Pathways and Opportunities for Advancing the Medical and Legal Professions
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When: Monday, June 18, 2018
8:30 AM - 12:30 PM CT
Where: Creighton University - Harper Center
602 N 20th St
Omaha, Nebraska  68102
United States

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MCLE Accreditation
NE MCLE Accreditation #157954 (Regular/live); #157955 (Distance learning), 3.75 CLE hours
IA MCLE Accreditation #297110 (Regular/live); #297111 (Live webcast), 3.75 CLE hours

Registration Fees
$75 - Regular registration
Free - Law students

8:30 am    Practice Management, Burnout, Substance Abuse and Mandatory Reporting Obligations
Ronn Johnson, PhD, ABPP, Creighton University; Richard (Rick) Vroman, JD, Koley Jessen, PC LLO

Burnout is a common and complex phenomena in the healthcare industry. It can include a serious sequalae of difficulties that reflect impairment in a physician’s functioning. A distressed provider’s decline in functioning may be observed by patients or peers through clinical signs of depression and substance abuse.  Several questions may be asked. What can providers do to assist their peers, themselves or others to relieve prolonged stress that can subsequently lead to burnout? What are the provider’s obligations for reporting themselves or others? What are the ramifications of seeking assistance or making a report?

At the conclusion of this session, attorneys and medical professionals will be able to:

  1. Identify the prevalence and signs of stress that can lead to burnout in the workplace.
    a. Understand appropriate actions you can take when:
         i. You witness someone under significant stress
         ii. You are under significant stress
    b. Be exposed to practical insights on ways to deal with stress in the workplace.
    c. Role of physician fitness-for-duty evaluations.
  2. Identify incidents subject to mandatory reporting laws.
    a. Understand what must, what may, and what should not be reported.
    b. Understand the reporting process, as well as the legal and practical effect of such reports.
  3. 3. Understand the Licensee Assistance Program (“LAP”) program, its pros and cons, and

9:30 am    Disclosures of Protected Health Information to Law Enforcement Officers
Christopher J. Acker, MD, MA, FACEP, CHI Health Mercy Council Bluffs and CHI HealthCreighton University Medical Center; Michael W. Chase, JD, MHA, Baird Holm, LLP, Julie A. Knutson, JD, MSW, Baird Holm, LLP

The viral video of the nurse being arrested for refusing to disclose protected health information (PHI) is still fresh in our minds. This situation is a real-life demonstration of the massive failure to communicate between health care providers and law enforcement agencies and officers. This session will provide attorneys and medical professionals with what are the permitted disclosures allowed under the HIPAA Privacy Regulations without patient authorization, search warrant, subpoena or court order, and how can this lack of common understanding of the rules be corrected.

At the conclusion of this session, attorneys and medical professionals will be able to:

1. Identify the regulatory exceptions permitting on-request disclosures of PHI to law enforcement.
2. Recognize the common conflicts and communication problems between health care personnel and law enforcement officers.
3. Implement preventive steps to enhance understanding and communication between hospital personnel and law enforcement.


10:30 am    Break

10:45 am    When Things Go Wrong: Apology and Communication
Devin J. Fox, MD, FACP, Chief Medical Officer, CHI Health Creighton University Medical Center and Assistant Dean for Patient Care Quality at Creighton University School of Medicine; John Marshall, CRM, ERMCP, CIC, AAI, Principal and Shareholder, Professional Risk Services, SilverStone Group, Inc.; Robert S. Thompson, RT, JD, MBA, LLM, AIC, ARM, ARE, RPLU, CPCU, Director of Education, MMIC Group

Although “I’m Sorry” statutes have been in place in most states for some time, the policies and practices guiding communication of unexpected or adverse events with patients and families continue to evolve. This session will explore the benefits, risks, economics, best practices and practical aspects of communicating with patients and families in these difficult situations.

At the conclusion of this session, attorneys and medical professionals will be able to:

  1. Articulate the reasons for and importance of open and timely communication with patients and families following an unanticipated outcome or adverse event.
  2. Identify barriers to apology and communication and discussion strategies to overcome those barriers.
  3. Recognize tools, strategies and best practices for handling apology and communication and resources to support physicians conducting these communications.

11:45 am    Pathways and Opportunities for Advancing the Medical and Legal Professions: Putting in All Together
Moderator: Shannon Kinnan, MD; Panelists: Christopher J. Acker, Michael W. Chase; Devin J. Fox; Ronn Johnson; Julie A. Knutson; John Marshall; Robert S. Thompson; Richard (Rick) Vroman

This session will be an interdisciplinary panel discussion which will allow: the moderator to summarize the content from the previous sessions; the speakers to expand on the content they presented, including how it may relate to the content shared by other speakers; and the participants to ask questions. This session will maximize the impact of the previous sessions by highlighting key concepts and reinforcing best practices in order to increase the retention of information by attorneys and medical professionals.

12:30 pm     Adjourn