cdn.ymaws.com · 2018. 4. 3. · 3 Conference at a Glance SUNDAY Conference Registration and...

Produced by Community Health Association of Mountain/Plains States and Northwest Regional Primary Care Association, in partnership with Western Clinicians Network

ONWARD! IMPLEMENTING HEALTHCARE REFORM

CHAMPS/NWRPCA Fall Primary Care Conference

October 14 –17, 2012

Westin Denver DowntownDenver, Colorado

Presenting Sponsor

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SponsorsPRESENTING

CHAMPION

ADVOCATE SUPPORTING

Welcome to the CHAMPS/NWRPCA 2012 Fall Primary Care Conference! We stand today between two historic political decisions with huge implications for the future of community health centers. The U.S. Supreme Court has upheld the Patient Protection and Affordable Care Act that places community health centers in a pivotal position to provide healthcare access to the under-served. Now we await the results of the national election in a !"#$#""%&'$($)"*+&+,-$./(.$#+00$/(1"$($&+2-+3*(-.$+45(*.$,-$,67$ability to play that critical role going forward. No matter how the country votes in November, our patients are at our doors, and our communities are counting on us. The patient-centered medical home is still a necessity, and the rebuilding of the pri-mary care workforce remains critical. We will continue to integrate services, streamline operations, and seek the intersec-tion between primary care and public health. All this and more awaits you at this 2012 conference, the sixteenth joint primary care conference co-sponsored by CHAMPS and NWRPCA, and the second in partnership with Western Clinicians Network.

We wish you fabulous networking opportunities, inspirational learning sessions, and a memorable four days in the beautiful Mile-High City.

Sincerely,

Julie Hulstein Bruce Gray !"#$%&'(#)*'+#$&,+)) ) ) -.'#/)!"#$%&'(#)0/1$#+CHAMPS NWRPCA

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Conference at a Glance

SUNDAY Conference Registration and Breakfast Continental Foyer 8:00am – 9:00am

Concurrent Sessions 9:00am – 12:00pm

Break 10:15am – 10:30am

Lunch on Own or BOD Roundtable 12:00pm – 1:30pm

Concurrent Sessions 1:30pm – 4:30pm

Break 3:00pm – 3:15pm MONDAY Conference Registration and Breakfast Continental Foyer 7:30am – 8:30am

Session 8 CHC Basics Lawrence A 7:30am – 8:30am

Opening Plenary Continental Ballroom 8:30am – 10:30am

Break with Exhibitors 10:30am – 11:00am


Lunch on Own 12:30pm – 1:30pm

Site Tour to Salud Family Health Centers Meet in hotel lower lobby

1:30pm – 5:45pm


Break with Exhibitors 3:00pm – 3:30pm


NWRPCA Board of Directors Meeting Curtis Room 5:00pm – 6:30pm

CHAMPS Board of Directors Meeting Molly Brown 5:00pm – 7:00pm

Welcome Reception Augusta Room 6:30pm – 8:30pm

TUESDAY Conference Registration and Breakfast Continental Foyer 7:30am – 8:30am

Concurrent Sessions 8:30am – 10:00am

Break with Exhibitors Continental Foyer 10:00am – 10:30am


Roundtable Lunches 12:00pm – 2:00pm

Dessert Break with Exhibitors Continental Foyer 2:00pm - 2:30pm


Exhibitor Reception Continental Foyer 4:00pm – 5:00pm

Dialogue with NACHC Lawrence A 6:00pm – 7:00pm

WEDNESDAY Conference Registration and Breakfast Continental Foyer 7:30am – 8:30am

Fall Conference 2013 Planning Meeting Welton Room 7:30am – 8:15am

Concurrent Sessions 8:30am – 10:00am

Break with Exhibitors Continental Foyer 10:00am – 10:30am


Lunch on Own 12:00pm – 1:30pm


Dessert Break with Exhibitors Continental Foyer 3:00pm – 3:30pm

Closing Plenary Continental Ballroom 3:30pm – 5:00pm

Tweet This: #FPCC12

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MONDAY OCTOBER 15 PLENARY 8:30 AM – 10:30 AM

Plenary Speakers

Consent to use of photographic imagesAttendance at or participation in our conference constitutes an agreement by the registrant or participant to the use and distribution (both now and in the future) by NWRPCA and/or CHAMPS of the attendee’s image or voice in photographs, videotapes, electronic reproductions and audiotapes of the conference for educational and marketing purposes.

WEDNESDAY OCTOBER 17 PLENARY 3:30 PM – 5:00 PM

T.R. REIDWidely respected Washington Post journalist and author T.R. Reid has toured the globe in search of affordable, effective universal health care. He will share what he discovered in his recent investigation into the cost disparities of medical services and care here in the United States, made into a PBS special: U.S. Health Care: The Good News in American Medicine. You’ll come away energized and inspired by the good news—health care pioneers are working to make a difference!

Keynote Address:

!"#$%&"'()(*+,%-./,%01,%203487,#+-2$65$+-$9,7./$:(%,.('$;(7<$=(%"3"0)$&(#$/,#$)+!3*60.$+.$was for people living in remote areas to access healthcare. In 2009, >7"&+)"-.$?@(4($(55,+-.")$:7A$=(%"3"0)$B)4+-+&.7(.,7$,!$./"$Health Resources and Services Administration (HRSA). Now her highest priority, nationwide, is to build technological bridges that connect people who need care with those who can provide it.

DAN HAWKINSDan Hawkins, Senior Vice President of Public Policy and Research, National Association of Community Health Centers, addresses issues of policy and health care reform.

Go Green Reuse: We will distribute reusable bags to carry conference materials. At the end of the conference, you may choose to drop off your bag at the registration desk so it can be reused/recycled.

Recycle: Please leave your recyclables in designated containers after the conference. We encourage you to drop off your nametag holder at the registration desk for reuse at the next conference.

Welcome to the conference: Marguerite Salazar, Regional Director, Region VIII, U.S. Department of Health and Human Services

Welcome to Colorado: Gov. John Hickenlooper

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Continuing Dental Education (CDE)This program has been approved by the PACE program provided by the Academy of General Dentistry. The formal education programs are accepted by the Academy for Fellowship, Mastership and Membership Maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry.

Continuing Professional Education (CPE)NWRPCA is registered with the National Associa-tion of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of (**,6-.(-*<$/(1"$3-(0$(6./,7+.<$,-$./"$(**"5.(-*"$,!$individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Spon-sors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417. Website: www.nasba.org.

Continuing Nursing Education (CNE) Continuing Nursing credit will be awarded through Migrant Clinicians Network. Migrant Clinicians Network is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing Human Resources Education9=C>DB$/(&$(550+")$!,7$(557,1(0$!,7$*"7.+3*(-tion credit hours toward Professional in Human Resources (PHR) and Senior Professional in Hu-4(-$C"&,67*"&$EF>GCH$7"*"7.+3*(.+,-$./7,62/$./"$G64(-$C"&,67*"$D"7.+3*(.+,-$I-&.+.6."$EGCDIHA$J,7$4,7"$+-!,74(.+,-$(@,6.$*"7.+3*(.+,-$,7$7"-*"7.+3*(.+,-'$50"(&"$1+&+.$./"$GCDI$/,4"5(2"$(.$###A/7*+A,72A$

Continuing Medical Education (CME)B550+*(.+,-$!,7$D;K$*7")+.$/(&$@""-$30")$#+./$./"$B4"7+*(-$Academy of Family Physicians. Determination of credit is pending. Past conferences have offered up to 25.5 credit hours.

Continuing Governance Credit (GOV)NACHC will allow credit of NWRPCA Governance Credits (up to 6 credit hours) applied toward the NACHC Governance D"7.+3*(."A$L,$7"*"+1"$8?M$*7")+.&$<,6$46&.$@"$,!3*+(00<$"-7,00")$in the NACHC Board Governance Program (via iMIS) before the governance credits can be applied. Please contact Narine Hovnanian at [email protected] for more information.

C(!N"$C"*+5+"-.$

Continuing Education Units

L/"$-,-57,3.$=,4"-O&$P"(-$>7,Q"*.$,!!"7&$.7(-&+.+,-(0$jobs in gourmet food and jewelry manufacturing to women from backgrounds of chronic unemployment and poverty. The program provides immediate income and support services to overcome barriers to employment, and also teaches job readiness skills. The tools gained during their work with the Bean Project empower women to create better lives for themselves, provide their families with hope, and contribute to a stronger community. The organization also seeks community partnerships to extend the @"-"3.&$,!$Q,@$.7(+-+-2$@"<,-)$./"$+-)+1+)6(0$#,4"-$helped by the Bean Project.

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=>/,%??-%NWRPCA Member

www.bkd.comB&$,-"$,!$./"$."-$0(72"&.$D>B$(-)$()1+&,7<$374&$+-$./"$-(-tion, BKD provides services to over 150 community health *"-."7&$-(.+,-#+)"'$())7"&&+-2$./"+7$6-+R6"$3-(-*+(0$+&&6"&A$$PS:O&$&"71+*"&$+-*06)"$3-(-*+(0$&.(."4"-.$(6)+.'$.(T'$(**,6-.-ing outsourcing, operations consulting, cost report prepara-tion, strategic positioning, and third-party payer reimburse-ment [email protected] 417-865-8701

Cardinal Healthwww.cardinal.com Make yourhealthcare services safer and more productive with world-class medical and surgical supplies and technologies from this $87 billion global manufacturer and [email protected] 253-896-2721

Centene Supporting Sponsor—Health System Transformation program www.centene.comCentene has been chosen to provide quality healthcare in Washington through its newest health plan, Coordinated Care. Serving over 1.8 million members with a network of over 275 community health centers nationwide, Centene makes medical homes a reality by improving coordinated access to all levels of care for vulnerable and underserved [email protected] 314-725-4477

ClaimRemediwww.claimremedi.comClaimRemedi offers innovative, web-based solutions designed to accelerate the Claim Life-cycle with real-time payer con-nectivity, enhanced editing, powerful analytics and benchmark reporting so you can both manage and maximize your CHC’s revenue. In addition to our robust suite of solutions, Claim-Remedi is a national company that offers superior customer support and seamless integration with your practice manage-4"-.$&,!.#(7"$!,7$,5.+4(0$#,7%$N,#[email protected] 800-763-8484

Meet our Sponsors and Exhibitors

Tweet This: #FPCC12

@*9A8:<?"#7:<4**(<,%??-%Gold-level Annual Sponsor & NWRPCA Member

www.cliftonlarsonallen.comD0+!.,-U(7&,-B00"-$+&$,-"$,!$./"$-(.+,-O&$.,5$."-$*"7.+3")$56@0+*$(**,6-.+-2$(-)$*,-&60.+-2$374&A$F.76*.67")$.,$57,1+)"$*0+"-.&$#+./$/+2/0<$&5"*+(0+V")$+-)6&.7<$+-&+2/.'$./"$374$)"0+1-ers assurance, tax and advisory [email protected] 425-250-6075

Colorado Access Champion-level Sponsor

www.coaccess.comColorado Access is Colorado’s leading public insurance health plan. We serve 380,000 members, offer our members 12,000 providers, are Colorado’s largest CHP+ HMO, operate the Denver Medicaid Behavioral Health Organization, and run three of the seven Regions in Colorado’s Medicaid Account-able Care Collaborative program. We are your trusted healthcare [email protected] 720-530-0431

Colorado Community Health Network Advocate-level Sponsor

www.cchn.orgThe Colorado Community Health Network (CCHN) repre-sents Colorado’s 15 Community Health Centers that to-gether are the backbone of the primary health care safety net in Colorado. Since its inception in 1982, CCHN has made &+2-+3*(-.$&.7+)"&$+-$"-&67+-2$./(.$D,0,7(),O&$0,#W+-*,4"$7"&+-dents have access to affordable, high-quality primary health care. CCHN is committed to 1) educating policy makers and stakeholders about the unique needs of Community Health Centers (CHCs) and their patients, 2) providing resources to ensure that CHCs are strong organizations, and 3) supporting CHCs in maintaining the highest quality [email protected] 303-861-5165

Council Connections www.councilconnections.com Save up to 88% on pharmaceuticals, lab services, dental and medical/surgical supplies, biomedical equipment and more through our group purchasing organization. [email protected] 619-542-4352

/9<B57,%C"#(6:#%D%477:69"8(7www.dzacpa.com:+-26&'$X(7"*,7$Y$B&&,*+(."&$E:XBH$+&$($*"7.+3")$56@0+*$(*-*,6-.+-2$374$&"71+-2$*,446-+.<$/"(0./$*"-."7&$(-)$,./"7$healthcare organizations by offering specialized accounting, auditing, and reimbursement services. DZA is committed to ,6.&.(-)+-2$R6(0+.<$./7,62/$./"$374O&$*,7"$1(06"&$,!$&65"7+,7$client service, employee excellence, and social [email protected] 509-242-0874

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Dynatouchwww.dynatouch.comDynaTouch supplies the industry’s leading healthcare self-ser-vice kiosk solutions, including hardware, software, design, de-ployment & support services. Our ExpressCheckIn for CHC Kiosk is a total patient check-in kiosk solution developed &5"*+3*(00<$!,7$*,446-+.<$/"(0./$*"-."7&A$$>(.+"-.W!,*6&")$(-)$"!3*+"-.'$KT57"&&D/"*%I-$!,7$DGD$S+,&%&$"T5")+."&$./"$patient arrival and check in [email protected] 210-828-8343

Essential Learningwww.essentiallearning.comEssential Learning (EL) offers a high quality, online staff train-ing solution for CHCs to meet compliance, clinical, new employee and continuing education requirements. EL will support you in your AAAHC, Joint Commission, and OSHA accreditation needs while offering an extensive integrated medical, dental, and behavioral health library with continuing education credits for your healthcare [email protected] 800-729-9198

E$(-4@3,%[email protected] is a clinical services company that provides validated cost-effective diabetic retinal exams in medical clinics using telemedicine, digital imaging, and a simple to use web-based 57,27(4$./(.$+-."27(."&$#+./$<,67$*0+-+*O&$#,7%N,#$(-)$electronic information system. EyePACS can help your clinic reach your diabetes care goals, expand access to specialty care, and improve patient education and [email protected] 800-228-6144

GE Healthcare ITwww.gehealthcare.comGE Healthcare provides transformational medical technolo-gies and services that are shaping a new age of patient care. Our broad expertise and solutions help our customers deliver better care to more people around the world at a lower cost. Our “healthymagination” vision for the future invites the world to join us on our journey as we continuously develop innovations focused on reducing costs, increasing access and improving quality. Headquartered in the United Kingdom, GE Healthcare is a unit of General Electric Company (NYSE: GE). [email protected] 303-726-9131

