American Health Lawyers Association

AMERICAN HEALTH LAWYERS ASSOCIATION

2014-2015 Practice Group Planned Activities and Project Report

February 2015

Practice Group: Teaching Hospitals and Academic Medical Centers Chair: Claire Cowart Haltom

Project Title / Project Coordinator(s) / Project Description / Start Date / Projected Completion Date / Actual Completion Date / Status /

Chair

/ Claire Cowart Haltom / 8/11/14: Submit FY 2014 Planned Activities and Project Report
to staff
12/19/14: Submit written Mid-Year Report to the Board of Directors
5/22/15: Submit written Annual Report to the Board of Directors / 7/1/14 / 12/19/14 / Done / Ongoing
Membership / Gelvina Rodriguez-Stevenson / Vice Chair to serve as liaison between Practice Group and Membership Board Committee to recruit and retain members for the Association and the Practice Group / 7/1/14 / 6/30/15 / Ongoing
Publications / Andrea Kahn-Kothmann / Vice Chair to serve as liaison between Practice Group and Professional Resources Board Committee and to coordinate Member Briefings, newsletters, etc. / 7/1/14 / 6/30/15 / Ongoing
Educational Programs / Theodore Lotchin / Vice Chair to coordinate Mid-Year and Annual Meeting luncheons, teleconferences, and serve as a liaison between Practice Group and Program planning committee. / 7/1/14 / 6/30/15 / Ongoing
Research & Website / Leah Voigt / Vice Chair to coordinate AHLA Connections feature article and email alerts. Monitor and oversee relevant PG sub-site of AHLA website; make suggestions for additional postings, web links, etc. / 7/1/14 / 6/30/15 / Ongoing
Strategic Activities / Leah Guidry / Vice Chair responsible for special projects throughout the year.
May include: coordination of Affinity Group development and activities; assistance with coordination of mentoring program for new members; assistance with coordination of Mid-Year and Annual Luncheons etc. / 7/1/14 / 6/30/15 / Ongoing
Social Media Coordinator / Marcie Swenson / Coordinates social media postings and post AHLA publications and events. / 11/14 / 6/30/15
Discussion List (#1)
Teaching Hospitals List / Karl Thallner Jr / Regularly monitor Teaching Hospitals discussion list and post questions to stimulate activity. / 7/1/14 / 6/30/15 / Ongoing

Meeting: Mid-Year

/ Leadership / Sponsor a luncheon meeting co-sponsored by the Health Information and Technology Practice Groups at the 2015 Legal Issues and Academic Medical Centers and Other Teaching Institutions program in Washington, DC (January 22-23, 2015). Description and faculty due to AHLA on October 13, 2014.
Date: Thursday, January 22, 2015
Title: Brave New World? Cybersecurity Challenges for Teaching Hospitals
Speaker: Ellen Rothstein / 1/22/15 / 1/22/15 /

Done

Meeting: Annual

/ Sponsor a luncheon meeting co-sponsored with the Health Information and Technology, Labor and Employment, and Physician Organizations at 2015 Annual Meeting in Washington, DC (June 28-July 1, 2015). Description and faculty due to AHLA on February 2, 2015.
Date: TBD
Title: TBD
Speakers: TBD
Newsletter (#1)
Teaching Hospitals & Academic Medical Centers / Publication of newsletter discussing and analyzing recent developments in relevant areas of health law. / /
Member Briefing (#1) / Title: Developing Progressive Academic Physician Compensation Plans for an Emerging “Curve 2” Health Care Market
Authors: Ronald Vance and Karl Thallner Jr. / 7/14 / 8/14 / 8/19/14 /

Done

Member Briefing (#2) / Title: Courts' Acceptance of FCA/Stark Law Theory in Medicaid Cases Expands Further
Authors: Laura Laemmle-Weidenfeld
Co-sponsors: CHAG, Fraud, IHC, / 10/14 / 11/14 / 11/25/14 /

Done

Member Briefing (#3) / Title: AMCs and Regional Collaboratives: Formation and Legal Issues
Authors: Martie Ross, Laura Bond, and Ernest Tsoules
Co-sponsor: TH , BLG, HHS, and IHC PGs / 1/15 / 1/9/15 / 1/9/15 /

