Thursday, October 8

12:00 p.m. - 1:00 p.m. EDT

Year In Review: Legal Developments Affecting MSPs
Presented by: Michael Callahan, Esq.
Credentialing & Privileging Track | CEs: 1 | Mid-Level

Presentation will provide a summary of key court decisions and legislative developments affecting the daily and ongoing responsibilities of MSPs in the areas of privileging, credentialing, peer review procedures and privileges, medical staff bylaws and related areas. Presentation also will provide best practice recommendations for implementation within their organizations.

Lightning Learning Sessions 
Lightning Learning Track | CEs: 1 | Mid-level

Hear directly from fellow MSPs on a wide variety of topics at lightning speed! These fast presentations are limited to 15 minutes, so you’ll have the chance to hear four different topics in the span of one hour. Look out for more details on the specifics in September.

Ask the Experts - NCQA Standards
CVO Track | CEs: 1 

Confused by NCQA Standards? You’re not alone! Hear directly from the experts and feel more confident in your knowledge of the NCQA standards. 

1:45 p.m. - 2:30 p.m. EDT

Employed Physicians: How to Navigate HR and Peer Review for Employed Physicians
Presented by: John Synowicki, JD
Credentialing & Privileging Track | CEs: 0.75 | Mid-Level

This session will address common types of disruptive conduct within a hospital and strategies in both addressing these issues and working towards properly addressing such conduct.

Managing Behaviors that Undermine a Culture of Safety: New Approaches
Presented by: Bill O'Neill, MBA and Matt Steinkamp, LCSW
Skills for Tomorrow's MSP Track | CEs: 0.75 | Mid-Level

This session will emphasize practical steps MSPs can take to work with human resource professionals and clinical leadership to establish a policy framework on communication standards that is applied consistently. In addition, the session will include approaches to behavioral intervention in acute and/or chronic situations where standards have been violated. Speakers will share “best practice” wisdom gained from interviews with MSP leaders as well as recent research and published guidelines. This session will use a variety of teaching methods including didactic lecture and case discussions.

Screening the Late Career Physician: An Update
Presented by: David Bazzo, MD, FAAFP
Executive Management Track | CEs: 0.75 | Advanced

As the conversation about the late career health screening for physicians has picked up steam, a contingent of hospitals and health systems have implemented, tested and revised policies. Meanwhile, various national groups are working towards establishing guidelines. In this session, Dr. Bazzo will update us on recent events and spend some time analyzing the merit of specific screening tools and policy "best practices" as they relate to an organization's needs.  

2:45 p.m. - 3:45 p.m. EDT

Transformational Skills for Tomorrow's MSP 
Kevin O'Connor, CSP
Skills for Tomorrow's MSP Track | CEs: 1 | Mid-Level

Session description coming soon

Who Wants to Be a Corrective Action Extraordinaire?
Presented by: Avery A. Schumacher, JD, MHA and Jeremy Morris, Esq
Accreditation & Regulatory Track | CEs: 1 | Introductory

This is an interactive game show themed presentation walking through corrective action and fair hearing basics, and building on that foundation as the game progresses. The audience will vote on 14 multiple-choice questions (just like the show!) using their cell phones, with each question increasing in difficulty. Before and after each question there will be teachable moments and/or hypotheticals related to corrective action and fair hearings.

How to Staff a CVO: Where Do I Fit in?
Presented by: Linda Waldorf, BS, CPMSM, CPCS and Melissa Walters, MHA, FMSP, CPMSM, CPCS
CVO Track | CEs: 1 | Mid-Level

Many health system CVOs are faced with various challenges as they endeavor to assess the staffing requirements needed for their CVO.   Learn about the approach taken by two different health system CVOs as they discuss their individual methodology to assuring they had the right people in the right positions to become a highly efficient and effective CVO.  The session will address staffing structure, job descriptions, recruitment, and training & professional growth and development. 

4:00 p.m. - 5:00 p.m. EDT

Accreditation Standards in a Post-COVID World 
Presenters Coming Soon
Accreditation & Regulatory Track | CEs: 1 | Mid-level

Our panel will discuss updates to accreditation standards in the face of COVID-19 and will delve into updates that we’ll be seeing in the future as the world moves past the pandemic. 

