9252 Breezy Point Drive Breezy Point, mn 56472

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MAMSS 29th

Annual Spring Conference
Thursday and Friday

April 28-29, 2011

Hosted by:
Breezy Point Resort

9252 Breezy Point Drive

Breezy Point, MN 56472
Location: Breezy Point is located only 140 miles north of Minneapolis/St. Paul. If you prefer to fly, Breezy Point is just a 30 minute flight from the Minneapolis-St. Paul Airport. The Mesaba-Northwest Airlink services the Brainerd Airport with several daily flights.

If you prefer to drive.... Breezy Point Resort is only 20 miles north of Brainerd/Baxter. Take highway 371 north to Pequot Lakes, go right (east) on County Rd. 11 approximately 5 miles, through the Breezy Point front gate to the Resort Office.

On I-94, going north and west of the cities, take the Clearwater exit (Highway 24) right, cross the Mississippi River to Highway 10 west (left), through St. Cloud to Highway 371 (just north of Little Falls) into Baxter. Continue on highway 371 north from Baxter, through Nisswa to Pequot Lakes, go right (east) on County Rd. 11 approximately 5 miles, through the Breezy Point front gate to the Resort Office.

From Duluth: Take I-35 or Highway 61 to Route 210 west to Brainerd.

Wednesday, April 27, 2011

7:00 – 8:00 pm Early Registration
Thursday, April 28, 2011

Morning Session:

7:30 – 8:30 am Registration/Continental Breakfast

8:30 – 9:00 am Welcome – Vendor Introductions – Audience Introductions

9:00 – 10:00 am TJC Stuart Shikora, MD Telemedicine/Teleradiology

10:00 – 10:15 am BREAK

Break Out Sessions

10:15 – 11:45 am TJC – Stuart Shikora, MD FPPE/OPPE


10:15 – 11:45 am NCQA – Bill Tulloch, MA Advanced Credentialing

11:45 – 12:45 pm LUNCH

Afternoon Session:

12:45 – 2:15 pm Tami West, Keynote Speaker The Stressed Out Organization

2:15 – 2:30 pm BREAK

2:30 – 4:00 pm Tami West, Keynote Speaker I’ll be Happy When… A Positive Attitude Changes Everything

5:30 – 6:30 pm Social Hour

Friday, April 29, 2011

Morning Session:

7:00 – 8:00 am Registration/Continental Breakfast

7:45 – 8:00 am Annual Meeting

8:00 – 9:30 am NPDB – Judy Rodgers Reporting and Querying/Q&A

9:30 – 10:30 am ABMS – Millie Pouwels Update ABMS MOC and Quality

10:30 – 10:45 am BREAK

10:45 – 11:45 am Barbara LeGault NAMSS Education Update

11:45 – 12:45 pm LUNCH – Jenny Kroska MAMSS Web Site overview

Afternoon Session:

12:45 – 2:00 pm Amy Niemela MCC Update and Q&A

2:00 – 3:00 pm Diane Amundson Generations in the Workplace

3:00 – 3:15 pm Door Prizes

13.7 CEUs from the National Association of Medical Staff Services (NAMSS) – pending approval from NAMSS



Make checks payable to MAMSS. (TPIN: 523 44345) Forward registration & check to:

Joey Johnson, Essentia Health - Fosston, 900 Hilligoss Blvd SE, Fosston, MN 56542

(Sorry, no Credit Cards)

Please type (form fill able or print)



Street Address:      


Phone:       Fax:       Email:      

 Let us know if you have any special needs (meals-menu attached or accommodations):

$210 SPECIAL NEW MEMBERSHIP (not a renewal) AND 2-Day Conference

$160 SPECIAL NEW MEMBERSHIP (not a renewal) AND 1-Day Conference

: $      

Full Conference (April 28th & 29th) Registration Fee:
 MAMSS Members$175.00

 Non-members – $215.00

Thursday, only (April 28) Registration Fee:
 MAMSS Members$125.00


Fee is refundable by written request if received by April 1, 2011.

After April 1, 2011 – A $50.00 cancellation fee will be charged

After April 15, 2011 – No refunds but you may substitute another person from your organization

Friday, only (April 29) Registration Fee:
 MAMSS Members$125.00


April 28, 2011

April 28, 2011

Choose Break out Session

10:15am – 11:45 am

 TJC – Stuart Shikora, MD


 NCQA – Bill Tulloch, MA

Check box if you plan to attend (check all that apply)

 7:00 amContinental Breakfast

 12:00 pmLunch

 5:30 pmSocial Hour and hors d’oeuvre

April 29, 2011

 7:00 amContinental Breakfast
 12:00 pmLunch


See details on registration form (refreshments, continental breakfast, lunch, and hors d’oeuvres are included).


Fee is refundable by written request if received by April 01, 2011.

