2020 Observation Patient Management Summit
March 23-24, 2020 * Hilton Orlando Bonnet Creek * Orlando, FL

2020 Observation Patient Management Summit

Day(s)

:

Hour(s)

:

Minute(s)

:

Second(s)

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 2020 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 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.
Register Early and Save! Groups of 3 or more can save an additional 10%. To register visit our website at www.brinetwork.com or call us at 800-743-8490. We look forward to seeing you in Orlando, FL.

Who Should Attend?

From Palliative Care/Hospice Care/Hospitals/Health Systems/Health Plans

  • Medical Directors
  • CFO
  • COO
  • Social Workers
  • Case Management
  • Counseling
  • Director of Nursing
  • Director of Hospice Care
  • Director of Palliative Care
  • Pharmacists
  • Physicians
  • Quality Assurance
  • Administrators
  • Hospice Health Aides
  • End-of-Life-Care
  • Operations Director
  • Outpatient Services
  • Palliative Medicine
  • Clinical Director
  • Compliance Director

Also of Interest to Vendors; Consultants; Solution Providers within the Hospice/Palliative Care.

Conference Agenda

Day One – Monday, March 23, 2020

7:15am

Conference Registration & Morning Breakfast

8:00am

Conference Registration & Morning Breakfast

8:15am

Developing and Implementing an Effective Observation Case Management Program to Improve Efficiency and Flow

Hospitals have long struggled with managing patients efficiently who are placed in observation status. These patients are often viewed and treated as acute care patients by the patients, the providers, the care givers, and the patients’ families. Case managers working on a dedicated observation unit have the ability to assess patients who will require transitional care services quickly. The case manager in conjunction with the patient and the interdisciplinary team will create a safe, effective, timely, and complete transitional care plan that allows for an efficient transition from the hospital to home or the most appropriate level of care. The transitional care plan is designed with a 24-hour transition timeline so that patients may be transitioned to the next level of care as soon as the patient is deemed safe and prepared to leave the unit. This rapid turnover in an observation unit requires the expertise of a case manager. The case manager facilitates every element of a safe transition for the patients that require this service.

Margaret Pogorelec, DNP, RN, CEN, NE-BC, HN-BC
Director of Care Coordination
The Valley Hospital

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 you can 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 E. Mace, MD, FACEP, FAAP
Professor of Medicine
Cleveland Clinic Lerner College of Medicine at Case Western Reserve University
Director, Observation Unit; Director, Research
Cleveland Clinic

9:45am

Networking Break & Refreshments

10:15am

Engaging A Multi-Disciplinary Team in Observation Management

Presentation will focus on how to engage all different leaders and staff in the success of an observation unit. Specifically, we will focus on how to educate the team on the implications of observation placement for both the patients and the hospital’s reimbursement. We will then look at ways to identify and act on PADs, or potentially avoidable delays, to ensure that throughput is achieved, and LOS goals are met for observation patients. We will conclude with an in-depth discussion on developing “physician executives” and ensuring alignment with hospital administration.

Claire Raab, MD
Associate Chief Medical Officer
Medical Director of Utilization and Quality
Temple Health
Clinical Assistant Professor
Lewis Katz School of Medicine

11:00am

Achieving Success in Clinical Decision Making and Management of the Observation Unit

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. 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 throughput and ensure appropriate patient status. 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.

Rebecca Gomez, MD
Director, Observation Unit
Central Florida Hospitalist Partners
AdventHealth Orlando

11:45am

Nuts and Bolts for Observation Services: Making the Business Case for Creating an Observation Unit

This presentation will discuss rapid admission strategies from triage to the ED Clinical Decision Unit (CDU) through coordination with ED nursing/MDs and consulting services. Additional uses of the CDU will be discussed to assist in providing capacity within the ED such as utilization of the CDU for patients waiting for procedures. Quality metrics will be examined along with ways to hardwire necessary change to meet the quality metrics. Lastly, is time to expand your CDU? This presentation will include an example of a business case to justify the cost of expansion.

