Abstract
Advanced Practice Providers in ENT: What Can They Do for Your Practice?
Kristi Gidley, PA (moderator); Jerry Schreibstein, MD; Scott P. Stringer, MD; Marie Gilbert, PA; April Hunt, MS, NP
Session Description: There are more demands on practicing otolaryngologists in the wake of health care reform such as electronic health records, meaningful use, quality and patient satisfaction metrics, and access concerns. Advanced practice providers (APPs) can assist otolaryngologists in meeting these challenges through strong care team models and collaboration. This miniseminar will outline the scope of practice of APPs and how to effectively integrate APPs into an otolaryngology practice, in either academia or private practice. Speakers will discuss various care team models in outpatient, inpatient, and operative settings. The panel will discuss APP onboarding and training, reimbursement, and potential revenue streams. Panelists representing academia, private practice, nursing practitioners, and physician assistants will provide an overview of how APPs can help improve quality metrics such as access, continuity of care, and patient satisfaction. This format will allow ample time for audience dialogue and questions and answers.
Outcome Objectives: (1) Recognize the education and scope of practice of APPs. (2) Integrate APPs in an otolaryngology practice resulting in improved efficiency, access, and patient satisfaction. (3) Apply reimbursement and revenue opportunities associated with the use of APPs.
Big Data and Your Reimbursements
K. J. Lee, MD (moderator); William R. Blythe, MD; James C. Denneny III, MD; Lawrence J. Gordon, MD
Session Description: This miniseminar will not only feature the importance of gathering “big data” to help your practice but also illustrate the proper usable software combined with the ability to share medical records between different electronic health records. Time will also be allocated to cover details and specifics so that practicing physicians can easily understand the process to benefit their reimbursement and improve their quality of care.
Outcome Objectives: (1) Recognize the benefit from using big data. (2) Use new software that is being introduced. (3) Improve the reimbursement and quality of care.
Board of Governors Hot Topics: How to Survive and Succeed in Practice in 2016
Ken Yanagisawa, MD (moderator); Emily F. Boss, MD, MPH; Spencer C. Payne, MD; Rahul K. Shah, MD, MBA; Steven T. Kmucha, MD, JD
Session Description: Quality is the buzzword for 2016. A barrage of new mandates, regulations, and expectations will strike our medical practices. Physicians face the difficult challenges of understanding, complying, and surviving these requirements, as patients look up our Medicare payments and coding on public lists. The merit-based incentive payment system Physician Consortium for Performance Improvement and the Sunshine Act will be explored, and we will identify how physicians can understand the various rating systems and improve their quality scores. We will define how physicians are perceived by our patients and develop strategies to optimize quality scores. Patient satisfaction has become vital in evaluating a physician’s practice and drives patient volume. The Internet remains pivotal in our ratings, and patients and insurance companies frequently research these ratings. Pitfalls and lessons learned about social media and web presence will be explored. The benefits and mechanisms of joining forces with colleagues in medical societies to enhance success will be discussed.
Outcome Objectives: (1) Identify factors that influence patient satisfaction and develop strategies to enhance patient satisfaction. (2) Describe how physicians can demonstrate and improve their quality scores. (3) Recognize how medical society engagement can improve a medical practice.
Business of Medicine for Residents and Fellows Planning for the Future
Lee Eisenberg, MD, MPH (moderator); Bill Moran, MD; Mark K. Wax, MD; Sonya Malekzadeh, MD; Christine B. Franzese, MD
Session Description: The program will review and discuss how to decide where and what type of practice to consider. Attendees will be able to make a better decision about where to practice and the type of practice setting that best meets their needs, whether in the private or academic setting, and will learn how to evaluate the practice(s) under consideration and what to look for in a contract. Attendees will gain a better understanding of the interview process and planning for the future.
Outcome Objectives: (1) Make a better decision about where to practice and the type of practice setting that best meets your needs, whether in the private or academic setting. (2) Prepare for the interview process, how to evaluate a practice, and what to look for in a contract. (3) Better plan for future needs.
Coding for Functional Procedures in Facial Plastic Surgery
Preston Ward, MD, MS (moderator); Krishna Patel, MD, PhD; Robin W. Lindsay, MD; Bradford Bader, MD; Chaz L. Stucken, MD; Sherard A. Tatum III, MD; Donna Millay, MD
Session Description: This presentation will provide an overview of issues related to the coding of procedures in facial plastic surgery with a specific focus on strategies to help optimize insurance authorization and reimbursement. The presenters are seasoned facial plastic surgeons from different geographic, practice type, and training backgrounds, which will help make the topics relevant to a broad audience. Topics to be reviewed include functional rhinoplasty, functional blepharoplasty/brow lift/ptosis repair, facial reanimation, facial fractures, facial soft-tissue trauma, free flaps, cleft lip/palate repair, craniofacial reconstruction, and Mohs reconstruction. This presentation is offered through the Plastic & Reconstructive and Current Procedural Terminology (CPT)/Relative Value Unit (RVU) Committees.
