Agenda for Monday, April 23, 2018

7:30am – 8:30am

Breakfast and Registration

8:00am – 9:15am

General Session

Seeding Innovation with Physicians

Course 180408 | 1.5 CPE | Level – Intermediate | No Prerequisites

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Healthcare finance leaders are challenged each day to reimagine and transform what they know Healthcare finance leaders are challenged each day to reimagine and transform what they know into what their patients and communities need and deserve. Today, that means navigating innovation and experimentation to meet the challenge to provide the right care, at the right time, and at the right cost. It also requires collaboration with physician colleagues to redesign and transform the delivery and organization of care. Such collaborative relationships are the cornerstone of innovation, and this presentation will explore how to build partnerships of trust that have the power to advance health.

Carol A. Friesen, Vice President, Health System Services, Bryan Health; 2017-2018 HFMA National Chair

Carol A. Friesen, FHFMA is VP of Health System Services, Bryan Health, Lincoln, Nebraska and serves as Chair of HFMA for the 2017-18 term.

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A member of HFMA since 1999, Ms. Friesen’s involvement with the National Association includes serving as Director for the Board of Directors, the National Advisory Council, Early Careerist Task Force and Region 8 Regional Executive. Ms. Friesen has also served the Nebraska Chapter as Director, Treasurer, Secretary, Vice President, and President. She has received the Follmer Bronze, Reeves Silver, and Muncie Gold merit awards, as well as the HFMA Medal of Honor.

Ms. Friesen, a Fellow of HFMA and Certified Healthcare Financial Professional, holds a Bachelor of Science in business management and a Master of Public Health in healthcare administration.

9:15am – 10:30am

General Session

Using Analytics to Reduce Revenue Cycle Cost to Collect

Course 180409 | 1.5 CPE | Level – Intermediate | Prerequisites – None

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In this presentation we will be discussing how analytics can be used to maximize efficiencies in operations, vendor management, payer scorecards, etc. and how to infuse the data into daily performance at a lower cost to collect. What are your blind spots that create waste or redundancy? How do your KPIs link to employee daily engagement? Are your vendors costing you more than they should? Are you using payer performance in contract negotiations? Where are your cost blind spots? Typically Revenue Cycle and Billing Office leaders have strong metrics, measurements and reports to drive their departments in achieving desired goals. This session will provide insight how to use the data available to focus in on achieving higher performance while reducing the cost to collect.

Course Objectives:

Understanding your KPI and how to link standard work and employee engagement to achieve operational efficiency. Measuring your vendor partners and optimizing the return. The value of payer scorecards. The importance of understanding your data to drive decisions that reduce operational cost.

Michael Taylor, Central Business Office Leader, Sutter Health – Sutter Shared Service

Michael Taylor presently works for Sutter Health’s Shared Services organization as the Leader of the Central Business Office (CBO) providing billing and collection services for twenty eight (28) acute care facilities in the Sutter Health system.

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Prior to leadership of the CBO he designed, implemented and led the Patient Access Center which provides centralized patient access and financial clearance support for all acute care facilities in the Sutter Health System. Mr. Taylor has 27 years of management experience in acute care hospital billing and registration with extensive knowledge in all aspects of the patient revenue cycle. He is Lean Certified through Sutter Health’s Lean program and has previously been an HFMA speaker on the topics of Quality Metrics, Pricing Transparency, Charity, Charge Capture, Process Transformation and Lean Concepts.

1:00pm – 1:50pm

General Session

Hackers Love Healthcare

Why the Healthcare Industry is a favorite Target for hackers – and How to Prevent It

Course 180410 | 1.5 CPE | Level – Intermediate | Prerequisites – None

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In the digital age, security breaches are inevitable and cyberattacks against businesses are becoming more frequent and severe.  In fact, business email scams alone have increased 2,370% from January 2015 to December 2016, now totaling $5 billion worldwide.  Whether ransomware, wire transfer and email scams, or data theft, cyberattacks are ranked the No.1 risk facing non-bank US businesses.

This presentation will make sense of the bewildering landscape of top cyber threats facing the healthcare industry.  We will explain the motivations and tactics of cyber threat actor (hackers), how their methods have evolved over time, and how they successfully prey on human behavior, complexity, and social tendencies.  Backed by this understanding, you will learn best practices, tips and tricks on how to become more secure through a smart blend of controls, technologies, and cultural changes.

Jan S. Hertzberg, CIPT, CISA, Director – IT Risk Services, BKD
Jan has more than 30 years of experience providing IT audit, risk, cyber security
and privacy compliance services.

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This includes extensive experience in identifying and managing IT internal control risks and recommending solutions that apply cybersecurity and privacy frameworks (including COBIT, NIST, GAPP, ISO and AICPA Trust Principles) to implement leading practices and help clients meet compliance requirements.

Jan has led IT audit co-sourcing engagements for healthcare providers. Audits
included reviews of a number of Electronic Health Record (EHR) systems,
including EPIC, Cerner and Meditech. Also, he has performed a variety of
cybersecurity engagements (e.g. HIPAA Security Risk Assessments, Payment
Card Industry Data Security Standard (PCI DSS) Readiness Assessments) for
healthcare providers, payers and business associates.

