Wednesday, September 14

8:00 a.m. – 9:00 a.m.

System-Wide Bylaws: It's Time to Recognize the Benefits
Systems Track
Presented by: Mary Hoppa, MD, MBA

If left to Medical Staffs, health systems might not exist. While it’s hard to argue against the operational efficiencies garnered by becoming a “system,” those benefits are not always transparent to a Medical Staff. In fact, it’s the bureaucracy that oftentimes catches their attention, leading to a negative view of the system structure. But 2020 ushered in a new way of looking at things. Medical Staff experienced the opportunity for and benefits of increased access to staff, equipment, and other resources while battling a global pandemic. And they’ve begun to see the wisdom of consistent “rules” as they’ve worked across institutions. Now is the time to proceed with the creation of system-wide bylaws (and rules and regulations). Under such a structure, most documents are identical while allowing site-specific variation where needed. And in some systems, it may be the time to proceed with an even greater alignment by creating a unified medical staff.

Tomorrow's MSP® Skillsets: Change Management | Medical Staff Bylaws & Polices/Procedures (NEW)

“Nobody Says ‘We’re Fine’” – Moral Distress, Burnout, and Disruptive Communication and Behavior
Leadership & Professional Development Track
Presented by: Bill O'Neill, MBA and Alexis Angell, JD

According to published data, 18% of healthcare workers have resigned throughout the course of the pandemic, and another 12 percent have been laid off. While the full impact of such a traumatic loss may not be known for years, those who remain in the front lines carry an ever greater burden, which likely leads to increased stress that contributes to disruptive communication and behavior – which leads to further attrition. This presentation and resulting discussions will help MSPs prepare to be active leaders in efforts to break that vicious cycle and create fair, humane cultures within their institutions.

Value Based Professional Practice Evaluation
Peer Review Track
Presented by: Sara Cameron, CPCS, CPMSM and Donald Lefkowits, MD, FACEP

OPPE, FPPE, ongoing evaluation of providers and peer review is often developed and executed to meet accreditation requirements or respond to poor outcomes. When crafted in a meaningful way, professional practice evaluation can bring tremendous value to your organization and elevate patient safety and satisfaction. This session is aimed to educate the learner of the benefits of PPE and how to present the benefits in order to secure additional resources and support.

The role of MSP is shifting quickly from credentialing to Practice Evaluation. Organizations still see this as an accreditor requirement. This course is aimed to train MSPs to know and present the value of PPE.

Tomorrow's MSP® Skillsets: Analytical Thinking | Budget/Finance | Change Management | Clinical Competence | Communication | Confidentiality | Contracting |Evaluation | Flexibility/Adaptability | Human Resources | Information Technology | Legal | Performance Improvement | Political Savvy | Professional Ethics | Professional Presence | Project Management | Quality Review/Quality | Relationship Building | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)

CME Accreditation with Commendation: MSP & Quality in it To Win It
Accreditation & Regulatory Track
Presented by: Delicia Dimberg, CPCS

CME accreditation with commendation is a pathway for enhancing skills; demonstrating leadership in education; improving patient safety outcomes; and addressing priorities in public health. Partnerships and collaboration between CME, medical staff services, Risk, Compliance, and quality departments can take the routine CME program to the next level and make a difference for practitioners, for patients, and for organizations. If your organizations is still only gathering continuing medical education (CME) certificates for credentialing applications; checking a box on a credentialing application indicating they met their CME criteria; or coordinating CME presentations and not including the quality department and medical staff services this presentation is for you.

This session will prepares MSPs for the future of CME accredited programs which is evolving to accreditation with commendation standards as the routine CME standards. It further supports MSPs in expanding professional performance evaluation opportunities for providers for continuous quality care improvement.

CAQH - MSPs to Exemplify Process
Provider Enrollment Track
Presented by: Yesenia Servin, CPMSM, PESC

Enrollment MSPs let's talk about CAQH Proview! Whether you are a rookie or proficient, we will review some tips that will help you master CAQH. One missed piece of data can hold up the entire application process and that will negatively impact the revenue cycle.

Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Managed Care | Performance Improvement

9:15 a.m. – 10:15 a.m.

NCQA CVO Survey: How to Survive and Thrive
Provider Enrollment Track
Presented by: Mark Hirschorn, CPCS and Jamie Kates, MHA, CPCS

This session will provide attendees with a framework for a successful NCQA CVO initial and recertification survey.

Tomorrow's MSP® Skillsets: Coming Soon

The Power of Communication
Leadership & Professional Development Track
Presented by: John Pastrano

Our communication holds so much power that it can create war or peace, friendships or enemies, failure or success. However, we most often are unaware of how we are communicating. Professional and personal success depends not only on your knowledge and technical skills, it depends on how well you communicate with others. As part of your professional and personal development, explore ways to improve your communication in the work place and every place.

