May 5-7, 2017 | San Diego, CA

2017 Conference Agenda

Thursday, May 4

5-7 PM Early Registration

Friday, May 5

7:30-9 AM Registration and Continental Breakfast
Pacific Ballroom, Room 24 1a. What Exceptional Leaders Know*
Tracy Spears, Author, Exceptional Leaders Lab
Spears offers specific strategies taken from her best-selling book, What Exceptional Leaders Know. Because leadership is a skill, it can only be learned through a specific combination of study and experience. Spears identifies the most common mistakes made by leaders and provides strategies to overcome those challenges. Participants will be provided with leadership tools, which can be immediately applied, resulting in increased teamwork and employee productivity.
Grand Ballroom, Room 1 1c. Essential Business Fundamentals for Physician Leaders*
Lance R. Lewis, MBA, Chief Operating Officer, California Medical Association
Understanding your organization’s financials and budget planning are essential to its sustainability. This course will cover the basics and provide even the most seasoned leader with important guidelines and new regulations that pertain directly to non-profit and medical society fiscal management. Several handouts and unique resources will be shared with attendees to provide greater insights and understanding of non-profit compliance with state and federal reporting requirements.
Grand Ballroom, Room 4  1d. Late Career Practitioners or Difficult Behavior: How Medical Staff Policies and Procedures Can Help You or Hurt You
James T. Hay, M.D., Past President, California Medical Association; Tom Curtis, Esq., Nossaman, LLP; and Richard Barton, J.D., Procopio, Cory, Hargreaves & Savitch LLP
Increasing attention is being paid to two important issues affecting the workforce: handling matters related to disruptive behavior, whatever the initiating incident or cause, and identifying the responsibilities of the medical community when physicians continue to practice late into their careers. As situations arise in the hospital or medical group, the actions of individuals on the medical staff or in the administration can start things off on a potentially helpful path, or, conversely, on a potential collision course. This workshop will review how policies and procedures, backed up with consensus guideline documents and combined with education for leadership and members of the hospital community, can make all the difference.
Pacific Ballroom, Room 25 1e. Physician Coaching to Improve Performance and Difficult Behavior
Susan Reynolds, M.D., Ph.D., President and CEO, The Institute for Medical Leadership®
During this program, participants will learn coaching strategies to deal with physicians who are quality outliers. They will also learn how to deal with physicians who demonstrate disruptive behaviors. Through interactive discussions and role-playing exercises, attendees will develop coaching skills to help them work with poor clinical performers, as well as four difficult personality types (bullies, dictators, negativists and silhouettes).
Grand Ballroom, Room 3 1f. Business Skills for Physicians*
Paul Hegyi, MBA, Chief Executive Officer, San Diego County Medical Society
Having recently earned his MBA, Hegyi was inspired to teach medical students the business skills needed to succeed in their careers. His course at UC San Diego is compressed into this one workshop! Find out the key business skills needed for success as a physician. While this workshop is part of the new student and resident track, all physicians are welcome to attend as a refresher.
10:30-11 AM Break: Learn more about the benefits of membership with the California Medical Association and meet our staff. Mercer Insurance will also be onsite to discuss your personal, professional and practice insurance needs.

Relaxation Station sponsored by NORCAL Mutual.
11 AM-12 PM

Pacific Ballroom 14-19
Market-Based Health Reform After Obamacare: Dead on Arrival, Sick, or Alive and Well?
Lanhee J. Chen, Ph.D., David and Diane Steffy Research Fellow, Hoover Institution, Stanford University
The continuing political and policy debate around health reform in the United States has created uncertainty for providers, payors and other participants in the health care ecosystem. Will the Affordable Care Act (ACA) continue in its current form and, if so, what might this mean for physicians, clinicians and other providers? If changes are to be made by Republicans in Congress and President Trump, what might they look like? And how might other legal and regulatory changes, such as MACRA and the migration toward more bundled payment arrangements, affect physicians and other health care providers? This session will help providers stay ahead of the curve as they consider the future of their practices and of the American health care system more broadly.
12-1:30 PM

