1998 Management ConferenceAmerican College of Cardiovascular Administrators Co-sponsored by: A National Chapter of the American Academy of Medical Administrators |
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IMMEDIATELY PRIOR TO THE 71ST ANNUAL AMERICAN
HEART ASSOCIATION’S SCIENTIFIC SESSIONS
THIS CONFERENCE IS PRESENTED BY THE EDUCATION DIVISION
OF THE AMERICAN COLLEGE OF CARDIOVASCULAR ADMINISTRATORS
WHO SHOULD ATTEND . . .
- Cardiovascular Directors
- Cardiopulmonary Directors
- Cath Lab Managers
- Cardic Rehab Administrators
- Leaders who manage the business of cardiology healthcare
INTENDED AUDIENCE:
CARDIOVASCULAR AND CARDIOPULMONARY DIRECTORS, MANAGERS, AND OTHER ADMINISTRATIVELEADERS WHO MANAGE THE BUSINESS OF HEALTHCARE IN THE FIELD OF CARDIOLOGY
OVERVIEW:
“The key to successfully managing all of what lies before us is not in the search for ‘answers’ … rather, we must constantly striveto understand the questions.” Wayne M. Sotile, PhD, Keynote speaker, ACCA, March 1998
Cardiovascular disease continues to be the largest healthcare issue facing the country today. This constantly changing field,compounded by a rapidly aging population and an aggressive technology explosion, promises to be a continuous challenge intothe next millennium.Our forward thrust in this most challenging of times is to push further, reach higher, run faster, and move toward new levels ofexcellence, while dealing with cost-effective delivery models, capital acquisitions, mergers, etc. Only our creativity and ourunderstanding of the “questions” limit the overall potential for the future of cardiovascular medicine.
This conference is specifically geared toward administrators, managers, cath lab directors, and other leaders in the field ofcardiovascular medicine who accept this challenge and are seeking an understanding of the questions in today’s field of medicine. Theprogram faculty will provide an insight into many of the issues facing cardiovascular program administrators and managers, rangingfrom cardiac prevention and wellness, marketing of cardiovascular services, to refining leadership skills, among many others.
Whether you are a seasoned veteran or a new manager, this conference will provide you an opportunity to learn and understand,while networking with your peers, and take back the most comprehensive information ever presented.
GENERAL INFORMATION
ACCREDITATION:
This conference is approved for 12 contact hours by the American Academy of Medical AdministratorsResearch and Education Foundation, Inc. An additional 3.6 contact hours will be awarded for attendance at the preconferenceprogram on Thursday afternoon.
SPECIAL BONUS FOR THOSE WHO ATTEND:
A workbook, courtesy of Du Pont Radiopharmaceuticals. We have 17faculty members for this national conference and the workbook will include highlights and handouts of their presentations.
TUITION:
$325 (ACCA affiliates prior to September 7, 1998)
$345 (ACCA affiliates after September 7, 1998)
$485 (New ACCA affiliates)
$575 (Non-affiliates)
If you are not an affiliate of ACCA and wish to become one, the dues are $140, and if you join before November 7, 1998, you willreceive the tuition reduction that our affiliates receive. An application for membership is attached. For additional information,please call ACCA at (248) 540-4310.
TRAVEL ARRANGEMENTS:
American Airlines is proud to be the official airline for the American Academy of MedicalAdministrators and its national chapter, the American College of Cardiovascular Administrators. Please call American AirlinesMeeting Services Desk at (800) 433-1790 and refer to the AAMA and the AA Star File #21N8UI for your conference needs.HERTZ IS THE OFFICIAL RENT-A-CAR FOR OUR MEETING – For rates for this ACCA national managementconference call 1 (800) 654-2240 and refer to the 41st Annual Conference & Convocation of the American Academy of MedicalAdministrators and CV#17981.
