Education and Registration Prepare to Register Step 1: Open the "At-A-Glance" for your reference while choosing sessions
Step 2: Refer to the below detail on session descriptions and speaker information
Step 3: Mark or record the sessions you’d like to attend for a registration reference
Step 4: Click on the registration button to begin your conference registration
NOTE: AHIA Members remember to have your member ID ready at registration.
Step 5: Complete online registration
Step 6: Prepare to attend the ONE national conference designed just for YOU!
NOTE: Sometimes, two 50-minute sessions fill a regular session time. This creates multiple combinations from which to choose on your registration. All combinations are presented in the registration drop down menu. Optional Pre-Conference Sessions This year, the Healthcare Internal Auditors Annual Conference offers 5 four-hour optional sessions on Sunday, September 9.
- Presentation Skills (limited to 28 participants)
- APC Auditing
- Roundtable of Internal Audit Management
- Fraud
- Internal Audit Quality Assessment
 Cancellations Cancellations received on or before August 6th, 2007 will receive a full refund, less $100 administrative charge. Substitution of a registrant is allowed anytime. Cancellations received after 8/6/2007 are not entitled to a refund. For more information regarding administrative policies or refunds, please contact 314-802-2054. Registration Changes You can change your registration at anytime by logging into your account for the Healthcare Internal Auditors conference via the registration button above.
Track A Hot Topics Although topical information is infused in sessions throughout the conference, issues and current developments in healthcare and internal auditing is the focus here. Get insights on length of stay, pro-active initiatives for vendor conflicts of interest, implementing SOX 404 and ERM. Track B Integrated Audits Offering a variety of sessions in three areas (Supply Chain, Pharmacy, and Physicians), this new track promotes our abilities to take a mult-disciplinary/integrated audit approach. With both 50 and 100 minutes sessions, this track has eleven different topics. Track C Specialties Areas Attendees at the 2006 Conference asked for more sessions on fraud, research and construction. You got it! Look for two sessions on fraud, four on research and three on construction. Track D Revenue Cycle Whether you are new to healthcare or have years of experience, this track has something for every level. There is a four-session overview of the revenue cycle, several sessions on charge capture, including the use of CAATS, and implantable devices, and more. Track E Legal and Regulatory What are the latest legal and regulatory issues? How do you evaluate the effectiveness of your compliance program? These questions will be answered in this track along with "how to" information for several compliance audits. Track F Information Technology This track has sessions for experienced IT auditors and healthcare auditors who want to build their IT skills. Look for sessions on security, data center and wireless audits, disaster recovery and application controls. Track G Skills New to healthcare or internal auditing? This is where you can learn about the regulatory environment of healthcare, communication, OIG auditing, and audit techniques for planning, work papers, and report writing. Track GS General Sessions   Track H Coding and Medical While most sessions in this track are geared to experienced coding and medical auditors, other healthcare auditors will find sessions to increase their knowledge in these areas. Track I Audit Leadership CAEs and auditors in leadership positions will get insights into improving governance, internal control, audit committee interactions, department performance and other hot internal audit management topics. Track J Bonus This track wasn't in our plan but the training was too good to leave off the table. There are 2 four-hour sessions on ACL - introductory and intermediate. And/or build your management skills in "Coaching Practices for Leaders" - 4 two-hour sessions where supervisors can learn 6 key practices for leadership success. Track PC Pre-Conference Sessions   Track: PC Pre-Conference Sessions 1 Creating Business Presentations that Work 2 APC Auditing - Sculpting Revenue Integrity 3 Roundtable on Internal Audit Management 4 Fraud: Case Studies for Healthcare Auditors 5 Internal Audit Quality Assessment: Establishing Your Quality Assessment and Improvement Program Track: GS General Sessions 1 Healthcare "State of the Union" 2 Legal Issues Every Auditor Should Know 3 When Funny Means Money: Humor as a Serious Business Strategy Track: A Hot Topics 1 Length of Stay "What a Difference a Day Makes" 2 Hot Topic in Healthcare 3 How We Did It - Implementing Sarbanes-Oxley Section 404 at MultiCare 4 Latest Issues in Healthcare Law 5 Pro-Active Initiatives for Vendor Conflicts of Interest 6 Operational Auditing - Defining New Territory 7 Adoption and Implementation of Enterprise Risk Management in Healthcare 8 Ethics - Traversing the Slippery Slope Track: B Integrated Audits 1 Supply Chain: Finding Real Dollars! 2 Supply Chain: Auditing Materials Management - The System and Inventory Connection 3.1 Supply Chain: Healthcare Supply Chain Quality Improvement 3.2 Supply Chain: Compliance Auditing and Monitoring Product Recalls 4.1 Pharmacy: Auditing Anesthesia Charting & Charge Capture 4.2 Pharmacy: Best Practice Controls for Medication Electronic Charging 5 Controlled Substances - Minimizing Temptation 6.1 Physicians: Using Data for Risk Assessment, Benchmarking, and Scorecards - A Unique Approach to Physicial Provider Audits 6.2 Physicians: Auditing the Physician Practice Revenue Cycle 7 Physicians: Walk-Through of HIPAA Privacy and IT Security Auditing 8 Physicians: Auditing Physician Compensation and Physician Contracts Track: C Specialties Areas 1 Fraud-Based Interviewing: Enhancing the Probability of Detection Through Targeted Interviews 2 Three-Step Fraud Detection: Proven Techniques to Surface Fraud Indicators 3 Research: An Effective Research Compliance Program: Trying to Keep out of Trouble 4 Research: Charging and Billing for Clinical Trials 5 Medicare Cost Report 6.1 Research: Animal Care Facility - Audit & Ethics 6.2 Collaborative Construction Auditing 7 Construction Auditing - A Practical Approach 8 Construction Contracts: Risks, Red Flags, and Overcharges Track: D Revenue Cycle 1 Internal Auditing of the Revenue Cycle 2 Charge Masters are easy; It is Charge Capture that is TOUGH! 3.1 Controlling Revenue Cycle Risks - Patient Access 3.2 Controlling Revenue Cycle Risks - CDM and Charge Capture 4.1 Controlling Revenue Cycle Risks - Health Information Management/Case Management 4.2 Controlling Revenue Cycle Risks - Patient Financial Services 5 Auditing and Improving the Charge Capture Process 6.1 Revenue Cycle Monitoring 6.2 360° of Risks for Implantable Medical Devices 7 Hindsight AR Review: Revenue Cycle Relationship to Over/Under Reserves 8 Look What the CAAT Dragged In…Thousands in Lost Charges Track: E Legal and Regulatory 1 EMTALA Compliance Audits 2 Managing and Auditing Conflicts of Interest 3 IRS Audits of Health Care Tax-Exempt Bond Issues 4 Wage & Hour Compliance 5 Regulatory Compliance - Internal Audit and Investigation 6 Compliance Program Effectiveness Reviews - Self Assessment and Peer Reviews Tools and Techniques 7 Current Hot Topics in Medicare Billing Compliance for Hospitals 8 Community Benefits - What It Is and How to Audit Track: F Information Technology 1 HIPAA Information Security Risk Asessment - Do you know where your vulnerabilities are and how to mitigate them? 2 IT Audit Concepts for the Non-IT Auditor 3.1 Evaluation of Application Controls 3.2 Implementing Continuous Auditing 4 Clinical Application Implementation Auditing 5 Performing a Wireless Audit 6 The State of Security in the Health Care Industry: Challenges and Solutions for Auditors 7 Disaster Recovery/Business Continuity Auditing 8 The Data Center Audit - The Complete Ride Track: G Skills 1 Audit Report Writing: "Seeking Experienced Writer. Some Auditing Skills Necessary." 2 Is It Just Me? Managing Difficult Interactions 3 Tying It Together - From Topics to Completed Audits 4 OIG Audits: Purpose, Process, Ways to Utilize Their Approach 5 Audit 101 - Work Paper Documentation 6 Overview of the Healthcare Regulatory Environment 7 This Won't Hurt a Bit! (And Other Fractured Truths in Healthcare) 8 Healthcare Compliance Programs and the Interface with Internal Audit Track: H Coding and Medical 1 DRG Compliance and the Focus of RAC 2 Ancillary Reimbursement Landscape Under APCs, Part I 3 Ancillary Reimbursement Landscape Under APCs, Part II 4 Auditing Today's Hospitalists 5 Clinical Documentation Programs: A Compliance Perspective 6 Hands-On Evaluation and Management Documentation Audits for Professional Services 7 PEPPER - CMS Integrity Initiative 8 Cardiac Catheterization Coding - The Basics and Beyond Track: I Audit Leadership 1 Strategic Communication Strategies 2 Challenges in Internal Audit Management 3 Ten Reasons Controls Break Down…And What Audit Leaders Should Do About It! 4 Optimizing the Value of Internal Audit to the Audit Committee and Executive Management 5 Quality Assessment - A 360° Perspective 6 Developing Leaders Through Coaching and Mentoring 7 Measuring Success: A Balanced Scorecard Approach 8 Making Corporate Governance Part of the Audit Plan Track: J Bonus 1 Top Performance Coaching A-Z Part I 2-3 Introduction to ACL 4 Top Performance Coaching A-Z Part II 5-6 Unlocking the Power of ACL 7 Part III: Mastering "Ask Don't Tell", "Reframe the Picture", and "Straight Talk" Techniques Utilized in Coaching 8 Mastering "In-the-Moment Feedback", "Partnering for Progress", and "Guided Learning" Techniques Utilized in Coaching
Sunday, September 09, 2007
Track: PC - Pre-Conference Sessions Title: Creating Business Presentations that Work Date: 9/9/2007 Time: 8:00:00 AM - 12:00:00 PM Level: All Speaker: Lisa Goren Delivering organized, succinct and compelling business presentations is a vital component to effectively communicating with others. Session participants will learn basic presentation organization, dynamic delivery techniques, tools for capturing (and keeping) the audience's attention and tips for creating clear Power Point presentations.  Specifically, participants will:
• Identify key organizational components of business presentations
• Learn techniques for properly using Power Point
• Apply delivery techniques that enhance the message
• Demonstrate the skills associated with giving successful business presentations.
