Getting Practical with Medical Staff Governance, Credentialing and Peer Review 2021

Agenda/Links to Presentations

Thursday, December 9

Time	Event
7:30 – 8:15 AM	Registration/Breakfast
8:15 – 8:30 AM	Welcome and Overview
8:30 – 9:30 AM	Never Forget Fundamentals - An Overview of Medical Staff and Peer Review Essentials View Presentation
9:30 – 10:15 AM	Credentialing “Red Flags” and Best Practices View Presentation
10:15 – 10:30 AM	Break
10:30 – 11:15 AM	Virtual Care: Considerations for Delegated Credentialing and Professional Review View Presentation
11:15 AM – 12:00 PM	Lunch (Provided by Hall Render)
12:00 – 1:15 PM	Corrective Action and Related Reporting Obligations View Presentation
1:15 – 2:00 PM	Identifying and Addressing Disruptive Behavior View Presentation
2:00 – 2:15 PM	Break
2:15 – 3:00 PM	Medical Staff vs. Human Resource Processes View Presentation
3:00 – 4:00 PM	Status and Implementation of the COVID-19 Vaccination Mandates, Federal and State Waivers and Related Lessons Learned View Presentation
4:00 – 4:45 PM	Graduate Medical Education: Residents, Interns and Medical Students - A Medical Staff Perspective View Presentation
4:45 – 5:00 PM	Wrap-Up/Questions
5:30 – 7:30 PM	Cocktail Reception

Friday, December 10

Time	Event
8:00 – 8:30 AM	Breakfast
8:30 – 9:30 AM	Aging and Impaired Practitioners View Presentation
9:30 – 10:15 AM	Regulatory Considerations for the Non-Employed Medical Staff View Presentation
10:15 – 10:30 AM	Break
10:30 – 11:30 AM	Getting Practical – Medical Staff Hypotheticals and Open Discussion
11:30 – 11:45 AM	Summary
11:45 AM	Adjourn

Speakers

Mayo B. Alao

Mayo Alao practices in the area of health care law with a focus on hospital and health system matters, regulatory and compliance issues, corporate transactions and hospital/physician alignment. He provides services to a broad array of health care providers, including hospitals, health systems and physician practices. Mayo earned his undergraduate degree from Seton Hall University and his J.D. with a Health Law Certificate and M.P.H. in Health Management and Policy from the Saint Louis University School of Law and the College for Public Health & Social Justice.

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Brian C. Betner

Brian Betner brings trusted, strategic legal counsel to hospitals, health systems and health care providers navigating today’s complex clinical, regulatory and operational challenges. With a focus on governance, medical staff operations, clinical operations and compliance, Brian partners with executive leadership, governing boards, clinical leadership and in-house counsel to develop practical solutions that support innovation, alignment and high-performing care delivery. Known for his deep understanding of the health care landscape and his ability to align legal strategy with business goals, Brian is often sought after to advise on transformative initiatives, including provider alignment models, quality and peer review processes and enterprise-wide compliance considerations. He thrives in collaborative environments and takes pride in helping clients anticipate change, manage risk and implement practical and forward-thinking approaches to operations and care delivery. Brian serves as a managing partner of the Firm’s Denver office and recently completed his service on the Firm’s Board of Directors. Brian has also served on the governing board of the National Association Medical Staff Services and regularly contributes to health care industry legislative initiatives. A nationally recognized speaker on medical staff governance, health care delivery and regulatory strategy, Brian is also a proud U.S. Navy veteran. Outside of work, he’s an enthusiastic supporter of collegiate lacrosse and enjoys adventure sports.

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Erin M. Drummy

Erin Drummy is a shareholder in the firm’s Indianapolis office with nearly 20 years of experience advising the spectrum of health care industry clients on legal and business considerations. Erin represents regional, national and international clients on a range of issues. Her practice concentrates on health care law, representing hospitals, health systems, physicians, physician group practices, private equity companies, ambulatory surgery centers, physician-owned hospitals, retail pharmacies, pharmacy-benefit managers and ancillary services providers, such as laboratories and imaging service providers. Erin advises clients on all aspects of health care law, including but not limited to regulatory and compliance matters; corporate practice of medicine; physician compensation plan design and review; value-based enterprise arrangements; internal investigations; fraud and abuse laws, including Stark Law, Anti-Kickback Statute and False Claims Act; and health care transactions. She counsels and serves as a strategic advisor to health care clients and their executive leadership teams. She also co-leads Hall Render’s Value-Based Care Service Line. Before re-joining Hall Render, Erin served as Senior Associate General Counsel and Vice President of Physician Compensation, and later Chief Legal Officer, for an international, private equity cancer care company, which was the largest radiation oncology provider and one of the largest groups of urologists in the U.S. during her tenure.  Prior to her time as a lawyer, she worked as a registered respiratory therapist for a national Catholic health care system. In her free time, Erin enjoys traveling with her husband and young son, as well as cooking, gardening and spending time outside.

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Christopher C. Eades

Chris Eades focuses his practice in the areas of virtual care and medical staff governance. With respect to the latter, Chris regularly counsels clients on matters involving medical staff credentialing and peer review, as well as interpretation and application of hospital and professional licensure rules, Medicare conditions of participation, accreditation standards, and medical staff governing documents. He is engaged by the firm's clients to assist with the drafting and implementation of medical staff bylaws, credentialing policies, rules and regulations, peer review sharing arrangements, FPPE/OPPE processes and other medical staff policies and procedures. Peer review confidentiality and peer review immunity are critical to effective hospital and medical staff quality review. Chris frequently represents hospitals and other health care entities in the context of medical staff quality review and corrective action processes, fair hearings and related litigation, assisting these clients to maximize the intended benefit of peer review confidentiality and to achieve state and federal peer review immunity. As part of his virtual care practice, Chris regularly works with health care entities and providers throughout the country, and also in other areas of the world, to develop and implement virtual care programs. There is wide variability among jurisdictions in their approach to telehealth and telemedicine. Chris assists the firm's clients to navigate this variability and to understand and appropriately apply the relevant telemedicine rules and regulations, particularly those involving the professional practice of virtual care. These matters routinely involve professional licensure requirements, delegated credentialing agreements, scope of practice considerations, informed consent for telemedicine services, related recordkeeping requirements, telemedicine prescription requirements and other aspects of virtual care workflow. Chris enjoys speaking at conferences and events throughout the year on aspects of virtual care, particularly as the applicable regulatory framework continues to evolve in response to the wealth of potential made possible through telemedicine technology.

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Scott J. Geboy

Scott Geboy's experience includes the regulatory areas applicable to large health care system transactions and operations, principally federal tax exemption, the Stark self-referral regulations, the federal anti-kickback laws and Medicare reimbursement. Supporting this, Scott's practice includes licensure and accreditation, managed care, academic medical center issues, GME, physician structures (medical staff), medical record and electronic record formation and regulation and pharmacy. In addition, Scott has represented clients in reimbursement, billing and compliance for Medicare and Medicaid, including the representation of clients in investigations by the HHS Office of the Inspector General and the U.S. Attorney's Office for the Eastern District of Wisconsin. Throughout these areas, Scott's practice focuses on the regulations related to relationships with physicians and physician referral issues, with a special emphasis on payments and compensation arrangements in the organization-to-organization as well as physician employment settings. For the emerging field of telehealth and telemedicine, Scott's practice combines the knowledge of billing and payment, IT and health care transactions to advise clients on innovative structures. Scott has spoken regionally and nationally on topics including GME, telemedicine, compliance programs, health care contracting, physician recruitment, the Stark self-referral regulations and physician compensation.

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