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2009 NHIA Legislative Hill Day
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Continuing Education

Tuesday, March 3

7:00-8:45 AM

Breakfast Symposia

When “S” Does Not Mean Success—Looking Beyond Susceptibility when Choosing an Anti-Microbial Therapy

Supported by an unrestricted educational grant from Cubist Pharmaceuticals

Hilton Baltimore Convention Center
Continuing Education Contact Hours: Pharmacy and Nursing—1.5
ACPE # 207-999-09-119-L01-P

Program Description:
Ascertain why the relationship between minimum inhibitory concentration (MIC) and anti-microbial effectiveness has become increasingly important, in light of recent research. Dr. Lodise and colleagues discovered that patients with Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections who had a vancomycin MIC greater than or equal to 1.5 mg/liter were significantly more likely to experience vancomycin treatment failure than similar patients who had a vancomycin MIC of less than or equal to 1.0 mg/liter. This evidenced-based educational program will explore the evolving epidemiology of MRSA, including emerging vancomycin resistance concerns. Learn, along with your colleagues, how to recognize the outcomes associated with reduced vancomycin susceptibility phenotypes—and review the anti-microbial alternatives for these patients.

Faculty: Tom Lodise, PharmD, Associate Professor of Pharmacy Practice, Albany College of Pharmacy, Albany, NY


Breakfast Symposium:
Maintaining Catheter Patency: A Patient-Centered Approach

Supported by an unrestricted educational grant from Genentech

genentech

7:00-8:45 a.m.
Hilton Baltimore

Continuing Education Contact Hours: Pharmacy and Nursing—1.5

Education Overview:
Catheters are a lifeline for many home infusion patients who depend on a reliable and always-ready access for their medication administration. Maintaining catheter patency is crucial for achieving therapy goals. This session will provide a pathophysiological look at catheters from the inside out, giving the participant a perspective on the patient-specific factors that must be considered to prevent an occlusion. Types of occlusion will be addressed, including specific steps that can be taken for prevention. And in the event prevention isn’t effective, management of each type of occlusion will be reviewed.

Faculty: Lynn Hadaway, M.Ed., RN, BC, CRNI®, President, Lynn Hadaway Associates, Inc., Milner, GA


9:00-10:30 a.m.

GENERAL SESSION

Now Is Our Time—This Is Our Opportunity For Meaningful Legislation

Supported by an unrestricted educational grant from Innovatix, LLC

innovatix

1.5 Contact Hours—Pharmacy and Nursing
ACPE # 207-999-09-121-L04-P

Program Description:
A new year has brought new leadership to Congress and the White House, and the possibility of change for our healthcare system has never been greater. Join healthcare policy experts for an insightful examination of the current state of healthcare, and projections for what the future may hold. Explore the possibilities, including passage of a meaningful Medicare benefit for home infusion therapy, and their implications for alternate-site infusion business models.

Faculty: NHIA Leadership and Advocacy Experts


10:45-12:15 p.m.

clinical13-D Parenteral Nutrition- A Multi-Disciplinary Panel Addresses Issues and Challenges with Home Administration and Patient Monitoring

Faculty: Becky Boley, RN, BSN, CRNI®, Clinical Specialist, Option Care of East and Central Iowa, Cedar rapids, IA; Rex Speerhas, RPh, CDE, BCNSP, Nutrition Support Clinical Specialist, Cleveland Clinic, Department of Pharmacy, Cleveland, OH; Kerry Stone, MS, RD, CNSD, Director of Nutrition Services, Crescent Healthcare, Inc., Anaheim, CA; Colyn Woods, Albany, NY; Patty Woods, Regional Coordinator, Oley Foundation, Albany, NY

1.5 Contact Hours
ACPE # 207-999-09-122-L05-P

  • Learn strategies for managing the most common complications associated with PN from a multi-disciplinary of experienced home infusion clinicians.
  • Gain the perspective of a PN consumer and caregiver regarding effective communication and transition to home.
  • Examine the differences between PN management and monitoring in the home compared to the hospital.

OBJECTIVES:

  1. Discuss the most frequent problems & their causes reported for PN.
  2. Discuss how we can better inform consumers how to navigate & transition to home & how they can overcome obstacles associated with Home Nutrition Support.
  3. Discuss the difference in management and monitoring of patients receiving nutrition support in the home versus the hospital.

management14-D Needle in a Haystack: How to Locate and Understand Laws and Regulations Impacting Infusion Pharmacies

Faculty: Clay Stribling, Esq, Attorney, Brown & Fortunato PC, Amarillo, TX

1.5 Contact Hours
ACPE # 207-999-09-123-L03-P

  • Learn how to formulate policies that minimize your legal risk with regard to federal statutes and regulations that govern home infusion therapy businesses.
  • Examine sources of state regulation governing home IV therapy and learn how to develop a plan to comply with these guidelines.
  • Review the sources of payor guidelines and methods to track compliance with them.