Participants should come with basic Power Point skills so they can create a brief presentation and apply what they learn during the session. Back to Top
Track: PC - Pre-Conference Sessions Title: APC Auditing - Sculpting Revenue Integrity Date: 9/9/2007 Time: 8:00:00 AM - 12:00:00 PM Level: Intermediate Speaker: Andrea Clark RHIA, CCS, CPC-H Under OPPS now and in the future, the revenue environment mandates facilities to police themselves by participating and performing audits of selected outpatient claims to monitor the accuracy of HCPCS and ICD-9-CM diagnosis code assignment; complete medical record documentation; reliable claim submission and accurate payment verification.  During this interactive and hands-on session, the audience becomes the APC Compliance auditor.  We will target the following areas: understanding of claims submission under OPPS; identification of compliance risk areas and areas for increasing APC revenue recovery; break down outpatient claims into coded, paid, and corrected elements; achieving complete medical record documentation.
Take away actual examples of coded, paid and corrected claims, including ambulatory surgery, ED, and outpatient ancillary claims. Back to Top
Track: PC - Pre-Conference Sessions Title: Roundtable on Internal Audit Management Date: 9/9/2007 Time: 8:00:00 AM - 12:00:00 PM Level: Advanced Speaker: Joyce Lang CPA, CIA This session provides the opportunity for internal auditors with experience in department management to share information with their peers and develop best practices.  Participants, grouped by internal audit department size, will discuss topics such as risk assessment and annual planning processes, department performance measures, training programs, audit committee reporting, best audits last year, next year’s audit plan.  Highlights of group discussions will be captured and shared with the larger audience.  Those registered for the session by July 31 will be surveyed to develop the topics for group discussion and to make group assignments. Back to Top
Track: PC - Pre-Conference Sessions Title: Internal Audit Quality Assessment: Establishing Your Quality Assessment and Improvement Program Date: 9/9/2007 Time: 1:00:00 PM - 5:00:00 PM Level: Intermediate Speaker: Ronald Ridel CISA, MBA The quality assessment seminar presents today’s concepts of quality internal auditing, an overview of the Standards and emerging audit roles, and background information and methodology for self-assessments, independent validation, and external assessments.  There will be practical information on the quality assessment process including: key decisions - timing, scope, and team; analyzing the implementation of the Standards; documenting results of the review; reporting the results - who, how, formats, use of results; follow-up reviews; and assembling your QA toolkit. Take-away a checklist for self-assessment with independent validation. Back to Top
Track: PC - Pre-Conference Sessions Title: Fraud: Case Studies for Healthcare Auditors Date: 9/9/2007 Time: 1:00:00 PM - 5:00:00 PM Level: Intermediate Speaker: John Hall CPA
This highly interactive working session will take participants through fraud cases from suspicion, to discovery, to resolution.  Audit planning addressing fraud risks will be stressed.  All should come prepared to brainstorm, share thoughts, and develop action plans for implementation in their own organizations.  Three cases will be discussed, with emphasis placed on health care fraud exposures.  
Take –away a specific fraud risk brainstorming process that can be applied on every audit project; suggestions to help organizations prevent, detect and handle fraud; and information on the specific mistakes to be avoided in pursuing misconduct and fraud suspicions.
 Back to Top
Monday, September 10, 2007
Track: A - Hot Topics Title: Length of Stay "What a Difference a Day Makes" Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Advanced Speaker: Debbie Mendel CIA, CPA Jim Wilson CIA Does your Hospital effectively leverage the role of the case management function to control and manage “Length of Stay” (LOS). Avoidable hospital days jeopardize both clinical outcomes and financial stability, reducing the Hospital’s ability to provide optimal services. Every unnecessary day a Medicare patient spends in your Hospital can cost $500 to $1000 and eliminate any potential profit margin. This session provides a case study of an integrated audit program that included the extensive use of ACL data analysis, active participation in clinical rounds, and the comprehensive assessment of the current work processes, tools and reporting systems within the case management function. Topics of discussion will include: Common causes for unnecessary hospital days.
- Using data, rather than anecdotal incidents to document opportunities to improve internal and external processes.
- Identifying patient flow breakdown.
- Tips to the auditor on how to survive your venture into the clinical side of healthcare.
- Clinical protocols and the importance of getting physician buy-in to manage length of stay.
- Step by step walk-through of the audit process.
Take-away tools – Spotlight report to measure and report key LOS control points, illustrated strategy to monitor and control hospital length of stay, detail observation and action plan matrix. Back to Top
Track: A - Hot Topics Title: Hot Topic in Healthcare Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: All Speaker: William Allen MD, FACP, MHSA The Advisory Board will present an in-depth report on a current healthcare issue. The specific topic will be determined before the Conference. Back to Top
Track: A - Hot Topics Title: How We Did It - Implementing Sarbanes-Oxley Section 404 at MultiCare Date: 9/10/2007 Time: 3:10:00 PM - 4:50:00 PM Level: Intermediate Speaker: J Epperson MBA, CIA, CFE Karen Story This session, on implementing Sarbanes-Oxley (SOX) at a not-for-profit healthcare system, is for the auditor with an existing understanding of SOX and internal controls. We will focus on MultiCare Health System’s Sarbanes-Oxley implementation; from board presentation and approval, to selection of outside consultants, inventorying, documenting and testing controls in a SOX environment and education of control process owners. Lessons learned from MultiCare’s experience, take away documentation templates as well as organization and resource management strategies will be provided.
Take-away tools – practical tools to facilitate implementation:
•Financial statement risk analysis (A red, green, yellow Stoplight approach to identifying risk)
•Entity, process, transaction flowchart and process narrative
•Risk and control matrix (RACM)
•Test plans
•Ideas for management presentations and consultant selection Back to Top
Track: B - Integrated Audits Title: Supply Chain: Finding Real Dollars! Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Advanced Speaker: Brian Mikel This session will provide an overview of the relationship between hospitals, manufactures, distributors, group purchasing organizations, and the impact on supply contracts/costs. Because of the complex relationships between these groups, it is difficult for hospitals to know and/or identify improper pricing structures. Armed with an understanding of the basic supply chain concepts and audit techniques, experienced auditors will gain the insight and tools necessary to help identify real dollars left on the table throughout the hospital’s supply chain. Take-away tools – checklists, questionnaires and audit program steps Back to Top
Track: B - Integrated Audits Title: Supply Chain: Auditing Materials Management - The System and Inventory Connection Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Intermediate Speaker: Karen Kemp Cannan This session is for the auditor with a basic understanding of internal controls and issues surrounding inventory for a hospital or other entity that has many fast moving items of small quantities. Presentation will describe how multiple systems feed information to one another and how these systems interact with inventory and ordering. There will be a focus on data - the ability to retrieve, analyze and determine what it means; alternate ways to obtain data when normal methods are not available. Learn more about the effect of inventory issues on a hospital’s operating room. At the end of the session, lessons learned and real life experiences will be shared. Back to Top
Track: B - Integrated Audits Title: Supply Chain: Healthcare Supply Chain Quality Improvement Date: 9/10/2007 Time: 3:10:00 PM - 4:00:00 PM Level: Intermediate Speaker: Denyce Campo C.P.M. The session objective is to expose hospitals and health care systems to new methods that will improve patient care as well as patient and employee safety.  These methods can lower the initial cost of supplies and equipment and will certainly result in a lower cost of ownership. Although many of the concepts are new to healthcare, they have been an essential and integral part of supply chain management in the high technology sector for decades. By using these techniques, a healthcare system has reduced costs, increased supply chain accountability and created a collaborative synergistic approach to working with clinical staff in the evaluation, selection and management of its supply chain partners.  Participants will learn how to proactively assess the quality/value of products and suppliers and to determine the cost of poor quality, and be exposed to new product and supplier evaluation tools. Back to Top
Track: B - Integrated Audits Title: Supply Chain: Compliance Auditing and Monitoring Product Recalls Date: 9/10/2007 Time: 4:05:00 PM - 4:55:00 PM Level: Basic Speaker: Debi Weatherford CIA This session will address the application of the Seven Component Framework for Compliance Auditing and Monitoring to Product Recalls.  We will focus on understanding the findings and outcomes from the case study example.
Take-away tools – Audit program, sample policy, monitoring tools, internal control questionnaire. Back to Top
Track: C - Specialties Areas Title: Fraud-Based Interviewing: Enhancing the Probability of Detection Through Targeted Interviews Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Advanced Speaker: John Hall CPA This program presents practical ideas for conducting interviews targeted at surfacing information the interviewee is uncomfortable revealing to the auditor.  A fraud-based interview often comes after the auditor has identified problems and needs to clarify the root cause and quantify the impact.  Participants will receive tips on getting to the real cause of control weaknesses and failures, and may also surface previously unknown wrongdoing and fraud.

