AMERICAN HEALTH LAWYERS ASSOCIATION
2011-2012 Practice Group Planned Activities and Project Report
February 2012
Practice Group: Medical Staff, Credentialing, and Peer Review Chair: Tim Adelman
* Also see chart for Healthcare Reform Educational Task Force for additional information
Project Title / Project Coordinator(s) / Project Description / Start Date / Projected Completion Date / Actual Completion Date / StatusChair
/ Tim Adelman / 9/2/11: Submit FY 2012 Planned Activities and Project Reportto staff
12/9/11: Submit written Mid-Year Report to the Board of Directors
5/18/12: Submit written Annual Report to the Board of Directors / 7/1/11 / 12/9/11 / 12/16/11 / Ongoing
Membership / Stephen Kleinman / Vice Chair to serve as liaison between Practice Group and Membership Board Committee to recruit and retain members for the Association and the Practice Group. / 7/1/11 / 6/30/12 / Ongoing
Publications / Brian Betner / Vice Chair to serve as liaison between Practice Group and Professional Resources Board Committee and to coordinate newsletters, Member Briefings, etc. / 7/1/11 / 6/30/12 / Ongoing
Educational Programs
/ Kathy Poppitt / Vice Chair to coordinate webinars, mid-year and annual meeting luncheons, and serve as a liaison between Practice Group and Program planning committee. / 7/1/11 / 6/30/12 / Ongoing
Research & Website / Robin Locke Nagele / Vice Chair to coordinate AHLA Connections feature article and email alerts. Monitor and oversee relevant PG sub-site of AHLA website; make suggestions for additional postings, web links, etc. / 7/1/11 / 6/30/12 / Ongoing
Strategic Activities / Michael Callahan / Vice Chair responsible for special projects throughout the year. May include: coordination of Affinity Group development and activities; assistance with coordination of mentoring program for new members; assistance with coordination of Mid-Year and Annual Luncheons etc. / 7/1/11 / 6/30/12 / Ongoing
Discussion List
Medical Staff, Credentialing, and Peer Review List / Clark Stanton / Regularly monitor relevant PG discussion list and post questions to stimulate activity. / 7/1/11 / 6/30/12 / Ongoing
Meeting: Mid-Year
/ Sponsor a luncheon meeting at the 2012 Physicians and Physician Organization Law (February 2012). Description and faculty due to AHLA on November 11, 2011.Date: Friday, February 10, 2012
Title: Preventative Medicine: Hospitals’ Use of Credentialing and Peer Review to Avoid Liability
Speakers: Lew Morris / 2/10/12 / 2/10/12 /
Done
Meeting: Annual
/ Sponsor a luncheon meeting at the 2012 Annual Meeting in Chicago, IL (June 25- 27, 2012). Description and faculty due to AHLA on December 30, 2011.Date: Monday, June 25, 2012
Title: TBD / 6/25/12
Newsletter (#1)
MedStaff News / Publication of newsletter discussing and analyzing recent developments in relevant areas of health law. / 6/11 / 9/11 / 9/26/11 /
Done
Member Briefing (#1) / Topic: Negligent CredentialingAuthor: TBD / 2/09 / TBD /
Executive Summary (#1) / Title: Court Rules on Strict Peer Review Protection and Fraud
Authors: Ann Bittinger and Kayce Clark / 1/12 / 1/12 / 2/8/12 /
Done
Executive Summary (#2) / Title: Chipping Away at Peer Review Protections: Washington Supreme Court Considering Whether Healthcare Providers Must Produce Records Identified from Review of Quality DataAuthor: Anna Grizzle / 2/12 / 2/12 / 2/9/12 /
Done
Webinar (#1) / Title: Health Insurance Exchanges: A Fifty State Moving TargetSpeakers: Cindy Gillespie and Ilyse Schuman
Moderator: Katherine Keefe
Co-sponsors: HCR TF, HIT and PPMC PGs / 8/11 / 8/24/11 / 8/24/11 /
Done
Webinar (#2) /Title: Overview of the Medicare Shared Savings Program Final Regulations, Part ISpeakers: Lauren Haley, Claire Turcotte, and John Washlick
Moderator: Michael Schaff
Co-sponsors: ACO TF
/ 10/11 / 10/26/11 / 10/26/11 / DoneWebinar (#3) /
Title: Overview of the Medicare Shared Savings Program Final Regulations, Part IISpeakers: Thomas Bartrum, Paul DeMuro, and TJ Sullivan