OBJECTIVES:

  1. Understanding federal statutes and regulations governing infusion suppliers and how suppliers can implement policies to minimize legal risk
  2. Identifying the various sources of state regulation and developing a plan to comply with these guidelines
  3. Understanding numerous sources of payor guidance and developing a plan to track compliance with all such guidelines

reimbursement15-D The Revenue Cycle: Tighten the Nuts and Bolts to Ensure Prompt Payment and Accurate Reimbursement- Part 1

Faculty: Linda Payne, President, Reimbursement Concepts, LLC, Weirton, WV

1.5 Contact Hours
ACPE # 207-999-09-124-L04-P

  • Discover the critical components of the revenue cycle—and valuable strategies for assuring accurate billing and revenue recognition, starting with file set-up and maintenance.
  • Grasp proven methods for improving front end intake processes to better secure prompt payment.
  • Analyze various best practices in billing—and discuss how to successfully apply these approaches at your alternate-site infusion organization.

OBJECTIVES:

  1. Discuss how file set up and maintenance play a critical role in ensuring accurate billing and revenue recognition.
  2. Identify proven strategies that improve your front end intake process to ensure prompt payment.
  3. Describe billing best practices.

sales16-D Bridging the Great Divide Between Ops & Sales: Infusing Sales Mentality Into Your Ops Team

Faculty: Robin Banner, RN, CRNI®, Regional Manager, Infusion Partners, Knoxville, TN; Tracy Collins, RN, Infusion Partners, Knoxville, TN

ACPE # 207-999-09-125-L04-P

  • Understand the differences between the sales and operational teams and what motivates each team member.
  • Review valuable techniques for bridging that divide, and bringing the ops and sales staff together around a common goal.
  • Learn how to create a strong, healthy, competitive team that provides “Knock Your Socks Off’ customer service.

OBJECTIVES:

  1. Describe differential characteristics of sales and operations teams.
  2. Review tools and techniques that equip the entire team to sell.
  3. List practices that encourage an enduring, successful team.

2:45-4:15 p.m.

clinical 17-E Implementing Measures and Strategies to Identify and Prevent Medication Errors

Faculty: Matt Grissinger, RPh, FISMP, FASCP, Director, Error Reporting Programs, Institute for Safe Medication Practices, Horsham, PA

1.5 Contact Hours
ACPE # 207-999-09-126-L05-P

  • Learn strategies for reducing medication errors associated with the most commonly administered drugs in the alternate site setting.
  • Analyze methods for collecting data to identify medication safety risk points.
  • Review error reduction strategies, including the goals and principles of medication error prevention and harm reduction, and develop an organizational action plan.

OBJECTIVES:

  1. Discuss strategies for reducing medication errors associated with top drugs administered in the alternate care setting.
  2. Set priorities for action and select high-leverage error reduction strategies based on sound safety principles.
  3. Describe two methods that can be used to identify risk and provide meaningful data on the relative safety of your organization’s medication use process.

management 18-E Accreditation Update: ACHC 2009

 

Faculty: Sherry Hedrick, BSN, MPh, RN, Director Clinical Compliance & Accreditation, Accreditation Commission for Healthcare, Inc., Raleigh, NC

1.5 Contact Hours
ACPE # 207-999-09-127-L04-P

  • Receive a thorough overview of the ACHC (Accreditation Commission for Health Care) standards.
  • Grasp the core elements of the critical quality improvement standards as they specifically relate to home infusion clinicians and the management team.
  • Discover ways to improve compliance with these standards via the quality improvement process.

OBJECTIVES:

  1. Describe the concept of accreditation and CMS deeming authority
  2. Discuss the unannounced survey process
  3. Identify critical ACHC Standards for home infusion pharmacies
  4. Identify several strategies to improve compliance with critical standards
  5. Describe the relationship between Infusion Nursing Standards and Pharmacy Standards

reimbursement19-E The Revenue Cycle: Tighten the Nuts and Bolts to Ensure Prompt Payment and Accurate Reimbursement- Part 2

Faculty: Linda Payne, President, Reimbursement Concepts, LLC, Weirton, WV

1.5 Contact Hours
ACPE # 207-999-09-128-L04-P

  • Investigate demonstrated collection strategies and tools that reduce Days Sales Outstanding (DSO).
  • Understand how to utilize productivity monitoring and management reports to improve billing and collection performance.
  • Examine best practices for staying current with industry changes and technological solutions.