Outcome Objectives: (1) Describe the challenges associated with coding for functional facial plastic surgical procedures. (2) Apply strategies to streamline insurer approval and payment for functional facial plastic surgical procedures.
A Cost-Effective Approach to the Work-up of Cranial Neuropathies
Gregory J. Artz, MD (moderator); Seilesh Babu, MD; Ryan G. Porter Sr, MD; Joseph Spiegel, MD; David B. Conley, MD; J. Walter Kutz, MD
Session Description: When a patient presents with a new cranial neuropathy, it can be tempting to order the “million dollar” work-up; however, with spiraling health care costs, high-deductible plans, and physicians now being measured on how they deliver care and utilize health care dollars, it is more important than ever to know how to determine the etiology of a patient’s problem in an efficient and cost-effective manner. Evidence-based algorithms can help maximize patient and physician satisfaction while controlling costs. This miniseminar will discuss the presenting signs and symptoms for patients with disorders of olfaction, asymmetric hearing loss, tinnitus, facial paralysis, and otalgia. In addition to the traditional lecture format, it will employ audience questions and responses, case studies, and clinical expertise to help the participants better understand the best work-up for various cranial neuropathies and how to immediately apply this knowledge to their individual practices.
Outcome Objectives: (1) Describe the common presenting signs and symptoms of various cranial neuropathies. (2) Apply the most cost-effective work-up for patients presenting with cranial neuropathies. (3) Demonstrate how to confidently use evidence-based medicine to support their cost-effective, practical work-up for patients presenting with cranial neuropathies.
The Disabled Otolaryngologist
Brian Nussenbaum, MD (moderator); Robert T. Sataloff, MD; Julie Goldman, MD; Michael M. Johns, MD; Jo Shapiro, MD
Session Description: There are several broad reasons for physician disability. Traditionally, this has been caused by a physical disability, substance abuse, or stress from a lawsuit. But during the past few years, the roles of the aging physician, burnout, and the emotional impact of errors in this domain have become much more evident and relevant to the practicing otolaryngologist. This miniseminar will focus on these prevalent causes of physician disability. Each speaker will focus their talks on relevant issues related to each of these causes, followed by case examples that highlight problem recognition and management strategies. Available resources for prevention will be highlighted.
Outcome Objectives: (1) Describe the multifactorial etiologies contributing to the disabled otolaryngologist with a focus on the aging physician, burnout, and the emotional impact of errors. (2) Recognize the practical challenges and ethical dilemmas with management of these causes of physician disability. (3) Describe approaches and available resources for implementing management and prevention strategies.
EHR Intrusion into Your Practice: Maximizing Your Patient Flow
Michael D. Seidman, MD (moderator); Robert J. Stachler, MD; Joshua Greene, MD; Matthew Smith, MD; Syed Ahsan, MD; David Eibling, MD
Session Description: With the recent changes in the electronic health record (EHR) requirements, physician documentation requirements result in significant increased time during the visit doing clerk and secretarial work. Unfortunately, this has resulted in decreased patient flows and longer patient visits, resulting in decreased productivity. The purpose of this miniseminar is to offer suggestions to improve patient flow and ultimately patient and physician satisfaction. It will be pertinent to any practicing otolaryngologist and resident. Shortcuts, voice recognition systems, and role of scribes will be presented. Newer technology will be touched upon for EHR charting.
Outcome Objectives: (1) Maximize patient flow in the office. (2) Improve efficiencies with the EHR. (3) Define pathways that may improve their productivity.
The Future Is Now, Regent: The First Otolaryngology-Specific Clinical Data Registry
James C. Denneny III, MD (moderator); Lisa E. Ishii, MD, MHS; H. Louise Eddy, MS, CCC-A, FAAA; Tim Parr, Vice President, Technology FIGMd
Session Description: This miniseminar will discuss the American Academy of Otolaryngology—Head and Neck Surgery Foundation–qualified clinical data registry (QCDR). Learn about how QCDRs can reduce the burden of quality reporting to the Centers for Medicare & Medicaid Services, support measure development, inform alternative payment models, and assist with maintenance of certification.
Outcome Objectives: (1) An understanding that Regent is live and in its pilot phase and a comprehensive understanding of the importance of Regent to the future practice of otolaryngology head and neck surgery. (2) An understanding and appreciation for clinical data registries and their contribution to the future of the specialty. (3) A view into utilizing Regent in private practice and an understanding of the importance of being designated a QCDR.