While this program is not intended to be a comprehensive guide to in-depth forensic interviewing, it can help auditors conduct more effective discussions with auditees, managers and others when suspicions become aroused.  Such conversations may point to hidden problems, indicate where more investigation is warranted, and possibly uncover deception.

Take-away practical tips on planning, executing and summarizing interviews; examples of behavior signs demonstrated when people are uncomfortable with an answer given to an auditor; and suggestions on follow up questions to ask when signs of deception are present. Back to Top
Track: C - Specialties Areas Title: Three-Step Fraud Detection: Proven Techniques to Surface Fraud Indicators Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Advanced Speaker: John Hall CPA Auditors have often debated the difficulty of finding fraud.  But is it really that hard to do?  This session will cover the three steps involved in discovery, and best practices for full implementation of those steps on every project.
Topics covered include:
• Think like a thief: developing a fraud risk profile for audit engagements
• Discovery based audit procedures: using attribute testing, fraud-based inquiries and monitoring to surface fraud symptoms
• Determining cause: following through to determine the real cause of fraud indicators surfaced
Take-away examples of what can go wrong, four pages of fraud symptoms and indicators, and a three-step game plan for implementation on the job. Back to Top
Track: C - Specialties Areas Title: Research: An Effective Research Compliance Program: Trying to Keep out of Trouble Date: 9/10/2007 Time: 3:10:00 PM - 4:50:00 PM Level: Intermediate Speaker: Debbi Gilad J.D. This session is to introduce the concepts of an effective research compliance program, as recommended by the federal government and to discuss “hot” issues involving research compliance.  Key research compliance regulations including OMB Circular A-21 (Cost Principles for Educational Institutions), research misconduct, and conflict of interest regulations and federal guidelines will be discussed.  Examples of institutions that made the headlines for research non-compliance will be shared to provide an understanding of what can go wrong.  These are also useful tools in gaining support for a research compliance program.

A risk assessment process will be presented that ranks the risks and establishes an action and strategy plan for minimizing those risks.  An active monitoring program also reduces risks.  The monitoring program of University of Pennsylvania’s School of Medicine will be shared.

Take-away tools – Risk Assessment Grid, checklist for departmental auditing Back to Top
Track: D - Revenue Cycle Title: Internal Auditing of the Revenue Cycle Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Intermediate Speaker: Day Egusquiza All aspects of auditing in the revenue cycle - department head auditing a clean claim, Patient Access auditing integrity of the registration data, internal auditing of charge capture and HIM, Patient Financial Services auditing MSP, 72 hour, rejected claims and denials – are part of this dynamic, operational class.  The primary focus of the internal audit process is to identify what is broken in each step of the revenue cycle and then work aggressively to prevent repeat problems.  “Policing” is not the end result – identifying the owner and creating an “ownership” of the process is the success of an internal auditing program.  Focus on “one touch = quality = increased productivity = better management of cash–o-la.”
Take-away a revenue cycle flowchart. Back to Top
Track: D - Revenue Cycle Title: Charge Masters are easy; It is Charge Capture that is TOUGH! Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Intermediate Speaker: Day Egusquiza CDMs may have all the right codes and charges, but they aren’t getting used.  How knowledgeable are your department heads of what should be billed for what services?  Is your facility “thinking outside the traditional box” to explore ways to get the correct charges on the bill?  This dynamic class identifies numerous new manual and electronic approaches to charge capture – including department specific monthly charge/chart/audits, UB-92 itemized reviews, coder/charge capture analyst pods, computer ‘rejects’ when combinations are not present, and simply interviewing all employees responsible for charge entry.  Daily auditing as well as ongoing education are some of the keys to individual department ownership. Back to Top
Track: D - Revenue Cycle Title: Controlling Revenue Cycle Risks - Patient Access Date: 9/10/2007 Time: 3:10:00 PM - 4:00:00 PM Level: All Speaker: Scot Murphy This is one of a series of four courses that will examine the revenue cycle from an internal auditor’s perspective. This portion will cover the patient access function of the revenue cycle flow, with emphasis on potential risks and internal controls. Even though this session is geared toward the experienced auditor new to healthcare, it will benefit anyone seeking a high level perspective of the revenue cycle and the key risks and controls that every healthcare auditor should know. After this session, the participant will have a basic understanding of the patient access function as it relates to the revenue cycle and be better able to converse with many levels of hospital management.
Take away a risk and control matrix. Back to Top
Track: D - Revenue Cycle Title: Controlling Revenue Cycle Risks - CDM and Charge Capture Date: 9/10/2007 Time: 3:10:00 PM - 4:50:00 PM Level: All Speaker: Suzann Hall Terri Tierney This is one of a series of four courses that will examine the revenue cycle from an internal auditor’s perspective. This portion will cover the charge description master and charge capture functions of the revenue cycle flow, with emphasis on potential risks and internal controls. Enen though this session is geared toward the experienced auditor new to healthcare, it will benefit anyone seeking a high level perspective of the revenue cycle and the key risks and controls that every healthcare auditor should know. After this session, the participant will have a basic understanding of the CDM and charge capture functions as they relate to the revenue cycle and be able to converse with many levels of hospital management.
Take away a risk and control matrix. Back to Top
Track: E - Legal and Regulatory Title: EMTALA Compliance Audits Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Intermediate Speaker: Tina Smith This session will also focus on the most recent regulatory requirements for the Emergency Medical Treatment and Active Labor Act (EMTALA), and will include an overview of the Act itself and the internal controls needed to ensure compliance with the Act. Specific topics that will be covered include the Emergency Department registration process, EMTALA education, medical screening examinations, physician on-call lists, central log requirements, and appropriate patient transfer procedures. Participants can expect to have a better understanding of EMTALA, as well as the tools to perform an EMTALA audit at their facility. Back to Top
Track: E - Legal and Regulatory Title: Managing and Auditing Conflicts of Interest Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Intermediate Speaker: Christopher Gingras This session is on enhancing an existing Conflict of Interest (COI) disclosure process.  This session provides a case study of the efforts of a large academic medical center to consolidate disclosures made by board members, management, researchers, faculty providing continuing education and physicians into one process utilizing technology.  This session will also discuss effective COI question design, updates to COI policies, employee education, integrating COI disclosure into the new hire process and a variety of other lessons learned from completely reengineering the conflict disclosure process. Back to Top
Track: E - Legal and Regulatory Title: IRS Audits of Health Care Tax-Exempt Bond Issues Date: 9/10/2007 Time: 3:10:00 PM - 4:45:00 PM Level: Intermediate Speaker: Margaret Purcell Daniel Bacastow Kendall Schnurpel We will review the process necessary to comply with an audit by the IRS of a tax-exempt bond issue.  We will discuss the points raised by an IRS IDR, and the documentation required for compliance, including record retention requirements, and penalty options for non-compliance.  We will do this through a role play on the part of the panel, with one panelist playing the role of a client, and interacting with her bond counsel, and tax consultant. Back to Top
Track: F - Information Technology Title: HIPAA Information Security Risk Asessment - Do you know where your vulnerabilities are and how to mitigate them? Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Intermediate Speaker: Alex Branisteanu Glen Mueller Part I of this session will provide an understanding of Information Security Architecture components, the HIPAA Information Security Regulations, and how to plan and conduct an annual HIPAA Information Security risk assessment and report the results to the Compliance Committee and the Board. Part II will provide an overview of leading tools and techniques deployed by the Information Security function to safeguard networks, computing resources, applications, and data. The ten security vulnerabilities least understood by senior management will be presented. Safeguards to be discussed will include border and modem firewalls; intrusion detection; email and internet content filtering tools; encryption of data ‘at rest’ and ‘in transit;’ automated operating system patching; and system log consolidation, correlation, and management. Take away a checklist review tool containing the 19 categories and 43 HIPAA regulation standards. Back to Top
Track: F - Information Technology Title: IT Audit Concepts for the Non-IT Auditor Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Basic Speaker: Janice Brotherton This course is intended to provide an overview of IT audit concepts for financial and operational auditors.  Goals will be to present a basic, non-technical description of IT risks and IT audit control objectives, and to describe the objectives and approach for various types of IT audits such as General Controls Reviews, Application audits, Pre- and Post-Implementation audits, and Systems Development reviews.  The course will also explain integrated audit concepts and will outline some alternative approaches to performing an integrated audit.   Finally, the course will highlight some similarities and differences between IT and non-IT audits in terms of audit planning, testing, and conduct. Back to Top
Track: F - Information Technology Title: Evaluation of Application Controls Date: 9/10/2007 Time: 3:10:00 PM - 4:00:00 PM Level: Basic Speaker: Darren Jones An application control is system functionality implemented to ensure the completeness, accuracy, and validity of data within an application. This session will explore concepts related to the evaluation of application controls, including security and logical segregation of duties, validation of data input, application processing and management reports. Additionally, we will discuss how to incorporate compensating controls into your assessment when an application control is found to be ineffective. Back to Top
Track: F - Information Technology Title: Implementing Continuous Auditing Date: 9/10/2007 Time: 4:05:00 PM - 4:55:00 PM Level: Basic Speaker: Beth Schindler This session will cover one health system’s implementation of a continuous auditing strategy. We will highlight the benefits of incorporating automation into internal audit activities as well as the hurdles you will encounter. Participants will learn how continuous auditing can improve audit department effectiveness and support audit plan completion; key elements for the strategic implementation of continuous auditing; and explore some practical data-mining examples in areas of patient refunds and network activity access log monitoring. Back to Top
Track: G - Skills Title: Audit Report Writing: "Seeking Experienced Writer. Some Auditing Skills Necessary." Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Basic Speaker: Steve Bowman Karen Percent CPA, CIA In this lively session, participants will learn proven methods for writing meaningful audit issues/observations for audit reports. They will be guided through the construction of audit observations using identification of condition, criteria, cause, effect, and recommendations. They will also get an entertaining refresher on how to tune up their audit reports with sound writing mechanics, such as concise sentence structure, unbiased language, and effective writing tone. Back to Top
Track: G - Skills Title: Is It Just Me? Managing Difficult Interactions Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: All Speaker: Lisa Goren Professional relationships can be difficult to manage because individuals bring diverse approaches and perspectives to the work environment. This session will help participants decrease the frustration of dealing with difficult people by gaining insight into interpersonal styles and behavioral motivations. You will learn not only techniques for effectively managing difficult interactions, but also techniques for fostering constructive interactions and creating positive outcomes.  This session will help you identify the internal and external barriers that contribute to difficult interactions, increase awareness of the values and interests that drive behavior, and assess the costs and benefits of interpersonal interactions. Back to Top
Track: G - Skills Title: Tying It Together - From Topics to Completed Audits Date: 9/10/2007 Time: 3:10:00 PM - 4:50:00 PM Level: Basic Speaker: Eric Lemen CPA, CIA, CCSA Your annual planning/risk assessment process has identified an audit area or topic, there are no previous work papers or existing audit program for you to follow, and you don't know much about that area. How do you take it from nothing to a completed audit? The answer is that you:
• Perform a process level risk analysis and control evaluation
• Test the adequacy and effectiveness of the controls identified in that evaluation.
This is your audit program.  If you are not a seasoned auditor, you are probably asking, ”How do I go about doing this?” One answer is the methodology that will be shared in this session.  If this is a new concept, we expect you to raise lots of questions and "what ifs".  If you've tried something similar, we hope you will share your experiences. Back to Top
Track: GS - General Sessions Title: Healthcare "State of the Union" Date: 9/10/2007 Time: 8:15:00 AM - 9:55:00 AM Level: All Speaker: William Allen MD, FACP, MHSA The Advisory Board will deliver a report on one of the strategic issues in healthcare. The presentation will be developed from the results of recent research. The specific topic will be determined before the Conference. Back to Top
Track: H - Coding and Medical Title: DRG Compliance and the Focus of RAC Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: All Speaker: Gloryanne Bryant RHIA, RHIT, CCS This session will cover the basics of Recovery Audit Contractors (RAC) initiative including definition and project overview. Specific details about the inpatient DRG audit process and findings will also be shared, as well as that for Acute Rehab and outpatient areas being targeted by RAC.  The audience will learn of specific coding issues and lessons learned.  Receive information on proactive steps and actions to take to improve coding, charging and other aspects of healthcare compliance. Back to Top
Track: H - Coding and Medical Title: Ancillary Reimbursement Landscape Under APCs, Part I Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Advanced Speaker: Andrea Clark RHIA, CCS, CPC-H In this two-part session, we will examine the most common procedures performed in the ancillary setting coupled with APC reimbursement for 2007 and examine specific trouble spots, including cardiology, oncology, infusion therapy, wound care, pain management, and provider-based clinics.  You will leave with an understanding of APC reimbursement for ancillary encounters, pinpoint UB-92 claim submission risks, identify modifier reporting and CCI edit issues, and participate in hands-on examples along with crucial tips. Back to Top
Track: H - Coding and Medical Title: Ancillary Reimbursement Landscape Under APCs, Part II Date: 9/10/2007 Time: 3:10:00 PM - 4:50:00 PM Level: Advanced Speaker: Andrea Clark RHIA, CCS, CPC-H   Back to Top
Track: I - Audit Leadership Title: Strategic Communication Strategies Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: All Speaker: Lisa Goren A dynamic and fast-paced environment requires constant and clear communication with staff and clients. Effective communication is complicated by audience size, organizational complexities and available communication channels. Participants will learn how to manage obstacles and create sound strategies in an effort to communicate clearly with everyone impacted by a change.  This includes identifying the type of information warranting a communication plan; determining the appropriate communication channels based on the message and the audience; formulating messages that are succinct and clear; and creating a communication plan.
Take-away templates for a communication plan and a communication strategy. Back to Top
Track: I - Audit Leadership Title: Challenges in Internal Audit Management Date: 9/10/2007 Time: 1:10:00 PM - 2:50:00 PM Level: All Speaker: Sara O'Brien CPA Debbie Radke CPA Bob Kinsman CPA, CIA Debi Weatherford CIA The challenges in internal audit management are numerous.  This panel will focus on the following elements:
•Building an Effective Internal Audit Function
•Team Building and Productivity
•Increasing Audit Department Efficiency
•Annual Planning
•Communicating with Leadership and the Audit Committee
The panel members, Sara O’Brien, Debbie Radke, and Bob Kinsman, will provide samples of tools used and reporting formats. Back to Top
Track: I - Audit Leadership Title: Ten Reasons Controls Break Down…And What Audit Leaders Should Do About It! Date: 9/10/2007 Time: 3:10:00 PM - 4:50:00 PM Level: Intermediate Speaker: John Hall CPA Problems occur and can remain undetected for long periods of time -- even in organizations where the public accountants, internal auditors, examiners and executives have described controls as effective. And when the hidden problem involves fraud or other misconduct, the offending party can actually use the controls to mask their scheme.  This session will describe the real reasons controls fail, and specific examples and suggestions auditors, managers and key control employees can use to reduce future problems, including fraud.

