Conference Agenda

Ronald L. Hirsch ,MD, FACP, CHCQM

Each year brings a new set of rules, regulations, and payment programs from Medicare, Medicare Advantage, Medicaid, and other payers. These changes can mean that well-established processes that are ingrained in the workflow may no longer be optimal nor compliant. In this session, Hirsch reviews the changes adopted by Medicare in 2019, in the 2020 IPPS Final Rule, and those expected in the 2020 OPPS, Physician Fee Schedule rule, and the Discharge Planning Conditions of Participation, all of which will be crucial to the success of care coordination.

Anne Llewellyn ,MS, BHSA, RN-BC, CCM, CRRN

The healthcare system is designed for the healthcare system, not the people who use it. To change this paradigm, professionals working in the area of case management and care coordination need to understand the real-world problems that impact effective care coordination. This session discusses care coordination and changes that need to be done to ensure the process is patient-centered if we are to improve the delivery of care.

Carrie Marion

Each year brings a new set of rules, regulations, and payment programs from Medicare, Medicare Advantage, Medicaid, and other payers. These changes can mean that well-established processes that are ingrained in the workflow may no longer be optimal nor compliant. In this session, Hirsch reviews the changes adopted by Medicare in 2019, in the 2020 IPPS Final Rule, and those expected in the 2020 OPPS, Physician Fee Schedule rule, and the Discharge Planning Conditions of Participation, all of which will be crucial to the success of care coordination.

Karen Turner, MS, OTR/L and Kristina Skarbinski, NP

Learn how Massachusetts General Hospital has established a program to improve access to care for patients with autism and other developmental disorders. A unique collaboration between gastroenterology, related procedural areas, and patient navigator support has improved access to care and enhanced patient and family experience. The speakers outline systems changes, offers case examples, shares recommended tools and resources that support patients’ tolerance and participation, and provides practical tips for caring for the person with autism spectrum disorder.