National Symposium on Quality and Compliance
The future of healthcare depends on the ability of healthcare organizations to increase financial accountability while improving the quality of patient care. This is as true for those who provide healthcare as it is for those who pay for healthcare. As more of the reimbursement for healthcare depends on documented clinical outcomes, the business and clinical sides of organizations are drawn together. While compliance programs focus on an organization’s business processes, quality programs focus an organization’s patient/member care processes. Both processes are critical to the success of any healthcare organization, but few organizations make this critical connection. One of the reasons is that compliance professionals and quality professionals generally have disparate educational backgrounds. Compliance professionals typically have backgrounds in audit, business processes or the law. Quality improvement professionals tend to have a clinical background. Even though both professions are concerned with quality, there is little communication across these educational boundaries.
Statement of Purpose:
The purpose of the National Symposium on Quality and Compliance is to show that an integrated approach to quality of patient/member care and compliance enhances both patient care and financial integrity. The Symposium will also begin the process of bridging the educational gap between quality and compliance professionals. The Symposium is an event intended to define best practices in quality-compliance integration. The Symposium will engage quality and compliance leaders in a dialogue with a national audience of healthcare executives able to influence the direction of their organizations. Unlike many conferences, the Symposium is not an end in itself. The standards developed through the Symposium will be published and made available to a broad audience of healthcare executives, regulators and opinion leaders.
The bridge between quality of care and compliance is essential to healthcare organizations today and in the future. Healthcare reform ties cost savings and quality of care to reimbursement for providers. Plans that participate in insurance exchanges will only succeed if they improve the quality of care for at risk populations. Now quality of care and compliance have been connected, progressive organizations will broaden their definitions of quality and compliance to incorporate an overall commitment to organizational integrity. The National Symposium will play an important role in creating positive models of how compliance and quality of care come together in a comprehensive approach to organizational integrity.
HET & UPMC: A Partnership in Excellence:
The Health Ethics Trust is pleased to announce that it is partnering with the UPMC Insurance Services Division to sponsor the second annual National Symposium on Quality and Compliance. The purpose of the National Symposium is to bring together thought leaders from the worlds of compliance and quality to explore ways in which compliance and quality can be mutually supportive. We believe the future of compliance is at its interface with quality of patient care. This is equally true for providers and plans. The team of the UPMC Insurance Services Division and the Health Ethics Trust is well positioned to assemble a faculty focused on practical measures for integrating compliance and quality. The UPMC Insurance Services Division offers the highest quality and value to our members and our community. As part of the UPMC family, we work closely with the world-class hospitals, physicians, and researchers at UPMC, and with community provider partners across our service area, to deliver award-winning health care products, programs, and services.
The Health Ethics Trust has incorporated quality of care issues into the education of certified compliance professionals. Together, we hope to begin to bridge the gap between quality and compliance. For more information on the UPMC Insurance Services Division, visit their website at www.upmchealthplan.com.
2015 NSQC Faculty Included:
- Dr. Barry Bittman: SVP, Chief Population Health Officer – Allegheny Health Network: Comprehensive Readmissions Reductions Initiative
- Robert Cessar: Assistant United States Attorney – USDOJ, Western District of Pennsylvania: When Fraud is Criminal: A Healthcare Quality Case Study
- John Ciavardone: SVP of Compliance and Quality & Debra Luther, Ph.D.: Senior Corporate Director of Performance Administration – NHS Human Services: Successful Quality-Compliance Integration: A Case Study and Lessons Learned
- Dr. James Schuster: Chief Medical Officer & Dr. Gail A. Edelsohn: Senior Medical Director, Quality – Community Care Behavioral Health Organization: The Intersection of Compliance and Quality within a Behavioral Health Managed Care Organization
- Diane Holder: President & CEO – UPMC Health Plan: NSQC Opening Keynote
- Robert Jacobs: Manager, Compliance Analytics, Auditing & Monitoring, Office of Compliance & Business Integrity, VHA
- Tami Minnier: Chief Quality Officer – UPMC: Solving problems through Quality/Audit Collaboration
- Mark Pastin, Ph.D.: President and CEO – Health Ethics Trust: Inside ACO Compliance
- Pamela Peele, Ph.D.: Chief Analytics Officer – UPMC Insurance Services Division
- Joseph Verheijde, Ph.D., Associate Professor of Biomedical Ethics, Mayo Clinic College of Medicine: Compliance, Quality, and Responsibility: Changing the Healthcare Delivery System for the Better
- Susan Walberg: VP/National Director of Compliance – Kohler HealthCare Consulting, Inc.: Integrating the Cultures of Compliance and Quality
- Colleen Walsh: AVP Clinical Affairs and Quality Improvement – UPMC Insurance Services Division: The Challenges of interfacing Health Plan quality and compliance
Continuing Education Units:
Health Ethics Trust Credentials: 16 CEUs
Attendence at the National Symposium on Quality and Compliance has been approved for 16 CEUs for the Health Ethics Trust’s Certified Compliance Professional (CCP) and Certified Compliance Executive (CCE) credentials.
Compliance Certification Board Credentials: 15 CEUs
The Compliance Certification Board (CCB) will designate 15.0 CEUs for this program towards the following credentials: Certified in Health Compliance (CHC), Certified in Healthcare Compliance Fellow (CHC-F), Certified in Compliance & Ethics Professional (CCEP), Certified in Healthcare Compliance Research Compliance (CHRC), and Certified in Healthcare Privacy Compliance (CHPC).