2017 hometown health executive leadership …...2017 hometown health executive leadership program...

2/10/2017 ‐ Atlanta Meeting

2017 HTH Leadership Program 1

2017 HomeTown HealthExecutive Leadership Program

“Leadership in Managed Care & Compliance”

February 10, 2017

Welcome Class of 2017!Michelle Murphy, ED ManagerAppling Hospital

Jon Green, CEOBleckley Memorial Hospital

Sandra Herndon, CFOBleckley Memorial Hospital

Josh Forbes, Environment of Care ManagerEffingham Health System

Karen Harden‐O’Neal, HIM ManagerEffingham Health System

Tony Waters, IT DirectorEmanuel Medical Center

Clay Jones, Regional DirectorER Hospitals

Lauren Adair, Account Manager (GA/MS)Evident (Healthland/CPSI)

Evelyn Leadbetter, Network Services ManagerHomeTown Health

Karie Spence, HR DirectorMiller County Hospital

Lindsay Smith, Practice Manager, Emanuel Medical Center

Reeya Patel, Health IT Analyst, Azalea Health

Helen Williams, Dir of Practice Mgmt Services ‐Azalea Health



Friday, Feb 10th : “Leadership in Managed Care & Compliance”7:00 am: Breakfast in Lobby of Embassy Suites8:00 am – Check out and walk/drive next door Morris, Manning & Martin, LLP, 3343 Peachtree Rd NE #1600, Atlanta, GA 30326“Downtown 16” Room

8:15 – 8:25 pm – Jennie Price ‐ HomeTown Health

Welcome & AgendaHTHU CPM Certification Instructions

8:25 – 9:45 ‐ Jimmy Lewis – CEO, HomeTown HealthOpening : “Top Issues for Rural Health Leaders in 2017”

“Understanding the Payer Mix”

9:45 – 10:45 ‐ Beth Spoto, Spoto & Associates“Managed Care: Leadership Competencies Needed for a New Environment”A Managed Care 101; What’s changing, and what skills hospital leaders need to have

STEP UP:2017 HomeTown Health Executive

Leadership Program

Program KickoffJanuary 25, 2017

Friday, Feb 10th : “Leadership in Managed Care & Compliance”

10:45‐ 11:00 ‐ Break

11:00 – noon ‐ Michele Madison“The Leaders Role in Compliance: Looking Ahead to 2017”

Noon‐ 1:00 – Lunch

1:00 – 2:15 – Michele Madison“Management vs. Governance: Communication with your Hospital Board”

2:15 – 2:45 – Q&A & Closing

STEP UP:

2017 HomeTown Health Executive

Leadership Program

Program KickoffJanuary 25, 2017



Today’s Focus

“Leadership in Managed Care

& Compliance” –Why these topics?


Leadership Program

“Top Issues for Rural Health Leaders in 2017” Jimmy Lewis, CEO‐ HomeTown Health



• Provider fee• Rural Hospital Tax Credit Bill• Private DSH• Block Grants• Per Capita Medicaid Financing• Urbanization of Legislature and Healthcare

Top Issues for Rural Health Leaders in 2017Jimmy Lewis, CEO‐ HomeTown Health

What must you do to make this leadership program successful?

1. Show up!

2. Take down barriers that precept creativity

3. Accept change

4. Set aside bias

5. Seek education


Leadership Program



What must you do to make this leadership program successful?

6. Read! Read! Read! The Patient Will See You Now – Eric TopolAmerica’s Bitter Pill – Steven BrillReinventing American Health Care –Ezekiel EmanuelJimmy’s HomeTown J Emails

Finally: Have a willing spirit to learn and lead!


Leadership Program

Resources: Headlines in the Media: Rural Hospitals


Leadership Program

Rural Hospital Tax Credit Bill1) http://www.daltondailycitizen.com/news/local_news/consulting‐firm‐pledges‐to‐give‐back‐

money‐to‐hospitals/article_38aca06e‐3365‐59c0‐9deb‐363bf6d47b37.html2) http://www.albanyherald.com/news/local/firm‐says‐it‐will‐donate‐rural‐tax‐credit‐funds‐

to/article_5a658d10‐b141‐5ba2‐bdf4‐0eb47af3d6be.html3) http://www.daltondailycitizen.com/news/local_news/hospitals‐grasp‐for‐tax‐credit‐

lifeline/article_31cd7136‐b7a9‐51ea‐bee2‐0309be8e9a82.html4) http://www.myajc.com/news/state‐‐regional‐govt‐‐politics/georgia‐lawmakers‐steamed‐rural‐

hospitals‐aid‐goes‐consultants/nk3Z6pn3aqKiePWCd3Ly2J/5) http://digital.olivesoftware.com/Olive/ODN/AtlantaJournalConstitution/Default.aspx#user/acce

ss/9e6c.8a9fa858.1482415800.8E8FF999‐A072‐47E6‐B60A‐9F89AFB0AEED6) http://www.northwestgeorgianews.com/rome/news/local/rural‐medical‐centers‐struggling‐

polk‐medical‐listed‐as‐in‐need/article_f4c91804‐c03b‐11e6‐9e87‐33e731fabd95.html

Provider Fee1) http://www.gwinnettdailypost.com/local/legislators‐expected‐to‐tackle‐hospital‐education‐

funding‐in/article_e753d112‐60fc‐5d4e‐b6e1‐6a287fb359d8.html2) http://www.redandblack.com/athensnews/gov‐deal‐speaks‐at‐final‐day‐of‐biennial‐institute‐

at/article_6c334ed6‐bc5a‐11e6‐bcaa‐bbecd1597871.html3) http://politics.blog.ajc.com/2016/12/02/medicaid‐expansion‐nah‐get‐ready‐first‐for‐a‐fight‐

over‐a‐georgia‐bed‐tax/

What happens when a hospital closes1) http://news.wabe.org/post/gas‐rural‐hospitals‐close‐communities‐deal‐effects

