2019 Observation Patient Management Forum

February 25-26, 2019 * The Venetian * Las Vegas, NV

2019 Patient Flow Management Summit

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About the Conference

Faced with increasing patient volumes, declining reimbursements and overworked ED staff, hospitals must be prepared to leverage observation patient management. Well-structured observation units have resulted in financial gains, improved clinical outcomes and superior patient satisfaction ratings.

The 2019 Observation Patient Management Forum will highlight the pertinent challenges facing observation unit staff – ED physicians, hospitalists, case managers and billing and coding professionals. Additionally, the conference will highlight how and why hospitals that are not utilizing observation patient management are leaving money on the table.

The 2019 Observation Patient Management Forum will allow you to walk away with an understanding of current trends and market practices, and innovative strategies to prepare yourself for the challenges that lie ahead. Learn best practices in patient management and examine strategies to improve care, increase satisfaction and achieve organizational goals.

Who Should Attend?
From Hospitals/Health Systems:

  • Nursing Officers
  • Observation Services
  • Emergency Room Directors
  • Case Management Directors
  • Hospitalists
  • Care Management
  • Billing & Coding
  • Denial Management
  • Discharge Planning
  • Physicians
  • Clinical Nurse Managers
  • Medical Directors
  • Care Management Directors
  • Compliance
  • Utilization Management
  • Emergency Medicine
  • Social Worker
  • Utilization Management
  • RN Supervisor
  • Patient Care
  • Critical Care
  • Patient Services
  • Admissions
  • Operations

Also of Interest to:

  • Vendors
  • Solution Providers

Conference Agenda

Day One – Monday, February 25, 2019

7:15am
Conference Registration & Morning Breakfast

8:00am
Metric-driven Observation Care: Using Data and Dashboards to Optimize Outcomes in Your Unit

-Define key observation metrics and learn their importance
-Build dashboards to improve metrics in observation medicine
-Understand the unique performance of a dedicated observation unit

Christopher Caspers, MD
Chief Observation Medicine
NYU Langone Health System
Associate Professor
NYU School of Medicine

9:00am
A Proven and Effective Blueprint for Implementing a Short Stay/Observation Unit at Your Hospital

This session will focus on the keys to a starting and maintaining an observation unit. The critical elements needed to succeed and the pitfalls to avoid will be described. Best practices for observation medicine will be defined. Examples of how can you use not just clinical protocols, but administrative protocols, policies, procedures, order sets, care paths/clinical pathways or algorithms for observation medicine will be given. Ways you can use observation to support your institution and do what you do best will be mentioned. What can observation accomplish in any location or setting, if it is done correctly, will be detailed.

Sharon Mace, MD, FACEP, FAAP
Director of Observation Unit
Cleveland Clinic

9:45am
Mid-Morning Break

10:15am
Move Forward or Fall Behind: How to Instill Continuous Improvement Strategies to Achieve Optimal Performance and Growth in your Observation Unit

With the continued expansion and utilization of observation units, unique challenges are always present. Striving for excellence in patient care and flow efficiency is a continuous process. In order to manage an effective unit, management teams must continuously adapt to shifting priorities, while emphasizing quality assurance and patient satisfaction. Lean how to strive for excellence while improving efficiency and profitability of daily operational needs of your observation unit.
– Learn critical focus areas to emphasize quality assurance and patient satisfaction to better understand expectations
– Measure performance and accountability to create a formula for success and discover what works and what doesn’t
– Discuss rationale in receiving and treating simple vs complex patient populations
-Evaluate what metrics must be reached to stay ahead of the curve and target utilization “red flags”
– Coordinate quarterly meetings to enhance improvement measure, address problems that arise and communicate with key hospital leadership

Dean Harrison, MPAS, PA-C, DFAAPA
Director, Clinical Evaluation Unit
Duke University Medical Center

11:00am
Achieving Success in Clinical Decision Making and Management of the Observation Unit

Safe and efficient clinical decision making is key to the success of an observation unit. This session will discuss general strategies to incorporate this important principle in the design and operation of an observation unit. In particular, explore the use of clinical pathways, decision-support tools, and measures of clinical quality and efficiency.

David Paje
Director, Medical Short Stay
University of Michigan Health System

11:45am
Observation Optimization – Tips and Tools to Help Your Observation Unit Become Successful

This lecture will dive deep into the world of Observation and provide tips/tools to help your Observation unit become successful. Optimize your unit and go for the triple AIM.