Take-away ten examples of why controls fail, an action plan for addressing each of the identified problems and ideas on selling the behavior change necessary to really fixing weaknesses. Back to Top
Track: J - Bonus Title: Top Performance Coaching A-Z Part I Date: 9/10/2007 Time: 10:15:00 AM - 11:55:00 AM Level: Intermediate Speaker: Marsha Dupuis Ph. D. Topics to be covered include: Definition of Coaching, types of coaching, determining coachability, the role of confidentiality in coaching, the Behavior Change Model, the Coaching Model, outcomes you can expect from top performance coaching. Back to Top
Track: J - Bonus Title: Introduction to ACL Date: 9/10/2007 Time: 1:10:00 PM - 4:50:00 PM Level: Basic Speaker: Kathy Kennedy Gwynn Douglas Don Sheffield This course will provide you with an overview of the major features of ACL for Windows.
By using a combination of instructor led explanations and demonstrations, you will gain knowledge of ACL for Windows and its application to auditing.  The objectives for this session are:  
-Basic ACL concepts and how the software is used
-How to define and setup data in ACL
-How to manipulate data using various ACL commands
Take away an ‘Introduction to ACL’ training manual (includes class exercises that can be repeated to reinforce the skills learned) and related training files. Back to Top
Tuesday, September 11, 2007
Track: A - Hot Topics Title: Latest Issues in Healthcare Law Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: All Speaker: Keith Barber Recent developments in healthcare law to include important developments in the False Claims Act and DRA implementation (a new law requiring hospitals to have policies to inform employees of their rights and ability to bring False Claims Act qui tam actions against healthcare providers under state law).  Other timely government fraud initiatives and tax issues specific to healthcare will be discussed. Back to Top
Track: A - Hot Topics Title: Pro-Active Initiatives for Vendor Conflicts of Interest Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Intermediate Speaker: Bret Bissey FACHE, MBA, CMPE With the recent Pharmaceutical investigations and settlements and the Office of Inspector General’s expanded attention in this area via the Model Compliance Guidance for Pharmaceutical Manufacturers, many health care organizations are very concerned that if their physicians are involved in “inducement” activities with vendors that they could be “caught in an investigative net.”  This session is focused at compliance and audit professionals to offer some approaches to develop pro-active initiatives to (1) identify (2) correct and (3) monitor behaviors which might be potentially risky between the provider and the vendor.
Take-away a sample conflict of interest disclosure statement. Back to Top
Track: A - Hot Topics Title: Operational Auditing - Defining New Territory Date: 9/11/2007 Time: 3:05:00 PM - 4:45:00 PM Level: Advanced Speaker: Dan Clayton CPA This session will offer experienced auditors insight in making their audits more meaningful to management through re-evaluation of the historical approach to operational auditing. New management tools like Enterprise Risk Management continue to illustrate that internal control flows from the top down, however traditional audit programs still often jump right into the detailed transactions level. What opportunities are missed and how do we capture them by enhancing and formalizing our operational auditing processes? Potential answers to this question and the impact of an overall changing internal audit environment will be the main topics of this session.  The presentation will include a summary of key operational auditing elements and use a case study to demonstrate one unique approach to an operational audit. Back to Top
Track: B - Integrated Audits Title: Pharmacy: Auditing Anesthesia Charting & Charge Capture Date: 9/11/2007 Time: 10:05:00 AM - 10:55:00 AM Level: Basic Speaker: Jennifer Agee This is a basic session introducing the significant risk areas associated with anesthesia charting and charging.  The discussion addresses manual and semi-manual processes including typical anesthesia drug distribution systems and physical storage controls.  Topics to be covered include common:
-Control objectives
-Risks
-Control procedures
-Findings
-Recommendations
Take-away tools – Samples of Anesthesia and Surgery Charge Capture procedures, an Anesthesia audit data collection template, and an audit Risk and Control Grid. Back to Top
Track: B - Integrated Audits Title: Pharmacy: Best Practice Controls for Medication Electronic Charging Date: 9/11/2007 Time: 11:00:00 AM - 11:50:00 AM Level: Advanced Speaker: Jennifer Agee This seminar will provide practical information and tools for a complex topic.  A substantial medication overcharging and repayment situation led to the development of the best practices that will be presented.  The discussion will overview systemic risks and controls in the computerized charging environments and will highlight staffing and resource availability, user department participation in pharmacy information system implementations and change management, the medication delivery system charging points, and the need for customized editors and scrubbers to automate Medicare billing requirements.  Included in this discussion are:
§ Drug compendium/formulary controls
§ Medicare record setup and reimbursement controls
§ 100% data analysis
§ Exception reporting / root cause analysis
§ Charge and inventory reconciliations
Take-away tools – Flowchart of the compendium record build process, checklist (list of references and fields that affect medication charging, and Medicare billing editor/scrubber models. Back to Top
Track: B - Integrated Audits Title: Controlled Substances - Minimizing Temptation Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Basic Speaker: John Logan This session is for the auditor who has not performed a general pharmacy or controlled substances audit and is not familiar with the various automated control systems (e.g., Pyxis, CII Safe) available today to secure and monitor controlled substances from receipt in the Pharmacy to administration to the patient.  A basic review of how automated dispensing machines (“ADMs”) work will be presented, including the inherent controls of these systems; Pyxis and CII Safe will be used as examples.  The focus of the session will be the controls required by law and expected in the controlled substances processes - ordering and receiving in the pharmacy; storage in the pharmacy; dispensing to patient care units; storage within the units; dispensing to patients within the units; and disposal of unused and expired controlled substances by the pharmacy and the various units.  
imply these are the best or only systems available.

