Retooling, Reframing, and Redefining Cardiopulmonary Rehabiliation

#1 - 9/23/10 - Health Care, Health Care Reform and Program Opportunities

Description:
Passage of the Patient Protection and Affordable Care Act (PPACA) has begun to redefine how organizations will approach the delivery of health care. There will be a migration toward prevention, outcomes, pay for performance, chronic condition care, population health strategies and leveraging of technology. Are hospitals and health centers ready for this new era that is emerging? An opportunity exists for these organizations and for their Cardiopulmonary Rehabilitation programs. This session sets the stage for Cardiopulmonary Rehabilitation to build a much needed capacity for their hospitals and health care centers, and lead these organizations to a bright place in the future of health care.

Topics:

I. Setting the Stage for the Series
II. New Priorities in Health Care

A. new patients
B. patient centeredness
C. health versus health care
D. chronic condition focus
E. outcomes/cost avoidance

III. Essence of Health Care Reform

A. promises versus performance
B. opportunity window
C. cost reduction secret
D. how to make the secret work

IV. Breakthrough Opportunity for Cardiac Rehabilitation

A. health care organization needs
B. CR building the capacity for their organization and people
C. why CR and how
D. consider this model
E. building the case and plan
F. partnering and engaging leadership

Behavioral/Learning Objectives:

1. Describe the essence of health care reform and where it is leading.
2. Define the new priorities in health and health care that will redirect clinical focus and demand new organizational capacity.
3. Outline a proven opportunity for Cardiopulmonary Rehabilitation to remodel its skills and build capacity to lead their organizations to a bright future of service.

#2 - 9/30/10 - Chronic Care Model, Medical Homes, and Tools Which Make Them Work

Description:
The Chronic Care Model (CCM) has been adopted by a multitude of healthcare organizations as a framework for the proactive management of patients with chronic conditions. A foundational strategy of the CCM, leading to improved outcomes, is the creation of productive interactions between an informed, activated patient and a prepared proactive practice team. Another key component includes health systems improvements involving decision support, self-management support, delivery system design and clinical information systems. Engaging community resources, rounds out the key strategies for providing more proactive chronic care management. This presentation will focus on specific strategies that align with the chronic care model and represent opportunities for cardiopulmonary rehab programs to serve as the “chronic care management center” for hospitals and health systems.

Topics:

I. Current models of care in health care reform and how they interrelate.

A. Chronic care model (how everything below fits underneath or relates to this)

1. medical home
2. accountable care organizations
3. bundled payments
4. THE CCDN

B. Population health management: key to all models

1. self-management support
2. informed, activated patient
3. prepared proactive practice team
4. productive interactions

C. Registries
D. Chronic disease management
E. Opportunities for rehabilitation programs

II. Rehabilitation programs as “chronic care management centers.”

A. Expansion of population served
B. Technologies to assist in chronic care management (overview)
C. Improving care coordination: bridging hospital to home and community

III. Improving the patient journey through the healthcare maze.

A. Higher health literacy
B. Self-management support
C. Community resources
D. Care coordination with outpatient services
E. Discharge clinic

Behavioral/Learning Objectives:

1. Define Accountable Care Organizations (or other health system business models) and the potential role of rehabilitation programs in aligning with desired outcomes: reducing avoidable healthcare utilization.
2. Describe population health management and how to target patients for chronic care management programs, as coordinated through rehabilitation programs.
3. Consider how rehabilitation programs can support the framework of the Chronic Care Model through patient self-management support, links to community resources and improved care coordination with providers and outpatient services.
4. Describe tools for population health management (registries, HRAs, etc.).

#3 - 10/14/10 - New Rules, New Environment, New Opportunities

Description:
January 1, 2010 brought significant changes to the Medicare rules for cardiac and pulmonary rehabilitation programs. This session will review the scientific basis for these changes and present a new regulatory environment that allows and even encourages programs to achieve patient-centered outcomes. This session will discuss not just how to operate within the rules, but also, how to get your program ready for new guidelines, new expectations, and an expanded role within your institution.

Topics:

I. New rules

A. Medicare billing and reimbursement changes in 2010

II. New Environment

A. Health care reform has already moved into your neighborhood-and you need to meet your neighbors
B. Updates on other important fronts

1. Performance Measures to Quality Indicators
2. National Quality Forum and CMS
3. Registry Project
4. AACVPR Certification

III. New Opportunities

A. New approaches that have demonstrated successful patient outcomes

Behavioral/Learning Objectives:

1. Describe opportunities for program re-design within Medicare’s new reimbursement structure.
2. Identify other future driving forces for change, such as quality indicators, program certification, and registry projects.

