Cardiovascular Service Line Symposium 2015

This agenda may change prior to the event as we add or update educational sessions. Please check back for updates, detailed descriptions and speaker information.

Wednesday, June 10

PRE-CONFERENCE SESSIONS
7:00 am - 8:15 am	Innovating Your Delivery Model DENISE BROWN, VICE PRESIDENT, BUSINESS INTELLIGENCE SOLUTIONS, MEDAXIOM CONSULTING, BELLEAIR, FL GINGER BIESBROCK, PA-C, MPAS, MPH, AAC, VICE PRESIDENT, MEDAXIOM CONSULTING, GRAND RAPIDS, MI Advancing your clinical delivery model through innovative approaches to transition care, care teams, clinical integration and patient engagement is the focus of this session. It is an in-depth study of how to transition from a siloed, traditional approach to comprehensive care utilizing multiple resources available as part of a CVSL. As we develop our CVSL approach, we have the opportunity to engage in new resources that will allow us to create a stronger continuity of care for our patients, resulting in improved outcomes. We will explore innovative models and opportunities to identify and fill in the gaps of our care continuum.
8:30 am - 11:00 am	CVSL Strategic Decisions and Transformation Planning SUZETTE JASKIE, PRESIDENT AND CEO, MEDAXIOM CONSULTING, ADA, MI JEFF OZMON, VICE PRESIDENT, MEDAXIOM CONSULTING, ROCK HILL, SC JOEL SAUER, VICE PRESIDENT, MEDAXIOM CONSULTING, FORT WAYNE, IN In this workshop-style session, we will dig deep to fully explore the facets of key strategic decisions in building the contemporary, transformational CVSL. We will look at the issues and challenges many systems are facing including: strategic capacity and distribution of services, clinical delivery design, physician engagement and clinical integration. Participants in this hands-on session will receive proven tools and effective strategies from the MedAxiom Consulting team to help them plan and implement changes and advances within their systems.

GENERAL SESSION
8:00 am - 5:00 pm	Registration
1:00 pm - 1:15 pm	Welcome and Introductions
1:15 pm - 2:00 pm	The Future is Here: Cardiovascular Programs in the New Era MICHAEL MACK, MD; CHAIR, CARDIOVASCULAR GOVERNANCE COUNCIL; BAYLOR SCOTT & WHITE HEALTH, PLANO, TX Decreasing surgical and intervention volumes, increasing numbers of multidisciplinary programs, industry consolidation and financial pressures are forcing CVSL programs to evolve. Dr. Mack will discuss these factors, project the impact on programs going forward and talk about what successful programs are doing now to perform in the new era.
2:00 pm - 2:15 pm	Q & A with Dr. Michael Mack
2:15 pm - 3:00 pm	Putting Population Health Strategies to Work SUZETTE JASKIE, PRESIDENT AND CEO, MEDAXIOM CONSULTING, ADA, MI A new health care lexicon has emerged: accountable care, value-based care, care bundles, clinical integration and population health now dominate our headlines. Yet, little progress has been made in the understanding and pursuit of population health strategies. Learn about the essential strategies and tactics that will work in the new health care paradigm and why you can’t wait to change your business model.
3:00 pm - 3:15 pm	Q & A with Suzette Jaskie
3:15 pm - 3:30 pm	Corporate Partner and Exhibitor Introductions (Part 1 of 2)
3:30 pm - 4:00 pm	Break with Corporate Partners and Exhibitors
4:00 pm - 4:45 pm	Working Together: Cardiology and the Multi-Specialty Group CHRISTOPHER WHITE, MD, MSCAI, FACC, FAHA, FESC; PROFESSOR AND CHAIRMAN OF MEDICINE, THE OCHSNER CLINICAL SCHOOL, UNIVERSITY OF QUEENSLAND; CHIEF OF MEDICAL SERVICES AND SYSTEM CHAIR FOR CARDIOVASCULAR DISEASES, MEDICAL DIRECTOR JOHN OCHSNER HEART & VASCULAR INSTITUTE OCHSNER MEDICAL CENTER; NEW ORLEANS, LA This case study of cardiology and the multispecialty group at Ochsner focuses on preserving autonomy while engaging in clinical collaboration. Dr. White believes that merging with multispecialty practices will give physicians important advantages as they move toward transformation and shares details on his experiences in making that happen.
4:45 pm - 5:00 pm	Q & A with Dr. Christopher White
5:00 pm - 5:45 pm	Solving the Value Modifier Mystery CATHIE BIGA, RN; CEO, CARDIOVASCULAR MANAGEMENT OF ILLINOIS, WOODBRIDGE, IL The Affordable Care Act mandated that, by 2015, CMS begin applying a value modifier under the Medicare Physician Fee Schedule. Both cost and quality data are to be included in calculating payments for physicians. So, as we progress through 2015, it’s all about the value modifier. Yet few seem to really understand how it is going to work. Cathie Biga will share clues and facts to help you piece it all together. Learn the 10 things you can and should be doing to control your performance.
5:45 pm - 6:00 pm	Q & A with Cathie Biga
6:00 pm - 6:30 pm	Reception with Corporate Partners and Exhibitors
6:30 pm - 8:00 pm	Group Dinner