After April 01, 2011 – A $50 cancellation fee will be charged.

After April 15, 2011 – No refunds but you may substitute another person from your organization.

  • Notify: Joey Johnson, so changes can be made. By fax: 218-435-1134 or e-mail: joeyj@firstcare.org.


Call Shelly Berg at 320-231-5079 or by e-mail at shellyb@acmc.com.
For conference updates, go to: http://www.namss.org/StateAssociations/StateWebsites/Minnesota/tabid/215/Default.aspx


This conference is ideal for hospital medical staff services employees, clinic and health plan credentialing staff. Content is appropriate for those new to credentialing and privileging and the seasoned professional.


  • To recognize individual leadership qualities in order to become a powerful contributor, be a success in your organization and improve quality care for patients.

  • To become familiar with TJC and NCQA standards and identify recent changes in order to prepare for or to understand what it takes for a successful survey.

  • To learn ways to manage and improve relationships with customers of the medical staff or credentialing office.

  • To recognize the external pressures facing the profession to maintain effective privileging and credentialing processes.

  • To learn and review requirements and realities of reporting practitioner adverse events to state and federal authorities.

  • To learn and review the benefits of personal development and self awareness on productivity and staff performance.
  • To exchange ideas and solutions to challenges facing the medical staff services professional in Minnesota.


Dr. Stuart B. Shikora is a surveyor for The Joint Commission and Joint Commission International. He joined The Joint Commission in 1988 and Joint Commission International in 2005. He surveys the hospital program at academic centers and community hospitals throughout the Unites States. He serves as both a physician surveyor and an administrative surveyor internationally. In recent years, he has surveyed in Italy, the United Arab Emirates, Turkey, Denmark and Israel.

Dr. Shikora resides near San Francisco, California. He practices Emergency Medicine at John Muir Medical Center in Concord, California, where he also serves on the Board of Directors. He has been Chief of Staff, Chairman of the Department of Emergency Medicine, and President of the Alameda-Contra Costa Medical Association. He continues to survey hospitals throughout California with the Institute for Medical Quality, in partnership with The Joint Commission and the California Department of Public Health.

Dr. Shikora is a Fellow of the American College of Emergency Physicians and the American Academy of Emergency Medicine. Dr. Shikora is also a member of the California Medical Association and the Alameda-Contra Costa Medical Association.

Dr. Shikora received a degree in Metallurgical Engineering from Lehigh University as well as a medical degree from Hahnemann University in Philadelphia, Pennsylvania. He completed his internship and residency in Internal Medicine at Abington Memorial Hospital in Abington, Pennsylvania.

William Tulloch is NCQA’s Director of Government Recognition Initiatives, and has been with NCQA since 1997. In his role, he manages the operations of several government contracts aimed at promoting the Medical Home concepts in federal health centers and military facilities. Prior to this position, Bill was the Director of Customer Resources, providing educational assistance to organizations seeking to improve the quality of care and service they provided. He was also previously the Director of the Privacy Certification for Business Associates (PCBA) program, a joint offering of NCQA and The Joint Commission on Accreditation of Healthcare Organizations. He helped develop both the PCBA and other new assessment programs in the health care field and improving existing NCQA products as part of the Product Development team. Earlier in his tenure at NCQA Bill served as a Senior Accreditation Manager participating in and coordinating surveys for the MCO, CVO, and MBHO programs. In addition to his other work, he has been a frequent faculty member for educational presentations for NCQA, and is a member of the internal team that developed and maintains the Interactive Survey System.

Bill attended Williams College for his undergraduate work, and has a Master’s in Economics from the University of Maryland. For seven years prior to joining NCQA, he worked with a health care consulting firm, HTA (now Covance), in Washington, DC, helping medical product manufacturers work in the managed care setting. During his undergraduate years, he co-authored two papers on the psychology of juror decision-making, based on original research.

Tami West began her career with a Bachelor’s degree in Biology and spent the next ten years working in hospitals, physician’s offices and research labs. In 1999, she obtained a Master’s degree in Education and worked in the public school system as a teacher, trainer, department chairperson, and a new teacher mentor.

In 2005, Tami left the world of education to write her first book, “Life Without the Monsters”, to help woman dealing with worry, fear, stress and anxiety. It is her passion to help people understand the reasons behind their fears, to identify specific triggers and, most importantly, to learn practical techniques to live fulfilling lives. Her second book, “Balancing Your Career and Your Life”, was published in October 2007, and she audio series, “Discovering Happiness in a Stressful World” was released in October 2009.

Tami has spoken to groups across the United States, the United Kingdom, and Australia – and now she is here to speak to you!

Judy Rodgers is a Senior Advisor within the Division of Practitioner Data Banks, Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services. The Division of Practitioner Data Banks is responsible for the management of the National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB). Ms. Rodgers serves as a Senior Program Advisor to the Division’s Director and Deputy Director, on a wide range of issues relating to compliance monitoring, secretarial review, policy interpretation, data integrity, technical assistance and outreach for the division.