Take-away definitions of the five types of controlled substances, pertinent DEA regulations regarding controlled substances in a hospital setting, and a controlled substances audit program. Back to Top
Track: B - Integrated Audits Title: Physicians: Using Data for Risk Assessment, Benchmarking, and Scorecards - A Unique Approach to Physicial Provider Audits Date: 9/11/2007 Time: 3:05:00 PM - 3:55:00 PM Level: Basic Speaker: Andrei Costantino This session deals with using external (CMS) and internal (provider) data to perform a risk assessment in order to determine which physician providers to audit as well as to determine the sampling design.  The session will also review the development of  benchmarking and scorecard tools to assist the compliance audit team in developing future audits as well as specific follow-up audits.  Examples of scorecards and benchmarking for physicians using actual data will be presented and the use of this data to help make important auditing decisions will be discussed.
Take-away tools – Scorecards (physician, outpatient, and inpatient), risk assessment plans, benchmarking tools. Back to Top
Track: B - Integrated Audits Title: Physicians: Auditing the Physician Practice Revenue Cycle Date: 9/11/2007 Time: 4:00:00 PM - 4:50:00 PM Level: Intermediate Speaker: Rob Grooms This session will cover the approach for auditing physician practices that are part of an integrated delivery system. We will describe methods for measuring practices against internal and external benchmarks. We will review key revenue cycle performance metrics. Participants will learn how these metrics can be used to identify root causes for revenue cycle control deficiencies. We will highlight the differences between hospital-based specialties and clinic-based specialties and the effects of those differences on the revenue cycle. Take-away tools – Revenue cycle audit programs for hospital-based and clinic-based physician practices, benchmarks for physician practices. Back to Top
Track: C - Specialties Areas Title: Research: Charging and Billing for Clinical Trials Date: 9/11/2007 Time: 10:00:00 AM - 11:45:00 AM Level: Intermediate Speaker: Mary O'Neill This session will provide an overview of the two ways in which Medicare covers clinical trials with a brief discussion of billing for other payers.  Specific information about the regulatory requirements for charging and billing under each type of coverage will be reviewed and the challenges of making all of this work operationally will be discussed.  Some ideas for auditing or monitoring will also be presented.
Take-away tools – Checklist for auditing or internal monitorin. Back to Top
Track: C - Specialties Areas Title: Medicare Cost Report Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Advanced Speaker: Mark Pugh Despite the continued trend toward prospective payment for most hospital services, Medicare Cost Report compliance still thrives. This session will focus on high risk compliance issues related to the Medicare Cost Report and how internal audit can assist in the filing of a compliant Medicare Cost Report. Areas to be discussed include Disproportionate Share Hospital payments, Graduate Medical Education, Medicare bad debts, outlier payments, wage index, and Critical Access Hospital reimbursement. Current government initiatives regarding Medicare Cost Report audits will also be discussed. Attendees will also receive Strategic Reimbursements’ Medicare Cost Report Compliance Checklist, which can assist in the filing of a compliant Medicare Cost Report. Back to Top
Track: C - Specialties Areas Title: Research: Animal Care Facility - Audit & Ethics Date: 9/11/2007 Time: 3:05:00 PM - 3:55:00 PM Level: Basic Speaker: Kim Maronski CPA This audit will be introduced through an overview of the key concepts in undertaking Federal research involving animals.  Differing views on the ethics of animal care in an academic hospital setting will be discussed.  An actual examination of an animal care facility by Internal Audit – the approach, results, and follow-up – will be presented.  Examples of policies, responsibilities, workpapers, and audit reports will be used to demonstrate the audit. Back to Top
Track: C - Specialties Areas Title: Collaborative Construction Auditing Date: 9/11/2007 Time: 4:00:00 PM - 4:50:00 PM Level: Intermediate Speaker: Mary Smalle Gregg Anshus In our new healthcare environment, shrinking reimbursements and higher operational cost has created constraints in available capital. Unlike the “go it alone days” Healthcare is experiencing a boom in collaborative construction projects. Auditing these capital projects is challenging and requires a collaborative team.  Our presentation will focus on the special needs, skills and collaborations required to audit a collaborative construction project.
Take-away process flows and programs. Back to Top
Track: D - Revenue Cycle Title: Controlling Revenue Cycle Risks - Health Information Management/Case Management Date: 9/11/2007 Time: 10:05:00 AM - 10:55:00 AM Level: All Speaker: Tedi Lojewski This is one of a series of four courses that will examine the revenue cycle from an internal auditor's perspective. This portion will cover the health information management and case management functions of the revenue cycle flow, with emphasis on potential risks and internal controls. Even though this session is geared toward the experienced auditor new to healthcare, it will benefit anyone seeking a high-level perspective of the revenue cycle and the key risks and controls that every healthcare auditor should know. After this session, the participant will have a basic understanding of the health information management and case management functions as they relate to the revenue cycle and be better able to converse with many levels of hospital management. Take-away a risk and control matrix. Back to Top
Track: D - Revenue Cycle Title: Controlling Revenue Cycle Risks - Patient Financial Services Date: 9/11/2007 Time: 11:00:00 AM - 11:50:00 AM Level: All Speaker: Randy Patton Judy Martin This is one of a series of four courses which will examine the revenue cycle from an internal auditor’s perspective. This portion will cover the patient financial services function of the revenue cycle flow, with emphasis on potential risks and internal controls. Even though this session is geared toward the experienced auditor new to healthcare, it will benefit anyone seeking a high level perspective of the revenue cycle and the key risks and controls that every healthcare auditor should know. After this session, the participant will have a basic understanding of the patient financial services function as it relates to the revenue cycle and be able to converse with many levels of hospital management. Take away a risk and control matrix. Back to Top
Track: D - Revenue Cycle Title: Auditing and Improving the Charge Capture Process Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Basic Speaker: Richard Williams Don Billingsley In all industries, financial success is dependent upon accurately charging clients and customers for the services they have received.  In the healthcare industry, “charge capture” is the documentation, posting, and reconciliation of charges for services rendered.  Although this seems to be a straightforward and basic business process, there are many challenges to successfully capturing and processing this information and failures in the charge capture process jeopardize revenues, customer satisfaction, and regulatory compliance.  
This session will focus on charge capture improvement efforts and provide a risk-based approach for successfully understanding, assessing, and improving charge capture processes in healthcare organizations.  Primary goals of this session include:
• Obtain a basic understanding of the charge capture process and address the necessity for conducting a charge capture audit.
• Provide a basic control framework as a baseline for identifying risks, developing controls and enhancing key charge capture processes.
• Discuss a strategic approach for conducting a successful charge capture audit that will enable one to gain a thorough understanding of key charge capture processes, facilitate the understanding of key business processes and controls, and effectively communicate key findings and recommendations with process owners and executive management.

