Education event

Managing Patients with Behavioral Health Needs in Acute and ED Settings

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July 11, Pasadena
July 26, Sacramento

Overview

Hospitals continue to see increasing numbers of patients with behavioral health needs seeking care. It is imperative that health care providers in acute and emergency department settings understand the laws and unique challenges surrounding this patient population. This seminar will discuss the laws governing patient care and explain the financial and operational impacts of treating patients with behavioral health conditions.  

Topics presented in this seminar include:

  • Managing the homeless patient with behavioral health conditions
  • Reimbursement for non-contracted emergency and post-stabilization behavioral health services
  • Identifying the responsible party — Medi-Cal managed care vs. county mental health plans
  • Clarifying patients’ rights through the five Ws — who, what, where, when and why
  • Alternative destinations pilot programs
  • Liability protections for ED providers — 24-hour holds

Free Mental Health Law Manual​
All participants will receive a free copy of CHA’s 2018 Mental Health Law Manual in both print and PDF versions.    This aThisThis pHospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big ones.Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big ones.Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big ones.Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big onesHospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penaltie

Recommended for:

Clinical leadership and staff in acute and ED settings, ED physicians, risk managers, case managers, in-house legal counsel and hospital security.

Agenda

9:00 a.m. – 12:15 p.m.

Integrated Solutions — Managing Patients with Medical and Psychiatric Conditions

  • Identifying immediate referral resources in the ED or intake process
  • Placement for homeless patients with behavioral health needs
  • Determining the financial impact of treating patients with medical/psychiatric conditions
  • Assessing staff competency and skills with this patient population

Medi-Cal Payments for Behavioral Health ED Visits

  • Determining financial responsibility — Medi-Cal managed care vs. county mental health plans
  • Contracting with county mental health plans
  • Non-contracted reimbursement for emergency and post-stabilization behavioral services
  • Tips and strategies to support billing

Alternative Destinations — Panel Discussion

  • Why do we need alternative destinations?
  • Building partnerships — key steps to success
  • Overcoming sensitive issues — what works, what doesn’t

12:15 – 1:15 p.m. Hosted Luncheon

1:15 – 4:00 p.m.

Workplace Violence Updates

  • Violence prevention program — new laws and obligations for training
  • Providing staff with a safe environment when caring for individuals with behavioral health issues
  • Best practices

Rights vs. Risk: Behavioral Health Patients in the ED

  • Patients’ rights and the five Ws — who, what, where, when and why
  • Top ED risks — elopement, self-harm, non-consent, EMTALA, privacy
  • Rights vs. risks — the reality of the situation

Considering the 24-Hour Hold: Weighing Your Options

  • What you need to know about using a 24-hour hold
  • Liability protections for ED providers — 24-hour vs. 5150 holds
  • Benefits and risks of 24-hour holds for patients and providers

Faculty

Steve Lipton is a partner in the San Francisco office of Hooper Lundy and Bookman, PC. Steve’s general practice focuses on general hospital representation, including hospital operations, physician contracting, licensing, regulatory and compliance matters and health care transactions.  Steve is the author of CHA’s manual, EMTALA — A Guide to Patient Anti-Dumping Laws, which includes a separate chapter on EMTALA and psychiatric patients.

Linda Garrett of Garrett Consulting Group, LLC, provides risk management consulting services to more than 45 county public health, mental health and correctional health care programs, in addition to several county hospitals. Ms. Garrett’s work includes providing training and consultation on a variety of medical/legal topics to health care providers, administrators, compliance and privacy officers, and QA/QI coordinators.

Mike Phillips is the Director and Supervising Attorney for the Jewish Family Service Patient Advocacy Program.  He received his law degree from the University of San Diego School of Law, where he later became the Staff Attorney for the USD Patient Advocacy Program.  In his role as Director and Supervising Attorney at JFS, he provides instruction and training for the mental health community, including providing information on due process rights for psychiatric patients throughout the County of San Diego. 

