SUNDAY, OCTOBER 15, 2017

4:00pm – 6:00pm Registration/Vendor Set Up

6:00pm – 8:00pm Bingo Reception

MONDAY, OCTOBER 16, 2017

Breakfast at Leisure

7:45am – 8:00am Welcome

8:00am – 9:30am Update on the Economic Condition of the U.S. and It’s Relation to Healthcare Reform Course#: 171001 CPE: 1.5 Level: Entry Prerequisites: None Presented by Dana A. Forgione, Professor of Accounting, University of Texas at San Antonio

9:30am – 10:20am The Credits and Debits of Conflict Management in Healthcare Course#: 171002 CPE: 1.0 Level: Entry Prerequisites: None Presented by Joe L. “Joey” Cope, Executive Director, Duncum Center Solutions (Abilene Christian University)

10:20am – 10:35am Refreshment Break

10:35am – 12:05pm Patient Satisfaction: Transforming Your Bottom Line Course#: 171003 CPE:1.5 Level: Entry Prerequisites: None Presented by Dr. Lynda Cleveland, President, The Cleveland Group, LLC

12:05pm – 12:45pm Lunch & NetworkingSpecial thanks to lunch sponsor

12:45pm – 1:35pm Sustainability Under Value Based Payments and Population Health Management – It Starts with Documentation Course#: 171004 CPE: 1.0 Level: Entry Prerequisites: NonePresented by Wayne Little, Partner, DHG Healthcare Revenue Cycle & Compliance and James Proctor, Principal, DHG Healthcare National Strategy Practice

1:35pm – 2:25pm The HUMAN Side of Protecting Against Cybersecurity Threats Course#: 171005 CPE: 1.0 Level: Entry Prerequisites: None Presented by Fernando Martinez, PhD CISSP CISA CISM, President & CEO, Texas Hospital Association Foundation

2:25pm – 2:40pm Refreshment Break

2:40pm – 3:30pm Please, Please, Please – Just Say No! Course#: 171006 CPE: 1.0 Level: Intermediate Prerequisites: NonePresented by Ted Shaw, President/CEO, THA

3:30pm – 4:20pm Where Heart Programs Are Leaving Millions of Dollars on the Table and How to Get It Course#: 171007 CPE: 1.0 Level: Entry Prerequisites: None Presented by Larry Sobal, MBA MHA CMPE, Executive Vice President, Business Development, MedAxiom Ventures

4:20pm – 5:10pm Going Beyond: What’s Next for the Texas 1115 Medicaid Transformation Waiver? Course#: 171008 CPE: 1.0 Level: Entry Prerequisites: None Presented by Carol Huber, MBA, Director, Regional Healthcare Partnership, University Health System

5:10pm – 6:00pm Eligibility and Points of Service Collection Practices That Work Course#: 171009 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Doug Turek, Senior VP of Regulatory & Governmental Affairs

6:00pm – 8:00pm Networking Reception

TUESDAY, OCTOBER 17, 2017

Breakfast at Leisure

8:00am – 8:50am EMS – More Important to Your Hospital’s Financial Health Than You Think Course#: 171010 CPE: 1.0 Level: Entry Prerequisites: None Presented by Butch Oberhoff, Director of Governmental Affairs and Business Development, Acadian Ambulance Service

8:50am – 9:40am Department of Justice Update on Current Compliance Landscape Course#: 171011 CPE: 1 .0 Level: Entry Prerequisites: NonePresented by Jose “Joe” Vela, Assistant United State Attorney, U.S. Attorney’s Office

9:40am – 9:55am Refreshment Break

9:55am – 10:45am FY18 Uncompensated Care DSH: Inside the Numbers Course#: 171012 CPE: 1.0 Level: Intermediate/Advanced Prerequisites: None Presented by Ed Guerrero, Associate, Quality Reimbursement Services, Inc.

10:45am – 11:35am Using Systems Science to Inform Population Health Strategies in Local Health Departments: A Case Study on Diabetes in San Antonio, TX Course#: 171013 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Anil T. Mangla, Director of Public Health and Associate Professor of Biomedical Research, University of the Incarnate Word -School of Osteopathic Medicine

11:35am – 12:25pm Optimizing Revenue Cycle Course#: 171014 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Sheldon Pink, Sr. Vice President of Revenue Cycle, Prospect Medical Holdings

Agenda at a Glance

MONDAY, OCTOBER 16, 2017Breakfast at Leisure

7:45am – 8:00am Welcome

8:00am – 9:30am Update on the Economic Condition of the U.S. and It’s Relation to Healthcare Reform Course#: 171001 CPE: 1.5 Level: Entry Prerequisites: None

Latest update on the economic condition of the U.S., including federal social service expenditures, the national debt, Medicare, Medicaid and Social Security obligations, inflation, unemployment, and national economic policy options. Emphasis is on the impact of changes in healthcare reform legislation and implications for inter-generational equity

