Enduring the Challenges of Medicine 2015 Medical Assurance Company of Mississippi Continuing Medical Education Sheraton Hotel on Canal Street New Orleans, Louisiana September 18 -19, 2015 "Royal at Pere Antoine Alley" by Dianne Parks www.DianneParksArt.com Make Plans Now to Join Us in The Big Easy! Once again, the insureds of MACM will spend a fall weekend in New Orleans learning, networking, socializing, and eating. Mark your calendars now and plan to join us September 18-19, 2015 at the Sheraton Hotel on Canal Street. The meeting will begin Friday at lunch and conclude on Saturday by lunch giving attendees most of the weekend to spend seeing the sights and taking in the ambience of the Crescent City. At this year’s meeting, you will hear from nationally recognized speakers, as well as fellow physicians from the region, who are noted experts in their field and specialty. Our speakers will be addressing current changes in healthcare and what you can do as a physician to successfully navigate these changes for yourself, your staff, and especially for your patients and their families while avoiding potential risks. Because of the positive feedback from previous years, we are returning to the Sheraton New Orleans Hotel. The Sheraton New Orleans Hotel’s superb location on historic Canal Street borders the French Quarter and is just steps away from a myriad of Mississippi River Attractions: the Aquarium of the Americas, the National World War II Museum, and such popular shopping destinations as Canal Place, River Walk Marketplace, and JAX Brewery. The hotel is also located on the New Orleans Streetcar line, so you can catch a ride to the beautiful Garden District, riverboat cruises, live jazz, and hundreds of award-winning restaurants! Once the meetings conclude and your CME has been earned, you will have the chance to experience the sights, sounds, and tastes of New Orleans, a city unlike any other. Food, culture, music, atmosphere . . . New Orleans has it all! We invite you to experience New Orleans for yourself to see what it has to offer. Come join us and spend the weekend learning in the Big Easy! CME Credit Medical Assurance Company of Mississippi is accredited by the Mississippi State Medical Association to provide continuing medical education for physicians. Medical Assurance Company of Mississippi takes responsibility for the content, quality, and scientific integrity of this CME activity. Medical Assurance Company of Mississippi accepts no commercial support for its CME activities. Medical Assurance Company of Mississippi is accredited by the ACCME to provide continuing medical education for physicians. Medical Assurance Company of Mississippi designates this live educational activity for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Conference Objectives At the conclusion of this conference, you will be able to: • Appraise methods for effectively collecting and analyzing data and applying the results to improve patient outcomes in your practice. • Identify the current governmental requirements and legislative/regulatory issues that impact the delivery of healthcare and analyze how these issues will affect the practice of medicine and the delivery of healthcare. • Relate how your daily routines, as well as unexpected factors, can influence a malpractice claim and what steps you can take to mitigate those risks. • Recognize how the Drug Enforcement Administration can assist you with concerns and questions. Describe common errors in the prescribing of controlled medications and relate approaches to avoid these errors. • Identify ways to assess how telehealth may be used effectively in your daily practice. Cite strategies to assist in the development of quality telehealth interventions. • Acknowledge the prevalence of misdiagnosis in healthcare. List approaches that physicians may employ to aid in the prevention of misdiagnosis. Accommodations www.sheratonneworleans.com 500 Canal Street New Orleans, Louisiana Welcome to the Sheraton New Orleans Hotel, in the heart of the Big Easy! Work, play or simply relax at our hotel, centrally located within an atmosphere of endless excitement from the heart of one of the world’s greatest cities! Call the Sheraton New Orleans at 888.627.7033 to reserve sleeping accommodations for your time in New Orleans. Rooms are being held for our group on Thursday, September 17, 2015; Friday, September 18, 2015; and Saturday, September 19, 2015 at a rate of $199 (plus taxes – estimated per night expense of $230). There is an additional charge of $40 per night