Systems Thinking

Conference Presentation: Destination: Patient Outcomes – Our Journey to Improving Patient Care

Rebuilding the Foundation of Healthcare Under MACRA: A CME/CE Program Disruption or Opportunity?

Monday, January 22
11:00 AM - 12:00 PM
Location: Mediterranean 4-8

Physician Credits: 1.0

Nursing CE Credits: 1.0

Pharmacy Credits: 1.0

ACPE UAN: 0809-9999-18-125-L04-P (Knowledge)

Session Description
On your agenda today, is an important meeting with your healthcare administrators, clinicians and other various stakeholders as they determine how best to position the organization's CME/CE unit in an era of strategic alignment and identifying profit-loss efficiencies. You have gathered information by identifying how your CME/CE unit supports continuing professional development by keeping the organization's staff or members up-to-date and/or improve clinical gaps in practice. You know that the leadership is looking for areas that can support the organization financially (directly and indirectly) and its clinicians who are working to incorporate alternative payment models and address population health management. You hope your presentation will be compelling on how the CME/CE unit strategically supports the financial position of the organization and how it improves knowledge on emerging mandates and rulings with CMS's phased implementation of Medicare Access and CHIP Reauthorization Act (MACRA, for short). Clinician and administrative leaders are hungry for data to make decisions and guide their planning. Yet, there always seems to be a missing piece of information. Will your CME/CE unit presentation highlight the contributions that fill-in that missing piece?

Tough presentation and questions to address! This session will highlight critical information on trends occurring in organizations, practices and individual clinicians on how they are managing a changing reimbursement environment based upon a payment system that focuses on the quality of services (alternative payment model) versus a model that was based upon the volume of services provided (fee-for-service). You will better understand how the Merit-Based Incentive Payment System (MIPS) will provide annual updates to clinicians starting in 2019, based on performance in quality, resource use, clinical practice improvement activities and meaningful use of electronic health record systems. As an example, a 100 point score with clinical practice improvement activities (CPIA) representing 15 percent of the total score is one area where CME/CE units should play an important role in achieving quality measure objectives. A Clinical Practice Improvement Activity (CPIA) can be an activity that a relevant eligible clinician, organization or other healthcare stakeholders identify as improving clinical practice or care delivery. What if that was part of your CME/CE unit presentation during your meeting today? Come to this session to learn how your CME/CE unit can be a part of the solution for your organization that engages continuing education and related activities that enable improvement in practices and facilitate future participation in programs like Alternative Payment Models (APMs). Today's healthcare educator has to move beyond dissemination of the latest research but learn how to help practitioners and organizations adapt it to their practice needs and patient base, showing improvements in both their patients' health and their practices.

Learning Objectives:

Ed Dellert

Chief Policy and Learning Officer
American Society for Gastrointestinal Endoscopy
Downers Grove, Illinois

Ed Dellert is a critical care and transplant nurse by background who has used his clinical experiences in educational leadership, working with the entire professional team to advance products and programming that impact clinical practices and patient care. Currently serves as a member of the senior administrative team of the the American Association for Gastrointestinal Endoscopy (ASGE), with fiduciary responsibilities related to Institute for Training and Technology courses, international initiatives, health policy, training and research while also providing support in physician practice management, quality and advocacy throughout the field of gastroenterology.

Presentation(s):

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Destry J. Sulkes

Chief Data Officer
WPP Health & Wellness
New York, New York

Destry Sulkes, MD, is Chief Data Officer at WPP Health & Wellness. Prior to WPP, Dr. Sulkes built long-term value in a series of start-ups serving life science companies that invest in innovative uses of data, analytics and digital communications to improve healthcare quality. He helped Zeiss launch the OCT device with global education efforts, led two digital med ed groups through acquisition, led strategy efforts for WebMD/Medscape, authored reports on life science company data needs, cofounded Prognos.ai, a healthcare analytics company, and served as a board director and president of the Alliance for Continuing Education in the Health Professions.

Dr. Sulkes holds a BA degree in Government and History from Dartmouth College in Hanover, NH, and a joint MD/MBA with a research concentration from Tufts University School of Medicine, in partnership with Brandeis University and Northeastern University, both in Boston, MA.

Presentation(s):

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