Done

Member Briefing (#4) / Title: Immigration Issues Impacting the Training, Recruitment, and Employment of Foreign Physicians by Academic Medical Centers
Co-sponsor: TH and HHS PGs / 1/15 / 1/15 / 1/29/15 /

Done

Executive Summary/Member Briefing (#5) / Topic: Sunshine Act
Authors: TBA
Co-sponsors: Fraud, LS, and THAMC PGs / 1/13 / 5/13
Executive Summary/Member Briefing (#6) / Claire Haltom / Topic: Faculty Practice Plans
Authors: TBD / 7/12 / 5/13 /
Executive Summary/Member Briefing (#7) / Claire Haltom / Topic: Residency/ACGME
Authors: TBD / 7/12 / 5/13 /
Executive Summary/Member Briefing (#8) / Claire Haltom
COIT AG / Topic: Conflicts of Interest Case Studies
Authors: TBD / 7/12 / 5/13 /
Webinar (#1) / Title: Considerations from Inside the CIN Board Room: Network Partnerships and Value-Based Contracts
Speakers: James Daniel, Jr. and Melinda Hancock
Co-Sponsors: IHC, Antitrust, BLG, HHS, MSCPR, Physicians, and Rap PGs and ACO TF / 6/14 / 7/23/14 / 7/23/14 / Done
Webinar (#2) / Title: Bundles of Joy, Bushels of Paperwork: Pregnancy and Postpartum Issues in the Workplace
Speakers: Maria Greco Danaher and Brian McDermott
Co-sponsors: Labor and HHS PGs / 2/14 / 7/31/14 / 7/31/14 / Done
Webinar (#3) / Title: A Graduate Series on the Role and Use of Advanced Practice Professionals, Part I: Licensure and Scope of Practice—Things are Changing
Speakers: Trish Anen, Scott J. Cooper, Stephen R. Kleinman
Co-Sponsors: MSCPR, Antitrust, HCL, HIT, HHS, IHC, Physicians, PALS, RAP, and BH TF / 7/14 / 8/19/14 / 8/19/14 / Done
Webinar (#4) / Title: Federal and State Roles in Oversight of Qualified Health Plans in the Federal Exchange
Speakers: Helaine Fingold and Linda Tiano
Co-Sponsors: PPMC and HCR TF / 7/14 / 8/25/14 / 8/25/14 / Done
Webinar (#5) / Title: 2015 Proposed IPPS/OPPS Payment Rules, Part I: The Can’t Miss Issues
Speakers: Daniel Hettich, Christopher Kenny, Kenneth Marcus, and Eric Zimmerman
Co-Sponsors: RAP, HIT, HHS, IHC, MSCPR, Physicians, and TH PGs and HCR TF / 7/14 / 8/26/14 / 8/26/14 / Done
Webinar (#6) / Title: Litigating a False Claims Act Case—Tips and Tactics from the Trenches, Part I: Current and Hottest Issues in False Claims—Where FCA Litigation is Today and Where it is Going
Speakers: Amy Easton, Stuart Gerson, and Marlan Wilbanks
Moderator: Rebekah Plowman
Co-sponsors: HCL, Fraud, HHS, IHC, and TH PGs / 4/14 / 9/23/14 / 9/23/14 / Done
Webinar (#7) / Title: A Graduate Series on the Role and Use of Advanced Practice Professionals, Part II: Credentialing, Privileging, and Competency Assessment—Is it really that Different for Advanced Practice Professionals?
Speakers: Trish Anen, Daniel J. Castillo, Renee Dengler
Co-Sponsors: MSCPR, Antitrust, HCL, HIT, HHS, IHC, Physicians, PALS, RAP, and BH TF / 7/14 / 9/29/14 / 9/29/14 / Done
Webinar (#8) / Title: 2015 IPPS/OPPS Payment Rules, Part II: The Can’t Miss Issues from the Industry’s Perspective
Speakers: Priya Bathija, Allison Cohen, and Lori Mihalich-Levin
Co-Sponsors: RAP, HIT, HHS, IHC, MSCPR, Physicians, and TH PGs and HCR TF / 8/14 / 9/30/14 / 9/30/14 / Done
Webinar (#9) / Title: Stress, Depression, Addiction, and Mental Health Issues in the Legal Profession
Speakers: Kathy Flaherty, Lynn Garson, Todd Stanton, and Javoyne Hicks White
Co-Sponsors: BH TF / 8/14 / 10/9/14 / 10/9/14 / Done
Webinar (#10) / Title: Analyzing Physician Referral Data in a Population Health World
Speakers: Troy Barsky, Joseph Lynch, and Stephen Sozio
Moderator: Robert Gerberry
Co-Sponsors: HHS, IHC, Physicians, and RAP PGs and ACO TF / 9/14 / 10/17/14 / 10/17/14 / Done