Joe Avelino is the Chief Executive Officer for College Medical Center in Long Beach, California.  He established the hospital’s Psychiatric Service Line and created its first Psychiatrist Call Panel and Internist Call Panel for behavioral health patients. In his role as CEO, Joe collaborated with CDPH to establish an 8-bed behavioral health over-flow unit to increased patient capacity for admission of emergency department patients, and initiated Access/Intake Services to coordinate psychiatric patient admissions.

Felicia Sze recently founded the law firm of Rotenberg & Sze, with offices in Sacramento and San Francisco.  Previously, she was a partner for three years at Hooper, Lundy & Bookman.  Ms. Sze is a recognized expert in Medicaid and Medicare reimbursement matters, focusing on both the managed care and fee-for-service programs.  She advises hospitals on these ever-changing programs with an eye to compliance and represents hospitals in disputes against managed care entities and government payors.

Sites

July 11
Hilton Pasadena

168 South Los Robles Avenue
Pasadena, CA 91101

July 26
Hyatt Regency Sacramento

1209 L Street
Sacramento, CA 95814

Tuition/CEs

Presentations will be available online only
You will receive an email before the event with instructions on how to download the presentations to your laptop/tablet for viewing on-site or to print and bring with you. Be sure to download the materials in advance; WiFi access on-site may be limited.

*Members $350 
**Nonmembers $570
*Members are CHA member hospitals, CHA associate members and government agencies.
**Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals.

Tuition includes CEs, lunch and a free copy of CHA’s updated Mental Health Law Manual.

Cancellation Policy/Late Payment: A $50 nonrefundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more days prior to the scheduled session and emailed to education@calhospital.org. No refunds will be made after these dates. Substitutions are encouraged. Please note: payment is due on or before program. Payments not received by the seminar date may be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7637.

Quality Assurance/Grievance: We welcome your feedback. If you have any concerns or dissatisfaction with the quality of a CHA education program please contact Robyn Thomason, Director, Education Program Development at (916) 552-7514 or email rthomason@calhospital.org. The CHA education quality assurance/grievance policy is available upon request by emailing rthomason@calhospital.org.

Continuing Education

Full attendance at the educational session is a prerequisite for receiving professional continuing education. Attendees must sign in at the seminar and, when required, include their state bar or professional license number. CE certificates will be emailed.

Behavioral/Social Work — Course meets the qualifications for 5.5 hours of continuing education credit for LMFTs or LCSWs as required by the California Board of Behavioral Sciences. CHA is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs or LCSWs. Provider approval number 128427. CHA maintains responsibility for this program/course and its content.

Learning objectives: At the conclusion of this seminar, participants will be able to:

  • Place patients who are homeless with behavioral health conditions
  • Identify immediate referral resources in the ED or during the intake process
  • Assess staff competency, skills when managing patients with medical/physical conditions
  • Learn about alternative destinations and patient rights for individuals within this patient population
  • Understand new laws and training obligations for violence prevention programs

Health Care Executives — CHA is authorized to award 5.5 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

Legal — CHA is a State Bar of California approved MCLE provider. This participatory activity has been approved for 5.5 hours of MCLE credit. Provider #1980.

Nursing — Provider approved by the California Board of Registered Nursing, CEP #11924, for 6.6 Contact Hours.

Free Manual

Providing care to patients with mental health issues is complicated. It isn’t always easy to know what is “right” and what is “legal.”

The Mental Health Law Manual was written to help hospitals understand the laws governing mental health treatment, as well as the rights of the patients they serve. The manual also details special protections for individuals who may be unable to make rational decisions regarding their care, specific requirements regarding the use and disclosure of health information, and unique reporting requirements.

Written in a user-friendly manner, the manual has been updated to reflect all changes in state and federal laws governing mental health treatment and privacy through January 2018.

If you are unable to attend the seminar but would like to purchase the manual, go to www.calhospital.org/mental-health-law.

(12th edition, 2018)

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