2011 AMGA Annual Conference

Practice Management

This track offers practical, results- oriented solutions for assessing and combating the complex problems healthcare leaders and administrators face in managing their practices. These include issues relating to patient satisfaction, office operations, recruitment and retention, finance, insurance relations, and organizational redesigns.

Friday, 2:00 p.m. - 3:15 p.m. Managing Physician-Hospital Joint Ventures: From Implementation to Operational Challenges
T. Clifford Deveny, M.D., Vice President, Physician Alignment, Summa Health System, President, Summa Physicians, Inc.; and Robert Gerberry, J.D., Associate Counsel, Summa Health System

This session will describe the process by which Summa partnered with a 30-member orthopaedic group to form a 100- bed Orthopaedic Hospital. Concurrently, Summa also partnered with 220 primary care and specialist physicians to develop a physician-owned hospital in the Northern region of its service area. In addition, during this same period, Summa grew the number of employed physicians within its multispecialty group from 10 to 240. Finally, Summa partnered with its radiologists, sleep medicine physicians, cardiologists, gastroenterologists, and surgeons around various other physician- hospital joint ventures.
Upon completion of this activity, participants should be able to establish a planning and development process to operationalize a physician-hospital joint venture, including contracting for necessary services and acquiring the necessary equipment and infrastructure to deliver high-quality care; assess the legal and regulatory hurdles to form and operate a physician-hospital joint venture and to create an effective compliance program after go-live; describe a variety of physician alignment strategies to allow successful collaborations and partnerships between hospitals and physicians; discuss with key leaders the challenges and benefits of physician- hospital joint ventures; assess mutually beneficial opportunities for growth and financial success through collaborative arrangements between physicians and hospitals; and review the market dynamics that create opportunities for partnership between hospitals and physicians.

Friday, 2:00 p.m. - 3:15 p.m. Financing the Patient-Centered Medical Home Model
Chris Rogers, Chief Operating Officer of Sonoma and Lake, and Bill Black, MD, Associate Chief Medical Officer Sutter Pacific Medical Foundation

The Patient-Centered Medical Home model is being piloted to improve health care quality, remove waste,  and reduce total cost of care across the system of care through the delivery of health care in a more coordinated, cost-effective fashion. The presenter will discuss Sutter Pacific Medical Foundation's experiences as well as the revenue, staffing, and transition to a medical home model.
Upon completion of this activity, participants should be able to evaluate the benefits and challenges in establishing the patient-centered medical home model; discuss the impacts of patient-centered medical care on clinic staffing and other investments, revenue, physician compensation, and acute care hospital finances; discuss some of the options for managing the interim period as organizations transition towards the patient-centered care model; identify important opportunities for developing, testing, and evaluating a patient-centered care model.

Friday, 3:45 p.m. - 5:00 p.m. LeadWell: Lead the Wellness Movement
Ashok Rai, M.D., President and Chief Executive Officer; and Jennifer Younk, Health & Wellness Sales Manager, Prevea Health

A dedication to wellness and a commitment to improving the health of Northeast Wisconsin recently brought two area organizations together to better serve their community. Prevea Health now partners with Western Racquet & Fitness Club to offer local companies a customizable wellness program designed to help employees reach their health and wellness goals while providing the tools and information needed to maintain long-term lifestyle changes. This presentation will provide the tools necessary to create a holistic approach to corporate wellness while building success for the employer and the medical group, including direct marketing solutions that appeal to business decision makers.
Upon completion of this activity, participants should be able to organize multispecialty group resources to implement a wellness and on-site health program that can increase employer relations and patient/employer steerage.

Friday, 3:45 p.m. - 5:00 p.m. Evidence-Based Imaging without Dialing 1- 800
Kelly Weaver, M.D., Radiology Facility Medical Director, The Everett Clinic

Advanced imaging studies are primary drivers of healthcare cost. Group practices can reduce their cost of care through evidence-based imaging programs. Such programs include criteria for studies to meet, outcome measures, and provider compliance audits. This presentation will present strategies for successfully implementing such a program, and The Everett Clinic's success in using the program to achieve significant cost savings to patients and to leverage their relationship with major payers.
Upon completion of this activity, participants should be able to implement an evidence based imaging program within their group practice; evaluate the strengths and weaknesses of commonly used metrics; and implement a program to reduce "inappropriate" imaging.

