2020 Patient Flow Management Summit
Optimizing Patient Flow Management through Effective Discharge Planning, Enhanced Patient Care/Satisfaction, Increased Profitability, and Efficient Hospital-Wide Collaboration
January 30 – 31, 2020 * Caesars Palace * Las Vegas, NV

2020 Patient Flow Management Summit

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About the Conference

Today, patient flow has become a major concern for most hospitals and health systems as both the human and financial aspects result in poor quality care, patient dissatisfaction and lower reimbursement and profitability. Optimizing hospital wide patient flow is critical in delivering high quality patient centric healthcare. Hospitals are examining how to provide the right quality care, in the right place and at the right time.

The influx of the newly insured entering the healthcare system presents greater challenges to hospitals and the necessity to streamline flow and capacity has become enormously vital. As this landscape continues to evolve and dramatically transform, there is a huge shift towards hospital wide collaboration and throughput in order to achieve these goals. Optimizing the ED, decreasing patient wait times and enhancing care coordination are key components to moving the patient quickly, efficiently and safely through the hospital system.

This event features leaders from hospitals and health systems who will share their perspectives, valuable insights and expertise on how to be best equipped for the rapidly evolving landscape of patient flow management.

Who Should Attend?

From Hospitals/Health Systems

  • Case Management
  • Discharge Planning
  • Patient Flow
  • Admissions
  • Nursing
  • Operations
  • CEO
  • CFO
  • Patient Care
  • Compliance
  • Clinical Care
  • Medical Directors
  • Quality
  • Patient Financial Services
  • Care Management
  • Emergency Medicine
  • Social Worker
  • Utilization Management
  • Hospitalist
  • Chief of Staff
  • Capacity Management
  • Patient Throughput
  • Bed Management
  • Patient Logistics
  • Patient Transport
  • Clinical Operations
  • Performance Improvement

Also of Interest to:

Vendors
Solution Providers
Consultants

Conference Agenda

Day One – Thursday, January 30, 2020

7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:10am
Chairperson’s Opening Remarks

8:10am – 8:50am
Creating Structures and Processes to Improve Patient Flow

Patient flow has become a major concern for hospitals and healthcare systems. Effective communication and support structures are a crucial factor in facilitating patient flow. Streamlining communication and transparency across disciplines and departments can positively impact quality of care, patient experience, length of stay, and hospital bed capacity. Working in multi-disciplinary teams, and utilizing data to drive performance, is essential in improving patient flow. I will share how our organization put structures and processes in place to improve throughput and increase capacity.

James Ballinghoff, DNP, MBA, RN, NEA-BC
Chief Nursing Officer/Associate Executive Director
Penn Presbyterian Medical Center

8:50am – 9:30am
Presentation Title: Optimizing Integrated Flow Management under the VA MISSION Act

The healthcare industry is evolving and adapting at an unprecedented rate to new legislation and governmental regulations. These changes impact reimbursement structures for all payor sources. Since the enactment of the VA MISSION Act of 2018, Veterans receiving care at outside hospitals (OSH) have increased immensely. The challenge is tracking these Veterans and coordinating care across the continuum to support their access to veterans services and benefits. An innovative approach was developed to effectively manage the escalating non-VA healthcare costs and patient throughput. This resulted in the development of an integrated flow management model; reducing hospital bottlenecks, improving access, increasing patient satisfaction, and promoting cost-containment.

Tonora Garbutt, DNP, MSN, MHA, RN, NEA-BC, VHA-CM
Supervisor, Clinical Command Center
Department of Chief of Staff
Central Virginia Health Care System
Veterans Health Administration

Colman Tom, DNP, MSN, RN, NEA-BC, VHA-CM
Lean Six Sigma – Green Belt
Clinical Transfer Coordinator
Department of Chief of Staff
Central Virginia Health Care System

Veterans Health Administration

9:30am – 10:00am
Networking & Refreshments Break

10:00am – 10:40am
Reducing Hospital Length of Stay Through Development of Standardized and Translatable Discharge Processes

As organizations respond to ongoing reimbursement challenges, reducing discretionary LOS is a key initiative to ensuring the organization’s success in healthcare’s constantly changing payment models. This session is focused on reducing the hospital LOS in order to close the gap between actual length of stay (ALOS) and expected Geometric Mean Length of Stay (GMLOS) based on diagnoses and comorbidities and as defined by the Centers for Medicare and Medicaid Services (CMS) while retaining key performance measures. The project highlighted aimed to reduce LOS by eliminating avoidable, non-medical delays in discharge and identifying issues that were preventing patients from discharge. Strategies included removing key barriers in the discharge process, standardizing the process, defining roles and responsibilities, improving handoffs among multidisciplinary team members and cultivating communication between providers, caregivers and the patient.