Tomorrow's MSP will be leading the changes in Medical Staff Services, through innovation, new responsibilities, and advanced technologies. NAMSS' Defining Tomorrows MSP Report shows "communication" to a "Very Essential" skillset for the MSP regardless of years of experience, and critical to advancement to the next level.

Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Confidentiality | Professional Presence | Relationship Building

What Med Staff Leaders Should Expect From Their Lawyers? What Lawyers Should Expect From Their Medical Staff Leaders?
Credentialing & Privileging Track
Presented by: Mark A. Smith, MD, FACS, CPHQ; Erin Mullenberg, JD, CPMSM, CPCS

This session delivered by a distinguished healthcare lawyer and recognized medical staff physician thought leader will discuss the relationship between medical staff attorneys and their Medical Staff leaders as to what each group can expect and should expect from the other. It is intended that MSP leaders will obtain a better understanding of this relationship which allows them to assist their medical staff more effectively.

Understanding the medical staff leader- medical staff attorney relationship better can lead to more upfront effectiveness in the Credentialing/Privileging and the Peer Review processes. This will inure to delivery of better patient care as well as significant time and cost benefits for the organization going forward.

The Physician Leader & Medical Services Professional: A Critical Partnership
Leadership & Professional Development Track
Presented by: Lisa Velasco, MSM, FMSP, CPMSM, CPCS and Herman Williams, MD

This session will highlight challenges faced by emerging or current physician leaders and provide essential tools for success. You will leave with key takeaways related to meeting organization and facilitation; tools for time management; identification of resources for “need-to-know” topics such as policy and procedures and clinical documentation; and to synergize with the Medical Services Professional.

Together, Physician Leaders and Medical Services Professionals can have a positive impact on physician satisfaction, patient satisfaction and revenue cycle management. Physician Leaders and MSPs - a critical partnership!

The Privileging Puzzle: Putting the Pieces Together
Credentialing & Privileging Track
Presented by: Maggie Palmer, CPCS, CPMSM and Regina Plank, CPMSM, MS, MSM

Many DoPs are antiquated - even when they are updated it's usually under stress of a "need right now" - Tomorrow's MSP should be projecting the needs of their medical staff and having strong DoPs is a great tool in their toolbox.

= session to be offered in person and livestreamed for virtual-only attendees

Tuesday, September 13

9:00 a.m. – 10:00 a.m.

A Tale of Two Peer Reviews 2.0
Peer Review Track
Presented by: Sara Cameron, CPCS, CPMSM and Sharon Beckwith

One of the biggest challenges for most medical staffs is what to do with low-volume and no-volume providers. How can the medical staff evaluate medical staff members who do not provide patient care at the hospital? For most accreditation bodies, these providers must undergo periodic appraisals of their current clinical competency during an appropriate evaluation time frame. This program will discuss best practices for determining competency and granting privileges for these providers.

Tomorrow's MSP® Skillsets: Analytical Thinking | Clinical Competence | Communication | Evaluation | Quality Review/Quality

Systemwide Criteria-Based Privileging: 5 Essential Steps for Achieving Buy-In and Success
Systems Track
Presented by: Sally J. Pelletier, CPMSM, CPCS and Frances Ponsioen, CPMSM, CPCS

As healthcare becomes more and more integrated through consolidation, acquisitions, and mergers, it becomes increasingly difficult for a system or network to achieve a highly effective systemwide, criteria-based privileging methodology. And yet, COVID crystalized the need for systems to be nimble in leveraging privileged practitioners across their delivery enterprise. This session will focus on five essential steps to achieve buy-in and success through the development and implementation of a systemwide, criteria-based privileging approach that addresses how to manage autonomous cultures, disparate criteria, and distinctly different formats, while embracing the use of technology and the need for systemness.

ABMS New Standards for Continuing Certification
Accreditation & Regulatory Track
Presented by: Jennifer Michael

Learn about the new standards, what changes will impact the MSP community, and enhancements to the Member Boards processes of evaluating clinicians. Review changes to the physician profile, as well as new information for the public regarding certification. Obtain information about the physician profile and how to interpret the certification data across the 24 Member Boards.

Tomorrow's MSP® Skillsets: Quality Review/Quality | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)

The Many Roles of the MSP: Understanding How to Look at your Work through a Different Lens
Leadership & Professional Development Track
Presented by: Dustin N. Jackson, MHA, CPCS, CPMSM

Within the role of the Medical Services Professional, we often find ourselves interacting with others throughout the health system, such as legal services, risk management, and patient safety to name a few. This interactive session will teach us not only how to work with our trusted colleagues, but how to view the work that we are doing through their lens in order to create a strong partnerships and a cross functional team that adds value to our system, our patients and our own professional development.

