Recorded Webinars

This CD will help hospitals make important decisions on ED and inpatient IT and patient tracking systems. In the age of burgeoning health care technology, more and more EDs are becoming automated. Many hospitals are transitioning to electronic medical records (EMRs), as well as Emergency Department Information Systems (EDIS). A number of these systems are comprehensive enough to include everything from the EMR, patient tracking, computerized provider order entry (CPOE), to computerized discharge orders and instructions, and charge capture. Others are "home-grown" by the hospitals' own information technology (IT) staff and simply used for patient tracking.

From this CD, find out:

• Who are the EDIS major vendors?
• What do hospitals say about their past choices of EDIT systems?
• What has worked best and what does not?
• What are the key due diligence steps that should be taken before making and EDIT vendor decision?
• What are the elements of an EDIT request for proposal (RFP) process?
• What questions should be asked during the EDIT interview phase?
• Learn about specific case studies implementing an EDIT

Presented by:
Maggie Borders, RN, MHA, CEN, a consultant with The Abaris Group, has over a decade of leadership experience in EDs and in the pre-hospital (rotor-wing air medical) setting. The majority of her ED experience has been in the academic setting, including the University of Kentucky (UK) Chandler Medical Center, a busy Level I Trauma Center that has undertaken numerous capacity and flow initiatives. She completed both her nursing degree and a Masters in Health Administration (MHA) from the University of Kentucky. Maggie's work has been published in Mosby's Emergency Nursing Reference as well as the Journal of Emergency Nursing. She is an Alumni Board Member of the Martin School of Public Policy and Administration and is a part-time faculty member of the UK Martin School of Public Policy and Administration. Maggie recently completed a statewide survey of ED and inpatient tracking systems for the California Healthcare Foundation.

Scott Rolfe, RN, MHA, has extensive experience implementing ED information systems. In 2000, he led the team that implemented EMSTAT at University Medical Center of Las Vegas, Nevada and in 2006 he led the team that implemented CERNER FirstNet at St. Rose Dominican Hospital in Henderson, Nevada. Scott has 33 years of emergency service experience with 22 years in ED leadership positions. His experience includes overseeing the planning, building and opening of a 56 bed ED at the University Medical Center in Las Vegas, Nevada. At St. Rose Dominican Hospital, the ED team, with Scott's leadership, was able to increase their patient satisfaction scores from 56 percent to 88 paercent. Along with the Emergency Physician Medical Group (EPMG), Scott implemented the use of physician extenders in triage. Scott has extensive experience dealing with ED crowding and throughput. In 2007, the St. Rose Dominican Hospitals of Henderson/Las Vegas recognized Scott as "Leader of the Year." Scott completed his nursing degree from Purdue University, West Lafayette, IN, and his Master's in Healthcare Administration from The University of St. Francis in Joliet, IL.

EDs are plagued with challenges on obtaining on-call medical staff coverage. In a recent AHA survey, 60 percent of all hospitals in the country were paying or were considering paying for physicians. Most hospitals just write checks without considering the downstream affect of escalation of payment demands and on the parity requests by other physicians.

On this CD, find out:

• What is the best way to approach achieving fair, equitable and sustainable compensation for your on-call physicians?
• How do you determine the value of the various on-call physician specialists?
• What are the best of breed non-financial strategies for easing the burden for on-call physicians?
• What do the on-call physicians really want?
• What is the role of "hospitalists" with on-call coverage?
• How to link on-call pay to performance?

Presented by:
Mike Williams, MPA/HSA

Bill Bullard

• What four metrics are strongly suggestive of patient flow and satisfaction problems
• What are the top four innovative strategies for improving ED patient flow
• What are the cutting edge inpatient flow strategies and how do you design for them
• Three intake models and how the design could facilitate their implementation
• What two tools your organization can put into place to assure strong and sustained implementation on patient flow
• Do clinical decision units (CDUs), rapid admission units (RAUs) and Discharge Lounges (DL) make sense for this market

The Centers for Medicare and Medicaid Services (CMS) have issued the final regulations covering the 2011 physician fee schedule including emergency medicine, critical care and subspecialty support for emergency departments, among other covered physicians, and on the hospital Outpatient Prospective Payment System (OPPS) fee schedule, including EDs and trauma centers.

• What is the impact of the final 2011 CMS OPPS fee schedule for hospitals that affects EDs and trauma centers?
• What are the important policy items within the published rules that affect EDs and trauma centers?
• What are the codes and how do you bill for hospital critical care and trauma activations?
• What are the best-practice, but compliant strategies, to optimize hospital charges for your ED or trauma center?
• Are there revenue strategies that might offset any negative impact of the proposed 2011 CMS fee schedule?
• What is the latest on CMS' move to establish national hospital ED documentation standards guidelines for hospitals?

• What are the final CMS RVUs, codes and conversion factors that affect ED physicians and trauma surgeons?
• What are the keys to documenting and coding for proper reimbursement if you perform bedside ultrasound services?
• What are any changes to the PQRI reporting and bonus program for 2011?
• What are the new proposed rules on physician payment for annual physicals and other preventative services including a “Wellness Visit”?
• What are some of the proposed new radiology payment cuts planned for radiology services?

• What are the specialized payer sources that uniquely benefit EDs and trauma centers?
• What will the net financial impact be for the new CMS fee schedule for both physicians and hospitals?
• What are the rules for getting paid for observation medicine patients on both the physician and hospital side?
• What do you need to know about the latest recovery audit contractor (RAC) CMS move towards an evidence based healthcare structure for payment?

This audio CD recording of "Hot Topics and Strategies in Emergency Care" includes a copy of the presentation.

This audio CD recording of "Implementing New Product Lines in the ED" includes a copy of the presentation.

According to HealthCare Financial Management, 51 percent of all hospitals are building new or re-designing their old ED. It is not uncommon to hear staff in a relatively new ED complain about its design and "whom ever" designed the "last" one. Yet, many lessons are known about optimizing the ED design for the future and those mistakes that have been made are also now well known. This CD will look ED design from the standpoint of poor designing methodologies and design flaws as well as model design processes and their design.

From this CD, find out:

• What are the ten most common ED design errors made?
• What horizon should we build to?
• How do I calculate ED bed needs?
• Should make specialty rooms and/or universal rooms?
• What will an optimal ED look like in 10 to 15 years?
• What are the key throughput strategies to help with the EDs design?
• What are some model EDs and what were their innovations?
• What is the role of technology look like for the future ED?
• What about dedicated services (e.g. imaging, CT, stat laboratory, etc) and what are the volume thresholds?

Presented by:
Frank Zilm, D.Arch., FAIA, FACHA, brings over 30-years experience in the programming and planning of health facilities including many EDs. Dr. Zilm has work experience within teaching hospitals, as a practicing architect and as a planning consultant. He is recognized leader in the application of analytical modeling to healthcare space planning, Frank Zilm is the co-author of The Space Planner Toolkit. He has extensive experience in the application of simulation modeling to healthcare facility planning. In addition to his practice experience, Frank is active in national organizations, serving as president of the AIA Academy of Architecture for Health ('89), and a Founding Fellow and Board member of the American College of Healthcare Architects. A lecturer and author on healthcare planning, Frank Zilm is an adjunct faculty member at the University of Kansas and teaches at the Harvard Graduate School of Design executive program for the course, the future design of EDs.