ACCOMMODATIONS:
This conference will be held at the Hotel Inter Continental, 15201 Dallas Parkway, Dallas, Texas75248, (972)386-6000. Room rates are $144 for single or $159 for double occupancy. We encourage registrants to call the hotelearly since reservations at the Hotel Inter Continental cannot be assured after October 13, 1998. Alternative hotelaccommodations may be made at the Doubletree Hotel, 5410 LBJ Freeway, Dallas, Texas 75240, (972) 934-8400. Room ratesare $148 for single or $158 for double occupancy.
CANCELLATION POLICY:
Cancellations received by October 23rd will be accepted with a $25 administrative fee deductedfrom each refund. After October 23rd, no refund can be provided, however, you may apply any tuition paid toward anotherAmerican Academy of Medical Administrators conference you attend within one year.
ABOUT THE ACCA:
The American College of Cardiovascular Administrators is a professional organization of thoseindividuals who are in management positions related to cardiovascular/cardiopulmonary medicine. ACCA allows for a formal andinformal climate of information exchange among members so that they may develop solutions in dealing with the managementconcerns of cardiovascular/cardiopulmonary medicine.
FOCUS GROUP OPPORTUNITIES:
If you are a conference registrant or a Corporate Sponsor and would like to participate in a focusgroup on Saturday afternoon, November 7, from 1:00-3:00p.m., please contact the ACCACorporate Office at (248) 540-4310. Participants will be awarded with complimentary tuition,books, etc. for their time. The Corporate Office will assist Corporate Sponsors interested in participating by securing a room at the hotel and supplying them with a listing of regis-trantsinterested in being a part of a focus group.
Schedule of Events
THURSDAY NOVEMBER 5, 1998
7:00AM – 7:30 PM
REGISTRATION & HOSPITALITY
ACCA PRECONFERENCE PROGRAM
2:00 – 5:00 PM
YOUR TAX DOLLARS AT WORK:
THE STARK II REGULATIONS, REV PROC 9815, PSO REGULATIONS, & MORE
This presentation will give participants an updateof recently promulgated government regulationsthat dramatically affect the way physician grouppractices may be structured, pay compensation,enter into joint ventures with tax- exempt hospitals,seek Medicare risk contracts, participate in gainsharing models, and more.
Thomas E. Dutton, Esquire, Partner, Jones, Day, Reavis & Pogue, Columbus, Ohio
6:00 – 7:30PM
WELCOME RECEPTION
FRIDAY, NOVEMBER 6, 1998
7:00AM – 5:00PM
REGISTRATION & HOSPITALITY
GENERAL SESSIONS
8:00 – 8:45AM
AAMA GENERAL MEMBERSHIP MEETING
8:45 – 9:45AM
OPENING KEYNOTE PRESENTATION:
THE KEY TO EXCELLENCE: SUCCESSFUL EXECUTIVES
KEEP THE FLAME ALIVE AT WORK & HOME
Sponsored by Nycomed Amersham
Come & enjoy as you learn:
- The myth of the balanced life
- How men and women differ when reacting to stress
- Keys to communicating with overly-busy, high-powered people
- The secrets of stress-resilience at home and work
- What makes a good marriage when one or both are partners and busy professionals
- Six keys to keeping passion alive in your personal relationships
- Four steps to controlling yourself during uncontrollable times
Wayne M. Sotile, PhD, FAACVPR
Mary O. Sotile, MA, Sotile Psychological Associates, Winston-Salem, North Carolina
9:45 – 10:15AM
BREAK
Exhibits
10:15 – 11:15AM
KEYNOTE PRESENTATION:
MANAGING & MARKETING YOUR CLINICAL
OUTCOMES IN THE MANAGED CARE ARENA
Sponsored by Modern Healthcare
Purchasers are increasingly demanding value (quality & price)for their healthcare dollars. In response, successful providergroups will define, measure and improve the clinical outcomesand efficiencies of their care. This session will discuss themedical information and the educational process necessary toimplement the clinical process improvement techniques toaccomplish these goals. Issues covered:
- Present physicians with the reasons to “buy-in” to managed care initiatives
- Defining the metrics of clinical quality for inpatient and outpatient care
- Statistical quality control techniques which reduce clinical process variations
- Clinical care-path construction around the clinicians’ best demonstrated processes
- Techniques which encourage physician, nurse, andadministration cooperation in defining and achieving thecommon goal of marketability
- Acquiring the information necessary to successfully market services
William C. Mohlenbrock, MD, Chairman, Iameter, San Mateo, California
11:30 – 1:00PM
ACCA LUNCHEON
Sponsored by Nycomed Amersham
CARDIOLOGY – TRACK I
1:00 – 2:00PM
SETTING UP A PREVENTIVE CARDIOLOGY PROGRAM IN THE REAL WORLD
Due to recent scientific developments, the aging U.S. populationand healthcare reform, cardiovascular risk factor management isbecoming a vital component of many cardiology programs. Theseprograms include cardiac rehabilitation, lipid clinics, screening andeducation programs. The goal of these programs is to differentiatethe cardiology program, develop an effective cost containmentstrategy and create another access point into the health system. Oneprogram has combined all of these into a comprehensive programresulting in increased market share, improvement in risk factors,greater perceived health status, and lower readmission rates.