for valet parking in the Sheraton’s Overnight Garage. Please identify yourself with Medical Assurance Company of Mississippi to receive the special group rate for this program. Our room block will be assigned on a firstcome basis. To assure room availability, rate and preference, conference participants must make reservations no later than August 11, 2015. You will be asked to guarantee your reservations regardless of arrival time. Notice of cancellation must be received at least 72 hours prior to date of arrival to avoid a charge for the room. Guests may check into the hotel after 3 p.m. on the arrival date and check out of the hotel no later than 12 noon. Guests arriving earlier than 3 p.m. will be checked in as soon as rooms become available. If you wish to check in prior to the conference, the Sheraton New Orleans will be glad to pre-register you for check-in and store your bags. After the Friday afternoon reception, you will be able to pick up a key and check in to your sleeping room. Additional Needs If you require assistance due to a disability, please call Medical Assurance Company of Mississippi’s Risk Management Department at 1.800.325.4172 or 601.605.4882. Medical Assurance Company of Mississippi recognizes the rights of those persons with disabilities to participate in the programs, activities, or other beneficial services as identified in the Americans with Disabilities Act. If you require special dietary considerations, please notify the Risk Management Department and we shall do our best to accommodate your need. Friday, September 18 12 Noon - 1:00 P.M. Registration 1:00 - 1:15 P.M. Welcome Opening Remarks Robert M. Jones Maryann Wee MACM 1:15 - 2:15 P.M. Tackling the CMS Quality Measures: Our Journey Bryan Batson, MD Lisa A. Freeman, RN, BSN 2:15 - 2:30 P.M. Break 2:30 - 3:30 P.M. Healthcare Regulatory Updates Richard D. Sanders, Esq. 3:30 - 3:45 P.M. Break 3:45 - 5:15 P.M. Strange but True: A 17 Year Malpractice Claim Odyssey Stuart Robinson, Jr., Esq Keith Westbrook 5:15 - 7:00 P.M. Reception Saturday, September 19 7:00 - 8:00 A.M. Breakfast Sign In 8:00 - 9:00 A.M. The DEA and Physicians: A Partnership in the Making Keith Brown 9:00 - 10:30 A.M. Telemedicine: Using Technology to Deliver Healthcare Curtis Lowery, MD 10:30 - 10:45 A.M. Break 10:45 - 12:15 P.M. Diagnostic Errors in Medicine: Thinking Like Sherlock Dennis J. Boyle, MD 1:15 – 2:15 P.M. TACKLING THE CMS QUALITY MEASURES: OUR JOURNEY In this program, we will discuss the challenges of developing and implementing a successful quality improvement program based on CMS quality measures. Our speakers will discuss topics such as mining usable data from EMR, establishing transparency across the organization, developing actions plans and effective tools, and expanding the care team. Whether you are a solo practitioner or part of a multi-specialty clinic, this program will help you design a quality program that will work for you and allow you to improve patient outcomes. Bryan N. Baton, MD Chief Medical Information Officer Hattiesburg Clinic, PA Bryan N. Batson, MD joined Hattiesburg Clinic in 2003 and was named Director of the Hypertension Clinic in 2005. He is certified by the American Society of Hypertension as a Specialist in Clinical Hypertension, and he received one of 10 grants from the American Medical Association in 2009 to investigate the Best Practices in Managing Hypertension. In 2014, Hattiesburg Clinic’s Hypertension Clinic was named one of only eight non-academic Centers of Excellence in the United States. Dr. Batson remains active in research and teaching, currently serving as principal investigator in four clinical trials and as associate faculty for the College of Osteopathic Medicine at William Carey University and in the Department of Physician Assistant Studies at Mississippi College. In addition to his clinical practice, Dr. Batson sits on the Board of Directors of Hattiesburg Clinic, as well as the Quality Care Improvement Committee. He currently serves as the Chief Medical Information Officer and EHR director for Hattiesburg Clinic. Lisa A. Freeman, RN, BSN Clinic Risk Management & Compliance Officer Hattiesburg Clinic, PA Lisa Freeman currently serves as Clinic Risk Management and Compliance Officer for Hattiesburg Clinic. In this seat, she is responsible for maintaining an environment of quality control and reducing and/or eliminating risks that relate to patient care, employees, property, and all other areas of potential liability. She collaborates with physicians and employees in the clinic to