Dr. Kasey Schnebly, DNP
Strike Team, Process Improvement
Adfinitas Health

12:30pm
Luncheon for All Attendees & Speakers

1:30pm
Strategies to Move Patients Effectively and Efficiently

Mary McLaughlin Davis, DPN, ACNS-BC, NEA-BC, CCM
A Senior Director of Care Management
Cleveland Clinic
Immediate Past President CMSA

2:15pm
The Beyond Medicine Approach – How We Improved our Occupancy Rate

Literature shows observation units are cost-saving and improve efficiency of care. By combining the expertise of Emergency Medicine and Internal Medicine in a strategic alliance and utilizing Lean methodology, our Observation Unit increased occupancy without sacrificing efficiency and increased inpatient capacity by creating over 100 additional inpatient bed days per month.
As a result of attending this session, the learner will be able to:
– Understand the importance of strategic alliances between hospital departments in the care of observation status patients.
– Understand how Lean methodology is used to improve interdepartmental processes.
– Understand how to incorporate process improvement strategies into daily practice

Beth Liebhardt, RN, MSN
Director, Emergency Department
Froedtert Hospital

Douglas Levine, MD
Assistant Professor of Medicine
Inpatient Medical Director – ED Observation Unit Co-Director
Medical College of Wisconcin

Christopher Krupkowski, RN, BSN
 Nurse Manager, Emergency Department/Observation Unit
Froedtert Hospital

3:00pm
Networking Break & Refreshments

3:30pm
Leveraging the Observation Unit to Improve Patient Throughput without Compromising Patient Outcomes

Dedicated observation units represent an opportunity for an extended period of evaluation and management for patients and clinical conditions that have not yet declared whether return to home and ambulatory care is appropriate or if there is a need for admission and management as a hospitalized inpatient. Highly functioning observation units stand to decompress emergency department beds and should maintain shorter length of stay than non-dedicated areas resulting in improved throughput. However, it’s critical that the observation unit is truly a high functioning unit; the simple designation of an observation space will not achieve these outcomes. The course of this talk will review how a unit-based improvement team took ownership over patient throughput and outcomes to provide high quality and efficient care. A sampling of results include increasing unit observation patient fidelity to 80% from a baseline around 50%, decreasing average time to discharge out of the hospital for observation patient by nearly 6 hours to 36.8 hours. This allowed the 12 bed observation unit to increase the number of discharges by over 7 per week. These outcomes were achieved while maintaining an excellent patient outcomes such as for syncope discharges maintaining a 0% 30-day revisit rate compared to a 3.5% 30-day revisit rate for observation syncope discharges from our general medical floors.

Justin Glasgow, MD, PhD
Director Medical Observation Unit
Christiana Care Health System

4:15pm
The Hospital Observation Care Problem

Suparna Dutta, MD, MPH
Chief, Division of Hospital Medicine
Rush University Medical Center

5:00pm
Closing Remarks

Workshop – Day One – Monday, February 25, 2019
5:15pm – 7:15pm
TBD

Day Two – Tuesday, February 26, 2019
7:15am
Morning Breakfast

8:00am
Chairperson’s Recap of Day One

8:15am
Emergency Department Strategies and Clinical Decision Making-Optimizing Patient Flow

This session will review key concepts and strategies for successful observation management. It will reveal the lessons learned in key areas of practice, including staffing, leadership, documentation, and oversight. It will feature new and innovative methods in use embedding clinical decision support and evidenced based guidelines within the EMR to facilitate best practice and streamlined operations. This session will also share the knowledge of how to leverage resources in the hospital to prioritize observation patients and their care, in order to maximize the efficiency of emergency medicine throughput in a variety of observation unit settings.

During this session the audience will be given pearls of running a successful observation unit. This will include a review of the best practices, owning and hard-wiring the mission of the unit among staff, patient selection, coordination of ancillary services and benefits of case management. In addition, the strategies for unit management will be detailed with recommendations for metrics, accountability and feedback to staff.

Stephanie Figueroa, MPAS, DFAAPA, PA-C
Director of Observation Medicine
PA Manager and Epic Physician Champion
Johns Hopkins Department of Emergency Medicine

9:00am
Evaluating Observation & Inpatient Status and the Impact on Quality and Reimbursement
A brief review of the CMS 2 Midnight Rule and how patient status affects:
-Quality
-Reimbursement
-Risk of Audit
-Denials
-& Discussion on possibility of not implementing an observation unit.

B. Justin Krawitt, MD
Medical Director of Utilization & Clinical Documentation
Asst. Professor of Medicine
Geisel School of Medicine at Dartmouth

9:45am
Mid-Morning Break

10:15am
Best Practices in Hospital Flow and Capacity Management
Observation patients present a unique challenge to hospitals and medical centers due to the high turnover and low length of stay associated with observation patients. This can create stress on already full hospitals. In this session, we will explore some data driven approaches to maximizing efficient management of patient flow

Robert L. Fogerty, MD, MPH
Director, Bed Resources
Yale New Haven Hospital

11:00am
Embedding UR in the OBS Unit

Geralynn McGibney, RN, BSN, CCM
Director, Care Management
Good Samaritan Medical Center

11:45am
Measuring and Reporting the Clinical and Financial Outcomes of Your Observation Unit

A highly functioning observation unit can provide several benefits for your organization – financial, clinical, and operational. The ability to measure and report on this aspect is crucial in continuing to demonstrate these positive effects. We will review several examples of reports that help to “tell the story” and continue to drive needed improvements.