Moderator: Kim Harvey Looney
Co-sponsors: ACO TF
/ 10/11 / 10/27/11 / 10/27/11 / DoneWebinar (#4)
/ Title: Antitrust Guidance for ACOs: Understanding the Antitrust Enforcement Agencies' Final Policy Statement on Accountable Care Organizations
Speakers: David argue, John Miles, and Christine White
Moderator: Douglas Ross
Co-sponsors: Antitrust PG and ACO TF / 10/11 / 11/2/11 / 11/2/11 / Done
Webinar (#5) /
Title: Overview of the Medicare Shared Savings Program Final Regulations, Part ISpeakers: Lauren Haley, Claire Turcotte, and John Washlick
Moderator: Michael Schaff
Co-sponsors: ACO TF
/ 10/11 / 10/26/11 / 10/26/11 / DoneWebinar (#6) /
Title: Overview of the Medicare Shared Savings Program Final Regulations, Part III: CMS & OIG Final Interim Rule on Program WaiversSpeakers: Troy Barsky, Julie Kass, and Vickie Robinson
Moderator: Daria Niewenhaus
Co-sponsors: ACO TF
/ 10/11 / 11/3/11 / 11/3/11 / DoneWebinar (#7) / Title: Health Insurance Exchanges, Part II: Essential Health Benefits
Speakers: Joel Ario, Julie Barnes, Mary Senkewicz
Moderator: Anne Hance
Co-sponsors: HIT, PPMC, and HCR TF / 11/11 / 11/8/11 / 11/8/11 /
Done
Webinar (#8) /Title: Accountable Care Organizations Revisited: Physician Issues Under the New Regulations and GuidanceSpeakers: Robert Clark, Robert Gerberry, and Robert Homchick
Moderator: David Lewis
Co-sponsors: Physicians and ACO TF
/ 11/11 / 11/16/11 / 11/16/11 / DoneWebinar (#9) /
Title: Follow the Money: Understanding the Payment Implications of the Final ACO RegulationSpeakers: Mark Hamelburg, Susan Feigin Harris, and John Pilotte
Moderator: Thomas Bartrum
Co-sponsors: RAP and ACO TF
/ 11/11 / 12/1/11 / 12/1/11 / DoneWebinar (#10) /
Title: Health Insurance Exchanges, Part III: A Transformed Marketplace: State Exchanges and the Essential Health Benefits PackageSpeakers: Joel Ario and Daniel Durham
Moderator: Julie Barnes
Co-sponsors: HCR TF
/ 2/12 / 2/16/12 / 2/6/12 / DoneWebinar (#11) / Title: AHLA/HFMA Webinar Series, Session I: Current Trends in Healthcare Mergers, Acquisitions, Consolidations, and Affiliations
Speakers: Carsten Beith and Beth Guest
Co-sponsors: AHLA PGs / 12/11 / 2/28/12
Webinar (#12) / Title: AHLA/HFMA Webinar Series, Session II: Deal Killers: Navigating Compliance, Financing, and Other Obstacles
Speakers: Daniel Cain, Paul DeMuro, Deborah Gordon, and Scott Powder
Co-sponsors: AHLA PGs / 12/11 / 3/15/12
Webinar (#13) / Title: The Hospital Medical Staff of the Future Webinar Series, Part I: The Role of the Medical Staff in an Era of Healthcare Consolidation, Health System Reform, and Increased Physician Employment
Speakers: Barbara Blackmond, Jay Gregory, and Arthur Snow
Moderator: Kathy Poppitt
Co-sponsors: MSCPR and Labor PGs / 2/12 / 3/27/12
Webinar (#14) / Title: The Hospital Medical Staff of the Future Webinar Series, Part II: Opportunities and Exposure: A Comparison of the Legal and Operational Challenges Associated With the Employed and Independent Physician Models
Speakers: Lisa Carson
Moderator: Robin Nagele
Co-sponsors: MSCPR and Labor PGs / 2/12 / 4/17/12
Webinar (#15) / Title: AHLA/HFMA Webinar Series, Session III: Components for Effective Post-Deal Transitions, Integration, and Planning
Speakers: Anthony Perez and Sarah Swank
Co-sponsors: AHLA PGs / 11/11 / 4/18/12
Webinar (#16) / Title: The Hospital Medical Staff of the Future Webinar Series, Part III: The Jigsaw Puzzle: Credentialing and Privileging Providers in the Era of Healthcare Reform
Speakers: Michael Callahan
Moderator: TBD
Co-sponsors: MSCPR and Labor PGs / 2/12 / 5/1/12
Webinar (#17) / Title: AHLA/HFMA Webinar Series, Session IV: Post-Deal Integration Specifics: Standardizing Delivery Processes and Contracting
Speakers: TBD
Co-sponsors: AHLA PGs / 11/11 / 5/1712
Email Alerts / Email membership upon issuance of important issues. / 7/10 / 11/11 (1)
AHLA Connections Feature Article
/ Write a feature article for October 2012 issue of AHLA Connections.Due to AHLA on August 15, 2012.
