The Multifaceted Roles of the Physician Advisor and Influence in Health Care Organizations

1.0 CME Credit

1.0 CE Credit

ABQAURP sub-specialty credits: Patient Safety/Risk Management 1.0, Physician Advisor 1.0, Managed Care 1.0, Transitions of Care 1.0, Case Management 1.0

We are in the midst of tremendous change in health care. The notion that a physician advisor only needs to know how to determine a proper level of care is well past us at this point.

Physicians are taught how to care for patients first and foremost, and that will always be the primary responsibility. Providers are generally not taught how the systems that are built around them work; especially how care translates into reimbursement.

There are age-old issues that are still not widely understood:
  • How do you efficiently move a patient through the hospital, through transitions of care settings, and through the entire care continuum?
  • How is the quality of care measured?
  • When can you rely on an insurer to tell you if a certain procedure is covered, and when are you expected to know that yourself?
  • Did you just provide free care to an insured patient because you did not know the rules?
There are mundane issues that decrease hospital throughput and efficiency that can be significantly improved with simple focusing and coordination of the clinical care team.

Additionally, population health initiatives, CMS' Quality Payment Program, and the Protecting Access to Medicare Act are changing how providers practice every day.

This session was recorded live at our 2017 Annual Health Care Quality & Patient Safety Conference and is a portion of the online course entitled: A Multifaceted Approach to Health Care Quality and Patient Safety.

At the conclusion of the activity, attendees will be able to:
  • Identify the historical development and progression of the Physician Advisor role
  • Outline the multi-dimensional roles and responsibilities of the modern day Physician Advisor
  • Summarize some of the major regulatory changes impacting the Physician Advisor
This course is intended for Physicians of all specialties, Nurses, and Other Health Care Professionals with appropriate CME credit and nursing contact hours offered for each profession.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

ABQAURP designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1.0 contact hour through the Florida Board of Nursing, Provider # 50-94.

This program is approved for Category 2 credit by the American Osteopathic Association.

All participants must achieve a final assessment score of at least seventy percent (70%) for recertification and continuing education credits. You have 60 days to complete the course after ordering. Please note: Exam candidates taking the Core Body of Knowledge and Diplomates renewing their certification may have less time to complete, as determined by deadlines imposed.

This activity is valid from July 26, 2017 through March 15, 2020.

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COURSE FEES: Diplomate $29.00      Member $34.00      Non-Member $42.00

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About The Authors
Members of the CME Committee, Planners, and Faculty have disclosed to ABQAURP any relevant financial relationships. No relevant financial relationships or conflicts of interest exist in regard to the content of this online activity.

Ronald J. Rejzer, MD, CHCQM-PHYADV
Dr. Ron Rejzer is Senior Vice President and Chief Physician Advisor for Parkland Health and Hospital System in Dallas. He is Board Certified in both Family Medicine and Emergency Medicine and has held various Physician Executive roles. He has served as a consultant for Hospitalist programs, in Utilization Management development and has participated in Physician Advisor roles for over thirteen years. As a founding member of ACPA, Dr. Rejzer is the past President of the American College of Physician Advisors and continues participating on their board.

Dr. Howard Stein currently serves as the Associate Director of Medical Affairs of CentraState Medical Center in New Jersey. Acting as a full time Physician Advisor, he is also the President of CentraState Medical Associates. As a founding member, Dr. Stein has served on the Executive Board of the American College of Physician Advisors since its inception. Dr. Stein is board certified as a family physician, previously serving as a U.S. Air Force physician.

Edward Hu, MD, PHY-ADV
Dr. Edward Hu is the President of the American College of Physician Advisors. He is also a hospitalist and System Executive Director of Physician Advisor Services and the University of North Carolina Health Care System.

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