Digital Transformation: Tomorrow's MSP is YOU
Presented by: Melissa Walters, MHA, FMSP, CPMSM, CPCS
Skills for Tomorrow's MSP Track | CEs: 1 | Advanced

Healthcare is continuing to change and MSPs are at the forefront of patient safety.  With the emergence of digital healthcare and ongoing issues with “access”, MSPs will take away that they have a choice and opportunity to make a difference in their profession, career-path and health system by working collaboratively with their leadership, embrace change and feel empowered to develop and share their innovative ideas.

The Nuts and Bolts of Delegation
Presented by: Matthew Keats, MD
Provider Enrollment Track | CEs: 1 | Mid-Level

As health plans leverage the delivery system to perform key health plan services such as utilization management, credentialing and complex case management, they increasingly turn to delegation. Organizations that want to receive delegated services, or that receive them already, can benefit from learning about best practices for structuring a delegation arrangement and their beneficial value. During this session, participants will learn the difference between “authority” and “accountability” in a delegation relationship, the implications of special delegation situations, important aspects to consider for building a strong, effective delegation relationship and more!

Tuesday, October 6

12:00 p.m. - 1:00 p.m. EDT

A Prescription for Success: Effective Remediation to Address Physician Performance Concerns
Presented by: Elizabeth Korinek, MPH and Sally Pelletier, CPMSM, CPCS
Credentialing & Privileging Track | CEs: 1 | Advanced

Does your medical staff leadership struggle with how and when to intervene when faced with questionable clinical performance?  Patterns of poor surgical outcomes, staff or patient complaints about communication issues, or colleague reports about skill deterioration can be signs of practitioner performance issues.  Failure to intervene early and effectively could put patients at risk and lead to legal ramifications for the hospital and physician.     Understand the medical services professional’s role in creating a truly accountable medical staff and an effective, consistent approach to addressing clinical performance concerns.  The presentation will review a wide range of helpful resources, from FPPE processes to intensive skill-building educational courses and comprehensive assessment programs.  Bylaws and policy implications and the MSPs role in influencing appropriate design decisions in these key documents will be explored.  Relevant case studies will be presented.

Creating Continuous Flow in Medical Staff Office Processes Using LEAN Methodology 
Presented by: Dustin Jackson, MHA, CPCS, CPMSM and Heather Woodring
Skills for Tomorrow's MSP Track | CEs: 1 | Mid-Level

Often productivity can be plagued by barriers to continuous flow within our own processes.  This session will utilize methodology with real world examples to teach tools utilizing LEAN methodology to identify and eliminate waste within our work flows and how to map processes to remove barriers to continuous flow.

Provider Enrollment Collaborative Solution Finding Session
Presented by: Jenny Jackson, EdD, MBA, CPMSM, CPCS and Kristy Music, CPCS
Provider Enrollment Track | CEs: 1 | Mid-Level

Provider Enrollment is critical to the financial stability of our organizations.  Yet, it continues to be a convoluted, tedious, and manual process to enroll providers in payor plans.  This interactive session will give participants the opportunity to collaborate on major topics in provider enrollment, such as: onboarding, data management, and follow-up.  Together, we will find real solutions that can be implemented in our daily work.

1:45 p.m. - 2:45 p.m. EDT

Verify and Comply: CMS, JC, NCQA, HFAP, and DNV GL Credentialing Standards Compared and Contrasted
Presented by: Sally Pelletier, CPMSM, CPCS and Frances Ponsioen, CPMSM, CPCS
Accreditation & Regulatory Track | CEs: 1 | Introductory

Compliance with multiple regulatory and accreditation standards is mandatory for healthcare organizations.  However, it is becoming increasingly challenging to understand the similarities and differences in requirements.  This session compares and contrasts the specific standards for the five agencies in a manner that is unlike any other.  Join us to receive an informative and concise understanding of accreditation requirements related to credentialing.

A Tale of Two Peer Reviews
Presented by: Sara Cameron, CPMSM, CPCS and Sharon Beckwith
Executive Management Track | CEs: 1 | Advanced

This session is aimed to take learners through the experience of navigating the process of peer review by guiding them interactively through the process of two unique and interesting peer review case studies. Through interactive questions the learners will make decisions regarding two different peer review cases from the identification of the need for review, to the need to send the cases for external review, review of the peer review findings, presentation at peer review committees, medical executive committees, formulation of professional improvement plan and in one case, the restriction of privileges. The second case will walk learners through the identification of an impaired “late career” physician and how to effectively use peer review and the medical staff process to ultimately revoke privileges.

