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1998 Cancer Management
in the New Millennium

1998 Cancer Management
in the New Millennium

American College of Oncology Administrators

Co-sponsored by:
AMERICAN HOSPITAL ASSOCIATION HEALTH TECHNOLOGY ASSESSMENT

A National Chapter of the American Academy of Medical Administrators



























Seventh Annual National SymposiumNovember 6-7, 1998HOTEL INTER CONTINENTALDallas, TexasWHO SHOULD ATTEND . . . Oncology Administrators Hospice Directors Community Cancer Center Executives Medical Directors of Oncology CEO’s CFO’s COO’s Strategic Planning Directors Practice Managers Radiation Oncology Administrative DirectorsIntroductionAs you can see from the agenda, this conference offers an exciting schedule of issues addressing quality of life, economics surroundingcancer management, measuring outcomes clinically as well as financially,and building cancer programs which will thrive in the future. Join us for a program packed with hot issues!General InformationABOUT THE ACOA:The American College of OncologyAdministrators (ACOA) is a professional organization ofindividuals who are in management positions related to thefield of oncology. These professionals include managers in allareas of the oncology service line. ACOA provides a formaland informal climate of information exchange amongaffiliates in order that they may develop creative solutions tothe management concerns of oncology administration.ACCREDITATION:This conference is approved for 12 contacthours by the American Academy of Medical AdministratorsResearch and Education Foundation, Inc. An additional 3.6contact hours will be awarded for attendance at the pre-conferenceprogram on Thursday afternoon.SPECIAL BONUS FOR THOSE WHO ATTEND: workbook,courtesy of Bristol-Myers Squibb Company.TUITION:$325 (ACOA affiliates prior to September 7, 1998)$345 (ACOA affiliates after September 7, 1998)$485 (New ACOA affiliates)$575 (Non-affiliates)If you are not an affiliate of ACOA and wish to become one,the dues are $140, and if you join before November 7, 1998,you will receive the tuition reduction that our affiliates receive.An application for membership is attached. For additionalinformation, please call ACOA at (248) 540-4310.TRAVEL ARRANGEMENTS:American Airlines is proud to be theofficial airline for the American Academy of Medical Administratorsand its national chapter, the American College ofOncology Administrators. Please call American Airlines MeetingServices Desk at (800) 433-1790 and refer to the AAMA andthe AA Star File #21N8UI for your conference needs.HERTZ IS THE OFFICIAL RENT-A-CAR FOR OUR MEETING -Forrates for this ACOA Symposium, call 1 (800) 654-2240 andrefer to the 41st Annual Conference & Convocation of theAmerican Academy of Medical Administrators and CV#17981.ACCOMMODATIONS:This conference will be held at theHotel 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 callthe hotel early since reservations at the Hotel Inter Continentalcannot be assured after October 13, 1998. Alternative hotelaccommodations may be made at the Doubletree Hotel, 5410LBJ Freeway, Dallas, Texas 75240, (972) 934-8400. Roomrates are $148 for single or $158 for double occupancy.CANCELLATION POLICY: Cancellations received by October23rd will be accepted with a $25 administrative fee deductedfrom each refund. After October 23rd, no refund can beprovided, however, you may apply any tuition paid towardanother American Academy of Medical Administratorsconference you attend within one year.Schedule of EventsThursday November 5, 19987:00am – 7:00pmRegistration & HospitalityThursday ACOA Optional Preconference2:00 – 5:00pmYOUR TAX DOLLARS AT WORK: THE STARK II REGULATIONS,REV PROC 9815, PSO REGULATIONS, & MOREThis presentation will give participants an update of recently promulgatedgovernment regulations that dramatically affect the way physician grouppractices may be structured, pay compensation, enter into joint ventureswith tax-exempt hospitals, seek Medicare risk contracts, participate in gainsharing models, and more.Thomas E. Dutton, Esquire, Partner, Jones, Day, Reavis & Pogue, Columbus, Ohio6:00 – 7:30pm Welcome ReceptionFriday November 6, 19987:00am – 7:30pmRegistration & HospitalityGeneral Sessions8:00 – 8:45am AAMA General Membership Meeting8:45 – 9:45am Opening Keynote Presentation:THE KEY TO EXCELLENCE: SUCCESSFUL EXECUTIVESKEEP THE FLAME ALIVE AT WORK & HOME sponsored by Nycomed AmershamCome & 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 timesWayne M. Sotile, PhD, FAACVPRMary O. Sotile, MA, Sotile Psychological Associates, Winston-Salem, North Carolina9:45 – 10:15am Break and Exhibits10:15 – 11:15am Keynote Presentation:MANAGING & MARKETING YOUR CLINICAL OUTCOMES IN THE MANAGED CARE ARENA sponsored by Modern HealthcarePurchasers are increasingly demanding value (quality & price) for theirhealthcare dollars. In