Back To CalendarMay 14th, 2025 - May 16th, 2025

Select Sessions

• Session Description: We all know that we should manage our stress, but we don’t necessarily know why or how! It’s Kay Frances to the STRESS-cue! She literally wrote the book on stress! With this energetic, upbeat presentation, attendees laugh while they learn without straining their brains. In our frenzied world, MSP’s must be reminded of the importance of managing their stress and maintaining a positive attitude for peak performance and success in all areas of their lives.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify the causes and effects of stress on our well-being.
  2) Analyze the keys to good health.
  3) Explain ways of dealing with change.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Take a step with us behind the scenes and learn why a provider has become newsworthy. We will look at cases such as Benjamin Danielson who won $21 million in a racial discrimination lawsuit highlighting racial inequities in health care; or why Chesapeake Regional Medical Center was federally indicted for healthcare fraud and conspiracy to defraud after a longtime obstetrician was sentenced to 59 years in prison for performing unnecessary sterilization procedures without proper consent and early induction of births; or how Dr. Thomas Weiner, an oncologist in Montana, has been accused of numerous infractions: treating patients for cancers they did not have, changing end-of-life care directives without patient consent, and improperly prescribing narcotics, and yet still remains a licensed practicing physician. These stories and others will be looked at in depth with an eye toward understanding the role of the MSP and the organized medical staff and possible options for intervention.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify early opportunities for intervention that might have changed the outcome.
  2) Identify a key medical staff governance process that should have been used during oversight of the practices at issue.
  3) State the role of the MSP as an educator and influencer in the medical staff oversight process.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Join attorney Matthew Lahana for an engaging deep dive into handling healthcare's most challenging personalities. From hugging surgeons to needle-wielding bullies, learn the legal framework and practical tools to address disruptive physician behavior. This session explores landmark cases, Joint Commission requirements, and intervention strategies. Includes guidance on documentation, behavioral agreements, and wellbeing referrals - plus share war stories with peers who've been in the trenches. Don't miss this enlightening and entertaining look at handling disruptive physicians.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Legal framework for understanding the context and tools available to help stop disruptive physicians. It will examine applicable case law, statute, the Joint Commission, and the AMA.
  2) Review model bylaw language to help the Medical Staff Office address disruptive behavior.
  3) Best practices to resolve disruptive physicians, including examining the importance of documentation, the use of the wellbeing committee, and the use of behavioral agreements.
  4) Facilitate discussion among members about how they have addressed disruptive physician issues in the past, successful real-world examples, and solutions to apply in their own medical staffs.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: We are constantly challenged with keeping data current and sharing with payers. We may also be required to publish the data to an external site. This session will review how Provider Enrollment does not even stop at a paid claim, but data management is part of compliance.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Gain a knowledge of the Provider Data Management process as it relates to Provider Enrollment.
  2) Understand the needs of effective data governance and management.
  3) Work on creating an effective process for continuous directory compliance.
  4) Setting up your software for successful management of your internal data.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders

• Session Description: This presentation explores the origin of credentialing and its application to contemporary processes. Attendees will gain an understanding of the evolution of credentialing, its foundational concepts, and its relevance in today's professional landscape. The session will provide high-level definitions of credentialing terms, highlighting their practical use in various situations. Additionally, participants will learn how to apply the outlined credentialing processes to effectively validate knowledge, enhance professional credibility, and leverage opportunities for networking. By the end of the session, attendees will be equipped with the tools to navigate credentialing issues and challenges and use them to their advantage for career development and professional growth.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn the origin of credentialing and how it applies to modern day processes.
  2) Learn "high level" credentialing definitions and their use.
  3) Apply processes outlined in the presentation to validate knowledge and opportunity for networking.
  