Webinar (#11) / Title: Litigating a False Claims Act Case—Tips and Tactics from the Trenches, Part II: Getting What You Really Need—Preliminary Motions Practice and Discovery in FCA Litigation
Speakers: Anthony DeWitt, Richard Glaze, Jr, and Roann Nichols
Moderator: George Breen
Co-sponsors: HCL, Fraud, HHS, IHC, and TH PGs / 4/14 / 10/23/14 / 10/23/14 / Done
Webinar (#12) / Title: Strategic Considerations for Academic Medical Centers in Developing Regional Health Networks
Speakers: Mark Thompson
Moderator: Martie Ross
Co-Sponsors: TH, Antitrust, BLG, Fraud, HHS, and IHC PGs and ACO TF / 9/14 / 10/27/14 / 10/27/14 / Done
Webinar (#13) / Title: A Graduate Series on the Role and Use of Advanced Practice Professionals, Part III: Billing and Reimbursement for Advanced Practice Professionals—Opportunities and Pitfalls
Speakers: Trish Anen and Regan Tankserley
Co-Sponsors: MSCPR, Antitrust, HCL, HIT, HHS, IHC, Physicians, PALS, RAP, and BH TF / 7/14 / 10/28/14 / 10/28/14 / Done
Webinar (#14) / Title: Medical-Legal Partnerships: Integrating Lawyers to Build a Better Health Care Team
Speakers: Sylvia Caley, Ellen Lawton, and Kerry Rodabaugh
Moderator: Almeta Cooper
Co-Sponsors: Public Interest Committee, HHS, IHC, PALS, Physicians, and TH PGs / 8/14 / 11/17/14 / 11/17/14 / Done
Webinar (#15) / Title: Litigating a False Claims Act Case—Tips and Tactics from the Trenches, Part III: To Settle or Not to Settle, That is the Question—Global Settlements and ADR
Speakers: TBD
Moderator: Rebekah Plowman
Co-sponsors: HCL, Fraud, HHS, IHC, and TH PGs / 4/14 / 11/24/14 / 11/24/14 / Done
Webinar (#16) / Title: Litigating a False Claims Act Case—Tips and Tactics from the Trenches, Part IV: Dispositive Motions and Preparing for Trial—Pre-Trial Motions and Jury Issues
Speakers: Dennis Donoghue, Stephen Sozio, and Michael Sullivan
Moderator: Edwin Brooks
Co-sponsors: HCL, Fraud, HHS, IHC, and TH PGs / 4/14 / 12/10/14 / 12/10/14 / Done
Webinar (#17) / Title: Strategic Considerations for Academic Medical Centers in Developing Regional Health Networks
Speakers: Martin Brown and Mark Thompson
Moderator: Martie Ross
Co-sponsors: TH, Anti, BLG, Fraud, HHS, and IHC PGs / 11/14 / 12/11/14 / 12/11/14 / Done
Webinar (#18) / Title: Academic Medical Centers under the Spotlight: New Sunshine Act Questions for Teaching, Research, and Patient Care
Speakers: Douglas Brown, Heather Pierce, Andrew Ruskin, and Gary Wimsett
Co-Sponsors: TH, HHS, Physicians ,and RAP PGs / 11/14 / 1/8/15 / 1/8/15 / Done
Webinar (#19) / Title: CMS and Accrediting Entities—The Deeming Authority Relationship and How It Can Impact Health Care Organizations
Speakers: Sandra DiVarco and Patrick Horine
Co-Sponsors: ACE AG, RAP, HHS, MSCPR, and TH PGs / 11/14 / 1/9/15 / 1/9/15 / Done
Webinar (#20) / Title: Top Ten Legal and Compliance Issues in Managed Care Contracting for Long Term Care Providers
Speakers: Lisa Hathaway, Christopher Puri, and Alan Schabes
Co-Sponsors: PALS, HCL, HIT, HHS, IHC, PPMC, RAP, and TH PGs / 12/14 / 1/13/15 / 1/13/15 / Done
Webinar (#21) / Title: Litigating a False Claims Act Case—Tips and Tactics from the Trenches, Part V: Select Trial Issues, Closing Arguments, Post-Trial Motions, and Appeals
Speakers: TBD
Moderator: George Breen
Co-sponsors: HCL, Fraud, HHS, IHC, and TH PGs / 4/14 / 1/16/15 / 1/16/15 / Done
Webinar (#22) / Title: Bring Your Own Device: BYOD Policy Implementation, Legal Concerns, and Best Practices
Speakers: Steven Aiello, Tatiana Melnik, Meredith Phillips
