Realigning the Certified Healthcare Financial Professional ( CHFP) Program September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare L. Shawn Nelson, CPA, FHFMA Riverside Health System

Background Healthcare Environment is a Reform Environment Create opportunities from business challenges Fundamental needs have changed Purpose = Learning, not demonstrating experience and expertise 2

The Case for Change 3 Provider HFMA’s Strategic Vision Payer Physician Business Environment : Value CHFP Structure - 2 Modules 1.The Business of Healthcare 2.Stakeholder Concerns

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

Key Changes Learning, not demonstrating experience and expertise No experience pre-requisites Study materials and exams online through HFMA website 5

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

CHFP Process CHFP Awarded Module Two HFMA’s Operational Excellence Directed Case Study learning: 8 case studies each with 7 multiple choice questions, 3 hour timed exam Module One HFMA’s The Business Of Healthcare Online learning: 6 Courses + End of Course Exam – 75 questions, 90 minutes 7

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

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

Certified Healthcare Financial Professional Module I - Introduction September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare L. Shawn Nelson, CPA, FHFMA Riverside Health System

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

Module I: The Business of Health Care 12

WIIFM? YOU Big-Picture Multi-disciplinary perspective Business savvy 13

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 14

Tips for Learning Concept Guide Identifies key concepts, terms and applications that you must know for the end-of-module examination USE IT 15

Learner’s Guide Coaching Course Learning Exercises Take notes 16

Certified Healthcare Financial Professional Module II - Introduction September 25, 2015 David M. Karluk, MBA/HCM, FHFMA Mary Washington Healthcare L. Shawn Nelson, CPA, FHFMA Riverside Health System

Module I I: Operational Excellence 18

WIIFM? YOU prove to YOURSELF that you are Big-Picture Multi-disciplinary perspective Business savvy 19

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

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

Approach your Job like a Case Study Get fully involved Practice applying new skills Seek out feedback 22

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

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

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

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