Tia Meyer
Operations Administrator
Mayo Clinic

10:40am – 11:20am
Air Traffic Control: Effectively Managing an Open Observation Unit While Decreasing Costs and Length of Stay

In an open, 75-bed observation unit at a quaternary care hospital, it is vital to create an environment of ownership for the patient and early identification of barriers to effectively transitioning patients through their care continuum. Our unit accepts all observation patients, regardless of diagnosis or complexity, and coordinates care among a large number of hospitalists and specialists. We will discuss our challenges and successes in building efficiency, ensuring quality of care, and driving down costs in this busy observation unit. Through consistent physician, nursing, and care management collaboration, this unit has found ways to work more efficiently and improve outcomes for patients.

  • Creating and driving a sense of urgency and patient ownership to expedite care transitions through their care continuum
  • Developing interdepartmental collaboration to prioritize observation patients and facilitate outpatient management and needs
  • Setting clear standards for observation management and maintaining administrative oversight
  • Identifying opportunities to safely decrease length of stay and costs
  • Developing strategies to safely and efficiently manage complex observation patients
  • Decrease hospital readmissions and improve outcomes by making the most of observation care

Tia Llewellyn
Operations Manager
Florida Hospital

Christin Ray, BSN, RN
Senior Nurse Manager | Observation, Dialysis, Suture Clinic, Direct Care Center
AdventHealth

11:20am – 12:00pm
Inter-Hospital Transfers: Leveraging Hospitalists as Triage Officers to Facilitate Timely and Appropriate Patient Placement

Efficient and accurate triage of patients requiring hospitalization is essential for patient safety, both in the emergency department and on the receiving units. The challenges of optimal patient triage are multifold, and involve both inter-departmental and inter-disciplinary communication as well as effective systems of care. This session will examine the systems and processes established to leverage hospitalists and other inter-professional team members as triage officers to facilitate timely and appropriate patient throughput and placement. Some highlighted processes include:

- The successful incorporation of a hospitalist triage officer into the Emergency Department workflow.
- The development of an “easy button” direct admission process for ambulatory patients who do not need the ED but require hospital admission.
- The safe triage of patients between hospitals in a multi-hospital system.
- A one-call MD-MD hand off for ambulatory providers referring patients to the inpatient setting.

Ashley Busuttil, MD, FHM
Medical Director Clinical Operations
Executive Medical Director of Medicine Services
UCLA Health

12:00pm – 1:00pm
Luncheon

1:00pm – 1:40pm
Effective Strategies to Improve Emergency Department Throughput

Emergency department visits, in the United States, have steadily increased over the past 15 years despite a decline in the number of emergency departments during the same time and the Affordable Care Act’s promise to reduce the use of emergency departments as a site for primary care. This has created a significant mismatch in supply and demand, negatively affecting the triple aim of reduced cost, improved quality and increased patient satisfaction. Unfortunately, factors affecting ED throughput are not solely under the control of ED leadership. It requires hospital-wide collaboration to effect lasting change. This discussion will focus on operational, innovative, strategies, from the time of patient entry into the emergency department to disposition that have proven to have a positive impact. Some of the highlighted processes that will be discussed are: “provider in triage,” “split flow” sorting, nurse-provider “team- based” care, leveraging the benefits of an ED observation unit as a more appropriate site for prolonged “work-ups”, and as a pathway for direct admissions and outpatient infusions in lieu of funneling those patients through the ED. Lastly, we will discuss partnering with hospitalists to expedite patient hand-off at admission.

