Sawc Spring

Day 1: Thursday October 22, 2009 (General Sessions)

8:00AM –8:30AM - Introductions/Overview of CMS
Courtney H. Lyder, ND, GNP, FAAN – Conference Chairperson, Dean and Professor UCLA School of Nursing

8:30AM – 9:30AM - "The Future of Health Care: Where We Are and Where We’re Going" Keynote Address
Henry J. Aaron — Brookings Institute, Senior Fellow, Economic Studies

With the election of President Barack Obama and a Democratic
near-majority in both the House of Representatives
and the Senate, significant changes are expected in healthcare.
This session will review potential directions for healthcare
as outlined in President Obama’s election platform.
Moreover, how these changes may affect your healthcare setting
will be discussed. Potential challenges to implementing
healthcare reform will also be explored.

9:30AM – 10:30AM - “CMS Under President Obama”
Thomas E. Hamilton — CMS Director, Survey & Certification Group

The selection of Kansas Gov. Kathleen Sibelius as Secretary
of Health and Human Services and her subsequent selection
of a new CMS administrator should lead to sweeping
changes within the nation’s largest insurance carrier. This session
will discuss future directions of CMS under its new leadership
and the implications for those providers receiving
Medicare and/or Medicaid reimbursements.

10:30AM – 10:45 AM - Break

10:45AM – 12:30PM - “Congress Speaks on Health Care Reform”
Representative from Caucus on Long-Term Care (TBA) and
Representative from House Subcommittee on Health (TBA)

The House of Representatives could pass a comprehensive
healthcare reform bill by July 31, and the Senate by Sept.
30. Senior White House officials have also noted breakthrough
on healthcare, star ting in early May, of a non-specific
and unenforceable commitment from doctors,
hospitals, insurers and drug companies to reduce healthcare
costs by $2 trillion over 10 years. This session will review
the strengths and weaknesses of congressional
healthcare reform bills.

12:30PM – 2:00PM - Lunch w/ Exhibits

2:00PM – 3:00PM - “Reimbursement Guidelines under President Obama and Centers for Medicare & Medicaid Services (CMS)”
Sheila Lambowitz, MBA — CMS Director, Division

Institutional Post-Acute Care
This session will review changes to reimbursement in both
long-term and acute care settings. This interactive session
will also identify areas that may be altered in the next year
due to expected healthcare reform.

3:00PM – 4:00PM - “Value-Based Purchasing innovative Demonstration Projects” (Pay for Performance, Public Reporting, CARE Tool)
David S. Nilasena, MD, MSPH, MS — CMS Chief Medical Officer, Region 6

CMS believes that value-based purchasing can avoid unnecessary
costs and keep the focus on effective, efficient, safe and
quality of care. The agency has to do something to change how
it pays for care, as the Medicare Part A trust fund could be
bankrupted as early as 2019 if left alone. This session will review
the basic components of value-based purchasing and highlight
key projects shaping the futures of acute and long-term care.

4:00PM – 4:15PM - Break

4:15PM – 5:15PM - “Seamless Transitions from Hospital to Long term Care to Home: Dream the Impossible Dream”
Kevin Warren, MHA, LNFA, CPHQ — Senior Vice President, Operations, TMF Health Quality Institute

Transitioning older adults from hospital to long-term care
or vice versa can be extremely dangerous to the Medicare
beneficiary when vital information is not transferred. This
lack of transparency can lead to missteps in providing quality
care. This session will identify effective demonstration projects
aimed at improving setting transitions. Helpful tips for
transitioning the Medicare beneficiary will be identified.

5:15PM – 6:30PM - Exhibits open w/ Cocktail Reception

Day 2: Friday October 23, 2009

(3 Concurrent Sessions — Choose One)
8:00AM – 9:00 AM
“F-TAG REGULATIONS UPDATE: WHAT YOU SHOULD BE DOING IN 2009” (LONG-TERM CARE)
Beverly Cullen, RN — CMS Nurse Consultant, Division of Nursing Homes

Long-term care remains the most regulated industry in the
United States. Because care practices are continuously
changing, federal regulations are constantly changing. This
session will review new federal regulations (F-tags) as well
as those regulations being revised in the 2009/2010 period.

