AMGA Consulting's Operations and Financial Improvement Virtual Meeting

Welcome and Opening Remarks

Fred Horton, President, AMGA Consulting

Environmental Scan and Implications for Medical Groups 

The pandemic had significant impact upon society and the effects will be felt far into the future. Additionally, generational differences and the general environment have had a major impact upon service expectations, preferences, models of care, and introduction of technology. This session will focus on these macro trends and their implications on traditional healthcare providers.

Fred Horton, M.H.A., President, AMGA Consulting

Upon completion of this session, attendees should be able to:

• List the top environmental threats to their organizations
• Articulate what these threats may mean for their medical group
• Understand the actions they can take in order to continue to compete and thrive amidst the challenging landscape

1:00 p.m.-2:00 p.m.

Verification of Performance: Bryan Physician Network’s Utilization of the Annual Medical Group Wellness Check

Eric and William will walk the audience through BPN’s Medical Group Wellness Check journey, highlighting key findings, outcomes and lesson learned. The two will outline how BPN has utilized the Medical Group Wellness Check to drive change in the identified areas of improvement.

Eric Mooss, President & CEO, Bryan Medical Center and Executive Vice President, Bryan Health
William Holets, M.H.A., Director, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Summarize how Bryan Physician Network applied a focused approach to identifying operational and financial opportunities through the AMGA medical group wellness check
• Implement a framework to better assess operational and financial hurdles affecting their medical group
• Address operational and financial underperformance by analyzing their medical group’s clinic staffing, provider complement and additional operational and financial data against like organizations

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

2:15 p.m.-3:15 p.m.

Compensation in a Value-Based World

This session will focus on realities and misconceptions related to the integration and alignment of your provider compensation plan and your value agenda. Details related to integral compensation design principles will be shared, along with concepts of how plans can be transitioned, with a focus on implications of change.

Fred Horton, M.H.A., President, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Articulate an effective approach to manage the key issues related to transitioning their provider compensation plans
• List the pitfalls, myths and realities related to compensation design in a value-based environment
• Understand how inclusion of various components of a provider compensation plan can accelerate their desire to transition to a value-based provider compensation plan, along with the risks of installing components in a manner that doesn’t align to various group attributes

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

3:25 p.m.-4:25 p.m.

The 2022 AMGA Medical Group Operations and Finance Survey Results 

In this session, we will share the latest data from the recently published AMGA 2022 Medical Group and Operations Survey. We will discuss key trends in performance as groups evolve their new normal from the pandemic and focus on key metrics to help understand your group’s performance. Focus areas include clinic staffing, revenue and expense, operational support staffing, patient access and revenue cycle benchmarks. Finally, we will review how the benchmarks have different applications and can be leveraged to identify improvement opportunities and achieve your 2023 targets. 

Kelsi O’Brien, M.H.S.A., Director, AMGA Consulting
William Holets, M.H.A., M.B.A., Director, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Understand the shift in key performance metrics from the 2022 AMGA Medical Group Operations and Finance survey
• Articulate the extent at which staffing challenges and financial challenges impacted other medical groups
• Apply contemporary financial, revenue cycle, staffing, patient access and operational benchmarks to drive medical group performance improvement

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

Closing Day One

Fred Horton, President, AMGA Consulting

12:00 p.m.

Welcome Back

Fred Horton, President, AMGA Consulting

Establishing an Effective Framework and Dashboard to Manage Your Physician Enterprise

In this session, we will discuss how to establish an effective structure to drive performance and will highlight best practices to analyze medical group performance utilizing a dashboard approach. We will share some pitfalls observed in our consulting practice that negate the opportunity to manage appropriately and will provide insights to position your medical group for optimal performance.

Fred Horton, M.H.A., President, AMGA Consulting
Kelsi O’Brien, M.H.S.A., Director, AMGA Consulting
William Holets, M.H.A., M.B.A., Director, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Identify and outline key metrics in operations, finance and compensation that should be included in a comprehensive medical group dashboard

• Samples of materials and structure that should be developed and put in place to support your medical group’s framework

• Identify additional considerations that will drive a successful and highly utilized dashboard

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

Effectively Utilizing Provider Performance Reviews 

Organizations nationally continue to grow in size and scope.  Compensation models are evolving to reflect pay for performance and value, in addition to recognition for panel size, wRVU production or revenue less expense.  Will these ‘levers’ meet the needs of our changing health care environment?  Learn how HealthPartners has developed an effective professional performance feedback program to elevate system performance to the next level.

Jason Maxwell, M.D., Chair, Pediatrics, HealthPartners
Howard Graman, M.D., Vice President, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Understand best practices regarding collecting and distributing data to clinicians in order to achieve High Performance
• Construct a medical group-wide regular professional review process
• Conduct a SOAP format annual review meeting

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

Moving Forward with Physician and Clinician Engagement 

The focus of this session is to share a comprehensive view on best practices in physician and clinician satisfaction.  Hear from Carol Brockmiller, CEO Quincy Medical Group, and their approach taken at Quincy Medical Group, as well as stories of some wins and key learnings from this high performing organization.  You will also see the latest trends in provider satisfaction survey data including overall satisfaction, burnout measures, survey participation and the dimensions of satisfaction that correlate most strongly to overall satisfaction.  We will examine key differences in the results between physicians and other clinicians.   

Carol Brockmiller, Chief Executive Officer, Quincy Medical Group
Elizabeth Siemsen, Director, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Understand the key success factors for Quincy Medical Group in maintaining a highly engaged medical group
• See the link between the Quincy culture and leadership approach to high provider engagement
• Recognize the value in measuring provider satisfaction and how the trends in provider satisfaction data may be happening at your medical group

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

3:15 p.m.-4:15 p.m.

The Evolution of Compensation for Primary Care 

CMS implemented impactful and sweeping changes to the RVU values for outpatient E/M codes in 2021. The goal behind the change originated from the RVS Update Committee (RUC) and did not necessarily play out as they intended. In this session, we will dive into the goal behind the changes, what actually transpired and what to do going forward when it comes to the evolution of primary care vs specialty care compensation.

Kelsi O’Brien, M.H.S.A.,Director, AMGA Consulting

Upon completion of this session, attendees should be able to:

• Review the source and intentions behind the historical changes to outpatient E/M codes
• Outline the impact of E/M coding changes to the market data and specifically provider compensation
• Review changes to inpatient E/M codes taking place in 2023

Credit hours: CME 1; ACHE 1; CPE 1.2
Field of Study: Specialized Knowledge
Prereq. Experience; Adv. Preparation: None

4:30 p.m.

Closing Remarks

Fred Horton, President, AMGA Consulting