Pacific Ballroom 20-22
Can California Achieve Universal Health Care Coverage?
Mitchell Katz, M.D., Director, Los Angeles County Health Agency
California's values concerning health care are different from that of the rest of the country. While at the federal level there is intense debate about repealing all or part of the ACA, the program is very popular in California, as is a state-only program for covering the children of undocumented persons. This raises the question of whether it is possible to extend the benefits of health insurance to those who are not currently covered. To do so would require some combination of cost reductions and revenue measures. Californians may be more open to methods of cost reductions (i.e., decreases in unnecessary care, additional options for end-of-life care, decreases in nursing home use) and to revenue measures to support universal coverage.
Up Close and Personal with Lanhee J. Chen, Ph.D.*
Academy VIP Upgrade registrants meet, ask questions and exchange ideas with keynote speaker Lanhee J. Chen. Attendance limited to VIP Upgrade badge holders.
Pacific Ballroom, Room 24 2a. Finding Your MACRA Rosetta Stone: Discovering Your Essential Clues*
Nancy Babbitt, FACMPE, and Irv Barnett, MBA, CMPE, Founders, V2V Management Solutions, Inc.
Join this engaging session to discover your Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Rosetta Stone so you can decipher how to identify and apply the requirements vital to the success of your practice. When working through these new regulations, where do you start to bring the most value to the practice? This course will discuss some practical assessments, including how to define readiness and the ability to capture and leverage quality performance requirements. Attendees will this session knowing what next steps are needed to aim their practices toward MACRA success.
Grand Ballroom, Room 2 2b. Where Are They Going? The 115th Congress and 45th President and How They Are Changing Health Care
Donald Moulds, Ph.D., Executive Vice President for Programs, The Commonwealth Fund
Moulds will provide an update on recent Congressional efforts to repeal and replace the Affordable Care Act, including their implications and likely next steps. He will also discuss key policy changes by the new president’s administration and what they mean for health care. The Commonwealth Fund underwrote a considerable part of the research underlying the development of the reforms in the Affordable Care Act, and reports of its Commission on a High Performance Health System (1995–2013) helped inform the debate leading up to this landmark legislation.
Grand Ballroom, Room 1 2c. Advanced Financial Analysis for Physician Leaders*
Lance R. Lewis, MBA, Chief Operating Officer, California Medical Association
Physician leaders who have mastered the fundamentals of fiduciary roles and responsibilities often find a need for more in-depth understanding of accounting and financial analysis. This workshop expands on the earlier “Essential Business Fundamentals for Physician Leaders” workshop.
Grand Ballroom, Room 4 2d. Merging Practices: Marriages Made in Heaven or Hell?*
Debra Phairas, President, Practice & Liability Consultants, LLC
In this new era of health care, consolidating practices can result in economies of scale, reduction of overhead, increased power in contracting, increased net income, and a greater ability to recruit new partners and retire partners. But, as in a marriage, good communication and shared values are key to compatibility and long-term success. This workshop covers practical strategies to manage a successful merger. Topics include defining partner missions; tactics that reduce the potential for conflict; how to structure vesting in the event of a future external group purchase; what to include or not include in the agreement; decisions on death, disability, slowing down, dropping call and governance; and operations changes needed. Participants will learn the two areas to focus on first when exploring a merger, as well as necessary steps in order to accomplish a successful merger.
Pacific Ballroom, Room 25 2e. Advanced Communication Skills for Physicians
Susan Reynolds, M.D., Ph.D., President and CEO, The Institute for Medical Leadership®
This workshop focuses on interactions with colleagues and superiors, whether within small teams or in a larger organizational context. Explore your personal communication style, learn how this differs from others’, improve your rapport building and listening skills, and look at assertiveness strategies to help contribute more and communicate well in a medical environment. The ultimate impact upon patients is always kept top-of-mind.
Grand Ballroom, Room 3 2f. Managed Care 101*
Mitzi Young, Physician Advocate, California Medical Association
This workshop is designed for medical students and residents, as well as practice managers, and will provide an overview of health insurance and managed care principles. Understanding these principles is critical to providing quality health care for patients and for managing a successful practice. Gain insight into different payment methods and why it’s important to understand patient care from a payor’s perspective. Topics to be covered include: what is private insurance, product types, provider contracting, enrollment statistics and fully insured vs. self-insured.
3-3:30 PM Break: Learn more about the benefits of membership with the California Medical Association and meet our staff. Mercer Insurance will also be onsite to discuss your personal, professional and practice insurance needs.