Co-Sponsors: HIT, IHC, Labor, MSCPR, Physicians, RAP, and TH PGs / 12/14 / 1/27/15 / 1/27/15 / Done
Webinar (#23) / Title: IT Considerations in Developing and Operating ACOs, CINs, and Other Narrow Networks
Speakers: Margaret Grimaldi and Christine Worthen
Co-Sponsors: HIT, Antitrust, BLG, HHS, MSCPR, PPMC, Physicians, PALS, RAP, TH, and ACO and HCR TF / 1/15 / 2/12/15 / 2/12/15 / Done
Webinar (#24) / Title: An Exploration of CMS' New Revocation, Appeal, and Enrollment Authorities with OGC
Speakers: Jennifer Benedict and Julie Burnes
Co-Sponsors: RAP, HHS, Physicians, PALS PGs and ACO TF / 1/15 / 2/25/15
Webinar (#25) / Title: The Intersection of Stark Law and Medicaid Claims: A Panel Discussion of Recent Litigation and the Government’s Evolving Position
Speakers: Laura Laemmle-Weidenfeld, Donald Romano, and Jesse Witten
Co-Sponsors: CHAG, IHC, and TH PGs / 1/15 / 2/26/15
Webinar (#26) / Title: Provider M&A: Antitrust Implications and Lessons Learned from the St. Luke’s Appellate Ruling
Speakers: Tasneem Chipty, Andrea Murino, and Douglas Ross
Co-Sponsors: Antitrust, BLG, HCL, IHC, MSCPR, Physicians, RAP, and TH PGs / 2/15 / 3/4/15
Webinar (#27) / Title: From Internal Investigation to Cultural Change: The In-House Attorney’s Role in Investigating and Restructuring in the AMC Setting
Speakers: Carl Bergetz, Colleen Shannon, and Katharine Struck
Moderator: Marilyn May / 2/15 / 3/16/15
Webinar (#28) / Leah Voigt
Andrea Kahn-Kothmann / Topic: Faculty Practice Plan
Speakers: TBD
Moderator: TBD
Co-sponsors: TBD / 7/12 / 5/13
Roundtable Discussion (#1) / Title: Health System Transformation and the Law—Bridging Public Health and Health Care, Part I: Health Systems Transformation—What Does it Mean to You?
Speakers: Akshara Menon, Matthey Penn, and Sara Rosenbaum
Co-Sponsors: PHS AG, HHS, IHC, and RAP PGs and ACO TF and the Centers for Disease Control and Prevention's Public Health Law Program / 5/14 / 7/21/14 / 7/21/14 / Done
Roundtable Discussion (#2) / Title: Health System Transformation and the Law—Bridging Public Health and Health Care, Part II: Legal Mechanisms Supporting Accountable Care Principles—What Do They Mean for Your Practice?
Speakers: Christine Burke Worthen and Tara Ramanathan
Moderator: Abigail Ferrell
Co-Sponsors: PHS AG, HHS, IHC, and RAP PGs and ACO TF and the Centers for Disease Control and Prevention's Public Health Law Program / 5/14 / 8/11/14 / 8/11/14 / Done
Roundtable Discussion (#3) / Title: Health System Transformation and the Law—Bridging Public Health and Health Care, Part III: Hospital Presumptive Eligibility for Medicaid—What’s Next?
Speakers: Lisa Caucci
Moderator: Charles Luband
Co-Sponsors: PHS AG, HHS, IHC, and RAP PGs and ACO TF and the Centers for Disease Control and Prevention's Public Health Law Program / 5/14 / 9/22/14 / 9/22/14 / Done
Roundtable Discussion (#4) / Title: Rules, Tools, and Fools—“Hot Buttons” in Physician Compensation Planning Series, Part I: Can We Pay for This? Physician Practice Acquisitions, Integrations, and the Pandora’s Box of Post-Acquisition Compensation for Physicians in Group Practices
Speakers: Ann Bittinger, Karin Kaplan, and Adria Warrn
Moderator: Joseph Wolfe
Co-sponsors: FMV AG / 9/14 / 3/12/15
Roundtable Discussion (#4) / Leah Voigt
Andrea Kahn-Kothmann / Topic: Clinical Trial Agreement Toolkit
Speakers: TBD
Moderator: TBD / 7/12 / TBD /
Email Alerts / Email membership upon issuance of important issues pertaining to THs and AMCs. / 7/14 / 7/14 (3)
8/14 (8)
9/14 (5)
10/14 (4)
11/14 (6)
12/14 (4)
1/15 (9)
2/15 (5)