develop, maintain, assess, and improve risk management systems so that risks and possible risks can be identified for appropriate follow-up and/or corrective action. As Compliance Officer, she is responsible for overseeing all aspects of the clinic’s Corporate Compliance plan. This includes ensuring that the clinic and all employees are in compliance with the rules and regulations of regulatory agencies, confirming that clinic policies and procedures are being followed, identifying areas of compliance vulnerability and risk, and developing/implementing corrective action plans. In addition, she serves as the clinic’s HIPAA privacy officer ensuring the privacy of patient health information. She is responsible for the formation, implementation, maintenance and distribution of the clinic’s Privacy policies and procedures. Ms. Freeman currently supervises the Review and Compliance department, the Credentialing department, the Chart Audit and Education department, and the Quality Management department at Hattiesburg Clinic. 2:30 – 3:30 P.M. HEALTHCARE REGULATORY UPDATES What are the latest implications for Mississippi physicians regarding the Patient Protection and Affordable Care Act and the Supreme Court decisions resulting from this massive legislation? This presentation will offer an overview of current federal regulatory and legislative changes in healthcare affecting physician practice and will address how these issues could impact the daily delivery of patient care. Physicians will also become familiar with new requirements, policies, and procedures from the PPACA law that could necessitate changes in their practice patterns. Richard D. Sanders, Esq. The Sanders Law Firm, PC Richard D. Sanders represents a variety of corporate clients and healthcare providers on a broad range of issues, including business transactions, fraud and abuse compliance (Anti-Kickback Statute and Stark), Certificate of Need (CON) issues, medical staff credentialing, Medicare reimbursement, antitrust policy, legislative activities, and assisting businesses in their relationships with federal and state regulatory agencies. The Sanders Law Firm, P.C. has an active mergers and acquisitions practice, including work on stock and asset acquisitions and divestitures, mergers and other forms of business combinations. Mr. Sanders has been named to The Best Lawyers in America for 2013-2015, and the firm has separately been named to Best Lawyers, as well. After graduating from Duke University in 1992 with a doublemajor in political science and history, Mr. Sanders earned his Juris Doctor degree from the Emory University School of Law in 1996. 3:45 – 5:15 P.M. STRANGE BUT TRUE: A 17 YEAR MALPRACTICE CLAIM ODYSSEY In the spring of 2014, MACM Defense Counsel Stuart Robinson, Jr. ended a lawsuit against a MACM insured physician that lasted 17 years. The appeal system was used and the case was heard at every level of our judicial system. Mr. Robinson and MACM Claims Representative Keith Westbrook will share the facts of this cautionary tale and will focus on the lessons learned as a result of this atypical case. Some of these lessons are recurring issues, such as the need for thorough and timely documentation. Others are a bit surprising, such as how family relationships and testimony can impact the outcome. Stuart Robinson, Jr., Esq. Member Wells Marble & Hurst, PLLC For nearly 30 years, Stuart Robinson has defended entities and individuals in medical malpractice claims, pharmaceutical claims, product liability claims, commercial transportation claims, industrial accidents, and insurance defense issues. Mr. Robinson is a seasoned trial attorney with substantial experience at both the trial and appellate levels, having tried approximately 50 cases to verdict in both state and federal court. He has argued before The Mississippi Supreme Court and Court of Appeals on multiple occasions. Mr. Robinson is credited with being lead counsel on three of the largest industrial accidents in the state of Mississippi: The collapse of the 2,000 foot WLBT television tower in 1997; the explosion of a rubber processing plant in Vicksburg in 2002; and a gas pipeline explosion in Meridian in 2008. Mr. Robinson was also retained as counsel for the defense in the largest Federal Civil RICO action brought in Mississippi by insurance commissioners of several states. Mr. Robinson received his Bachelor of Arts from the University of Mississippi and his Juris Doctor from the University of Mississippi School of Law. He also received the prestigious Certified Legal