GlobalMedwww.globalmed.comGlobalMed Telemedicine, based in Scottsdale, Arizona, is a real-time healthcare delivery system company deploying state-of-the-art medical data and images to the cloud, providing access anywhere. GlobalMed’s hardware, software and service solutions assist healthcare professionals in providing greater (**"&&$.,$"!!"*.+1"$5(.+"-.$*(7"$(-)$+-*7"(&+-2$"!3*+"-*<$+-$managing patient [email protected] 480-398-7554

Greenway Medical Technologieswww.greenwaymedical.comPrimeSUITE® (our electronic health record, electronic dental record, practice management/interoperability solution) — combined with an expanded slate of capabilities developed &5"*+3*(00<$!,7$DGD&$Z$/"05&$./"&"$,72(-+V(.+,-&$"!!"*.+1"0<$manage patient care while gathering valuable, discreet data for detailed, outcome-based clinical reporting and disease man-agement that improves the entire community’s [email protected] 303-883-9277

Henry Scheinwww.henryschein.comHenry Schein provides advanced, affordable dental and medi-cal solutions to help you expand health care access. Whether you are a community health center, federal or public orga-nization, we can provide you with facility design and all the supplies, equipment, services and technology you will need to &6**"&&!600<$4"".$<,67$2,(0&$(-)$"-/(-*"$,5"7(.+,-(0$"!3*+"--*<'$+-*7"(&"$57,3.(@+0+.<'$(-)$+457,1"$5(.+"-.$*(7"[email protected] 801-847-4837

F<8(#;"8.%?"G:#"8:#$,%F<6Hwww.interpathlab.comInterpath Laboratory is a full-service medical laboratory, pro-viding Clinical and Anatomic laboratory services in Oregon, Washington, and Idaho. We have an on-going commitment to the highest standards in all phases of laboratory medicine. We combine expertise and technology with prompt and courte-ous service tailored to each client’s unique [email protected] 541-379-9397

Kaiser Permanente Northwest Advocate-level Sponsor

www.kp.orgAs a mission-based organization, Kaiser Permanente supports -,-57,3.$,72(-+V(.+,-&$#/,&"$4+&&+,-&$(0+2-$#+./$,67&$,!$+4-proving lives of people in the community. Community health centers are valued safety net partners. It is with great plea-sure that Kaiser Permanente supports these worthy organiza-tions and their [email protected] 303-344-7861

National Association of Community Health Centerswww.nachc.comNACHC is the leading membership organization representing the nation’s network of community-based health centers that serve over 20 million patients across the country. NACHC provides these health centers with customized services and 6-+R6"$4"4@"7$@"-"3.&$.(+0,7")$.,$&655,7.$,67$*,00"*.+1"$mission of providing comprehensive, affordable healthcare to all medically underserved populations. [email protected] 301-347-0400

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National LGBT Health Education Centerwww.lgbthealtheducation.orgThe National LGBT Health Education Center provides educa-tional programming and consultation for health care organiza-tions throughout the nation and the world with the goal of eliminating health disparities among lesbian, gay, bisexual, and transgender (LGBT). [email protected] 617-927-6437

The Neenan Companywww.neenan.comThe Neenan Company has provided integrated design and construction services in healthcare for over 20 years. Neenan serves healthcare providers across the nation in transform-ing their organizations through the built environment, and has successfully completed nine Community Health Center projects with three facilities currently under construction, and other engagements [email protected] 970-494-4430

Nuvodiawww.nuvodia.comNuvodia specializes in providing proven technology solutions to hospitals, clinics, medical practices and other health care providers. We focus our expertise in three main areas: Radiol-ogy Informatics, HL7 integration and outsourced IT [email protected] 509-363-7613

OSISwww.osisonline.netOSIS is a Health Center Controlled Network (HCCN) 57,1+)+-2$KGC$(-)$."*/-+*(0$&655,7.$.,$J")"7(00<$[6(0+3")$Health Centers, with solution implementation, technology hosting, training, reporting, and assistance in achieving Mean-ingful [email protected] 513-677-5600

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-#9:#98$%!"<"B(J(<8%K#:5;,%F<6Hwww.gopmg.comPriority Management Group is a leader in FQHC revenue cycle and subject matter experts. We specialize in optimiza-.+,-$,!$3-(-*+(0'$@+00+-2$(-)$*(&/$N,#$&,$DGD&O$4+&&+,-'$3-(--cial and board goals can be met. PMG offers revenue cycle billing management solutions. Supporting FQHC/CHC/PCAs with consulting, innovation, webinars, tutorials and healthcare regulations [email protected] 401-626-5213

PSS World Medical NWRPCA Member

www.psschc.comPSS World Medical is a national distributor of medical prod-ucts and solutions. With a focus on strengthening the clini-*(0$&6**"&&$(-)$3-(-*+(0$/"(0./$,!$*(7"2+1"7&$@<$&,01+-2$./"+7$biggest problems, PSS World Medical remains a recognized leader in the non-acute market. PSS World Medical fully em-braces and proudly supports the CHC [email protected] 904-380-4920

PTSO of Washington Advocate-level Sponsor & NWRPCA Member

PTSO is a Health Center Controlled Network delivering Elec-tronic Health Record, Practice Management, and Electronic Dental Record systems, technological infrastructure, and inte-gration services to community health and safety net providers. We work in partnership with community health centers to +457,1"$5(.+"-.$*(7"$(-)$+-*7"(&"$@6&+-"&&$"!3*+"-*<$./7,62/$shared, cost effective technology and [email protected] 206-613-8876

Success EHS/Mediadent NWRPCA Member

www.ehsmed.comAn industry leader in providing system solutions for CHCs, KGFO&$6-+3")$57(*.+*"$4(-(2"4"-.$(-)$"0"*.7,-+*$/"(0./$7"-cord system excels in addressing your unique scope of service requirements and quality of care [email protected] 480-284-4900

Check it Out!

Join the CHAMPS Clinicians Listserv by contacting [email protected]

Heather Findlay$c$J(4+0<$G"(0./$D"-."7&$Carolyn Wesner$c$M(00"<$J(4+0<$G"(0./$D(7"Maria Loredo c$M+72+-+($8(7*+($;"4,7+(0$G"(0./$D"-."7$Ann Turner$c$M+72+-+($8(7*+($;"4,7+(0$G"(0./$D"-."7$Bob Marsalli$c$;,-.(-($>DBCharlotte Kost c$B0(&%($>DBChastity Dolbec$c$D,(0$D,6-.7<$G"(0./$D"-."7Kathleen Clark$c$=BD;GDTeri Barker c$I)(/,$>DBLaurie Francis c$?7"2,-$>DBTina Pond c$D,#0+.V$J(4+0<$G"(0./$D"-."7E#<9(%!"<I9(%c$I-."7+,7$D,446-+.<$G"(0./$D"-."7Gib Clark$c$I-."7!(+./$D,446-+.<$G"(0./$D"-."7Jean Baker c$?7"2,-$G"(0./$Y$F*+"-*"$d-+1"7&+.<Kay Dickerson c$?7"2,-$G"(0./$Y$F*+"-*"$d-+1"7&+.<Cindy Bowerman c$87""-$C+1"7$;")+*(0$D"-."7Jen Knellinger c$>"(%$M+&.($D,446-+.<$G"(0./$D"-."7&Lloyd Lowe$c$D(7@,-$;")+*(0$F"71+*"&Colleen Laeger$c$F(06)$J(4+0<$G"(0./$D"-."7&Gary Walmer$c$D,446-+.<$G"(0./$D(7"Barb Malich c$>"-+-&60($D,446-+.<$G"(0./$F"71+*"&Patty Linduska$c$D(4(+$D,446-+.<$G"(0./$D"-."7Anita Monoian c$e(%+4($9"+2/@,7/,,)$G"(0./$F"71+*"&Jan Drury c$=<,4+-2$>DB

Thanks Thanks to our 2012 Conference Planning Committee

Call for Abstracts Call for Abstracts for NWRPCA 2013 Spring Primary Care ConferenceAnchorage, Alaska, May 18-21, 2013 35GJ9779:<%+("+*9<(%L%/(6(JG(#%M,%NOPN

Help us stay ahead of the curve! Our conferences aim to go beyond just reacting to the present – we are looking for presentations that will envision and shape the future. Our audience looks to experts for both best practices in addressing current healthcare reform and strategies to prepare for changes to come.

Submit your presentation ideas in our online abstract submission format between now and December 7, 2012, for consideration for the 2013 Spring Conference. Early submissions are greatly appreciated.

The portal is located on our website, www.NWRPCA.org. For technical questions regarding submissions call James at (206) 783-3004 #24.

Janna Wilson$c$>6@0+*$G"(0./$F"(..0"$Y$S+-2$D,6-.<Mitch Anderson$c$P"-.,-$D,6-.<$G"(0./$:"5(7.4"-.Dave Edwards$c$D0(*%(4(&$D,6-.<$G"(0./$:"5(7.4"-.Tom Fronk$c$D,-&60.(-.Steve Holloway$c$D,0,7(),$>7+4(7<$D(7"$?!3*"Amber Galloway$c$D,0,7(),$>7+4(7<$D(7"$?!3*">97.:#(%3.(88$,%//3%Q%CHC Snohomish County K#"6(%&"<B,%!/%Q International Community Health Services @"#*%2("#+,%!/%Q%Western Clinicians Network E#96%2(<*($,%!/%Q%North Country HealthCare R#(+"%K9**(88(%Q%Metro Community Provider Network/"S9+%T9<I"<8%Q%Horizon Health Care, Inc.4J"<+"%1(*7:<%Q%Metro Community Provider Network4<<%2:B"<%Q%Salud Family Health CentersU"<".%&"B(<7(**(#%Q%Colorado Community Health Network-"87$%=$(#7%Q%Clinica Family Health Services/(G#"%!6@5##$%Q%Northwest Human Services="#G"#"%!6@*5<B%Q%La Clinica del ValleU.(#(7"%1:##97%Q%Neighborcare Health0("%V**9AA(%Q%Mosaic Medical@:**((<%2"I(*%Q%Moses Lake CHC3.9#*($%25#*($%Q%Seldovia Village Tribe-"8#969"%!986.(**%Q%Anchorage Neighborhood Health>"8#9<"%2:AA%Q%Idaho PCA

Topics we are especially interested in: » Healthcare Reform – Insurance Exchanges and Payment Reform

» Patient Centered Medical Home and Integrated Services

» Improving care of high-cost populations – community/population health

» Recruitment and Retention – how do you get and keep top-notch providers?

» Primary Care and Public Health – Collaboration & Partnership

Sunday, October 14, 2012WXOO%L%YXOO%"J%Q%0(B978#"89:<%D%@:<89<(<8"*%=#("'A"78%Q%!(II"<9<(%R:$(#%Z[#+%R*::#\%"<+%@:<89<(<8"*%@

YXOO%"J%L%PNXOO%;J%Q%@:<A(#(<6(%3(779:<7%ZG#("'%POXP]%L%POX[O%"J\

Governance(Full-day program)

P%Q%=:"#+%=::8%@"J;X%Roles & ResponsibilitiesReesa Webb, Project Director,

JSI Research & Training Institute

Health System Transformation

N4%Q%^79<B%-:*"#98$%Thinking to Sustain

ChangeYarrow Durbin, Principal,

CourageWork

Operations

[%Q%/(79B<9<B%U:J:##:_ 7̀%CHC Clinic: Promising

PracticesAnjali Joseph, Director of

Research, Center for Health Design

Sponsored by the Kresge Foundation

Mid-Level Management

a%Q%@#9896"*%3'9**7%A:#%Mid-level Managers

(Concluding session for series participants only.)Lisa Mouscher, CEO and Lead Consultant, Sogence Training &

Consulting

PCMH

]%Q%@."<B(%@:<6(;87%A:#%PCMH Transformation: What Leaders Need to

KnowBonni Brownlee, QI Director,

Qualis Health

Continental A Continental B Tabor Auditorium Lawrence B Lawrence A

PNXOO%L%PX[O%;J%Q%?5<6.%:<%$:5#%:_<%(b6(;8%=:"#+%:A%/9#(68:#7%0:5<+8"G*(%Z=*"'(%0::J\%D%@*9<96%/(79B<%3(J9<"#%Z@:<89<(<8"*%@\

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Governance

P%Q%=:"#+%=::8%@"J;X%0:*(7%D%0(7;:<79G9*989(7,%

continued

Reesa Webb, Project Director, JSI Research & Training Institute


N=%Q%-#:)*(7%9<%@."<B(%Leadership

Panel discussion: Dr. Malcolm Butler, Medical Director,

Columbia Valley CHC; Jeff Mengenhausen, COO, Horizon Health Care; Tara Kirk, Process Improvement Coordinator, La

Clinica del Valle

Facilitated by Kimberly McNally, President, McNally & Associates

Operations

[%Q%/(79B<9<B%U:J:##:_ 7̀%CHC Clinic: Promising -#"6896(7,%6:<89<5(+Anjali Joseph, Director of

Research, Center for Health Design

Sponsored by the Kresge Foundation

Mid-Level Management

a%Q%@#9896"*%3'9**7%A:#%!9+c*(S(*%!"<"B(#7,%

continuedLisa Mouscher, CEO and Lead Consultant, Sogence Training &

Consulting

PCMH

d%Q%FJ;*(J(<89<B%-@!2X%Practical Tools from @"#(V#(B:< 7̀%-@[%

InitiativeMindy Stadtlander, Clinical Systems Program Manager,

CareOregon; Dr. David Labby, Interim CMO, Tri County Medicaid Collaborative

M%Q%F<989"89<B%8.(%1@e4%PCMH Process

Dr. Eric Henley, CMO,North Country HealthCare


Monday, October 15, 2012MX[O%L%WX[O%"J%Q%0(B978#"89:<%D%@:<89<(<8"*%=#("'A"78%Q%!(II"<9<(%R:$(#%Z[#+%R*::#\%"<+%@:<89<(<8"*%@

MX[O%L%WX[O%"J%Q%@:<A(#(<6(%3(779:<%W%c%@2@%="7967%c%3(8.%/:$*(,%1&0-@4,%"<+%4<+#("%!"#89<,%@24!-3%Q%?"_#(<6(%4

WX[O%L%POX[O%"J%Q%-*(<"#$%_98.%2034%D%14@2@%^;+"8(7%Q%@:<89<(<8"*%="**#::J%

POX[O%L%PPXOO%"J%Q%=#("'%_98.%Eb.9G98:#7%Q%!(II"<9<(%R:$(#

PPXOO%"J%L%PNX[O%;J%Q%@:<A(#(<6(%3(779:<7%

Governance

Y%Q%38#"8(B96%-*"<<9<B%A:#%Board Members



N@%Q%?("#<9<B%?"GX%Applying the ITC model

(HST cohort only)


Policy

PO%Q%&."8%/:(7%8.(%Supreme Court Ruling

Mean for CHCs? Dan Hawkins, Senior VP of

Policy and Research, NACHC

Clinical

PP%Q%K#:5;%T97987%9<%8.(%CHC Setting

Dr. Daniel O’Brien and Dr. Chris Keenan, Clinica Family

Health Services

Fiscal

PN%Q%1(_%!"#'(87%U"b%Credits and Tax-Exempt

Bonds Dave Kleiber, Project

Consultant, Capital Link


PNX[O%L%PX[O%;J%Q%?5<6.%:<%$:5#%:_<

We are no longer printing and distributing handouts and presentation slides to session attendees.To access the presentations & handouts from the 2012 Fall Primary Care Conference, go to: http://www.nwrpca.org/fall2012

Username: fall2012Password: Onward2012!