Kathleen Hogan Flinn, MPA, BSN, RN, NE-BC
Clinical Director, Emergency Services
UPMC Pinnacle

Christie Muza, MSN, BSN, RN, NE-BC
Clinical Director, ED Observation Units, Forensic Nursing and Emergency Services Telemedicine
UPMC Pinnacle

Hao Nguyen, MD
Medical Director of Observation Services
UPMC Pinnacle Emergency Department Observation Units

12:30pm

Luncheon for All Attendees & Speakers

1:30pm

Observation: Tales from the Trenches, Common Mistakes and How to Avoid Them

This session will review the growing pains of an observation unit, pitfalls and challenges of providing efficient and expeditious observation services. We will discuss metrics that will allow you evaluate efficiency and utilization of your observation unit. Examples of interventions that were implemented to improve observation throughput will be discussed. Additionally, we will explore how staff should engage with patients during observation stay from arrival to discharge.

Kristine Favila, DO
Medical Director, Rapid Evaluation and Treatment Unit
Mount Sinai Beth Israel Hospital
Assistant Professor
Icahn School of Medicine

2:15pm

Panel: Observation Optimization

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. Real life experiences will be provided, and take-home techniques will be shared.

Panelists:
Rebecca Gomez, MD
Director, Observation Unit
Central Florida Hospitalist Partners
AdventHealth Orlando

Susan Hawk, MS, LPCC-S, LSW, CGP
System Director-Behavioral Health
Bon Secours Mercy Health

James Oliver, MD
Director of the Observation and Clinical Decision Unit
UAB Medicine – UAB Health

Margaret Pogorelec, DNP, RN, CEN, NE-BC, HN-BC
Director of Care Coordination
The Valley Hospital

3:15pm

Networking Break & Refreshments

3:45am

To Admit or Not to Admit? A Children’s Hospital without a Dedicated Observation Unit and the Challenges of Managing Flow and Utilization

Across the United States, hospitals providing care for children are facing the challenges of limited inpatient and emergency department (ED) bed capacity and pressures to decrease health care costs and improve efficiencies, quality, and patient safety. One approach has been the development/establishment of pediatric observation units. Observation Units have become commonly used in adult medicine to provide hospital-level patient care on a short-term basis, providing efficient care of adults with multiple diagnoses. It is less common in pediatrics. This session will focus on the pros and cons of opening an observation unit in a free-standing children’s hospital; along with some of the current challenges this hospital is facing without having a dedicated unit for this purpose.
Objective 1: Describe the pros of having a dedicated observation unit in a pediatric children’s hospital
Objective 2: Describe the potential cons of having a dedicated observation unit in a pediatric children’s hospital
Objective 3: Describe some challenges a children’s hospital may encounter without the support of a dedicated observation unit.

Ivette Becerra-Ortiz
Administrative Director, Care Management
Lucile Packard Children’s Hospital Stanford

Luanne Smedley, MHA, BSN, RN, NEA-BC
Associate Chief Nursing Officer, Care Coordination, Clinical Operations and Technology
Lucile Packard Children’s Hospital Stanford

4:30pm

How to Use Telehealth in Observation and ER Patient Management

Telehealth has grown at a 300 percent rate over the past ten years with virtual visits increasing in acute care medicine as well as with outpatients. Over the next five years, adoption is expected to rise even further as increasingly regulatory changes begin to reduce hurdles for telehealth programs. When combined with machine learning and trending algorithms telehealth has had remarkable benefits in the ICU as well as many other inpatient areas. Many emergency rooms and observation units face provider shortages as well as the have the need to quickly identify patients that might need appropriate triage to other areas. Combining technology, process and people; observation units can use telehealth to create positive economic benefit, drive outcome and enhance the patient experience.

Corey Scurlock, MD
Medical Director
WMCHealth eHealth Center

5:15pm

Closing Remarks

Day Two – Tuesday, March 24, 2020

7:15am

Morning Breakfast

8:00am

Chairperson’s Recap of Day One

8:15am

Leveraging Tele Hospitalist Program to Improve Patient Experience and Outcomes in the Emergency Departments

Aligning with Northwell Health’s dedication to continuously improve quality of care and patient experience in the EDs, the tele hospitalist program was launched in November 2017 to evaluate patients in the ED admitted under the hospitalist service. This program has won the top prize in the innovations category at the Annual Meeting of the Society of Hospitalist medicine March 2019. The program is staffed with Northwell hospital employed hospitalists working from the telehealth center. When the bedside hospitalist anticipates a delay of over 30 minutes in evaluating a patient after ED notification, they have the option to activate a telehospitalist consult. An assessment and interview of the patient and a full admission including medication reconciliation and, consult note and verbal sign out to the bedside hospitalist are included in the service. The local hospitalist sees the patient the next day. In 2019 almost 1,500 evaluations were performed on camera by the telehospitalsits to the patients in the EDs. The plan is to expand this service to ED hospitals and observation units. The telehospitalist consult service will also be leveraged to prevent avoidable readmissions. In addition, during surge periods we will use the service to directly admit patients to other health system hospitals in order to enhance clinical outcomes and patient experience.