#4 - 10/21/10 – A New Look at Innovative Models

Description:
New opportunities and new visions are emerging for creative ways to meet the needs of our participants as they seek to make lasting lifestyle choices for their continued health. This session not only explores the rationale behind innovation, but takes you on a virtual site visit to creative programs around the country that have dreamed, believed and created outside the box of traditional programs.

Topics:

I. Creating a Positive New Future; one person’s journey to reinvention
II. Why be Innovative, Why Change?

A. Driving forces behind retooling your services
B. Adherence, long term outcomes and quality
C. Health care reform drivers (PPACA)

1. Multiple Chronic Conditions (MCC)
2. National Prevention, Health Promotion, and Public Health Council

D. Performance Measures and NQF
E. Value of cardiopulmonary rehabilitation services: how do the decision makers view your services

III. What are the Challenges

A. Referral, enrollment and participation
B. Wait lists
C. Space and schedules

IV. A Virtual Field Trip of Diverse Models
V. Moving Forward

Behavioral/Learning Objectives:

1. Describe the driving forces behind looking at new models of care.
2. Describe programs that have successfully created non-traditional models.

#5 - 10/28/10 - The Art and Science of Clinical Coaching

Description:
We know the majority of health care takes place outside the four walls of the hospital and is significantly affected by health and lifestyle choices made by the individual. There is no doubt that engaging and enhancing an individual’s and family’s abilities to self manage their disease, and their health, serve to improve overall health and function, mitigate complications, prevent exacerbations, limit disease sequelae and prevent future comorbidity. With the health care framework increasingly focusing on the care of those with chronic illness, and multiple concurrent chronic disease, discover the latest science and art behind the field of health coaching and learn how these techniques lead to powerful and health-full choices by the participant.

Topics:

I. Why Health Coaching

A. Changing health care landscape
B. Adherence and long term outcomes
C. The role of coaching in health care
D. Case examples

II. What is clinical health coaching

A. The difference between health education and health coaching
B. Bigger than a new set of skills

III. The value of health coaching

A. Empowerment of the participant
B. Long term participation in one’s own health
C. Analysis of the benefits of health coaching

IV. Vital components of health coaching, the coaching process

A. Positive Psychology
B. Vision and motivation
C. Mindful listening, open-ended inquiry, perceptive reflection
D. Stages of Change, Appreciative Inquiry, Motivational Interviewing
E. Affirming confidence
F. Change talk
G. When to “switch hats”
H. Improved outcomes that can be measured

V. The potential of group health coaching
VI. Putting it all together: Tools, tips and techniques

Behavioral/Learning Objectives:

1. Compare and contrast health coaching and health education
2. Describe five specific health coaching techniques (components)
3. Identify opportunities associated with group health coaching

#6 - 11/4/10 - Implementation: Getting to Success

Description:
This session will take ideas generated from the previous webinar sessions and pull them into an implementation plan that participants may use to move their ideas into an implementation plan. A case study will be used as an example.

Topics:

I. Set the Stage:

A. Design a project charter
B. Describe the program
C. Get leadership buy-in

II. Create a Business Plan/Feasibility Study

A. Involve finance administration from the beginning
B. Assess readiness of the organization to move forward

III. Organize a Planning Committee

A. Who needs to be at the table from the beginning

IV. Develop a Work Plan

A. Determine Key Planning areas, examples include:

1. Patient Enrollment/Engagement
2. Physician Buy-In
3. Technology Support
4. Marketing/Communications
5. Areas of Project Risk
6. Program Evaluation

V. Set up a project timeline

A. Milestones
B. Internal reporting

VI. Keeping your Team Motivated

A. Building Your Team Network
B. Celebrating Successes
C. Creating a “No Failure” Environment

VII. Design a Project Evaluation

A. Clinical Value Compass
B. Frequency of Outcomes Measurement
C. Aligning with QA plan for the hospital

Behavioral/Learning Objectives:

1. Describe how to utilize the process of project management to assess the viability of a proposed program.
2. Identify an idea from prior sessions from which to build a project/program for their organization.
3. Explain how to create a project charter which describes the program in a way that is concise and “salable” to hospital administration.
4. Describe how to begin a rough project plan that will help frame out the scope of the project.
   

Accreditation Information

Respiratory Therapists – Application has been made to the American Association for Respiratory Care (AARC) for 9 continuing education contact hours for respiratory therapists

Nurses – Academy Medical Systems is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Academy medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9.0 hours. And we are also a provider approved by the Florida Board of Nursing, provider #50-19, for 9.0 hours.
Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR.) Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.  This course is an intermediate education level.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, CO, CT, HI, IA, ID, IN, KS (Cat 2), MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.

The AR Board of Physical Therapy has approved this course for 9 Contact hours. The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), TN (Cat 1), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

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