PX[O%L%[XOO%;J%Q%@:<A(#(<6(%3(779:<7%

PX[O%L%]Xa]%;J%Q%398(%U:5#%8:%3"*5+%R"J9*$%2("*8.%@(<8(#7%Q%!((8%9<%??%*:GG$%Z:;(<%8:%"**f%;*("7(%;#(c#(B978(#\

Governance

P[%Q%0(6#5989<B%K::+%Board Members



N/%Q%?("+(#7.9;%97%"%Conversation: Part 1

(HST cohort only)


Marketing

Pa%Q%2:_%8:%=::78%the Impact of CHC

Marketing Mairsa Ponti, Marketing

Director, Vecino Health Centers; Melissa Ransdell, Consultant,

MissionWise

Clinical

P]%Q%V#"*%2("*8.%Integration in Health

CentersDr. Irene Hilton, Dental

Consultant, National Network for Oral Health Access; Dr. Martin

Lieberman, Dental Director, Neighborcare Health; Dr. Huong Le, Dental Director, Asian Health

Services

Fiscal

Pd%Q%-#:65#(J(<8%Process for CHCs

David Fields, Senior Manager, BKD, LLP


[XOO%L%[X[O%;J%Q%=#("'%_98.%Eb.9G98:#7%Q%!(II"<9<(%R:$(#

[X[O%L%]XOO%;J%Q%@:<A(#(<6(%3(779:<7

Governance

PM%Q%=:"#+%!(JG(#%Engagement and

RetentionReesa Webb, Project Director,

JSI Research & Training Institute


NE%Q%?("+(#7.9;%97%"%Conversation: Part 2

(HST cohort only)


Fundraising

PW%Q%R9<+9<B%8.(%09B.8%Revenue Mix: FundraisingKristin Barsness, Vice President,

Collins Group

Clinical

PY%Q%38"8(%2("*8.%Insurance Exchanges for

CHC Leaders Dan Hawkins, Senior VP,

Public Policy and Research, NACHC

Fiscal

NO%Q%!"<"B(+%@"#(%V#B"<9I"89:<%

NegotiationsMike Schnake, Partner, BKD,

LLP


]XOO%L%dX[O%;J%Q%1&0-@4%=:"#+%!((89<B%Q%@5#897

]XOO%L%MXOO%;J%Q%@24!-3%=:"#+%!((89<B%Q%!:**$%=#:_<

dX[O%L%WX[O%;J%Q%&(*6:J(%0(6(;89:<%Q%45B578"

Tuesday, October 16, 2012MX[O%L%WX[O%"J%Q%0(B978#"89:<%D%@:<89<(<8"*%=#("'A"78%Q%!(II"<9<(%R:$(#%Z[#+%R*::#\%"<+%@:<89<(<8"*%@

8:30 – 10:00 am Conference Sessions

Policy /Environment

NP%Q%F<<:S"89S(%-"$J(<8%Reform at the State

LevelGil Munoz, CEO, VGMHC; Craig Hostetler, ED, Oregon PCA; Polly 234#+5,36)-.'#/)7,8'$9)0/1$#+6)

CCHN

HR

NN%Q%20%=(78%-#"6896(7X%Peer to Peer Facilitated

DiscussionKimberly McNally, President,

McNally & Associates

Operations/IT

N[%Q%!("<9<BA5*%^7(%Stage 2

Adele Allison, National Director of Government Affairs,

SuccessEHS

Clinical

Na%Q%=(."S9:#"*%2("*8.%Integration: More than

the Sum of Its PartsDr. Angela Green and Dr. Barry

Martin, Metro Community Provider Network

Fiscal

N]%Q%R(+(#"*%0(g59#(J(<87%39J;*9)(+%

for GranteesPaul Bailey, Partner, and

Kyla Delgado, Senior Auditor, CliftonLarsonAllen


POXOO%L%POX[O%"J%Q%=#("'%_98.%Eb.9G98:#7%Q%!(II"<9<(%R:$(#

POX[O%"J%L%PNXOO%;J%Q%@:<A(#(<6(%3(779:<7

Policy/Environment

Nd%Q%@:#;:#"8(%Compliance: 340B

Discount Drug ProgramSue Veer, CEO, Carolina Health

Centers Session sponsored by CaptureRx

HR

NN%Q%20%=(78%-#"6896(7X%Peer to Peer Facilitated /9765779:<,%6:<89<5(+Kimberly McNally, President,

McNally & Associates

Operations/IT

N[%Q%!("<9<BA5*%^7(%38"B(%N,%6:<89<5(+

Adele Allison, National Director of Government Affairs,

SuccessEHS

Clinical

NM%Q%@*9<96"*%/(6979:<%Support Systems: Do

They Make a Difference?Charla Parker, CEO, and Jimmy

Hara, BOD, WCN

Fiscal

NW%Q%=(."S9:#"*%Health Coding and

DocumentationRay Jorgensen, President and CEO, Priority Management

Group, Inc.


PNXOO%L%NXOO;J%Q%0:5<+8"G*(%?5<6.(7%

CEO RoundtableJulie Hulstein, Executive

Director, CHAMPS, and Bruce Gray, CEO, NWRPCA

HR Roundtable Barbara McClung, HR

Coordinator, La Clinica, and Debra McCurry, HR Director, Northwest Human Services

COO RoundtableKatie Bell, COO, Neighborcare

Clinicians RoundtableDr. Patrick Luedtke, Medical Director, Community Health

Centers of Lane County

CFO Roundtable

Norm Kraft, CFO, NWRPCA

National LGBT Health

Education Center

RoundtableDr. Harvey Makadon, Director

Lawrence A McCourt Blake Continental A Curtis Lawrence B

NXOO%L%NX[O%;J%Q%=#("'%_98.%Eb.9G98:#7%Q%!(II"<9<(%R:$(#

NX[O%L%aXOO%;J%Q%@:<A(#(<6(%3(779:<7

Policy/Environment

NY%Q%^<)<97.(+%=579<(77X%the Integration of

Primary Care and Public Health

Dr. Winston Wong, Community :#3#1&);#4'$<8)*'+#$&,+6)=<'5#+)

Permanente

HR/EHCI

[O%Q%F<6:#;:#"89<B%Teaching in Your Health

Center MissionMike Maples, CEO, Community Health of Central Washington,

Kiki Nocella, CEO, Believe Health LLC, Steve Seely, Development Manager,

NWRPCA

Operations/IT

[P%Q%^79<B%?("<%Production Analysis to

Effect PCMH Changes in a CHC Network

Dr. Lucy Loomis, Family Medicine Director, Dr. Morris Askenazi, Team Leader, and Stephanie Phibbs, Practice Consultant, Denver Health

Clinical/ Policy

[N%Q%@#("89<B%38#:<B%Alliances for Integrative

ProgramsLouise McCarthy, President and CEO, Community Clinic Association of LA County

Fiscal

[[%Q%F@/%c%PO%-*"<<9<B%and Implementation

Amy Sawaya, Association for Utah Community Health;

Nannette Orme, Optum Ingenix


aXOO%L%]XOO%;J%Q%Eb.9G98:#%0(6(;89:<%Q%!(II"<9<(%R:$(#

dXOO%L%MXOO;J%Q%/9"*:B5(%_98.%14@2@%Q%?"_#(<6(%4%

Wednesday, October 17, 2012MX[O%L%WX[O%"J%Q%0(B978#"89:<%D%@:<89<(<8"*%=#("'A"78%Q%!(II"<9<(%R:$(#%Z[#+%R*::#\%"<+%@:<89<(<8"*%@

MX[O%L%WXP]%"J%Q%R"**%@:<A(#(<6(%NOP[%-*"<<9<B%!((89<B%Q%&(*8:<

WX[O%L%POXOO%"J%Q%@:<A(#(<6(%3(779:<7

Population Health/Primary Care

[a%Q%1"89:<"*%V58#("6.%K59+(*9<(7%A:#%^<+(#c

served PopulationsKristen Stoimenoff, Deputy Director, Health Outreach

Partners

HR/Workforce

[]%Q%20%"8%8.(%38#"8(B96%Planning Table

Alexis Kearns, Vice President of HR, Global Healthcare

Exchange, LLC

Operations

[d%Q%^79<B%=579<(77%Intelligence to Increase

PerformanceKristal Albrecht, CEO, and

Desiree Jones, Business Analyst, Columbia Valley Community

Health

Clinical

[M%Q%-@!2%"<+%3:69"*%Determinants of Health Dr. Winston Wong, Community :#3#1&);#4'$<8)*'+#$&,+6)=<'5#+)

Permanente

PCMH

[W%Q%0(+569<B%0(c.:7;98"*9I"89:<7%G$%^79<B%Non-medical PersonnelTodd Lessley and Rachel Wolf,

Care Coordinators, Salud Family Health Centers


POXOO%L%POX[O%"J%Q%=#("'%_98.%Eb.9G98:#7%Q%!(II"<9<(%R:$(#

POX[O%"J%L%PNXOO%;J%Q%@:<A(#(<6(%3(779:<7


[Y%Q%4%R#"J(_:#'%A:#%Case Management to Improve Population

HealthRhonda Hauff, COO, and

Annette Rodriguez, Homeless Services Director, Yakima

Neighborhood Health Services

HR/Workforce

aO%Q%FJ;#:S9<B%0(8(<89:<X%Recent Findings and Support ActivitiesBrooke Wagenseller and

Amber Galloway Stephens, CO Dept. of Public Health; Erica Grover, HRSA/NHSC; Andrea

Martin, CHAMPS; Trish Bustos, NWRPCA

Operations

aP%Q%&."8 7̀%1:8%Happening in Your Billing

Department?Monique Funkenbusch, CPC-A, Senior Consultant, BKD, LLP

Clinical

aN%Q%-#9J"#$%@"#(%Considerations for

Improving Reproductive Health

Dr. Grace Alfonsi, Denver Health-CHS Primary Care; Helen Burnside, Denver

Prevention Training Center

PCMH

a[%Q%!"<"B9<B%Hypertension through

PCMH ConceptsKathleen Clark, Clinical Services

Director, WACHMC; Colette Rush, RN, WA State Dept. of

Health; Sara Barker, MPH, Sea Mar CHCs


PNXOO%L%PX[O%;J%Q%?5<6.%:<%$:5#%:_<

PX[O%L%[XOO%;J%Q%@:<A(#(<6(%3(779:<7


aa%Q%-:8(<89"*%0:*(7%for CHCs in Policy and

Programs Charlie Alfero, ED, Hidalgo Medical Services Center for

Health Innovation

HR/Workforce

a]%Q%20%U#"9<%8.(%Trainer: Empowering U("J7%8.#:5B.%@:<h968%

ManagementBill Monroe, Facilitator, Trainer and Coach, Integrated Work

Operations

ad%Q%-#:i(68%Management for CHCs

Patrick Bucknum, CEO, and Dan Heindel, Planning and Development Director, Columbia Valley Community

Health

Clinical

aM%Q%U.(%@*9<969"< 7̀%Role in Regulatory

ComplianceDr. Carl Heard, Medical

Director, and Charla Parker, CEO, Western Clinicians

Network

PCMH

aW%Q%=(."S9:#"*%2("*8.%Integration Challenges in

PCMH: Two ModelsJanelle McLeod, Clinical

Operations Manager, and David Edwards, FQHC Director,

Clackamas County


[XOO%L%[X[O%;J%Q%=#("'%_98.%Eb.9G98:#7%Q%!(II"<9<(%R:$(#

[X[O%L%]XOO%;J%Q%-*(<"#$%%c%>($<:8(%3;("'(#%UH0H%0(9+%"<+%0"Ah(%/#"_9<B%Q%@:<89<(<8"*%="**#::m

Tuesday, October 16, 2012 (continued)

13

SUNDAY

P%Q%=:"#+%=::8%@"J;X%0:*(7%"<+%Responsibilities Full Day Program Track: GovernanceCompetencies:

» Mission leadership » Governance skills@E^7X 6 GOV

L/+&$&"&&+,-$#+00$!,*6&$,-$)"3-+-2$./"$6-+R6"$7,0"&$and responsibilities of community health center board 4"4@"7&$+-$7"0(.+,-$.,$./"+7$D/+"!$KT"*6.+1"$?!3*"7$(CEO), Executive Director (ED), other board members and staff. We will offer tools and resources as well as knowledge you can apply to your tasks as a board member.

» Learning Objective 1: List three roles and responsibilities of board members and CEOs respectively.

» Learning Objective 2: Describe methods of evaluating the CEO.

» Learning Objective 3: Gain a toolkit of resources to take back to share with your Board Members.

Presenter: Reesa Webb, Project Director, JSI Research & Training Institute, Inc.

N4%Z23U\%Q%^79<B%-:*"#98$%U.9<'9<B%8:%Sustain ChangeTrack: Health System TransformationCompetencies:

» Decision-making skills » Change management » High-level strategic planning@E^7X 3 CDE, 3 CME, 3 CNE

Underlying many of the most persistent dilemmas in the workplace are polarities, which never can be solved, only managed well (or poorly). A typical problem-solving approach (with its either/or mindset) can make some situations worse. Polarity Management is an essential skill that allows you to navigate the changes ahead for your community health center by helping you: tap the power of “both/and” thinking, build trust, focus your energy on results-delivering strategies, and work effectively with resistance. There +&$($&+2-+3*(-.$*,45".+.+1"$()1(-.(2"$!,7$0"()"7&'$."(4&$and organizations that can manage polarities!

» Learning Objective 1: Explain the distinction between problems and polarities.

» Learning Objective 2: List the basic principles and methods of Polarity Thinking.

» Learning Objective 3: List key polarities and Polarity-based action steps to address them.

