February 28 – March 1, 2013 • Wynn Las Vegas • Las Vegas, NV

A Global Media Dynamics Production
February 28 – March 1, 2013 • Wynn Las Vegas • Las Vegas, NV
FEATURED CONGRESS SPEAKERS
Stephanie Figueroa, Chief PA-C, MPAS
Assistant Director, Observation Services
Department of Emergency Medicine
JOHNS HOPKINS HEALTH SYSTEM
Katherine Major, MSN, RN
Nurse Manager, PICC Team &
Emergency Department Observation
Unit
HOSPITAL OF THE UNIVERSITY OF
PENNSYLVANIA
Roy Jacobson, MD, PhD
Medical Director, Corporate Care
Management
UNIVERSITY OF PITTSBURGH
MEDICAL CENTER
Sharon Mace, MD, FACEP, FAAP
Director, Observation Unit
CLEVELAND CLINIC
Elizabeth Sims, MSN, RN
Network Director, Observation &
Outpatients in a Bed
COMMUNITY HEALTH NETWORK
Leslie Zun, MD, MBA
Professor and Chair, Department of
Emergency Medicine
CHICAGO MEDICAL SCHOOL
Chair, Department of Emergency
Medicine
MOUNT SINAI HOSPITAL CHICAGO
Dean Harrison, MPAS, PA-C, DFAAPA
Director, Mid-Level Practitioners
Assistant Medical Director, Clinical
Evaluation Unit
Division of Emergency Medicine
Department of Surgery
DUKE UNIVERSITY MEDICAL CENTER
Organized by:
www.globalmediadynamics.com
David Paje, MD, FACP, FHM
Associate Division Head, Hospitalist
Medicine
Department of Medicine
HENRY FORD HOSPITAL
Miles Hawley, MD, MBA
Medical Director, Emergency Services
Assistant Professor, Emergency
Medicine & Internal Medicine
THE OHIO STATE UNIVERSITY
MEDICAL CENTER
David Zull, MD, FACEP
Professor, Emergency Medicine &
Internal Medicine
NORTHWESTERN UNIVERSITY,
FEINBERG SCHOOL OF MEDICINE
Co-Director, Observation Unit
NORTHWESTERN MEMORIAL
HOSPITAL
Mark Flitcraft, RN, MSN
Unit Director, Department of Nursing
Medical Intensive Care Unit & GONDA
Observation Unit
RONALD REAGAN UCLA MEDICAL
CENTER
Sean Collins, MD, MSc
Associate Professor
Department of Emergency Medicine
VANDERBILT UNIVERSITY MEDICAL
CENTER
Sandra Sieck, RN, MBA
President
SIECK HEALTHCARE
Kayur Patel, MD, MRO, FACP, FACPE, FACEP
Director
HEALTH CARE EXCEL
Former Chief Medical Officer
TERRE HAUTE REGIONAL HOSPITAL
HOW TO REGISTER:
Phone: 800-646-9581 • Fax: 973-333-8967
Online: www.2013observation.com
The only conference on
Observation Patient Management that will
equip you with innovative strategies and tools
to be prepared for 2013!
Innovations in Observation Patient Management – Prevent Unnecessary Admissions,
Maximize Reimbursements and Leverage Evidence-Based Triage Protocols to Improve Short-Term Care Quality
KEY CONGRESS TAKEAWAYS
Development & Evolution of the Observation Unit –
Maximizing Bed Utilization, and Staffing Experiments with
ED vs. Hospitalist Control
Nuts and Bolts of Observation Services: Making the
Business Case for Creating an Observation Unit
Reduce Risk and Increase Benefits through Optimizing
Observation Services
A Proven and Effective Blueprint for Implementing a Short
Stay/Observation Unit at Your Hospital
Leveraging the Observation Unit to Improve Patient
Throughput without Compromising Patient Outcomes
Developing and Implementing an Effective 24/7 Case
Management Program to Improve Efficiency and Flow of an
Observation Unit
Reducing Unnecessary Hospital Admissions through
Observation and Evidence-Based Clinical Decision Making
Reduce Risk and Increase Benefits through Optimizing
Observation Services
Aligning Performance Benchmarks to Improve Clinical
Outcomes and Observation Unit Efficiency
Measuring and Reporting the Clinical and Financial
Outcomes of your Observation Unit
Facing the Challenges of Observation Medicine:
A Nursing Perspective
Achieving Success in Clinical Decision Making and
Management of the Observation Unit
Integrating Hospitalists as Part of a Successful Observation
Care Program
Speeding Triage and Clinical Decision Making for Patients
Presenting Chest Pain Conditions
MAIN CONGRESS WORKSHOP SESSION
Redesigning Value-Based Observation Units:
Sustainability in the Evolving Healthcare Landscape
- HEALTH CARE EXCEL

Is Your ED Leaving Money on the Table?