  Target Audience: New MSP’s, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders

• Session Description: The California Department of Public Health issues deficiency findings to hospitals, including Immediate Jeopardies--the most serious level. Learn about recent Immediate Jeopardies, as well as tips and pitfalls for responding to similar situations.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand issues resulting in Immediate Jeopardy by CDPH in the recent past.
  2) Evaluate Immediate Jeopardy situations impacting medical staff office.
  3) Identify tips and pitfalls for medical staffs in light of recent Immediate Jeopardy findings.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: In the rapidly evolving landscape of healthcare, generative AI is emerging as a transformative tool for medical professionals and the administrative staff who support them. This session will explore the practical applications, potential pitfalls, and ethical considerations of integrating generative.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the basics of Generative AI.
  2) Start thinking about how to use it.
  3) Discussion of issues related to the technology, ethical uses, etc.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: In today’s fast-evolving professional landscape, managing practitioners with low or no volume can present unique challenges that demand nuanced strategies. While both groups may appear similar at first glance, they are fundamentally different in terms of performance, potential, and the appropriate course of action for management. This session will dive into the critical distinctions between low-volume and no-volume practitioners, examining the underlying causes and present strategies to manage "up or out". We will explore how organizations can identify the key differences and tailor management strategies accordingly.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn the origin of credentialing and how it applies to modern day processes.
  2) Learn "high level" credentialing definitions and their use.
  3) Apply processes outlined in the presentation to validate knowledge and opportunity for networking.
  
  Target Audience: New MSPs, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders, CVO

• Session Description: Proctoring is not only an important tool for evaluating practitioner competence, but it is also required by accreditation bodies and regulatory entities. Failure to ensure initial proctoring is completed can result in punitive regulatory action. Additionally, focused proctoring is important for maintaining quality care but may trigger mandatory reporting obligations and hearing rights. Understanding these nuances of proctoring can help protect Medical Staffs and ensure quality of care.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the two types of proctoring—initial and focused—as well as some of the roadblocks that arise surrounding proctoring.
  2) Identify the requirements for proctoring, as set forth by accreditation bodies and regulatory entities, such as The Joint Commission and CMS, and regulatory consequences for failure to complete proctoring.
  3) Understand common pitfalls that may arise regarding initial proctoring, the consequences for failure to ensure initial proctoring is completed, and strategies to avoid these issues.
  4) Identify situations in which focused proctoring may trigger mandatory reporting obligations and formal hearing rights.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session will cover the fundamental aspects of provider enrollment, including requirements, documentation, application processes, timelines, revalidation, and maintenance. Participants will gain insights into the importance of accurate documentation and learn how to navigate the enrollment application process efficiently. We will discuss strategies for staying compliant with revalidation requirements and provide tips for managing timelines effectively to avoid delays.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the significance of provider enrollment for healthcare professionals and suppliers in participating in various programs and health plans.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: Medical staff professionals, as well as leaders in medical staffs, medical groups, hospitals, and 1206(l) foundations, are still earning to appreciate the legal and operational complexity of mature foundation organizations. This session will explore not only what we have all learned so far, but also the best practices that are emerging about structuring and running peer review, privileging, credentialing, corrective action, and sharing information within such a complex organization.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the relationships among 1206(l) foundations, medical staffs, hospitals, and medical groups.
  2) Appreciate the need for clear lines of authority among such components of the foundations, medical staffs, hospitals, and medical groups.
  3) Understand how the role of "peer review body" may be assigned within the overall organization.
  4) Have awareness of risk management best practices in the organization.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO's, Medical Staff Leaders, Administrative Leaders

• Session Description: The California Department of Public Health issues deficiency findings to hospitals, including Immediate Jeopardies--the most serious level. Learn about recent Immediate Jeopardies, as well as tips and pitfalls for responding to similar situations.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand issues resulting in Immediate Jeopardy by CDPH in the recent past.
  2) Evaluate Immediate Jeopardy situations impacting medical staff office.
  3) Identify tips and pitfalls for medical staffs in light of recent Immediate Jeopardy findings.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Proctoring is not only an important tool for evaluating practitioner competence, but it is also required by accreditation bodies and regulatory entities. Failure to ensure initial proctoring is completed can result in punitive regulatory action. Additionally, focused proctoring is important for maintaining quality care but may trigger mandatory reporting obligations and hearing rights. Understanding these nuances of proctoring can help protect Medical Staffs and ensure quality of care.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the two types of proctoring—initial and focused—as well as some of the roadblocks that arise surrounding proctoring.
  2) Identify the requirements for proctoring, as set forth by accreditation bodies and regulatory entities, such as The Joint Commission and CMS, and regulatory consequences for failure to complete proctoring.
  3) Understand common pitfalls that may arise regarding initial proctoring, the consequences for failure to ensure initial proctoring is completed, and strategies to avoid these issues.
  4) Identify situations in which focused proctoring may trigger mandatory reporting obligations and formal hearing rights.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: “If only I had said ….” Effective leadership requires effective communication skills. In the Medical Staff space, ineffective communications can torpedo committee goals and exacerbate conflict with individual members. In this session, two experienced medical staff lawyers will discuss how they and their clients use effective leadership communication to prevent and to resolve conflicts while prioritizing quality care and patient protection.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn to identify the elements of effective communication in the Medical Staff space.
  2) Learn to identify - and avoid - communication that exacerbates conflict.
  3) Learn to use leadership communication skills to resolve conflicts before they get to your lawyer.
  4) Learn to communicate like a coach: "A coach is someone who can give correction without causing resentment." -John Wooden
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session will present a general update of the activities of the Medical Board, including new legislation, enforcement activities and the physician health program.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify the disaster relief efforts sponsored by the MBC.
  2) Identify one top area of enforcement.
  3) Identify best practices for physician health.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• CAMSS 54th Annual Education Forum President's Reception

