The course is full and is no longer accepting registrations. 

If you have questions, contact Corey Martin at martinc@ihaonline.org or 515-288-1955.
 

Welcome and Introductions
Tammy Chance, DO, IHA Board Member, ED Medical Director, Boone County Hospital, Boone;
Michael Romano, MD, MHA, Nebraska Health Network, Council Bluffs
Tom Evans, MD, FAAFP, Iowa Healthcare Collaborative, Des Moines

Strong Negotiation and Communication Skills: Part of a Leader’s Repertoire for Conflict Management
Azeemuddin Ahmed, MD, MBA, Clinical Professor and Executive Vice Chair, Department of Emergency Medicine, University of Iowa, Iowa City

To be an effective health care leader, one must have a robust repertoire of negotiation and communication skills. Regardless of context, leaders often have formal responsibility for negotiating agreements with other firms or constituencies, they must compete with colleagues for scarce organizational resources and they are often called upon to resolve disputes between colleagues. The purpose of this session is to facilitate the basic understanding of the theories and processes of negotiation and conflict management as they are practiced in a variety of settings. The 90-minute seminar is designed to be relevant to the broad spectrum of negotiation and conflict management problems faced by health care leaders.

• Identify sources of team conflict.
• Distinguish among the five different negotiations/conflict management styles.
• Understand the common underlying principles of conflict management model

Quality, Patient Safety and Diagnostic Errors
John Ely, MD, Professor, Department of Family Medicine, University of Iowa

Diagnostic errors are a common but relatively ignored cause of patient harm and are the most common cause of malpractice suits. Other kinds of medical errors are easier to talk about because they can be blamed on system problems rather than individual physicians. In hindsight, it is easy to blame faulty thinking by individual physicians and to find biases and failed heuristics that led to the error, but the most common cause of diagnostic errors is the physician’s failure to consider the correct diagnosis as a possibility. One potential solution to preventing these errors involves a “cognitive forcing strategy” in which physicians review a differential diagnostic checklist and force themselves to consider all reasonable causes of the patient’s presenting symptom. This presentation will describe our experience with diagnostic checklists in primary care.

• Describe four biases and heuristics that commonly lead to diagnostic errors.
• Explain how to incorporate cognitive forcing strategies into the patient flow of a busy clinic or emergency department.
• Discuss the pros and cons of reviewing a differential diagnosis in the presence of the patient.

Public Health Today
Caitlin Pedati, MD, MPH, FAAP, Iowa Department of Public Health, Des Moines

This session will provide an update on current and future public health issues in Iowa and include an example of public health working with physicians in the health care community to lead an effective response effort.

• Describe the current primary issues facing public health including influenza, health care associated and resistant infections and vectorborne infections.
• Identify future challenges and directions for public health including the evolution of communication with the public and increasing utilization of data.
• Discuss a scenario in which public health provided leadership on an issue (outbreak scenario).

Break

An Overview of Current and Emerging Payment Models in Health Care
Katie Gilfillan, HFMA, Westchester, IL

This presentation will provide an overview of the driving forces and market factors influencing the successes and challenges providers are facing in the industry’s movement toward a value-based health care system. The session will include an overview of alternative payment models and programs including the quality payment program, CPC plus program, bundled payments and Accountable Care Organizations. In addition, as the health care system continues to evolve, providers are developing tools and strategies for developing models that support consumerism in health care. This presentation will provide an update on efforts towards price transparency and payment models that incorporate addressing social determinants of health and fostering better patient engagement.

• Describe factors influencing the transition to value in health care.
• Summarize key features of value-based payment programs and alternative payment models.
• Review strategies and key lessons of providers operating under value-based care.
• Describe the factors influencing a rise of consumerism in health care.
• Create better patient engagement to support success in population or value-based payment systems.