Keith Grams, MD, FACEP
Chair, Emergency Medicine
Rochester Regional Hospital

12:30pm
Conference Concludes

Workshop
Workshop – Day One – Monday, February 25, 2019
5:15– 7:15pm
Enhancing Observation Patient Management Outcomes and Assessing Social Determinants of Health (SDOH)
Hospital readmissions are often thought to be a failure of the transitions/discharge plan or lack of patient follow through. But in many cases the readmission, may be related to a failure to assess the social determinants of health (SDOH) associated with the patient and family caregiver’s physical environment, economic stability, education, social context or even healthcare experience. Understanding and assessing these concerns is as important in the observation unit as for a hospital inpatient stay.

Learning Objectives:

  1. Identify the issues and barriers to assessing SDOH in the Observation Unit prior to transition of care
  2. Assess the contributing factors which play significant roles in determining the health of an individual
  3. Review various assessment tools for evaluating social determinants of health
  4. Reflect on ways to utilize the data from a SDOH assessment to support patient shared decision making with the collaborative care team
  5. Evaluate the ability to improvement patient engagement and management outcomes through enhanced assessment within the observation unit

Cheri Lattimer, RN, BSN
Executive Director
NTOCC

Featured Speakers

Christopher Caspers, MD

Christopher Caspers, MD

Chief Observation Medicine

NYU Langone Health System
Associate Professor
NYU School of Medicine
Dean Harrison, MPAS, PA-C, DFAAPA

Dean Harrison, MPAS, PA-C, DFAAPA

Director, Clinical Evaluation Unit

Duke University Medical Center
Sharon Mace, MD, FACEP, FAAP

Sharon Mace, MD, FACEP, FAAP

Director of Observation Unit

Cleveland Clinic
David Paje

David Paje

Director, Medical Short Stay

University of Michigan Health System
Dr. Kasey Schnebly, DNP

Dr. Kasey Schnebly, DNP

Strike Team, Process Improvement

Adfinitas Health
Mary McLaughlin Davis, DPN, ACNS-BC, NEA-BC, CCM

Mary McLaughlin Davis, DPN, ACNS-BC, NEA-BC, CCM

A Senior Director of Care Management

Cleveland Clinic
Immediate Past President CMSA
Beth Liebhardt, RN, MSN

Beth Liebhardt, RN, MSN

Director, Emergency Department

Froedtert Hospital
Douglas Levine, MD

Douglas Levine, MD

Assistant Professor of Medicine,Inpatient Medical Director – ED Observation Unit Co-Director

Medical College of Wisconcin
Christopher Krupkowski, RN, BSN

Christopher Krupkowski, RN, BSN

Nurse Manager, Emergency Department

Froedtert Hospital
Justin Glasgow, MD, PhD

Justin Glasgow, MD, PhD

Director Medical Observation Unit

Christiana Care Health System
Suparna Dutta, MD, MPH

Suparna Dutta, MD, MPH

Chief, Division of Hospital Medicine

Rush University Medical Center
Stephanie Figueroa, MPAS, DFAAPA, PA-C

Stephanie Figueroa, MPAS, DFAAPA, PA-C

Director of Observation Medicine,PA Manager and Epic Physician Champion

Johns Hopkins Department of Emergency Medicine
Keith Grams, MD, FACEP

Keith Grams, MD, FACEP

Chair, Emergency Medicine

Rochester Regional Hospital
B. Justin Krawitt, MD

B. Justin Krawitt, MD

B. Justin Krawitt, MD,Asst. Professor of Medicine

Geisel School of Medicine at Dartmouth
Robert L. Fogerty, MD, MPH

Robert L. Fogerty, MD, MPH

Director, Bed Resources

Yale New Haven Hospital
Geralynn McGibney, RN, BSN, CCM

Geralynn McGibney, RN, BSN, CCM

Director, Care Management

Good Samaritan Medical Center
Cheri Lattimer, RN, BSN

Cheri Lattimer, RN, BSN

Executive Director

NTOCC
Venue

The Venetian
3535 Las Vegas Blvd. South
Las Vegas, NV 89109

“Mention BRI Network to get discounted rate of $119/night”

Sponsor(s) and Exhibitor(s)
TBA
FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
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