response, successful provider groups will define,measure and improve the clinical outcomes and efficiencies of their care.This session will discuss the medical information and the educationalprocess necessary to implement the clinical process improvementtechniques to accomplish these goals. Issues covered: Present physicians with the reasons to “buy-in” to managed care initiatives Define 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 clinician’s best demonstrated processes Techniques which encourage physician, nurse, and administration cooperation in defining and achieving the common goal of marketability Acquiring the information necessary to successfully market servicesWilliam C. Mohlenbrock, MD, Chairman, Iameter, San Mateo, California11:30 – 1:00pm ACOA LuncheonBreak-Out Sessions Friday November 6, 1998Registrants can choose any session in any trackOncology Track One 1:00 – 2:00pmCANCER CENTERS OF THE FUTURE – SUPPORTIVE DESIGNS = SUPPORTIVE CARE sponsored by Purdue Frederick Co. and Purdue Pharma L.P.There have been amazing strides taken in the last 20 years to improve cancercare. As technology evolves, understanding the impact of the cancer patient’senvironment is critical. The objectives for this session will be: To understand why and when to build a new cancer center Developing a progressive planning process, incorporating cuttingedge design and cost-effective construction, “reality and wish list” To realize the importance of the sensory environment on positive treat-mentoutcomes, incorporating complementary and traditional medi-cines,along with education and state-of-the-art technologyMarie S. DeStefano, RN, MSN, OCN, Administrative Director, Oncology,Crozer-Keystone Health System, Drexel Hill, PennsylvaniaKathryn Greene, IIDA, Interior Designer, Ellerbe Becket ArchitecturalFirm, Washington, DCDebbrah Larsen, Associate Vice President, RTKL Associates, Inc., Dallas, TexasPaul Williams, Vice President, RTKL Associates, Inc, Baltimore, Maryland2:10 – 3:10pmDEVELOPING A PAIN MANAGEMENT SERVICEAt the end of this session, participants will be able to:Identify the key components for a comprehensive business plan on thedevelopment and/or expansion of a pain service Identify billing and coding practices relevant to volume, acuity, andprocedures performed Identify opportunities for revenue from indirect and direct patient careas well as multi-disciplinary referral sources Create a service line marketable to managed care providers Create a patient focused multi-disciplinary QI Plan to support the painserviceSherry P. Greifzu, RN, MSN, OCN, Director, Oncology Services, The William W. Backus Hospital, Norwich, Connecticut3:10 – 3:45pm Break and Exhibits3:45 – 4:45pmONCOLOGY CLINICAL PRACTICE GUIDELINES: A STEP TOWARDS THE DELIVERY OF MORE EFFECTIVE, EFFICIENT CAREsponsored by Columbia/HCA Healthcare CorporationParticipants will be able to answer these questions as they relate to clinicalpractice guidelines: Why are guidelines useful in developing a disease management program? What methods are used to derive guidelines? Who should develop guidelines? When are guidelines not helpful? What are the practical uses of guidelines? How do guidelines relate to the assessment of quality?Rodger J. Winn, MD, Chief, Section of Community Oncology, Universityof Texas MD Anderson Cancer Center, & Chair, Adult Guidelines SteeringCommittee, National Comprehensive Cancer Network, Houston, TexasOncology Track Two1:00 – 2:00pmQUALITY OF LIFE & CANCER CARE: OR WHAT DOISSUES LIKE SEX HAVE TO DO WITH REIMBURSEMENT? sponsored by Hoechst Marion RousselAt the conclusion of this session, participants will be able to: Understand how cancer therapies affect a patient’s quality of life Discuss how issues involving quality of life are tied to issues of reimbursement Identify which aspects of quality of life are important to measure for reporting outcomes Identify specific tools for measuring quality of lifeDeborah Watkins Bruner, RN, MSN, Director, Prostate Cancer Risk Assessment Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania2:10 – 3:10pmONCOLOGISTS INTEGRATION STRATEGIES:BEFORE THEY SELL THEIR PRACTICE TO A PPMC sponsored by Hoechst Marion RousselThis session will discuss: The value equation PPMCs can offer oncologists. It will discusswhy hospitals, delivery systems, and freestanding cancercenters have difficulty in developing similar equations. Key factors to look for in assessing the attractiveness of your market to PPMCs Key market development strategies used by PPMCs and whyhospitals, delivery systems, and freestanding centers mustunderstand the timing and implications of these strategies ontheir programs and business activities. Potential strategies that cancer programs and freestandingcenters should consider to increase their value, attractiveness,and enhance their relationships with oncologists.Joseph M. Spallina, FACHE, CHC, Director, Health