Thursday, June 11
6:45 am - 8:00 am	Breakfast with Partners

GENERAL SESSION
8:00 am - 8:45 am	Vascular Center of Excellence: Success in a Multidisciplinary Setting TIM SULLIVAN, MD, FACC, FACS; CHAIRMAN, VASCULAR/ENDOVASCULAR SURGERY MEDICAL DIRECTOR, VASCULAR CENTER MINNEAPOLIS HEART INSTITUTE @ ABBOTT NORTHWESTERN HOSPITAL; CLINICAL PROFESSOR OF SURGERY, UNIVERSITY OF MN; EDITOR-IN-CHIEF, ANNALS OF VASCULAR SURGERY; MINNEAPOLIS, MN The long-time battle between specialties has been a barrier to optimal success for many vascular programs. In this presentation, Dr. Sullivan will detail the true multidisciplinary nature of the vascular program at the Minneapolis Heart Institute and the successes achieved attributed to collaboration.Dr. Sullivan will describe critical program issues including building a referral base beyond primary care, reconciling different and sometimes conflicting clinical guidelines and other organizational challenges.
8:45 am - 9:00 am	Q & A with Dr. Tim Sullivan
9:00 am - 9:45 am	The Quest for Quality – Defining and Designing New Standards of Quality New Standards of Quality EDWARD FRY, MD, CHAIR, CARDIOLOGY DIVISION, ST. VINCENT MEDICAL GROUP, ST. VINCENT HEART; INDIANAPOLIS, IN The transforming healthcare environment has a spotlight on clinical quality. What are the quality standards, how do we measure and more importantly how do we engage programs in quality is the topic of this case study. Dr. Ed Fry provides new definitions, measures and roadmaps for programs on the quest for quality.
9:45 am - 10:00 am	Q & A with Dr. Edward Fry
10:00 am - 10:30 am	Break with Corporate Partners and Exhibitors
10:30 am - 11:15 am	The Big Question: To Consolidate or Not. CV Surgical Programs Share Their Process and Decisions BRIAN WILCOX, MD, CHIEF PHYSICIAN EXECUTIVE, CARDIOVASCULAR SERVICE LINE, SAINT THOMAS HEALTH; NASHVILLE, TN NICK DOMINICK, SENIOR VICE PRESIDENT, DIAGNOSTIC AND SUPPORT SERVICES, LIFESPAN/RHODE ISLAND HOSPITAL; PROVIDENCE, RI Many low volume cardiovascular surgical programs are facing major challenges that are hurting the profitability of the service line and may have a negative correlation to quality. These factors are motivating some hospital systems to consider combining or consolidating their surgical programs, which comes with its own set of market and political challenges. Learn how two systems approached this issue and realized very different outcomes.
11:15 am - 12:00 pm	Volume to Value:One System’s Approach to Accountable Care BRADLEY B. KRUGER, MA ED., MBA, VICE PRESIDENT, AURORA SAINT LUKE’S MEDICAL CENTER ; MILWAUKEE, WI Deploying Blue Ocean Strategies, Aurora Saint Luke’s has developed a methodology to move their traditionally provided programs to a population-based model.Brad will share several examples of the population strategy and growth objective successes.
12:00 pm - 1:15 pm	Lunch – Partner Spotlight Education Sessions
1:15 pm - 1:30 pm	Break with Corporate Partners and Exhibitors
1:30 pm - 2:30 pm	BREAKOUT SESSIONS (PICK ONE OF TWO) Merging Multiple CV Service Lines Across the Health System TOM TALLEY, COO, MINNEAPOLIS HEART INSTITUTE/ALLINA CARDIOVASCULAR SERVICES DIVISION, ALLINA HEALTH ; MINNEAPOLIS, MN When merging multiple CV service lines, minimizing variances will improve patient outcomes; consistency of care and variance of cost at each location associated with procedures and patient care has been well documented between groups. We will be sharing best practice approaches and how to use quality data to drive better outcomes, which is critical to help develop an integrated approach to care. This roundtable discussion is designed specifically for participants from similar programs. The Economics of a Transition Care Program GINGER BIESBROCK, PA-C, MPAS, MPH, AAC, VICE PRESIDENT, MEDAXIOM CONSULTING, GRAND RAPIDS, MI With the increasing responsibility of managing readmissions and acute care services, we need to have an in-depth understanding of the level of transitional care that needs to be provided and the cost of that care. This session will examine the new reimbursement models for transitional services so that they can be fully utilized. Attendees will be shown how to evaluate their programs and given guidelines on implementing more effective transitional care with a focus on the costs and revenue components.
2:40 pm - 3:40 pm	BREAKOUT SESSIONS (PICK ONE OF TWO) The Legal Challenges of Best Hospital-Owned Physician Groups R.TERRY HEATH, ESQ: MANAGING PARTNER, HALL, RENDER, KILLIAN, HEATH & LYMAN, P.C.; INDIANAPOLIS, IN This series of “stories from the field” detail the typical legal problems that health systems and employed physicians are facing as they consolidate. In aligning objectives and creating collaborative approaches to delivering care, it is important to be aware that significant laws and regulations may restrict the ability to align. Terry will discuss the most common contemporary legal issues related to consolidation and offer insight on how to work through these legal challenges. Manage Access and Manage Your Business DENISE BROWN, VICE PRESIDENT, BUSINESS INTELLIGENCE SOLUTIONS, MEDAXIOM; BELLEAIR, FL LORI WALSH, SENIOR CONSULTANT, MEDAXIOM CONSULTING; CROSSETT, AR Measuring and managing patient access is a critical element for all health care organizations today. This session is designed to prepare you for the complexities of managing new and established patients within your primary and outreach locations. It will also provide a foundation for future population health management models designed to care for at-risk patients who have yet to be directed to your system and those patients who require wellness management to be kept from chronic disease. We will highlight the data elements that signal access issues and offer practical solutions to better manage your new patient intake, established patient care intervals, hospital follow-on care volumes, and recall management processes.
3:50 pm - 4:50 pm	BREAKOUT SESSIONS (PICK ONE OF TWO) Cardiologists Driving CVSL Cost Savings! BRADEN BATKOFF, MD, FACC; DIVISION CHIEF, PROVIDENCE SPOKANE HEART INSTITUTE ; SPOKANE, WA Today’s healthcare reforms aim to advance quality, reduce costs and improve the patient experience. Many systems are finding that including physicians in the process of pursuing these goals is imperative to their success. In this is case study about physician leadership, physician impact and value results, Dr. Batkoff will take us through his experience of leading doctors to positively impact the cost and quality equation. The Essentials of CV Workforce Planning JEFF OZMON, VICE PRESIDENT, MEDAXIOM CONSULTING; ROCK HILL, SC JOEL SAUER, VICE PRESIDENT, MEDAXIOM CONSULTING; FORT WAYNE, IN In our rapidly evolving cardiovascular market, lack of workforce planning can leave programs vulnerable to over or under staffing and the mismatching of talents for patient and other stakeholder needs. Many organizations simply replace physicians as they depart the organization, rather than have a comprehensive plan in place for future workforce needs. Further, decisions are often centered on short-term call or other coverage crises made in the moment, rather than based on a formal plan or strategy. This session will provide attendees a list of necessary data used to analyze future workforce needs, along with a process for working from analysis to conclusion to develop a comprehensive and formal workforce plan.
5:00 pm - 6:00 pm	Networking Reception with Corporate Partners and Exhibitors