Creating a Centralized Credentialing Function
Presented by: Di Hall, CPCS, CPMSM, FMSP and Diane Meldi, MBA, CPCS, CPMSM
CVO Track | CEs: 1  

This case study will take a look at decision making, implementation, and socialization processes of one system’s move to a centralized credentialing functions.  Discussion will include a look at opportunities and roadblocks identified and the importance of frontline staff inclusion, as well as next steps towards reporting, quality measures and national Certification.

4:00 p.m. - 5:00 p.m. EDT

Principles of Standardizing Medical Staff Organization Functions
Presented by: Vicki L. Searcy and Mark Smith, MD, MBA
Skills for Tomorrow's MSP Track | CEs: 1 | Advanced

Health systems are on a mission to standardize critical functions such as credentialing, privileging, and case/peer review.  Attempts to standardize are frequently unsuccessful – and it can be difficult to get second or third chances after a failed attempt.  This session will examine key principles related to successful standardization projects which require participation from the medical staff organization.  Case studies of successful standardization projects as well as those that failed, with lessons learned will be discussed.

PAs and APRNs in 2020: Hot Topics for Tomorrow's MSP
Presented by: Greg P Thomas PA-C Emeritus, MPH and Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC
Credentialing & Privileging Track | CEs: 1 | Mid-Level

Physician assistants (PAs) and advanced practice registered nurses (APRNs)are providing care in many settings and specialties, creating challenges for the credentialing committee and medical staff professionals.  This session will provide detailed information on certification, scope of practice, recent legislative changes impacting scope of practice and administrative requirements, as well as emerging trends.

MSO and CVO Collaboration
Presented by: Michele Inman, MHA, CPCS, and Natalie Rose, CPCS, CPMSM
CVO Track | CEs: 1 | Mid-Level

Collaboration and a sense of team among CVO and MSO colleagues is key to efficient, meaningful, and timely credentialing processes. Credentialing is high-risk and highly visible to health system leaders and physicians, and partnering lends itself to timelier credentialing and informed decisions. A spirit of collaboration improves colleague satisfaction and provides a lasting and positive first impression for new practitioners. 

Wednesday, October 7

12:00 p.m. - 12:45 p.m. EDT


ECMFG Certification: The More You Know...
Presented by: Mark Malachesky and Christine Shiffer, MBA
Credentialing & Privileging Track | CEs: 0.75 | Mid-Level

During this presentation, the participant will be provided with an overview of ECFMG, the rationale and requirements for ECFMG Certification, a detailed analysis of the ECFMG Certification Confirmation (CVS) Report including annotations of irregular behavior,  an introduction to ECFMG’s 2023 Accreditation Requirement, its implementation timeline and future outlook, an overview of the EPIC service and its potential to aid institutions and CVOs in the credentialing of foreign-trained physicians.

Navigating the Challenges of Investigating Physician Misconduct
Presented by: Kimberly W. Daniel, JD, CPMSM
Accreditation & Regulatory Track | CEs: 0.75 | Mid-Level

Healthcare entities face increasing liability for misconduct by physicians and other practitioners with clinical privileges. Who should investigation allegations of misconduct and how are findings of inappropriate behavior properly addressed?  This session will provide best practices to tackle the challenging situations.

Health Care “Systemization”
Presented by: Brian C. Betner, Esq.
Executive Management Track | CEs: 0.75 | Mid-Level

Health care is increasingly being seen through a health system or regionalized lens as organizations seek comprehensive, efficient solutions for achieving uniform standards of quality and delivery. This discussion will explore a range of matters associated with integrated health system and regional hospital operations, including information sharing, the role of medical staff bylaws, varying standards of care, and other issues.