Relaxation Station sponsored by NORCAL Mutual.
3:30 - 5 PM

Pacific Ballroom 14-19
A Conversation About Health Policy

Paul Begala, CNN Commentator and Political Consultant, and Hugh Hewitt, Radio News Host and Political Analyst
With a dramatic shake-up happening in Washington, D.C., hear from two of America’s top political contributors and health care analysts. Begala is a Democratic strategist who serves as a political contributor for CNN. Hewitt is the host of the “The Hugh Hewitt Show,” author of The Fourth Way, and an NBC News Analyst who was profiled in The New Yorker in 2005 as “the most influential conservative you have never heard of.” Together, Begala and Hewitt will entertain and inform as they discuss health care reform.
5-6:30 PM Leadership Academy Welcome Reception sponsored by Mercer Insurance.

Saturday, May 6

7:30-9 AM Registration and Networking Breakfast
Pacific Ballroom, Room 24 3a. ADEPT™ Workflow: The Five Pillars of Practice Performance*
Michelle Wier, MBA, CMPE, and Debra Wiggs, FACMPE, Founders, V2V Management Solutions, Inc.
Making a practice successful requires constant attention to the way the work and processes are accomplished. Frequently, new requirements are layered upon old processes, making complex work more complicated. Practice leaders will learn how to assess their practices and look for ways to reduce complication using the Application, Distinction, Effectiveness, Profitability and Talent (ADEPT™) workflow model. This workshop will look at the hidden costs in the way work does or does not get done, concepts that can quickly and effectively change complications, and practical application of tools that will help you recognize where the opportunities reside.
Grand Ballroom, Room 2 3b. MACRA Made Easy
Catherine Hanson, J.D., Chief Strategy and National Networks Officer; David Ginsberg, Chief Compliance Officer; and Michael Sexton, M.D., Chief Executive Officer and Chief Medical Officer, QVH Systems, LLC
MACRA ushered in a whole new Medicare physician payment system and accompanying set of new acronyms (QPP, MIPS, APM, AAPM, ACI, EC, QP, PQP, PFPM, etc.). This session will demystify the superficially bewildering choices presented by MACRA's Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). Physicians and practice managers who attend this session will understand the requirements of each of the three MIPS performance categories for 2017. Additionally, participants will understand the how and why of HIPAA security risk analyses.
Grand Ballroom, Room 1 3c. Speaker’s Bureau and Media Training: Handling the Media*
Jason Kinney, Principal, California Strategies, LLC, and Laura Braden Quigley, Vice President of Communications, California Medical Association
Whether you’re prepping for a primetime interview with CNN or presenting on current health care issues to your local Rotary club, there are tips and tricks to help ensure you get the right messages across for the audience you’re addressing. This media training will guide you through some of the frequently asked questions on health care topics today and best techniques for answering them. Interview role-play will make this training engaging and experiential.
Grand Ballroom, Room 4 3d. Aligning Clinical Practice with Diabetes Prevention: Screen, Test and Refer
Thomas Coleman, M.D., Chief of Maternal, Child and Family Health Services for County of San Diego Health and Human Services Agency; Michael Rakotz, M.D., Vice President of Chronic Disease Prevention, American Medical Association; and Rakesh Patel, M.D., Medical Director of Operations, Neighborhood Healthcare
Diabetes remains one of California’s fastest-growing and most costly diseases. An estimated 2.5 million California adults have been diagnosed with diabetes and 13 million – nearly half of the state’s adult population – have prediabetes, increasing their risk of developing diabetes over the next few years. While the prevalence of prediabetes increases with age, one out of every three Californians between the ages of 18 and 39 is estimated to have prediabetes. Rates of prediabetes also vary across groups, with certain ethnic communities experiencing heightened risks. The National Diabetes Prevention Program (NDPP) is an evidence-based lifestyle change program for persons with prediabetes that has been demonstrated to prevent or delay the development of diabetes. This breakout session will describe the clinical practice burden and trends in prediabetes and diabetes; review the evidence that supports systematically screening patients and establishing a referral process to a community-based program, like the NDPP; discuss local implementation efforts to launch and scale up the NDPP; and examine outreach strategies employed by clinicians to reach priority, high-risk patient populations.
Pacific Ballroom, Room 25 3e. The Power of Diversity: Overcoming Bias
Susan Reynolds, M.D., Ph.D., President and CEO, The Institute for Medical Leadership®
This session will allow leaders and organizations to improve self-awareness, understand the power of diversity in a team setting and overcome intrinsic biases. Participants will discuss the strengths and weaknesses of their own personality types and how this can strengthen or weaken a clinical team or a health care organization. Through practical examples and small group discussions, participants will uncover unseen biases and discuss strategies to overcome them.
