Sunday November 4

| 2:00 PM – 6:00 PM |

Basic Training: "Hands On" Learning Workshop

Sandy Tuzzolo, RN, CCM
Julie Arotin, RN, MS
Carol Johnson, RN, BS, CCM
Mindy Lazor, RN, BSN, CCM, RN-BC
Milliman Care Guidelines

Objectives

  1. Locate the evidence-based resources within the guidelines
  2. Effectively and efficiently search to find the right guideline
  3. Accurately interpret the clinical content of the guidelines
  4. Apply the guidelines to a variety of care management processes

This workshop is designed to provide maximum 'hands on' learning. Through the use of clinical cases, participants will learn to effectively and efficiently apply the guidelines to inpatient case management, concurrent review, discharge planning, outpatient case management, and pre-certification. New and experienced users alike will develop a solid working knowledge of the guideline products. Come learn new skills or sharpen the skills you already have. Start this year's User Group Forum off right by spending an afternoon with the Milliman Care Guidelines Clinical Training Team! Bring your challenging cases and situations for real time problem-solving and working the guidelines demonstrations.

Milliman Care Guidelines® Product Overview

Louise Bower, RN
Milliman Care Guidelines

Get an introduction and overview of each product in the Milliman Care Guidelines, which are used in the care of approximately one out of every three Americans. Product Consultant Louise Bower, RN, demonstrates the key features and appropriate application of the Care Guidelines, and focuses on the unique aspects and important sections of each product. She will also demonstrate the the easy-to-use, interactive Care Guidelines applications: CareWebQISM and CareGuideQI®.

Medical Director Training Workshop

Jim Schibanoff, MD, Editor-in-Chief
Helen Blumen, MD, MBA, Editor
Milliman Care Guidelines
John Semmens, MD, Healthcare Management Consultant, Collaborative Care
Milliman

Objectives

  1. Explain Evidence in Action: Guideline-based Care Management
  2. Review of Care Guidelines Structure and Content
  3. Discuss the Role of Physician Leader in Guideline Implementation
  4. Explore Practical Approaches to Conflict Resolution

Learn how today’s healthcare industry leaders are applying evidence-based medicine to increase patient safety, improve organizational efficiency, and provide better quality care.

Wednesday, November 7

| 10:45 AM – 1:45 PM |

Care Across the Continuum: Using the Care Guidelines to Optimize Transitions of Care

Vikki Choate, RN, CCM, RN-BC, CCP
Mindy Lazor, RN, BSN, CCM, RN-BC, CCP
Dorothy Correa, RN, CS, FNP, MSN
Jeff Frater, RN, BSN, CCM
Milliman Care Guidelines

Objectives

  1. Define the importance of optimal transitions from one level of care to another
  2. Describe the Care Guidelines’ inpatient discharge plan resources
  3. List four Care Management Tools pertinent to transitional care plans
  4. Identify three potential level of care transitions

Every day patients experience sub-optimal transitions from one level of care to another causing them confusion and fractured care. Every day payors and providers struggle to find the resources to ensure more seamless transitions. Every day patients, providers, and payors experience the ill-effects of this issue with readmissions, delays in appropriate care, and increased healthcare dollar utilization. On a national level, the National Transitions of Care Coalition (NTOCC) has recognized and is actively addressing this care management issue.

This session is designed to establish the depth and outcomes of this issue and to review the efforts to date of the NTOCC. The use of clinical vignettes will provide participants with the opportunity to collaboratively locate and utilize the Care Guidelines’ resources that support best-practice transitions across the care continuum.

Chronic Care Management: Applying the Chronic Care Guidelines to Everyday Case Management

Sandy Tuzzolo, RN, CCM, CCP
Helen Blumen, MD, MBA
Carol Johnson, RN, CCP, CCM, CTT+
Dawn Vande Moortel, RN,MS
John Ninomiya, PhD, MSc, FSA, MAAA
Milliman Care Guidelines

 

Objectives

  1. Define three ways in which chronic care management can be facilitated
  2. Name the aspects of the case management process contained within the Chronic Care Guidelines
  3. Locate the patient education materials within the Chronic Care Guidelines
  4. Describe how to use the Chronic Care Guidelines to prevent unnecessary readmissions

There are a variety of Care Management/Case Management models being effectively utilized across the nation. Regardless of the model you use, chances are that you want your process to reflect best practice, you want to take advantage of all available resources, and you work to minimize the impact of chronic conditions.

This session is designed to define the impact of chronic disease and its current and expected impact on the health care delivery system. Rich with patient education materials and following a formal Case Management process, the Chronic Care Guidelines contain a wealth of information that (when used within any Care/Case Management process), support a best practice approach. Come explore the resources within the Chronic Care Guidelines and learn for yourself why they are so much more than a tool for disease management.

End User to Super User: Becoming Your Organization's Care Guidelines Subject Matter Expert

Debbie Jepson, RN, CCP
Marlese Pinney, RN, MBA
Julie Arotin, RN, MS, CCP
Jill Hastings, RN, PAHM
Milliman Care Guidelines

 

Objectives

  1. Describe the role of the super user
  2. Define the key concepts for applying the Care Guidelines products
  3. List the steps for preparing job aids
  4. Recall the Care Guidelines product resources for preparing training materials

Does your organization recognize the importance of having a Care Guidelines subject matter expert (SME) on staff? No formal training department? Do you or your teammates frequently have questions about the guidelines that you wish someone was able to readily address? If you’ve answered "Yes" to these questions, then this workshop is for you!

This session will provide you with an in-depth exploration of the Care Guidelines products and best practices for their use in a variety of care management models and workflows. You will learn how to develop Care Guidelines-related job aids and will receive learning material and other Care Guidelines education resources to take back to work with you. The goal of this session is to send you back to your organization energized about the use of the Care Guidelines products, able to find answers to questions that come up, and prepared to help others learn how to effectively and efficiently use the products!