Prior to her current role, Ms. Rodgers was the Chief of the Health Education Assistance Loan Branch within BHPr, where she administered an $850 million program of federally guaranteed loans by private lenders to health professions students in disciplines including medicine, dentistry, osteopathy, podiatry, pharmacy, public health, and allied health.

Ms. Rodgers has also held a variety of management positions in HRSA’s Bureau of Primary Health Care. In particular, she oversaw a $300 million portfolio of primary care grants to 130 community health centers and state primary care associations. Ms. Rodgers holds a Bachelors degree in Medical Technology from the University of Minnesota, as well as a Masters degree in Health Care Administration from the George Washington University.
Mellie Pouwels joined the American Board of Medical Specialties (ABMS) in 2009 as the program director of the Maintenance of Certification® (MOC) Support Program. In this role, she is responsible for developing communication resources and implementing education programs that assist the 24 member boards with their MOC initiatives.

Millie has over 15 years of experience in continuing medical education, as well as experience in medical student education and community-based training programs. Prior to her position with ABMS, Pouwels held senior positions with the Radiological Society of North America and the Northwest Missouri Area Health Education Center.

Mellie holds a Master’s degree in Counseling from Loyola Marymount University and a Bachelor’s degree in Art History from the University of Notre Dame.
Barbara LeGault has been a member of the NAMSS Education Committee since 2010 and previously served as a member of the NAMSS Board from 1999-2001 as the Great Lakes Regional Representative.

Barb as worked in Credentialing and Medical Staff Services for more the twenty years and is currently Director of Credentialing and Medical Staff Services for Park Nicollet in St. Louis Park.

Jenny Kroska is a Credentialing Specialist at St. Cloud Hospital. She has been involved with credentialing for over 10 years and has been at St. Cloud Hospital for 14 years. Over the past 14 years her duties have evolved from a data entry temp position to taking minutes to the world of credentialing, including credentialing & privileging and re-appointments for physicians in all departments. Credentialing and clinical functions and re-appointments for all Allied Health Professionals. Physician and allied health orientations, and delegated credentialing for CentraCare Health System Outreach Programs.

Jenny is a current MAMSS and NAMSS member and is the current MAMSS Communication Coordinator. She obtained CPCS certification in November 2006.

Amy Niemela joined the Minnesota Credentialing Collaborative as Manager of the MCC in November of 2010. In this role, she has overall responsibility of the day-to-day operation of the MCC, provides training on the electronic credentialing system and facilitates participation in the system. Amy spent three years in the credentialing department at Medica and has held various credentialing positions as pharmacy contracting/credentialing, facility credentialing and payer credentialing.

Amy currently resides in Excelsior, MN with her 3 children and 2 cats.

Diane Amundson is a graduate of the Carlson School of Management at the University of Minnesota, and an Adjunct Professor of Organizational Behavior for Winona State University. She has worked in sales and marketing in a leadership position with General Mills and Pepsi-Cola. In addition to her passion for leadership, she has traveled the world working on humanitarian projects in Mongolia and India.

Diane has also experienced leadership as the General Manager of Express Personnel Services, Express Business Solutions, and Co-Owner of Work Wise, a business consulting firm. Her passion resides in observing and communicating the talent and skills necessary to become a great leader.


TJC – Telemedicine/Teleradiology

  • Telemedicine and Teleradiology

  • Moderate and Deep Sedation

  • Anesthesia Services – new CMS guidelines

This session will review the standards, discuss the credentialing problems, and proposed solutions to difficult situations.
Questions that will be discussed:

  • Where do we get the information?

  • Primary source verification?

  • What to do with applications from other organizations?

  • Does OPPE & FPPE apply? Where’s the data?

  • What’s new with moderate sedation?

    • Core or non-core?

    • Who needs privileges for deep sedation?


  • Ongoing Professional Practice Evaluation (OPPE)

  • Focused Professional Practice Evaluation (FPPE)

This session will summarize the concepts, introduce strategies for compliance, and discuss the difficulties faced by accredited organizations.
Questions that will be discussed:

  • What’s the goal?

  • How much is enough?

  • Must we include something for all privileges?

  • What about the low-volume practitioner?

  • Where do we get the data?

  • What do we put in the credentials files?

  • Who decides?

NCQA Advanced Credentialing

This presentation will present an overview of the NCQA Credentialing standards, describe how they differ among NCQA programs, and discuss the areas of most challenge for organizations seeking to meet these requirements.

The Stressed Out Organization – Tami West

Stress impacts your organization in many ways, but most people don't understand exactly how or how debilitating it can be. In this refreshingly insightful presentation, Tami explains exactly what stress is, and how it affects individuals physically, mentally and spiritually. She identifies the patterns and warning signs that an individual's stress may be impacting the organization's performance. She then provides straightforward advice about what can be done today to overcome a stressful work environment.

