Seminars

DAY ONE
7:00am-8:00am	Registration/Breakfast
8:00am-9:15am	General Session Preparing for The Joint Commission's OPPE & FPPE Systems Tracer Yisrael M. Safeek, MD, MBA, CPE, FACPE Review The Joint Commission's increased focus on physician competency measurement processes during accreditation surveys Explain Joint Commission requirements for OPPE & FPPE Identify how physician leaders and MSPs can collaborate with accreditation professionals to develop, document, and monitor OPPE & FPPE plans Describe best practices for demonstrating compliance with OPPE and FPPE standards Explain how to put physician competency data into action to improve practitioner performance and outcomes
9:15am-9:30am	Break
	Breakout 1	Breakout 2	Breakout 3
9:30am-10:30am	Medical Staff Professional Boot Camp: Part I Anne Roberts, CPMSM, CPCS Maggie Palmer, MSA, CPMSM, CPCS Define the roles, tasks, and expectations for MSPs to clearly identify their priorities Identify key elements of a successful medical staff office Implement best practice credentialing processes Identify red flags and other common credentialing errors Ensure appropriate disclosure of credentialing information to other organizations Comply with accreditation and regulatory standards by understanding the MSP's role in accreditation and the consequences of noncompliance	The Medical Staff Professional and the Chief Medical Officer: A Dynamic Duo William Cors, MD, MMM, FACPE Sally Pelletier, CPMSM, CPCS Articulate how to apply the dyad model of administrative and clinical leadership to a service line approach for the medical staff services division of a hospital/health system Understand how the ACGME competency framework could be applied to the MSP and the CMO positions Understand how the ACGME competency framework applies to the MSP and the CMO in approaching FPPE and other issues for which both are accountable Identify the similarities and differences MSP and CMO accountabilities by employing a comprehensive competency framework model.	FPPE for Physicians and Advanced Practice Practitioners: Four Years Later Carol Cairns, CPMSM, CPCS Christina W. Giles, CPMSM, MS Define similarities and differences between FPPE for advanced practice practitioners and for physicians Apply FPPE requirements to real-life scenarios  Describe the status of the FPPE process in today's healthcare environment Review Joint Commission requirements for FPPE
10:40am-12:00pm	Medical Staff Professional Boot Camp: Part II Anne Roberts, CPMSM, CPCS Maggie Palmer, MSA, CPMSM, CPCS Streamline and improve privileging processes Develop comprehensive delineation of clinical privileges Develop and implement strong FPPE and OPPE policies Identify and address common privileging challenges	Delineation of Privileges for Today: Clearing the Confusion Regarding Laundry Lists, Core Privileges, and Competency Clusters Sally Pelletier, CPMSM, CPCS Evaluate existing privileging practices to determine feasibility Describe the key components of a criteria- based privileging design Identify best practices for matching privileges and competency Employ the concept of competency clusters in your organization	How to Create a Physician Re-entry Process R. Dean White, DDS, MS Describe how best to evaluate and monitor the impaired physician upon return to the medical staff Identify the critical conflicts of bylaws, human resources guidelines, board orders, and medical staff requirements that can affect physician re-entry Explain how to establish a culture that allows the physician health committee to play an active role in quality and safety Describe the general principles of a physician health committee and how it guides physician re-entry
12:00pm-1:30pm	Lunch
1:30pm-2:45pm	General session Accountable Credentialing & Privileging: Adopting strategies to better health, better care, and lower costs Yisrael M. Safeek, MD, MBA, CPE, FACPE Explain how to apply the goals of an accountable care organization to your traditional credentialing and privileging processes Describe how credentialing and privileging must evolve to better support the organization's mandate to provide, measure, and monitor quality of care Identify the connection between FPPE, peer review, and healthcare's move toward accountable care Illustrate how improved credentialing and privileging can reduce hospital costs while supporting the delivery of better health care
2:45pm-3:00pm	Break
3:00pm-4:00pm	A Step-by-Step Guide to Developing Privileging Criteria Christina W. Giles, CPMSM, MS Define the accrediting bodies' privileging requirements Implement a decision-making process for analyzing requests for new procedures and new technology Recognize key elements and options to include in criteria development Identify information sources to aid in criteria development	Credentialing Employed Physicians & Groups: For Better or For Worse Carolyn Banister, MSN William Cors, MD, MMM, FACPE Articulate the forces driving increased practitioner employment/contracting by hospitals and health systems Develop best practices for better integration between the practitioner recruitment and practitioner credentialing and privileging processes Create a list of practitioner credentialing and privileging documents that can (and cannot) be shared among various parts of the enterprise Explain strategies for educating health system executives, managers, physicians and board about credentialing and privileging processes	The Aging Physician: Strategies for when experience becomes impairment Carol Cairns, CPMSM, CPCS R. Dean White, DDS, MS Implement strategies for identifying and managing clinical work patters in aging practitioners Understand the value of a physician health committees in addressing issues related to aging practitioners Recognize and evaluate objective data pertaining to the aging physician Identify the critical difference between age discrimination and a policy on aging Develop strategies and policies that both support the aging physician and ensure patient safety