Christine Antoine, MD, MBA, MHSA, RRT
Tele Hospitalist/Nocturnist
Department of Telehealth/Medicine
Southside Hospital - Northwell Health
Assistant Professor of Medicine
Hofstra Northwell School of Medicine

Saurabh Chandra MD, PhD
Medical Director, Telehealth Program
Northwell Health

9:00am

Speeding Triage and Clinical Decision Making for Patients Presenting Chest Pain Conditions

Emergency departments continue to be faced with multiple challenges for the patient that arrives with chest pain as their chief complaint. The clinical presentation seldom follows the classic pathway leading to a definitive diagnosis or concrete plan of care. The uncertainty of sending home this patient population is viewed with potential risks and reservation. This presentation will discuss how to streamline the flow of this patient from triage to discharge. Collaboration between emergency physicians and cardiologists can drive criteria based - protocol driven observation unit to minimize risk for the healthcare providers while providing confidence and empowerment to the patient to ensure their well-being.

Nathan Baar, MHA, BSN, RN, CEN
Director of Emergency and Urgent Care Services
Metro Health – University of Michigan Health

9:45am

Networking Break & Refreshments

10:15am

Emergency Department Strategies and Clinical Decision Making-Optimizing Patient Flow

Emergency room overcrowding continues to be a challenge difficult to overcome. There are service and quality operational challenges to consider, moreover, the safety factor in caring for a boarder patient in a busy emergency room holds risk to become compromised. Learn strategies created to discharge patients and continue outpatient services that have provided successful outcomes in ED and inpatient capacity management.

Stefanie B. Porges, MD
Medical Director, Hospital of the University of Pennsylvania Emergency Department Observation Unit
University of Pennsylvania

11:00am

A Roadmap for Health System Observation Care Improvement

This session will focus on executing a strategy for improving observation care across a system. Hospitals’ observation care rapid improvement events, observation must-haves and measures of success will be highlighted.

Margaret Gavigan, MSN, MBA, RN
Regional Chief Nursing Officer, System Vice President, Clinical Operations
Advocate Aurora Health

Dan Hull, MBA
System Director, Clinical Performance Improvement
Advocate Aurora Health

11:45am

Achieving Optimal Patient Experience in an Emergency Department Observation Unit

7:15am – 8:00am

Conference Registration & Networking Breakfast

Patient experience is increasingly seen as an important outcome measure for the success of any clinical program. Observation Units present unique opportunities and challenges in this regard. This session will highlight key tool and tactics for optimizing patient experience in the Observation Unit setting, ranging from simple practical considerations to more advanced techniques for patient engagement.

Joshua Kosowsky, MD, FACEP
Director for Patient Experience and Provider Engagement
Department of Emergency Medicine
Brigham and Women’s Hospital

12:30am

Conference Concludes

Workshop – Tuesday, March 24, 2020

12:45 – 2:45
You’ve Decided to Open an Observation Unit, Now What?

Opening an observation unit has many positive sides to the organization. An observation unit can provide better patient throughput, improve patient satisfaction, financial benefits, and more. Once your organization decides that opening an observation makes sense of what preparation needs to occur to ensure a smooth go-live and a unit that functions as intended. The workshop will cover the nuts and bolts of opening an OBS unit, based on the attendees’ unique situations.
Learning objectives on how to navigate the following:

• Gaining buy-in
• Where to locate the unit
• Staffing and responsibilities
• Rounding
• Protocols
• Order sets
• Processes

Mark Clemens, MA, RN
Associate Director
BRG | Prism Healthcare

Jill Annala-Rogers BSN, ACM, CCTM
Associate Director
BRG | Prism Healthcare

Featured Speakers

Margaret Pogorelec, DNP, RN, CEN, NE-BC, HN-BC

Margaret Pogorelec, DNP, RN, CEN, NE-BC, HN-BC

Director of Care Coordination

The Valley Hospital

Sharon E. Mace, MD, FACEP, FAAP

Sharon E. Mace, MD, FACEP, FAAP

Professor of Medicine

Cleveland Clinic Lerner College of Medicine at Case Western Reserve University
Director, Observation Unit; Director, Research
Cleveland Clinic