Patrick J. Dunn, MS, MBA, Vice President, Business Development, Berkeley HeartLab, San Mateo, California
2:10 – 3:10PM
THE BUSINESS OF LIPID MANAGEMENT IN THE NEW MILLENNIUM
Sponsored by Parke Davis Pharmaceuticals
Without question, systematic treatment of lipid disorders reducesclinical events, mortality and morbidity due to premature coronaryheart disease. Although organized lipid management services havehistorically been placed in outpatient cardiology practices, thereexists a multiplicity of viable settings where such preventivecardiology programs may also be effective. This presentation willdiscuss the following issues in lipid management:
- The new mandate for aggressive lipid lowering therapy
- The realities of designing and operating a solvent lipid clinic in the hospital and outpatient settings
- New revenue markets for lipid clinic services
- Dietary, exercise, and weight loss guidelines for personalcholesterol management
Ralph LaForge, MS Managing Director, San Diego CardiacCenter Medical Group, Lipid Clinic Preceptorship Program, &Administrative Director, Lipid Clinic & Disease ManagementPreceptorship Program at Duke University, Department ofEndocrinology, Metabolism & Nutrition, Durham, North Carolina
3:10 – 3:45PM
BREAK
Exhibits
3:45 – 4:45PM
A PROGRAM TO SUCCESSFULLY DECREASE THE
COST OF CONGESTIVE HEART FAILURE
CHF is one of the most costly DRGs this decade. Add to that a highreadmission rate and the cost to individual hospitals can bestaggering. A patient with frequent hospital stays can be not onlycrippling to the financial side but equally frustrating to those givingthe care. The Cardiovascular Wellness Team at MetropolitanHospital has developed a multiple disciplinary team and hasincorporated nursing, dietary, physical & occupational therapy andpatient and family counseling services into a team of experts onpatient education with proven outcomes of decreased readmissions,better patient compliance with treatment regimen, and a perceivedincrease in quality of life by our patients. From the model of oursuccessful Inpatient program we have developed an Outpatienteducation program and are gathering data on patient compliance,perceived increase in quality of life and increase in time before firsthospital admission with a significant event after diagnosis. Byattending this program patients gain the knowledge base to be activeparticipants in their own disease management program.
Elizabeth Rogers, RN, MPA, Coordinator, Cardiac Cath Lab, Metropolitan Hospital, Grand Rapids, Michigan
CARDIOLOGY – TRACK II
1:00 – 2:00PM
CARDIOLOGY CLINICAL DATABASE SYSTEM: PAST FAILURE OR FUTURE SUCCESS?
Sponsored by Marquette Medical Systems
The key elements for this presentation are:
Description of the initial expectations/requirements of a clinical database system
- Implementation strategy
- Purchasing and selection process
- System results – successes & failures
- Future objectives
- Lessons learned
Lisa Virzi, MS, RN, Administrator, Clinical Data Analysis Center, Beth Israel Hospital, Boston, Massachusetts
2:10 – 3:10PM
NETWORKED FILMLESS SOLUTION FOR RECORDING, DISTRIBUTION & STORAGE OF HEART CATHETERIZATION ANGIOGRAPHS
Sponsored by Marquette Medical Systems
This presentation is a case review of a large communityhealth provider with four cath labs and their experiencewith filmless technology over a four-year period.
