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On Demand

Pain Management in Primary Care & The Future of Value Based Care


Total Credits: 2 including 2 AOA Category 1-A Credit(s), 1 Opioid Credit

Average Rating:
   16
State Associations:
TOMA - Texas
Faculty:
Christine Vidouria, DO |  David Gutierrez, MBA, MHA
Duration:
2 Hours
Expiration:
Never expires.


Description

Pain Management in Primary Care
Christine Vidouria, DO

This presentation will describe options in traditional medications for pain such as different forms of buprenorphine in chronic pain conditions. How to adjust medications in the older populations and what medications could be used instead of traditional schedule II opioids. Their mechanisms and how to start them. Interventional options for peripheral neuralgia and osteoarthritic conditions that have, in the past, been treated with opioid medications.

Upon completion of this presentation, participants will be able to:

  • Appropriate opioid management
  • Options to minimize the schedule II medications for chronic pain
  • Interventional options that treat chronic pain conditions that were traditionally treated with opioid medication.

The future of value based care: How to Optimize your Practice to Increase Quality Scores, Revenue and Patient Satisfaction
David Gutierrez, MBA, MHA; Modern Medical Billing & Consultants, LLC

As businessmen and women, we have been taught that `time is money”. We determine how and what we do every day by calculating what will generate the most profit in a given time. The volume base model taught us that the more patients seen on a given date, the higher the income. We try to focus our energy and resources to limit the time a patient spends in a room. We hire scribes, train our M.A’s. to do things quickly, which increases the chance of human error. Improper/lack of documentation has been a serious problem in our current healthcare model and it could lead to audits and patient dissatisfaction. Governmental and private insurances are now focusing more on preventative measures. Their goal is to reduce patients visits to the hospital and keep them as healthy as possible by preventing and treating patients' chronic conditions. This reduces the insurances’ costs as well as the patients’. As insurances push for this movement, incentives as well as penalties are given to the providers. There are multiple value based care payment models some of the most common ones are: pay for coordination pay for performance bundle payment (episode of care payment) and shared savings program (upside and downside)Quality Payment Program/ MIPS (Medicare) All these programs have the same goal: Save money by keeping patients healthy and out of the hospitals. The question is how do insurance companies track patient care? The answer is by providing HEDIS/ Preventive Codes. HEDIS/ Preventive codes include counseling, guidance, risk factor reductions and interventions. These codes measure the quality of the service and the care provided to the members of that plan. Based on your own performance incentives or penalties are given to encourage providers to comply with these performance measures. These codes are becoming a major part of everyday healthcare practice requirements and it will become a point where providers scores will be shown to the public. Additional information on COVID-19 updates will also be provided.

Upon completion of this presentation, participants will be able to:

  1. Understand the value-based care model and its requirements (HEDIS, QPP, MRA)
  2. Learn ways to target and implement value-based care models in your practice without risking any financial burden or loss of income
  3. Learn about new procedure and reporting codes available
  4. Look into the future and how to prepare for it.

Statement of Accreditation
The Texas Osteopathic Medical Association (TOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. TOMA designates this program for a maximum of 2 AOA Category 1-A credits and will report CME credits commensurate with the extent of the physician’s participation in this activity.

Grievance Policy
All grievances may be directed to TOMA's Executive Director at toma@txosteo.org. All grievances will receive an initial response within 30 days of receipt.  If the participant does not receive a satisfactory response, they can submit a complaint to the Bureau of Osteopathic Education of the AOA at 142 East Ontario Street, Chicago, IL 60611.

Handouts

Faculty

Christine Vidouria, DO's Profile

Christine Vidouria, DO Related Seminars and Products


Dr. Christine Vidouria graduated high school from Tom C. Clark here in San Antonio and went to study microbiology at the University of Texas at El Paso on a Division I volleyball scholarship. She received her medical training at the University of North Texas Health Sciences Center at Fort Worth-Texas College of Osteopathic Medicine. Dr. Vidouria returned to San Antonio to complete her Physical Medicine and Rehabilitation residency at the University of Texas Health Science Center at San Antonio. During her training she learned that she could incorporate nerve blocks and joint injections with osteopathic manipulative treatments to facilitate patient’s function and reduce pain. She also completed her fellowship training in Interventional Pain Management at UTHSCSA. Dr. Vidouria has been in a private solo-practice for 15 years and has always wanted to teach medical students. 

The opportunity presented itself in the establishment of the University of the Incarnate Word School of Osteopathic Medicine and she joined as part-time faculty teaching Development of Osteopathic Clinical Skills in 2017. Dr. Vidouria enjoys interacting and shaping the future of osteopathic medicine and feels confident that our curriculum facilitates life-long critical thinkers as well as compassionate physicians.

Dr. Vidouria discloses that she has no relevant financial relationships with any organization producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients relative to the content of this presentation.


David Gutierrez, MBA, MHA's Profile

David Gutierrez, MBA, MHA Related Seminars and Products


David Gutierrez, MBA, MHA is the CEO and founder of Modern Medical Billing and Consulting. His role with the executive team for the largest, single proprietorship, a healthcare company in Texas has provided him with the experience and knowledge necessary for success in the healthcare system. He specializes in managing the financial and administrative tasks that influence the revenue of the company. By using data manipulation software and critical thinking, David can find and target deficiencies that prevent practices from achieving their full potential. He attained an MBA with a concentration in healthcare management from the Mays School of Business at Texas A&M San Antonio, as well as a Bachelor’s degree in Public Health from the University of Texas at San Antonio.  

Mr. Gutierrez discloses that he has no relevant financial relationships with any organization producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients relative to the content of this presentation.


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Overall:      4.5

Total Reviews: 16