DAY TWO
7:00am-8:00am	Registration/Breakfast
8:00am-9:30am	General Session The Drip Factor: Turn data into actionable information Susan Richards
9:30am-9:45am	Break
9:45am-11:00am	Integrating Competency Data into Reappointment: Tying together existing medical staff structures Valerie Handunge, MA Evalynn Buczkowski,RN, BSN, MS Select meaningful indicators that drive physician performance improvement Identify opportunities to leverage OPPE data for reappointment decisions Create effective medical staff governance structures and processes to secure long term gains with physician competency	ACOs: Transforming MSP roles and healthcare to deliver quality care Bruce D. Armon Describe the role of a medical staff professional in ACO governance Identify non primary care physicians who should be part of an ACO and how credentialing and privileging must be structured to prepare for these practitioners Develop quality measurements and reporting requirements in an ACO Identify opportunities and challenges for non-CMS ACOs Review hospitals move toward forming accountable care organizations	Avoid Negligent Credentialing: Red flags and best practices Carol Cairns, CPMSM, CPCS Carolyn Banister, MSN Identify what credentialing professionals can do to highlight an applicant's red flags before a credentials committee meeting Explain what steps to take at reappointment to avoid negligent credentialing Define how credentialing audits play an important role in maintaining quality practitioners Describe the risk of accepting credentialing information from outside sources such as distant hospitals (telemedicine), staffing agencies, and locum tenens firms
11:10am-12:30pm	How to Safely and Strategically Privilege Low- and No Volume Practitioners William Mills, M.D., MMM, CPE, FACPE, CMSL, FAAFP Create medical staff categories to reflect the role of low- and no-volume physicians and encourage participation Effectively credential and privilege low- and no-volume providers Document and assess performance data for low and no- volume providers Identify how to comply with FPPE and OPPE requirements	Advanced Practice Professionals: How to assess competence and manage expanding clinical roles Carol Cairns, CPMSM, CPCS Sally Pelletier, CPMSM, CPCS Identify the challenges of assessing the competency of advanced practice professionals Explain CMS and Joint Commission requirements for competency assessment for privileged practitioners Develop and implement an effective privileging process and competence assessment plan Explain strategies to gather data necessary to assess the competency of advanced practice professionals Recognize the expanding clinical roles of advanced practice professionals and manage the process through policy development	Developing and Delivering Physician Competency Reports: A systematic approach to evaluating performance Valerie Handunge, MA Evalynn Buczkowski,RN, BSN, MS Develop effective OPPE workflow processes from designing to delivering reports to physicians Understand effective communication strategies for OPPE reports and review processes Create strategies to engage physicians in performance improvement
12:30pm-1:45pm	Lunch
1:45pm-3:00pm	Using patient satisfaction scores to assess and improve performance William Mills, M.D., MMM, CPE, FACPE, CMSL, FAAFP Explain the link between the six core competencies and patient satisfaction Understand the goals of the HCAHPS survey Address physician concerns about the utility of satisfaction survey data Share reasons why improved patient satisfaction makes the physician's job easier Identify strategies to improve patient satisfaction	Integrating Competency Data into Reappointment: Tying together existing medical staff structures Valerie Handunge, MA Evalynn Buczkowski,RN, BSN, MS Select meaningful indicators that drive physician performance improvement Identify opportunities to leverage OPPE data for reappointment decisions Create effective medical staff governance structures and processes to secure long term gains with physician competency	Navigate Evolving Credentialing Case Law Anne Roberts, CPMSM, CPCS Bruce D. Armon Identify various types of negligent credentialing Assess impact of case law developments on medical staffs Identify changes required to your internal processes to protect your institution from legal actions Identify hospital documents that may be used in court cases Develop strategies for using appropriate hospital documentation to defend against adverse court decisions

