Ritz-Carlton Highlands
April 15-18, 2010 — Northstar, Lake Tahoe, CA
Thursday, April 15, 2010
QME Course – Part I
Moderator: George Balfour, M.D.
DWC Update — The 12-Point Plan For Change in 2010
- Proposed changes to the OMFS-Physician Services
- Utilization Review
Evaluation of Disease and Injury Causation — Mark Hyman, M.D.
Unraveling the Mysteries of Disability Ratings: Advice from the Experts
- Upper Extremity — George Balfour, M.D.
- Lower Extremity — Tye Ouzounian, M.D.
- Back/Spine — Paul Wakim, DO
Paul Wakim, DO Handout 1
Paul Wakim, DO Handout 2
The treating physician’s role in disability prevention – The insurance company perspective
Gideon Letz, M.D., State Compensation Insurance Fund
- Importance of work restrictions and transitional duty
Understanding what carriers need from treating physicians - Rationale use of opiates in non-cancer musculoskeletal pain
- Early identification of patients at risk for delayed recovery
Sue Honor-Vangerov, J.D.,
Workers’ Compensation Manager
Division of Workers’ Compensation Medical Unit
DWC Form – Functional Improvement Report
DWC Form – Request for Authorization
Friday, April 16, 2010
Saw Bones/Educational Labs
Custom & Patient – Matched Joint Resurfacing
Lab #1: Matthew Provencher, M.D., presenting Arthrosurface technique
Lab #2: Raj Sinha, M.D., presenting ConforMIS, Inc. technique
Lab #3 William Bugbee, M.D., presenting Depuy technique
Lab #4 Amir Jamali, M.D., presenting Mako Surgical technique
- Amir Jamali, M.D. – Video 1
- Amir Jamali, M.D. – Video 2
- Amir Jamali, M.D. – Video 3
- Amir Jamali, M.D. – Video 4
Cultural Competent Care— Ramon Jimenez, M.D.
2010 Annual Meeting
Economic Survival in the Era of Healthcare Reform – Part I
What You Need to Know—What You Need To Do
And
How To Do It Before It’s Too Late
Moderators: Robert O’Hollaren, M.D. & Jan Henstorf, M.D.
National Economic Forecast and Trends — Mike McCaslin, CPA, Somerset
- Anticipated national economic trends and the impact on orthopaedic practice
- Legislative and regulatory changes involved in health care reform and the impact on private practice
- Current and anticipated private insurer response to changes and the impact on practice economics
Anticipated Requirements for Success in the Current — Eric Worthan, Panorama Orthopedics
Economics, Regulatory, and Legislative Environment
- Quality and outcome assessments, data collection
- Overhead management
- Market leverage
- Income enhancement strategies
- Governance and administrative management needs
Currently Available Private Practice Models — Mike McCaslin, CPA, Somerset
- Assets and liabilities of structure and function of individual models: solo, small group, large group, integrated group
- Ability of models to accommodate to requirements for success
- Examples of successful models of each type in California
Process Improvement Strategies – General — Eric Worthan, Panorama Orthopedics
- Overhead control and office efficiency strategies
- Financial reporting- best practice, most useful
- Benchmarking- availability and uses
- Contract evaluation and negotiation
- Marketing tools and services
Process Improvement Strategies – Revenue Enhancers — Mark Anderson, AC Group
- EMR-available programs and vendors — David Schlactus, Hope Orthopedics Presentation 1
- IT management programs and services — Sandra Frykman, Medical Present Value
- EMR– implementation: experiences and pitfalls — James Caillouette, M.D.
- Data collection and reporting-what’s coming?
- Insurance payment contractual verification software and services
- Digital radiography
Interventional Therapies for LBP — Gagan Mahajan, M.D., UC Davis
Health Reform Implementation Timeline
Pros and Cons of Healthcare Reform
What CMA did for Physicians in Health Care Reform
Health Reform Town Hall — Richard Barry, M.D.
Saturday, April 17, 2010
2010 Annual Meeting
Lloyd W. Taylor, M.D. Resident Award — Todd Fellars, MD, San Diego Naval Hospital
Gait Parameter Differences Between Standard and Ertl Transtibial Amputees
Orthopaedic Hospital Resident Award — Joe Lee, M.D., UC Irvine
Analysis of Prognostic Factors in Ewing Sarcoma Using a Population-Based Cancer Registry
OREF Resident Award — Eric Varley, MD, UC San Diego
The Effect of Hydroxyapatite Coating on Anterior Vetebral Screw Fixation
J. Harold LaBriola, M.D. Resident Award — Derek Amanatullah, MD, UC Davis
Joint Preservation — Mike Millis, M.D., Boston Children’s Hospital
Economic Survival in the Era of Healthcare Reform – Part II
What You Need to Know—What You Need To Do
And
How To Do It Before It’s Too Late
Moderators: Robert O’Hollaren, M.D. & Jan Henstorf, M.D.