Presenter: Yarrow Durbin, Principal, CourageWork

N=%Z23U\%Q%-#:)*(7%9<%@."<B(%?("+(#7.9;Track: Health System TransformationCompetencies:

» Change management » Ability to manage clinic for overall productivity » Management of facility@E^7X 3 CDE, 3 CME, 3 CNE

Three CHC leaders (a medical director, a process +457,1"4"-.$*,,7)+-(.,7'$(-)$($*/+"!$,5"7(.+-2$,!3*"7H$will share their insights and the “lessons learned” gained from leading change in their organizations. The projects include: completely rethinking the philosophy and protocols for prescribing opioids for chronic pain management; the implementation of an advanced or “open access” scheduling model in a clinic; and the creation of a new access point in a community far different from anything the health center had ever experienced before. The discussion will be facilitated by HST Director Kimberly McNally, McNally & Associates.

» Learning Objective 1: Identify core principles of personal change leadership.

» Learning Objective 2: Give an example of how you *(-$(550<$./"$5(-"0+&.&O$"T5"7+"-*"&$.,$($)+!3*60.$change project at your own CHC.

» Learning Objective 3: Acquire one new tool for building personal capacity to lead change.

Presenters: Dr. Malcolm Butler, Medical Director, Columbia Valley Community Health Services; Tara Kirk, Process Improvement Coordinator, La Clinica del Valle; Jeff ;#3>#3.<%5#36)-.'#/)0?#+<&'3>)0/1$#+6)@,+'A,3)@#<8&.)Care

Session Descriptions

14

[%Q%/(79B<9<B%8.(%@:JJ5<98$%2("*8.%Center Clinic of the Future Full Day Seminar

Track: Operations/ITCompetencies:

» High-level strategic planning » Management of facility@E^7X 6 CDE, 6 CME, 6 CNE

The one-day seminar will provide clinics and their design teams an opportunity to explore evidence-based design (EBD) and community clinic design. Experts will present the latest research and ideas about EBD and other information relevant to innovative clinic design and operations. The seminar will include a keynote presentation addressing how design can support the community health center of the future, as well as a panel discussion and knowledge-exchange sessions incorporating local/regional experts sharing their ideas and perspective.

» Learning Objective 1: Describe the latest research and resources regarding facility design.

» Learning Objective 2: List the eight steps of the EBD process.

» Learning Objective 3: Discuss local/regional topics of interest and concern.

Presenter: Anjali Joseph, Director of Research, Center for Health Design

a%Q%@#9896"*%3'9**7%A:#%!9+c*(S(*%!"<"B(#7%Full Day Program

Track: Operations/ITCompetencies:

» Recruitment and hiring of staff » Administering staff retention strategies » Systems innovator for organization@E^7X 6 CPE (Business Mgmt & Org)

This session is open only to those enrolled in the &+TW4,-./$;U;L$*,67&"A$I.$+&$./"$3-(0$&"&&+,-$!,7$mid-level managers and their mentors in six critical competencies, including behavioral interviewing, retention strategies, teamwork, time management,

CHAMPSCOMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES

L e a d e r s h i p a n d l e a r n i n g a r e

i n d i s p e n s a b l e t o e a c h o t h e r . John F. Kennedy

The mission of CHAMPS is to provide opportunities foreducation and training, networking, and workforce development to

Region VIII (CO, MT, ND, SD, UT, and WY) Community Health Centers so we can better serve our patients and communities.

Learn more about CHAMPS’ educational resources and trainings, professional networking opportunities, workforce support, clinical quality programs, and regional data publications at

15

employment law and accountability. Each participant worked on a project geared toward managerial improvement, and the results of the projects will be presented at this conference.

» Learning Objective 1: Demonstrate progress in MLM competencies.

» Learning Objective 2: Identify the skills supported by the mentoring relationship.

» Learning Objective 3: Present course project.

Presenter: Lisa Mouscher, CEO and Lead Consultant, Sogence Training & Consulting, LLC

]%Q%@."<B(%@:<6(;87%A:#%-@!2%Transformation: What Leaders Need to KnowTrack: Patient Centered Medical HomeCompetencies:

» Knowledge of quality improvement systems and strategies

» Participating in collaboratives@E^7X 3 CDE, 3 CME, 3 CNE, 3 CPE (Business Mgmt & Org)

In its role of directing the Safety Net Medical home Initiative, Qualis Health has authored the Change Concepts for Practice Transformation, a PCMH change package that has been successfully deployed in clinics and private practices across the United States. This session will be a “deep dive” for CHC leaders into the following Change Concepts: Engaged Leadership, Quality Improvement Strategy, Empanelment, Continuous Team-Based Healing Relationships, Patient Centered Interactions, Organized Evidence-Based Care, Enhanced Access, and Care Coordination. Qualis Health is also a partner in the development of support materials for the new Advanced Primary Care Practice (APCP) Demonstration Technical Assistance Program, and this presentation will offer grounding in these change concepts.

» Learning Objective 1: List three main Change Concepts for Practice Transformation.

» Learning Objective 2: Describe the role of leadership in successful adoption of the PCMH model.

» Learning Objective 3: Outline several best practices of the practice transformation effort.

Presenter: Bonni Brownlee, Director, QI & Compliance Consulting Service, Qualis - Outlook Associates

BOARD OF DIRECTORS 0V^1/U4=?E%?^1@2,%PNXOOLPX[O%;J1:%6."#B(,%G58%;*("7(%;#(c#(B978(#

d%Q%FJ;*(J(<89<B%-@!2X%-#"6896"*%U::*7%A#:J%@"#(V#(B:<`7%-@[%F<989"89S(Track: Patient Centered Medical HomeCompetencies:

» Decision-making skills » Change management » Participating in collaboratives@E^7X 3 CDE, 3 CME, 3 CNE, 3 CPE (Business Mgmt & Org)

Based on the lessons learned from their Primary Care Renewal Initiative, CareOregon has developed PC3 (Patient and Population Centered Primary Care), a curriculum designed to guide clinic leaders through implementation of the medical home system of care delivery by focusing on the foundational elements of leadership, data systems, teams, and supporting clinic systems. A cohort of eight clinic systems, representing 21 clinics, has already completed a year of collaborative learning using the curriculum, and a new collaborative has just been launched in Southern Oregon. By focusing on practical tools and exercises that have been developed largely by clinic leaders with transformation experience, new clinics wishing to transform into medical homes are better able to plan and execute the necessary steps.

» Learning Objective 1: Describe a structured training model for PCMH implementation.

» Learning Objective 2: Explain the strategy for implementation of the PCMH: What makes sense to ),$37&.f$9"T.f

» Learning Objective 3: Take home several practical tools that can be used to implement various components of PCMH.

7+#5#3&#+5B)*+C)*<('4)D<EE96)F3&#+'G)-.'#/);#4'$<8)0/1$#+6)Tri County Medicaid Collaborative; Mindy Stadtlander, Clinical Systems Innovation Program Manager, CareOregon

16

M%Q%F<989"89<B%8.(%1@e4%-@!2%-#:6(77Track: Patient Centered Medical HomeCompetencies:

» Decision-making skills » Change management@E^7X 3 CDE, 3 CME, 3 CNE, 3 CPE (Business Mgmt & Org)

This session is aimed at those who desire NCQA >D;G$*"7.+3*(.+,-$@6.$(7"$&.76220+-2$#+./$/,#$to begin. We will give participants a framework by describing how our CHC initiated the process and #,7%")$.,$*,450"."$./"$(550+*(.+,-A$F5"*+3*$+&&6"&$./(.$will be addressed include: who should be on the team and who should lead it; how to start; how work should be prioritized and organized; and lessons learned along the way.

» Learning Objective 1: List the components of NCQA >D;G$*"7.+3*(.+,-$7"R6+7"4"-.&A

» Learning Objective 2: Describe a strategy to initiate the process for a CHC to obtain NCQA *"7.+3*(.+,-A

» Learning Objective 3: Explain NCQA documentation requirements and the scoring process.

7+#5#3&#+B)!+'$)@#38#96)-.'#/);#4'$<8)0/1$#+6)H,+&.)-,%3&+9)HealthCare

MONDAY

OPENING PLENARY with HRSA "<+%14@2@%^;+"8(7,%WX[O%LPOX[O%"J%All are invited

The keynote address will be given by Dr. Mary =(%"3"0)'$B)4+-+&.7(.,7'$G"(0./$C"&,67*"&$(-)$Services Administration. Dan Hawkins, Senior Vice President of Policy and Research at the National Association of Community Health Centers, will address issues of policy and health care reform.

N@%Z23U\%Q%?("#<9<B%?"G%c%4;;*$9<B%the Immunity to Change (ITC) Model Open to HST Network only

Track: Health System TransformationCompetencies:

» Decision-making skills » Change management » High-level strategic planning@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

In this session, 2012 HST participants will share their learning about change leadership. Using the Immunity to Change framework and other resources, each participant will provide a brief overview of personal and professional insights and organizational outcomes.

» Learning Objective 1: Cite examples of learning gained over the course of the HST program.

» U"(7-+-2$?@Q"*.+1"$_g$U+&.$&5"*+3*$+-&+2/.&$2(+-")$from the Immunity to Change framework.

» U"(7-+-2$?@Q"*.+1"$]g$F/(7"$&5"*+3*$5,&+.+1"$organizational outcomes.

Presenter: Kimberly McNally, President, McNally & Associates

=9(<<9"*%3"*"#$%"<+%=(<()87%35#S($7Regions VIII and X

Did you miss out on your opportunity to participate? Would you like to purchase one ,!$./"$3-(0$7"2+,-(0$7"5,7.&f$

For the Region VIII report: Contact Andrea Martin at CHAMPS: 303-867-9581

For the Region X report: Contact Kate Jesse at NWRPCA: [email protected]

Fee: $425 Region X members, FQHCs and PCAs; $500 all others

Note: The Region X report is funded solely by participants’ fees and the generosity of CliftonLarsonAllen.

Check it Out!

>,&.$,7$3-)$<,67$C"2+,-$h$*0+-+*(0$(-)$nonclinical jobs free: http://www.nwrpca.org/post-administrative-position.html

17

18

N/%Z23U\%Q%?("+(#7.9;%97%"%@:<S(#7"89:<X%Part 1 Open to HST Network only


» Decision-making Skills » Change management » High-level strategic planning@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

U"()"7&$(7"$7"&5,-&+@0"$!,7$)"3-+-2$(-)$+-+.+(.+-2$./"$conversations necessary to move forward strategies, initiatives, and relationships. Powerful conversations improve trust, engagement and results, all essential elements of successful change. This session will introduce the concept of conversation as a leadership tool.

» Learning Objective 1: Describe elements of the link between conversation and leadership.

» Learning Objective 2: Give examples of creating conditions for effective conversations.

» Learning Objective 3: Describe characteristics of several different types of conversation.


NE%Z23U\%Q%?("+(#7.9;%97%"%@:<S(#7"89:<X%Part 2 Open to HST Network only


» Decision-making skills » Change management » High-level strategic planning@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Developing an Education Health CenterLearn from two CEOs who’ve done it!

90-minute Webinar@:78%;(#%;(#7:<X%jM]H%Special discount for members of NWRPCA, CHAMPS, CPCA: $50U5(7+"$,%1:S(JG(#%d,%NOPNPOXOOcPPX[O%"HJH%-"69)6%89J(

Mike Maples, M.D.Founding Director, Central Washington Family Medicine Residency ProgramFounding CEO, Community Health of Central Washington

Kiki Nocella, Ph.D., MHA

CEO, Believe Health, LLC

With introduction by Steve Seely, NWRPCA EHCI Project Lead

Learn to develop training and workforce solutions throughprimary care partnerships with hospitals and residency programs:

Register online at: http://bit.ly/PlLrkF

!» Structure win-win partnerships!» Establish an effective leadership cadre

!» 4**:6"8(%#(7:5#6(7%(A)69(<8*$!» Find mission-driven solutions

EHCI E/^@4UFV1%HEALTH CENTER INITIATIVE

19

This session continues the exploration of conversations as a powerful tool to lead and facilitate organizational change. Learn conversational tools to shift thinking, entertain new possibilities, make requests, and secure commitments. Participants will design and practice conversations to accelerate change in their community health centers.

» Learning Objective 1: Describe at least three conversational tools.

» Learning Objective 2: Demonstrate the use of at least three conversational tools.

» Learning Objective 3: Design conversations to address current change initiatives.


W%Q%@2@%="7967Track: CHC BasicsCompetencies:

» Supports mission/vision

Are you new to the CHC family? If you are a new grantee, staff person or board member, please join us to learn about the Community Health Center system, including the history, organization, and program expectations for CHCs. Also discussed will be the lead agencies and organizations that support and collaborate with CHCs and the legislation and policies that affect them.

» Learning Objective 1: Explain the core history and mission of the CHC system.

» Learning Objective 2: List key legislation and policies related to the CHC system.

» Learning Objective 3: Identify lead agencies and organizations that collaborate with and support CHCs.

Presenters: Seth Doyle, Migrant Health Coordinator, NWRPCA; Andrea Martin, Workforce Development and Member Services Director, CHAMPS

Y%Q%38#"8(B96%-*"<<9<B%A:#%=:"#+%MembersTrack: GovernanceCompetencies:

» Governance Skills » High-level strategic planning@E^7X 1.5 GOV

This session will offer board members of community health centers a framework for strategic planning that they can use in their organizations. Participants will share their ideas and experiences so that each participant leaves with fresh perspectives on strategic planning.

» U"(7-+-2$?@Q"*.+1"$ig$:"3-"$./"$@,(7)O&$7,0"$+-$strategic planning.

» U"(7-+-2$?@Q"*.+1"$_g$U+&.$&"1"7(0$0,-2W."74$@"-"3.&$of strategic planning.

» Learning Objective 3: Outline the basic steps of the strategic planning process.


PO%Q%&."8%+:(7%8.(%35;#(J(%@:5#8%4@4%ruling mean for CHCs?Track: PolicyCompetencies:

» Mission leadership » Knowledge of public policy and advocacy » High-level strategic planning@E^7X 3 CDE, 3 CME, 3 CNE, 3 CPE (Business Mgmt & Org)

This session will serve as a follow-up to the morning plenary NACHC update and will examine the impact of the Supreme Court ACA ruling on health centers, along with the policy implications of the 2012 election. Mr. Hawkins will explore possible outcomes of the election and how health centers can plan accordingly. The session will also include an extensive Q&A.

» Learning Objective 1: Be able to discuss the basics of the Supreme Court’s ACA ruling and the impact it may have on Health Centers.

» Learning Objective 2: Describe ways you can encourage states to adopt the (now optional) Medicaid expansion, and valid arguments you can use in those efforts.