Lanny Morrow, Senior Data Scientist and Technical Lead – Forensics & Valuation Services, BKD 
With 21 years of experience at BKD, Lanny is the senior data scientist and technical lead in advanced data mining and digital forensics for BKD’s Forensics & Valuation Services division.

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Lanny is an EnCase® Certified Examiner (EnCE) and Cyber Threat Forensic Investigator (CTFI), and is a frequent speaker and writer on data mining and digital forensics, including contributions to university textbooks and the Association of Certified Fraud Examiners’ Fraud Magazine.  He also is an adjunct professor in the Master’s in Data Science Program at Rockhurst University, Kansas City, Missouri. Lanny is also the developer of several proprietary artificial intelligence technologies used by BKD to investigate fraud, and identify risk in organizations.

10:45am – 12:00pm

General Session

The View from Washington: AHA Political & Legislative Update

Course 180411 | 1.0 CPE | Level – Entry | Prerequisites – None

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This presentation will provide an overview of federal level activity that impact the hospital field, including the political environment, key bills, and AHA advocacy and outreach efforts. Attendees should include those who are employed by or work with the hospital field. They will benefit from a timely update of politics and policies that could impact their workplace.

Megan Cundari, Senior Associate Director – Federal Relations, American Hospital Association
Megan has been a member of the Federal Relations department at the AHA since 2001 and has been lobbying Congress for the last fourteen years.

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In addition to advocating the full range of AHA’s legislative and regulatory agenda, her specific issue areas include Medicaid and the Children’s Health Insurance Program (CHIP).  Prior to her work at the AHA, she spent five years in campaign politics, working for a Chicago-based political consulting firm.  She graduated from the University of Illinois, Urbana-Champaign, where she majored in political science and economics.

John Hawkins, Senior Vice President – Advocacy & Public Policy, Texas Hospital Association

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John M. Hawkins is the senior vice president of government relations for the Texas Hospital Association.  He is responsible for managing all aspects of THA’s state and federal advocacy efforts before the Legislature and regulatory agencies.

Before joining THA, Hawkins served as a senior policy analyst for the Texas Sunset Commission, where he managed the performance reviews of state agencies.  Hawkins also served as a legislative aide in the House of Representatives for two legislative sessions and worked as legislative liaison for the Texas Department of Information Resources for three sessions.

1:50 pm – 3:05 pm

General Session

What Were They Thinking? An Update on the Current State of Healthcare Fraud and Abuse Enforcement   

Course# 180412 | CPE:1.5 | Level: Intermediate | Prerequisites: None

Fraud and abuse continue to plague the U. S. healthcare system and the dollar amounts often are significant.

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Government enforcement efforts are increasing and enforcement continues to be a national priority of the Department of Justice, especially in Texas. The U. S. Attorney’s offices in both Dallas and Houston have federal strike forces dedicated to health care fraud.

The presentation will focus on a discussion of recent cases and actions, positions taken by the Department of Justice, hot button issues, types of providers at risk, and questions to ask yourself when contemplating new ventures.

Barrett Richards, Member, Frost Brown Todd LLC

Barrett Richards has more than 30 years of experience representing providers in the business, financial, and regulatory aspects of the delivery of health care.

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His clients range from sole practitioners to multi-hospital organizations, and include direct providers as well as indirect, such as pharmacies, durable medical equipment manufacturers and suppliers, and health care staffing and employee leasing companies. He advises clients regarding taxation and exemptions; hospital physician joint ventures; contracting; and health care real estate transactions.

Mr. Richards is the only lawyer in Texas who is board certified in both Health and Tax Law by the Texas Board of Legal Specialization.

3:20 pm – 4:10 pm

General Session

Behavioral Health   

Course 180413| CPE: 1.0 | Level: TBD | Prerequisites: None

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More information coming soon

Presenter: TBD

4:10 pm – 5:25 pm

Keynote Session

Building High-Value Care Bridges

Course: 180414 | CPE: 1.5 | Level: Intermediate| Prerequisites: None

In this presentation, Dr. Chris Moriates, Assistant Dean for Healthcare Value – a first of its kind position at a medical school – will describe emerging work at Dell Medical School at The University of Texas at Austin and around the country to teach and engage clinicians in healthcare value.

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Dr. Moriates will introduce the brand new interactive and adaptive Dell Med Value-Based Health Care (VBHC) modules, which are freely available online for learners of all levels. He will also describe tools developed at other institutions to integrate VBHC into training environments and to engage trainees in value improvement activities. He will highlight the importance of bridging educational and clinical environments and creating a high-value care culture.

Dr. Chris Moriates, Assistant Dean for Healthcare Value and an Associate Professor –  Department of Medicine at Dell Medical School, UT Austin.

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Dr. Moriates co-authored the book Understanding Value-Based Healthcare (McGraw-Hill, 2015). He led the creation of the University of California at San Francisco (UCSF) Cost Awareness curriculum for internal medicine residents. He is a founding editor for the “Teachable Moments” series in JAMA Internal Medicine. He is also the Director of Implementation Initiatives at Costs of Care, a global non-profit organization curating clinician insights that drive better care at lower cost. He speaks internationally on topics related to educating clinicians about healthcare value and how to implement high-value care programs.

6:00 pm – 9:00 pm

Networking

Maggie Mae’s Reception