OBJECTIVES:

  1. Describe proven collection strategies and tools that will reduce days sales outstanding
  2. Understand how to use productivity monitoring and management reports to improve billing and collection performance
  3. Discuss best practices for keeping up to date with industry changes and technological solutions

sales 20-E Throwing Your Dog a Market Analysis Bone: Rejuvenating Your Infusion Business!

Faculty: Dave Grady, BA, Owner and Consultant IV Therapy, Big Sky IV Care, Kalispell, MO

1.5 Contact Hours
ACPE # 207-999-09-129-L04-P

  • Explore new opportunities to expand your existing infusion business through market analysis.
  • Learn how to forecast market potential and develop new clinical and marketing strategies.
  • Review strategies for assessing ability of the team to implement new clinical programs or services, and the financial viability/cost of new initiatives.

OBJECTIVES:

  1. Assess existing market to find infusion business/pharmacy opportunities.
  2. Forecast market potential and determine fresh clinical and marketing strategies.
  3. Reassess current capability to implement new clinical programs or services.
  4. Determine financial viability of implementing new services/clinical programs.

4:30 -5:30 p.m.

clinical 21-F Surviving Drug Recalls: What You and Your Organization Need to Know!

Faculty: Don Filibeck, PharmD, MBA, National Director, Pharmacy Services, Critical Care Systems, Nashua, NH

1.0 Contact Hour
ACPE # 207-999-09-130-L05-P

  • Learn critical strategies for evaluating recall notices and identifying the response needed;
  • Develop guidelines for carrying out various levels of recalls, including tracking processes and patient and physician communications;
  • Take home tools that will help you prepare for an FDA audit as it relates to recall response.

OBJECTIVES:

  1. Describe the FDA recall process.
  2. Implement a patient-level recall.
  3. Develop an action plan to respond to an FDA Recall Audit.

management 22-F Leadership vs. Management: It Takes Both to Succeed

 

Faculty: Michele Okposo, RPh, Co-founder, CoCreative Transformation, St. Paul, MN

1.0 Contact Hour
ACPE # 207-999-09-131-L04-P

  • Identify the key differences between managers and leaders, understanding the importance of both roles in your organization.
  • Obtain cutting edge research on leadership qualities and principles that will set you and your organization ahead of your competition.
  • Learn practical ways to apply and integrate key management and leadership skills and ideas into your daily activities, workflow and leadership style.

OBJECTIVES:

  1. List critical characteristics of great leaders
  2. Describe measures for maximizing the potential of your team
  3. Recognize the characteristics and tools need to become an agent of change
  4. Understand the concept of leadership vision, it's composition and it's place in the context of the work environment

reimbursement 23-F Surviving Audits

 

Faculty: Linda Czekanski, Business Improvement Manager, Air Products Healthcare, Conshohocken, PA

1.0 Contact Hour
ACPE # 207-999-09-132-L04-P

  • Identify the types of reimbursement audits that home infusion providers face.
  • Develop strategies that will assist you in preparing for, and surviving, each type of audit.
  • Understand your options post-audit, from the receipt of notice through the appeals process.

OBJECTIVES:

  1. Identify actions needed based on the type and conditions of the audit.
  2. List the challenges associated with an audit.
  3. Describe how to present the requested documentation.

sales 24-F Creative Use of Resources For Marketing Infusion Therapies

 

Faculty: Jon Adair, RPh, MS, Regional Access Manager, Cubist Pharmaceuticals, Lexington, MA

1.0 Contact Hour
ACPE # 207-999-09-133-L04-P

The focus of sales personnel in the home infusion industry centers around the growth of business from referral sources who utilize the products and services supplied. In all cases, the products include medications, which create innovative opportunities for collaboration between pharmaceutical and home infusion companies. This presentation will reflect upon these opportunities, as case studies of successful collaborations between local and regional companies are presented. Challenges facing the industry will also be addressed from a collaborative, problem-solving perspective.

OBJECTIVES:

  1. Identify the opportunities that exist for collaboration between Pharma and the home infusion industry.
  2. Understand the common interests of sales personnel that are universal across all organizations
  3. View specific examples of how current organizations are using collaborative efforts to benefit both industries