Take-away tools - Sample work program for conducting a charge capture review Back to Top
Track: D - Revenue Cycle Title: Revenue Cycle Monitoring Date: 9/11/2007 Time: 3:05:00 PM - 3:55:00 PM Level: Intermediate Speaker: Kenneth Hopkins The session summarizes an audit performed to increase managers’ awareness of the revenue cycle and the importance of capturing appropriate revenues and monitoring to prevent lost revenues or compliance problems. Topics to be covered include: Interviews with managers, charge methods, benchmarks, daily and monthly monitoring, charge procedures memos, importance of accurate charges to compliance, manager training on the revenue cycle and revenue cycle management policy, conclusions and benefits of the program. Back to Top
Track: D - Revenue Cycle Title: 360° of Risks for Implantable Medical Devices Date: 9/11/2007 Time: 3:55:00 PM - 4:45:00 PM Level: Advanced Speaker: Christy Decker CPA, CIA Daniel Ellis CPA This session will review the significant risks and opportunities that exist in this high dollar area across the materials management and revenue cycle processes.  Issues include prevention of revenue leakage, reduction of costs, strengthening inventory management, and improving regulatory compliance.  Presentation will focus on synergistic strategies and audit tactics.
Take-away a strategic and tactical outline for the project approach and execution, and a sample of interview and walk-through questions. Back to Top
Track: E - Legal and Regulatory Title: Wage & Hour Compliance Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Basic Speaker: Gregory Moore This session will focus on wage and hour compliance.  We will discuss the factors that are leading to increased scrutiny in the area; identify payroll practices ripe for internal audit; discuss appropriate audit tools as well as acceptable outcomes.  Attendees will learn how to develop a Self Audit that ensures compliance with Wage and Hour Statutes, how to avoid pitfalls that result in Back Pay Liability and will develop an understanding of the hot areas which are catching the attention of the Department of Labor and Plaintiffs Attorneys.
Take-away tools – Outline titled “An Overview of the Fair Labor Standards Act for Health Care Managers” and a sample Wage & Hour Audit tool. Back to Top
Track: E - Legal and Regulatory Title: Regulatory Compliance - Internal Audit and Investigation Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Intermediate Speaker: David Robbins Lori Laubach An employee has reported a concern, how does internal audit design a review of the issue? You have found out that an outside agency has requested a few records to review. Often internal audit will be asked to provide support to the compliance department on the investigation. What are the legal implications and how do I handle the investigation with the understanding that this may need to be privileged? Based upon our numerous engagements, we will discuss the steps of the audit work plan, including sampling techniques, supporting records, reporting to regulatory agencies, and corrective action plans. Back to Top
Track: E - Legal and Regulatory Title: Compliance Program Effectiveness Reviews - Self Assessment and Peer Reviews Tools and Techniques Date: 9/11/2007 Time: 3:05:00 PM - 4:45:00 PM Level: Intermediate Speaker: Robert Michalski Jan Coughlin CHC, CPC, MT(ASCP)SI The January 2005 Office of Inspector General Supplemental Compliance Program Guidance for Hospitals recommended that hospitals should regularly review the implementation and execution of their compliance program elements. In January 2003, the Health Care Compliance Association published a guide for “Evaluating and Improving a Compliance Program”. Several other articles and presentations have been given suggesting the importance of evaluating compliance program effectiveness and the Centers for Medicare and Medicaid Services is still in the midst of a national compliance effectiveness pilot project. This session will review two options for assessment of your compliance program:
1) a self-assessment tool and process developed by one health system using a variety of these resources and their review to identify compliance program improvement opportunities
2) a peer review process and tools developed by another health care system.
The general results and deliverables for each type of review will be shared with attendees, as well as the tools that were developed and lessons learned from the process for future revisions and improvements. Attendees will learn how these types of compliance program assessments can be done cost efficiently at their organizations using these approaches as models. Time for group discussion of this topic and its impact on the compliance and audit profession will also be part of the session. Take away tools – Compliance Program Effectiveness articles published by the HCCA / AHIA Auditing & Monitoring focus group, compliance program self-assessment and peer-review evaluation tools, survey of key compliance program customers, suggested documents for review of compliance program effectiveness. Back to Top
Track: F - Information Technology Title: Clinical Application Implementation Auditing Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Matthew Jackson Richard Williams Clinical application implementations and upgrades pose significant risks to healthcare operations and overall revenue cycle effectiveness.  Effectively managing these risks is critical to the success of initiatives ranging from the use of an Electronic Health Record or Computerized Physician Order Entry to updating legacy lab or radiology systems.  Additionally, the pressures of regulatory bodies, auditors, shareholders and other stakeholders have forced companies to spend more time, effort and money on these initiatives than ever before.  
Primary goals of this session include:
• Obtain an understanding of the key risks associated with the implementation or upgrade of a clinical application.  
• Understand the potential that exists for enhancing an organization’s ability to ensure integrity, security and reliability for critical applications through the use of risk-based controls.
• Discuss several key strategic audit approaches (e.g., technical pre-implementation, facility readiness, workflow design, revenue cycle integration, etc.) that will enable an organization to enhance their implementation risk management efforts, along with ensuring operational workflow readiness prior to go-live, in order to reduce overall risk and eliminate costly retrofitting efforts after an implementation. Back to Top
Track: F - Information Technology Title: Performing a Wireless Audit Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Advanced Speaker: Tom Tharp This session will provide the information you need to conduct an effective wireless audit. Specifically, this session will cover:
• Common uses of wireless networks in the Healthcare provider environment.
• Risks Associated with the use of wireless networks.
• Common audit issues identified in a wireless audit.
• How to approach an audit of a wireless network.
• Discussion and demonstration of useful tools in performing a wireless audit. Back to Top
Track: F - Information Technology Title: The State of Security in the Health Care Industry: Challenges and Solutions for Auditors Date: 9/11/2007 Time: 3:05:00 PM - 4:45:00 PM Level: Intermediate Speaker: Gordon Smith As a group, the health care industry has very serious information security issues.  Practitioners want simple passwords.  Vendors do not want patches applied.  These and other issues unique to health care, make hospitals vulnerable to unauthorized disclosure of PHI and highly susceptible to a hacking attack.  This presentation is based on the results of Canaudit’s Health Care penetration audits.  In this session, you will learn the most serious IT risks facing hospitals and how to bypass the roadblocks to implementing the required level of security to ensure that the workstations, databases and servers are secure and that PHI and other confidential information is protected. Back to Top
Track: G - Skills Title: OIG Audits: Purpose, Process, Ways to Utilize Their Approach Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: All Speaker: Craig Briggs Gordon Sato Lori Ahlstrand This session will explain the basics on how the OIG operates, selects issues for review at hospitals as part of their annual work plan, and reports on the results. The course will provide insight into the OIG’s interaction with the Congress, health care policy oversight groups, and the Centers for Medicare and Medicaid Services. The session will discuss methodologies used to perform selected audits at hospitals and discuss OIG guidelines that internal auditors can use to assist hospital officials to identify significant risk areas in refining ongoing compliance efforts. Take away a handout discussing ongoing and planned OIG audits in the hospital area and a brief synopsis of the issues OIG has included in their industry compliance guidance for hospitals. Back to Top
Track: G - Skills Title: Audit 101 - Work Paper Documentation Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Basic Speaker: Darryl Arbor CPA This basic seminar will describe the audit documentation requirements based on the IIA Standards and SAS 103 and discuss the business reason and legal purpose for assuring appropriate documentation is maintained by the audit department.   Topics covered include documentation of audit planning considerations, sample selection and attribute testing, work paper referencing, audit findings and reportable issues, and support for the audit report.    
Take-away tools – Summaries of the IIA Standards related to documentation requirements and SAS No. 103, audit findings memo, standard audit program, common tickmark legend, and sample work paper formats. Back to Top
Track: G - Skills Title: Overview of the Healthcare Regulatory Environment Date: 9/11/2007 Time: 3:05:00 PM - 4:45:00 PM Level: Basic Speaker: Kelly Nueske RN, CPA, CMA, CIA Are we regulated or what? This session will take you on a whirlwind tour of federal and state regulatory agencies, accreditation organizations, contracted agencies and the justice system. We’ll talk about CMS, HIPAA, CoP, FI’s, Carriers, QIO’s, HHS, OIG, DOJ, FDA, CLIA, COLA, AHRQ, NCQA, AMA, AHA, and The Joint Commission. When we are done, you’ll know what the acronyms stand for and what they do in healthcare. Take away websites and resources for each organization. Back to Top
Track: GS - General Sessions Title: Legal Issues Every Auditor Should Know Date: 9/11/2007 Time: 8:05:00 AM - 9:45:00 AM Level: All Speaker:   Back to Top
Track: H - Coding and Medical Title: Auditing Today's Hospitalists Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Basic Speaker: Cheri Adams RHIA This seminar explores the environment of today’s hospitalist (acute care specialist).  We will discuss the financial, clinical, and compliance impact of coding and billing for hospitalist services.  Based on actual audits performed by CHAN, we will examine the reasons that hospitalists miscode and the top 10 opportunities for improvement. We will review key documentation issues that are problematic for hospitalists.  You will leave with a coding risk assessment questionnaire and tangible ways to determine audit opportunities for your hospitalists.   Also take away an observation coding flowchart or an alternative coding flowchart. Back to Top
Track: H - Coding and Medical Title: Clinical Documentation Programs: A Compliance Perspective Date: 9/11/2007 Time: 1:10:00 PM - 2:50:00 PM Level: Intermediate Speaker: Sandra Sessoms RN, CPHQ, CHC Robert Michalski Healthcare systems are implementing initiatives to improve clinical documentation in order to experience and sustain appropriate inpatient coding assignment for profiling and payment accuracy.  The focus of a clinical documentation program is on evaluating physician documentation during the inpatient stay and querying the physician based on clinical indicators so the most accurate documentation of the patient's condition is provided upon discharge, post-discharge physician queries by medical records are minimized, and appropriate reimbursement for the stay is obtained.