Grand Ballroom, Room 3 3f. Yes! You Can Still Start a New Private Practice*
Debra Phairas, President, Practice & Liability Consultants, LLC
It is possible to start a new practice, either right out of training or leaving a foundation, hospital, single or multi-specialty group. Learn from an experienced practice management consultant who has helped physicians start more than 160 new practices in all specialties. Topics include assessing demand for your specialty in a target area, insurance credentialing, choosing a location, operations policies and procedures, and much more. This workshop is part of the medical student and resident track; however, it is applicable for all attendees.
Pacific Ballroom, Room 24 4a. The Platinum Rule: A Conversation About Diversity in the Medical Practice*
Debra Wiggs, FACMPE, Cofounder, V2V Management Solutions, Inc., and C. Freeman, M.D., MBA, Chief Psychiatrist, OASIS Clinic
The Platinum Rule is a highly-regarded philosophy in the education community and among intercultural businesses that states, “Do unto others as THEY would do unto themselves.” The fundamental empathy found in the Platinum Rule takes into consideration the diverse perspectives of everyone we work with or care for. How can we learn to leverage it as a platform for diversity conversations in health care? This perspective shifts the responsibility for understanding perceptions and experiences in a way that allows for shared learning and communication instead of a linear, or unilateral, perspective. This innovative workshop will discuss the challenges and opportunities created by using bilateral conversations, ideas and concepts to foster diversity awareness.
Grand Ballroom, Room 2 4b. What Will Happen to My Practice and My Family Upon My Death or Disability?*
Mark Drobny, J.D., Drobny Law Offices
This overview of estate planning will help physicians prepare for the future. Drobny will cover planning for disability, what probate means, and the difference between living trusts and trusts. He will also explain estate taxes and what happens to your practice, including patients, staff and family. No matter where you are in your career, it’s always a good time to prepare and plan for the future of those you care for most.
Grand Ballroom, Room 1 4c. The Art of Planning and Running a Board Meeting*
Tanya Spirtos, M.D., Vice Speaker, California Medical Association
Understanding the art of how to properly plan and conduct a meeting is a key part of running an effective board or organization. Developing the ability to clearly frame an issue that the board is asked to consider, ensuring that all points of view on an issue are efficiently heard, and fostering the expression of the will of the majority of the group at the end of the deliberations is the true sign of successful planning and execution. A basic understanding of parliamentary procedure will be shared in this session, along with helpful resources.
Grand Ballroom, Room 4 4d. Top 10 Tips to Avoid “Practice Management Hypertension”*
Debra Phairas, President, Practice & Liability Consultants, LLC
Physicians and managers today are feeling the stress of many aspects of running their practices, which can lead to “Practice Management Hypertension.” This workshop will provide tips to lower your blood pressure and resultant anxiety in order to successfully navigate the business side of your practice. Even though most medical schools never teach physicians in residency about business principles, it’s just as important to invest in education about the business side of medical practice throughout your career as it is to master the clinical aspects.
Pacific Ballroom, Room 25 4e. Collaboration and Teamwork in the Health Care Environment
Susan Reynolds, M.D., Ph.D., President and CEO, The Institute for Medical Leadership®
The goal of this workshop is for clinicians to gain insight into the value of inter-professional collaboration and teamwork as a means of improving health care delivery. Emphasis will be placed on maximizing teamwork and communication during handoffs in order to improve quality care and patient safety. Upon completion of this activity, participants will be able to describe inter-professional collaboration and its significance in the delivery of health care today. They will also improve their handoff communication in the clinical setting.
Grand Ballroom, Room 3 4f. Leadership Starts in Medical School*
Dustin Corcoran, MBA, Chief Executive Officer, California Medical Association; Nuriel Moghavem, Stanford University Medical Student; Meghana Pagadala, UC San Diego Medical Student; and Emily Mannix, UC San Diego Medical Student
This panel discussion is designed for medical students and residents to learn about physician leadership – what it is, how you can develop leadership skills while in training, and why leadership in health care is important for future physicians.
11:30 AM - 12 PM Break: Learn more about the benefits of membership with the California Medical Association and meet our staff. Mercer Insurance will also be onsite to discuss your personal, professional and practice insurance needs.