• Explain strategies to gather data necessary to assess the competency of APPs
• Assess the impact of case law developments on medical staffs
• Identify changes required to your internal processes to protect your institution from legal actions
• Describe strategies for evaluating various privileging approaches and identifying the best fit for your organization
• Explain a step-by-step process for updating privileging systems
• Describe the role of MSPs, medical staff leaders, medical staff organizations, and hospital leaders in selecting and implementing changes to the privileging system
• Describe best practices for complying with Joint Commission FPPE and OPPE standards
• Describe the various circumstances when the medical staff must conduct FPPE
• Identify the differences between FPPE at initial appointment and FPPE for new/additional privileges
• Illustrate how to implement processes for addressing impaired and disruptive physicians that focus on assistance and rehabilitation rather than discipline
• Document and assess performance data for low- and no-volume providers
• Describe a step-by-step process for developing new privileging forms and/or modifying current forms
• Identify strategies for researching privileging criteria
• Explain the role of key stakeholders in revamping, updating, and creating privileging criteria
• Meet Joint Commission requirements for criteria-based privileging
• Explain how to put OPPE data into action to improve practitioner performance and outcomes
• Describe how to fully implement OPPE to ensure performance improvement and Joint Commission compliance
• Explain how MSPs and medical staff leaders can partner to identify and solve privileging challenges
• Develop strategies to measure and manage the performance of contracted physicians
• Explain the elements of a solid physician employment contract
• Describe how to integrate patient satisfaction into physician competency assessments
• Develop objective measures and evaluations for the traditionally-more-subjective competencies, such as professionalism and communication skills
• Identify data sources for gathering competency information regarding nontechnical physician competencies

Who should attend?

• Medical staff directors, managers, and coordinators
• Medical staff leaders
• Peer review, credentials, and medical executive committee members
• Quality directors and managers

William Cors MD, MMM, FACPE
Chief Medical Quality Officer, Pocono Health System

Dr. Cors currently serves as the Chief Medical Quality Officer for Pocono Health System in East Stroudsburg, Pennsylvania. Prior executive leadership positions include serving as Vice President Medical Staff Services for The Greeley Company; Chief Medical Officer at several northeastern hospitals; and Vice President Hospitalist Division of Emergency Medical Associates. Clinical experience includes fifteen (15) years a practicing Neurologist. He has lectured extensively on physician-hospital relations, new medical staff models, strategic medical staff development planning, patient safety and the roles and responsibilities of hospital medical staffs, executive teams and boards. Dr. Cors is a graduate of the College of the Holy Cross in Worcester, Massachusetts. He received his MD degree from UMDNJ: New Jersey Medical School in Newark, New Jersey. In addition, he holds a Masters of Medical Management degree from the Tulane University School of Public Health and Tropical Diseases in New Orleans, Louisiana. Dr. Cors is a Clinical Associate Professor Neurology at UMDNJ: Robert Wood Johnson Medical School. He is a Fellow of the American College of Physician executives and served as a member of the ACPE Board from 2007 to 2010.