• Session Description: Research shows that diverse voices are essential to organizational success, innovation, and growth. Creating authentic, inclusive cultures starts with courageous conversations. This keynote offers practical tools to navigate these conversations with emotional intelligence and confidence. Gain insights into uncovering unconscious bias, fostering equity, and developing strategies to cultivate a culture where everyone feels values and heard. Designed for leaders, executives, and all those committed to driving meaningful change. This session empowers organizations to build a future of inclusion and belonging through proactive dialogue and action.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Articulate the difference between inclusion, equity, and allyship.
  2) Practice vulnerability by asking courageous questions.
  3) Incorporate active listening as a strategic communication tool.
  4) Develop empathy skills through a guided visualization practice.
  5) Share personal passions that motivate mindful action toward inclusion.
  6) Develop a personal call to action.
  7) Create shared accountability by sharing their call to action with others.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: After a long wait, the Medical Board of California is making progress in developing its new Diversion Program for Physicians with potential substance use issues. Hear from legal and medical experts on best practices for your Medical Staff in addressing concerns of physician substance use, including monitoring, now. And hear recommendations on how, when and what responsibilities to transition out of your Medical Staff once the Medical Board finalizes its Diversion program.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn Best Practices for Medical Staffs in handling concerns of physician substance use.
  2) Learn Best Practices for Medical Staffs in Monitoring of Physicians for Substance Use.
  3) Learn about the Medical Board of California's Legislative and Regulatory Efforts to Establish a New Diversion Program for Physicians with Substance Use Disorders.
  4) Hear Recommendations on How and When to Transition Medical Staff Practices for the Medical Board's New Diversion Program.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session is an introduction to best practices for a well-functioning Wellbeing Committee from the point of view of the medical staff services office. It includes an overview of the membership of the Committee, how to engage the physician in conversation, how to assess and evaluate the physician, ongoing monitoring and collaboration between the Committee and the physician and a monitoring company, and issues related to confidentiality and record-keeping.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the role of the Wellbeing Committee in assessing and monitoring physicians with potentially impairing conditions.
  2) Understand how the Wellbeing committee protects patient safety by supporting physicians.
  3) Understand how and when to refer physicians for evaluation and treatment.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: All too often Provider Enrollment is an unexplained phenomenon to our organizational leaders. Most believe its submission of an application and the process is completed. It is only after realizing the processing time at a health plan or enrollment source does it come to reality about the full process. Experience has brought me to the realization of using metrics to explain our case to our leadership. As we all say, “Numbers to not lie.” This holds entirely true with our Provider Enrollment teams and how diligent and hard they work.
  This session will explore conversational practices to communicate effectively with our leaders who oversee the operations of Provider Enrollment and the organization. We will explore different metric examples to ensure the story is truly being told and effectively understood by your audience. Come prepared to take notes and have questions to share about your experiences with your leaders so we can brainstorm best conversational tactics outlining opportunities and successes.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the Provider Enrollment workflow to help create a leadership message for supporting the process.
  2) Utilize their own platforms or methods of tracking to implement effective metrics understandable by multiple stakeholders in their own organization.
  3) Come away with talking points to support staffing needs, process improvements, and successes about their Provider Enrollment teams.
  