Relaxation Station sponsored by NORCAL Mutual.
12-1:30 PM
Pacific Ballroom 20-22
Aligning GME Policies with Workforce Needs in California
Sherry Huang, M.D., Associate Dean of Graduate Medical Education, UC San Diego School of Medicine
Graduate medical education (GME) plays a critical role in the U.S. health care workforce as the key step to transforming medical students into physicians. However, recent changes in ACGME requirements and demands for increased funding put the growth of California’s physician workforce at risk – even as the numbers of graduating medical students grow, residency slots remain static (or even decrease). California risks losing dedicated and passionate young physicians to other states without more investment in GME. Dr. Huang will discuss the critical importance of GME; the factors that contribute to its success; and the pressures around recruitment and retention, funding, resiliency and burnout, and recent changes in the recruitment of international medical graduate candidates.
1:30-2:30 PM

Pacific Ballroom 14-19
Social Media, Digital Health, and Innovation in Advocacy and Public Health
Wendy Sue Swanson, M.D., Chief of Digital Innovation, Seattle Children’s Hospital
Dr. Swanson points the way to the future of medicine – a world where health care providers and patients use new technology to collaborate more closely and build deeper relationships than ever before. As a practicing pediatrician, Chief of Digital Innovation at Seattle Children's Hospital, a weekly TV health reporter, author of the SeattleMamaDoc blog and active thought leader, Dr. Swanson will discuss physician use of social media, how to be health leaders in a digital world, and how physicians can take a leadership role in advocacy and public health through innovative technology.
Up Close and Personal with Wendy Sue Swanson, M.D.*
Academy VIP Upgrade registrants meet, ask questions and exchange ideas with keynote speaker Dr. Swanson. Attendance limited to VIP Upgrade badge holders.
Pacific Ballroom, Room 24 5a. Using Your Data Advantage to Tackle Transformation*
Irv Barnett, MBA, CMPE, and Michelle Wier, MBA, CMPE, V2V Management Solutions, Inc.
Utilizing evidence-based decision models means you must have identifiable, understandable and usable data. In an environment of electronic health records, clinical decision support systems and practice management systems, our businesses are flush with data but short on practical applications for using it in more meaningful ways. As many medical groups attempt to navigate the demands of transitioning into alternative payment models, they struggle to find ways to effectively communicate the unique quality and cost benefits they bring to the community. Tackling transformation requires providing consistent measurable and perceived value for your patients, and payors. Patient satisfaction, cost of care data, outcomes and quality metrics are needed to optimize business performance. This session will give you the structure necessary to use your data to your advantage.
Grand Ballroom, Room 2 5b. Medical Scribes: Innovation in Practice*
Jerry Hizon, M.D., Motion Sports MD
One way for physicians to focus on patients and reduce stress is to find innovative solutions. Dr. Hizon has increased operational efficiency in his practice and increased attention for patients. Through his new state-of-the-art iPad-navigated medical office, Dr. Hizon strives to deliver the finest medical services. Dr. Hizon also trains medical scribes in order to meet demand.
Grand Ballroom, Room 1 5c. Protecting Self-Governance
Long Do, Esq., Legal Counsel and Director of Litigation, California Medical Association
Hear updates about current legal situations that have threatened self-governance rights of medical staffs in California. Do leads CMA’s litigation efforts to protect self-governance and has updates on what’s happening and what lies ahead. Do will also share new updates in regulations and information about CMA’s newly published Model Medical Staff Bylaws.
Grand Ballroom, Room 4 5d. Quality Care Leadership Issues for Employed Physicians
Brian Clay, M.D., Chief Medical Information Officer, UC San Diego Health
Quality improvement initiatives should enhance quality of care and reduce costs. This workshop will cover quality improvement trends, including aspects of how quality improvement efforts have resulted in curricular development in graduate medical education and have led to focus on how clinical informatics and electronic systems can be used to support and drive these efforts. Participants will review how quality metrics are used to measure performance, and how to guide teams to improve high quality care and cost effectiveness, and successfully measure quality outcomes.
Pacific Ballroom, Room 25 5e. Leading Change: Dealing with MACRA, Preventing Burnout
Susan Reynolds, M.D., Ph.D., President and CEO, The Institute for Medical Leadership®
This session will focus on key elements of leading change in a rapidly changing health care environment. Using MACRA as the example of change brought upon physicians externally by the Centers for Medicare & Medicaid Services, this session will discuss strategies physician leaders can use so that reimbursement is maximized under MIPS or advanced APMs and penalties are avoided. Participants will also discuss strategies to avoid physician burnout as MACRA is implemented.
Grand Ballroom, Room 3 5f. Advocacy 101*
Robert Hertzka, M.D., Professor, UC San Diego School of Medicine
Dr. Hertzka has been teaching advocacy and policy to medical students at UC San Diego for many years. In addition, he creates internships for students to work at the California Capitol and coaches students and physicians to be advocates for health care. Part of being a leader in health care is advocating for providers and patients, but few students have the chance to learn. This is an opportunity for all medical students and residents from around the state to learn from Dr. Hertzka. This workshop is part of the medical student and resident track; however, it is applicable for all attendees.
4-5:15 PM