Friday, June 12
6:45 am - 8:00 am	Breakfast

GENERAL SESSION
8:00 am - 8:45 am	The Service Line’s Role in the Distribution of Services CHARLES BROWN, LLL, MD, CHIEF OF CARDIOVASCULAR MEDICINE, PIEDMONT HEART INSTITUTE AND PIEDMONT HEALTHCARE ; ATLANTA, GA In this session, Dr. Brown will describe the authority and responsibility of the service line to decide how CV services are distributed throughout the primary and secondary market.Examples of critical service line decisions such as the deployment of cath lab services and the consolidation of services will be described; there will also be a discussion of alignment requirements of the multiple system stakeholders.
8:45 am - 9:00 am	Q & A with Dr. Charles Brown
9:00 am - 9:45 am	Take the Lead: The Essentials of Physician Leadership EDWARD WALKER, MD, MHA, PROFESSOR, DEPARTMENT OF PSYCHIATRY & BEHAVIORAL SCIENCES, UNIVERSITY OF WASHINGTON ; SEATTLE, WA Recent evidence shows that physicians make excellent healthcare leaders, but only if they take the time to be trained properly. This presentation will give an overview of physician leadership opportunities and how they can influence the effectiveness of physicians who want to make sustainable improvements in medical care quality. Dr. Walker will outline the physician leadership imperative, the essential characteristics of a physician leader and the personality barriers that make physician leaders less effective than they need to be. This session is the introduction to a leadership training program that will take place this fall for MedAxiom physician leaders.
9:45 am - 10:00 am	Q & A with Dr. Edward Walker
10:00 am - 10:45 am	Walnut Hill Medical Center: A Strategic Partnership Between Hospital, Physicians and Community DR. DALE YOO, PHYSICIAN, NORTH TEXAS HEART CENTER, P.A. CORY COUNTRYMAN, CEO WALNUT HILLS MEDICAL CENTER Walnut Hill Medical Center provides an excellent example of how a strategic partnership designed around patient engagement can function and succeed. Dr. Dale Yoo and Cory Countryman showcase their Dallas-based hospital, which Forbes magazine described as the “hospital Steve Jobs would have built.
10:45 am - 11:00 am	Q & A Dr. Dale You and Mr. Countryman
11:00 am	Adjourn