  Target Audience: Seasoned MSP's, Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders

• Session Description: Ruby W. Wood and Connie Y. Tcheng of Wood Tcheng LLP will present practical advice relating to one of the more time consuming yet important aspects of medical staff services - documentation. Documentation, when done correctly, can maximize a medical staff’s ability to withstand legal challenges, including regulatory audits, litigation, and hearing proceedings. When done incorrectly, your email may become a cringeworthy “Exhibit A.”
  This presentation will review the various documentation responsibilities associated with medical staff administration, provide legal and strategic considerations, and give specific examples of how to document key issues efficiently and effectively. The presentation will include tips and tricks for drafting committee minutes, credentialing documentation, and required notices. It will also include pointers for navigating the sometimes competing demands of maintaining confidentiality while meeting disclosure obligations.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Review documentation responsibilities.
  2) Discuss legal and strategic considerations regarding how to fulfill those documentation responsibilities.
  3) Provide practical advice regarding documentation, including through illustrative examples.
  
  Target Audience: New MSPs, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders

• Session Description: Within the role of the Medical Staff Services Professional, we often find ourselves interacting with others throughout the health system, such as legal services, risk management, and patient safety to name a few. This interactive session will teach us not only how to work with our trusted colleagues, but how to view the work that we are doing through their lens to create strong partnerships and a cross functional team that adds value to our system, our patients, and our own professional development.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify key stakeholders within their organizations health care system and how they relate to their own roles.
  2) Identify opportunities within the participants day-to-day work to view their work within the lens of key stakeholders.
  3) Identify and create cross-functional teams for overall success of the greater health care system.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This presentation will examine the unique relationship that is created between the Organized Medical Staff and their Governing Body, the Board. It will delve into the governance structure that most organizations utilize and see how it fits into regulatory compliance. It will examine areas in which the MSP can support the relationship. Best practices such as use of a Board subcommittee for Quality/Credentialing and the Joint Conference Committee will be surveyed. The challenging and problem areas will also be explored such as everyone’s role in situations requiring corrective action, participation in the strategic planning process and its subsequent implementation, legal obligations, nature of physician representation on the Board, and responsibilities when State Medical Boards or the Federal Office of the Inspector General (OIG) become involved.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Clearly identify the legal and regulatory fiduciary obligations carried by the organization medical staff and the board.
  2) Delineate at least three areas in which MSPs can facilitate the relationship.
  3) Identify an appropriate process for mediating disputes between the medical staff and the board.
  4) Name at least three benefits from collaborative medical staff/board interactions.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Whether it be from a Provider side, Health System, or even working in a health plan, Delegation is one of the most effective best practice processes in our profession. What better way to have a new provider onboarded quickly and organizations are able to rake in the revenue without having to wait for credentialing to finish. This session will walk through steps to achief delegation from a Payer or Organization and also work through offering delegation from the health plan perspective. I will also share a personal experience from taking a provider group from 0% delegated to 95% delegation in 7 months and achieved even negative turnaround times.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand the benefits and intention of delegated credentialing for their providers or groups.
  2) Understand the nuances coming through NCQA’s 2025 updates as it pertains to delegation and how to best plan PROACTIVELY.
  3) Understand some of the challenges, requirements and process enhancements needed to ensure a strong delegated program for your organization.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: Are CRNAs independent? Can physician assistants be on call? Does the Medical Staff need to add 104 NPs to its Bylaws? These just some of the FAQs Rebecca Hoyes of Polsinelli LLP gets asked and will be addressing during this session, which offers an overview of the latest changes impacting APPs and Medical Staffs. Not only will this presentation focus on recent changes to laws regarding APPs, but it will prepare MSPs for anticipated changes based on recent petitions and bills pending before state regulators and legislators.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Describe recent legal and regulatory changes impacting APPs. 2) Understand how Medical Staff governing documents can be modified to provide flexibility 3) Plan for anticipated changes in this evolving legal landscape.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO's, Medical Staff Leaders, Administrative Leaders

• Session Description: Ruby W. Wood and Connie Y. Tcheng of Wood Tcheng LLP will present practical advice relating to one of the more time consuming yet important aspects of medical staff services - documentation. Documentation, when done correctly, can maximize a medical staff’s ability to withstand legal challenges, including regulatory audits, litigation, and hearing proceedings. When done incorrectly, your email may become a cringeworthy “Exhibit A.”
  This presentation will review the various documentation responsibilities associated with medical staff administration, provide legal and strategic considerations, and give specific examples of how to document key issues efficiently and effectively. The presentation will include tips and tricks for drafting committee minutes, credentialing documentation, and required notices. It will also include
  pointers for navigating the sometimes competing demands of maintaining confidentiality while meeting disclosure obligations.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Review documentation responsibilities.
  2) Discuss legal and strategic considerations regarding how to fulfill those documentation responsibilities.
  3) Provide practical advice regarding documentation, including through illustrative examples.
  
