Connecting People, Purpose and Passion

8.0 CME Credit

8.0 CE Credit

ABQAURP sub-specialty credits: Case Management 8.0, Managed Care 8.0, Patient Safety/Risk Management 8.0, Physician Advisor 8.0, Transitions of Care 8.0, Workers’ Compensation 1.0

As we approach the tenth anniversary of the implementation of the Patient Protection and Affordable Care Act (PPACA), we note that much has changed within health care, but much has stayed the same. The primary goal of the law was to increase access to care while driving down costs and improving quality. In support of the overarching goal, a few of the key initiatives relied upon for success have been the Accountable Care Organizations (ACOs), Pay for Performance (P4P), and the Patient-Centered Medical Homes (PCMH). There have been some strides and some continued challenges.

Participate in ABQAURP's 42nd Annual online course to engage in discussions related to payment reforms within Medicare and Managed Care, regulatory provisions addressing security and compliance, the evolving role of the physician advisor, updates in transitions and coordination of care, and the critical issue of provider burnout and well-being. Our remarkable faculty will seek to provide tools to improve resource management, nurture a culture of safety, and prevent or appeal insurance denials.

This course was recorded live at our 2019 Annual Health Care Quality & Patient Safety Conference. The 8 hour online course is entitled: Connecting, People, Purpose and Passion.

At the conclusion of the activity, attendees will be able to:
  • Assess documentation and utilization best practices in preventing denials and appeals
  • Identify challenges and opportunities in case management and the impact on the patient care team
  • Integrate quality improvement measures to position your organization for success
  • Employ strategies to combat clinician burnout and return the passion to providing care
  • Evaluate barriers affecting positive health outcomes and successful care transitions
  • Recognize how the role of the physician advisor affects quality and efficiency
  • Describe the impact of value-based care on physician engagement
  • Integrate HIPAA rules with new privacy regulations to ensure patient privacy

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 8.0 AMA PRA Category 1 Credits™. 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 8.0 contact hours through the Florida Board of Nursing, Provider # 50-94. CE Broker Tracking# 20-661901.

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 1, 2019 through March 15, 2022. Original release date: April 26, 2019.

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COURSE FEES: Diplomate $230.00      Member $270.00      Non-Member $330.00

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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.

Full speaker biographies are contained within the course syllabus, found in the Resources tab of the course modules.

Howard Stein, DO, MHA, CHCQM-PHYADV - Associate Director of Medical Affairs and Physician Advisor, CentraState Healthcare System
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.

Teresa M. Treiger, RN-BC, MA, CCM, FABQAURP - Principal - Ascent Care Management
Teresa Treiger is a past national president of the Case Management Society of America and consults as principal of Ascent Care Management. Teri is a thought-leader in the case management field mentoring through public speaking, professional education, and publication. Certified by ABQAURP in 2011, she frequently works with us in developing course materials and speaking at our live events.

Bruce Spurlock, MD - President & CEO - Cynosure Health
Dr. Bruce Spurlock is Executive Director of Cynosure Health, also advising large improvement collaboratives at the regional, state and national levels to accelerate the implementation of evidence-based practices. Sharing his expertise on health policy, physician group relations, and performance measurement, he has served on several health care boards, is a frequent speaker and an adjunct professor at Stanford University.

Lee Daugherty Biddison, MD, MPH - Associate Professor - Johns Hopkins School of Medicine
Dr. Lee Daugherty Biddison is an Associate Professor of Medicine in the Johns Hopkins Division of Pulmonary and Critical Care Medicine, Associate Faculty in the Johns Hopkins Armstrong Institute for Patient Safety and Quality, and a Contributing Scholar in the Johns Hopkins Center for Health Security. Having served on the Dean’s Task Force on Joy in Medicine, she co-chaired the Working Group on Culture and Work-life Balance and for which she served as lead author of the summary report of the Task Force.

Cheri Lattimer, RN, BSN - Executive Director - National Transitions of Care Coalition (NTOCC)
Cheri Lattimer is Executive Director for the National Transitions of Care Coalition and CEO of Integrity Consulting & Advocacy. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She often presents internationally on integrated health management and transitions of care topics and is involved with many professional organizations.

Charles F. S. Locke, MD, CHCQM-PHYADV - Senior Physician Advisor - Johns Hopkins Hospital
Dr. Charles Locke serves as Senior Physician Advisor in Utilization and Clinical Resource Management for Johns Hopkins Hospital and is an assistant professor at Johns Hopkins School of Medicine. He maintains active clinical duties at Johns Hopkins also serving as a preceptor for the ambulatory clinic residents. Dr. Locke is currently serving as President of the American College of Physician Advisors.

Deborah Zimmerman, MD - Corporate Chief Medical Officer – Lumeris
Dr. Deborah Zimmerman is Corporate Chief Medical Officer for Lumeris, providing oversight for the Accountable Delivery System Institute, educating on population health management solutions and strategies for incorporating value-based care. She also serves as Chief Medical Officer for Essence Healthcare, a Medicare Advantage Prescription Drug plan.

Ann N. James, JD, PhD - Research Management Group Senior Compliance Contract Manager - Stanford University School of Medicine
Research Management Group Senior Compliance Contract Manager - Stanford University School of Medicine Ann James is a Senior Contract Compliance Manager in the Research Management Group at Stanford University School of Medicine. She provides advice and counsel on compliance issues and privacy concerns to the School of Medicine and to affiliated hospitals.

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