This session will address the implementation of clinical documentation programs and how to provide audit and compliance oversight.  This presentation will provide the participant with:
1. An overview of the purpose of a clinical documentation program
2. The role of the internal audit and compliance department in implementation of the program
3. The role of the internal audit and compliance department in providing ongoing assessment of the effectiveness of the program, including use of the OIG workplan, Medpar data and Pepper Reports
4. Strategies to effectively work with management, consultants and staff on the program.

Take-away tools – Checklist for compliance oversight of a clinical documentation program, sample audit report format. Back to Top
Track: H - Coding and Medical Title: Hands-On Evaluation and Management Documentation Audits for Professional Services Date: 9/11/2007 Time: 3:05:00 PM - 4:45:00 PM Level: Intermediate Speaker: Evelyn Gross CPC, CMSCS, CMM This session, for auditors who know how to perform E&M audits, is designed to take knowledge and skills to the next level.   The session will include discussion of problem areas such as review of systems and detailed examination, and the resources and tools available to support the auditor.  Participants will use real E&M records to walk-through the audit of E&M documentation from outpatient services to progress notes.  De-identified E&M records to use in the session will be requested from early registrants.
Take-away tools – Audit worksheet, description of the 8 elements of HPI. Back to Top
Track: I - Audit Leadership Title: Optimizing the Value of Internal Audit to the Audit Committee and Executive Management Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Steve Roth Audit Committees and Executive Management are experiencing an evolution of their roles within companies. Cases of corporate misconduct and fraud have diminished the confidence in internal controls and financial reporting, resulting in regulatory reforms that have enhanced and elevated their roles and responsibilities.   In this session you will learn how Internal Audit can assist Audit Committees and Executive Management with these new pressures and demands.   You will learn ways in which Internal Audit can and should stretch itself and its resources to move beyond its comfort zone to add value to their stakeholders.    Effective systems of corporate governance, internal control, and risk management will involve a link among the Audit Committee, management and Internal Audit.   This session will focus on practical solutions for Internal Audit to strengthen partnerships and enhance relationships with the Audit Committee and management, including ways to:
-Enhance your communication skills to improve relationships.
-Expand your roles and responsibilities in governance.
-Support the Audit Committee through meeting preparedness and timely delivery.
-Align your efforts with corporations’ broader risk management initiatives.
Take away tools – Self-assessment checklist Back to Top
Track: I - Audit Leadership Title: Quality Assessment - A 360° Perspective Date: 9/11/2007 Time: 1:05:00 PM - 2:45:00 PM Level: Basic Speaker: Steve Roth Diana Jamison This session will provide an overview of the internal audit quality assessment process both from the external validation and internal preparation perspectives.  The course will highlight internal audit quality assessment techniques and processes, offer practical tools to facilitate the quality assessment process, provide sample compliance assessment documentation and share lessons learned.   Through lecture, case study, and group discussion attendees will learn about the Quality Assurance Standards, identification of best practices, preparation for future external assessments and how to leverage the quality assessment process to improve their internal audit services.  
Take-away tools – Sample compliance checklist. Back to Top
Track: I - Audit Leadership Title: Developing Leaders Through Coaching and Mentoring Date: 9/11/2007 Time: 3:05:00 PM - 4:45:00 PM Level: All Speaker: Marsha Dupuis Ph. D. This is a “how to”, interactive seminar introducing coaching and mentoring as ways of developing leaders.  Topics to be covered include: determining coachability, the coaching model, six coaching techniques, the role of confidentiality in coaching and mentoring, outcomes you can expect when nurturing a coaching/mentoring culture, mentoring processes and the role of dialogue in coaching and mentoring.
Take-away tools - Difference between mentor/coach/counselor/therapist, Are you Coachable? Questionnaire, The Coaching Model, Six Coaching Techniques, The Coaching Contract. Back to Top
Track: J - Bonus Title: Top Performance Coaching A-Z Part II Date: 9/11/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Marsha Dupuis Ph. D. Topics to be covered include: Using the Coaching Process, Introduction to 6 Coaching Techniques, Five Keys to Coaching Conversations Back to Top
Track: J - Bonus Title: Unlocking the Power of ACL Date: 9/11/2007 Time: 1:05:00 PM - 4:45:00 PM Level: Intermediate Speaker: Don Sheffield Kathy Kennedy Gwynn Douglas This course will provide you with an overview of the automation/documentation features of ACL for Windows.  By using a combination of instructor led explanations and demonstrations, you will gain knowledge of the automation/documentation ability within ACL and its application to auditing.  The objectives for this session are:  
-How to develop and use ACL scripts
-How to use scripts for hospital data analysis Back to Top
Wednesday, September 12, 2007
Track: A - Hot Topics Title: Adoption and Implementation of Enterprise Risk Management in Healthcare Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Dennis Smyser Sheryl Vacca This session will provide an overview of Enterprise Risk Management (ERM) in Healthcare and best practices in implementation.  Mayo’s approach to ERM will be shared as a case study example.  In addition, Deloitte will address ERM from a broader perspective. Back to Top
Track: A - Hot Topics Title: Ethics - Traversing the Slippery Slope Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: All Speaker: Jeff Pigott MBA Lynne Greenberger CIA An organization’s cultural environment is a major risk factor in fraud, compliance failures, and other ethical lapses.  An ethical organizational culture is more than compliance with written codes of ethics.  It requires an understanding of the pressure points that drive unethical behavior and a process to identify and remedy those pressure points.

This program defines ethics in the business context, examines the ethical decision process, looks at Ethics as a component of Enterprise Risk Management, and examines the role/responsibility of internal audit in assessing cultural/ethical risk.  The program will include discussion of case studies. Back to Top
Track: B - Integrated Audits Title: Physicians: Walk-Through of HIPAA Privacy and IT Security Auditing Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: All Speaker: Lynne Greenberger CIA Bryan Johnson HIPAA requires covered entities to have appropriate administrative, physical, and technical safeguards to protect PHI (Protected Health Information) of the patients served.  The Privacy Rule governs all forms of PHI, whether electronic, written, or oral.  The Security Rule details the more comprehensive security standards required for health information created, retained, or transmitted in electronic form.  Effective HIPAA compliance reviews require an understanding of the requirements of both the Privacy and Security rules.

The session will present a hands-on approach to including HIPAA Privacy and IT Security compliance audit steps in audits of physicians’ offices or stand alone clinics; a review of a hypothetical physician’s office will be used as an example.   However, the session will focus on HIPAA compliance related risks and associated controls that are applicable to any clinical area.

We will share personal experiences as well as tools and techniques, providing attendees with a starting point to perform their own audits.

Take-away tools – HIPAA Physician’s Office Walk-through Checklist, HIPAA IT Security Matrix, and HIPAA Privacy Risk and Control Matrix Back to Top
Track: B - Integrated Audits Title: Physicians: Auditing Physician Compensation and Physician Contracts Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Intermediate Speaker: Catherine Wakefield This session will walk-through the auditing of physician contracts.  Physician relationships are high risk for organizations.  For example - many parties are involved, making these relationships complex; ensuring FMV for compensation of employed providers and payments for professional services (medical directorships, physician advisory committees, and more) is challenging; documentation issues tend to be numerous.  Participants will learn about the regulatory framework, appropriate documentation, process improvement initiatives, audit work plans, lessons learned, educational offerings, and communications.
Take-away tools – Audit programs. Back to Top
Track: C - Specialties Areas Title: Construction Auditing - A Practical Approach Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Basic Speaker: Amy Gargus This seminar will introduce construction activities and audit concepts, including the different types of contracts and associated risks. Typical audit procedures and tools related to the Cost of Work (Allowable vs. Non-Allowable), Change Orders, Subcontracts and Bid Processes and Self Performed Work will be reviewed. Take-away tools – Audit program, sample contracts, audit supplement, generic audit report. Back to Top
Track: C - Specialties Areas Title: Construction Contracts: Risks, Red Flags, and Overcharges Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Intermediate Speaker: John Croy The session will focus on construction contracts as it pertains to the health care industry. The risks and red flags associated with the various types of construction contracts will be reviewed. The session will also address the types of contractor overcharges that may occur on construction contracts. Specific examples will be reviewed. This session is intended for someone that has at least a basic understanding of construction auditing. Take away lists of the risks and red flags associated with each type of contract and the preventive measures. Back to Top
Track: D - Revenue Cycle Title: Hindsight AR Review: Revenue Cycle Relationship to Over/Under Reserves Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Suzann Hall Scot Murphy Don Sheffield The presentation will discuss a hindsight AR analysis and some of the conclusions that can be provided to management.  While the hindsight review is typically used as a tool to measure the adequacy of reserves for financial statement purposes, this presentation will focus on the cause and effect relationships to processes within the Revenue Cycle.