Title: TBD
Authors: TBD / 8/15/2012 / Due in FY13
Leadership Conference Calls / / Schedule regular conference call with Chair, Vice Chairs, Liaison, Staff, and other interested parties. / 7/11
Every 3rd Friday of the month at 10:00 am Eastern / 8/26/11
9/16/11
10/21/11
11/18/11
12/16/11
1/20/12
2/17/12
3/16/12
4/20/12
5/18/12
6/15/12 / 8/26/11
9/16/11
10/21/11
11/18/11
12/16/11
1/20/12
PG Scope
/ Leadership / Annually review Practice Group scope and discussion list description; recommend updates, if necessary. / 7/1/11 / 6/30/12
Membership Survey / Survey membership for suggested topics, projects, etc. for Practice Group and to solicit volunteers.
/ 3/12 / 3/19/12
Affinity Group (#1)
Physician/Attorney Affinity Group / Suzanne Fidler / Work on development of activities for the new Physician/Attorney Affinity Group; solicit ideas and participation. Involve group in projects beneficial to its members and the MSCPR PG. / 7/1/11 / 6/30/12 / Ongoing
Task Force (#1)
Healthcare Reform Educational Task Force / Educate AHLA members on proposed healthcare reform initiatives as well as report on ongoing experiences with recently enacted reform initiatives. A joint task force of HHS, HC Liability, In-House, MSCPR, Physicians, PPMC, RAP, and TH/AMC PGs.
/ 7/1/11 / 6/30/12
Task Force (#2)
Accountable Care Organizations Task Force / Debbe Datte / Monitor and evaluate the implementing statutes, regulations, cases, and secondary materials concerning ACOs. A joint task force of Antitrust, Fraud, HIT, HHS, HC Liability, In-House, LTC-SIR, Labor, LS, MSCPR, Physicians, PPMC, RAP, Tax, and TH/AMC PGs. / 7/1/11 / 6/30/12 / Ongoing
Special Project (#1)
Peer Review Toolkit / Tim Adelman / Title: Peer Review Toolkit (will include 50-state survey of peer review analysis). Five work groups are assigned to complete this project; most of the 50-state survey has been done.
Cosponsors: HC Liability PG / 7/09
Special Project (#2)
The Joint Commission Medical Staff Standards / Michael Callahan / Related projects include:
1) Bulletin board on MS 01.01.01.
2) Possible toolkit, member briefing, etc.
3) Explore the idea of creating a Task Force on the topic of Joint Commission MS 01.01.01 standards and core privileging.
Possible co-sponsors: HHS and Physicians PGs / 7/09
Special Project (#3)
MSCPR RSS Feeds / Brian Betner / Create a one-stop-shop RSS feed on the MSCPR homepage to include feeds from other websites outside AHLA (ie The Joint Commission, Data Bank). Brian is putting together the list of RSS feeds that should appear in this box. / 11/10
Special Project (#4)
Legal Development Committee / Michael Callahan / Create a committee of volunteers to address specific areas of MSCPR issues through email alerts, discussion lists, and in-person programs / 4/11
Special Project (#5)
Year in Review / Create a Year in Review for MSCPR issues / 10/11
Special Project (#6)
Twitter Feed / Create a twitter feed on the MSCPR page / 10/11 / 11/23/11 / 11/23/11 / Done
AHLA encourages all Practice Groups to collaborate, communicate, and cooperate with other Practice Groups. Page -1- February 15, 2012