Faced with increasing patient volumes, declining reimbursements and overworked ED
staffs, hospitals must be prepared to leverage Observation Patient Management. Well
structured Observation Units have resulted in financial gains, improved clinical
outcomes and superior patient satisfaction ratings.
Global Media Dynamic’s 2013 Observation Patient Management Congress will highlight
the pertinent challenges facing Observation Unit staffs – ED physicians, Hospitalists,
Case Managers and Billing and Coding professionals. Additionally, the conference will
highlight how and why hospitals that are not utilizing Observation Patient Management,
are leaving money on the table.
The 2013 Observation Patient Management Congress will allow you to walk away
with an understanding of current trends and market practices, and innovative
strategies to prepare yourself for the challenges that lie ahead. In addition to providing
the latest, evidence-based intelligence on Observation Patient Management, the
Congress will provide you with unprecedented networking and professional
development opportunities. All sessions are designed to facilitate a high degree of
interaction between speaker faculty members and fellow attendees.
Register today to reserve your seat at the conference and take advantage of early bird
discounts. Call 1-800-646-9581 or register online at www.2013observation.com.
We look forward to seeing you in Las Vegas!
Sincerely,
2013 Observation Patient Management Team
DAY ONE | Thursday, February 28, 2013
7:15 Conference Registration & Morning Breakfast
8:00 Chairperson’s Opening Remarks
8:15 Nuts and Bolts of Observation Services: Making the
Business Case for Creating an Observation Unit
The advantages of observational services are well established
but the nuts and bolts of them may not be. Many hospital wish
to establish or improve the observational care provided at their
hospital. At the end of the presentation, the attendee will have a
better understanding of how to make the observation unit work
efficiently. This talk will cover many of the pertinent topics in
observational services such as:
• Understanding the means to improve the operations of
observation services
• Evaluating the quality and utilization of observation services
• Reviewing reimbursement and profitability of observation
units
Leslie Zun, MD, MBA
Professor and Chair, Department of Emergency Medicine
CHICAGO MEDICAL SCHOOL
Chair, Department of Emergency Medicine
MOUNT SINAI HOSPITAL CHICAGO
9:00 A Proven and Effective Blueprint for Implementing a
Short Stay/Observation Unit at Your Hospital
With the rapid development of Observation Units throughout
Emergency Departments, this presentation will discuss the
process to develop and implement a successful unit and what
"pitfalls" to avoid and how to optimize utilization. Additionally,
marketing techniques will be presented to make your unit
successful. Topics to be examined include:
• Determining the need for an Observation Unit
• Determining what works and what doesn't given your
resources
• Identify the ideal staffing matrix
Dean Harrison, MPAS, PA-C, DFAAPA
Director, Mid-Level Practitioners
Assistant Medical Director, Clinical Evaluation Unit
Division of Emergency Medicine
Department of Surgery
DUKE UNIVERSITY MEDICAL CENTER
9:45 Networking Break and Refreshments
WHO SHOULD ATTEND
From Hospitals and Healthcare Centers:
Chief Executive Officers, Chief Medical
Officers, Chief Nursing Officers,
Chief Finance Officers, Chief Operating Officers
Also, Vice Presidents, Directors, Managers,
and Senior Level Executives Responsible for:
• Observation Medicine
• Emergency Medicine
• Hospital Medicine
• Internal Medicine
• Clinical Decision Making
• Billing & Coding
• Emergency Nursing
• Case Management
• Utilization Management
• Patient Access
• Reimbursement
• Denial Management
• Compliance
• Quality Management
• Medical Affairs
• Discharge Planning
This conference will also benefit physician
advisor firms, solution providers, healthcare
consulting firms and healthcare information
technology firms.
