"Medical Management System Innovations: The Next Generation" Announced. The American Board of Quality Assurance & Utilization Review Physicians, Inc. and the American Institute for Healthcare Quality Are Pleased to Present this Comprehensive, One-Day Symposium on May 5, 2006 in Orlando, FL

Contact: Patti Rivers
Phone: (800) 998-6030 x 117


Medical management has undergone a rapid transformation over the past three decades. Utilization review came into vogue, case management entered the scene and disease management established a foothold. This conference will highlight the next round of innovations.

Attendees will learn how medical management has evolved into an integrated platform. Technology has enabled predictive modeling, evidence-based medicine, enhanced clinical interventions, financial outcomes and consumer-directed care services to thrive. This new approach will transform how medical management decisions are made -- in large part by getting the right information to the right person at the right time.

This is a must attend conference for anyone who performs, coordinates, supports, uses, purchases or is otherwise interested in the next generation of medical management tools and techniques.

  • Identify the latest innovations and trends in medical management systems
  • Learn about the future of care coordination
  • Identify how predictive modeling can improve patient care
  • Learn how to integrate medication therapy management into the continuum of care
  • Improve the quality of care for hospital and outpatient pathology services
  • Learn how to position your organization for success with medical management

Friday, May 5, 2006
7:00 am Registration & Continental Breakfast
7:30 am Conference Welcome and Introductions
  • Joseph J. Trautlein, MD, FACMQ - Vice Chair
  • Conference co-chair: Joel V. Brill, MD - Predictive Health, LLC
  • Conference co-chair: Garry Carneal, JD, MA - InforMed Medical Management Services (IMMS)
7:45 am Health Care Quality and Customer Satisfaction
  • Steven D. Wood, PhD - JD Power & Associates
This session is based upon the rise of consumerism in health care and how this will impact the medical management system. It will also review how JD Power and Associates has studied and measured customer satisfaction in managed care compared to other industries.
8:15 am Using Information Systems to Change the Face of Health Care Decision Making
  • Mitch Davis - InforMed LLC
  • Michael Bryant, MD, FACS - Sandhills Physicians, Inc.
This session will focus on how information can be integrated effectively into the medical management system, which in turn can transform the decision making process.
8:55 am Enhancing Case Management and Disease Management
  • Cheri Lattimer, RN, BSN - Case Management Society of America (CMSA)
  • William Popik, MD - Disease Management Association of America (DMAA)
This session will cover operational changes and enhancements, such as trends towards staffing integration, case load issues, outsourcing and delegation of medical management services. It will also look at the emergence of complex, condition management and the shift to a proactive strategy of targeting chronic disease.
9:35 am Question & Answer Session
9:55 am Break
10:05 am Evidence-Based Medicine and CPOE - A Model for Improving Inpatient Medical Management
  • Loran Hauck, MD - Adventist Health System
This session will elaborate on the "Evidence-Based Practice" initiative incorporated by Adventist Health System with their final vision being physicians doing CPOE using evidence-based order sets. In this model, physicians are prompted to follow the evidence-based path for the diagnostic workup and therapeutic management of specific medical diagnoses and surgical conditions. Data already shows improved quality, reduced mortality and reduced LOS. In addition to measurable improvements in quality, it has allowed corporate wide savings of $41 million.
10:50 am Using Predictive Modeling Tools in the Integrated Delivery System Setting
  • Joel V. Brill, MD - Predictive Health, LLC
  • Ian Duncan, FSA, MAAA - Solucia, Inc.
This session will focus on the growth of predictive modeling in moving to a pro-active medical management paradigm. This includes how to improve predictive accuracy and how to understand the analytical tools.
11:30 am Integrating New Technology Into Your Business Setting
  • Sean Tunis, MD, DSc - Health Technology Center (HealthTech)
  • Diane Hayes, PhD - Hayes, Inc.
The medical management system in large part is being transformed by technology improvements and integration. This session will highlight some of those trends as many systems still run on legacy and fragmented systems. It will focus on dealing with information overload from new technology and best practices for integrating EBM, specialty guidelines and clinical pathways.
12:10 pm Question & Answer Session