Keith Grams, MD
Chief, Emergency Medicine
Rochester Regional Health

1:40pm – 2:20pm
Transforming Care Delivery to Enhance Patient Flow: Focus on Transitional Planning for Post Acute Care

With the evolving landscape of healthcare continually focusing on optimizing clinical outcomes, improving the quality of care while ultimately trying to drive down healthcare costs, CMS and other insurers have started to more intently focus on the concepts of Post Acute Transitional Care. Developing better care coordination and departmental alignment between the hospital side and the outpatient side of the continuum of care is tantamount to successfully breaking down the silos and bridging the parking lot for post acute transitional care and improved patient flow.
In this presentation, the following topics will be discussed:

• Operational assessment of existing Quality programs for both inpatient and outpatient
• Enhancing Transitional Care Management and Care Coordination Management
• Use of other community resources to assist in post acute transitional care

Ron Martinson, MD
Medical Director and Physician Advisor
Knox Community Hospital

2:20pm – 2:50pm
Networking & Refreshments Break

2:50pm – 3:50pm
Panel: Trends in Patient Access, Capacity Management and Patient Flow

The panel will explore trends in inpatient capacity, demands for care and workforce availability, as well as relate outcomes data in perspective to length of stay, mortality and cost trends. Hear about key elements addressing in-hospital admissions, number of hospitals and inpatient beds available, workforce availability, etc. The panel will also discuss future trends such as LOS, cost per case, mortality, as well as innovations to consider.

Panelists:

Hammad Haider-Shah, MD, JD, CHCQM
Chief Medical Officer
Aurora West Allis Medical Center

Beth Liebhardt RN, MSN
Director of Nursing - Emergency Department
Froedtert Hospital

Suresh K. Ponnada, MD, MPH
Medical Director, Department of Hospital Medicine
Carilion Medical Center

Hemendra Sarda, MD, MPH
CDI Physician Advisor
Carilion Medical Center
Hospitalist Medical Director
Carilion New River Valley Medical Center

3:50pm – 4:30pm
Behavioral Health Patient Management Solutions in the Emergency Department to Improve Patient Flow

In most communities, the ED is the only option for patients to access behavioral health care services 24/7 due to “de-institutionalization”, economic factors, state mental health budget reductions and a host of other factors. Behavioral health patients occupy ED beds longer than non-behavioral health patients. The wait averages approximately $100 per hour in lost billing, an expense intensified by a 55 per cent increase in behavioral health visits in the ED in the past decade. This presentation will discuss strategies to improve patient flow of the behavioral health patient in the emergency department.

CaNeechia S. Mack, BSN, BA, RN
Charge Nurse
HCA Houston Healthcare West

4:30pm – 5:10pm
Creating Structures and Processes to Support Care Coordination and Improved Patient Throughput

This session will focus on ways our tertiary care facility implemented efficient patient throughput processes and infrastructure, specific to Stroke and elective spinal fusion patients, utilizing daily C-Suite Census Report, DRG Report and measured effectiveness by an increase in Case Mix Index (CMI) along with < or = targeted Geometric Mean Length of Stay (GMLOS) for Neurovascular and Spinal Fusion DRG's.

Karin McAuley, RN, BSN
Spine - Preoperative Care Planning
Barrow Neurological Institute

Nancy C. Rush, RN, BSN,CCM
Care Coordination Barrow Neurovascular Team
St. Joseph’s Hospital and Medical Center

5:10pm
End of Day One

Day Two – Friday, January 31, 2020

7:15am – 8:00am
Networking Breakfast

8:00am – 8:10am
Chairperson’s Remarks

8:10am – 8:50am
Structuring Early Morning Discharges: The Gold Star Project

In this session, we will do a case study on inpatient flow issues in several medical units, and explore the various barriers encountered when discharging patients. Next we will look at ways some of the Emory Hospitals have worked to improve early morning discharges through a data driven process across multiple disciplines including physicians, nurses, case managers and administrators. Earlier discharges, yes we can!

John Vazquez, MD
Assistant Professor
Emory University
Associate Director, Operations – Division of Hospital Medicine
Medical Director, System Transfer Service and Patient Flow
Emory Healthcare

8:50am – 9:30am
Leading Through Influence

Need help gaining company support to implement a new transfer center software solution? Learn from Banner Health’s Charley Larsen on how he transformed their transfer center by generating company-wide excitement and key executive buy-in to implement a dedicated patient flow software and initiate substantial operational improvements in Banner Health’s large and complex healthcare system. In this session you’ll hear how to start a grassroots effort to secure company-wide backing to deploy new transfer center software, hear implementation best practices and how to utilize data to drive real results and enhance accountability. See real-life results of what can happen when you transform your transfer center to a command center!

Charley Larsen, RN, MSN, MBA, CNML, NE-BC
Registered Nurse Senior Director
Banner Health

9:30am – 10:00am
Networking & Refreshments Break

10:00am – 10:40am
Best Practices on Improving Length of Stay to Enhance Hospital Patient Flow

This session will explore the steps required in identifying patient flow challenges and its causes. Learn how to approach patient flow challenges, and the best methods to yield optimal results in enhancing hospital-wide patient flow. Learning Objectives:

1. Discuss key drivers for system optimization to improve hospital-wide flow.
2. Describe strategies for improving efficiencies and reducing the LOS in medical and surgical units.
3. Describe examples of enhanced multidisciplinary collaboration which have resulted in better patient outcomes.