» Learning Objective 3: Discuss the possible outcomes of the 2012 Election at the federal level and understand how Health Centers can navigate the results of various election outcomes.

Presenter: Dan Hawkins, Senior VP of Policy & Research, NACHC

!» 4**:6"8(%#(7:5#6(7%(A)69(<8*$!» Find mission-driven solutions

20

» Learning Objective 1: Give examples of how chronic )+&"(&"&$(-)$*,-)+.+,-&$4+2/.$@"-"3.$!7,4$27,65$visits.

» Learning Objective 2: Develop a usable model for group visits.

» Learning Objective 3: List clinic staff that might participate in a group visit.

Presenters: Dr. Chris Keenan and Dr. Daniel O’Brien, Family Physicians, Clinica Family Health Services

PN%Q%1(_%!"#'(87%U"b%@#(+987%"<+%U"bcExempt BondsTrack: FiscalCompetencies:

» P6)2".+-2$(-)$0,-2W7(-2"$3&*(0$50(--+-2 » >7"5(7(.+,-$,!$3-(-*+(0$&.(."4"-.&@E^7X 1.5 CPE (Business Mgmt & Org)

No doubt by now you have heard about New Markets L(T$D7")+.&$E9;LDH$(&$($4"(-&$!,7$3-(-*+-2$<,67$next capital project. This session will provide an in-)"5./$1+"#$,!$./+&$5,#"7!60$3-(-*+-2$.,,0A$="$#+00$cover the details of structuring a New Markets Tax D7")+.$.7(-&(*.+,-'$&5"*+3*(00<$/,#$.,$)"."74+-"$<,67$

PP%Q%K#:5;%T97987%9<%8.(%@2@%3(889<BTrack: ClinicalCompetencies:

» Ability to manage clinic for overall productivity » Role of clinical director in CHC environment » Supervises clinical staff and resources@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

We will discuss successful group visit models we have used at Clinica in the treatment of diabetes, prenatal care, and pain management. Important issues include greater patient satisfaction and an increase in several measures of patient health, including preterm birth rate and hemoglobin A1C measurements. Challenges include attendance, billing, and coordinating the roles of multiple staff members (e.g., case managers, physicians, and medical assistants).

We care about you, because you care

so much

YOUR AMAZING commitment to serving community health centers shows what true dedication is all about. We’d like to thank all the devoted CHAMPS and NWRPCA members for the time and effort you bring to the many community health initiatives that are such a critical part of our nation’s health.

You’re the true heroes of health care.

60094804_NWregionalPrimaryCareAssocAd.indd 1 9/4/12 4:33 PM

21

project’s eligibility, what a typical structure looks like so you can put the all the pieces and players together before approaching a Community Development Entity (CDE), how to identify a CDE with credits and get them interested in your project, trip-wires to be ready for during the closing process, and preparing for the wind-up in seven years. We’ll also review a tax-exempt bond transaction to better understand when this is an attractive alternative to the NMTC program.

» Learning Objective 1: Explain how to structure a 9;LD$3-(-*+-2A

» Learning Objective 2: Describe Compliance and the NMTC wind-up.

» Learning Objective 3: Articulate when tax-exempt 3-(-*+-2$+&$(-$(..7(*.+1"$(0."7-(.+1"$.,$9;LDA

Presenter: David Kleiber, Project Consultant, Capital Link

2E4?U2%@E1UE0%UV^0,%PX[OL]Xa]%;J%R#((,%G58%;*("7(%;#(c#(B978(#

Salud Family Health Centers’ nine community health clinics and a mobile unit serve six counties in Colorado. The Salud tour on Monday afternoon will take participants to two Salud locations. The Commerce City clinic was moved to a new 46,000 square foot facility in 2009, home to 36 medical and 14 dental rooms, procedure rooms, lab, and pharmacy, along with space for ancillary services and group visit rooms. The other stop on the tour is the Stanley J. Brasher Administrative and Training Center in Fort Lupton, which handles the training and administrative needs of the entire Salud system. The Center supports an economy of scale by reducing administrative and overhead costs and +-*7"(&"&$./"$"!3*+"-*<$(-)$"!!"*.+1"-"&&$,!$,5"7(.+,-&A$T. W. Beck Architects incorporated green technology in the design of both sites.

P[%Q%0(6#5989<B%K::+%=:"#+%!(JG(#7Track: GovernanceCompetencies:

» Administering retention strategies » Recruitment and hiring of staff » High-level strategic planning@E^7X 1.5 GOV

The purpose of this session is to provide an opportunity and atmosphere in which board members and others in attendance can explore and share challenges and strategies on board member recruitment and retention.

» Learning Objective 1: Describe some of the challenges and strategies in board orientation procedures.

» Learning Objective 2: Explain why a mission-focused board and senior management team is critical.

» Learning Objective 3: Develop a network for sharing best practices in building the best board.


Pa%Q%2:_%8:%=::78%8.(%FJ;"68%:A%@2@%MarketingTrack: Operations/ITCompetencies:

» Goal setting and action planning » Develop promotional materials for CHC » Branding activities

Marketing for community health centers is a challenging and complicated job, more so than conventional business marketing. Typical marketing efforts are !,*6&")$,-$.,,0&$&6*/$(&$#"@&+."&'$"W-"#&0".."7&'$N<"7&'$community outreach, health fairs, and social media. Time and resources to develop a formal marketing strategy or integrate a strategy into daily marketing activity are rare. Marketing strategy is a powerful tool that can boost the impact of all marketing activities. Presenters will share a practical process and template for creating a sound marketing strategy that evolves with the organization. Participants will have the opportunity to apply the process and template to their own unique situations.

» Learning Objective 1: Describe different marketing strategies and differentiate between strategies, activities and tools.

» Learning Objective 2: Create a basic scale to assess existing marketing and outreach activities, and identify at least two strategic action items to increase the impact.

» Learning Objective 3: Identify at least one strategy to respond effectively to three typical marketing challenges.

Presenters: Marisa Ponti, Marketing Director, Vecino Health Centers; Melissa Ransdell, Consultant, MissionWise

22

23

24

Pd%Q%-#:65#(J(<8%-#:6(77%A:#%@2@7Track: FiscalCompetencies:

» P6)2".+-2$(-)$0,-2W7(-2"$3&*(0$50(--+-2 » Role of CFO in CHC environment (healthcare operational expertise)

» Grants management@E^7X 1.5 CPE (Finance)

Health centers are receiving more federal grant money for capital projects than ever before. However, spending this federally granted money entails several federal procurement requirements, which can be extremely complex. Understanding these requirements and implementing appropriate procurement policies and procedures is crucial to grant management compliance and avoiding the potential payback of grant money.

» Learning Objective 1: List several basic elements of a sound procurement policy.

» U"(7-+-2$?@Q"*.+1"$_g$:"3-"$./"$%"<$*,45,-"-.&$of the procurement requirements included in the federal grants administration standards.

» Learning Objective 3: List ideas for practical procurement policies and procedures.

Presenter: David Field, Senior Manager, BKD, LLP

PM%Q%=:"#+%!(JG(#%E<B"B(J(<8%"<+%RetentionTrack: GovernanceCompetencies:

» Administering retention strategies » Knowledge of public policy and advocacy@E^7X 1.5 GOV

This session is focused on keeping your board members engaged, happy and working for the cause. We will cover advocacy as well as retention best practices.

» Learning Objective 1: List several challenges to and strategies for board engagement and retention.

» Learning Objective 2: Describe two ways to keep Board Members engaged using advocacy.

» Learning Objective 3: Develop a network for sharing best practices.


P]%Q%V#"*%2("*8.%F<8(B#"89:<%9<%2("*8.%CentersTrack: ClinicalCompetencies:

» Planning and organizational skills » Change management » Understanding of special populations and community health issues

@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Recent HRSA initiatives encouraging the Patient Centered Medical/Health Home concept for health center populations have highlighted oral health care as a discipline to be integrated and coordinated with primary care. As part of a Cooperative Agreement with HRSA, the National Network for Oral Health Access conducted a needs assessment of health centers and follow-up interviews with organizations that have made substantial progress integrating oral health with primary care and other disciplines. This presentation reviews characteristics and organizational enabling factors that have facilitated medical-dental integration in early-adopter health centers, as well as barriers that hinder these achievements. Best practices from these early-adopter health centers will be shared.

» Learning Objective 1: List several characteristics of health centers that have achieved high levels of medical-dental integration.

» Learning Objective 2: Describe infrastructure barriers to integrating oral health with other disciplines in health centers.

» U"(7-+-2$?@Q"*.+1"$]g$:"3-"$&"1"7(0$@"&.$57(*.+*"&$to integrate oral health with other health center disciplines.

Presenters: Dr. Irene Hilton, Dental Consultant, National Network for Oral Health Access; Dr. Huong Le, Dental Director, Asian Health Services; Dr. Martin Lieberman, Dental Director, Neighborcare Health

Check it Out!

Follow Community Health Association of Mountain/Plains States (CHAMPS) on LinkedIn!

25

PW%Q%R9<+9<B%8.(%09B.8%0(S(<5(%!9bX%FundraisingTrack: FiscalCompetencies:

» P6)2".+-2$(-)$0,-2W7(-2"$3&*(0$50(--+-2 » Strategic planning and organizational skills@E^7X 1.5 CPE (Finance)

This presentation will provide a brief overview of the *677"-.$!6-)7(+&+-2$0(-)&*(5"$(-)$57,1+)"$($)"3-+.+,-$of terms to orient participants to the language of fundraising. We will address big questions and issues such as: How private philanthropy can be an important part of diversifying revenue streams and building future sustainability; How individual giving differs from grant support; What does fundraising for community health centers look like and how does it differ from other types of organizations? Share a fellow member organization’s journey into fundraising and see how they used a successful capital campaign to increase overall annual fundraising.

» Learning Objective 1: List ways fundraising might (624"-.$<,67$,72(-+V(.+,-O&$*677"-.$3&*(0$57+,7+.+"&A

» Learning Objective 2: Learn to identify your organization’s unique challenges and how to address them.

» Learning Objective 3: Understand the landscape of fundraising and steps community health centers can take to raise philanthropic gifts.

Presenter: Kristin Barsness, Vice President, Collins Group

Check it Out!

Like NWRPCA on Facebook at www.Facebook.com/NWRPCA

26

PY%Q%38"8(%2("*8.%F<75#"<6(%Eb6."<B(7%for CHC Leaders

Track: ClinicalCompetencies:

» Planning and organizational skills » Change management@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

9,#$./(.$./"$dAFA$F657"4"$D,67.$/(&$(!374")$./"$constitutionality of the Affordable Care Act’s health insurance coverage requirements, HHS will continue to issue additional rules and guidance relating to State-based Exchanges and Federally-facilitated Exchanges, R6(0+3")$/"(0./$50(-&$E[G>H'$"&&"-.+(0$/"(0./$@"-"3.&'$navigators, outreach and enrollment, etc. Many states have increased their efforts to establish laws and policies related to implementing health insurance exchanges or are considering entering into partnerships with Federally facilitated exchanges. This session will provide an overview of the status of Exchange implementation in the states, and will focus particularly on the challenges that FQHCs face in assuring that QHP’s contract with them and that they are paid appropriately for their services to QHP enrollees.

» Learning Objective 1: List the basic elements of the Exchange systems that are being implemented to provide coverage to those who are currently uninsured.

» Learning Objective 2: Describe problems FQHCs are likely to face as they seek to contract with QHPs enrolled in the Exchanges.

» Learning Objective 3: Explain some strategies that FQHCs might pursue to maximize their opportunities to contract with QHPs.

Presenter: Dan Hawkins, Senior Vice President, Public Policy and Research, NACHC

NO%Q%!"<"B(+%@"#(%V#B"<9I"89:<%NegotiationsTrack: FiscalCompetencies:

» P6)2".+-2$(-)$0,-2W7(-2"$3&*(0$50(--+-2 » L7"(&67<$4(-(2"4"-.$E+-*06)+-2$3-(-*+-2H@E^7X 1.5 CPE (Finance)

L/+&$&"&&+,-$#+00$57,1+)"$(-$,1"71+"#$,!$@(&+*$3-(-*+(0$management considerations relative to managed care contracting. In order to meet BPHC expectations of 7"1"-6"$"-/(-*"4"-.$(-)$,1"7(00$,72(-+V(.+,-$3-(-*+(0$health, it is important for health center management to understand and accurately assess the variety of managed care contracting opportunities available to them. This session will include a discussion of managed care payors, types of managed care plans, common types of provider reimbursement methods, and tools !,7$"1(06(.+-2$./"$3-(-*+(0$+450+*(.+,-&$,!$4(-(2")$*(7"$contracting opportunities. Time will be provided for questions and discussion.

» Learning Objective 1: Describe the major types of managed care plans and common payment models used in managed care contracts.

» U"(7-+-2$?@Q"*.+1"$_g$:+&*6&&$%"<$3-(-*+(0$considerations of managed care contracts and 4"./,)&$.,$(&&"&&$3-(-*+(0$+450+*(.+,-&$,!$contracting opportunities.

» Learning Objective 3: Explain key reimbursement issues relative to managed care plan payors (state Medicaid, federal Medicare, and private commercial managed care plans).

Presenter: Mike Schnake, CPA, Partner, BKD, LLP

Check it Out!

WCN has a new Shared Clinical Knowledge Library online: www.cliniclibrary.com

27

NWRPCA is deeply grateful to Centene

and Coordinated Care for their generous sponsorship of this

year’s Health System Transformation Network.

COORDINATED CARE, a subsidiary of Centene, is one of Washington’s newest Managed Care Organizations and committed to innovative, quality health care through local, regional and community-based resources. Coordinated Care works with our state’s community health centers to promote healthier outcomes for their members through prevention and outreach activities. To learn more, visit www.CoordinatedCareHealth.com

28

TUESDAY

NP%Q%F<<:S"89S(%-"$J(<8%0(A:#J%"8%8.(%State LevelTrack: PolicyCompetencies:

» Knowledge of public policy and advocacy » Role of CFO in CHC environment (healthcare operational expertise)


Oregon FQHCs have been working over the last two years to develop an Alternative Payment Methodology (APM) that aligns FQHC payment with the Patient Centered Primary Care Home. This effort has culminated in a State Plan Amendment to the Medicaid Plan that will open the door to this new methodology. Several Oregon FQHCs are part of a pilot group that is working toward implementation by fall of 2012. The APM is aligned with Triple Aim goals and other efforts in Oregon to reorganize the Oregon Health Plan around the concept of Coordinated Care Organizations. Come hear about Oregon’s experiment with payment reform!

