WVHA Small Rural Hospital Leadership & Management Team Seminar Series-SESSION 3
September 18, 2008
 The West Virginia Hospital Association is proud to introduce an innovative seminar series focused on leadership, clinical, and financial topics for small rural and critical access hospitals. The series is designed to provide education and opportunities for networking among hospital leadership and management teams in a relaxed seasonal resort environment at Glade Springs in Daniels, WV. The seminar series will be led by Stroudwater Associates, founded in 1985 by senior healthcare executives in order to provide clients with multidisciplinary expertise. With corporate offices in Portland, Maine and Atlanta, Georgia, Stroudwater provides strategic, financial, facility planning, and operational consulting services to a national clientele that includes academic medical centers, health systems, health plans, community and rural hospitals, and physician groups. The firm's expertise is in the assessment and implementation of strategies and operational approaches for all types of healthcare organizations. These sessions contain the collective insight earned from analysis of and consultation with critical access hospitals and other rural hospitals throughout the country. The program is supported through the HRSA Federal Rural Health Network Development Grant and is offered to chief executive officers, trustees, and senior management team members including financial and nurse managers in small rural and critical access hospitals. Registration is complimentary for WVHA-member hospital participants. SESSION THREE: SEPTEMBER 18-19, 2008 Day 1: 2:00 p.m.- 5:00 p.m. Understanding Critical Access Hospital Financials From A Nursing Perspective: Mary Guyot, RN, BS, CRRN Highly effective Directors of Nursing (DON) in rural hospitals have a working knowledge of financials. This understanding allows the DON to be an integral part of the Senior Leadership team and to be in a better position to assist in process improvement. Presented in a nursing-friendly approach, by a nurse, this presentation compares and contrasts payment systems for both Critical Access Hospitals (CAH) and Prospective Payment Systems (PPS). We will first analyze the financials of each system to better understand the components, how they compare, how the financials tie into the responsibilities of the DON, and why this understanding will assist the DON to be a participating member of the Senior Leadership team. Day 2: 8:30 a.m.- 11:30 a.m. Using a Rehab Model for Swing Bed: Mary Guyot, RN, BS, CRRN A true swing bed program goes beyond implementation of the basic requirements. Participants are given basic information to improve patient outcomes by providing a rehabilitation model for both physical and medical swing bed admissions and developing an interdisciplinary team process.
Glade Springs Resort, Daniels, WV


The Emergency Dept Call Pay Crisis
September 24, 2008
 Overview To pay or not to pay? That has been the question for many hospitals faced with requests-from physicians for payment for on-call coverage. There may be a new answer to the question. One way to address the dilemma is to compensate physicians who provide ED call coverage through deferred compensation plans, rather than on a “pay as you go” basis. Deferred compensation can prove to be a “win-win” proposition for both the physicians and the hospital, and more closely align their interests. A deferred compensation plan for ED call would look something like this: Physicians who are to be paid for call coverage would sign a personal services agreement with the hospital. The agreement would specify the call duties of the physician and the rate of pay. But instead of paying the doctor now, the amount earned would be credited to a deferred compensation plan which would only be paid to the doctor five or ten years later if he or she continues to fulfill the obligations of the agreement. All the while, the amounts credited to the physician would be invested pursuant to the physician’s directions, and not to be subject to tax until the future vesting. Objectives At the conclusion of this program participants will be able to: 1. Discuss the changing landscape 2. Discuss current solutions 3. Review consequences to traditional approaches 4. Discuss compensation approach 5. Discuss plan overview and objectives 6. Discuss the 457(f) platform 7. Review the advantages of tax-sheltered growth in deferred compensation 8. Discuss vesting and fund design
Teleconference


Critical Access Hospital (CAH): What Every CAH Should Know! PART 1
October 7, 2008
 Survey Protocol: Tasks in the Survey Protocol Survey Team Task 1 – Off-Site Survey Preparation Task 2 – Entrance Activities Task 3 – Information Gathering/Investigation Task 4 – Preliminary Decision Making and Analysis of Findings Task 5 – Exit Conference Task 6 – Post-Survey Activities The following are some of the topics that will be covered during this program: Swing bed module Licensure of CAH Status and Location Location in a Rural Area or Treatment as Rural Agreements with Network Hospitals Agreements for Credentialing and Quality Assurance Emergency Services; respiratory policies ED staffing EMTALA Coordination with Emergency Response Systems Life Safety from Fire; Emergency Fuel and Water Emergency Preparedness Plan Governing Body or Responsible Individual Patient Care Policies AND MUCH MORE ! At the end of this session the participant will have: • Discussed the survey procedure related to CAH CMS-CoP. • Discussed the CMS list of emergency drugs required for every CAH. • Reviewed the length of stay in the CAH should not exceed 96 hours on an annual average basis. • Discussed recommendations to do a gap analysis to ensure compliance with all the hospital CoPs.
Teleconference


Critical Access Hospital (CAH): What Every CAH Should Know! PART 2
October 14, 2008
 The following are some of the topics that will be covered during this session: Services Provided through Agreements or Arrangements Nursing Services Pharmacy; Pharmacy policies and procedures Medication therapy monitoring Pharmacy USP 797 regulations Emergency medicine kits; Drug storage Outdated drugs Survey of pharmacy Reporting ADR and medication errors Monitoring medication errors Medication Alerts Standard of care for medications Websites and additional resources Infection control policies Infection control websites Infection control orientation for new employees Dietary support staff Rehab services Lab services Radiology services Radiology staff Scope of radiology services Emergency procedures AND MUCH MORE ! At the end of this session the participant will have: • Discussed the responsibilities of the pharmacists in supervising the activities of the pharmacy. • Identified requirements for CAH that ensure outdated drugs are not available for patient use. • Discussed the medication cart requirement for security, including storage. • Discussed the requirement to have “do not use abbreviations,” including the review of sound-alike/look-alike drugs.
Teleconference


2008 eORA Users Group Meeting
October 15, 2008
 This program is geared toward organizations that are currently participating in the West Virginia Center for Patient Safety (WVCPS) electronic occurrence reporting and analysis project as well as those that are considering it. The program will give an in-depth look at the benefits of reporting occurrences electronically and benefits of participating in the WVCPS. NOTE: Attendance is free, and is limited to 4 attendees per facility. At the conclusion of the program, participants will: 1. Understand the benefits of joining the WVCPS 2. Have discussed the potential for change with electronic occurrence reporting software 3. Recognize how electronic reporting improves patient safety outcomes, reporting features, and potential benefits to their organization 4. Have discussed the impact of medical errors on healthcare organizations
Charleston Marriott, Charleston, WV


Critical Access Hospital (CAH): What Every CAH Should Know! PART 3
October 21, 2008
 The following are some of the topics that will be covered during this session: Medical Records Records System Informed consent History and physicals Surgical Services Surgery policies Designation of Qualified Practitioners Quality assurance (quality improvement) Hospital associated infections State Exemption Organ, Tissue and Eye Procurement Definition of imminent death At the end of this sessions the participant will have: • Explain the informed consent elements required by CMS. • Describe the requirements for “History & Physical” for CAH. • List what must be contained in the operative report. Discuss what the CAH must do to comply with the requirements for notification of the organ procurement agency when a patient expires. • Name some of the patient rights that are afforded to patients in swing beds.
Teleconference


2008 ACHE Fall Symposium
October 30, 2008
Embassy Suites, Charleston, WV