  Target Audience: New MSPs, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders

• Session Description: Ever wonder how to start a process improvement plan for Provider Enrollment professionals? This session will take you through the steps in forming a team with stakeholders, creating a process map and sifting out the process waste … all with the result of a high performing team!!!
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understanding how to create a Process Improvement Project.
  2) Effectively walk through the stages of Forming, Storming and Norming.
  3) Understand how to summarize and map out process after session.
  4) Sharing the results and how to measure the impact of the results.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Annual Forum business meeting with lunch provided.

• Session Description: Each physician has their own story and unique concerns. This session will explore the various tools that Medical Staffs can use to identify, address, and correct concerns with a physician’s care or conduct and discuss the benefits of a case-by-case approach to peer review. Through use of examples and hypotheticals derived from real events, this session will walk through how peer review tools can proactively find resolution of clinical and conduct concerns thereby resulting in avoidance of a hearing. It will contrast such hypotheticals with examples where adverse
  action becomes required while demonstrating how the proactive measures support a judicial review committee’s finding the MEC’s adverse action was reasonable and warranted.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identifying the tools available to Medical Staffs to proactively respond to a physician with clinical or behavioral concerns.
  2) Exploring by hypothetical examples derived from actual events how to use peer review tools on a case-by-case basis to respond to concerns in clinical care or behavior.
  3) Identifying when corrective action is required and how proactive tools can support the reasonableness of the MEC’s adverse action.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: For many healthcare organizations, managers, team members and coworkers are working in different locations. This session introduces the concepts of working effectively within a virtual team, including the use of technology, communication techniques, and understanding behavioral styles. In addition, a focus on leading and managing a virtual team as well as understanding and addressing barriers to success can also be included.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Recognize the benefits and challenges of working on a virtual team.
  
  Target Audience: New MSPs, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders

• Session Description: NCQA has not made significant changes to their Credentialing Standards in some time. This time is upon us where coming July 1, 2025 the new standard go into effect our organizations will be held accountable. From timelines, delegation and even further clarification and advancement in the Systems Controls standards ... This session will explore each of the upcoming revisions and changes to the Credentialing standards so we are all prepared for any reviews or audits in the coming months.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand where we came from in previous versions of the NCQA Credentialing Standards and understand the intention of the upcoming revisions and ask the question --- “How does it affect my team/organization?”
  2) Understand the intention and the mechanics of how to operationalize each standard update.
  3) Have a greater knowledge of how best to prepare operationally to ensure continued compliance come July 1, 2025.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: The annual litigation update will cover a wide range of the legislative and legal updates from 2024-2025 important to your medical staff practice. This presentation will help ensure that MSPs are in the know, including recent legislative changes under SB 815 [Medical Board updates], AB 2225 [expansion of Evidence Code 1157], SB 1451 [transition to practice for NPs and patient disclosure requirements], MBC Physician Health & Wellness Program, impacts of social media use, and notable decisions [e.g. Dignity v. Mounts; Slone v. El Centro Regional Med. Centro; Asiryan v. Glendale; Kime v. Dignity Health].
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Provide general legal update on new statutes, regulations, and case law relevant to medical staffs.
  2) Identify and discuss the implications of new developments on the medical staff office’s duties and responsibilities.
  3) Provide practice tips for addressing and incorporating these developments into the MSP’s practice.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Despite best efforts, privacy breaches remain common and can result in monetary penalties. Medical Staff leaders and the MSO will learn tips for responding to potential breaches by a Medical Staff member. We will cover the nuts and bolts of responding to privacy breaches, including using available resources to investigate, ensuring reporting obligations are met, and considering the range of disciplinary actions considering the circumstances of the privacy breach.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn how to respond to reports that Medical Staff members have breached patient privacy.
  2) Learn about common breach situations and how the California Department of Public Health has responded.
  3) Identify possible disciplinary measures to address such privacy breaches.
  4) Learn about the reporting requirements triggered by privacy breaches.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Hospital and Medical Staff disputes consume financial and human resources, often adversely affecting culture and care delivery. Few in healthcare understand the dangers of conflict avoidance, and fewer still have training in Alternative Dispute Resolution (ADR) strategies. Leaders typically rely on traditional approaches that can lead to litigation. As physician leaders/administrators, we believe that ADR strategies including mediation, facilitation and coaching should become a standard part of conflict management.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand different conflict response styles and their downstream consequences.
  2) Understand conflict communication challenges faced by medical staff and its leaders.
  3) Understand how to help physician leaders learn to constructively engage conflict.
  4) Learn how and why Alternative Dispute Resolution approaches can help better manage hospital conflict.
  