Then learn about payment reform in Colorado: how community health centers are being paid under Colorado’s Accountable Care Collaborative; opportunities for a FQHC/RHC shared savings pilot that starts in 2013; and further payment reform opportunities under discussion at the PCA and with Medicaid.

» Learning Objective 1: List three components of an Alternative Payment Methodology.

» Learning Objective 2: Discuss how an APM can align with Triple Aim goals and PCMH.

» Learning Objective 3: Describe the relationship between an APM and CCOs.

7+#5#3&#+5B)7,889)234#+5,36)-.'#/)7,8'$9)0/1$#+6)-,8,+<4,)Community Health Network; Craig Hostetler, Executive Director, Oregon PCA; Gil Munoz, CEO, Virginia Garcia Memorial Hospital

NWRPCA ^-@V!F1K%ETE1U3%

EHCI WebinarNovember 6, 2012

^<9A:#J%/"8"%3$78(J%0(;:#89<BDecember 7, 2012, Portland OR

2013 Western Forum for Migrant and Community HealthFebruary 20 – 22, Santa Clara CA

Core Competencies for First-time CHC Supervisors and ManagersSpring 2013, Seattle WA

NWRPCA Spring Primary Care ConferenceMay 18 – 21, 2013, Anchorage AK

Managing Ambulatory Health Care I: Introductory Course for Clinical Leaders in Community Health CentersJune 24 – 27, 2013, Portland OR

Community Health Leadership /(S(*:;J(<8%6:5#7(,%*(+%G$%0:B(#%ChaufournierApril – October 2013 (in-person intensives in April and October in Seattle; monthly calls and webinars in-between)

NWRPCA/CHAMPS Fall Primary Care ConferenceOctober 19 - 22, 2013, Seattle WA

Visit our website for details: http://www.NWRPCA.org

29

NN%Q%20%=(78%-#"6896(7X%-((#%8:%-((#%Facilitated DiscussionTrack: HR/WorkforceCompetencies:

» Systems innovator for organization » Building positive workplace environment@E^7X 3 PHR

Join us for a HR World Café! Participants will have the opportunity to share insights, best practices, and approaches in a facilitated World Café format. We will "T50,7"$7"0"1(-.$+&&6"&$+)"-.+3")$+-$./"$7"*"-.$GCjWF Planning survey by discussing them in informal facilitated breakout groups in multiple rounds. Plan on participating in a creative, interactive morning of best-practice sharing!

» Learning Objective 1: Identify critical and strategic roles of HR in community health centers.

» U"(7-+-2$?@Q"*.+1"$_g$U+&.$./7""$&5"*+3*$=,70)$D(!k$processes and principles.

» Learning Objective 3: Share, review and identify partner CHC best practices, practical tools and resources.

Presenter: Kimberly McNally, MN, RN, BCC, McNally & Associates

(JOB)· Features administrative, medical, dental, behavioral health, and executive positions

· Posted jobs advertised at regional and state career fairs and advertised nationwide

· Explains benefits of working in a CHC

· Free posting for Region VIII CHCs and PCAs

· If you are interested in posting a job, please contact

[email protected]

Visit the CHAMPS online

Job Opportunities Bank

Go towww.CHAMPSonline.org and click on Job Bank

to explore clinical & administrative

at Community Health Centers in

CO, MT, ND, SD, UT & WY.

career opportunities

Check it Out!

Mark your calendar for our 2013 NWRPCA/CHAMPS Fall Primary Care Conference in Seattle: October 19-22, 2013

30

N[%Q%!("<9<BA5*%^7(%38"B(%NTrack: Operations/ITCompetencies:

» High-level strategic planning » Change management » Systems innovator for organization@E^7X 3 CDE, 3 CME, 3 CNE

Having the right tools is essential to achieving gold in health care delivery. Once your practice has realized Stage 1 Meaningful Use, it is time to begin positioning for the next step in health IT evolution with Stage 2. Preliminaries behind you, the practice can begin tactical use of health IT for quality improvement, outreach and disparity reduction. We will review legislative developments since the Stage 1 Final Rule in July 2010, including the newly issued Stage 2 Meaningful Use criteria. Stage 2 will require practices to move and report data in a production environment. Learn about health information exchange (HIE) transport standards, clinical quality data reporting, expansion of Stage 1 measures and adoption of patient engagement technologies to move your clinic closer to achieving a comprehensive, longitudinal health record on every patient.

» Learning Objective 1: Identify three areas of clinic redesign required for Stage 2 Meaningful Use achievement.

» Learning Objective 2: List several new standards in health information exchange (HIE) and clinical reporting.

» Learning Objective 3: Formulate an evaluation plan !,7$./"$G"(0./$IL$(-)$#,7%N,#&$-"")")$.,$&655,7.$57(*.+*"$"!3*+"-*<$(-)$7"R6+7"4"-.&$!,7$F.(2"$_A

Presenter: Adele Allison, National Director of Government Affairs, SuccessEHS

Na%Q%=(."S9:#"*%2("*8.%F<8(B#"89:<X%!:#(%than the Sum of its PartsTrack: ClinicalCompetencies:

» I-."27(."&$1(7+,6&$)"5(7.4"-.(0$&"71+*"&$"!3*+"-.0< » Systems innovator for organization@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

This presentation will focus on the integrated care initiative at the Metro Community Provider Network E;D>9H'$($!")"7(00<$R6(0+3")$/"(0./$*"-."7$+-$:"-1"7'$CO. For over a decade, MCPN has partnered with behavioral health agencies in its service area in order to provide integrated medical and behavioral health services. This session will explore our experience and the current status of our efforts to establish a functional and effective integrated approach to care. Topics will include data initiatives, pilot projects, operational challenges and lessons learned along the journey to the land of integrated mental health/primary medical care. We look forward to engaging participants in a discussion of the golden question, “How do you know when integrated care works?”

» Learning Objective 1: Give some examples of the relationship between physical and mental health.

» Learning Objective 2: Describe the difference between coordinated care, co-location, and integrated care.

» Learning Objective 3: Create a step-by-step model for moving from coordinated care, to co-location, to integrated care.

Presenters: Dr. Angela Green, Director of Behavioral Health, and Dr. Barry Martin, Vice President for Clinical Affairs, Metro Community Provider Network

Check it Out!

NWRPCA’s Online Learning Connections: http://learn.nwrpca.org/

31

N]%Q%R(+(#"*%0(g59#(J(<87%39J;*9)(+%A:#%GranteesTrack: FiscalCompetencies:

» Audit requirements for grantors/funders » Grants management@E^7X 1.5 CPE (Finance)

This session will present the basic principles for determining costs of grants, contracts and other (27""4"-.&$#+./$-,-57,3.$,72(-+V(.+,-&$+-$(**,7)(-*"$with Circular A-122. Participants will be introduced to the overall composition of total costs, allowability, and reasonableness of costs associated with federal awards. Also covered will be direct and indirect cost principles, the allocation of indirect costs, and the standards set forth by the OMB for ensuring consistency and uniformity among federal agencies for the audit of &.(."&'$0,*(0$2,1"7-4"-.&$(-)$-,-57,3.$,72(-+V(.+,-&$

expending federal awards, Circular A-133. The session will provide attendees with an understanding of what triggers an audit requirement, the basis for determining federal awards expended and the auditee 7"&5,-&+@+0+.+"&$+-$7"0(.+,-$.,$./"$(6)+.$(-)$3-(-*+(0$statements. Examples of allowable costs, allocation methodologies, and noncompliance will be offered. There will be ample opportunity for questions and )+&*6&&+,-$(@,6.$&5"*+3*$*,&.&A

» Learning Objective 1: List the basic Circular A-122 requirements for the application of direct and indirect costs to grants.

» Learning Objective 2: List the major cost principles for the allocation of indirect costs.

» Learning Objective 3: Give examples of standards for compliance with Circular A-133.

Presenters: Paul Bailey, CPA, Partner, and Kyla Delgado, Senior Auditor, CliftonLarsonAllen LLP

Meet us in California in February 2013!

Western Forum for Migrant and Community Health

February 2022, 2013

Santa Clara, California

Save the date!

Explore with us…

!" #$%"&$&'()*+$,"-.)(*-"+,*./0.,*+$,1"2.,.3*"4+5/),*67.)1$,)("8)/9%$/:./"&$&'()*+$,1!" ;-."+,*.5/)("/$(."$<"*-."=$99',+*>"#.)(*-"?$/:./"@=#?A"*$"&$&'()*+$,"-.)(*-!" ;-."B+0./1+*>"+,"/$(.1C"/.1&$,1+2+(+*+.1"),B"/.)D-"$<"*-."=#?"&/$<.11+$,!" 7'1*)+,)2(."9$B.(1"<$/"3,),D+,5"=#?1"),B"=#?"&/$5/)91

7'29+*"),")21*/)D* for the Forum: -**&E662+*F(>6G:H9IJ

For more informationC"D$,*)D*"7.*-"I$>(.")*"KLMNOPQNQLLR".H*F"SM"$/"1B$>(.T,%/&D)F$/5

32

Nd%Q%@:#;:#"8(%@:J;*9"<6(X%[aO=%Discount Drug ProgramTrack: Policy/EnvironmentCompetencies:

» Compliance/Legal expertise » Risk management@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE, 1.5 CPE (Business Mgmt & Org)

This session will provide an overview of the Section 340B Drug Discount Program and highlight some of the recent developments in this program that will or are likely to impact health centers. Topics covered include the changes in the program as a result of the Affordable Care Act (ACA), such as the allowance for state Medicaid agencies to collect rebates for drugs provided to Medicaid managed care enrollees, and the ACA-related proposed rules that could result in state Medicaid agencies reducing payments for drugs. Other topics will include HRSA’s selective and targeted auditing of 340B covered entities, its requirement that (00$J[GD&$(550<$!,7$7"*"7.+3*(.+,-$.,$7"4(+-$"0+2+@0"$for the program, and recent concerns raised by some members of Congress about the 340B program.

» U"(7-+-2$?@Q"*.+1"$ig$U+&.$&"1"7(0$@"-"3.&$./(.$./"$340B program offers health centers.

» Learning Objective 2: Cite recent and anticipated HRSA 340B and CMS Medicaid policy developments that can impact FQHCs.

» Learning Objective 3: Explain how a CHC can respond to these developments to best protect its @"-"3.&$6-)"7$./"$]b^P$57,27(4A

Presenter: Sue Veer, CEO, Carolina Health Centers Session sponsored by CaptureRx

NM%Q%@*9<96"*%/(6979:<%35;;:#8%3$78(J7X%Do They Make a Difference?Track: ClinicalCompetencies:

» Productivity skills: accuracy, quantity and quality of work

» Role of clinical director in CHC environment » Supervises clinical staff and resources@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Strong evidence exists that Clinical Decision Support and Knowledge Management Systems can be effective in improving health care process measures across diverse settings. A select number of community health centers have partnered with Western Clinicians 9".#,7%$(-)$S(+&"7$>"74(-"-."$D,446-+.<$P"-"3.&$to develop a prototype online shared clinical knowledge library to test the application in a community health center setting. This presentation will summarize the initial preferences of clinical leaders for CDSS/KMS information and describe their pilot efforts to implement a shared clinical knowledge library and 4"(&67"$./"$+45(*.$65,-$*(7"$4(-(2"4"-.$#,7%N,#$and anticipated clinical outcomes.

» Learning Objective 1: Identify key Clinical Knowledge and Knowledge Management Systems.

» Learning Objective 2: Explain the difference between CDSS & KMS.

» Learning Objective 3: Identify nine factors/features associated with successful implementation.

Presenters: Jimmy Hara, Board of Directors, WCN, Family Medicine Program Director Emeritus Kaiser Permanente Los Angeles Center for Medical Education; Charla Parker, CEO, Western Clinicians Network

NW%Q%=(."S9:#"*%2("*8.%@:+9<B%D%DocumentationTrack: FiscalCompetencies:

» Billing, collections & reimbursement knowledge » Compliance/Legal expertise@E^7X 1.5 CPE (Finance)

Everyone talks about documentation for E&M services but what documentation is required for behavioral health codes? Can behavioral health providers use all the codes? What happens when a non-core provider sees a Medicare patient? Learn what CMS and specialty societies recommend from a documentation standpoint. Learn what revenue codes are reported for mental health services and when they should not be used. Discover how you can measure your compliance risk and revenue opportunities. Handouts will be provided with a mental health audit tool for some of the more commonly used CPT codes.

33

Colorado’s Leading Public Insurance Healthplan

Your Trusted Healthcare Partner

• 385,000 Colorado lives served

• 43% of Colorado’s Accountable Care Collaborative Medicaid membership

• Largest Child Health Plan Plus HMO program

• USA’s fi rst Special Needs Plan Medicare Advantage Program for persons with Medicaid and Medicare

• Denver’s Medicaid Behavioral Health Program

• 12,500 Physician Network

• Recognized by the Denver Post as a Top Workplace for 2012

34

» Learning Objective 1: List the documentation required to meet compliance standards for both medical societies and CMS.

» Learning Objective 2: Understand Medicare’s terminology and how to translate for clinicians, billers and coders.

» Learning Objective 3: Learn to audit behavioral health charts to measure and reduce risk by giving constructive feedback to providers.

Presenter: Ray Jorgensen, President and CEO, Priority Management Group

0V^1/U4=?E%?^1@2E3,%PNXOOL2:00pm 1:%6."#B(,%G58%;*("7(%;#(c#(B978(#C,6-).(@0"$06-*/"&$(7"$!,7$5,&+.+,-W&5"*+3*$*,446-+.<$health center personnel.

» CEO Roundtable » HR Roundtable » COO Roundtable » Clinicians Roundtable » CFO Roundtable » Special topic: National LGBT Health Education Center Roundtable

NY%Q%^<)<97.(+%=579<(77X%8.(%F<8(B#"89:<%of Primary Care and Public HealthTrack: PolicyCompetencies:

» Understanding of special populations and community health issues

» Participating in collaboratives@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Mountain/Plains Clinical Network

(MPCN)MPCN is a program of CHAMPS that encompasses all health care providers

working at Region VIII community, migrant and homeless health centers, and National Health Service Corps (NHSC) participants working in Region VIII.

Clinical Resources available through MPCN!" #$%&'(%"')*+$%&,("-$(),*%./"'0&)'(+'12$.')"3*&)'14&('./")&.'$.'5+,()&%&,(1.6'+&7&+"%,,4./"$()"8,9'

!" :,(%&(*&(3";')&+$4"<)*+$%&,("=:;<>!" ?'%@,9A&(3"B66,9%*(&%&'."