William F. Mills, MD, MD, MMM, CPE, FACPE, CMSL, FAAFP
Senior Vice President of Quality and Professional Affairs, Upper Allegheny Health System

Dr. Mills is currently the senior vice president of quality and professional affairs for Upper Allegheny Health System, which consists of Olean General Hospital in Olean, NY and Bradford Regional Medical Center in Bradford, PA. Dr. Mills is a graduate of Hahnemann University School of Medicine and completed his family practice residency at the West Jersey Health System. He also holds a Master of Medical Management degree from the University of Southern California. Dr. Mills is certified by the American Board of Family Medicine, is a certified physician executive from the Certifying Commission in Medical Management, is a Certified Medical Staff Leader, and is a fellow in both the American Academy of Family Physicians and the American College of Physician Executives. He is also certified in addiction medicine through the American Society of Addiction Medicine, and currently serves as a Medical Review Officer. Dr. Mills is also currently a Clinical Assistant Professor at the School of Medicine, State University of New York at Buffalo.

Yisrael M. Safeek, MD MBA, CPE, FACPE

Dr. Safeek is the President of The SafeCare Group, an organization helping to lead the transformation of health care. He worked with The Joint Commission in 2009 to produce the Systems Tracer "Evaluating Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) Processes." This effort culminated with the OPPE and FPPE Booster Pak that is being utilized in over 18,000 accredited organizations. He is the first Kentucky physician to be appointed to the Board of Examiners for the Malcolm Baldrige National Quality Award program. He previously served as the Chief Quality Officer for 18-hospital Covenant Health System and in 2007 led a primary teaching hospital to National Hospital of the Year and the state Excellence Award. He has published works in such prestigious healthcare journals like Physician Executive and Healthcare Financial Management. He is the author of the book, Credentialing & Privileging for Accountable Care.

R. Dean White DDS, MS
Medical Staff Advisor, Texas Health Resources Harris Methodist HEB Hospital

Dr. White has been involved in medical staff governance for the last 33 years. He has chaired the credentials and bylaws committees and served as chief of the medical staff at Texas Health Resources Harris Methodist HEB Hospital in the Dallas Ft. Worth (DFW) Metroplex. He served on the board of trustees of the same hospital for six years and, for the last seven years, has held a part time position as medical staff advisor. He serves as a liaison between administration, the medical staff, and the nursing staff. He is responsible for new medical staff orientations, leadership development, coaching and mentoring, behavioral event peer review, and the physician health committee. He championed and helped implement the medical staff code of conduct in 2003. He practiced oral and maxillofacial surgery from 1974-2002 in the DFW metroplex. He received his training at The University of Texas Dental Branch and School of Biomedical Sciences in Houston, Texas and is a past president of the American Board of Oral and Maxillofacial Surgery.

Bruce D Armon, Esq

Mr Armon is managing partner of Saul Ewing LLP's Philadelphia office. He previously was the firm's hiring partner, and chair of its Life Sciences Practice Group. He concentrates his practice in corporate healthcare law. Armon has assisted physicians, hospitals, ancillary providers, health care entrepreneurs and payors in a host of corporate, regulatory and compliance matters. He regularly speaks to various health care audiences and is a frequent author for multiple publications. He has been quoted in many publications. On a monthly basis, he and a colleague review cases for HCPro Inc.'s Credentialing & Peer Review Legal Insider publication. Armon is an active board member for several non-profit groups in his community.

Evalynn Buczkowski, RN, BSN, MS

Ms. Buczkowski is regional director, clinical performance support at Henry Ford Macomb Hospitals in Clinton Township, MI. She provides leadership for the clinical and operational aspects of clinical quality, clinical informatics, public reporting/pay for performance, accreditation, medical affairs including credentialing and peer review, case management, utilization review, social work, and infection prevention. She has 25 years of healthcare experience in management, accreditation and regulatory compliance, and quality and performance improvement.