Presented by Dana A. Forgione, Professor of Accounting, University of Texas at San Antonio

9:30am – 10:20am The Credits and Debits of Conflict Management in Healthcare Course#: 171002 CPE: 1.0 Level: Entry Prerequisites: None

In this session, participants will be equipped to engage others in moments of conflict with skills and understanding that will produce agreement and, most often, mutual benefit. This topic is essential to any organizational leader in their daily interactions with administrators, peers, employees, outside vendors, patients, and patients’ families. Handy Conflict is present in every part of our lives. Even though financial matters may seem far from the trauma center, surgical suite, and hospital room, the healthcare financial professional is faced daily with challenges that are intensified by the healthcare environment.

Presented by Joe L. “Joey” Cope, Executive Director, Duncum Center Solutions (Abilene Christian University)

10:20am – 10:35am Refreshment Break

10:35am – 12:05pm Patient Satisfaction: Transforming Your Bottom Line Course#: 171003 CPE:1.5 Level: Entry Prerequisites: None

Each individual in a hospital has a unique perspective on what constitutes “patient recovery.” Medical research suggests that the success of patient recovery is a direct correlation of engagement not only of medical care but the patient’s personal recovery momentum. This momentum is a synergy interactionally created by four components: perception of self, perception of recovery, interactions, and vision. Consequently, patient satisfaction is not only dependent upon patients’ physical/psychological recovery; rather it is inextricably anchored in the synergy of caregivers, hospital experience, and community.

Hospital systems are hampered in their efforts to truly improve themselves or their corporate synergy because of the complexity of the challenges, the unrealistic expectations of unlimited resources, ill-defined patient goals, and the urgency created by illness and injury. These variables, together with the absence of altruism as the driving force in the work place, create a challenge that can be extremely difficult to overcome. Hospital systems and their patients are engaged in a symbiotic relationship. They each depend on the other and they each influence the other. Today, elements within your hospital system directly affect your reimbursements through patient satisfaction feedback. How well you attend to the health of your organization will have a powerful effect on the feedback you get from the people who were the recipients of both its strengths and limitations.

Presented by Dr. Lynda Cleveland, President, The Cleveland Group, LLC

12:05pm – 12:45pm Lunch & Networking

Special thanks to lunch sponsor

12:45pm – 1:35pm Sustainability Under Value Based Payments and Population Health Management – It Starts with Documentation Course#: 171004 CPE: 1.0 Level: Entry Prerequisites: None

The transition to Value Based Care (VBC) payment methodologies and implementation of Population Health Management (PHM) strategies is a challenging endeavor. Unfortunately, the rush to demonstrate movement against VBC and PHM goals has created dissonance – both internal to many institutions and across the industry – that drains scarce resources and impedes meaningful progress. Our observations suggest that most organizations pursue VBC and PHM initiatives in silos – resulting in clinical disconnect, technology investment without clear deployment goals and return-on-investment expectations, and a lack of confidence in responsibly pursuing transformative clinical objectives fundamental to future success.

Defining effective clinical transformation efforts requires a clear understanding of the patient population – including patient acuity and health needs. If the data exists, it is oftentimes based on incorrect or incomplete medical record documentation – exposing potentially significant flaws in care planning and coordination activities.

Presented by Wayne Little, Partner, DHG Healthcare Revenue Cycle & Compliance and James Proctor, Principal, DHG Healthcare National Strategy Practice

1:35pm – 2:25pm The HUMAN Side of Protecting Against Cybersecurity Threats Course#: 171005 CPE: 1.0 Level: Entry Prerequisites: None

When it comes to thwarting cyber criminals, healthcare organizations devote significant resources to deploying products and services, but often they do not pay nearly as much attention to what is widely considered the weakest link: the human element. In this session, healthcare executives will learn how to speak with their IT leaders about closed loop IT Security designs and the value and impact of an effective workforce education program focused on cybersecurity threats. These concepts represent an easy way to manage the biggest risk an organization faces.

Presented by Fernando Martinez, PhD CISSP CISA CISM, President & CEO, Texas Hospital Association Foundation

2:25pm – 2:40pm Refreshment Break

2:40pm – 3:30pm Please, Please, Please – Just Say No! Course#: 171006 CPE: 1.0 Level: Intermediate Prerequisites: None

A legislative update about changes in laws and regulations in Washington impacting Texas Hospitals.