Example:  A hindsight review noted additional contractual adjustments being posted to patients accounts after billing for insurance plans where the contractual is taken at time of billing.  We would relate this to the following Revenue Cycle Processes:
• Charge Capture -  late charges are written off as additional contractual adjustments.  
• Utilization Review - unexpected denials resulting unauthorized procedures.
• Admission – missing or incorrect insurance information.
Take away a schedule to the revenue cycle variables that impact AR reserves. Back to Top
Track: D - Revenue Cycle Title: Look What the CAAT Dragged In…Thousands in Lost Charges Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: All Speaker: Scot Murphy Terri Allen Tom Stec Kathy Langley CIA, CISA This session will focus on computer assisted auditing techniques (CAAT) proven successful in assessing charge capture processes while identifying potentially lost charges. As part of this overview, auditors will gain an understanding of the importance of charges and an understanding of coding and charging relationships as they apply to testing for lost charges. Specific operational areas addressed will be Interventional Radiology, Pharmacy, and Maternity. Take-away tools – Revenue charge capture data request, CAAT test descriptions for Interventional Radiology, Pharmacy and Maternity. Back to Top
Track: E - Legal and Regulatory Title: Current Hot Topics in Medicare Billing Compliance for Hospitals Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Hugh Aaron MHA, JD, CPC, CPC-H This session, taught by a regulatory health lawyer and nationally known author/speaker on Medicare billing compliance issues, will identify and provide a technical review of current high risk areas for hospitals relating to Medicare billing compliance, with a particular emphasis on recent regulatory changes and recent enforcement actions. The speaker will emphasize techniques for operationalizing compliance and reducing the risk of false claims liability.  The speaker will also discuss practical auditing issues relating to the identified risk areas. Back to Top
Track: E - Legal and Regulatory Title: Community Benefits - What It Is and How to Audit Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Intermediate Speaker: La Donna Flynn CIA, CPA CCSA Because of increased national scrutiny of community benefits, healthcare Boards of Directors and CFOs are asking questions.  Auditors can help the Board and CFO understand their community benefits through a Community Benefits Audit.  In this session, participants will develop an understanding of the history of community benefits, walkthrough of an actual audit, and take home a Community Benefits Audit program. Back to Top
Track: F - Information Technology Title: Disaster Recovery/Business Continuity Auditing Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Will Helton The presentation will provide an overview on the ten Business Continuity Planning domains as defined by the Disaster Recovery Institute International (DRII).

1. Project Initiation
2. Risk Evaluation and Control
3. Business Impact Analysis
4. Developing Business Continuity Management Strategies
5. Emergency Response and Operations
6. Developing and Implementing Business Continuity Plans
7. Awareness and Training Programs
8. Exercising and Maintaining Business Continuity Plans
9. Crisis Communications
10.Coordination with External Agencies
 Back to Top
Track: F - Information Technology Title: The Data Center Audit - The Complete Ride Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: All Speaker: Barry Mathis Get ready for a wild ride through the process of a Data Center Audit. You, "the auditor", will experience a step-by-step journey that ends with a complete Data center Audit Program for you to take home and ride in the comfort of your own Audit Plan. This ride will cover the audit process form the risk assessment to the report and follow-up phase. We will explore the dark tunnels and winding turns for both small and large data centers. So, please make sure your safety straps are in place, take small children by the hand and please keep your arms and legs inside the presentation at all time. Take-away the risk assessment process, Data Center audit work-plan, and a complete Data Center audit program. Back to Top
Track: G - Skills Title: This Won't Hurt a Bit! (And Other Fractured Truths in Healthcare) Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: All Speaker: Karyn Buxman RN, MSN, CSP, CPAE Healthcare is full of fractured truths! And while the state of healthcare is no joke, it can be a laughing matter. Unfortunately, professionals from coast to coast lament “There’s nothing funny where I work,” “Our boss thinks humor is unprofessional,” and “I’ve lost my laugh.” Karyn Buxman is here to remind us “what’s so funny” and how it can help us physically, psychologically and socially – even when it’s twisted. Don’t miss this session where she will help us rediscover where our humor resources are and what to do even when there is nothing funny. Back to Top
Track: G - Skills Title: Healthcare Compliance Programs and the Interface with Internal Audit Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Basic Speaker: Donald Koenig Jr. This session will provide essential foundational information about the history of health care compliance programs as they emanated from the (now) 8 tenets of the Federal Sentencing Guidelines for Corporations on Effective Compliance Programs, and the OIG Compliance Guidances that translate those tenets into key focus areas for compliance programs and auditors who are assisting health care system clients. The session will also underscore the key role internal auditors play in assisting organizations in auditing and monitoring for regulatory compliance, for compliance program effectiveness and in performing compliance risk assessments. Take away a Compliance Program checklist for the Federal Sentencing Guideline components. Back to Top
Track: GS - General Sessions Title: When Funny Means Money: Humor as a Serious Business Strategy Date: 9/12/2007 Time: 8:05:00 AM - 9:45:00 AM Level: All Speaker: Karyn Buxman RN, MSN, CSP, CPAE Do you think that humor and business don’t go together? Think again! There’s a good reason why American Express paid Jerry Seinfeld millions of dollars to star in their ads. They know that “While logic tells, emotion sells” – and that humor is the quickest route to the emotions. In this session you will learn: How humor functions as a leadership tool, a sales aid, and a customer service strategy; how humor goes to the bottom line; and specific strategies for utilizing humor in your business – and your life. Back to Top
Track: H - Coding and Medical Title: PEPPER - CMS Integrity Initiative Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Harriet Kinney RHIT, CHC The session will provide a general overview of the PEPPER – CMS Integrity Initiative, including: how to interpret the PEPPER reports; what hospital departments should be involved in performing the PEPPER internal review, audit and improvement activities; the use of various data analysis tools; audit processes and improvement activities/corrective action plan ideas; as well as various QIO state level improvement initiatives and how these activities have improved hospital PEPPER reporting and overall operational compliance. Take-away tools – checklists, audit tools, research tools Back to Top
Track: H - Coding and Medical Title: Cardiac Catheterization Coding - The Basics and Beyond Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Intermediate Speaker: Kim Enriquez This session will cover the basics of cardiology CPT-4 procedural coding to include cardiac catheterization, echocardiography and other diagnostic cardiac services.  Advanced topics on the coding of electrophysiological and other therapeutic cardiac procedures will also be covered during this session.
Take away coding rules and regulations for cardiology procedural coding. Back to Top
Track: I - Audit Leadership Title: Measuring Success: A Balanced Scorecard Approach Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: All Speaker: Mike Holper Worried about budget and FTE reductions?  Asked how you compare to other audit shops by your audit committee?  This session is intended for anyone with those concerns and questions and will help you measure and improve your success through the use of a balanced scorecard approach.  The session will explain how Trinity Health researched and defined their measures and scores and provide examples of various measures that can be used.  Use of GAIN survey information will be discussed and various presentation styles will be reviewed.  This session is intended to be interactive.
Take-away a listing of measures and benchmarks, and Trinity Health’s OIAS Scorecard. Back to Top
Track: I - Audit Leadership Title: Making Corporate Governance Part of the Audit Plan Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Intermediate Speaker: Deborah Hall Are you ready to include corporate governance audits in your annual audit plan?  This session will provide audit leaders with information to upgrade their healthcare risk-based audit plan with risk areas related to Tone at the Top and the organization’s culture.  Presenter will provide a list of audits to consider incorporating into annual audit plans and audit programs. Back to Top
Track: J - Bonus Title: Part III: Mastering "Ask Don't Tell", "Reframe the Picture", and "Straight Talk" Techniques Utilized in Coaching Date: 9/12/2007 Time: 10:05:00 AM - 11:45:00 AM Level: Intermediate Speaker: Marsha Dupuis Ph. D. This is a “how to” interactive session introducing three techniques utilized in coaching –“Ask Don’t Tell”, “Reframe the Picture” and “Straight Talk” Techniques Utilized in Coaching. Participants will role play to master these techniques. Back to Top
Track: J - Bonus Title: Mastering "In-the-Moment Feedback", "Partnering for Progress", and "Guided Learning" Techniques Utilized in Coaching Date: 9/12/2007 Time: 1:00:00 PM - 2:40:00 PM Level: Intermediate Speaker: Marsha Dupuis Ph. D. This is a “how to” interactive session introducing two techniques utilized in Coaching--“In-the-Moment Feedback”, “Partnering for Progress” and “Guided Learning” Utilized in Coaching. Participants will role play to master these techniques. Back to Top