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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
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 2
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
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 3
Today’s Focus
“Leadership in Managed Care
& Compliance” –Why these topics?
STEP UP:2017 HomeTown Health Executive
Leadership Program
“Top Issues for Rural Health Leaders in 2017” Jimmy Lewis, CEO‐ HomeTown Health
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 4
• 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
STEP UP:2017 HomeTown Health Executive
Leadership Program
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 5
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!
STEP UP:2017 HomeTown Health Executive
Leadership Program
Resources: Headlines in the Media: Rural Hospitals
STEP UP:2017 HomeTown Health Executive
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
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 6
Resources: Headlines in the Media: Rural Hospitals
STEP UP:2017 HomeTown Health Executive
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
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2017 HTH Leadership Program 7
“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.
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 8
10:45 am – 11:00 am: Break
“The Leaders Role in Compliance: Looking Ahead to 2017”Michele Madison ‐ Morris, Manning & Martin
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 9
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
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2017 HTH Leadership Program 10
“Management vs. Governance: Communication with your Hospital Board”Michele Madison, Morris, Manning & Martin
Q&A, Homework, & Dismissal
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 11
Questions?
Program Dashboard
www.hthu.net/leader2017
Password: leader
STEP UP:2017 HomeTown Health Executive
Leadership Program
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 12
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)
STEP UP:2017 HomeTown Health Executive
Leadership Program
2/10/2017 ‐ Atlanta Meeting
2017 HTH Leadership Program 13
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
STEP UP:2017 HomeTown Health Executive
Leadership Program