MPCN Steering Committee

C-'";#:?"D%''9&(3":,88&%%''"-'46."3*&)'"%-'")'0'4,68'(%",7":EF;#D"+4&(&+$4"69,39$8.G"C-'9'"$9'"+*99'(%4H",6'(&(3."7,9"8')&+$4/"2'-$0&,9$4/"$()",9$4"69,0&)'9.",("%-'";#:?"D%''9&(3":,88&%%''I

Stay Active in MPCN"!":-'+A"@&%-":EF;#D"%,"8$A'".*9'"H,*"$9'"&("%-'":EF;#D":4&(&+&$(."J$%$2$.'"%,"9'+'&0'"&86,9%$(%"(,%&+'."!"K,&("%-'":EF;#D":4&(&+&$(."L&.%.'90"%,"('%@,9A"$()".-$9'"&(7,98$%&,("@&%-"M'3&,("NOOO"6''9.",(4&('"!"K,&(",9"+,(%$+%"%-'";#:?"D%''9&(3":,88&%%''"%,".-$9'"H,*9"&)'$."7,9"+4&(&+$4"69,)*+%.",9".'90&+'."!"O7"H,*"-$0'"P*'.%&,(./"please contact [email protected]

Visit our website at

Check it Out!

Visit Western Clinicians Network online: www.westerncliniciansnetwork.net

35

Throughout the United States, public health departments and medical practices exist in separate but parallel universes. The traditional areas of public health interest have had very little direct relationship to the activities that take place in a clinical practice. Even so, as the trend in mortality becomes more directly correlated to behavioral and environmental factors that impact chronic disease, the intersection between primary care and public health becomes obvious. This convergence leads to the importance of directing resources to achieve what is now broadly termed population health, and a responsibility of health care leaders to integrate public health and primary care. With the growing ability to capture population-based data on disease management and prevalence, initiatives attempting to spur innovation in new care delivery models provide a compelling argument to move toward new approaches to optimize population health. We will identify promising models that elevate the ability of primary care and public health to create new relationships.

» Learning Objective 1: Cite reasons why primary care and public health have evolved separately.

» Learning Objective 2: Identify the relevance and limitations of previous approaches to achieving population health, including the Community Oriented Primary Care (COPC) model and the PCMH.

» Learning Objective 3: Cite the spectrum of integration relationships in public health and primary care and provide examples of successes.

Presenter: Dr. Winston Wong, Medical Director, Community :#3#1&)<34)*'+#$&,+6)*'5?<+'&'#5)FG?+,(#G#3&)<34)I%<8'&9)F3'&'<&'(#56)=<'5#+)7#+G<3#3&#6)H<&',3<8)7+,>+<G)0/1$#

[O%Q%F<6:#;:#"89<B%U("6.9<B%9<%k:5#%Health Center MissionTrack: HR/WorkforceCompetencies:

» High-level strategic planning » Participating in collaboratives@E^7X 1.5 PHR

This presentation will explain the steps necessary to successfully bring education into a health center’s service mission. It will be presented by two individuals with considerable experience and expertise in residency training in a community setting. Discussion will include 1) the different options open to health centers and the steps to take with each option; 2) how

to talk to hospitals and Family Medicine Residencies about partnering and the different considerations in ),+-2$&,l$(-)$]H$./"$@(&+*$&."5&'$,1"7(7*/+-2$3-(-*+(0$considerations and structural options to developing an in-house program. Ample time will be allotted during and after the presentations for discussion and questions. In addition, the presenters will offer free 30-minute private consultations (sign-up sheets will be available at the presentation). Presented by the Education Health Center Initiative.

» Learning Objective 1: Delineate several ways that a health center can incorporate education into its mission.

» Learning Objective 2: Describe an approach to working with hospitals and residency programs as potential partners.

» Learning Objective 3: Outline the requirements for a health center to become a residency site.

Presenters: Mike Maples, CEO, Community Health of Central Washington; Kiki Nocella, Consultant, Education Health Center Initiative, Believe Health, LLC; Steve Seely (Moderator), Development Manager, NWRPCA

[P%Q%^79<B%?("<%-#:+5689:<%4<"*$797%to Effect PCMH Changes in a CHC NetworkTrack: Operations/ITCompetencies:

» High-level strategic planning » Change management » Systems innovator for organization@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Denver Community Health Services (DCHS) is a network of eight Community Health Centers that are the primary care arm of Denver Health, an integrated safety net health care system. In 2009, three of the Denver Health clinics were selected to be part of the Safety Net Medical Home Initiative (SNMHI). Using the Toyota Lean productions systems approach, DCHS management worked with the three model sites to implement the different components of the model. In 2011, DCHS was granted NCQA Level 3 PCMH recognition for all eight of the sites. Since then we *,-.+-6"$.,$7"3-"$./"$4,)"0'$!,*6&+-2$,-$#,7%+-2$.,#(7)$4"".+-2$./"$_^ii$9D[B$&.(-)(7)&$(-)$7"3-+-2$processes to spread best practices learned from the

36

SNMHI collaborative to all the other sites. In this presentation we will review examples of how we used lean techniques to implement some of the SNMHI change concepts, and will review the components of the change package developed to facilitate spread of the model to other sites.

» U"(7-+-2$?@Q"*.+1"$ig$:"3-"$./"$*/(-2"$*,-*"5.&$,!$the SNMHI.

» Learning Objective 2: Translate change concepts into standard work that can be implemented and sustained.

» Learning Objective 3: Describe strategies for engaging teams in adoption of best practices.

Presenters: Dr. Morris Askenazi, Team Leader, La Casa Quigg Newton Health Center, Dr. Lucy Loomis, Director, Family Medicine, and Stephanie Phibbs, Practice Coach, Denver Health

[N%Q%@#("89<B%38#:<B%4**9"<6(7%A:#%Integrative ProgramsTrack: ClinicalCompetencies:



Learning to Merge: LA’s Clinics on the On-Ramp to Integration. In California, the passage of the Mental Health Services Act (MHSA) created an unheralded opportunity to shore up the state’s crumbling mental health services. Counties planned their services through a complex stakeholder process, bringing clinics into meaningful dialogue with County Mental Health. The Integrated Home Model increases and transforms access while improving the quality of care provided for vulnerable populations. The Community Clinic Association of LA County developed a proposal for the Integrated Home Model. On July 1, 2011, LA County launched Healthy Way LA, a new, integrated program offering medical and mental health services to individuals living below 133% of the Federal Poverty Level. One year into the program, the clinics and the county continue to struggle to clinically and operationally merge medical and mental health services for the over 200,000 individuals now enrolled in the program. This session will provide insight into the promise and peril on the road to integration.

» Learning Objective 1: Identify opportunities and challenges associated with implementing the Integrated Home Model.

» Learning Objective 2: Describe ways to engage clinicians in the development, passage and implementation of the Integrated Home Model.

» Learning Objective 3: Learn to communicate with departments of mental health from the primary care perspective.

Presenter: Louise McCarthy, President & CEO, Community Clinic Association of Los Angeles County

[[%Q%F@/cPOc@!%-*"<<9<B%"<+%ImplementationTrack: FiscalCompetencies:

» Billing, collections and reimbursement knowledge » Compliance/Legal expertise@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE, 1.5 CPE (Finance)

Be ready for the change! Every payor and provider in the U.S. will be affected by the adoption of ICD-10-CM. While ICD-10-CM still includes many of the coding conventions from ICD-9-CM, it has important new guidelines and many more individual codes. This session examines what your organization needs to do to plan and implement ICD-10-CM, from training of key staff and providers, to working with vendors, to inclusion in software programs.

» Learning Objective 1: List two basic differences between ICD-9-CM and ICD-10-CM diagnostic *0(&&+3*(.+,-$&.76*.67"&A

» U"(7-+-2$?@Q"*.+1"$_g$8+1"$./7""$&5"*+3*$"T(450"&$of clinic operations that will be affected by this new *0(&&+3*(.+,-$&.76*.67"A

» Learning Objective 3: Identify two resources available for additional information/assistance on implementing ICD-10-CM.

Presenters: Nannette Orme, Clinical Technical Editor, Optum Ingenix; Amy Sawaya, Health Center Finance and Operations Coordinator, Association for Utah Community Health

Check it Out!

Visit NWRPCA online at http://www.NWRPCA.org

37

Humancipation: n. the act of helping people discover their own !"#$%&'()*+,-.+/-.0-1+)*"+("!'2(3"!+)*"4+-"".+)'+#05"+0-."6"-."-)#4+

H

!"#"$%&%'()*+,(&,(-"+%.(,/(0"(+(*"+1,*(2+3"(2/-4+%56(/%"(2/--7%&,5(/3'+%&8+9/%(+,(+(9-":

WEDNESDAY

[a%Q%1"89:<"*%V58#("6.%K59+(*9<(7%A:#%^<+(#7(#S(+%-:;5*"89:<7Track: Public Health/Primary CareCompetencies:

» Manages diversity/cultural competency » Ambassador-level leadership in community » Delivers health information using culturally appropriate terms and concepts.

@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Outreach is a critical function of health centers serving underserved populations, increasing access to care for marginalized community members by bringing vital information and services to people where they live, work and spend time. A strong outreach model offers the best opportunity for the most vulnerable populations to be connected to and engaged with true medical homes. In 2000, Health Outreach Partners (HOP) developed its Farmworker Outreach Program Guidelines based on 30 years of experience providing direct outreach services to migrant and seasonal farmworkers. In 2012, HOP collaborated with four national partner organizations and an advisory panel

to update and expand on those guidelines, creating the current National Outreach Guidelines for Underserved Populations. In this session, presenters will describe the development of ten guidelines aimed at creating comprehensive community health models in local *,446-+.+"&$(-)$#+00$)+&*6&&$&5"*+3*$&.7(."2+"&$!,7$implementing them. Participants will share effective outreach strategies from their own programs.

» Learning Objective 1: Describe at least four guidelines for effective outreach with underserved populations.

» Learning Objective 2: Identify three concrete outreach strategies to adopt in participants’ own organizations.

» Learning Objective 3: List ways to use technical assistance resources for outreach programs.

Presenter: Kristen Stoimenoff, Deputy Director, Health Outreach Partners

38

[]%Q%20%"8%8.(%38#"8(B96%-*"<<9<B%U"G*(Track: HR/WorkforceCompetencies:

» High-level strategic planning » Mission leadership@E^7X 1.5 PHR

Human resources professionals in health centers may 3-)$+.$)+!3*60.$.,$"(7-$($&"(.$(.$./"$0"()"7&/+5$.(@0"A$:,$you contribute to setting and executing the strategy for your organization? In this conversation, we will explore current best practices for making your HR team the strategic business partner that your organization needs to compete in today’s talent market.

» Learning Objective 1: Identify the characteristics of “strategic human resources.”

» U"(7-+-2$?@Q"*.+1"$_g$I)"-.+!<$`$&5"*+3*$.(*.+*&$you might use to contribute to strategic HR development for your CHC.

» Learning Objective 3: Outline an initial plan for improving the strategic nature of your HR team’s work.

Presenter: Alexis Kearns, Vice President, Human Resources, Global Healthcare Exchange, LLC

[d%Q%^79<B%=579<(77%F<8(**9B(<6(%8:%Increase PerformanceTrack: Operations/ITCompetencies:

» High-level strategic planning » Change management » Systems innovator for organization@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE, 1.5 CPE (Business Mgmt & Org)

Interactive Business Intelligence tools have been deployed at Columbia Valley Community Health to assist leadership in their process improvement efforts. The agency has developed a best practice method for using interactive balanced scorecards. Executive Leadership takes responsibility for selecting Key Performance Indicators (KPIs) that align with the overall goals of the agency and that provide a balanced look at Quality Outcomes, Patient Satisfaction, Financial Outcomes and Internal Business Processes. Attendees will see real-time, interactive scorecards used at CVCH.

» Learning Objective 1: Describe some ways to use business intelligence to improve operations.

» Learning Objective 2: Cite examples of interactive business intelligence tools being successfully used to improve health center performance.

» Learning Objective 3: Explain how measures on the tool are aligned with agency quality goals.

Presenter: Kristal Albrecht, CFO, and Desiree Jones, Business Analyst, Columbia Valley Community Health Center

[M%Q%-@!2%"<+%3:69"*%/(8(#J9<"<87%:A%HealthTrack: ClinicalCompetencies:


» Ambassador-level leadership in community@E^7X 1.5 CDE, 1.5 CME, 1.5 CNE

Equity was noted as one of the domains of quality in the IOM report “Crossing the Quality Chasm,” but progress towards health care and health equity has not @""-$&+2-+3*(-.$&+-*"$./"$7"5,7.$#(&$56@0+&/")$4,7"$than ten years ago. Studies have suggested that when minority populations are provided a regular source of primary care, some indicators of quality approach equitable levels. This has provided some fuel for the rationale that a patient centered medical home could mitigate persistent health care inequities. In contrast, many health policy leaders identify physical and social "-1+7,-4"-.&$(&$./"$4,&.$5,#"7!60$+-N6"-*"7&$,!$poor health, and believe that achieving health equity necessitates public and social policy that addresses the social determinants of health. While these positions are not necessarily mutually exclusive, there has been little experience in identifying how these policy initiatives intersect, and what models of community engagement could result in meaningful progress in achieving health equity.

Check it Out!

Region X Adjunct Faculty Positions available at NWRPCA Campus http://www.nwrpca.org/precept-a-medical-student.html

39

» Learning Objective 1: Cite the rationales behind the patient centered medical home and social determinants of health perspectives as being critical to achieving health equity.

» Learning Objective 2: Identify some shortcomings in both policy areas as relates to health equity.

» Learning Objective 3: Provide some examples of how a patient centered medical home approach may make meaningful contributions to mitigating negative social determinants of health.

Presenter: Winston Wong, Medical Director, Community :#3#1&)<34)*'+#$&,+6)*'5?<+'&'#5)FG?+,(#G#3&)<34)I%<8'&9)F3'&'<&'(#56)=<'5#+)7#+G<3#3&#6)H<&',3<8)7+,>+<G)0/1$#

[W%Q%0(+569<B%0(c.:7;98"*9I"89:<7%G$%^79<B%1:<cJ(+96"*%-(#7:<<(*Track: Patient Centered Medical HomeCompetencies:



C"W/,&5+.(0+V(.+,-&$(7"$($&+2-+3*(-.$57,@0"4$+-$./"$United States. Nationally almost 20% of Medicare patients are re-admitted within 30 days of a hospital discharge. Up to 75% of these re-admissions are likely preventable through improved transitions of care programs. However, transitions of care programs that rely on nurses or nurse practitioners are quite expensive to implement, and therefore must often be limited to patients with a payer source. By using lower cost non-medical personnel, it is possible to reach all patients at high risk for re-hospitalization in a cost effective way. In 2011, Salud Family Health Centers implemented a Transitions of Care program using college educated Health Corps members with the goal of reducing re-hospitalizations among all Salud patients 7"2(7)0"&&$,!$5(<"7$&.(.6&A$?!$./"$37&.$]ii$5(.+"-.&$enrolled in this program, 6.4% of the high risk patients who consented to a home visit were readmitted to the hospital within 30 days, compared to 12.5% of the high risk group that refused home visits. The statewide readmission rate for Medicare patients in 2009 was 19.6%. This program demonstrates that a Transitions of Care program based on non-medical personnel can be effective in reducing re-hospitalizations of community health center patients.

