Date/Time

Event

Location

TUESDAY, January 29, 2002

9:00 am – 5:00 pm

MAS Section Meeting

Accelerating Improvement: A Workshop On Supporting Organizational Change - Jack Silversin, DMD, DrPH

Cumberland D/E

CEO & MAS Joint Luncheon with CMS Representatives

• Steve Jencks, MD, MPH
• Bill Rollow, MD, MPH

WEDNESDAY, January 30, 2002

Network Meetings

Analytic Network

Cumberland G

Communications Network

Cumberland C

Finance & Human Resources Network

Cumberland E

HCQIP Network

Cumberland A/B

IT Network

Cumberland H

PEPP/Case Review Network

Cumberland D

12:00 pm – 2:00 pm

CMS Seminars Luncheon

Plenary- 7^th Scope of Work (SOW) & Public Reporting Overview- Steve Jencks, MD, MPH; Steve Clauser, PhD; & Paul Elstein, PhD, CMS

• Steve Jencks, MD, MPH- Handout 1
• Steve Jencks, MD, MPH- Handout 2

Reunion E/H

2:10 pm – 3:00 pm

CMS/PRO Seminar Concurrent Sessions: CM1-CM5

CM1: QI Session- 7th SOW Quality Improvement (Task 1) Requirements, Measures, and Data

Landmark

CM2: Communications & Partnerships- 7^th SOW: Promoting the Use of Performance Data (Task 2a)

Reunion B

CM3: Beneficiary Protection & PEPP- Working it Out: Mediation as an Alternative for Resolving Beneficiary Complaints

Reunion C

CM4: Data, Reporting, & SDPS Systems- QIO Infrastructure for the 7^th SOW

Cumberland G/I

CM5: Leadership/ Contracts Session (CEO/COO)- How Can We Do More With Less? – Improving QIO Processes for the 7^th SOW (Part 1)

Cumberland A/C

3:10 pm – 4:00 pm

CMS/PRO Seminar Concurrent Sessions: CM6-CM10

CM6: QI Session- 7^th SOW Quality Improvement (Task 1): Evaluation and Related Issues

Landmark

CM7: Communications & Partnerships- 7^th SOW: Promoting the Use of Performance Data - Task 2a (20 min.) & Other Mandated Communications Activities (Task 2c) (20 min.)

Reunion B

CM8: Beneficiary Protection & PEPP- Using Mediation in Beneficiary Case Review

Reunion C

CM9: Data, Reporting, & SDPS Systems- Transition to Hospital Generated Data, Abstraction Tools for the 7^th SoW, and Qnet Exchange

Cumberland G/I

CM10: Leadership /Contracts Session (CEO/COO)- How Can We Do More With Less? – Improving QIO Processes for the 7^th SOW (Part 2)

Cumberland A/C

4:10 pm – 5:00 pm

CMS/PRO Seminar Concurrent Sessions CM11-17

CM11: QI Breakout Session I- Nursing Home QI: Requirements, Data & Support

Reunion A

CM12: QI Breakout Session II (Part I)- Disadvantaged & Rural QI: Requirements, Data & Support

Landmark

CM 13: QI Breakout Session III- Hospital QI: Requirements, Data & Support

Cumberland D/F

CM14: Communications & Partnerships- National Partnerships Project (Part I)

Reunion B

CM15: Beneficiary Protection & PEPP- Modifications of PEPP in the 7^th SOW

Reunion C

CM16: Data, Reporting, & SDPS Systems- Information Dissemination & Web Strategies for the 7^th SOW

Cumberland G/I

CM17: Leadership /Contracts Session (CEO/COO)- General Q & As

Cumberland A/C

5:10 pm – 6:00 pm

CMS/PRO Seminar Concurrent Sessions CM18-24

CM18: QI Breakout Session I- Home Health Agency (HHA) QI: Requirements, Data & Support

Reunion A

CM19: QI Breakout Session II (Part II)- Disadvantaged & Rural QI: Requirements, Data & Support

Landmark

CM20: QI Breakout Session III- Physicians’ Offices & M+CO QI: Requirements, Data & Support

Cumberland D/F

CM21: Communications & Partnerships- National Partnerships Project (Part II)

Meeting Notes

Reunion B

CM22: Beneficiary Protection & PEPP- Medicare Beneficiary Rights to QIOs Immediate Review of Providers’ Notices

Reunion C

CM23: Data, Reporting, & SDPS Systems- Data Reporting: TQIP, PROD6, & Other Reporting Tools

Cumberland G/I

CM24: Leadership /Contracts Session (CEO/COO)- Contracting Q & As

Cumberland A/C

THURSDAY, January 31, 2002

Keynote Address: Alan Noonan, MD, Assistant Surgeon General- The Changing
Face of Health Care