Internal vs. External Credentialing: How to Decide What’s Right for Your Organization and Best Practices for Delegation
Credentialing & Privileging Track
Presented by: Jennifer Gillespie, CHC, CHPC, CPMSM, CPCS, CCSFP, and Charlene Frail-McGeever, MBA, CP

Are you considering whether to delegate credentials verification or certify your internal team as a Credentials Verification Organization (CVO)? To help you determine the best option, this session will cover common rules of thumb such as organization size, number of locations, credentialing error rates, provider satisfaction, patient outcomes, cost, and efficiency. The presenters will discuss the pros and cons of internal vs. delegation and in the case of delegation and offer selection criteria to find the best match for optimum success in a sustainable and successful relationship. The presenters will outline the critical components of delegation agreements, and guidelines for periodic review and revision.

11:15 a.m. – 12:15 p.m.

Protecting Patients: Talking with Medical Leadership About the National Practitioner Data Bank
Credentialing & Privileging Track
Presented by: David Loewenstein

Is your medical leadership aware of the requirements of reporting to the NPDB and do they understand the immunity available as part of the peer review process? Each entity which takes a professional review action that adversely affects the physician’s clinical privileges for longer than 30 days must report that action. Additionally, if the entity accepts the surrender of clinical privileges of a physician who is under investigation by the entity relating to possible incompetence or improper professional conduct, or in return for not conducting such an investigation, those actions are also reportable. A “professional review action” is taken during professional review activity. It is based on the competence or professional conduct of a physician, and which affects (or may affect) adversely their clinical privileges. What’s reportable are adverse clinical privileges actions greater than 30 days related to professional competence or conduct; and surrenders of privileges while under investigation. Entities must report on physicians and dentists, and may report on other practitioners. Different elements and requirements of this reporting encompass investigations, nonrenewals, withdrawals of applications, summary suspensions, denials and restrictions, and proctoring. Lastly, there are resources MSPs can use to better understand NPDB clinical privileges reporting, such as infographics, videos, the NPDB Guidebook, and the NPDB web site.

Tomorrow's MSP® Skillsets: Change Management | Legal | Quality Review/Quality | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)

Leadership Lessons from the Trenches
Leadership & Professional Development Track
Presented by: Brianna Foulkrod, CPCS, CPMSM, Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP

This session will explore leadership lessons learned from the trenches of medical staff services, provider enrollment and medical staff governance. Join experienced MSP-PEP leaders who have lived through the good, the bad, the ugly, and the triumphs of being an MSP-PEP. Get real life tips and advice on taking your leadership journey to the next level and look towards the future of Tomorrow’s MSP. You don’t want to miss all the hot topics including hiring, motivating, recognizing, managing, and empowering staff, the organization and your medical staff.

What Role(s) Should the Medical Staff Professional Play in Medical Staff Peer Review?
Peer Review Track
Presented by: Mark A. Smith, MD, FACS, CPHQ

This presentation intends to review the basics of the full scale Medical Staff Peer review process and discuss the scope of responsibilities that the Medical Staff Professional has in all the various aspects that comprose Peer Review.

Tomorrow's MSP® Skillsets: Clinical Competence | Performance Improvement | Professional Presence | Quality Review/Quality | Medical Staff Professionalism (NEW)

What Can I Say? What Should I Say?! - Disclosing Performance Concerns
Credentialing and Privileging Track
Presented by: Anne Roberts, Esq., CPMSM, CPCS and Brijen Shah, MD

Program Directors, Department Chairs/Chiefs and Peer References often struggle with how to complete clinical evaluations/reference requests for providers who have had performance concerns. This session will walk through what information should be disclosed and what legal protections are in place for the reviewer. We will also cover what healthcare organizations should be asking on these forms and how to address red flags. A case of a post-graduate trainee will be used to illustrate the session objectives and engage participants in a case based discussion about the legal, regulatory and educational concerns when disclosing provider performance.

Negligent Credentialing
Credentialing & Privileging Track
Presented by: John Synowicki, JD

Negligent credentialing issues can result in a hospital being forced to litigate a medical malpractice action where the hospital itself did nothing wrong, other than perhaps credentialing the physician. These cases also arise where a hospital does not fully disclose information to another hospital, and then gets pulled into someone else's malpractice claim. This presentation will focus on understanding how these claims arise, what you should do to avoid them, and why every hospital needs to be wary of this issue, even if negligent credentialing claims are barred by your state's law.

1:45 p.m. – 2:45 p.m.

Provider Enrollment Basics: What to Do on Day 1, Week 1, Month 1 and Year 1
Provider Enrollment Track
Presented by: Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP

Congratulations you’re a Provider Enrollment Professional! Now what? This presentation will walk you through some tips for getting you through Day 1, Week 1, Month 1 and Year 1. Leave better prepared to tackle the most common Enrollment challenges and questions.