Strategies & Solutions, Inc, Ann Arbor, Michigan3:10 – 3:45pm Break and Exhibits3:45 – 4:45pmTHE USE OF FOCUS GROUPS IN CANCER PROGRAM PLANNINGsponsored by Hoechst Marion RousselScottsdale Healthcare, a two-hospital system, is in the process ofre-organizing its cancer care services. To ensure that servicesmeet market requirements, focus group research was conductedwith representatives of key constituencies. This presentation by theadministrator of the program and the focus group researcher willinform participants of the following: When & how to use the focus group methodology How to blend patients and clinicians definitions of quality How to use the process and the findings to educate physiciansand staff, to strengthen the organizational structure, and toassess feasibility of services under considerationSusan Brown-Wagner, Director, Patient Services, OncologyService Line, Scottsdale Memorial Health System, Scottsdale, ArizonaEllen Tobin, President, Cancer Care Strategies, Chevy Chase, Maryland5:30 – 6:00pm Processional Formation6:00 – 7:30pm Convocation Ceremony8:00 – 10:00pm Reception sponsored by Bristol-Myers Squibb Company & Marquette Medical SystemsOncology Track OneBreak-Out SessionsOncology Track TwoSaturday November 7, 1998Registrants can choose any session in any track8:00 – 9:00amECONOMIC EVALUATIONS OF CANCER TREATMENTsponsored by Columbia/HCA Healthcare CorporationUpon completion of this session, participants will be able to: Define pharmacoeconomics and list some of the special issues related to applying economic analysis to decision-making in cancer List the factors that support performing an economic assessment of new cancer therapies Appreciate modeling techniques and approaches used in pharmacoeconomic studies Interpret data on cost-effectiveness and cost-utilityStephen L. Huber, MS, Deputy Division Head of Pharmacy & Directorof Pharmacoeconomics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas9:10 – 10:10amCANCER REHABILITATION: AN OXYMORON?Sponsored by Columbia/HCA Healthcare CorporationNursing staff throughout the country voice their concern that theycannot spend enough time talking to patients, addressing theirfunctional needs, and ensuring their quality of life. With increaseddemands for productivity, their personal time with patients is constantlybeing reduced. Under a rehabilitation model, these needs can still beaddressed with minimal incremental cost and a solid potential for thecreation of new revenue. This session will address the strategy forsetting up a cancer rehab program including treatment methodology,case management concerns, staffing and space allocations, consider-ationsfor reimbursement, and marketing suggestions. The outcomes ofa Columbia HCA pilot lymphedema service will also be reported.Connie Carson, PhD, Cancer Rehab Consultants, Littleton, Colorado10:10 -10:45am Break and Exhibits10:45 – 11:45pmBONE MARROW TRANSPLANT PROGRAMS: WHAT SHOULDHOSPITALS BE DEVELOPING & LONG TERM VIABILITYThis presentation will: Present the historical utilization of blood and marrow transplants in the U.S. Discuss the critical success factors for blood and marrow transplantprograms, including trends in reimbursement, marketing strategies,and measuring and demonstrating quality outcomes Discuss the potential strategies for providing blood and marrowtransplant services in your community, either by developing aprogram or through affiliationSonal R. Makim, Associate, Health Strategies & Solutions, Inc, Ann Arbor, Michigan8:00 – 9:00amMEASURING & PRESENTING CANCER PROGRAM FINANCIALPERFORMANCE FOR THE BEGINNING ADMINISTRATORThis presentation will discuss: Defining and collecting statistical and financial data elements Identifying and incorporating future planning/budgetary require-treatmentments Continuous management and reportingKelley D. Simpson, Associate Vice President, CDP Services, Inc., Atlanta, Georgia9:15 – 10:15amMEASURING & PRESENTING CANCER PROGRAM FINANCIALPERFORMANCE FOR THE ADVANCED ADMINISTRATORThis presentation will discuss: Defining and collecting statistical and financial data elements Continuous management and reporting Utilizing financial performance for trend analysis and presentationKelley D. Simpson, Associate Vice President, CDP Services, Inc., Atlanta, Georgia10:15-10:45am Break and Exhibits10:45 – 11:45pmCANCER GENETIC RISK ASSESSMENT & COUNSELING IN THE 21ST CENTURYGail Tomlinson, MD, PhD, Director, Familial Cancer Registry, UTSouthwest Medical Center, Dallas, Texas1:00 – 3:00pmClosing Keynote Presentation:APGS, APCS & OUTPATIENT PAYMENT REFORMThe following will be discussed: Key features of APGs/APCs Preparing for implementation Cost management and financial concerns Coding implications Compliance concerns PPGs for other healthcare areasDuane C. Abbey, PhD, CFP, President, Abbey & Abbey Consultants,Inc, Ames, Iowa

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