2022 Observation Patient Management Forum
Understanding, Preserving and Improving Patient Experience, Quality and Safety
February 24-25, 2022 * Caesars Palace * Las Vegas, NV

2022 Observation Patient Management Forum

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COVID-19 Advisory: BRI Network holds above all else, the health & safety of our attendees and their families. Currently this event is scheduled as an in-person event. We will however, continue to monitor and follow recommendations regarding capacity from CDC and other health agencies.

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 2022 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 LogisticsAlso of Interest to:
    • Vendors
    • Solution Providers
    • Consultants

Conference Agenda

Day One – Thursday, February 24, 2022

7:15am - 8:00am
Conference Registration & Morning Breakfast

8:00am - 8:15am
Chairperson's Opening Remarks

8:15am - 9:00am
Transitional Care Management in Observation Medicine
Enhanced discharge planning and coordinating post-acute continuity of care can be very helpful in decreasing readmission rates, re-observations and revisits to your facility.  In the ongoing perpetuation of hospital department silos, it is important to attempt to better bridge the parking lot for post-acute care coordination even with the observation patient. This presentation will review concepts regarding aligning existing Quality resources to enhance discharge planning and care coordination as well as how to initiate and optimize Transitional Care Management and Chronic Care Management.

Ron T. Martinson
Community Medicine Officer
Knox Community Hospital

9:00am - 9:45am
The Role of Observation Care in the Evaluation and Management of Cancer Emergencies
In a recent study, one quarter of patients with active cancer admitted to the hospital through the emergency department had a length of stay less than 2 days.  Observation care has the potential to play a significant role in the safe and effective management of several common oncologic emergencies.  Clinical and operational guidelines for this unique but growing population are currently being defined.  Successful OBS protocols for cancer patients prevent unnecessary hospitalizations and lead to improved ED throughput.

Adam Klotz, MD
Associate Attending Physician
Memorial Sloan-Kettering Cancer Center

9:45am - 10:15am
Mid-Morning Break

10:15am - 11:00am
Leveraging Telehealth for The Management of Observation Patients with A Focus on Transition of Care
Achieving IHI’s triple aim is to improve the patient experience of care, improve populations’ health while reducing the per capita cost of health care. The current healthcare staff shortage, high hospital volumes, and healthcare facilities’ catastrophic financial challenges related to the COVID-19 pandemic magnify barriers that already exist within the fragmented brick-and-mortar healthcare system. Telemedicine proved to be a safe, efficient, and highly effective healthcare delivery option throughout the COVID 19 pandemic. Implementing a hybrid telemedicine observation unit is imperative to focus on achieving the IHI’s aim, bridging the gap of staff scarcity, and helping bolster healthcare organizations’ financial recovery.

Dr. Christina Antoine, MD, MHSA, MBA
President, C Doc Medical Group Pllc.
Nocturnist, Vassar Brother Medical Center, NuvanceHealth

11:00am - 11:45am
Hospital Case Managers and Observation Patients
Observation patients with cognitive, behavioral, and social challenges are typically imbedded in the regular nursing units and require case managers to make necessary connections with community resources and provide medical coordination in an abbreviated timeline. Even after many years of utilizing observation status, hospital systems struggle with this group of observation patients. They are still viewed as inpatients by the care team, the patients, and the families. The Case Managers in our organization lead a multidisciplinary team, including the UM nurses, with observation huddles twice a day focusing on the observation patients and keeping the hours in observation to less than 48. This singular focus on observation patients has decreased the percentage of patients in observation status over 48 hours by 15% in two years.

Mary McLaughlin Davis, DNP, ACNS-BC, NEA-BC, CCM
Sr. Director, Care Management Nursing
Cleveland Clinic

11:45am - 12:30pm
A Proven and Effective Blueprint for Implementing a Short Stay/Observation Unit at Your Hospital

Dr. Sharon D. Mace
Professor of Medicine; Director, Observation Unit; Director, Research
Cleveland Clinic Lerner College of Medicine at Case Western Reserve University
Cleveland Clinic

12:30pm - 1:30pm
Luncheon for All Attendees & Speakers

1:30pm - 2:15pm
Psychiatric Observation: What You Need to Know
Many emergency departments struggle with psychiatric patients boarding for hours to days in the ED. Rather than boarding these patients, placing them in psychiatric observations not only provides better care but also reimbursement for these borders. This presentation discusses the benefits and means to establish psychiatric observation.

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

2:15pm - 3:00pm
Care Transition Strategies from Participants in Medicare Value-Based Care Models
Organizations participating in Medicare value-based care models (including Next Generation Accountable Care Organization, Share Saving Program, Direct Contracting, and Kidney Care Choices) have identified strategies to improve transitions of care from observation status. The presentation will consider their strategies and best practices—including home visits, direct admission to skilled nursing facilities (SNFs), and telehealth—based on analyses conducted for the CMS Innovation Center.