Management Professional designation for successfully completing the 2013 Litigation Management Institute certification program in the area of The Business of Litigation. Keith Westbrook Senior Claims Representative Medical Assurance Company of Mississippi Keith Westbrook graduated from Belhaven College in 1989 with a Bachelor of Science degree in Business Administration with a minor in Marketing. He has been associated with the insurance business for over 25 years. In 1996, he joined Medical Assurance Company of Mississippi as a Claims Representative specializing in the handling of claims and lawsuits against physicians. Mr. Westbrook routinely intervenes on behalf of physicians to assure their interest is protected and works closely with defense counsel to aggressively pursue the course of action that is expressed by the insured and dictated by the process of discovery. He has attended multiple trials, mediations, and settlement conferences and is thoroughly familiar with all aspects of medical malpractice litigation. 5:15 P.M. ADJOURN RECEPTION TO FOLLOW 8:00 – 9:00 A.M. 9:00 – 10:30 A.M. THE DEA AND PHYSICIANS: A PARTNERSHIP IN THE MAKING TELEMEDICINE: USING TECHNOLOGY TO DELIVER HEALTHCARE The mission of DEA’s Office of Diversion Control is to prevent, detect, and investigate the diversion of controlled pharmaceuticals from legitimate sources while ensuring an adequate and uninterrupted supply for legitimate medical, commercial, and scientific needs. In this presentation, Special Agent in Charge Keith Brown will describe his experiences working in the trenches with physicians and controlled substances to uphold this mission. His presentation will demonstrate how physicians can inadvertently make mistakes in this area and how they can prevent these errors in their future practice. Technology based healthcare delivery can be used to make healthcare better and more efficient. In this presentation, we will review the various types of telehealth and how technology can be successfully employed by both rural and urban healthcare providers. Guidance will be offered on issues such as patient safety, efficiency, and quality of care. This presentation will also address some of the most commonly asked questions related to telehealth, including expense and subspecialty care. Curtis Lowery, MD Keith Brown Special Agent in Charge – New Orleans Field Division Drug Enforcement Administration Keith Brown began his career in law enforcement in 1993 as a Special Agent with the Virginia Department of Alcoholic Beverage Control following his graduation from the University of Virginia with a Bachelor of Arts Degree in Foreign Affairs. Agent Brown began his career as a DEA Special Agent in 1995 in the Atlanta Field Division. Following his graduation from the DEA Basic Agent Academy in Quantico, Virginia, he was assigned to the Houston Field Division. Agent Brown was promoted to Group Supervisor in the Memphis Resident Office in May 2005 and supervised the Memphis Task Force Group — a mixed group of Federal agents and state and local law enforcement officers targeting major drug traffickers in the Memphis area. In August 2008, Agent Brown was promoted to the position of Resident Agent in Charge for the Memphis Resident Office, responsible for all DEA activities in the Western portion of Tennessee. In June 2010, Agent Brown was transferred to the DEA Special Operations Division as a Staff Coordinator and coordinated major investigations among the various DEA field divisions, providing operational and intelligence support. In April 2011, Mr. Brown reported to the DEA Albuquerque District Office as the Assistant Special Agent in Charge and directed the enforcement activities of DEA in Northern New Mexico. In December 2013, Agent Brown was promoted to his current position as the Special Agent in Charge (SAC) of the New Orleans Field Division where he is responsible for all DEA operations in the states of Louisiana, Mississippi, Alabama, and Arkansas. Under the leadership of Agent Brown, the New Orleans Field Division is committed to targeting major drug trafficking organizations and reducing the threat of drugs and violent crime in the communities served by the DEA. Professor and Chairman Department of Ob-Gyn The University of Arkansas for Medical Sciences As the Chairperson for the University of Arkansas for Medical Sciences’ Department of Obstetrics and Gynecology, Dr. Curtis Lowery is viewed as a champion of antenatal and neonatal telemedicine benefiting the patient and physician alike. Dr. Lowery facilitated the