I’ll be Happy When…A Positive Attitude Changes Everything – Tami West

Consider this: If you have a full-time job you will work approximately 2,080 hours this year. Do you find yourself thinking, I’ll be happy when 5:00 gets here!? I’ll be happy when Friday gets here! I’ll be happy when my vacation gets here (if you take one)! If you do, consider that negativity may be hindering your success as a worker and as a person for 2,080 hours every year! It doesn’t have to be this way. In this captivating presentation, you will learn about the 5 most destructive negative thought patterns and how to change them in an instant. You won’t want to miss this opportunity to change the course of your life!

National Practitioner Data Bank Session Overview

Participants will be provided with an overview of the National Practitioner Data Bank and how Section 1921 of the Social Security Act has expanded querying and reporting. Educational scenarios will be offered, to ensure that attendees increase their understanding in reporting and querying responsibilities to the Data Bank. Other topics include: information on the Healthcare Integrity and Protection Data Bank, Continuous Query, and current initiatives of the Division of Practitioner Data Banks.

ABMS Update on ABMS MOC and Quality – Millie Pouwels

Attendees of this session will:

  • Deepen their understanding of the organizational history and structure of the ABMS

  • Be able to trace the development of ABMS MOC®

  • Become familiar with the new standards for MOC (adopted in March 2009)

  • Learn about the future directions for ABMS and MOC

NAMSS Education Update – Barbara LeGault

Attendees will be provided information on opportunities from the NAMSS Education Committee. These include “live” and “on-line” certification preparation courses as well as new courses identified by the Innovation Center Task Force that have been recently launched or are currently in development. For those new to Medical Staff Services Profession we now offer “New to the Profession” courses as well.

MAMSS Website Tutorial – Jenny Kroska

Jenny will review each screen of the current MAMSS website. Members will know where to find everything they are looking for. The document repository will be viewed and members will see how to open password protected documents. The discussion forum will be viewed and members will learn how to log-in to post a topic as well as posting a reply. Q&A session to end the session.

Generations in the Workplace – Diane Adundson

For the first time in history we have four unique generations working side by side in the workplace. While we are more similar then different, the ideas, beliefs and values that shaped us during our formative years are often vastly different and can lead to conflict. Traditionalists, Boomers, Gen X and Y will often differ in how they view time, money, authority and formality. This workshop will explore the similarities and differences and provide concrete tips and tools to bridge the generational gap which will lead to greater personal and professional productivity.

Minnesota Credentialing Collaborative – Amy Neimela

The MCC will provide a general overview of the electronic credentialing system. This overview will include a brief demonstration of the entire application process from entering the data, to sending the data, to receiving the data in the system. The presentation will include recent statistics of the electronic credentialing system such as number of applications sent per month, number of providers in the system, etc. Recent updates will be discussed such as data importation, system upgrades, and hospitals/health plans currently receiving applications.

There is still time to join in the fun! Learn New Skills!

1 Person – Table decorations

1 Person – Room Monitor – Disburse and collect evaluation forms during conference for Dr. Shikora – 9:00 am – 10:00 am and 10:15 am – 11:45 am

1 Person – Room Monitor – Disburse and collect evaluation forms during conference for Tami West – 12:45 pm – 2:15 pm and 2:30 pm – 4:00 pm

1 Person – Room Monitor – Disburse and collect evaluation forms during conference for Bill Tulloch – 10:15 am11:45 am

1 Person – Room Monitor – Disburse and collect evaluation forms for speakers – NPDB – 8:00 am – 9:30 am

ABMS 9:30 am – 10:30 am

NAMSS Education Update 10:45 am – 11:45 am

1 Person – Room Monitor – Disburse and collect evaluation forms for speakers – MCC – 12:45 pm – 2:00 pm

Generations in the Work Place – 2:00 pm – 3:00 pm

1 Person – Introduce Dr. Shikora at 9:00 am – 10:00 am and 10:15 am – 11:45 am

1 Person – Introduce Tami West at 12:45 pm – 2:15 pm and 2:30 pm – 4:00 pm

1 Person – Introduce Bill Tulloch at 10:15 am11:45 am

1 Person – Introduce Judy Rodgers at 8:00 am – 9:30 am

1 Person – Introduce Millie Pouwels at 9:30 am – 10:30 am

1 Person – Introduce Barbara LeGault at 10:45 am – 11:45 am

1 Person – Introduce Amy Niemela at 12:45 pm – 2:00 pm

1 Person – Registration table Thursday and Friday morning

2 People – Take random pictures before and during conference; social hour

1 Person – Name badges and ribbons

1 Person – Copy evaluations for conference



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