Income Enhancement Strategies -I
- ASC and Imaging benchmarking data — Mike McCaslin, CPA, Somerset
- ASC – requirements for success — Dale Butler, M.D.
- Imaging Centers – requirements for success—Carlos Prietto, M.D.
Income Enhancement Strategies – II
Physical Therapy benchmarking data—Mike McCaslin, CPA, Somerset
- Physical/occupational therapy-requirements for success — Carlos Prietto, M.D.
- Physician Extenders – cost/benefit ratio
- After hours trauma/urgent care clinics — David Demchuk, CEO,Front Range Orthopedic Surgery Center
The Musculoskeletal Home as an Accountable Care Organization Model
- Necessary components for success — Jack Bert, M.D.
- Structure and organization Jack Bert, M.D. Handout 1
- Assets and liabilities Jack Bert, M.D. Handout 2
- Jack Bert, M.D. Handout 3
QME Course – Part II
Moderator: George Balfour, M.D.
Managing Functional Recovery — Steven Feinberg, M.D.
Almaraz/Guzman I and II & Benson Debate — Judge Allyson Hall
What the Decisions Say from a Legal Perspective
How to Provide the Most Accurate Whole Person Impairment Rating (WPI) — Steven Feinberg, M.D.
How to Apply the Decisions to your Medical-Legal Evaluation — Steven Feinberg, M.D.
Case Presentations Andrew Sew Hoy, M.D.
Legal Perspective
Defense Attorney — Don Barthel, Esq.
Applicant Attorney — Elliot Berkowitz, Esq. Handout 1
- Elliot Berkowitz, Esq. Handout 2
- Elliot Berkowitz, Esq. Handout 3
- Elliot Berkowitz, Esq. Handout 4
- Elliot Berkowitz, Esq. Handout 5
WCAB Judge — Judge Allyson Hall
Public Forum — Feeling Young and Staying Active: Taking Care of Your Bones and Joints
Jointly Sponsored by the California Orthopaedic Association and Tahoe Forest Health System
Moderator: Ramon Jimenez
Boomeritis
- Upper Extremity — Michael Klassen, M.D.
- Lower Extremity — John Foley, M.D.
Kids Get Hurt Too — Pediatric Sports Injuries — Mark Wellisch, M.D.
Carpal Tunnel Syndrome — Amy Ladd, M.D.
Joint Replacement — Richard Santore, M.D.
Backing Your Good Health — Larry Herron, M.D.
Handout — Carpal Tunnel Syndrome
Handout — Preventing Back Pain
Handout — How to Keep Your Bones Healthy
Handout — What is Total Joint Replacement
Sunday, April 18, 2010
2010 Annual Meeting
Business Meeting — Richard Barry, M.D., President
Stem Cells for the Orthopaedic Surgeons — Moderator: Mark Lee, M.D.
- Stem Cells: The State of the Art — Jan Nolta, Ph.D., UC Davis
- Jan Nolta, Ph.D. Video 1
- Clinical Experiences with Stem Cells — Ray Linovitz, M.D.
- Debate: “Cell based applications are the Future of Biologic Augmentation in Orthopaedic Surgery”
- Pro: Jan Nolta, Ph.D., UC Davis
- Con: Safdar Khan, M.D.
Community Orthopaedic Trauma Care — Moderator: Michael Laird, M.D.
- What’s New in Trauma Care — Emily Benson, M.D.
- Referral Guidelines — Emily Benson, M.D. Handout 1
- Results of COA On-Call Survey — Michael Laird, M.D.
Economic Survival in the Era of Healthcare Reform – Part III
What You Need to Know—What You Need To Do
And
How To Do It Before It’s Too Late
Moderators: Robert O’Hollaren, M.D. & Jan Henstorf, M.D.
Income Enhancement Strategies: Pushing the Envelope
- Physician-owned implant distributorships — Paul Burton, DO
- Hospital service-line management contracts — Eric Worthan, Panorama Orthopedics
- Medical tourism — James Caillouette, M.D.
Non-employed hospital/physician integration models — James Caillouette, M.D.
The Integrated Model for Practice Organization — Mike McCaslin, CPA, Somerset
Income Enhancement Strategies – III
- In office DME — Eric Worthan, Panorama Orthopedics
- Post op DME
- Real estate investment — Mike McCaslin, CPA, Somerset
THE ACTION PLAN – WHAT TO DO NOW — Mike McCaslin, CPA, Somerset
- Developing a shared vision and strategic plan
- Implementation strategy
- Resources: partners, product vendors, information sources
