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6th Annual New England Rural Health RoundTable


October 15th
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October 15, 2003
Centers for Medicare and Medicaid Services
9:00 - 10:00 pm Registration and Continental Breakfast
10:00 am - 10:15 am Welcoming Remarks
Jeff Hanson, President
New England Rural health RoundTable

10:15 - 10:30 am Introduction to Keynote Speaker
Charlotte Yeh, Regional Administrator, CMS
Boston, MA
Dr. Charlotte Yeh is the Regional Administrator for CMS for the six New England states. She will discuss the role of the Regional Office in serving providers in rural communities, and will introduce the Keynote Speaker.

10:30 - 11:45 am Keynote Address: How CMS Serves Rural Beneficiaries
Tom Scully, Administrator, CMS
Washington, DC
Tom Scully is the Administrator of the Centers for Medicare & Medicaid Services. He will discuss the various programs that CMS administers to support rural providers, and will update the audience on Congressional and regulatory initiatives that may impact rural providers.

11:45 - 12:30 PM Lunch

12:30 - 1:45 PM Panel Discussion: Encouraging the New Medicare Advantage Plans to Participate in rural Areas
Moderator: tom Barker, Senior Outreach Advisor to the Administrator, CMS
Washington, DC
Panel Members TBA
Congress is currently considering reforming the Medicare program. One of the proposals is for a Medicare Advantage program to replace Medicare+Choice, and that would encourage the establishment of preferred provider organizations. This panel -- consisting of CMS representatives, a provider, an academic expert, an insurer, and a consumer advocate -- will address the potential for these plans in rural areas.

2:00 - 3:15 PM Concurrent Workshops
A. Medicaid Oral Health Benefits Conan Davis, DDS, chief Dental Officer, CMS Office of Clinical Standards and Quality
Baltimore, MD
Access to dental care for Medicaid beneficiaries is a long-standing problem. This presentation will address the importance of oral health care and how CMS is working with the states to improve access to care.

B. HIPAA Transaction and Code Sets William MacKenzie, Health Insurance
& HIPAA Specialist, CMS
Boston, MA
CMS is working with the provider community so that electronic information is transferable among various public and private sector organizations. CMS is responsible for the electronic health transaction. This presentation will address the development of these standards and providers' concerns about this process.

C. Medicare Fee-for-service Rural Programs Terrence Kay, Director, Division of Practitioner Services, Center for Medicare Management, CMS
Baltimore, MD
Medicare offers several types of assistance for rural hospitals and other providers. This presentation will explain the programs available and offer guidance in applying to participate in these reimbursement enhancement programs.

D. Institute for Healthcare Improvement: Web Resources and Other Services Janice Gagnon, Project Manager, Institute for Healthcare Improvement; and
Karen Baldoza, Project Manager, Institute for Healthcare Improvement
Brookline, MA
IHI offers resources and services to help health care organizations to make dramatic and long-lasting improvements to enhance clinical outcomes and reduce costs. This program will introduce IHI's resources and techniques, and discuss how they can be utilized in rural settings. This will be of interest to all provider types.

3:15 - 3:30 PM Break

3:30 - 4:45 PM Concurrent Workshops
E. Serving Native Americans Irv Rich
Medicaid State Representative, CMS
Boston, MA
Native Americans are an important group of Medicare and Medicaid beneficiaries, with unique health care needs and service systems. Irv Rich has been the Boston Regional Office liaison to Native Americans for several years, and will discuss the initiatives CMS has undertaken to enhance services for this population.

F.Compliance with HIPAA Privacy Rules Peter Chan, Acting Regional Manager, Office for Civil Rights
Scott Edmiston, Privacy Specialist, Office for Civil Rights
Boston, MA
What are the rules for complying with the privacy provisions of HIPAA? The HHS Office for Civil Rights is responsible for explaining and enforcing these provisions, and can offer assistance to providers who are implementing these rules. This presentation will address these efforts and the issues involved in implementation.

G. Assuring Quality - the CMS Survey Process Syrena Gatwood, Manager
Survey and Certification Branch, CMS
Boston, MA
Medicare offers several types of assistance for rural hospitals and other providers. This presentation will explain the programs available and offer guidance in applying to participate in these reimbursement enhancement programs.

H. Quality Improvement in Northern New England Lawrence Ramunno, MD, MPH
Chief Quality Officer, Northeast Healthcare Quality Foundation
Dover, NH
The new Quality Improvement Organization contract will have the QIOs working across provider settings: in nursing homes, home health agencies, hospitals, and physician offices. The Northeast Health Care Quality Foundation serves Maine, New Hampshire, and Vermont, and has worked extensively with providers in rural areas in these states.

4:45 PM Closing Remarks
Jeff Hanson, President
New England Rural Health RoundTable

>>>Forward to Thursday, October 16th Agenda and Workshops>>>

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