“NON-PAYMENTS FOR HOSPITAL-ACQUIRED CONDITIONS: WHAT’S NEW IN 2009/2010” (ACUTE CARE)
Barbara J. Conners, DO, MPH — CMS Chief Medical Officer, Region 3

In 2006, President Bush signed the Deficit Reduction Act of
2005 (Pub. L. 109-171) (DRA), which contained language creating
a system for quality adjustment of Medicare payments
for inpatient hospital services. The law requires that the Secretary
of Health and Human Services (HHS) identify at least
two hospital-acquired conditions that are high-cost, add payments
due to secondary diagnosis and could reasonably be
avoided through the application of evidence-based guidelines.
This session will review the 13 hospital-acquired conditions
and identify potential future non-payments. Moreover, in-depth
rationale for present-on-admission data will be discussed.

“MEDICARE PART D — WHAT SHOULD WE EXPECT TO CHANGE IN THE FUTURE” (MEDICARE PART D)
Tracey A. McCutcheon, MHSA, MBA — CMS Deputy Director, Medicare Drug Benefit Group

President Obama has been a staunch supporter of Medicare
Par t D since his campaign. This session will review currents
specifics regarding Medicare Part D and will present potential
changes to the benefit if Congress passes health reform.

(3 Concurrent Sessions — Choose One)
9:00AM – 10:00AM
“QUALITY INDICATOR SURVEY AND THE NEW FIVE STAR RATING: IMPLICATIONS TO YOUR FACILITY” (LONG-TERM CARE)
Barbara Alford, BSN, RN — Florida Agency for Healthcare Administration (Medicaid)

The Quality Indicator Survey (QIS) is a revised long-term care
survey process that involves two stages of review. The QIS
fur ther increases the objectivity of the survey process. This
session will identify the key stages of the review as well as the
plan for implementing the paperless system throughout the
United States. Moreover, this session will discuss implications
of the new “five-star” ratings CMS implemented in January.

“DEVELOPMENT OF QUALITY MEASURES FOR HOSPITAL PUBLIC REPORTING: NATIONAL QUALITY FORUM SPEAKS OUT” (ACUTE CARE)
Lisa K. Hines, BSN, MS — National Quality Forum (NQF)

The National Quality Forum (NQF) is a not-for-profit membership
organization created to develop and implement a national
strategy for healthcare quality measurement and reporting. A
shared sense of urgency about the impact of healthcare quality
on patient outcomes, workforce productivity and healthcare costs
prompted leaders in the public and private sectors to create the
NQF as a mechanism to bring about national change. This session
will identify the process for developing quality measures for hospital
public reporting and its implications in changing hospital care.

“MEDICARE PART D — COMBATING FRAUD AND ABUSE ” (MEDICARE PART D)
Sandra S. Love, MS, RHIA — Senior Vice President, Health Integrity

Health Integrity has been authorized by CMS to monitor the prescription
drug program and to investigate beneficiary complaints
related to the Medicare prescription drug benefit. Moreover,
Health Integrity is responsible for monitoring fraud, waste and
abuse in the Medicare Prescription Drug benefit program. This session
will discuss common fraud and abuse in Medicare Part D.

10:00AM – 10:15AM - Break

10:15AM – 12:30PM - "Regional Breakouts with CMS Officers - By Region"
CMS regional offices play a significant role in carrying out
CMS’s mission. The CMS stays in touch with its stakeholders
and the public in general through its regional offices, which
are located in major cities across the United States and serve
specific geographic areas. This session will help par ticipants
understand the unique role of regional offices and identify
key contacts germane to each state. Par ticipants will have
the oppor tunity to meet with their specific regional officers
to address issues per tinent to their regions.

12:30PM – 2:00PM - Attendees lunch w/ Exhibits

(Closing General Session)
2:00 PM – 3:45 PM - PANEL DISCUSSION — ”IT’S YOUR CALL: EVERYTHING YOU EVER WANTED TO KNOW ABOUT CMS BUT WERE AFRAID TO ASK”
Barbara Alford, Teresa E. Bennett, RN, BSN (CMS Regional
Officer), Dr. Barbara Conners, Beverly Cullen, Lisa K. Hines,
Sandra S. Love, Tracey A. McCutcheon, Dr. David S. Nilasena
and Kevin Warren; moderator: Dr. Courtney Lyder

The Medicare and Medicaid programs were signed into law
on July 30, 1965. Since their establishment, many changes have
been made to these CMS-administered programs. Accessing
information from senior management can be quite daunting.
In this open forum, the panel will attempt to answer your
questions. This session will be multimedia, with our panelists
taking questions from the conference audience as well participants
throughout the United States via teleconference.