2021 Observation Patient Management Forum
May 17-18, 2021 – VIRTUAL CONFERENCE

2021 Observation Patient Management Forum

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COVID-19 Advisory: BRI Network values above all else, the health & safety of our attendees, speakers, sponsors and the public. As COVID-19 continues to be a global health crisis, we will hold events in a virtual format until such time as in-person events are deemed to be safe by health experts. We look forward to consistently providing the healthcare industry with vital, actionable information and best practices both in our present format and meeting you face-to-face in the future.

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 2021 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.

Who Should Attend?
From Hospitals/Health Systems:
• Case Management
• Discharge Planning
• Care Management
• Admissions
• Observation Services
• Nursing
• Operations
• Patient Care
• Compliance
• Clinical Care
• Medical Directors
• Quality
• Patient Financial Services
• Denial Management
• Emergency Medicine
• Social Worker
• Utilization Management
• Hospitalist
• Chief of Staff
• Capacity Management
• Patient Throughput
• Bed Management
• Patient Logistics

Also of Interest to:

• Vendors
• Solution Providers
• Consultants

Conference Agenda

Day One –Monday, May 17, 2021

9:45am Attendee Log In

9:50am Opening Remarks

10:00am – 10:45am
Developing and Implementing an Effective Observation Case Management Program to Improve Efficiency and Flow

Kasey Schnebly, DNP, CRNP
Director of Performance Improvement
Meritus Medical Center

10:50am – 11:35am
A Proven and Effective Blueprint for Implementing a Short Stay/Observation Unit at Your Hospital
This presentation will summarize the keys to success for an observation unit.  The steps for starting and/or maintaining an observation unit will be explained.  The specifics on how to assure a viable observation unit will be outlined. Tools essential for implementing a successful observation medicine program will be delineated. Specific examples of such tools as clinical and administrative policies and procedures, protocols, order sets, and clinical pathways will be given. What does the literature tell us about the value and importance of observation medicine in today’s competitive world including the clinical and fiscal impact of observation medicine? How observation medicine benefits everyone: the hospital, primary care, specialists, the emergency department, special programs and most importantly, families and patients; will be described. What are the critical factors that make observation medicine succeed or fail? New developments and the future of observation medicine will be discussed.

Sharon Mace, MD, FACEP, FAAP
Professor of Medicine
Cleveland Clinic Lerner College of Medicine
Case Western Reserve University Director,
Observation Unit; Director, Research
Cleveland Clinic

11:40am – 12:25pm
Engaging A Multi-Disciplinary Team in Observation Management

A collaborative, multidisciplinary team approach is integral to the success of a quick firing short stay observation unit. We will discuss how best to optimize this process for unit efficiency, as well as patient safety. 

Stefanie B. Porges MD
Assistant Professor Emergency Medicine   
Perelman School of Medicine    
Medical Director of Emergency Department Observation Unit
UBCL Physician Lead
PENNSTAR Flight Program Medical Command
Director of Physician Scheduling                   
University of Pennsylvania      

12:30pm – Lunch Break

1:00pm – 1:45pm
Achieving Success in Clinical Decision Making and Management of the Observation Unit
This presentation will review key concepts in building a high-performing observation unit, including how to identify the right patient population, how to manage flow through the unit to discharge, and how to optimize care pathways

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

1:50pm – 2:35pm
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

2:40pm – 3:25pm
Observation: Tales from the Trenches, Common Mistakes and How to Avoid Them

We will discuss the purpose of observation units and its impact on hospital throughput. We will review observation metrics and characteristics that are found in successful units. We will provide a general overview of how our observation is run and highlight some challenges that we have faced as we have expanded.  Finally, we will show how data driven metrics can drive change and will share a few of the initiatives we have started at our institution.

Kristine Favila D.O.
Medical Director, Rapid Evaluation & Treatment Unit Assistant Professor
Icahn School of Medicine

3:30pm – 4:15pm
Psychiatric Observation

Leslie Zun, MD, MBA
System Chair of the Department of the Emergency Medicine
Chair and Professor in the Departments of Emergency Medicine and Psychiatry
Rosalind Franklin University of Medicine and Science at Chicago Medical School

 4:20pm – 5:05pm
Observation: A Good Idea with Potential Pitfalls
The session will focus on the Observation unit since its inception with a focus on the pitfalls and challenges along the years, for both physicians and hospitals. There will also be discussion about the current challenges and implementation of solutions

Tibian Abramovitz, MD
Medical Director for Case Management
St. John’s Episcopal Hospital, Queens NY

5:05pm End of Day One

Day Two – Tuesday, May 18, 2021

9:45am Recap of Day One

9:55am – 10:40am
Leveraging Telehealth For The Management of Observation Patients With A Focus On Transition Of Care

Observation Medicine has amplified the disjointed nature of the post-discharge planning process. The front-loading quality-focused is worrisome as it has become a compounding factor along with the rapid patient turnover. These patients continue to require close monitoring until they can see their PCPs. The transition after discharge traditionally was done by nurses making follow-up phone calls, organizing discharge medications, and making PCPs appointments. Post-hospitalization follow-up appointments can take 1-2 weeks. This critical timing can often result in patients ending back in the ER or having no follow-up due to non-compliance. The vicious cycle utilizes a significant amount of ED resources and pulls clinical providers away from the bedside. Transition post-discharge requires a more committed and In-depth structure in conjunction with Observation Medicine care.  