1:00 p.m. - 1:45 p.m. EDT


Embracing Credentialing by Proxy - Telemedicine: What Are Your Options?
Presented by: Frances Ponsioen, CPMSM, CPCS
Credentialing & Privileging Track | CEs: 0.75 | Mid-Level

The delivery of healthcare is ever changing, and as more and more organizations continue to face challenges in recruiting for sub-specialties or look to expand services, they increasingly view telemedicine as the solution.  How does an increase in telemedicine affect the credentialing and privileging process?  How is it possible to assure the competency of practitioners who never grace your hallways? What is credentialing by proxy (CBP) and is it the right option for your organization?  During this session, we will review the credentialing and privileging options for telemedicine and explore how to develop a telemedicine process that effectively addresses the four steps of credentialing by embracing the flexibility of CBP provided by the regulators and accreditors.

If at First You Don't Succeed; Bouncing Back from a Professional Setback
Presented by: Julie Hatley, BS, CPMSM, CPCS, FMSP
Skills for Tomorrow's MSP Track | CEs: 0.75 | Mid-Level

Many Medical Services Professionals will experience a setback or failure at some point in their career. This session will review how to address a professional setback, and develop a plan for correction and making a comeback. The session will specifically cover topics related to the certification exams, application for Fellowship, as well as applications and nominations for NAMSS recognition awards. The session will review the importance of the professional reference, as well as tips for constructing an award-winning personal narrative. Most importantly, the session will inspire the MSP who has experienced a setback to regroup, recharge and try again.

How to Effectively Manage Distributed Teams
Presented by: Tiffany Long, CPCS, CPMSM
Executive Management Track | CEs: 0.75 | Mid-Level

Remote work has grown by 140% since 2005 and evidence suggests that an increasing number of companies are planning to offer work from home opportunities.  Keeping staff engaged and in touch with projects is no easy task without face to face opportunities for discussion.  This session will focus on tips, tools, and techniques that can be applied to encourage collaboration while keeping company initiatives on target.  Learn how to keep employee morale and production high. 

4:00 p.m. - 5:00 p.m. EDT

Blockchain 101: The Future of Credentialing
Presented by: Tiffany Long, CPCS, CPMSM
Credentialing & Privileging Track | CEs: 1 | Mid-Level

Technology in the healthcare industry is rapidly changing and MSPs must be ready to face it head-on!  More than ever before, MSPs must be nimble and ready to adapt. It is estimated that a physician submits an average of 18 credentialing applications a year.  Each application averages 80 minutes to complete. In turn, each institution must individually obtain primary source verification of these credentials - although the verification of a license doesn’t look different for an insurance payer than it will for a hospital. This duplication of efforts is estimated by the CAQH to cost more than $2 billion a year! Blockchain technology offers a single source of truth that could eliminate 75% of these costs by reducing the duplication and allowing a secure, tamper-proof way of sharing vital credentialing documents. By eliminating silos of information, healthcare professionals can see patients faster and eliminate much of the time submitting the same information to multiple stakeholders!

Leadership: Tools for MSP's Future Success
Presented by: Constance E. Riedel, CPMSM, CPCS, FMSP and  Marise Richardson-Tursich, CPMSM, CPCS
Skills for Tomorrow's MSP Track | CEs: 1 | Advanced

Whether you are nearing retirement and want to prepare for succession planning or you want to elevate your career status and positively impact culture within your organization to demonstrate your value as an experienced MSP, this interactive session is for you. We will explore strategies to counter burn-out, provide tools to efficiently and effectively train new staff providing a smooth transition and minimizing disruptions. With staffing levels at a minimum at many organizations, how do you ensure patient safety, yet control labor costs and increase revenue?  We plan on exploring technology and applications to stimulate thoughts for the future of the profession so you may walk away with innovative ideas. Together, let's take our roles as MSPs to the next level.

Medicare Enrollment
Presented by: Terri Lynn-Davis BS-HCA
Provider Enrollment Track | CEs: 1 

Join Terri Lynn Davis to discuss best practices for Medicare Enrollment. This session will discuss the CMS systems for medical enrollment and take a deep dive into the enrollment types and forms required. From NPPES to PECOS and from 855A to 855S, this session will help you sort out the long list of acronyms and processes required to successful enroll practitioners in medicare.

Monday, October 5

2:00 p.m. - 2:45 p.m. EDT

Proctoring, Precepting, Privileging and Practice Predicaments
Presented by: Beth Boyland and Catherine Ballard, Esq.
Credentialing & Privileging Track | CEs: 0.75 | Mid-Level

This presentation will provide an overview and guiding principles for proctoring and preceptorships including available training and re-training options, frequent questions, practical consideration and best practices.