Carolyn Banister, MSN

Ms Banister is a system director with Baptist Memorial Health Care Corporation in Memphis, TN. Baptist is one of the largest not-for-profit health care systems in the US, consistently ranking among the top integrated health care networks in the nation. She joined the Baptist organization in 1996 and has held various management positions in managed care, operational integration and HIPAA compliance. For the past five years she has been responsible for establishing and directing the centralized credentialing operation to provide credentialing administration for the Baptist enterprise, including fourteen hospitals across three states, urgent care, physician practices and managed care network practitioners. She is also responsible for directing the medical staff services operation for the five metro Memphis hospitals. Prior to joining Baptist, she spent twenty years at Baxter HealthCare Corporation in Chicago where she was a senior director responsible for quality and regulatory compliance. She has extensive leadership experience in regulatory affairs, medical management, credentialing, standards interpretation, policy development, and new business acquisition due diligence.

Carol S. Cairns, CPMSM, CPCS

Carol S. Cairns, CPMSM, CPCS, has participated in the development of the medical staff services profession for more than 35 years. She is a senior consultant and frequent presenter with The Greeley Company, a division of HCPro, Inc., in Danvers, MA. A recognized expert in the field, Cairns has been a faculty member with the National Association Medical Staff Services (NAMSS) since 1990. She presents frequently for NAMSS and other healthcare entities at numerous state and national seminars on subjects such as basic and advanced credentialing and privileging, core privileging, AHP credentialing, CMS' Conditions of Participation, and the standards of-and survey preparation for-The Joint Commission, National Committee for Quality Assurance (NCQA), and Healthcare Facilities Accreditation Program (HFAP).

Valerie Handunge MA

Ms. Handunge is a senior healthcare strategy and operations consultant with Deloitte Consulting, specializing in care delivery quality, utilization effectiveness, and physician alignment. Prior to joining Deloitte, she played an instrumental role in developing the service model for the Advisory Board Company's Crimson ongoing professional practice evaluation module resulting in documented work-flow efficiencies and time savings. She has expertise in physician performance improvement, clinical integration and surgery, and emergency department operational efficiencies. She has presented at numerous national conferences on OPPE best practices.

Sally J. Pelletier, CPMSM, CPCS

Sally Pelletier, CPMSM, CPCS, is a senior consultant and director of credentialing services with The Greeley Company, a division of HCPro, Inc., in Danvers, MA. She brings nearly two decades of credentialing and privileging experience to her work with medical staff leaders and medical services professionals across the nation.

Pelletier advises clients in the areas of accreditation compliance, credentialing and privileging assessment and redesign, medical staff services department assessments, and leadership and development training for medical services professionals.

Anne Roberts, CPMSM, CPCS
Senior Director of Medical Affairs

Ms. Roberts is the Senior Director of Medical Affairs at Children's Medical Center of Dallas. She oversees Medical Staff Quality, Graduate Medical Education, Medical Staff Services, Continuing Medical Education, Research Administration, Surgery Administration and Medical Staff Governance & Communications. Additionally, she has been an independent healthcare consultant for over 10 years and is an award winning author with over 100 articles and several guidebooks related to medical staff leadership, governance, peer review and credentialing/privileging. She is recognized nationally as an expert in the medical staff credentialing and privileging field.

Maggie Palmer, MSA, CPMSM, CPCS

Ms. Palmer is director of Scripps Centralized Credentialing Service (CCS) in San Diego. CCS provides credential verification services to one of the largest healthcare systems in Southern California, which includes five hospitals, managed care, surgery centers, and physician groups. Palmer currently serves as the president of the California Association Medical Staff Services.

