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

Background

• Healthcare Environment is a Reform Environment

• Create opportunities from business challenges• Fundamental needs have changed• Purpose = Learning, not demonstrating

experience and expertise

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The Case for Change

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Provider

HFMA’s Strategic Vision

Payer

Physician

Business Environment : Value

CHFP Structure - 2 Modules1. The Business of Healthcare2. 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

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Key Changes

• Learning, not demonstrating experience and expertise

• No experience pre-requisites

• Study materials and exams online through HFMA website

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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)

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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

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

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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

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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

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.

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Module I: The Business of Health Care

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WIIFM?

YOU

• Big-Picture

• Multi-disciplinary perspective

• Business savvy

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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

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Tips for Learning

Concept Guide

• Identifies key concepts, terms and applications that you must know for the end-of-module examination

• USE IT

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Learner’s Guide

• Coaching Course Learning Exercises

• Take notes

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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

Module I I: Operational Excellence

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WIIFM?

YOU prove to YOURSELF that you are

• Big-Picture

• Multi-disciplinary perspective

• Business savvy

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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

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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?

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Approach your Job like a Case Study

Get fully involved

• Practice applying new skills

• Seek out feedback

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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

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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

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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

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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

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