importantly, the participant will learn that the marketing plan must be the organizational culture…not just a corporate concept. Finally, the participant will learn mechanisms for tracking the implementation of the marketing plan.

R. Kyle Kramer, Administrative Director, Cardiovascular Services, PennState Geisinger Health System, Hershey, Pennsylvania

10:10 – 10:45AM
BREAK
Exhibits

10:45 – 11:45PM
AN EFFECTIVE EDUCATION DELIVERY MODEL FOR OPTIMAL CARE

All healthcare systems are challenged with providing and delivering interactive education across varying community cultures and socioeconomic groups. Baylor Health Care System has developed LEAP (Lifestyle Education Awareness Program) for Life, a community-based cardiovascular secondary prevention program which was created to maximize existing services; fulfill the cycle of care; customize education; promote patient accountability; and provide convenience to the program’s partners and customers. Patients are traced at three, six, and twelve months post-attendance by system telecommunications to measure hospital readmissions (current benchmarking for financial viability), effectiveness of education and patient compliance with individual lifestyle goals established during the workshops. LEAP for Life has aided physicians, healthcare providers and payers by providing cost-effective education which aids in minimizing financial and geographical barriers and teaching the patients to take responsibility for their healthcare. Amy B. Castillo, Manager, Cardiovascular Clinical Prevention Services, Terri D. Nuss, Manager, Heart Center, Baylor Health Care System, Dallas, Texas

1:00-3:00PM
CLOSING KEYNOTE PRESENTATION: APGS, APCS & OUTPATIENT PAYMENT REFORM

The following features will be discussed:

  • Key features of APGs/APCs
  • Preparing for implementation
  • Cost management and financial concerns
  • Coding implications
  • Compliance concerns
  • PPGs for other healthcare areas

Duane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants, Inc., & Co-founder, Healthcare Consulting Group, LC, Ames, Iowa

CARDIOLOGY – TRACK III

8:00 – 10:00AM
LEADERSHIP THROUGH INFLUENCING OTHERS
Module III
Sponsored by Guidant Corporation

  • Communicating effectively with others – understanding the messages of others; sending clearer messages
  • Creating a climate for motivation – trust, the highest form of motivation; the power of feedback
  • Coaching for improved performance – skills needed to be an effective coach; the shift in attitude and time needed

Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida

10:00 – 10:30AM
BREAK
Exhibits

10:30 – 12:30PM
LEADERSHIP THROUGH THE PROCESS OF CONTINUOUS IMPROVEMENT
Module IV
Sponsored by Guidant Corporation

  • Creating a culture for continuous improvement – the quick fix vs continuous improvement; steps for long term improvement
  • Focus on the process, the process determines the product/service – identify customer requirements; the 1-100 rule; establish measures of quality
  • Problem solving – the 7 tools for continuous improvement; identification of root cause vs symptoms; physician involvement

Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida

1:30 – 3:30PM
LEADERSHIP THROUGH THE PRACTICE OF MANAGEMENT
Module V
Sponsored by Guidant Corporation

  • Criteria based job descriptions, a critical tool – hire, appraise performance, discipline and terminate; expecta-tions for performance
  • Organizing for results – the most effective organizational structure; the right skills and abilities established for each position; staying customer focused
  • Conflict management

Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida

1:00-3:00PM
CLOSING KEYNOTE PRESENTATION: APGS, APCS & OUTPATIENT PAYMENT REFORM

The following features will be discussed:

  • Key features of APGs/APCs
  • Preparing for implementation
  • Cost management and financial concerns
  • Coding implications
  • Compliance concerns
  • PPGs for other healthcare areas

Duane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants, Inc., & Co-founder, Healthcare Consulting Group, LC, Ames, Iowa

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1998 Management Conference
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