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Wednesday, September 27, 2000
8:00 a.m.- 4:30 p.m.
Dedham Holiday Inn, Dedham, MA

About the conference	Keynote (Morning)
Who should attend?	Plenary I (Morning)
Registration	Plenary II (Morning)
Sponsors	Practicum
CME accreditation	Workshops (Afternoon)

Tufts Health Care Institute (THCI) is pleased to present a new program in our ongoing seminar series for physicians and practice administrators on Medical Liability and Risk Management in the Office Practice. THCI's seminar series began in the fall of 1996 and continued into the spring of 1999 with a four-part seminar series entitled New Strategies for Practice Management in a Changing Health Care Environment. The series included programs on using data for successful practice management, re-engineering for efficiency and patient satisfaction, customer service, and teamwork in the new medical marketplace, and was attended by more than 1,000 physicians, administrators and managers from across New England.

A major challenge facing medical practices today is the changing liability landscape. In a complex managed health care system, physicians and practices are concerned about being at risk for lawsuits. Practice leaders and administrators attending the fall 2000 THCI program will acquire knowledge and skills to meet this challenge, including learning to:

• Incorporate new principles into your practice that can reduce liability exposure and increase patient satisfaction.
• Explore patient-centered care skills that improve trust and the ability to manage care while also reducing liability.
• Implement administrative procedures to prepare for HIPAA (Health Insurance Portability and Accountability Act) security and confidentiality requirements.
• Develop and maintain a physician practice compliance program.

Tufts Health Care Institute is committed to providing programs that offer relevant information and practical skills and tools. At our September 27^th program, you will learn from expert faculty and receive comprehensive materials. If you have suggestions for future speakers and/or topics, please call us at (617) 636-1000 or visit our website at tmci.org. We look forward to seeing you on September 27.

• Physicians
• Medical Practice Administrators
• Managers

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This activity has been planned and implemented in accordance with the Essential Areas, Policies and Standards of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Tufts University School of Medicine (TUSM) and Tufts Health Care Institute. Tufts University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. TUSM designates this educational activity for a maximum of 7 hours in Category I credit towards the AMA Physician's Recognition Award, all of which are also Risk Management credit. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

ACCREDITATION

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TUSM considers all applicants and program participants without regard to race, color, national origin, age, religious creed, sex or sexual orientation. TUSM is an equal opportunity employer. TUSM does not discriminate on the basis of disability in admissions, access to treatment, or employment in their programs and activities as identified in the Americans with Disability Act.

ADA/OEO POLICIES

Keynote (morning)

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Reducing Risk While Increasing Patient Satisfaction and "The Bottom Line" 8:30 a.m.- 9:45 a.m. James Saxton, Esquire Chairman, Health Care Litigation Group Stevens and Lee, P.C., Lancaster, PA

KEYNOTE ADDRESS

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Patient education, involvement and accountability are becoming critical success factors in health care now and for the future. With increased managed care penetration, patients have difficulty discerning who is responsible for their care from a liability standpoint. Learn new principles that reduce liabilty exposure in your practice by 60 to 70 percent, and enhance patient satisfaction, a key to increasing market share. 7

DESCRIPTION

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Participants can expect to learn strategies and practical skills to reduce the risk for liability and to increase patient satisfaction by: Increasing an understanding of the rapid changes occurring in the health care industry as they relate to malpractice risk Reducing liability exposure while increasing patient satisfaction Reducing liability exposure by involving patients in their care Furthering a practice's economic goals

OBJECTIVES

Morning Plenary I

The Challenge of Negotiating Patient Expectations 9:45 a.m - 10:45 a.m. Mark Mengel, MD, MPH Program Director Family Practice Residency Program Beverly Hospital, Beverly, MA

PLENARY I

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Today's physicians and medical practices are increasingly saying "no" to patients regarding specialty referrals or medical tests when they are not deemed "medically necessary" will leave them vulnerable to legal action. When physicians and practice managers communicate with patients clearly and compassionately regarding decisions to manage care in a way that preserves quality, they do not necessarily increase their legal exposure. In fact, through improved communication, caregivers and patients can reduce substantially the risk of patient dissatisfaction and lawsuits.