Certificate of Need1) http://politics.blog.ajc.com/2016/12/22/cancer‐treatment‐centers‐launch‐ad‐campaign‐ahead‐

of‐legislative‐blitz/2) http://www.valdostadailytimes.com/news/local_news/limits‐on‐hospitals‐health‐clinics‐get‐

fresh‐scrutiny/article_fcf9e305‐2274‐584e‐ba16‐19e28f041fc9.html



Resources: Headlines in the Media: Rural Hospitals


Leadership Program

Medicaid Expansion1) http://www.tiftongazette.com/news/georgia‐s‐interest‐ebbs‐in‐medicaid‐

expansion/article_96a65c36‐c0b9‐11e6‐8ab2‐b3228c1a4dc2.html

Rural Hospitals struggle and in Crisis1) http://www.daltondailycitizen.com/news/local_news/hospitals‐grasp‐for‐tax‐credit‐

lifeline/article_31cd7136‐b7a9‐51ea‐bee2‐0309be8e9a82.html2) http://www.georgiatrend.com/December‐2016/GEORGIAs‐HOSPITALS‐Rural‐Hospitals‐In‐Crisis/3) http://www.georgiahealthnews.com/2016/12/state‐identifies‐rural‐hospitals‐biggest/4)

Potential Liability of claims payment on self insured hospital health care plansThis may be a very important article to read as considerations are given to financing and

claims payments within self funded health care plans1) http://www.beckershospitalreview.com/legal‐regulatory‐issues/feds‐launch‐investigation‐into‐

georgia‐hospital‐s‐former‐executives.html2) http://www.timesfreepress.com/news/local/story/2016/dec/21/us‐department‐labor‐

subpoenrecords‐hutchesben/403960/

Open Records1) http://www.georgiahealthnews.com/2016/12/states‐highest‐court‐hear‐northside‐open‐

records‐case/

National Study shows Georgia Dead last in health care1) http://politics.blog.ajc.com/2016/12/21/georgia‐ranks‐last‐in‐study‐of‐health‐care‐

transparency/

“Understanding the Payer Mix”Jimmy Lewis, CEO‐ HomeTown Health



“Managed Care: Leadership Competencies Needed for a New Environment”Beth Spoto, Spoto & Associates

Beth Spoto – Spoto & AssociatesMs. Spoto has provided healthcare consulting services to healthcare systems, payors, hospitals, physicians, not for profit medical organizations and associations for 20 years. She had a broad range of expertise including managed care analysis and contract negotiations, medical staff development, strategic development and implementation of physician/hospital integration structures, ventures and partnerships. She also has advised both large and small health care and health care related organizations on methods to improve operations including organizational re‐structuring and financial/revenue cycle process improvement. Finally, she has advised payor organizations in the areas of network strategy, operations and financial performance improvement. Most recently she has focused on managed care strategies and contracting for a rural based physician hospital organization, and represents over 10 rural hospitals and their associated physician organizations in 4 southeastern states.



10:45 am – 11:00 am: Break

“The Leaders Role in Compliance: Looking Ahead to 2017”Michele Madison ‐ Morris, Manning & Martin



Michele Madison – Morris, Manning & Martin, LLP

Michele Madison is a partner in the firm’s Healthcare Practice, where she provides general legal advice to health systems in various regulatory and business matters. She also works with information technology companies and advises clients on compliance with regulations and industry standards. Michele has specific experience in negotiating contractual agreements between healthcare providers and service providers, interpreting and advising health systems on regulations applicable to the healthcare industry, and providing regulatory advice with a focus on Stark, Anti‐Kickback and HIPAA. She also has key experience and expertise in Compliance programs providing advice for compliance with state and federal regulations and regularly drafts and negotiates agreements with hospitals, physicians, managed care organizations and ancillary service providers, as well as contractual agreements for vendors with an emphasis on information technology, purchasing and lease agreements. Michele also works with electronic medical record vendors and personal health record providers. She is a graduate of Georgia State University and The University of Georgia School of Law.

12:00 – 1:00pm: Lunch



“Management vs. Governance: Communication with your Hospital Board”Michele Madison, Morris, Manning & Martin

Q&A, Homework, & Dismissal



Questions?

Program Dashboard

www.hthu.net/leader2017

Password: leader


Leadership Program



Upcoming Events

Your Homework

1. Begin to work through your Certified Professional Manager Course on HTHU.net(See Instructions for logging in; also on your Dashboard)

2. Watch for details to make your hotelreservations for the Spring Conference in Savannah, and register as an attendee.(Link will be provided on Dashboard)


Leadership Program



Questions?

Jennie Price, Director of Business DevelopmentHomeTown Health/[email protected](404) 673‐2412

Susan Wiese, Director of Events & CommunicationHomeTown Health [email protected] (706) 491‐1132


Leadership Program

2017 hometown health executive leadership …...2017 hometown health executive leadership program...

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