Getting Published: Reviews and Research
John H. Krouse, MD, PhD, MBA (moderator); Cecelia E. Schmalbach, MD, MS; Jennifer J. Shin, MD, SM; Jean Anderson Eloy, MD
Session Description: Getting Published: Reviews and Research is a practical, interactive program that will assist writers in successfully publishing in medical journals. Taught by editors and successful authors from Otolaryngology–Head and Neck Surgery, this session will discuss the design and application of several styles and formats for reviews and research articles. Attendees will better understand how to design, prepare, and submit various types of manuscripts, including state-of-the-art and systematic reviews, patient safety/quality improvement papers, and research based on large administrative datasets. The session will describe these review and research formats and provide practical and results-oriented education in the successful preparation and submission of these papers for publication. Time is allowed for interactive discussion among the panelists and for questions from attendees.
Outcome Objectives: (1) Describe the types of review and research submissions that are considered by journals for publication. (2) Discuss the fundamentals and submission of patient safety/quality improvement manuscripts. (3) Examine the elements and procedures involved in the preparation of systematic reviews and manuscripts based on large administrative data sets.
Leadership Lessons: Strategies for Success
Samantha Anne, MD, MS (moderator); Mona M. Abaza, MD, MS; Carol R. Bradford, MD; John H. Krouse, MD, PhD, MBA; Lee Eisenberg, MD, MPH; Stacey L. Ishman, MD, MPH; Matt Donnelly, JD
Session Description: This miniseminar will offer an innovative format with panelists that will guide small group workshops on important aspects of leadership and resume building within the session. Attendees will choose and divide into individual workshops within the session that will include analysis and understanding personality traits, conflict resolution techniques, tips on how to be prolific in scientific publications, negotiating skills, and work-life balance. The purpose of this miniseminar is to discuss strategies to develop your skills as a leader.
Outcome Objectives: (1) Differentiate personality types and how to use this knowledge to lead and collaborate and learn negotiation skills and techniques. (2) Practice conflict management and resolution techniques and discuss techniques to achieve work-life balance. (3) Apply techniques on how to be prolific with scientific publications.
Marketing Yourself and Your Practice in the 21st Century
Cristina Baldassari, MD (moderator); Christopher Y. Chang, MD; Angela Sturm, MD; Ayesha N. Khalid, MD; Spencer C. Payne, MD
Session Description: The 21st century presents unique challenges for marketing our practices. Otolaryngologists must deal with marketplace saturation, hospital chain mergers, and the replacement of traditional news outlets by social media. These paradigm shifts have affected how physicians “get their name out there” and build a practice. The proposed miniseminar will feature a panel discussion aimed at providing practical tips to help otolaryngologists improve marketing. Special emphasis will be placed on creating effective marketing strategies for various practice models, including using social media, partnering with your local hospital, and understanding the role of online review services. Panelists will discuss how to manage your practice’s online reputation.
Outcome Objectives: (1) Describe the various forces that are changing how we must market ourselves in the 21st century. (2) Identify marketing strategies that will expand your practice’s referral base. (3) Successfully incorporate social media into your marketing plan and improve your online reputation.
New Payment Models: Effects on Otolaryngology Reimbursement
Robert Lorenz, MD (moderator); Jane Dillon, MD, MBA; Randal S. Weber, MD; Stephen P. Cragle, MD; Drew M. Locandro, MD
Session Description: Join a panel of Academy payment reform experts as they share their personal experiences with alternative payment models to focus on the potential benefits and risks for otolaryngologists. In addition, Ad Hoc Payment Model workgroup leaders will discuss recent Academy efforts with private payers and the Centers for Medicare & Medicaid Services to develop potential models for otolaryngologists looking to participate in the new value-based payment system and receive credit for alternative payment model participation.
Outcome Objectives: (1) Recognize payment models as they relate to health care reform initiatives and Academy efforts to prepare members for changes in reimbursement. (2) Describe how the transition of the fee for service to value-based payment under the Medicare Access & CHIP Reauthorization Act of 2015 and the replacement of the sustainable growth rate will affect practicing physicians as the policies are developed and implementation advances. (3) Study the physician perspective concerning the changing health care environment as it relates to options and opportunities for otolaryngologists.
Residency Education in the New Millennium: Getting up to Speed
Marita Teng, MD (moderator); Anna Messner, MD; Mark Wax, MD; Barry Schaitkin, MD; Stacey Gray, MD
Session Description: With new initiatives through the ACGME, adult “millennial” learners as trainees, new methods of evaulating and ranking residency programs, and continuing duty hour regulations, we have moved into a unique era of residency education. This panel focuses on current concepts in the training and education of residents, and the management of training programs. We will focus on goals common to all residency programs, and will help identify some best practices to simplify frequently encountered obstacles and challenges. Ideas such as optimizing the resident selection process, incorporating Quality Improvement into training, tailoring learning for the modern resident, finding creative teaching techniques, and helping the “trouble resident” will all be included in discussion.
Outcome Objectives: (1) Explain some best practices related to current residency education, including effective teaching strategies for Millennial learners. (2) Bring home some new ideas with regard to integration of Quality Improvement in their home residency program. (3) Understand some common issues related to trouble residents, as well as some strategies to address them.