Stephanie Calcasola, MSN, RN-BC, CPHQ
Vice President of Quality and Safety
Hartford HealthCare

10:40am – 11:20am
Enhancing Communication for Efficient Patient Workflow: A Panacea for Today’s Inpatient Capacity Challenges

Patient flow has become a major concern for hospitals and healthcare systems. Effective communication is a crucial factor for patient flow and transitioning patients to the next level of care. It is absolutely essential for facilitating efficient patient flow. Lapses in communication among disciplines and departments can negatively affect the quality of care, patient and family satisfaction, hospital resources, patients’ length of stay, and hospital bed capacity. This presentation describes a system- wide initiative that was implemented at a compressive cancer center. The intricacies of the initiative’s development, the processes established, and future plans will be presented. The success of this project relied on a multidisciplinary approach for data collection and identifying solutions, the use of technology for bed management and standardized workflow, an interdisciplinary huddle, and other strategies for sustaining the change.

Carmen Castillo, MSN, RN, CCM
Nurse Case Manager Supervisor
Memorial Sloan Kettering Cancer Center

11:20am – 12:00pm
Through the Looking Glass: Creating a Discharge Center…4 Years Later!

In anticipation of transitioning to a new electronic health record (EHR), one large academic medical center (AMC) created a discharge center (DC) as a pilot based upon an anticipated high hospital census and potential slowing of patient throughput processes as hospital clinicians and staff became accustomed to the new EHR. Opening February 29, 2016, the DC has experienced many changes including expanding operational hours, altering staffing mix, transforming services provided, modifying reporting structure and undergoing major renovations. This presentation will discuss the four year journey of the DC as well as discuss key metrics, outcomes, successes and opportunities for improvement (OFIs).

Pamela Douglas-Ntagha, DNP, JD, MSN, MBA, RN
Director, Patient Resources
The University of Texas MD Anderson Cancer Center

Saro Ntagha, MBA
Assistant Director, Environmental Services
HHS/HCA Houston Healthcare West Medical Center

12:00pm – 12:40pm
Implementation of a Community Care Network: Coordinating Care Across the Spectrum

Health care is shifting from the traditional episodic, transactional model to the management of chronic conditions across the spectrum of hospital, physician practice, and community. Emphasis is being placed on the outpatient management of ambulatory sensitive conditions. The goal is implementation of proactive care in order to reduce avoidable healthcare utilization and prevent complications of chronic disease. Monongahela Valley Hospital has implemented a multidisciplinary Community Care Network as a tool in optimizing the organization’s “no discharge” philosophy. This team works closely with the hospital, the Physician Health Organization, and community agencies to assess and meet the needs of high utilizer and rising risk populations. Standards of practice have been developed with key skilled nursing and home care partners. Key to effective management of high and rising risk patients is the evaluation and management of social determinants of health. Effective management of these patients during transition and referral to community partners reduce readmissions and avoidable emergency department utilization.

Lynda Nester, MS, BSN, RN, NE-BC
Executive Director, Community Care Network
Monongahela Valley Hospital

12:40pm
Conference Concludes

Workshop – Friday, January 31, 2020

1:00pm – 3:00pm
Reducing Length of Stay for Patients with Complex Needs

Timely progression of patient care and discharge planning through the episode of care is key to ensuring improved capacity. This workshop will provide the learner with a better understanding of the influence of case management practice in influencing patient flow and progress. Attendees will be provided with key strategies and tactics in patient flow through the lens of case management and the effectiveness of their role within the interdisciplinary team. These strategies will range from the entry point to transitions in care.
Learning Objectives:

  • Understand the influence of the care continuum as a factor in managing complex patients
  • Introduce case management across the continuum to manage patients and reduce hospital stays
  • Leveraging the disciplines with case management to assure professionals are working as teams and at the top of their license
  • Learn 10 strategies that involve case management in reducing LOS and improving capacity
    continuum to manage patients and reduce hospital stays

Bonnie Geld, MSW
President and Chief Executive Officer
The Center for Case Management