PAs (& APRNS): Emerging Trends and FAQs
Credentialing & Privileging Track
Presented by: Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC and Greg Thomas

With over half a million PAs & APRNs practicing in the US, medical staff professionals are increasingly navigating credentialing challenges related to these practitioners. This session will address the emerging trends in scope of practice and specialty trends, state laws and regulations, and certification/maintenance. FAQs collected from MSP inquiries and social media posts will be covered, including PA/NP interchangeability, FPPE/OPPE, data attribution, and risk management. MSPs will increasingly interact with and facilitate credentialing and privileging for PAs (& APRNS),with a predicted growth of 37% for this workforce in the next few years. This information will keep the MSP "ahead of the curve" and enable them to serve as a trusted resource for their organization.

Tomorrow's MSP® Skillsets: Clinical Competence | Evaluation | Legal | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)

Medical Staff Services Performance Measures and Leading Practices
Operational Management Track
Presented by: Kendra Zepeda, CPCS, CPMSM & Kaysha Hervey, CPCS, CPMSM

This presentation will assist in understanding and enhancing operational effectiveness of medical staff services department. Additionally, we will provide recommendations on metrics that impact accreditation and regulatory compliance, and how to create a corrective action plan resulting in measurable improvements. It allows MSPs to set performance expectations that align with regulatory and accreditation standards and organizational policies and procedures. This allows Tomorrow’s MSP to advance the importance of the medical staff services department to the organization and patient safety.

Tomorrow's MSP® Skillsets: Analytical Thinking|Evaluation|Performance Improvement

There's an Imposter Among Us?
Leadership & Professional Development Track
Presented by: Brianna Foulkrod, CPCS, CPMSM and Maggie Palmer, CPCS, CPMSM

Have you ever found your way into a job and felt like you didn't deserve to be there? Have you felt like a fraud at work and like everyone knows that you'll be 'found out' at any moment? Do you have trouble accepting your own successes? You are not alone! Imposter Syndrome is real! In this session, we will learn all about Imposter Syndrome and ways to identify, overcome, and become the hero you always were. This presentation is designed to help MSPs get over their own internal conflict and self-limiting behaviors to ensure that they are Tomorrow's MSP! The hope is that this information is passed down and continually used to create self promotion for years to come.

Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Performance Improvement | Professional Presence | Relationship Building

Harnessing The Intersection of Hospital Quality Improvement and Medical Staff Peer Review
Peer Review Track
Presented by: Dayna Nicholson Gabriella Sherman, MD

Quality metrics and activities are becoming increasingly important both for patient safety and for reimbursement, and hospitals are continuing to integrate into larger health systems, so the interplay between a medical staff’s peer review obligations and hospitals’ quality improvement activities will continue to become more complex. This session will prepare you to address and create synergies in those situations where peer review and quality improvement intersect to improve patient care overall.

Tomorrow's MSP® Skillsets: Clinical Competence | Performance Improvement | Quality Review/Quality | Medical Staff Professionalism (NEW) | Medical Staff Wellness (NEW)

3:45 p.m. – 4:30 p.m.

Reading Between the Lines: Finding the Less Obvious Credentialing Flags
Credentialing & Privileging Track
Presented by: Dustin Jackson, MHA, CPCS, CPMSM

As Medical Staff Professionals we have become proficient at finding the glaring red flags within our credentialing and privileging processes that cause us to immediately pause for assessment, but what about those hidden messages or small clues that can give us insight into larger concerns? This course will give insight into these lesser known credentialing flags and give examples of some of these less obvious flags and how to interpret them.

What You Need to Know When the Medical Staff and Social Media Collide
Operational Management Track
Presented by: Ian Donaldson, JD

Maybe a practitioner at your hospital has tweeted something offensive. Or maybe they have inadvertently posted patient information on their Facebook page. These are all becoming more common occurrences and there are certain tips every MSP needs to know as we enter the wild world of social media!

As more and more of the world shifts to the “metaverse,” we expect incidents of data breaches and other unprofessional behaviors related to the use of social media to explode over the next 5-10 years. MSPs need to be ready to deal with this type of activity when it occurs in their hospitals.

Board Certification Requirements: How to Ensure Non-Certified Providers "Stay Sharp"
Credentiailing and Privileging Track
Presented by: Anne Roberts, Esq., CPMSM, CPCS and Brijen Shah, MD

MSP's play an important role in ensuring practitioner competence. As the role of the MSP continues to expand, MSP's must gain deeper insight into the ongoing performance management aspect of a practitioner's practice within their organization and understand the implications of waving criteria set forth in the medical staff Bylaws. MSP's must not only be aware of the Bylaws, but the risks involved in waiving criteria, having inconsistent criteria and ensuring there is equivalent competencies across the organization, particularly when criteria has been waived. As board certification is an increasing quality requirement, MSPs need to be familiar with elements of maintaining certification and when a waiver is issues, supporting medical staff leaders to be able to develop an equivalency for the competencies of medical knowledge and patient care.