10:15 Aligning Performance Benchmarks to Improve Clinical
Outcomes and Observation Unit Efficiency
Learn how successful alignment of Observation Unit
performance benchmarks – clinical and financial – can be
implemented, deployed and leveraged to:
• Improve operating efficiency
• Ensure maximum and appropriate reimbursements0
• Ensure CMS compliance
David Paje, MD, FACP, FHM
Associate Division Head, Hospitalist Medicine
Department of Medicine
HENRY FORD HOSPITAL
How to Register – Pho

11:00 Achieving Success in Clinical Decision Making and
Management of the Observation Unit
During this session, the audience will be given pearls of
running a success observation unit. This will include a review of
the most successful types of observation units, best practices,
owning and hard-wiring the mission of the unit among staff,
patient selection, coordination of ancillary services and benefits
of case management.
In addition, the strategies for unit management will be
detailed, with recommendations for metrics, accountability, and
feedback to staff.
Stephanie Figueroa, Chief PA-C, MPAS
Assistant Director, Observation Services
Department of Emergency Medicine
JOHNS HOPKINS HEALTH SYSTEM
11:45 Facing the Challenges of Observation Medicine: A
Nursing Perspective
Implementing and managing an Observation Unit can be
challenging. This session examines how to effectively deal with
the challenges facing Observation Medicine.
It will provide a Nursing perspective on how to implement best
practices to overcome challenges affiliated with an Observation
Unit.
Katherine Major, MSN, RN
Nurse Manager, PICC Team &
Emergency Department Observation Unit
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
12:30 Luncheon for Speakers and Delegates
1:45 How to Effectively Select Patients for an
Observation Unit
This presentation will present an overview of the Observation
Unit at University of Pittsburgh Medical Center. The session will
examine:
• System in place for chart review to determine appropriate
status placement
• Medicare definition of Observation
• Ongoing interaction with attending physicians and physician
advisor
• Relationship with floor staff
Roy Jacobson, MD, PhD
Medical Director, Corporate Care Management
UNIVERSITY OF PITTSBURGH MEDICAL CENTER
2:30 Leveraging the Observation Unit to Improve
Patient Throughput
This presentation will examine a collaborative multidisciplinary
approach that was used to develop a successful Observation
Unit located within the Emergency Department (ED) to enhance
hospital efficiency as measured by length of patient observation
without compromising patient outcomes.
The development of the ED Observation Unit program resulted
in achieving the long term goal of reducing observation length
of stay without a negative impact on return to the ED rate. Every
action was guided by knowledge, enabled by skill with a
commitment to providing staff with educational support, while
creating an environment where nurses actively contributed to
their practice by continually evaluating and implementing
change, improving overall collegial relationships.
3:15 Networking Break and Refreshments
3:45 Speeding Triage and Clinical Decision Making for
Patients Presenting Chest Pain Conditions
This session will highlight the triage protocols utilized within
an Observation Unit, with particular emphasis on patients
presenting with chest pain. Key topics will include:
• Observation vs. Admission
• Care coordination
• Triage assessment protocols
Sean Collins, MD, MSc
Associate Professor
Department of Emergency Medicine
VANDERBILT UNIVERSITY MEDICAL CENTER
4:30 Improving Clinical and Operational Outcomes for
Observation Patient Management
This session examines the strategies and best practices to
improve clinical and operational outcomes for Observation
Patient Management. The speaker will provide expertise on how
to implement a viable strategy to establish and maintain a
successful Observation Patient Management program with a
focus on quality of care and operational efficiency.
Sharon Mace, MD, FACEP, FAAP
Director, Observation Unit
CLEVELAND CLINIC
5:15 End of Day One
DAY TWO | Friday, March 1, 2013
7:15 Morning Breakfast
8:00 Chairperson’s Recap of Day One
8:15 Reducing Unnecessary Hospital Admissions through
Observation and Evidence-Based Clinical Decision
Making
The optimal use of an observation unit relies heavily on ideal
patient selection and use of well-established protocols of care.
Each institution should adopt policies surrounding selection of
patients for observation and protocols for observation
management that are based on this literature in order to deliver
the best care possible while minimizing the rate of further need
for inpatient hospitalization.
At a capacity-constrained hospital, the use of observation has
the potential to allow for more patients to be discharged home
without an inpatient stay. By delaying the decision to admit to
an inpatient unit for up to 24 hours for additional diagnostics
and treatment, the physician caring for that patient is able to
make a much better informed decision about the true need for
inpatient admission. As a result, unnecessary and short stay
admissions are minimized, which reduces patient exposure to
inpatient hazards and risk of payer denials for admissions at
high risk for audits.