Presented by Ted Shaw, President/CEO, THA

3:30pm – 4:20pm How to Maximize MACRA Bonuses and Increase Your Reimbursement Course#: 171007 CPE: 1.0 Level: Entry Prerequisites: None

In April 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA), which represents the most sweeping set of changes to Medicare’s physician payment methodology since the current system was put in place 25 years ago. During the next 5 years, the Centers for Medicare and Medicaid Services (CMS) will implement a new reimbursement system under which providers will be rewarded for delivering high-quality, cost-effective care and encouraged to shift toward alternative payment methodologies. This session will provide an overview of the two MACRA tracks that physicians can participate in, their relative financial advantages and disadvantages, how to optimize your MACRA reimbursement, and why MACRA is not just an issue for physicians, but needs to be on the agenda for hospitals as well.

Presented by Larry Sobal, MBA MHA CMPE, Executive Vice President, Business Development, MedAxiom Ventures

4:20pm – 5:10pm Going Beyond: What’s Next for the Texas 1115 Medicaid Transformation Waiver? Course#: 171008 CPE: 1.0 Level: Entry Prerequisites: None

Regional Healthcare Partnerships in Texas continue to GO BEYOND to drive innovation, collaboration, and transformation through the Texas Medicaid 1115 Waiver. What have we learned? And what lies ahead for the Delivery System Reform Incentive Payment (DSRIP) program in Texas? From the perspective of Bexar County and 20 counties across south Texas, we will discuss these topics and how proposed DSRIP changes may impact your organization and healthcare financing across the state.

Presented by Carol Huber, MBA, Director, Regional Healthcare Partnership, University Health System

5:10pm – 6:00pm Eligibility and Point of Service Collection Practices That Work Course#: 171009 CPE: 1.0 Level: Intermediate Prerequisites: None

This presentation will cover the elements of successful Eligibility and Point of Service programs and why they are needed. This presentation should be attended by anyone in patient financial services and revenue cycle positions in a hospital.

Presented by Doug Turek, Senior VP of Regulatory & Governmental Affairs

6:00pm – 8:00pm Networking Reception

TUESDAY, OCTOBER 17, 2017Breakfast at Leisure

8:00am – 8:50am EMS – More Important to Your Hospital’s Financial Health Than You Think Course#: 171010 CPE: 1.0 Level: Entry Prerequisites: None

EMS is much more than a source of patient referrals to your Emergency Department. A strong relationship with your EMS partner can help you manage through-put, compliance and even post-discharge follow-up. The right EMS partner will help you achieve your patient satisfaction goals while managing your transportation costs effectively.

Presented by Butch Oberhoff, Director of Governmental Affairs and Business Development, Acadian Ambulance Service

8:50am – 9:40am Department of Justice Update on Current Compliance Landscape Course#: 171011 CPE: 1 .0 Level: Entry Prerequisites: None

During this session, Jose Vela will provide attendees with an update on our current compliance landscape.

Presented by Jose “Joe” Vela, Assistant United State Attorney, U.S. Attorney’s Office

9:40am – 9:55am Refreshment Break

9:55am – 10:45am FY18 Uncompensated Care DSH: Inside the Numbers Course#: 171012 CPE: 1.0 Level: Intermediate/Advanced Prerequisites: None

This session will cover the major provisions of the FY18 IPPS Final Rule affecting UC-DSH payments effective 10/1/2017. We will also review CMS’ Supplemental DSH table and how CMS arrived at the final payment amounts for Texas hospitals. Cost report data from Worksheet S-10 will be summarized and presented to determine how this data affected your payments. Lastly, we will discuss possible ways to improve your numbers for future payment years.

Presented by Ed Guerrero, Associate, Quality Reimbursement Services, Inc.

10:45am – 11:35am Using Systems Science to Inform Population Health Strategies in Local Health Departments: A Case Study on Diabetes in San Antonio, TX Course#: 171013 CPE: 1.0 Level: Intermediate Prerequisites: None

A hypothetical one percentage-point reduction in A1c could result in significant reductions in the prevalence of several diabetes complications (e.g., end-stage renal disease, blindness, myocardial infarction) over 20 years. It could result in annual direct medical cost savings of $6,842-$39,900 per person.

Presented by Anil T. Mangla, Director of Public Health and Associate Professor of Biomedical Research, University of the Incarnate Word -School of Osteopathic Medicine

11:35am – 12:25pm Optimizing Revenue Cycle Course#: 171014 CPE: 1.0 Level: Intermediate Prerequisites: None

Sheldon will walk through the steps of optimizing the revenue cycle through today’s changing environment. The purpose of the presentation is to assist revenue cycle professionals in identifying opportunities that may have not traditionally existed in the past. We will focus on leveraging technology, data analytics and outsourcing models. It will be beneficial for attendees because it will outline proven strategies that will enhance revenue cycle for their facilities. For CFO’s, it will demonstrate the benefit of investing in technology and provide education to IT professionals.

Presented by Sheldon Pink, Sr. Vice President of Revenue Cycle, Prospect Medical Holdings

Thank you to our Conference Sponsors

Thank you to our TAHFA Annual Sponsors!

Bingo Sponsors

Friends of TAHFA and HFMA South Texas