Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David...
-
Upload
leonard-higgins -
Category
Documents
-
view
224 -
download
4
Transcript of Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David...
![Page 1: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/1.jpg)
Realigning the Certified Healthcare Financial Professional (CHFP) Program
September 25, 2015
David M. Karluk, MBA/HCM, FHFMAMary Washington Healthcare
L. Shawn Nelson, CPA, FHFMARiverside Health System
![Page 2: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/2.jpg)
Background
• Healthcare Environment is a Reform Environment
• Create opportunities from business challenges• Fundamental needs have changed• Purpose = Learning, not demonstrating
experience and expertise
2
![Page 3: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/3.jpg)
The Case for Change
3
Provider
HFMA’s Strategic Vision
Payer
Physician
Business Environment : Value
CHFP Structure - 2 Modules1. The Business of Healthcare2. Stakeholder Concerns
![Page 4: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/4.jpg)
Background
• HFMA Board of Examiners CHFP recommendations
– Education focus on building business acumen
– Incorporate HFMA strategic vision: Healthcare transformation (physician/payer/provider); career support
– Broaden appeal to the industry
4
![Page 5: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/5.jpg)
Key Changes
• Learning, not demonstrating experience and expertise
• No experience pre-requisites
• Study materials and exams online through HFMA website
5
![Page 6: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/6.jpg)
Earning the CHFP
CHFP Awarded:
Work through both modules and pass end of module
assessments:
First module (Business of Health Care)
Second module (Operational Excellence - Stakeholder Concerns)
6
![Page 7: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/7.jpg)
7
CHFP Process
CHFP Awarded
Module TwoHFMA’s Operational Excellence
Directed Case Study learning: 8 case studies each with 7 multiple choice questions, 3 hour
timed exam
Module OneHFMA’s The Business Of Healthcare Online learning: 6 Courses + End of Course
Exam – 75 questions, 90 minutes
![Page 8: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/8.jpg)
CHFP Registration
• Access CHFP registration via the HFMA website
• CHFP Modules hosted via the HFMA LMS
• CHFP course access through your HFMA eLearning account
• Costs - Total = $700 Member: Module I - $400 Member, $450 Non-Member Module II - $300 Member only
8
![Page 9: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/9.jpg)
Maintaining the CHFP
• Maintenance Required
– 60 hours in a 3 year maintenance reporting period
– Grace period June 1 through July 15
– Retest is an option
9
![Page 10: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/10.jpg)
Certified Healthcare Financial Professional
Module I - Introduction
September 25, 2015
David M. Karluk, MBA/HCM, FHFMAMary Washington Healthcare
L. Shawn Nelson, CPA, FHFMARiverside Health System
![Page 11: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/11.jpg)
Purpose of this Chapter Learning Program
• Highlight key knowledge for strong job performance
• Provide an overview of important concepts. The in-depth presentations that follow covers the online course content.
11
![Page 12: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/12.jpg)
Module I: The Business of Health Care
12
![Page 13: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/13.jpg)
WIIFM?
YOU
• Big-Picture
• Multi-disciplinary perspective
• Business savvy
1313
![Page 14: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/14.jpg)
The Approach
The Business of Health Care, six courses:
1. Healthcare Finance: The Big Picture
2. Financial Accounting Concepts
3. Cost Analysis Principles
4. Strategic Financial Issues
5. Managing Financial Resources
6. Looking to the Future
1414
![Page 15: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/15.jpg)
Tips for Learning
Concept Guide
• Identifies key concepts, terms and applications that you must know for the end-of-module examination
• USE IT
1515
![Page 16: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/16.jpg)
Learner’s Guide
• Coaching Course Learning Exercises
• Take notes
1616
![Page 17: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/17.jpg)
Certified Healthcare Financial Professional
Module II - Introduction
September 25, 2015
David M. Karluk, MBA/HCM, FHFMAMary Washington Healthcare
L. Shawn Nelson, CPA, FHFMARiverside Health System
![Page 18: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/18.jpg)
Module I I: Operational Excellence
18
![Page 19: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/19.jpg)
WIIFM?
YOU prove to YOURSELF that you are
• Big-Picture
• Multi-disciplinary perspective
• Business savvy
19
![Page 20: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/20.jpg)
The Approach
Operational Excellence:
• 8 Random business case studies
• 7 multiple choice test-items for each cases study – 56 total questions
• Responses to the case studies test-items are aggregated and the a score calculated
• 3 hours
20
![Page 21: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/21.jpg)
Tips for Learning
Know the context: Pay attention to industry
• Understand your organizations strategic plan
• Familiarize yourself with the business goals of the organization – what are the barriers?
21
![Page 22: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/22.jpg)
Approach your Job like a Case Study
Get fully involved
• Practice applying new skills
• Seek out feedback
22
![Page 23: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/23.jpg)
Skills for Module II
Job skills: Problem Solving
• Get the details and the business context
• Identify the stakeholders - what do they want?
• Outline business goals – what are the challenges?
• Seek out data, evidence, dynamics to understand what is happening
• Make a recommendation on a solution
23
![Page 24: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/24.jpg)
Module II –Payer Case Studies
Payer Business Environment
Accountable Care Organizations – Payer Cancers
Premium Growth in a Shifting Environment
Denials of coverage
Limitations on profits
Health Insurance Exchanges
Payer consolidations
Unsustainable rates;
Payer Differentiation
Rise of Business Process Outsourcing
24
![Page 25: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/25.jpg)
Module II – Physician Case Studies
Physician Business Environment
Consumerism and physicians
Physician –Hospital alignment
Demand for Physician Collegiality
Emerging Ancillary Positions
Physician Burnout
Physician Independence
Physician Shortages (Leakage)
Physicians as Entrepreneurs
Reform and Physician Liability
Physician – Hospital Financial Relationships
25
![Page 26: Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare.](https://reader036.fdocuments.us/reader036/viewer/2022081511/56649ee15503460f94bf120c/html5/thumbnails/26.jpg)
Module II – Provider Case Studies
Provider Business Environment
Hospital Consolidations
Hospital – Physician Alignment
Hospital Facing Bankruptcy
Provider- Payer Consolidations
Physician Engagement and Leadership
Integrated Care Delivery
Physicians Remaining Independent
Accountable Care Organizations
Sustainability of Physician Employment
26