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Realigning the Certified Healthcare Financial Professional (CHFP) Program
September 25, 2015
David M. Karluk, MBA/HCM, FHFMAMary Washington Healthcare
L. Shawn Nelson, CPA, FHFMARiverside Health System
Background
• Healthcare Environment is a Reform Environment
• Create opportunities from business challenges• Fundamental needs have changed• Purpose = Learning, not demonstrating
experience and expertise
2
The Case for Change
3
Provider
HFMA’s Strategic Vision
Payer
Physician
Business Environment : Value
CHFP Structure - 2 Modules1. The Business of Healthcare2. Stakeholder Concerns
Background
• HFMA Board of Examiners CHFP recommendations
– Education focus on building business acumen
– Incorporate HFMA strategic vision: Healthcare transformation (physician/payer/provider); career support
– Broaden appeal to the industry
4
Key Changes
• Learning, not demonstrating experience and expertise
• No experience pre-requisites
• Study materials and exams online through HFMA website
5
Earning the CHFP
CHFP Awarded:
Work through both modules and pass end of module
assessments:
First module (Business of Health Care)
Second module (Operational Excellence - Stakeholder Concerns)
6
7
CHFP Process
CHFP Awarded
Module TwoHFMA’s Operational Excellence
Directed Case Study learning: 8 case studies each with 7 multiple choice questions, 3 hour
timed exam
Module OneHFMA’s The Business Of Healthcare Online learning: 6 Courses + End of Course
Exam – 75 questions, 90 minutes
CHFP Registration
• Access CHFP registration via the HFMA website
• CHFP Modules hosted via the HFMA LMS
• CHFP course access through your HFMA eLearning account
• Costs - Total = $700 Member: Module I - $400 Member, $450 Non-Member Module II - $300 Member only
8
Maintaining the CHFP
• Maintenance Required
– 60 hours in a 3 year maintenance reporting period
– Grace period June 1 through July 15
– Retest is an option
9
Certified Healthcare Financial Professional
Module I - Introduction
September 25, 2015
David M. Karluk, MBA/HCM, FHFMAMary Washington Healthcare
L. Shawn Nelson, CPA, FHFMARiverside Health System
Purpose of this Chapter Learning Program
• Highlight key knowledge for strong job performance
• Provide an overview of important concepts. The in-depth presentations that follow covers the online course content.
11
Module I: The Business of Health Care
12
WIIFM?
YOU
• Big-Picture
• Multi-disciplinary perspective
• Business savvy
1313
The Approach
The Business of Health Care, six courses:
1. Healthcare Finance: The Big Picture
2. Financial Accounting Concepts
3. Cost Analysis Principles
4. Strategic Financial Issues
5. Managing Financial Resources
6. Looking to the Future
1414
Tips for Learning
Concept Guide
• Identifies key concepts, terms and applications that you must know for the end-of-module examination
• USE IT
1515
Learner’s Guide
• Coaching Course Learning Exercises
• Take notes
1616
Certified Healthcare Financial Professional
Module II - Introduction
September 25, 2015
David M. Karluk, MBA/HCM, FHFMAMary Washington Healthcare
L. Shawn Nelson, CPA, FHFMARiverside Health System
Module I I: Operational Excellence
18
WIIFM?
YOU prove to YOURSELF that you are
• Big-Picture
• Multi-disciplinary perspective
• Business savvy
19
The Approach
Operational Excellence:
• 8 Random business case studies
• 7 multiple choice test-items for each cases study – 56 total questions
• Responses to the case studies test-items are aggregated and the a score calculated
• 3 hours
20
Tips for Learning
Know the context: Pay attention to industry
• Understand your organizations strategic plan
• Familiarize yourself with the business goals of the organization – what are the barriers?
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Approach your Job like a Case Study
Get fully involved
• Practice applying new skills
• Seek out feedback
22
Skills for Module II
Job skills: Problem Solving
• Get the details and the business context
• Identify the stakeholders - what do they want?
• Outline business goals – what are the challenges?
• Seek out data, evidence, dynamics to understand what is happening
• Make a recommendation on a solution
23
Module II –Payer Case Studies
Payer Business Environment
Accountable Care Organizations – Payer Cancers
Premium Growth in a Shifting Environment
Denials of coverage
Limitations on profits
Health Insurance Exchanges
Payer consolidations
Unsustainable rates;
Payer Differentiation
Rise of Business Process Outsourcing
24
Module II – Physician Case Studies
Physician Business Environment
Consumerism and physicians
Physician –Hospital alignment
Demand for Physician Collegiality
Emerging Ancillary Positions
Physician Burnout
Physician Independence
Physician Shortages (Leakage)
Physicians as Entrepreneurs
Reform and Physician Liability
Physician – Hospital Financial Relationships
25
Module II – Provider Case Studies
Provider Business Environment
Hospital Consolidations
Hospital – Physician Alignment
Hospital Facing Bankruptcy
Provider- Payer Consolidations
Physician Engagement and Leadership
Integrated Care Delivery
Physicians Remaining Independent
Accountable Care Organizations
Sustainability of Physician Employment
26