Tomorrow's MSP® Skillsets: Analytical Thinking | Change Management | Clinical Competence | Evaluation | Medical Staff Bylaws & Polices/Procedures (NEW)

Provider Enrollment: Challenging Case Studies
Provider Enrollment Track
Presented by: Diana "Di" Hall, CPCS, CPMSM, FMSP

Provider Enrollment has become an essential competency for Medical Service Professionals and research has demonstrated the core function this expertise plays in the profession to become Tomorrow’s MSPs. This panel discussion session will evaluate Provider Enrollment challenging case studies and those issues that keep you up at night. Of course, we all hope our jobs go smoothly; but, what happens when things go off the walls?! How do you respond to the “horror story” level situations, like fraud, or if you/your facility are sued for not getting enrollments done in a timely manner? You, as the audience, will share some of your past horror stories but more importantly, how you got through them—and how your peers can too. You will walk away with the understanding that you are not alone in your navigation of the provider enrollment world, insights into lessons learned and how to apply them to future difficult experiences, and practical resources for Provider Enrollment Professionals.

Tomorrow's MSP® Skillsets: Analytical Thinking | Managed Care | Change Management | Communication | Flexibility/Adaptability

NCQA's Credentialing Processes and Fundamentals
Accreditation & Regulatory Track
Presented by: Gerald Stewart, Tandeece Mazloum-Yazdi

Ever wish you could get your questions answered concerning the NCQA credentialing standards relative your specific credentialing situation or organization type? This session will cover the new credentialing system security controls requirements and expectations for the organizations and delegates. Feel free to ask questions about requirements related to the accuracy practitioner directories and member materials. This course blends a short, focused lecture with a live extended Q&A to optimize the learning experience. Let’s talk about what matters to you!

4:30 p.m. – 5:30 p.m.
Gold Standard Sessions

Provider Enrollment Basics: What to Do on Day 1, Week 1, Month 1 and Year 1
Provider Enrollment Track
Presented by: Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP

This aligns to a well rounded MSP/PEP of tomorrow through learning about other career opportunities or ways in which to expand their skillsets.

Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Flexibility/Adaptability | Managed Care | Performance Improvement

Verify and Comply: CMS, JC, ACHC, DNV, and NCQA Credentialing Standards Compared and Contrasted
Accreditation & Regulatory Track
Presented by: Sally J. Pelletier, CPMSM, CPCS and Frances Ponsioen, CPMSM, CPCS

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. If you are working toward your certification, this session is for you. Don’t miss it!

Tomorrow's MSP needs to understand the broad perspective of regulatory and accrediting organization's standards to enhance their value across their enterprise. This session also helps to prepare them to take that next step in their professional career - achieving certification.

Tomorrow's MSP® Skillsets: Analytical Thinking|Evaluation|Risk Management

Mentoring 101
Leadership & Professional Development Track
Presented by: Chris Hinton, CPCS, CPMSM, and Phillip Iverson, CPCS, CPMSM

Hiding in Plain Sight
Credentiailing and Privileging Track
Presented by: Kay Brown, CPMSM, CPCS and Erin Muellenberg, JD, CPMSM, CPCS

Hitting the headlines are the physicians who are the subject of arrested, class actions or who become the subject of news media and documentaries. They have treated multiple patients over the years and been productive members of the medical staff. Now hundreds of patients are banding together to file actions that can bankrupt an organization or when peer review fails the investigative reporters and criminal system intervenes. The culture of silence needs to be changed and it can be changed through education and transparency join Kay and Erin as they explore new actions against providers and discuss strategies for avoiding this at your organization.

Tomorrow's MSP is key to identifying the potential problem practitioners, imposters and criminals. Knowing these problems exist Tomorrow's MSP can claim their seat at the executive table by having processes in place to identify and stop these individuals.

Tomorrow's MSP® Skillsets: Coming Soon

Systems Panel Discussion
Systems Track
Presented by: Michelle Higgins, CPMSM, CPCS, BA; Karen Claxton, CPCS, CPMSM, FMSP

Hospital mergers and acquisitions are expected to increase and exceed pre-pandemic records in the United States. This panel discussion session will discuss systems integration as it pertains to the Medical Staff and Medical Staff Services Department, providing a unique insight from both sides of the table.

= session to be offered in person and livestreamed for virtual-only attendees

Monday, September 12

10:15 a.m. – 11:15 a.m.

The Doctor Did WHAT?!? Tackling Sticky Professionalism Issues
Credentialing and Privileging Track
Presented by: Elizabeth Korinek, MPH, and Alexis Angell

In this session, you will learn about common professionalism lapses, how to strengthen bylaws and other policies to address them, and the array of strategies that are available to medical staff leaders to handle these issues in a manner commensurate with the conduct. This will enhance the ability of MSPs to devise meaningful interventions for professionalism lapses that not only address the conduct, but also give the clinicians skills to avoid future missteps and cultivate positive, respectful relationships with co-workers, patients, and families.