  Target Audience: New MSPs, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders

• Session Description: As MSPs, we have become proficient at finding the glaring red flags within our credentialing and privileging processes that cause us to immediately pause for assessment, but what about those hidden messages or small clues that can give us insight into larger concerns? This course will give insight into and examples of these lesser-known and less obvious credentialing flags and how to interpret them.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify less recognized credentialing flags that establish a pattern for concern.
  2) Understand best practices for identification of privileging flags.
  3) Review case studies of less recognized flags and patterns for care and behavior concerns.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leader

• Session Description: Professionalism encompasses a spectrum of behaviors, attitudes, and communication styles that foster a positive and productive work environment. Core competencies under the ACGME Guidelines include both professionalism and intercommunication skills, yet sometimes even highly experienced and skilled providers will have lapses in judgment regarding their professionalism and intercommunication skills which can create the potential for patient safety issues to arise. This session will be a collaborative discussion between an attorney and a medical staff professional regarding how we can work together to educate and guide medical staff leaders to create an improved culture and expectations of professionalism while still providing fair process and procedure to individual providers who are the subject of unprofessional behavior allegations.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Review The Joint Commission guidance on behaviors that undermine a culture of safety and various Model Codes of Conduct and Bylaws that address unprofessional behavior.
  2) Identify and discuss legal guidance and peer review literature that supports how a creating a culture of professionalism and improving intercommunication skills can work to increase quality of care.
  3) Provide practical tips for how medical staff professionals can assist with guiding medical staff leaders in creating a culture and expectations of professionalism.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Professionalism has evolved to encompass skills like clear communication, accessibility, self-awareness, and an appreciation that medicine is a team sport. Being a highly reliable healthcare organization means consistent excellence in quality and safety. To achieve this level of performance, an organization must promote a safety culture where providers understand the importance of professionalism and speaking up. We will explore how the creation of a Professionalism Committee can promote and support a safety culture at your institution.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn about signs that may lead to disruptive and unprofessional actions by providers.
  2) Understand the importance of a comprehensive, well organized, and equitable process to address Medical Staff practitioner professionalism.
  3) Identify and understand the monitoring, support mechanisms, and remediation processes available for medical staff practitioners who demonstrate a lack of professionalism.
  4) Design and implement a balanced process to enhance professionalism on your Medical Staff and ensure the safety of patients at your facility.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Although MSPs are generally familiar with the peer review protections afforded under California Evidence Code Sections 1156 and 1157, less is known and understood about the broader privilege protections under the federal Patient Safety and Quality Improvement Act of 2005 (PSQIA). Many MSPs are not even aware of whether their hospital or health care facility even participates in a federal Patient Safety Organization which is a requirement before being able to access the protections under the PSQIA.
  The purpose of this presentation is to familiarize MSPs with the key definitions and fundamental requirements under the PSQIA, the importance of having comprehensive patient safety evaluation system (PSES) policies in order to maximize the privilege protections for patient safety work product (PSWP), and the need for MSPs and other medical staff and professions to understand their respective roles and responsibilities in order to fully realize the benefits of the PSQIA.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify, understand and apply the key fundamental terns and requirements for compliance with the PSQIA.
  2) Provide example PSES policy provisions which will be instructive on how to maximize the PSQIA privilege protections.
  3) Distinguish between the differences between the protections under Code Sections 1156 and 1157 and the PSQIA.
  4) Understand the differences will affect the role and responsibilities of MSPs and others in how PSWP can be shared internally for the purposes of improving patient care and reducing risk.
  5) This Understanding will impact how PSWP is collected and stored in confidential files along with Sections 1156 and 1157 materials.
  