Paul J. Moore, Director, Cardiology Program, Saint Joseph Mercy Hospital, Ann Arbor, Michigan
3:10 – 3:45PM
BREAK
Exhibits
3:45 – 4:45PM
INFORMATION SYSTEMS & THE SELECTION PROCESS FOR CV ADMINISTRATORS
Sponsored by Marquette Medical Systems
This presentation will examine the new role of Manager/Administrator in the purchase of medical information systemsequipment and collection of clinical information, review theterminology used in the design and purchase of cardiovascularequipment, provide tools to be used in the planning and designof cardiovascular information systems, and learn how theyimpact the overall operation of the service and its interfacewith the hospital. Through this presentation, participants willhave a forum to increase their level of understanding ofsystems integration, computers, medical equipment, anddemographic data.
Jan Carr, Management Consultant, Superior Consultant Company, Inc., Southfield, Michigan
CARDIOLOGY – TRACK III
1:00 – 2:00PM
LEADERSHIP SURVIVAL SKILLS FOR THE 90’S – REDEFINING YOUR LEADERSHIP ROLE
Module I
Sponsored by Guidant Corporation
- Strategies for survival and pitfalls to avoid
- What followers expect from their leaders
- The role of the leader – differences between managers and leaders
- The transition from manager to leader
- Action plan for creating synergy at work
Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida
2:10 – 3:10PM
LEADERSHIP THROUGH CHANGE, TEAM-WORK & EMPOWERMENT
Module II
Sponsored by Guidant Corporation
- Leaders and managers – both are needed; the skills set for each; leadership style
- Managing change – the change process; planning change; implementing change
- Teamwork and empowerment – group vs team; necessary conditions; steps to empowerment; delegation and accountability
Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida
3:10 – 3:45PM
BREAKExhibits
FRIDAY, NOVEMBER 6, 1998
5:30 – 6:00PM
PROCESSIONAL FORMATION
6:00 – 7:30PM
CONVOCATION CEREMONY
8:00 – 10:00PM
RECEPTION
Sponsored by Bristol-Myers Squibb Company & Marquette Medical Systems
You are also Invited. . .
REINVENTING CARDIOVASCULAR MEDICINE:INTEGRATING PROVIDERS, QUALITY & OUTCOMES FOR THE NEW MILLENNIUM
NOVEMBER 7-8, 1998
HOTEL INTER CONTINENTAL, DALLAS, TEXAS
Who should attend: Reinventing Cardiovascular Medicine is ideal for Cardiac Surgeons, Cardiologists, Cardiovascular Administrators, CEO’s, COO’s, Nursing Leaders, Practice Administrators, and all other decision makers in cardiology-related organizations.
Overview:
This program is designed for those interested in a comprehensive approach to advancement of their heartprogram and is ideal for the team approach – From each hospital we recommend that the CEO, Chief of Cardiology, and theCardiovascular Administrator together attend this program. Participants will be provided with an overview andunderstanding of the value of organizing and integrating cardiovascular services. All aspects of the process will be addressed,including organizational structures, physician integration, benchmarking quality and outcomes, developing care paths andbest demonstrated practices and marketing services. Case studies from successful heart institutes around the country will bepresented and opportunities for roundtable discussions and questions and answers will complete the session.