How Tomorrow’s MSP Can Contribute to Quality Patient Care Through an Effective Peer Review Program
Peer Review Track
Presented by: Sarah Flick, RN, MBA-HM; Stefania Onofrio and Mallorie Merboth, CPCS, CPMSM, CPHQ

The role of the Medical Services Professional is expanding with each new year. With advances in healthcare innovation and shifting regulatory requirements, MSPs that participate in educational opportunities outside of their usual scope of responsibilities will be better equipped to take on future challenges and opportunities. A solid knowledge of peer review and its close relationship in the credentialing and privileging process can take the MSP above and beyond. We have all recently learned to manage our daily responsibilities remotely, and this has given us unforeseen opportunities to take a step back and look at our methods and evaluate the need for process improvement. Our goal is to introduce meaningful offerings to Medical Services Professionals to take away and apply to their respective facilities and to their professional portfolios.

Tomorrow's MSP® Skillsets: Quality Review/Quality

The Joint Commission
Accreditation & Regulatory Track
Presented by: Robert Campbell, PharmD, BCSCP

This session will explore the Joint Commission requirements for medical staff related standards. The expectations for FPPE and OPPE will be explained as well as scoring trends for medical staff related requirements.

Tomorrow's MSP® Skillsets: Coming Soon

Mentoring 101
Leadership & Professional Development Track
Presented by: Chris Hinton, CPCS, CPMSM, and Phillip Iverson, CPCS, CPMSM

In this session, attendees will learn about both being a mentor and how to be a proactive mentee. As the role of Tomorrow's MSP is ever-growing and changing, there will always be a consistent need for mentoring relationships. Additionally, as Tomorrow's MSPs continue to grow and be the next generation of leaders, they'll be able to implement the techniques learned as they step into leadership and mentoring.

Interactive Case Studies: What Would You Do
Credentialing & Privileging Track
Presented by: John Synowicki, JD, and Erin Mullenburg, JD, CPMSM, CPCS

Tomorrow's MSP has to be able to recognize different fact situations and provide a variety of options to medical staff leaders on the best course of action.

11:30 a.m. – 12:15 p.m.

Peer Review Through a Legal Lens: Past, Present & Future
Peer Review Track
Presented by: Joni Orand and Cynthia Gallee

Today, the healthcare community is beginning to understand that medical peer review is designed to be an unbiased evaluation tool to help providers self-improve and to increase the quality of care patients receive. In addition, under today’s value-based care and value-based payment models, reimbursement is tied to value, amplifying peer review’s importance. Done well, it’s a valuable tool for both the medical staff and the hospital. But it took decades and landmark cases to get to where we are today—and peer review is still evolving due to technology's effect on workflows. Historically, clinical peer review faced opposition not only from physicians, but the entire medical community. It was primarily retrospective and used malpractice suits, sentinel events, or adverse events to trigger a review. Today peer review is completed retrospectively and concurrently with the provision of care using a significant—and growing—amount of data. Successful peer review will require participants to maximize the use of technology to look at key performance indicators (KPIs) for each provider/provider type to help them improve their performance for the good of all healthcare participants. But how did we arrive at today’s model of medical peer review, and what are best practices for the future, especially from a technological and compliance standpoint? This session will discuss peer review though a legal and technological lens.

Tomorrow's MSP® Skillsets: Legal

Survey Says...DNV Healthcare Medical Staff Regulatory Review
Accreditation & Regulatory Track
Presented by: Nicole Hedeen, MBA, RT(R), CPHQ, CPSO

Compliance with medical staff regulatory requirements doesn’t need to feel like a guessing game! This session will review medical staff compliance challenges, misinterpretations, and common nonconformities during hospital surveys in order to prepare MSPs with the competence and confidence to tackle those sometimes-tough conversations with medical staff leaders surrounding regulatory requirements. We’ll take a look at upcoming changes to requirements that have the potential to affect MSPs.

Tomorrow's MSP® Skillsets: Medical Staff Bylaws & Policies/Procedures | Legal | Quality Review/Quality

Credentialing Committee Vetting of State Medical Board Information: Applying the Right Diligence
Credentialing & Privileging Track
Presented by: Todd Sagin, MD, JD, and Janet Wilson, CPMSM, CPCS

Negligent credentialing claims are on the rise as plaintiff's lawyers get more adept at ferreting out problematic history on doctors. In the future, preemptive awareness of the liabilities that come with a new medical staff member can help reduce successful negligent credentialing claims.