12:30 pm Luncheon Keynote: Medical Management and Pay-for-Performance Programs
  • Guy D'Andrea - Discern Consulting, LLC
Employers and health plans are increasingly relying on "value-based purchasing" and "pay-for-performance" programs, with the goal of improving quality and efficiency. In many ways, the goals of these programs are the same as for medical management. This session will explore the emergence and evolution of pay-for-performance programs and assess the long-term implications for medical management systems.
1:35 pm Reporting on Cost Savings and Health Outcomes
  • Thomas Wilson, PhD - Population Health Impact Institute
  • Earl Steinberg, MD, MPP - Resolution Health, Inc.
This session will focus on return on investment (ROI) and quality reports that are now being generated to demonstrate the efficacy of utilization management, case management and disease management interventions. Additionally, it will look at transforming data into meaningful information and why many remain skeptical about the accuracy of these ROI reports.
1:35 pm The URAC Perspective - The Changing Focus of Medical Management
  • Annette Watson, RN, CCM, MBA - URAC
This session will highlight how the medical management system has been changing globally over the past decade. It will also address issues of accreditation, trends in impendent review and future medical management projections.
2:45 pm Question & Answer Session

3:05 pm Break

3:15 pm Emerging Trends in Clinical Medical Management
  • Dan Buffington - Clinical Pharmacology Services
  • Julia Dahl, MD - Mosaic GI Research Consortium
This session will cover the rise of patient safety in medical management systems and how evidence-based medicine protocols are being used. Plus, it will look at the integration of medication therapy management (MTM) services and implementing patient safety protocols into the care continuum.
3:55 pm Payment Policy Initiatives for Improving Medical Management
  • Russell Robbins, MD, MBA - iHealth Technology
  • Sean Weiss - CMC Group
This session will focus on how payors, provider hospital organizations (PHOs) and others are now driving improvements in the medical management system, in part by developing clinically appropriate payment policies that support the need for effective provider and patient communications through transparency.
4:35 pm Final Question & Answer Session

4:55 pm Closing Remarks



To register, click here or contact Patti Rivers at (800) 998-6030 x117
    Diplomate: $420
    AIHQ Member: $475
    Non-Member: $530

Hilton Garden Inn at SeaWorld International Center
6850 Westwood Boulevard
Orlando, Florida 32821
Toll Free Reservations: (877) 782-9444
Telephone: (407) 354-1500
Fax: (407) 354-1528

Identify yourself as an ABQAURP attendee to receive our special room rate of $99/deluxe for Thursday, May 4, 2006.

Room Block Deadline: April 12, 2006

Click here to see exclusive attraction discounts offered to attendees.


In accordance with the Americans with Disabilities Act (ADA), persons with disabilities needing a special accommodation to participate in this seminar, should contact ABQAURP by April 14, 2006. Persons with disabilities needing a special accommodation in their room should contact the hotel directly at (407) 354-1500 by April 14, 2006, to make arrangements.


All cancellations and transfers are subject to a $50 processing fee. A full refund, less the $50 processing fee, will be given if you cancel in writing by April 5, 2006. No refund will be made for cancellations after this date. If you do not cancel and do not attend, you are still responsible for payment.

ABQAURP reserves the right to cancel the seminar and return all seminar registration fees.


The American Board of Quality Assurance and Utilization Review Physicians, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this educational activity for a maximum of 8 AMA PRA Category 1 Credit(s)(tm). Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. is an approved provider with the Florida Board of Nursing to provide continuing education for nurses. This activity has been approved for 9.6 contact hours by the Florida Board of Nursing, Provider # 50-94.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this educational activity for 8 2A AOA credits.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. received approval of this educational activity for 8 contact hours by the CCMC.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. has applied for 8 AAFP Elective Credits with the American Academy of Family Physicians. Determination of credits is pending.