Sessions include:
- Data for Action
- Trends in Cardiovascular Medicine and Market Evaluation
- Care Redesign
- Case Study – Baylor Cardiovascular Services
- Monitoring Quality & Outcomes
- Integrating & Organizing Around Cardiovascular Care: Hospitals & Physicians
SATURDAY, NOVEMBER 7, 1998
CARDIOLOGY – TRACK I
7:30 – 5:00PM
REGISTRATION & HOSPITALITY
8:00 – 9:00AM
TWO HOUSES, ONE HOME…THE ADMINISTRATOR’S
GUIDE TO SURVIVAL WITHIN MERGERS
Changes in healthcare are bringing more managers into the position of havingto run multi-departments or facilities. This presentation will talk about:
- Am I qualified – “Managerial Illiteracy”
- Which department needs help
- Survival tactics – departmental diversities
- Restructuring your management approach
Douglas Cathon, RT(R), MA, HRD, HSM, Director, Radiology/Cardiology/Respiratory Care/Neurology, Catholic Health Partners, Chicago, Illinois
9:10 – 10:10AM
EMPLOYEE REACTION TO ACQUISITIONS & MERGERS
This presentation will:
- Introduce the results of a survey
- Outline the sequence of events leading up to an acquisition or mergerfrom the senior management and legal perspective
- Profile the expected employee reactions to change from all levels anddiscuss the stages employees must work through to successfully make thetransition into the new organization
- Identify strategies to guide employees through the challenges which leadto acceptance of the new organization
- Examine ways to effectively create a new organizational culture whichintegrate organizations who often were fierce competitors prior to theacquisition or merger
Cindy Salyer, RN, RDCS, Administrative Leader, Cardiovascular Services,Brookwood Medical Center, Birmingham, Alabama
10:10 – 10:45AM
BREAK
Exhibits
10:45 – 11:45AM
CATH LAB BENCHMARKING IN THE 90’S: HOW DO YOU HIT A MOVING TARGET?
Attempting to run an efficient and effective cardiac cath lab can be a tryingexperience. Even if you are lucky enough to have internal data systems, how doyou know where you stack-up against other providers? With the frequent changesin procedures and treatments, how do you know whether you will be costcompetitive next month? Participants will discover a new data system which willallow them rapid access to their internal data, as well as access to quarterly externalbenchmarks. Benchmarks from ‘97 and the first half of ‘98 will be shared in theareas of procedure quality, procedure times, procedure costs, and productutilization. The OEP database consists of over 60,000 patient encounters from 50states. National, regional and best-in-class benchmarks will be presented.
- What is the Operational Effectiveness Program?
- How rapid access to information can assist you in daily operations
- Benchmarks for the 90’s – quality, productivity, demographics, cost, supply utilization
- Benchmark trends for the 90’s
- Using benchmarks to target areas for improvement and drive change
April Wells Simon, RN, BA, MSN, CCRN, Vice President, BSM Consulting Group, Atlanta, Georgia
1:00-3:00PM
CLOSING KEYNOTE PRESENTATION: APGS, APCS & OUTPATIENT PAYMENT REFORM
The following features will be discussed:
- Key features of APGs/APCs
- Preparing for implementation
- Cost management and financial concerns
- Coding implications
- Compliance concerns
- PPGs for other healthcare areas
Duane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants, Inc., & Co-founder, Healthcare Consulting Group, LC, Ames, Iowa
CARDIOLOGY – TRACK II
8:00 – 9:00AM
HEART & CARDIOVASCULAR CARE… WILL YOUR PROGRAM & PRODUCT SURVIVE?
Heart and cardiovascular care continues to be the largest healthcareconcern for providers, administrators, payers and suppliers. For certain,there will be continued cost and resource constraints, a growing geriatricpopulation, emerging physician and technological trends and otherfactors to consider. With billions of dollars invested annually in humanresources, training, capital equipment, and supplies, what informationand planning efforts will be needed to help your heart program survive inthis volatile industry? This presentation takes a hard look at the currentissues facing heart and cv programs in the U.S. It will prompt theaudience to take a “hands on” approach in future planning anddevelopment efforts to help ensure overall success in the industry.
Marilyn Zitzke, RN, BS, MBA, President, Global Health Systems, Inc., Cape Coral, Florida
9:10 – 10:10AM
CARDIOVASCULAR CARE PROGRAM: STRATEGIES FOR BUSINESS DEVELOPMENT & RETENTION THROUGH MARKETING
The commercialization of healthcare in the 1980’s has forced hospitals,health systems, and care providers to focus, not only on how they care forpatients, but also on how they present themselves to their patients,referring physicians, and the general public. The marketing process, whichhas been an integral component of the traditional business world, hasbecome an integral component of the healthcare world, specifically in cvservices. In this session, the participant will learn the keys to developing afunctional marketing plan, including discussion of critical topics such asbranding, positioning, identity, and image. Most importantly, theparticipant will learn that the marketing plan must be the organizationalculture…not just a corporate concept. Finally, the participant will learnmechanisms for tracking the implementation of the marketing plan.