Tomorrow's MSP® Skillsets: Evaluation | Information Technology | Legal | Project

Why DEI? - Cultural Awareness, Sensitivity, and Belonging for MSPs
Leadership & Professional Development Track
Presented by: Amanda Walker; James Frieberg; Ame Murphy; Pearl Williams, MSA, CPMSM; Juanita Howell, CPMSM; and Natalie Arjune-Jones

Diversity, equity and inclusion are more than just buzzwords in today’s workplace. They are goals that require strategy and affect every layer of our organizational structure. Join the DEI Task Force and your fellow MSPs as they discuss the importance of DEI in healthcare and the impact that cultural awareness, sensitivity, and belonging have on medical staff, providers, and patients.

Tomorrow's MSP® Skillsets: Coming Soon

PECOS Surrogacy Access: What You Need to Know to Get Your Organization and Practitioners Established
Provider Enrollment Track
Presented by: Gretchin S. Heckenlively

Many organizations continue to utilize a practitioner’s individual login when accessing NPPES and PECOS to create or maintain their Medicare enrollment information. CMS has been very clear that only a practitioner themselves should be using this login and all other individuals or organizations assisting the practitioner with these updates should be utilizing their own individual login. With regulatory requirements to add endpoints to practitioners NPIs, Medicare Advantage plans utilizing NPIs as provider directories and implementation of the Multi-Factor Authentication in PECOS, now is the time to properly set up your organization to manage your practitioner enrollments/NPIs as a surrogate. This presentation will walk you through the PECOS Identity & Access roles available, proper set up for your organization and how to request and receive approval for surrogacy to easily manage enrollments/NPIs of practitioners or other organizations

Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Information Technology | Legal

1:45 p.m. – 2:30 p.m.

Time Management
Leadership & Professional Development Track
Presented by: Karen Claxton, CPCS, CPMSM, FMSP and Stephanie McCoy, CPCS, CMPSM

Often medical staff offices and credentialing departments are ran very lean, we wear multiple hats, and time is a luxury. Join Stephanie and Karen for a humorous look at time management and learn techniques to better manage your day and your priorities.

Tomorrow's MSP® Skillsets: Communication | Flexibility/Adaptability | Information Technology | Performance Improvement | Project Management | Medical Staff Wellness (NEW) | Remote People Managment

ECFMG Certification and Response to the COVID-19 Pandemic
Credentialing and Privileging Track
Presented by: Danielle Tinder and Tracy Gill

In Defining Tomorrow’s MSP, NAMSS states, “Tomorrow’s MSP must be ready to innovate and adapt to new responsibilities, motivated to expand their knowledge, willing to adapt in an age of technological advancement, and focused on the future of the profession.” This presentation will help attendees to expand their knowledge about ECFMG Certification, a core requirement for IMGs. Discussion of how ECFMG adapted to the challenges presented by the COVID-19 pandemic will provide attendees with ideas and insight for how they themselves can innovate and adapt. Further, the presentation will assist attendees with several core competencies of the MSP.

Tomorrow's MSP® Skillsets: Analytical Thinking | Evaluation | Quality Review/Quality | Medical Staff Bylaws & Polices/Procedures (NEW)

Acquisitions, Mergers and Medical Staff Services
Systems Track
Presented by: Michelle Higgins, CPMSM, CPCS

Healthcare mergers and acquisitions are on the rise. As organizations continue to pursue efforts to acquire, merge and divest, Medical Staff Services will need to learn how to adapt their operations to a new landscape. This presentation gives an introduction to a complex topic for Medical Staff Services professionals to be able to develop their own plan when part of a transition.

Implementation of NCQA Standard Changes Panel
Accreditation & Regulatory Track
Presented by: Amanda Pierce and Deb Draheim
Moderated by: Di Hall

This panel discussion session will review and discuss NCQA’s new Systems Control Standard. The panel and you, as the audience, will analyze the new/updated standard from different aspects, including an accredited Medical Staff Office and HealthPlan. You will walk away equipped with practical resources and information to adapt your current processes in order to maintain compliance with the new standard.

Tomorrow's MSP® Skillsets: Analytical Thinking | Managed Care | Quality Review/Quality

Fostering Physician and Provider Retention through Effective Onboarding
Operational Management Track
Presented by: Liz Mahan, MFA, CPRP

Providers are in short supply and high demand. In order to provide quality care it is essential to hire and retain physicians. This presentation will demonstrate how effective onboarding can lead to greater physician job satisfaction, retention and patient satisfaction.

Tomorrow's MSP® Skillsets: Human Resources | Relationship Building

2:45 p.m. – 3:30 p.m.

Engaging and Retaining Young Professionals
Leadership & Professional Development Track
Presented by: Natalie Rose, MHA, CPCS, CPMSM, and Anne Wynne, MHA, CPMSM, CPCS

Are you having trouble recruiting and retaining young team members? Learn some practical tips on selecting candidates, training, engaging, succession planning, and advocating for your team. Anne Wynne and Natalie Rose have experienced growing pains from taking a team of 7 to a team of 84. Learn from their successes and mistakes.