Pacific Ballroom 14-19
A Doctor’s Touch: The Patient-Physician Relationship

Abraham Verghese, M.D., MACP, Physician and Best-Selling Author of Cutting for Stone
Modern medicine, with all its remarkable advances, is still at its heart a human-to-human interaction. Physician and author Dr. Verghese will talk about our new era of health care, where patients are in danger of becoming data points. He stresses the importance of the physical exam and engagement and presence at the bedside as a complement to cutting-edge technology. The human elements are critical to patient satisfaction and reducing physician burnout, while intrusive electronic medical records can have the opposite effect. With an emphasis on medicine's timeless values, Dr. Verghese will inspire physicians.
Up Close and Personal with Abraham Verghese, M.D., MACP*
Academy VIP Upgrade registrants meet, ask questions and exchange ideas with keynote speaker Dr. Verghese. Attendance limited to VIP Upgrade badge holders.

Sunday, May 7

8:30-9:30 AM

Pacific Ballroom 14-19
The Future of Medicine
Ira Flatow, Science Correspondent and TV Journalist
Veteran public radio and TV science correspondent, host of "Science Friday" and award-winning journalist Flatow will discuss the future of health and medicine with a focus on the search for new antibiotics, the promises and pitfalls of CRISPR genomics, and the uncertain future of research funding. His latest reporting has focused on new techniques to regrow a high volume of sensory hair cells in the lab as well as new advances in stem cell research, making it possible to one day grow human transplant organs in animal hosts.
9:30-11 AM

Pacific Ballroom 14-19
The Future of Insurance
Dave Jones, California Insurance Commissioner
As California Insurance Commissioner, Dave Jones played a key role in the blocking of mergers between Anthem-Cigna and Aetna-Humana by demonstrating how the mergers are anti-competitive and would harm California consumers, businesses and the California health insurance market. Jones will offer insights into what’s on the horizon for insurance, including ongoing merger attempts, the expansion and/or contraction of the insurance marketplace, and how the Trump administration might change everything.
11 AM Academy Adjourns

 * Presentation is not eligible for Continuing Medical Education (CME) credit.