  Target Audience: New MSPs, Seasoned MSPs, Medical Staff Leaders, Administrative Leaders

• Session Description: Despite best efforts, privacy breaches remain common and can result in monetary penalties. Medical Staff leaders and the MSO will learn tips for responding to potential breaches by a Medical Staff member. We will cover the nuts and bolts of responding to privacy breaches, including using available resources to investigate, ensuring reporting obligations are met, and considering the range of disciplinary actions considering the circumstances of the privacy breach.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn how to respond to reports that Medical Staff members have breached patient privacy.
  2) Learn about common breach situations and how the California Department of Public Health has responded.
  3) Identify possible disciplinary measures to address such privacy breaches.
  4) Learn about the reporting requirements triggered by privacy breaches.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Due to the changing landscape of the health care industry over the last decade, employment issues have slowly but surely crept into the everyday practice of medical staffs and peer review. Today, community physicians are the minority - most physicians we encounter are affiliated with a larger health system, employed by a group contracted with the health system’s foundation, or a faculty member of the academic center, just to name a few possibilities. In this session, Annie Lee (a seasoned peer review attorney), will be joined by her law partner, Jeffrey Weston (a seasoned
  employment law attorney), and they will discuss the following hot button crossover trends between peer review and employment:
  • Physician unions and medical staff membership.
  • How medical staffs should handle substance abuse allegations and concurrent action by employer.
  • Physician sexual misconduct allegations against a medical staff member and concurrent action by employer.
  • Sharing information between medical staffs and an employer that is not a peer review body.
  • Residents and the medical staff.
  • Employed, privileged practitioners and allegations against them that may have an adverse effect on patient care.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Learn employment law principles that apply to peer review.
  2) Best practices in sharing information between medical staff and employers.
  3) Learn tactics to handle physician well-being issues related to substance abuse and employer obligations.
  4) Understand peer review and employment principles as they apply to employed, privileged practitioners.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session will discuss the relatively recent changes in laws pertaining to NPs and CNMs with a nod to the PA practice agreements, which signaled a start to APP independence. It will explore the legislative push to view our APPs as collaborative partners in the provision of health care. Through a review of legislative changes, the session will discuss current practices for APP grievance processes and procedures. It will further explore the pending changes to APP participation and membership on Medical Staffs, which will dive into reporting requirements and fair hearing rights under the Business and Professions Code. It will also explore the intersection between employment and medical staff rights for APPs employed by the healthcare facility.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Exploring the growing independence of APPs.
  2) Discussing Current APP Grievance Processes.
  3) Looking to Future Changes for APPs, Including Medical Staff Participation, Membership, and Hearing Rights.
  4) Discussing intersection between APPs Medical Staff and employment rights.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: As MSPs, we have become proficient at finding the glaring red flags within our credentialing and privileging processes that cause us to immediately pause for assessment, but what about those hidden messages or small clues that can give us insight into larger concerns? This course will give insight into and examples of these lesser-known and less obvious credentialing flags and how to interpret them.
  *Session will be Repeated
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Identify less recognized credentialing flags that establish a pattern for concern.
  2) Understand best practices for identification of privileging flags.
  3) Review case studies of less recognized flags and patterns for care and behavior concerns.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session will be designed as a free-flowing discussion between the audience and the panel regarding common legal issues all medical staffs deal with. While the conversation will be open to any question asked by the audience, the experienced panel of attorneys may discuss anything from reporting scenarios, whistleblower & retaliation issues, handling investigations (including the risks/benefits of joint investigations), and credentialing issues.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) Understand issues commonly faced by MSPs.
  2) Identify opportunities to refine or change medical staff processes. Learn key concepts related to a wide variety of credentialing topics.
  3) Provide practice tips for addressing and incorporating these issues into the MSP’s practice.
  
  Target Audience: New MSPs, Seasoned MSPs, CVOs, Medical Staff Leaders, Administrative Leaders

• Session Description: These fun and interactive popular session reviews hypotheticals based on real cases that have challenged Medical Staff leadership and MSPs. The participants will break into groups to discuss the individual cases and then come together to share collective knowledge and experience for all involved.
  
  Session Objectives:
  At the conclusion of this session, participants will be able to:
  1) State one remedial act for a disruptive physician.
  2) Identify two external sources for remedial assistance.
  3) State one red flag for identifying an individual who may be a medical criminal.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders