ACOs: Care Management Guidelines
 
 
 
  Wednesday, April 13th, 2011
1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific)
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      Evidence-Based Guidelines for Care Management in ACOs
      Evidence-Based Guidelines as a Communications Hub for Applicable Functions		  
      Implications for service authorizations; case management, IP utilization management & transition of care
      How Clinical Guidelines can be used by an Accountable Care Organization
      Understanding Pros and Cons of integrating Clinical Guidelines into ACO operations
      Identifying the specific factors that can make Clinical Guidelines credible, implementable, and actionable
  Faculty:
Tiffanie A. Lenderman,
MBA, MSHA, Account Director
Milliman Care Guidelines
Milliman, Inc.		 Faculty:
Helen E. Blumen, MD, MBA
Managing Editor
Milliman Care Guidelines
Principal, Milliman, Inc.
 
Overview
  
Accountable Care Organizations are coming, and it’s time to figure out how to actualize them for success. Evidence-based clinical guidelines are part of the tool set that ACOs will need to ensure that risk-sharing arrangements succeed.

This session focuses on the role of evidence-based guidelines for care management, which hold enormous promise for assisting ACOs in achieving their two main objectives simultaneously: managing healthcare costs while preserving or improving quality.

Successful ACOs will require increased utility of existing or enhanced tools- one of those being evidence-based guidelines. Serving as a communication base, evidence-based guidelines can assist ACOs in improving the quality and efficiency of the care they deliver. One can imagine many layers of communications built upon the hub of evidence-based  guidelines, including service authorizations; case management documentation of patient goals, activities, and accomplishments; inpatient utilization management, and transition of care activities. With evidence-based guidelines as the base upon which all these activities and information sits, ACOs traveling down this path will find success.
 
Learning Objectives
 
Participants will be able to:
  1. Understand how clinical guidelines can be used by an ACO
  2. Discuss the pros and cons of evidence-based clinical guidelines in supporting ACO operations
  3. Understand what factors make clinical guidelines credible, implementable, and actionable
  4. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group
     
Who Should Attend
 
Interested attendees would include:
  • C-Suite Executives
  • Physician Executives
  • Medical management executives and staff
  • Strategy and Planning Executives and Staff 
  • Provider Network Executives and Staff
  • Provider Contracting Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Accountable Care Organizations
  • Provider Networks 
  • Medical Groups
  • Hospitals and Health Care Systems
  • Solutions Providers
  • Associations, Institutes and Research Organizations 
  • Health Plans 
  • Media
  • Other Interested Organizations
Registration
  
Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $255 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

 
Faculty
 
Helen E. Blumen
 

Helen E. Blumen,
MD, MBA
Managing Editor
Milliman Care Guidelines
Principal, Milliman, Inc.
 
 

Helen E. Blumen currently serves as Managing Editor, Milliman Care Guidelines. She is a Principal of Milliman, Inc.

Dr. Blumen is responsible for content development for clinical guidelines in the areas of case and disease management; prior authorization of procedures, diagnostic tests, imaging, and specialty pharmaceuticals; new technology assessment; and specialty referral management.

Dr. Blumen has worked in the area of care guideline development and implementation for more than 15 years and is particularly experienced in embedding clinical guidelines into software products, including expert systems.

Prior to joining Milliman Care Guidelines, Dr. Blumen’s professional career included extensive experience as a physician executive in Medicare, Medicaid, and commercial managed care operations, including as Division Chief Medical Officer for Prudential Healthcare.

Dr. Blumen practiced general internal medicine for over 10 years. She received her MD degree from UCLA and her MBA from the Johns Hopkins University. She is Board-certified in Internal Medicine and a Fellow of the American College of Physician
  

 
Tiffanie A. Lenderman
 

Tiffanie A. Lenderman,
 MBA, MSHA
Account Director
Milliman Care Guidelines
Milliman, Inc.
 
 
   Tiffanie Lenderman currently serves as Account Director for Milliman Care Guidelines. Tiffanie is responsible for managing strategic client relationships – from implementations to on-going optimal use of the Care Guidelines.

Tiffanie has worked in the health care industry for more than 15 years and is particularly experienced in relationship management, project management and business development.

Prior to joining Milliman Care Guidelines, Tiffanie’s professional career included experience in public health, consulting and provider group management.

Tiffanie received her MBA and MSHA degrees from the University of Colorado
Denver.
 


 
 
 
 
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