Sonya Streeter
Senior Researcher and Associate Director of Mathematica’s Center of Health Care Effectiveness
Mathematica

3:00pm - 3:30pm
Networking Break & Refreshments

3:30pm - 4:15pm
Leveraging the Observation Unit to Improve Patient Throughput without Compromising Patient Outcomes

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

4:15pm - 5:00pm
Utilizing a multidisciplinary approach to achieve the Triple Aim in Observation Medicine

5:00pm 
End of Day One

Day Two – Friday, February 25, 2022

7:15am - 8:00am
Morning Breakfast

8:00am - 8:15am
Chairperson’s Recap of Day One

8:15am - 9:00am
Optimizing Observation
Attendees can expect to discuss and learn a “life-hack” for observation units and providers to get the best results in observation, utilizing the Triple Aim approach.

Katherine Schnebly, DNP, CRNP, CPHQ
Director of Performance Improvement
Adfinitas Health

9:00am - 9:45am
Nuts and Bolts for Observation Services: Making the Business Case for Creating an Observation Unit
As the healthcare industry continues to adapt to the COVID crisis delivering care in an observation unit may be an alternative to admitting patients who need to be monitored and/or cannot be safely discharged home. With shrinking reimbursement, investment in the creation or expansion of an Observation Unit is becoming more challenging. Board and Senior Leaders are now being forced to make investments in initiatives that hold the promise of delivering true business value.  Although Observation Units are being viewed as a potential long-term solution to our current crisis, to secure approval to create a new observation unit, one must build a solid business case.

This session will present best practice strategies in the development and implementation of the business case. Highlights will also include the barriers and opportunities one hospital encountered once it made the business decision to create the dedicated observation unit that would not only benefit the hospital but also the community it serves.

Peg Keshock, MSN, RN, ACM
Director, Care Coordination Services
Jackson Health & Clinics

9:45am - 10:15am
Mid-Morning Break

10:15am - 11:00am
Leveraging the Observation Unit to Improve Patient Throughput without Compromising Patient Outcomes 

Well-established clinical pathways have been linked to reduced cost, increased adherence to process measures, reduced length of stay and even proposed to be linked to a lower incidence of malpractice lawsuits.  Over the past several years, work has been done at Stanford to increase the number of clinical pathways from the ED through our Observation Unit – the Clinical Decision Unit (CDU).  In this talk, we describe the process of inter-service collaboration at an academic medical center to reach these goals and a subsequent analysis of their effectiveness on CDU length of stay, reimbursement, and clinical outcomes.

Jennifer Hunter
Lead APP
Michael Losak, MD
Medical Director CDU Observation
Stanford Health Care

11:00am - 11:45am
Embedding UR in the OBS Unit

11:45am - 12:30pm
Measuring and Reporting the Clinical and Financial Outcomes of Your Observation Unit

12:30pm
Conference Concludes

Workshop – Friday, February 25, 2022

12:45pm – 2:45pm

Featured Speakers

Ron T. Martinson

Ron T. Martinson

Community Medicine Officer

Adam Klotz, MD

Adam Klotz, MD

Associate Attending Physician

Memorial Sloan-Kettering Cancer Center

Dr. Christina Antoine, MD, MHSA, MBA

Dr. Christina Antoine, MD, MHSA, MBA

President, C Doc Medical Group Pllc.

Nocturnist, Vassar Brother Medical Center
NuvanceHealth

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

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

Sr. Director, Care Management Nursing

Cleveland Clinic

Sharon E. Mace, MD, FACEP, FAAP

Sharon E. Mace, MD, FACEP, FAAP

Professor of Medicine

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Director, Research, Emergency Services Institute (ESI)
Former, Director, Observation Unit, ESI
Cleveland Clinic

Dr. Leslie Zun

Dr. Leslie Zun

System Chair of the Department of Emergency Medicine

Chair and Professor in the Departments of Emergency Medicine and Psychiatry
Rosalind Franklin University of Medicine and Science
Chicago Medical School

Sonya Streeter

Sonya Streeter

Senior Researcher and Associate Director of Center of Health Care Effectiveness

Mathematica

Hao Nguyen, MD

Hao Nguyen, MD

Medical Director of Observation Services

UPMC Pinnacle Emergency Department Observation Units

Katherine Schnebly, DNP, CRNP, CPHQ

Katherine Schnebly, DNP, CRNP, CPHQ

Director of Performance Improvement

Adfinitas Health

Peg Keshock, MSN, RN, ACM

Peg Keshock, MSN, RN, ACM

Director, Care Coordination Services

Jackson Health & Clinics

Michael Losak, MD

Michael Losak, MD

Medical Director CDU Observation

Stanford Health Care

Venue

Caesars Palace Las Vegas
3570 Las Vegas Blvd. South
Las Vegas, NV 89109

*Mention BRI Network to get the discounted rate of $170/night or use link below:

https://book.passkey.com/go/SCBRI2

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 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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