AHLA Connections Feature Article

/ Write a feature article for the January 2015 issue of AHLA Connections. Article due to AHLA on November 15, 2014.
Title: They’re Back! The Rise of the Narrow Network in Healthcare Exchanges and How it May Impact Academic Medical Centers
Author: Deborah Farringer and Thomas Bartrum / 11/1/15 / 11/1/15 / Done
Leadership Conference Calls /

Claire Cowart Haltom

/ Schedule regular conference call with Chair, Vice Chairs, Liaison, Staff, and other interested parties. / 8/14
Every 3rd Wednesday of the month at 11:00 am Eastern / 8/20/14
9/17/14
10/15/14
12/17/14
1/21/15
2/18/15
3/18/15
4/15/15
5/20/15
6/17/15 / 8/20/14
9/17/14
10/15/14
12/17/14
1/21/15
PG Scope
/ Leadership / Annually review Practice Group scope and discussion list description; recommend updates, if necessary. / 7/1/14 / 6/30/15
Membership Survey / Survey membership for suggested topics, projects, etc. for Practice Group and to solicit volunteers. / 3/15 / 3/9/15
Task Force (#1)
Health Care Reform Educational Task Force / Educate AHLA members on proposed healthcare reform initiatives as well as report on ongoing experiences with recently enacted reform initiatives. A joint task force of HHS, HC Liability, In-House, Physicians, PPMC, RAP, and TH/AMC PGs. / 7/1/14 / 6/30/15 / Ongoing
Task Force (#2)
Accountable Care Organizations Task Force / Monitor and evaluate the implementing statutes, regulations, cases, and secondary materials concerning ACOs. A joint task force of all 16 AHLA PGs. / 7/1/14 / 6/30/15 / Ongoing
Task Force (#2)
Behavioral Health Task Force / Advance the understanding of laws impacting behavioral health, including the delivery of services to those living with mental illness, certain neurological conditions, substance use disorders or developmental disabilities, and reimbursement for such services. / 7/1/14 / 6/30/15 / Ongoing
Affinity Group (#1)
Children’s Hospital Affinity Group / Jeff Khan
/ Continue to develop new benefits for members of the Affinity Group (and the In-House Practice Group), strive to increase the number of Affinity Group members, and explore collaboration opportunities with other organizations on various projects/webinars, etc. / 7/1/14 / 6/30/15 / Ongoing
Special Project (#1)
Clinical Trial Agreement Toolkit / Develop point and counterpoint sections from AMC and LS perspective on issues in clinical trial agreements / 8/12 / 5/13
Special Project (#2) / Develop case studies database for the THAMC PG webpage . / 7/12 / 5/13
Special Project (#3) / Develop database of THAMC PG educational programs. / 7/12 / 5/13
Tutorials / Explore adding tutorials— web-accessible, pre-recorded audio lessons featuring talented faculty with knowledge and expertise in the specific areas—as a new PG benefit.
Topics that may be considered: emergency preparedness, tissue banking, GMEs, healthcare reform. / 7/12

AHLA encourages all Practice Groups to collaborate, communicate, and cooperate with other Practice Groups.