DESCRIPTION

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Participants can expect to learn new approaches to enhancing physician-patient communication while increasing patient satisfaction by: Developing collaborative relationships with patients so they understand the clinical, population-based, and economic factors that affect clinical decision making in a resource-constrained environment. Helping patients calibrate their expectations so that they are realistic and attainable Responding to patient requests for medical tests and specialty care that are not clinically necessary or cost-effective Exploring patient-centered care skills that improve trust and the ability to "manage" care while also reducing malpractice liability

OBJECTIVES

Morning Plenary II

HIPAA Compliance: Issues & Answers to Protect the Practice 11 a.m. - noon Rosemarie Nelson Senior Marketing Development Manager Office of the Future at Welch Allyn Skaneateles, NY

PLENARY II

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The compliance clock for HIPAA is ticking. This session highlights the critical steps and administrative procedures a medical practice should take to adequately prepare for the deadline on HIPAA security and confidentiality requirements.

DESCRIPTION

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Participants will learn methods for: Implementing physical safeguards and technical security controls Determining appropriate questions to ask vendors in preparation for compliance Identifying and understanding the baseline assessment and gap analysis as essential first steps

OBJECTIVES

Practicum

Compliance and Legal Lessons Learned from a Mid-Sized Medical Practice Noon - 12:30 p.m. Robert Serban Administrator Charter Professional Services

PRACTICUM

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Participants will discuss ways to: Make or buy compliance expertise Determine availability of compliance resources, given the state of the industry and what is being required to be prepared for compliance and malpractice risk Avoid red flags that can lead to audits

OBJECTIVES

Practicing Patient-Centered Care in a Managed Care Environment 1:15 p.m. - 4:30 p.m. Mark Mengel, MD, MPH Program Director Family Practice Residency Program Beverly Hospital, Beverly, MA

WORKSHOP A (Choose either A or B)

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Through lectures, role-play and videotaped patient-practitioner sessions, this workshop teaches patient-centered skills in the managed care environment. These skills help physicians and other clinicians to improve disease-specific health outcomes and patient satisfaction. In addition, they help clinicians communicate more effectively with patients and their families, which reduces the likelihood of malpractice suits when there are negative outcomes.

DESCRIPTION Workshop A

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This workshop is designed to teach participants to: Address conflicts of interest that arise in a managed care practice and use strategies for working through such conflicts Respond to patient cues and feelings about illness and treatment and develop basic skills to assess families, including community and cultural issues Negotiate a mutually agreeable plan with patients and families Explore ways to constructively respond to difficult physician-patient interactions

OBJECTIVES Workshop A

Recognizing Compliance Risks, Developing a Compliance Plan and Correctly Documenting and Coding Patient Care Activities 1:15 p.m. - 4:30 p.m. L. William Katz, DBA President Katz & Associates, Inc., Sudbury, MA Ruth Dolby Principal Dolby Consulting Group, Stoughton, MA

WORKSHOP B (Choose either A or B)

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In this workshop participants will learn about compliance and documentation and coding issues. Smaller discussion groups will analyze compliance and coding case studies. The group will assemble to share the findings and solutions developed in the small groups.

DESCRIPTION Workshop B

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This workshop is designed to provide its participants with the ability to: Identify the risks for Medicare and health insurance fraud and abuse in physician practices Develop and implement an effective physician practice compliance program Understand the requirements for documentation and coding in physician practices Identify compliance, documentation and coding problems and determine the appropriate corrective actions

OBJECTIVES Workshop B

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LOCATION

Dedham Holiday Inn Dedham, Massachusetts (781) 329-1000 55 Ariadne Road, Junction I-95 and Route 1A

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CONFERENCE REGISTRATION FEE

Two registration options: $125 per person for the morning keynote and plenary sessions. $200 per person for the full day program, which includes afternoon intensive workshop Fees include attendance at the program, breakfast, refreshments break and box lunch, as well as coursebooks containing presentation materials, bibliography, journal articles and other learning resources.

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FIVE EASY WAYS TO REGISTER

Advance registration and payment are required by September 22, 2000. Please keep a copy of your completed registration form for your records. Confirmation of your registration will be sent by fax or e-mail. On-line: No longer available. Mail: THCI Seminar Series 136 Harrison Ave. Boston, MA 02111 Phone THCI's Registration Line: 617-636-0471 Fax (credit card payments only) 617-636-0429 E-mail: tmci@tufts-health.com

Conference collaborator

• Primary Care LLC

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This program is supported by educational grants from:

• Program Partner
  • Glaxo Wellcome, Inc.
• Funding Partners
  • Office of the Future
  • Pharmacia & Upjohn
  • Merck