process in which Arkansas insurance handles telemedicine, increased Medicaid reimbursements and promoted understanding for telemedicine, and brought telehealth access to over 60 hospitals and community clinics in rural Arkansas providing medical consultations combined with provider and patient education. Through this expertise, Dr. Lowery founded the UAMS Center for Distance Health, a technology-based partnership of the College of Medicine and Regional Programs. This Center directly offers telemedicine, continuing medical and health education, public health education, and evaluation research through interactive video throughout Arkansas. The Center for Distance Health represents the culmination of Arkansas’ telemedicine and distance health technology expertise, with directors and stakeholders who have been instrumental in developing telehealth initiatives in Arkansas. In his latest endeavor, Dr. Lowery led a statewide effort in attaining over $102M in federal funding to allow the creation of the Arkansas Healthcare, Higher Education, Public Safety, & Research Integrated Broadband Initiative. The grant will allow the creation of high-speed internet connections in all 75 counties in the state and in 135 communities. This program, now called E-Link, will make or upgrade connections to 81 hospitals, all two-year colleges, eight public libraries and a variety of public health institutions, bringing the total number of partners for the project to over 470. 10:45 – 12:15 P.M. City, State, Zip: Business Phone: Please duplicate this form for additional registrations. On-line registration is also available at www.macm.net. Please complete and mail or fax registration form to: Medical Assurance Company of Mississippi Attention: Risk Management Department 404 West Parkway Place, Ridgeland, Mississippi 39157 www.macm.net • cme@macm.net • Fax: 601.605.8849 Email: Address 2: Cancellations the same day of the program or “no shows” will generate a $100 invoice to the MACM insured physician. He is an academic Rheumatologist at Denver Health and Hospitals. Address: He is a member of the Academy of Medical Educators and is Director of iTeach — a consulting program to help improve faculty teaching. He has authored multiple papers on communication and is a PI on an AHRQ grant with the University of Washington to evaluate the effect of disclosure training on physicians. REGISTRATION Over the last 10 years, Dr. Boyle has been a Physician Risk Manager at the COPIC medical liability company and speaks and coaches across the state on the topic of disclosing errors and other communication and malpractice issues. Deadline for registration is September 1, 2015. Please register early to reserve your seat! For six years, Dr. Boyle was the Director of the Communication Program for the medical students at the University of Colorado, which is an innovative program teaching 320 medical students the relevance and importance of physician/patient communication. Clinic: Dr. Dennis Boyle has been involved in the field of communication for 20 years. Beginning in the 1990s as a Bayer Facilitator, he has provided workshops for over 8,000 providers in Colorado and other events across the country. Dr. Boyle has developed his own interactive workshops on a variety of communications issues, including ER team building, death and dying, body talk, and difficult encounters in the clinical setting. Name: Associate Professor of Medicine, University of Colorado COPIC Each MACM insured provider (Physician, Physician Assistant, and Nurse Practitioner) can bring one member of their office staff and both participants will be guaranteed a seat based on their registration date. Dennis J. Boyle, MD Registration is free for MACM insured physicians and their staff members. A $200 fee will be charged to those physicians not currently insured by MACM. As evidenced by national and MACM claims data, there is an unfortunate and surprisingly significant prevalence of misdiagnosis in healthcare. In this presentation, our speaker will explore this phenomenon and categorize the causes of errors in medicine. In addition, he will analyze those associated causations which physicians can control and will offer tools for attendees to develop a skill set to decrease diagnostic errors. Name to appear on badge: DIAGNOSTIC ERROR IN MEDICINE: THINKING LIKE SHERLOCK Medical Assurance Company of Mississippi 404 West Parkway Place Ridgeland, Mississippi 39157 www.macm.net PRST STD U.S. POSTAGE PAID Jackson, MS Permit No. 775
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