R. Kyle Kramer, Administrative Director, Cardiovascular Services, PennState Geisinger Health System, Hershey, Pennsylvania
10:10 – 10:45AM
BREAK
Exhibits
10:45 – 11:45PM
AN EFFECTIVE EDUCATION DELIVERY MODEL FOR OPTIMAL CARE
All healthcare systems are challenged with providing and delivering interactiveeducation across varying community cultures and socioeconomic groups.Baylor Health Care System has developed LEAP (Lifestyle EducationAwareness Program) for Life, a community-based cardiovascular secondaryprevention program which was created to maximize existing services; fulfill thecycle of care; customize education; promote patient accountability; and provideconvenience to the program’s partners and customers. Patients are traced atthree, six, and twelve months post-attendance by system telecommunicationsto measure hospital readmissions (current benchmarking for financialviability), effectiveness of education and patient compliance with individuallifestyle goals established during the workshops. LEAP for Life has aidedphysicians, healthcare providers and payers by providing cost-effectiveeducation which aids in minimizing financial and geographical barriers andteaching the patients to take responsibility for their healthcare.Amy B. Castillo, Manager, Cardiovascular Clinical Prevention Services,Terri D. Nuss, Manager, Heart Center, Baylor Health Care System, Dallas, Texas
1:00-3:00PM
CLOSING KEYNOTE PRESENTATION: APGS, APCS & OUTPATIENT PAYMENT REFORM
The following features will be discussed:
- Key features of APGs/APCs
- Preparing for implementation
- Cost management and financial concerns
- Coding implications
- Compliance concerns
- PPGs for other healthcare areas
Duane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants, Inc., & Co-founder, Healthcare Consulting Group, LC, Ames, Iowa
CARDIOLOGY – TRACK III
8:00 – 10:00AM
LEADERSHIP THROUGH INFLUENCING OTHERS
Module III
Sponsored by Guidant Corporation
- Communicating effectively with others – understanding the messages of others; sending clearer messages
- Creating a climate for motivation – trust, the highest form of motivation; the power of feedback
- Coaching for improved performance – skills needed to be an effective coach; the shift in attitude and time needed
Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida
10:00 – 10:30AM
BREAK
Exhibits
10:30 – 12:30PM
LEADERSHIP THROUGH THE PROCESS OF CONTINUOUS IMPROVEMENT
Module IV
Sponsored by Guidant Corporation
- Creating a culture for continuous improvement – the quick fix vs continuous improvement; steps for long term improvement
- Focus on the process, the process determines the product/service – identify customer requirements; the 1-100 rule; establish measures of quality
- Problem solving – the 7 tools for continuous improvement; identification of root cause vs symptoms; physician involvement
Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida
1:30 – 3:30PM
LEADERSHIP THROUGH THE PRACTICE OF MANAGEMENT
Module V
Sponsored by Guidant Corporation
- Criteria based job descriptions, a critical tool – hire,appraise performance, discipline and terminate; expecta-tionsfor performance
- Organizing for results – the most effective organizationalstructure; the right skills and abilities established for eachposition; staying customer focused
- Conflict management
Arthur E. Worth, FAAMA, President, Worth Developing, Lakeland, Florida
1:00-3:00PM
CLOSING KEYNOTE PRESENTATION: APGS, APCS & OUTPATIENT PAYMENT REFORM
The following features will be discussed:
- Key features of APGs/APCs
- Preparing for implementation
- Cost management and financial concerns
- Coding implications
- Compliance concerns
- PPGs for other healthcare areas
Duane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants, Inc., & Co-founder, Healthcare ConsultingGroup, LC, Ames, Iowa
1998 Management Conference
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