Saturday, 11:00 a.m. - 12:15 p.m. A Strategic Approach to Clinical Services Deployment, Utilizing a Balanced Scorecard Methodology
Thomas S. Nantais, M.B.A., Chief Operating Officer, Henry Ford Medical Group, Henry Ford Health System

As patients strive to gain timely access to physician services, a critical point of focus is the geographical deployment of clinical services. Henry Ford Medical Group, which delivers clinical services in 30 locations, embarked on a project to reassess the appropriate distribution of its clinical services. This presentation will chronicle the methodical approach taken to complete this review and provide the attendee with tips to conduct such a project, including a review of the balanced scorecard approach, which incorporates schedule usage and access data, geographical considerations, and the use of downstream revenue contribution margin in the deployment strategy.
Upon completion of this session, participants will be able to embark on the multi-site deployment or reassessment of clinical services, utilizing a balanced score card methodology.

Saturday, 11:00 a.m. - 12:15 p.m. Trend Benders: Hire and Keep "Star" Physicians
J. Gregory Stovall, M.D., Senior Vice President of Medical Affairs and Director of Organization Development, Trinity Mother Frances Hospitals and Clinics; and Lori Schutte, President, Cejka Search

You cannot control demographic and economic trends, but you can "bend" these trends to your advantage through a proactive approach to recruitment and retention. This interactive program will help you target the physicians you want to hire and learn how to generate quantifiable returns on retaining them through their career cycle. The presenters will discuss key retention trends and recruitment strategies that support retention as highlighted by the Cejka Search and AMGA 2010 Physician Retention Survey and share metrics and a successful approach to retention through onboarding, mentoring, and leadership development. Tools and exhibits will enable participants to "jump-start" programs within their organizations.
Upon completion of this activity, participants should be able to identify the qualities and attributes that make a physician candidate a "star" for their respective organizations; quantify the cost of physician vacancy and turnover in their medical group; implement techniques that will provide a competitive advantage in successfully recruiting "stars" for their organizations; implement retention program resulting in measurable reduction in turnover as described by the case study; discuss key retention trends and recruitment strategies that support retention as highlighted by the Cejka Search and AMGA 2010 Physician Retention Survey.

Saturday, 2:00 p.m. - 3:15 p.m. Practice Operations Management System: A Partnership Approach to Applying the Toyota Production System in a Medical Group
Mark Kadlec, Senior Vice President and Chief Operating Officer, Spectrum Health Medical Group; and Ted Larned, Senior Process Engineer, Herman Miller Healthcare
This session will introduce participants to the partnership between Spectrum Health Medical Group (SHMG) and Herman Miller Healthcare (HMHC), a healthcare industry supplier, to develop the SHMG Practice Operations Management System (POMS). This interactive session will provide an understanding of the Herman Miller Performance System (HMPS) as applied to a newly formed medical group in supporting the development of a continuous process improvement culture. This partnership is built on the knowledge exchange experience between HMHC and the Toyota Supplier Support Center in applying the Toyota Production System to develop HMPS.
Upon completion of this presentation participants will be able to apply the knowledge exchange model, key POMS concepts and four HMPS philosophies through an understanding of lessons learned by SHMG and HMHC.

Saturday, 2:00 p.m. - 3:15 p.m. Strategies for Reducing Malpractice Exposure and Costs
Gregory L. Cooper, D.P.M., M.B.A., Chief Medical Officer, Mercy Medical Group

This interactive session will take participants through the process that transformed Mercy Medical Group from being in a state of malpractice crisis in 2002 to a designation of "preferred status" with the Doctor's Company by 2009. During this time, MMG reduced premiums by 80.7 percent and claim frequency by 50 percent. Participants will also be guided through a replicable step-by-step process that, if implemented, should make foundational improvements in multiple areas including malpractice rates, provider retention, and medical quality.
Upon completion of this activity, participants should be able to identify and implement specific risk- management strategies that will lead to a reduction in malpractice exposure and costs.

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