Reunion E/H

9:40 am - 10:40 am

Concurrent Sessions A1 – A7

A1: HCQIP Track- Evaluating the Effectiveness of Hospital QI Activities, Bill Rollow, MD, CMS & Dawn Fitzgerald, Mid-South Foundation for Medical Care (41007)

Cumberland A/B

A2: Communications & Beneficiary Outreach Track- Developing Successful Communication & Marketing Plans

• Tonia Holowetzki
• Deb Finley

Cumberland C

A3: Case Review Track- The Beneficiary Complaint Process Made Simpler: Use of the Beneficiary Inquiry Response System (BIRS Tracking)

Cumberland D

A4: HCQIP/Analytic Track- Merging Pharmaceutical Claims and Laboratory Data for Quality Improvement Purposes

Cumberland E/F

A5: Analytic Track- The SCRIPT Project: Results of Field Testing

Cumberland G

A6: IT Track- HIPAA 2002: A Technical Look at Security & Privacy, Chris Apgar

Cumberland H

A7: Finance & Human Resources Track- Indirect Costs Audits: Lessons Learned from QIOs

Cumberland I

11:10 am – 12:10 pm

Concurrent Sessions B1 – B7

B1: HCQIP Track- Chronic Disease Management- A New Paradigm (39747)

Cumberland A/B

B2: HCQIP Track- The IHI Breakthrough Methodology- A Successful National Model as a New Tool for PRO Local Projects (41374)

• Donna Daniel, PhD
• Jennifer Lundblad, MBA
• Matthew Fitzgerald, DrPH
• Marie W. Schall, MA
• Mike Silver

Cumberland E/F

B3: HCQIP Track- Quality Improvement in Long Term Care

Cumberland C

B4: PEPP Track- DRGs With and Without CCs Project (40988)

Cumberland D

B5: Analytic Track-A Two-Phase Sampling Approach for Selecting Samples from Large Administrative Databases (C41783)

Cumberland G

B6: IT Track- Near Real-Time, Universal, Hospital-Based Quality Indicator Surveillance (39975)

Cumberland H

B7: Finance & Human Resources Track- KPMG

Cumberland I

1:25 pm –2:25 pm

Concurrent Sessions C1 – C7

C1: HCQIP Track- Bridging the Chasm: Success Stories in Improving Patient Safety (c41804)

Cumberland A/B

C2: Communications & Beneficiary Outreach Track- Designing Effective Beneficiary Interventions: A Community Based Model for Facilitating Change in the Outpatient Indicators (40973)

Cumberland C

C3: Case Review Track- New Employee Training is a Breeze—Standardized Documentation is the Key (40530)

• PowerPoint Presentation
• SCRS Orientation (PDF)

Cumberland D

C4: HCQIP Track- National Partnerships: Implications for the 7^th Scope of Work and Beyond

• CMS: National Partnership for Cardiovascular Care (40369)
• The National Cancer Institute and CMS: A National Partnership to Promote Mammography (41746)

Cumberland E/F

C5: HCQIP Track- Preparation for the 7^th SOW: Surgical Complications Project

• Lynn Steele, MS, CIC
• Peter Houck, MD, Presentation 1
• Peter Houck, MD, Presentation 2

Cumberland G

C6: HCQIP Track- Implementing QI Interventions: Is the Evidence Meeting Your Needs? (41707)

• William E. Golden, MD, FACP

Cumberland H

C7: Leadership & Professional Development- Working with your BOD, Eric Lister, Ki Associates

Cumberland I

2:35 pm – 4:35 pm

Mini-Plenary (1)- Using Six Sigma and Baldridge Award Criteria to Develop Strategic Operational Processes

• Six Sigma: The Strategic Imperative, Chip Caldwell
• Malcolm Baldridge Award Criteria, Harry Hertz, MD, Director, Malcolm Baldridge Award Program, NIST

Reunion E/F

2:35 pm – 4:35 pm

Mini-Plenary (2)- Creating a Corporate Brand: What Every CEO & Senior Manager Should Know, David Shore

Reunion G/H

FRIDAY, February 1, 2002

10:00 am – 11:00 am

Plenary- Nancy Dixon, PhD, Author of "Common Knowledge: How Companies Thrive by Sharing What They Know"

Knowledge Management PowerPoint Presentation

Reunion E/H

11:10 am – 12:40 pm

Leadership/Finance & Human Resources Track Workshop- Developing a Comprehensive Disaster/Business Continuation Plan