Credentialing for High Quality Organizations: The Tips You Need to Know!
Credentialing and Privileging Track
Presented by: Ian Donaldson, JD

Credentialing will always be a part of the MSP world, so the key tools discussed in this session will hold lasting importance. But as more and more hospitals become parts of systems, the discussion of multi-hospital system credentialing will be vital in the future.

When Your Only Choice is a Problematic Applicant: Recruiting & Credentialing in the Face of a Growing Physician Shortage
Credentialing & Privileging Track
Presented by: Todd Sagin, MD, JD

5-10 years from now the critical shortage of physicians will mean that every credentialing body will be giving more serious consideration to flawed applicants. Credentials committees must be prepared to seriously weigh the trade offs and risks of bringing these individuals into the hospital and no how to mitigate those risks.

Tomorrow's MSP® Skillsets: Clinical Competence | Communication | Evaluation | Information Technology | Legal

Enrolling Practitioners in PECOS and Reassigning to Your Clinic/Group Practice
Provider Enrollment Track
Presented by: Gretchin S. Heckenlively

Now that your practitioner is credentialed, it is time to complete the various payer enrollments. Enrollment in the Medicare program is typically the first step in the enrollment process. This presentation will discuss the requirements for enrollment in the Medicare program, the forms available and the common missteps to get your enrollment processed successfully the first time. We will walk you through step-by-step how to complete the enrollment process via electronic-based PECOS and provide a checklist of items needed. If you are not familiar with internet-based PECOS, please join us for session M24 to learn how to properly set up your organization and yourself.

Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Information Technology | Legal

How Health Systems Can Unlock the Fiscal Potential of Provider Data Management
Systems Track
Presented by: Keith Belton and Jennifer Cloud, CPCS, CPMSM

MSPs handle one of a health system’s most valuable resources: provider data. Health system leaders are looking to MSPs to guide the consolidation and automation of provider data management so that the data is used optimally for more than credentialing, privileging, and enrollment. Highly accurate, continuously curated provider data improves patient acquisition, keeps patients in network, improves referral management, ensures the right clinicians are seeing the right patient, improves compliance, and more. This presentation provides a comprehensive outline of the current state of provider data management and offers insight on how technology can optimize its use to improve operations and help to generate income.

Tomorrow's MSP® Skillsets: Budget/Finance

3:45 p.m. – 4:45 p.m.

Verify and Comply: CMS, JC, ACHC, DNV, and NCQA Credentialing Standards Compared and Contrasted
Accreditation and Regulatory Track
Presented by: Sally J. Pelletier, CPMSM, CPCS and Frances Ponsioen, CPMSM, CPCS

Tomorrow's MSP® Skillsets: Analytical Thinking|Evaluation|Risk Management

Dig Deep! Decipher The Government Payers; Medicaid, Medicare, TriCare/TriWest/VA
Provider Enrollment Track
Presented by: Yesenia Servin, CPMSM, PESC and Larry DeHoyos, CPCS, PESC

More and more organizations are merging the credentialing specialists department with payer/provider enrollment departments. This informative and useful PE education session will assist both departments in successfully working and thriving with government payer processes. Government payers have layered systems and MSPs are solution-focused and with the right tools and training will master these urgent processes.
Tomorrow's MSP® Skillsets: Analytical Thinking | Managed Care | Project Management

Conquering Credentialing, Privileging and Peer Review in the Ambulatory Environment
Peer Review Track
Presented by: Mary Hoppa, MD, MBA

As more care shifts to the ambulatory environment, it is imperative that we ensure the ability of providers to supply that care safely. This is accomplished through credentialing, privileging, and peer review.

Tomorrow's MSP® Skillsets: Clinical Competence | Quality Review/Quality

Critical Thinking: an Essential Skill for Tomorrow's MSP
Leadership & Professional Development Track
Presented by: Melissa Walters, MHA, FMSP, CPMSM, CPCS

Tomorrow's MSP is key to identifying the potential problem practitioners, imposters and criminals. Knowing these problems exist, Tomorrow's MSP can claim their seat at the executive table by having processes in place to identify and stop these individuals.

= session to be offered in person and livestreamed for virtual-only attendees

Wednesday, September 14

8:00 a.m. – 9:00 a.m.

9:15 a.m. – 10:15 a.m.

Tuesday, September 13

9:00 a.m. – 10:00 a.m.

11:15 a.m. – 12:15 p.m.

1:45 p.m. – 2:45 p.m.

3:45 p.m. – 4:30 p.m.

4:30 p.m. – 5:30 p.m. Gold Standard Sessions

Monday, September 12

10:15 a.m. – 11:15 a.m.

11:30 a.m. – 12:15 p.m.

1:45 p.m. – 2:30 p.m.

2:45 p.m. – 3:30 p.m.

3:45 p.m. – 4:45 p.m.

4:30 p.m. – 5:30 p.m.
Gold Standard Sessions