My presentation aims to focus on the creation of a Multidisciplinary Hybrid Telemedicine Service that can significantly impact the complexity of observation medicine and transition of care. Better management of chronic medical conditions during healthcare transitions utilizing telemedicine is a crucial part towards achieving the ultimate goal of improved patient outcomes and decrease per capita cost of care. 

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

10:45am – 11:30am
Covid-19 Tele-hospitalist program

Corey Scurlock, MD
Medical Director
WMCHealth eHealth Center

11:35am – 12:20pm
Emergency Department Strategies and Clinical Decision Making-Optimizing Patient Flow
 

Stephanie Figueroa, MPAS, DFAAPA, PA-C
Director of Observation Medicine/PA Manager
Johns Hopkins Department of Emergency Medicine  

12:25pm Afternoon Break

12:45pm – 1:30pm
A Roadmap for Health System Observation Care Improvement
 

Mary McLaughlin Davis, DNP, ACNS-BC, NEA-BC, CCM
Senior Director of Care Management; President
Cleveland Clinic

1:35pm – 2:20pm
How to Use Telehealth in Observation and ER Patient Management
This presentation will focus on the rapid implementation of Telehealth in the Emergency Department and the Clinical Decision Unit (CDU) during the COVID-19 pandemic.  Telehealth was utilized to create Emergency Department capacity, to maintain timely clinical metrics across a spectrum of patient acuity and care settings, and to decrease the amount of needed personal protective equipment while simultaneously to maintain the delivery of high-quality, multidisciplinary care.  Our instance of telehealth greatly decreased the need for provider-patient colocation which in turn saved provider time and facilitated broader access to patient reassessments, consult services, and video interpretation.  Join us in this talk to discuss the various telehealth solutions used to address the unique challenges of various Emergency Department settings in the pandemic.

Patrice Callagy, RN, MPA, MSN, CEN
Executive Director of Emergency Services
Stanford Health Care 

Michael Losak MD
Medical Director, Clinical Decision Unit (CDU)
Stanford Health Care  

2:25pm – 3:20pm
The Role of Observation Care in the Management of Oncologic Emergencies
Short stays in observation are appropriate for the evaluation and management of many cancer related ED complaints.  In a recent study, more than one third of ED admissions of cancer patients had a length of stay less than 48 hours. This underutilized resource can provide high quality care and targeted interventions for a vulnerable population that often wishes to avoid hospitalization. 

Adam Klotz, MD
Associate Member, Urgent Care Service
Associate Professor, Weill Cornell Medical College
Co-Chair, Institutional Patient Flow Committee
Director,  Urgent Care Clinical Decision Unit
Memorial Sloan Kettering Cancer Center

3:25pm Conference Concludes

Featured Speakers

Sharon Mace, MD, FACEP, FAAP

Sharon 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
Stefanie B. Porges, MD

Stefanie B. Porges, MD

Assistant Professor Emergency Medicine, Perelman School of Medicine, Medical Director of Emergency Department Observation Unit, UBCL Physician Lead, PENNSTAR Flight Program Medical Command, Director of Physician Scheduling

University of Pennsylvania
Rebecca Gomez, MD

Rebecca Gomez, MD

Director, Observation Unit, Central Florida Hospitalist Partners

Advent Health 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
Corey Scurlock, MD

Corey Scurlock, MD

Medical Director

WMCHealth eHealth Center
Christine Antoine, MD, MBA, MHSA, RRT

Christine Antoine, MD, MBA, MHSA, RRT

Founder

C Doc@Telecom
Nocturnist
Vassar Brothers Medical Center, Nuvance Health

Kasey Schnebly, DNP, CRNP

Kasey Schnebly, DNP, CRNP

Director of Performance Improvement

Meritus Medical Center

Kristine Favila, D.O.

Kristine Favila, D.O.

Medical Director, Rapid Evaluation and Treatment Unit Assistant Professor

Icahn School of Medicine

Leslie Zun, MD, MBA

Leslie Zun, MD, MBA

System Chair, Department of Emergency Medicine

Chair and Professor, Department of Emergency Medicine and Pyschiatry
Rosalind Franklin University of Medicine 

Tibian Abramovitz, MD

Tibian Abramovitz, MD

Medical Director, Case Management

St. John’s Episcopal Hospital

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

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

Senior Director of Care Management, President

Cleveland Clinic

Adam Klotz, MD

Adam Klotz, MD

Associate Member, Urgent Care Service

Director, Urgent Care Clinical Decision 
Unit
Memorial Sloan Kettering Cancer Center

Stephanie Figueroa, MPAS, DFAAPA, PA-C

Stephanie Figueroa, MPAS, DFAAPA, PA-C

Director of Observation Medicine/PA Manager

Johns Hopkins Department of Emergency Medicine

Patrice Callagy, RN, MPA, MSN, CEN

Patrice Callagy, RN, MPA, MSN, CEN

Executive Director of Emergency Services

Stanford Healthcare

Michael Losak, MD

Michael Losak, MD

Medical Director, Clinical Decision Unit (CDU)

Stanford Healthcare

Venue
VIRTUAL CONFERENCE
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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