Christine W. Giles CPMSM, MS

Ms. Giles is the principal in Medical Staff Solutions, a consulting firm specializing in education/training of credentialing personnel and orientation/training of medical staff leaders, medical staff administrative functions such as accreditation survey preparation, credentialing, privileging and peer review, assessment and development of medical staff governance documents and policies and procedures. She is also one of the founding partners of Edge-U-Cate, LLC, a company dedicated to providing cutting edge educational resources. Ms. Giles serves as an advisor to multiple medical staff publications, and is a co-author and editor to The Medical Staff Services Handbook: Fundamentals and Beyond and co-author of Health Care Credentialing: A Guide to Practical Innovations. She has presented nationally on multiple topics such as accreditation preparation, credentialing, privileging and medical staff office management.

Speakers subject to change.

Continuing Medical Education (CME)*
HCPro, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

HCPro, Inc., designates this educational activity for a maximum of 11 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nursing Contact Hours (ANCC)*
HCPro, Inc., is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 11 nursing contact hours is provided by HCPro, Inc.

American College of Healthcare Executives (ACHE)
HCPro, Inc., is authorized to award 11 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

National Association Medical Staff Services (NAMSS)
This program is pending approval by the National Association Medical Staff Services for up to 13 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.

National Association for Healthcare Quality (NAHQ)
This activity will be submitted to the National Association for Healthcare Quality for CPHQ CE credits.

Hilton in the Walt Disney World Resort
1751 Hotel Plaza Boulevard | Lake Buena Vista, FL 32830
407/827-4000
Online Hotel Reservations

Discounted Room Rate (deadline: April 6, 2012): $139 per night

The Hilton in Walt Disney World® Resort is located directly across from Downtown Disney® in Lake Buena Vista, and only steps away from popular Disney attractions including: Magic Kingdom®, Animal Kingdom® Theme Park, Hollywood Studios™, Epcot®, Typhoon Lagoon® Water Park, and Blizzard Beach® Water Park. It is also located close to a number of Orlando's best attractions, beaches and shopping—SeaWorld, Universal Studios and Islands of Adventure, Kennedy Space Center, Daytona Beach, Clearwater Beach, Mall at Millenia, and Orlando Premium Outlets. Guests of the Hilton will find seven restaurants and lounges, a 24-hour Gourmet Marketplace, two outdoor heated swimming pools, a kid's spray poot, and tropical outdoor spa.

Membership Regular Rate	$995.00 individual attendee
Regular Rate	$995.00 individual attendee	$3,980.00 team of five

CRC Member early-bird rate (before 3/31/12)

$895.00 individual attendee

1. Cancellations received by HCPro, Inc. 30 days or more prior to the seminar are eligible for a credit or refund, less a $250 cancellation fee. The credit will be valid for up to 6 months from date of cancellation.
2. Cancellations made 30 to 10 days prior to the seminar date(s) are not eligible for refunds but are eligible for payment transfer (credit) to another HCPro, Inc. seminar, less a $250 cancellation fee. The credit will be valid for up to 6 months from date of cancellation.
3. Participant(s) who cancel less than 10 days prior to the seminar date(s) will be considered as "no shows" and will not be eligible for refunds/credits.

This policy is subject to change.

We greatly appreciate your interest in joining us. With more than 300 attendees and 15 exhibiting companies expected this is an exciting event for medical staff leaders and credentialing professionals dedicated to mastering the challenges in their field.

Our exhibit hall offers organizations the opportunity to interact with attendees from across a variety of healthcare disciplines and to demonstrate their commitment to improving the profession. Last year, we hosted companies offering software solutions, consulting, and many other services. The exhibit hall was teeming with activity and provided networking opportunities for attendees and exhibitors.

Reserve your space today!
Call Paul Mattioli at 781/535-4926 or download the prospectus and application attached and e-mail to pmattioli@hcpro.com.
Click here for the exhibitor prospectus
Click here for the exhibitor application

Exhibits and sponsorships are the most direct and cost-effective way to make your products and services visible to the people who matter most—those with buying power. For information about exhibit and sponsorship opportunities for any HCPro seminar or conference, call 877/233-8828 or email info@hcpro.com.