Miles Hawley, MD, MBA
Medical Director, Emergency Services
Assistant Professor, Emergency Medicine & Internal Medicine
THE OHIO STATE UNIVERSITY MEDICAL CENTER
ne: 800-646-9581 • Fax: 973-333-8967• Online: w

9:00 The Northwestern Experience: Development & Evolution
of the Observation Unit – Maximizing Bed Utilization,
and Staffing Experiments with ED vs. Hospitalist Control
This session will provide a case study on the development and
evolution of the Observation Patient Management program at
Northwestern Memorial Hospital.
Special emphasis will be placed on reducing hospital
readmissions, maximizing bed utilization, and effective integration
of hospitalists within the program.
David Zull, MD, FACEP
Professor, Emergency Medicine & Internal Medicine
Northwestern University, Feinberg School of Medicine
Co-Director, Observation Unit
NORTHWESTERN MEMORIAL HOSPITAL
9:45 Networking Break and Refreshments
10:15 Applying Care Protocols to Stabilize Patients
in Less than 24-Hours
Learn how Ronald Reagan UCLA Medical Center has developed
protocols to maximize the clinical and operational efficiency of its
Observation Unit and ED by quickly and effectively assessing
patient conditions and determining appropriate patient
classification. The session will specifically highlight the hospital’s
strategies for stabilizing patients remanded to Observation within
a 24-hour period.
Mark Flitcraft, RN, MSN
Unit Director, Department of Nursing
Medical Intensive Care Unit & GONDA Observation Unit
RONALD REAGAN UCLA MEDICAL CENTER
Thursday, February 28, 2013 • 5:30 p.m. – 7:30 p.m.
Redesigning Value-Based Observation Units: Sustainability in the Evolving Healthcare Landscape
With the Healthcare Reform, hospitals are
now being re-designed in order to meet the
required quality and pay-for-performance
metrics. In this quest for quality improvement
and mission to conserve valuable healthcare
dollars, Observation Units hold the key to
success. This session discusses practical
applications on creating/maintaining a
sustainable observation unit, including:
• Practical strategies on value based reengineering
of Observation Units
• Looking toward the future – ensuring an
operational observation unit, not just for
today
MAIN CONFERENCE WORKSHOP SESSION
• Re-designing value based observation unit
– one that is sustainable a decade down
the line
• Maintaining sustainability while redesigning
the current Observation Unit or creating a
new one from scratch
ABOUT THE WORKSHOP LEADER:
Kayur Patel, MD, MRO, FACP, FACPE,
FACEP is a Director at HEALTH CARE EXCEL.
Dr. Patel, a nationally-recognized authority
and a national speaker on the subject of
quality in healthcare is a result-oriented
Business and Healthcare Leader with over
two decades of experience in the Healthcare
ww.2013observation.com
11:00 Capitalizing on the Role of the Clinical Charge Analyst
in Optimizing Revenues for Observation Stays with
Nursing Ancillary Services
Community Health Network has achieved great success in
capturing significant revenues for Observation stays. This is
achieved through best practices in coding and close collaboration
between clinicians and billings staff. This session will highlight
viable strategies for maximizing revue capture for Observation
stays. Points of coverage will include:
• Billing and coding
• Tools to assist clinicians in capturing revenue
• Staff coordination
• Assessing your results to show value
Elizabeth Sims, MSN, RN
Network Director, Observation & Outpatients in a Bed
COMMUNITY HEALTH NETWORK
11:45 Reduce Risk and Increase Benefits through Optimizing
Observation Services
Observation care is a well-defined set of specific, clinically
appropriate services, which include ongoing short-term
treatment, assessment, and reassessment, that are furnished
while a decision is being made regarding whether patients will
require further treatment as hospital inpatients or if they are able
to be discharged from the hospital.
Understand how to reduce the risk of audits and benefit from
streamlining the process, reducing cost, and increasing quality by
"Doing it Right the First Time."
Sandra Sieck, RN, MBA
President
SIECK HEALTHCARE
12:30 Conference Concludes
Industry. Currently, he serves as a Director
with Health Care Excel, a Quality Improvement
Organization for Indiana. A practicing
physician, Dr. Patel's forte is in aligning
physicians and hospital leaderships for
successfully converting the challenges of
healthcare reforms into opportunities for
community, physicians and hospitals.
Formerly Senior Vice President of TeamHealth
and a Chief Medical Officer of a Midwest
hospital, Dr. Patel is a Fellow of American
College of Physicians, American College of
Physician Executives, and American College of
Emergency Physicians.