Featured Speakers

James Ballinghoff, DNP, MBA, RN, NEA-BC

James Ballinghoff, DNP, MBA, RN, NEA-BC

Chief Nursing Officer/Associate Executive Director

Penn Presbyterian Medical Center

Tonora Garbutt, DNP, MSN, MHA, RN, NEA-BC, VHA-CM

Tonora Garbutt, DNP, MSN, MHA, RN, NEA-BC, VHA-CM

Supervisor, Clinical Command Center

Veterans Health Administration

Colman Tom, DNP, MSN, RN, NEA-BC, VHA-CM

Colman Tom, DNP, MSN, RN, NEA-BC, VHA-CM

Lean Six Sigma – Green Belt, Clinical Patient Transfer / Flow Coordinator, Clinical Command Center, Chief of Staff Department

Veterans Health Administration

Tia Meyer

Tia Meyer

Operations Administrator

Mayo Clinic

Tia Llewellyn

Tia Llewellyn

Operations Manager

Florida Hospital

Christin Ray, BSN, RN

Christin Ray, BSN, RN

Senior Nurse Manager | Observation, Dialysis, Suture Clinic, Direct Care Center

AdventHealth

Keith Grams, MD

Keith Grams, MD

Chief, Emergency Medicine

Rochester Regional Health

Ron Martinson, MD

Ron Martinson, MD

Medical Director and Physician Advisor

Knox Community Hospital

John Vazquez, MD

John Vazquez, MD

Assistant Professor

Emory University
Associate Director, Operations – Division of Hospital Medicine
Medical Director, System Transfer Service and Patient Flow
Emory Healthcare

Charley Larsen, RN, MSN, MBA, CNML, NE-BC

Charley Larsen, RN, MSN, MBA, CNML, NE-BC

Registered Nurse Senior Director

Banner Health

Stephanie Calcasola, MSN, RN-BC, CPHQ

Stephanie Calcasola, MSN, RN-BC, CPHQ

Vice President of Quality and Safety

Hartford HealthCare

Nancy C. Rush, RN, BSN,CCM

Nancy C. Rush, RN, BSN,CCM

Care Coordination Barrow Neurovascular Team

St. Joseph’s Hospital and Medical Center

Ashley Busuttil, MD, FHM

Ashley Busuttil, MD, FHM

Medical Director Clinical Operations, Executive Medical Director of Medicine Services

UCLA Health

Lynda Nester, MS, BSN, RN, NE-BC

Lynda Nester, MS, BSN, RN, NE-BC

Executive Director

Monongahela Valley Hospital

Carmen Castillo, MSN, RN, CCM

Carmen Castillo, MSN, RN, CCM

Nurse Case Manager Supervisor

Memorial Sloan Kettering Cancer Center

Bonnie Geld, MSW

Bonnie Geld, MSW

President and Chief Executive Officer

The Center for Case Management

Hammad Haider-Shah, MD, JD, CHCQM

Hammad Haider-Shah, MD, JD, CHCQM

Chief Medical Officer

Aurora West Allis Medical Center

Beth Liebhardt RN, MSN

Beth Liebhardt RN, MSN

Director of Nursing - Emergency Department

Froedtert Hospital

Suresh K. Ponnada, MD, MPH

Suresh K. Ponnada, MD, MPH

Medical Director, Department of Hospital Medicine

Carilion Medical Center

Hemendra Sarda, MD, MPH

Hemendra Sarda, MD, MPH

CDI Physician Advisor

Carilion Medical Center
Hospitalist Medical Director
Carilion New River Valley Medical Center

CaNeechia S. Mack, BSN, BA, RN

CaNeechia S. Mack, BSN, BA, RN

Charge Nurse

HCA Houston Healthcare West

Pamela Douglas-Ntagha, DNP, JD, MSN, MBA, RN

Pamela Douglas-Ntagha, DNP, JD, MSN, MBA, RN

Director, Patient Resources

The University of Texas MD Anderson Cancer Center

Saro Ntagha, MBA

Saro Ntagha, MBA

Assistant Director, Environmental Services

HHS/HCA Houston Healthcare West Medical Center

Karin McAuley, RN, BSN

Karin McAuley, RN, BSN

Spine - Preoperative Care Planning

Barrow Neurological Institute

Venue

Caesars Palace

Caesars Palace
3570 S. Las Vegas Blvd.
Las Vegas, NV 89109
866-227-5938

"Mention BRI Network to get the discounted rate of $113/night" or use link below:

https://book.passkey.com/go/SCBRI0

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

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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