Reunion A/C

11:10 am – 12:40 pm

Abstract Presentations presented in order they appear

HCQIP 1 Track

• Using Occupational Safety Models to Enhance Patient Safety in a Hospital System (40958) Original Abstract
• The Mother of All Interventions: A Legislatively Mandated Statewide Hospital Report Card Based on the Sixth Scope Indicators (41400)
• Dissemination of Outpatient Rapid Assessment (OPRA) Tool (40204)
• A Successful Fall Prevention Program in Skilled Nursing Facilities (40128)
• Wyoming Diabetes Foot Care Project: Diabetes Care Monitoring System Participating Sites (39997)
• Guidelines Applied in Practice Project, A Partnership Between PRO and American College of Cardiology (40431)

Cumberland A/B

HCQIP 2 Track

• Physician-Perceived Barriers to Influenza Immunization of Dual Eligible Beneficiaries (40405)
• Collaborative Quality Improvement Partnership to Reduce Hemodialysis Vascular Access Infections (40929)
• Diabetes Management Programs: Adding Another Dimension to a Statewide Collaborative (40504)
• Improving Delivery of Adult Preventive Services Using a Computer-Based Tracking and Reminder System (40382)
• Management of Acute Exacerbations of Chronic Obstructive Pulmonary Disease- An Assessment of Quality of Care (39817)

Cumberland E/F

Communications & Beneficiary Outreach Track

• Increasing Customer Satisfaction and Cost Efficiency Through an Electronic Request for Service Tool (40375)
• A PROactive Method to Increase PRO Responsiveness to Beneficiaries (40741)
• Shooting for Excellence with Vaccination Projects (40194)
• Medicare Helpline Addresses Successes and Barriers (40498)

Cumberland C

Case Review Track

• Creating Better Letters for Medicare Beneficiaries (40294)
• One is Never Enough! Increasing the Number of Physician Reviewers Available to Organizations (40297)
• Credentialing and Re-Credentialing of Physician Reviewers (40962)

Cumberland D

Payment Error Prevention Program Track

• DRG Validation- A Statewide Adventure (40764)
• To Be or Not To Be: Using Hospital-Supplied Claims Data for Real-Time Case Selection (39581)
• A Successful Provider Interdisciplinary Model in Response to PEPP Feedback Data (40864)
• Monitoring Hospital Payment Accuracy Using the Payment Adjustment Rate (40430)
• Using Baseline Data to Build an Optimal Logistic Model and Apply it To Claim Data for Target Interim Monitoring and Intervention in PEPP Projects (39370)

Cumberland I

Analytic Methodologies Track

• Partial Dependence Between Baseline and Remeasurement Data (40516)
• Creating QI Rates by Merging Clinic Data to Analytic Files (40684)
• Do Quarterly Glycosylated Hemoglobin Tests Predict Survival Rates? (40219)
• Regional Performance on 15 National Inpatient Quality Indicators in a Southeastern State (40552)
• Identification of Physician and Patient Factors Associated with the Disparity in Lipid Testing for Dual Eligible Medicare FFS Patients with Diabetes (40549)

Cumberland G

Information Technology Track

• TQIP Data Entry: A Two-Fold System that Works (40933)
• Streamlining PRO Systems for Tracking TQIP Events (40977)
• A Case Study Integrating ISO 9002 and HIPAA (39228)
• User-friendly Data Collection Tools (39763)
• Adapting Clinical Guidelines for Personal Digital Assistants (39532)

Cumberland H

1:30 pm – 2:30 pm

Concurrent Sessions D1 – D7

D1: HCQIP Track- Monitoring Consumer Assessment of Medicare Fee-for-Service Health Care (40036)

Cumberland A/B

D2: Communications & Beneficiary Outreach Track- Internal Communications Structures and Strategies

• Tonia Holowetzki
• Karin Kennedy

Cumberland C

D3: HCQIP Track- Offering CME Credit for Projects: Point-Counterpoint (40079)

Cumberland E/F

D4: PEPP/Case Review Track- Physician Documentation: Getting it Right the First Time!

• Coding Worksheets: A Prospective Method of Preventing Payment Errors (39566)
• Teaching Physicians to Document for Coding (40515) ; Pneumonia Example
• Getting Back to Basics: A Physician Documentation Improvement Effort (38502)

Cumberland D

D5: Analytic Track- The Medicare Health Outcomes Survey: A Progress Report (40039)

Cumberland G

D6: IT Track- Practical Data Protection
Strategies

• Novell Security Presentation
• Novell Security Presentation Notes
• Microsoft Access Security Presentation
• Microsoft Access Security Presentation Notes
• Microsoft Access 97 Presentation Notes

Cumberland H

D7: Finance & Human Resources Track- Project Management Reporting

• Handout 1
• Handout 2
• Handout 3
• Handout 4

Cumberland I

1:30 pm – 5:00 pm

Virginia Health Quality Center’s: Making the Business Case for Quality Seminar

Reunion A/C

SATURDAY, February 2, 2002

8:00am – 2:00 pm

PRO-West’s QIO QI Intervention Strategies Collaborative- Learning Session I

Marsalls Hall B