|Available Speeches and Presentations
We are available to do presentations on a wide variety of topics and frequently do so to a range of organizations whose stakeholders are interested in down to earth, practical, expert educational sessions including but not limited to:
- Professional societies and organizations
- Health systems and hospitals
- Medical group practices
- Health plans and MCOs
- Employer and business coalitions
Presentations can take a wide variety of formats from a half an hour keynote address, to a full day program of seven hours on fraud and abuse, or managed care, or moving meaningfully and practically to improve quality. All can be customized for specific purposes and contexts.
The following are timely, popular topics:
Alignment and Clinical Integration
- Clinical Integration: Self-Assessment, and More
- Clinical Integration: A Continuum and Techniques
- Engaging Physicians in Quality and Value
- How Hospitals Can Pay Physicians for Quality
- Physician Compensation for Quality and Value: State of the Art and Implications
- Non-Employment Hospital-Physician Alignment Strategies: Co-Management, Leasing the Practice, and More
- Report Cards, Performance Measurement and Transparency: Challenges and Implications
Health Information Technology
- Electronic Health Records: Licenses and Donations
- HIPAA Privacy and Security
- Social Networking in Health Care
- The Roles and Obligations of The Business Associate
Fraud and Abuse
- Hospital-Physician Financial Relationships
- Gainsharing, Compliance Training and More: How Hospitals Can Help Physicians and Stay Safe.
- The Stark Truth About Stark (all issues including compensation formulas, the hospital investment moratorium, and creative problem-solving)
- Antikickback Statute including the safe harbors, how it differs from Stark, structuring useful business relationships
- Avoiding False Claims Liability
- Quality as a Fraud and Abuse Issue
- The Real Deal on Compliance: Lowering the Hysteria and Debunking the Myths
- Fraud and Abuse Implications in Physician Employment Contracts
- Walking the Walk and Not Just Talking the Talk of Compliance
Reimbursement and Payment
- Pitfalls In Medicare Enrollment
- Medicare Diagnostic Testing Rules: Metaphysics and Practicalities
- Part B Reimbursement for Physicians (all issues)
- Understanding and Negotiating Managed Care Contracts
- Non-Physician Practitioners and Physicians: ‘Incident to’ and More
- Using Medical Staff Bylaws to Propel Quality
- Physician Employment Contracts
- Pitfalls and Controversies in Medical Staff Bylaws
- Understanding Contracts: The Glue of Business Relationships
- Being a Fiduciary in the Post-Enron and Allegheny Era: What Does It Really Mean to Board Members
Alice G. Gosfield is available with James L. Reinertsen MD FACP to provide presentations and working sessions ranging from two hours to two and a half days, for varied audiences including health systems and their boards, physician and other provider groups, collaborating representatives of multiple stakeholders within a market and others on a range of issues associated with making quality happen. From addressing clinical process changes, to engaging physicians meaningfully, to organizing for better payment opportunities, the synergies in their approaches are more timely and powerful than ever.
Their work reflects their initial collaboration on the white paper “Doing Well by Doing Good: Improving the Business Case for Quality” which itself picks up on themes from the Institute of Medicine study "Crossing the Quality Chasm" and their writings and presentations for IHI. They have developed a ‘unified field theory-applied’ (UFT-A) to health care in broad and deep ways (www.uft-a.com). Their presentations can be both didactic and interactive, helping audiences to translate understanding into changed behavior and results.
While they have presented on how to engage physicians around quality, and much from these programs—including principles of engagement, techniques and using data—remains relevant, they have developed a broader approach to achieving clinical integration with particular focus on physicians integrating with each other as set forth in their paper "Achieving Integration With Highly Engaged Physicians". They have developed and used in retreat settings their Clinical Integration Self-Assessment Tools- v.2.0 applicable to medical groups and hospital employed physicians, on one hand, and to the organized medical staff and a hospital focused ACO on the other. The new v.2.1 is useful for independent physicians seeking to form or further develop a network or IPA.
Alice Gosfield and Dr. Reinertsen are frequently invited speakers independent of each other. Still, as the forces to be brought to bear to advance quality and value multiply, many of the presentations they do separately are also complementary when presented together. For example, Dr. Reinertsen's presentations on patient safety often raise questions about the kind of gainsharing programs the fraud and abuse laws now allow, a topic Ms. Gosfield discusses. Ms. Gosfield's presentations on clinical integration under the antitrust laws necessarily involve the types of clinical initiatives Dr. Reinertsen elucidates. We encourage your review of the topics on which they present separately in order to customize an effective program for your group. In addition to these increasingly popular synergies, they also offer formally structured joint presentations.
Jim has been lead and Alice co-faculty for the Institute for Healthcare Improvement (IHI) in presenting two full-day programs on these issues. Alice and Jim are available to do shorter versions of the program which presents a contextual framework and a way to develop a practical, focused, customized plan for physician engagement. The framework includes six specific issues which must be addressed, techniques for success, and tools for the implementation of an engagement plan.
Their presentations can be custom designed to meet the needs and interests of the specific audience.