Disaster Privileging During COVID-19
Presented by: Anne Roberts, Esq., CPMSM, CPCS & Susan Diaz, CPCS, CPMSM
Skills for Tomorrow's MSP Track | CEs: 0.75 | Mid-Level

Hear from fellow MSPs for a case study of how their organizations handled the initial days of the COVID-19 pandemic in New York. These MSPs were right in the middle of the biggest outbreak, before most of the country knew what to expect. They’ll share many lessons learned for others throughout COVID-19 and other disaster situations.

Financial Boot Camp for Medical Services Professionals 
Presented by: Jon Burroughs, MD, MBA, FACHE, FAAPL
Executive Management Track | CEs: 0.75 | Introductory

Medical Staff Services Professionals are increasingly serving in executive management roles that require them to make business decisions for their departments. Understanding the fundamentals of finance is imperative for MSSPs to move into these increasingly important roles and to understand how to communicate to members of the executive team in business related matters. 

3:00 p.m. - 4:00 p.m. EDT


Qualifications, Waivers and Documentation Oh My!
Presented by: Margaret Palmer, MSA, CPCS, CPMSM
Credentialing & Privileging Track | CEs: 1 | Mid-Level

Bylaws can be great for providing guidelines for processes in the Medical Staff, but sometimes they create loopholes.  Efforts by organizations to get practitioners on staff who may not quite reach the "pinnacle" of qualifications or let board certification lapse, but are needed due to things like Critical Access, medically underserved areas, specific expertise, etc. The MSP needs to be ready to hold their facility to regulatory/accrediting/legal standards, but also not be seen as the blocker, but the facilitator. We'll be discussing the bylaws requirements in regards to assessing current competence when prescribed training and/or board certification is not present. What should we be requesting and how do we ensure we aren't opening the flood gates to every practitioner out there.

Hiding in Plain Sight: 2020 Edition
Presented by: Erin Muellenberg, JD, CPMSM and Kay Brown, CPMSM, CPCS
Accreditation & Regulatory Track | CEs: 1 | Mid-Level

This session will examine high profile cases involving physician and other health care provider arrests and convictions and the underlying conduct including impersonation, fraud, criminal conduct and professional competence. Discussion will cover the roles of the Organized Medical Staff and Medical Staff Office in identifying, dealing with and avoiding similar occurrences in your organization.

Performance Metrics: Impact on the Revenue Cycle 
Presented by: Joseph Travagline
CVO Track | CEs: 1 | Advanced

This session will be used to highlight the opportunity to use performance metrics to show the impact to the revenue cycle on a continuous basis.  In addition, to show the value brought to the organization by having a streamlined consistent process for credentialing.

4:15 p.m. - 5:00 p.m. EDT


Provider Enrollment Introductory Session
Presented by: Chris Bergeron, Mathieu Gaulin, and Jenn Cloud, CPMSM, CPCS
Provider Enrollment Track | CEs: 0.75 | Introductory

This session offers a broad overview of Provider Enrollment (what it is and what it isn't) and where it fits in the delegated credentialing and enrollment processes.

Building Effective Healthcare Teams: Communication Concepts and Strategies
Presented by: R. Christopher Searles, MD, FAAFP
Skills for Tomorrow's MSP Track | CEs: 0.75 | Mid-Level

Building and maintaining effective healthcare teams depends on emotional intelligence and a focus on effective Interpersonal communication (IP). When we get it wrong, patient safety is at risk and liability increases dramatically. This 60 minute presentation focuses on the “nuts and bolts” of communication within teams, the skills each team member can use to enhance patient safety and improve clinical outcomes, and insights for MSPs who are working with practitioners who have challenges with teamwork and communication.

Medical Staff Leadership Orientation: Designing an Internal Program
Presented by: Erin Muellenberg, JD, CPMSM
Executive Management Track | CEs: 0.75 | Advanced

This session will help you to design and create your own medical staff leadership orientation program. With budget constraints increasing and the inability to attend outside programs, it is more important than ever that leaders receive orientation and training on their roles and responsibilities along with the roles and responsibilities of administration and governing board. You will leave this session with an outline of an internal program and the documents and tools for your leaders.