Sponsorship Opportunities
Current sponsorship opportunities for the 2013 Observation Patient Management Congress range from speaking
to exhibiting at the event. All sponsorship opportunities are on a first come first serve basis. For information on sponsorship and exhibiting
opportunities, please contact Justin Sanders at 1-800-646-9581 or jsanders@globalmediadynamics.com
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130 W. Pleasant Avenue
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Maywood, NJ 07607
Innovations in Observation Patient Management –
Prevent Unnecessary Admissions, Maximize Reimbursements
and Leverage Evidence-Based Triage Protocols
to Improve Short-Term Care Quality
February 28 – March 1, 2013
Wynn Las Vegas • Las Vegas, NV
Innovations in Observation Patient Management –
Prevent Unnecessary Admissions, Maximize
Reimbursements and Leverage Evidence-Based Triage
Protocols to Improve Short-Term Care Quality
Stephanie Figueroa, Chief PA-C, MPAS
Assistant Director, Observation Services
Department of Emergency Medicine
JOHNS HOPKINS HEALTH SYSTEM
Katherine Major, MSN, RN
Nurse Manager, PICC Team & Emergency
Department Observation Unit
HOSPITAL OF THE UNIVERSITY OF
PENNSYLVANIA
Roy Jacobson, MD, PhD
Medical Director, Corporate Care Management
UNIVERSITY OF PITTSBURGH MEDICAL
CENTER
Sharon Mace, MD, FACEP, FAAP
Director, Observation Unit
CLEVELAND CLINIC
Elizabeth Sims, MSN, RN
Network Director, Observation &
Outpatients in a Bed
COMMUNITY HEALTH NETWORK
Sandra Sieck, RN, MBA
President
SIECK HEALTHCARE
FEATURED CONGRESS SPEAKERS
Leslie Zun, MD, MBA
Professor and Chair, Department of
Emergency Medicine
CHICAGO MEDICAL SCHOOL
Chair, Department of Emergency Medicine
MOUNT SINAI HOSPITAL CHICAGO
Dean Harrison, MPAS, PA-C, DFAAPA
Director, Mid-Level Practitioners
Assistant Medical Director,
Clinical Evaluation Unit
Division of Emergency Medicine
Department of Surgery
DUKE UNIVERSITY MEDICAL CENTER
David Paje, MD, FACP, FHM
Associate Division Head,
Hospitalist Medicine
Department of Medicine
HENRY FORD HOSPITAL
Miles Hawley, MD, MBA
Medical Director, Emergency Services
Assistant Professor, Emergency Medicine
& Internal Medicine
THE OHIO STATE UNIVERSITY
MEDICAL CENTER
David Zull, MD, FACEP
Professor, Emergency Medicine
& Internal Medicine
NORTHWESTERN UNIVERSITY, FEINBERG
SCHOOL OF MEDICINE
Co-Director, Observation Unit
NORTHWESTERN MEMORIAL HOSPITAL
Mark Flitcraft, RN, MSN
Unit Director, Department of Nursing
Medical Intensive Care Unit & GONDA
Observation Unit
RONALD REAGAN UCLA MEDICAL CENTER
Sean Collins, MD, MSc
Associate Professor
Department of Emergency Medicine
VANDERBILT UNIVERSITY MEDICAL CENTER
Kayur Patel, MD, MRO, FACP, FACPE, FACEP
Director
HEALTH CARE EXCEL
Former Chief Medical Officer
TERRE HAUTE REGIONAL HOSPITAL
February 28 – March 1, 2013
Wynn Las Vegas
Las Vegas, NV
KEY CONGRESS TAKEAWAYS
Innovations within Observation Patient Medicine
Emergency Department Observation Units –
Cheaper, Quicker, Safer and More Patient
Satisfaction: What More Do You Want?
Leveraging the Observation Unit to Improve
Patient Throughput without Compromising
Patient Outcomes
Reducing Unnecessary Hospital Admissions
through Observation and Evidence-Based
Clinical Decision Making
A Proven and Effective Blueprint for
Implementing an Observation Unit at Your
Hospital
Applying Care Protocols to Stabilize Patients in
Less than 24-Hours
Managing Decompensated Heart Failure within
the Observation Unit: What ED Nurses Need to
Know
MAIN CONGRESS WORKSHOP SESSION
Redesigning Value-Based Observation Units:
Sustainability in the Evolving Healthcare Landscape
- HEALTH CARE EXCEL
HOW TO REGISTER:
Phone: 800-646-9581 • Fax: 973-333-8967
Online: www.2013observation.com
Organized by:
www.globalmediadynamics.com