Claire Raab, MD

Claire Raab, MD

Associate Chief Medical Officer

Medical Director of Utilization and Quality
Temple Health
Clinical Assistant Professor
Lewis Katz School of Medicine

Rebecca Gomez, MD

Rebecca Gomez, MD

Director, Observation Unit, Central Florida Hospitalist Partners

AdventHealth Orlando

Kathleen Hogan Flinn, MPA, BSN, RN, NE-BC

Kathleen Hogan Flinn, MPA, BSN, RN, NE-BC

Clinical Director, Emergency Services

UPMC Pinnacle

Christie Muza, MSN, BSN, RN, NE-BC

Christie Muza, MSN, BSN, RN, NE-BC

Clinical Director, ED Observation Units, Forensic Nursing and Emergency Services Telemedicine

UPMC Pinnacle

Hao Nguyen, MD

Hao Nguyen, MD

Medical Director of Observation Services

UPMC Pinnacle Emergency Department Observation Units

Kristine Favila, DO

Kristine Favila, DO

Medical Director, Rapid Evaluation and Treatment Unit

Mount Sinai Beth Israel Hospital
Assistant Professor
Icahn School of Medicine

Susan Hawk, MS, LPCC-S, LSW, CGP

Susan Hawk, MS, LPCC-S, LSW, CGP

System Director-Behavioral Health

Bon Secours Mercy Health

James Oliver, MD

James Oliver, MD

Director of the Observation and Clinical Decision Unit

UAB Medicine – UAB Health

 Ivette Becerra-Ortiz

Ivette Becerra-Ortiz

Administrative Director, Care Management

Lucile Packard Children’s Hospital Stanford

Luanne Smedley, MHA, BSN, RN, NEA-BC

Luanne Smedley, MHA, BSN, RN, NEA-BC

Associate Chief Nursing Officer, Care Coordination, Clinical Operations and Technology

Lucile Packard Children’s Hospital Stanford

Corey Scurlock, MD

Corey Scurlock, MD

Medical Director

WMCHealth eHealth Center

Christine Antoine, MD, MBA, MHSA, RRT

Christine Antoine, MD, MBA, MHSA, RRT

Tele Hospitalist/Nocturnist, Department of Telehealth/Medicine

Southside Hospital - Northwell Health
Assistant Professor of Medicine
Hofstra Northwell School of Medicine

Saurabh Chandra MD, PhD

Saurabh Chandra MD, PhD

Medical Director, Telehealth Program

Northwell Health

Nathan Baar, MHA, BSN, RN, CEN

Nathan Baar, MHA, BSN, RN, CEN

Director of Emergency and Urgent Care Services

Metro Health – University of Michigan Health

Stefanie B. Porges, MD

Stefanie B. Porges, MD

Medical Director, Hospital of the University of Pennsylvania Emergency Department Observation Unit

University of Pennsylvania

Margaret Gavigan, MSN, MBA, RN

Margaret Gavigan, MSN, MBA, RN

Regional Chief Nursing Officer, System Vice President, Clinical Operations

Advocate Aurora Health

Dan Hull, MBA

Dan Hull, MBA

System Director, Clinical Performance Improvement

Advocate Aurora Health

Joshua Kosowsky, MD, FACEP

Joshua Kosowsky, MD, FACEP

Director for Patient Experience and Provider Engagement, Department of Emergency Medicine

Brigham and Women’s Hospital

Mark Clemens, MA, RN

Mark Clemens, MA, RN

Associate Director

BRG | Prism Healthcare

Jill Annala-Rogers BSN, ACM, CCTM

Jill Annala-Rogers BSN, ACM, CCTM

Associate Director

BRG | Prism Healthcare

Venue

Hilton Orlando Bonnet Creek
14100 Bonnet Creek Resort Lane
Orlando, FL 32821
407-597-3600

"Mention BRI Network to get the discounted rate of $199/night."

Sponsors and Exhibitors

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 3 weeks prior to the event will receive a refund minus the administration fee of $185. Cancellation received less than 3 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

Request Brochure

Register Your Team Today!

Register Now

Special Discount Offer – Register by February 21st and Save an Additional $200 off the registration fee – mention Promo Code WB200!

Ask A Question

Be A Thought Leader And Share!

Pin It on Pinterest