12-02554_PTS_AD_PTSOTradeshowAd-Prod-OL.indd 1 9/24/12 9:30 AM

40

» Learning Objective 1: List several components of successful transition of care programs that use non-medical outreach workers.

» Learning Objective 2: Describe key elements of an effective home visit.

» Learning Objective 3: List the major characteristics that identify patients at high risk for re-hospitalization.

Presenters: Todd Lessley, Accountable Care Coordinator, and Rachel Wolf, Transitions of Care Coordinator, Salud Family Health Centers

[Y%Q%4%R#"J(_:#'%A:#%@"7(%!"<"B(J(<8%to Improve Population HealthTrack: Public Health/Primary CareCompetencies:



A collaboration of homeless service providers in Yakima D,6-.<$6&"&$./"$B7+V,-($F"0!$F6!3*+"-*<$;(.7+T$(&$./"$community standard for case management to help high 7+&%'$/,4"0"&&$!(4+0+"&$#,7%$.,#(7)$&"0!$&6!3*+"-*<A$L/"$+-."7(*.+1"$F"0!$F6!3*+"-*<$.,,0$4"(&67"&$&"0!W&6!3*+"-*<$(0,-2$im$),4(+-&$E+-*,4"'$")6*(.+,-'$*/+0)$care, life skills). Clients do the assessment and goal setting at six-month intervals to measure progress toward gaining stability for themselves and their families. This session demonstrates how the ASSM is used and how it helped YNHS achieve PCMH Level 3 recognition for its homeless families. This collaboration, called FIESTAS (serving Families & Individuals to End Serious Trouble through Agencies’ Support) was named a Promising Practice by the Department of Health & Human Services in November 2011 for its standardized collaborative approach to case management.

» Learning Objective 1: Explain how the Self F6!3*+"-*<$;(.7+T$+&$6&")$(&$($*(&"$4(-(2"4"-.$tool.

» Learning Objective 2: Describe how to set goals @(&")$,-$&*,7"&$,!$./"$F"0!$F6!3*+"-*<$.,,0A

» Learning Objective 3: Give some examples of using the tool as a motivator in case management.

Presenters: Rhonda Hauff, COO / Deputy CEO, and Annette Rodriguez, Homeless Services Director, Yakima Neighborhood Health Services

aO%Q%FJ;#:S9<B%0(8(<89:<X%0(6(<8%Findings and Support ActivitiesTrack: HR/WorkforceCompetencies:

» Supervises clinical staff and resources » Recruitment and hiring of staff » Administering staff retention strategies@E^7X 1.5 PHR

It is always a challenge for CHCs to retain impassioned providers. This panel discussion will examine recent discoveries about retention of providers serving the underserved. Panelists will discuss a HRSA grant program targeted at retaining past and present loan repayment recipients in underserved communities, as #"00$(&$7"*"-.$3-)+-2&$!7,4$($_^ii$DGB;>F$7"5,7.$,-$provider retention. The presentation will also evaluate the impact of loan repayment providers on patient access and provide resources for ongoing support of health center recruitment and retention activities.

» Learning Objective 1: List three effects of loan repayment and other factors on the satisfaction and retention of quality providers.

» Learning Objective 2: Identify three best practices of effective employer strategies for provider recruitment and retention.

» Learning Objective 3: Describe future opportunities for loan repayment programs and additional programs supporting health center recruitment and retention.

Presenters: Trish Bustos, Workforce Manager, NWRPCA; Amber Galloway Stephens, Workforce Programs Manager, Colorado Department of Public Health; Erica Grover, Public Health Analyst, Health Resources & Services Administration-National Health Service Corps; Andrea Martin, Workforce Development & Member Services Director, Community Health Association of Mountain/Plains States (CHAMPS); Brooke Wagenseller, Contracts Monitor & Public Information, Colorado Department of Public Health & Environment

aP%Q%&."8`7%<:8%.";;(<9<B%9<%$:5#%=9**9<B%Department?Track: OperationsCompetencies:

» Billing, collections & reimbursement knowledge » Financial accountability@E^7X 3 CDE, 3 CME, 3 CNE, 3 CPE (Finance)

41

Check it Out!

L,$5,&.$,7$3-)$($Q,@$+-$C"2+,-$MIII$1+&+.$www.CHAMPSonline.org and click on Job Bank!

:,$<,6$,!."-$3-)$<,67&"0!$#,-)"7+-2$#/(.$+&$,**677+-2$in your billing department? Is billing department performance and accounts receivable consistently a concern for your health center? Maybe the question you should be asking is, What is not occurring in your billing department? This presentation will unveil the top six items that management needs to know and correct in their billing departments to improve processes, +-*7"(&"$"!3*+"-*+"&$(-)$+45(*.$7"1"-6"$*,00"*.+,-A$We will discuss key questions that administrators and management need to be asking staff to identify potential billing compliance issues and revenue leakage in their health centers.

» Learning Objective 1: List at least 3 common problems impeding successful revenue cycle performance.

» Learning Objective 2: List at least 3 Key Performance Indicators (KPIs) that need to be monitored to gauge billing activities.

» Learning Objective 3: List at least 3 steps for improving areas in your organization to positively impact processes.

Presenter: Monique Funkenbusch, CPC-A, Senior Consultant, BKD LLP

aN%Q%-#9J"#$%@"#(%@:<79+(#"89:<7%A:#%Improving Reproductive HealthTrack: ClinicalCompetencies:


» Quality Improvement@E^7X 3 CDE, 3 CME, 3 CNE

>(.+"-.&$#+00$@"-"3.$!7,4$57,1+)"7&$57,(*.+1"0<$addressing their sexual health. Effective sexual health care addresses wellness in addition to infections, sexual dysfunction, and contraception. When providers discuss these issues with the patient, sexually transmitted infections, unintended pregnancies, and unhealthy sexually decisions may be reduced. This session will give providers a framework to routinely elicit a patient’s sexual history as a standard of preventive care that can reduce unintended pregnancies, decrease STI transmission and improve sexual decisions in our patient population. This session will build skills in taking a sexual history by using the 5 P framework. Participants will create an action plan for the integration of sexual health screening into their routine primary care.

» Learning Objective 1: List 3 ways in which addressing sexual health issues complements comprehensive preventive care.

» Learning Objective 2: Conduct a thorough and effective sexual history.

» Learning Objective 3: List key screening and treatment information for the management of STDs.

Presenters: Dr. Grace Alfonsi, Family Medicine, Denver Health-CHS Primary Care; Helen Burnside, Public Health Training Coordinator, Denver Prevention Training Center

a[%Q%!"<"B9<B%2$;(#8(<79:<%8.#:5B.%PCMH ConceptsTrack: Patient Centered Medical HomeCompetencies:


» Participating in collaboratives@E^7X 3 CDE, 3 CME, 3 CNE

This session demonstrates how a primary care clinic can use the concepts of PCMH to improve the management of hypertension among its patient population. Focusing on improving one chronic condition such as hypertension can support the implementation of PCMH and achievement of national recognition. The Washington State Department of Health (DOH) has led a hypertension quality improvement project with Sea Mar Community Health Centers for the last 1.5 years. With Sea Mar staff input, DOH has developed a how-to handbook with 26+)(-*"'$7"&,67*"&'$(-)$.,,0&$&5"*+3*$.,$/<5"7."-&+,-$management in a primary care practice and congruent with the PCMH model of care. The panel will discuss the use of hypertension management as a quality initiative to implement PCMH from three viewpoints: DOH, the PCA, and the implementing clinic.

42

» Learning Objective 1: Identify three ways that PCMH concepts can be used as a framework for improving the management of hypertension in the primary care patient population.

» Learning Objective 2: Give examples of how team care can improve blood pressure management.

» Learning Objective 3: List two ways to use the EHR to measure the effectiveness of the clinic’s management of hypertension.

Presenters: Sara Barker, MPH, Sea Mar Community Health Centers; Kathleen Clark, MS, RD, Washington Association of Community and Migrant Health Centers; Colette Rush, RN, CCN, Washington State Department of Health

aa%Q%-:8(<89"*%0:*(7%A:#%@2@7%9<%-:*96$%and ProgramsTrack: PolicyCompetencies:


» Strategic planning/organizational skills

Over the last 17 years Hidalgo Medical Services has grown from a humble two-day per week clinic in a frontier county without other services to a national leader in policy and program development. HMS Executive Director Charlie Alfero will discuss how CHCs can develop policy and programs, such as creating model workforce training pathways programs from middle school through rural residency consortium and integrating delivery of CHW and Care Coordination Services. He will also describe the creation of a management services system that supports two -(.+,-(0$-,-W57,3.$,72(-+V(.+,-&$./(.$!,*6&$,-$!7,-.+"7$community policy and racial and ethnic approaches to community health. The presentation will include outcomes data, service-modeling options under health care reform and discussion of the unique role CHCs can play in forming their own future.

» Learning Objective 1: How CHCs can help create a successful environment

» Learning Objective 2: Workforce Options for Rural and Frontier CHCs

» Learning Objective 3: Integrating primary medical, dental, behavioral and family support services

Presenter: Charlie Alfero, founder and current Executive Director of the Center for Health Innovation at Hidalgo Medical Services

a]%Q%20%U#"9<%8.(%U#"9<(#X%EJ;:_(#9<B%U("J7%8.#:5B.%@:<h968%!"<"B(J(<8Track: HR/WorkforceCompetencies:

» Building a positive workplace environment » D,-N+*.$4(-(2"4"-.@E^7X 1.5 PHR

;(-<$/"(0./$*"-."7&$(7"$()(5.+-2$.,$&+2-+3*(-.$operational changes with electronic health record implementation and transformation efforts to team-based care as part of moving to a patient-centered 4")+*(0$/,4"$4,)"0A$I-*7"(&")$*,-N+*.$+&$.,$@"$expected and is a natural and normal part of transitions that include uncertainty, shifting staff responsibilities, and different work processes. Left unaddressed, /,#"1"7'$+-."75"7&,-(0$*,-N+*.$(4,-2$&.(!!$#+00$R6+*%0<$shift valuable time and effort away from patient care and health center goals and will result in team energy )7(+-A$F65"71+&,7&$#/,$4(-(2"$*,-N+*.$57,)6*.+1"0<$6-)"7&.(-)$./"$-(.67"$,!$*,-N+*.'$(-)$./"+7$,#-$reactions empower individuals to resolve disputes on their own, recognize obstacles to resolution (-)$!,00,#$($57,*"&&$#/"-$*,-N+*.$"&*(0(."&A$I-$./+&$session, participants will learn a structured approach to "45,#"7$&65"71+&,7&$.,$&6**"&&!600<$())7"&&$*,-N+*.&$in the workplace before they escalate.

» Learning Objective 1: List the essential structural "0"4"-.&$,!$&6**"&&!60$*,-N+*.$7"&,06.+,-A

» Learning Objective 2: Create questions that supervisors can use to help employees understand /,#$.,$4(-(2"$./"+7$,#-$*,-N+*.&A

» Learning Objective 3: Formulate strategies to "45,#"7$&65"71+&,7&$.,$+457,1"$*,-N+*.$7"&,06.+,-$skills.

Presenter: Bill Monroe, Facilitator, Trainer & Coach, Integrated Work

ad%Q%-#:i(68%!"<"B(J(<8%A:#%@2@7Track: Operations/ITCompetencies:

» High-level strategic planning » Change management » Systems innovator for organization@E^7X 3 CDE, 3 CME, 3 CNE, 3 CPE (Business Mgmt & Org)

43

Check it Out!

To learn more about CHAMPS, check out www.CHAMPSonline.org

Columbia Valley Community Health has implemented an enterprise project management system resulting in a 90% project completion rate for the 21 agency-wide projects completed in FY2012. This best-practice project management strategy is right-sized for the needs and resources of the clinic, it is transparent and available to all staff, it ensures accountability at all levels, and it consists of four core principles and three simple tools that were already present in the agency’s infrastructure. Learn how CVCH used interactive project management tools to plan the project and evaluate project milestones.

» Learning Objective 1: List the 4 principles governing Project Management at CVCH.

» Learning Objective 2: Describe the project management tools deployed to provide transparency and accountability throughout the project lifecycle.

» Learning Objective 3: Cite the measures used to gauge the effectiveness of organization wide project management.

Presenters: Patrick Bucknum, CEO, and Dan Heindel, Director of Planning & Development, Columbia Valley Community Health

aM%Q%U.(%@*9<969"<`7%0:*(%9<%0(B5*"8:#$%ComplianceTrack: ClinicalCompetencies:

» Participating in collaboratives » Compliance/Legal expertise @E^7X 3 CDE, 3 CME, 3 CNE

Health care reform brings with it an increasing number of reporting and compliance requirements. This presentation will attempt to summarize the requirements and introduce a checklist approach to delegating and tracking clinical compliance. We will discuss the payer’s perspective on NCQA, HEDIS & other QA controls, as well as the clinician’s role in PCMH Meaningful Use requirements.

» Learning Objective 1: Describe the payer’s perspective on NCQA, HEDIS & other QA controls.

» Learning Objective 2: Identify opportunities for 3rd party partnership efforts.

» Learning Objective 3: List some aspects of the clinician’s role in meeting PCMH meaningful use requirements.

Presenters: Dr. Carl Heard, Medical Director/Programs Committee, and Charla Parker, CEO, Western Clinicians Network

aW%Q%=(."S9:#"*%2("*8.%F<8(B#"89:<%Challenges in PCMH: 2 ModelsTrack: Patient Centered Medical HomeCompetencies:

» I-."27(."&$1(7+,6&$)"5(7.4"-.(0$&"71+*"&$"!3*+"-.0< » Systems innovator for organization@E^7X 3 CDE, 3 CME, 3 CNE

Research indicates that integration is essential to the success of a Patient Centered Health Home (the term for Patient Centered Medical Home used in Oregon). Challenges inherent in putting the model into action will be discussed after a question period from the audience: what is it that you need help with around integration? Presenters will share their experience of integrating BH (Behavioral Health) into Primary Care: Behavioral Health Consultants engaging patients around their medical conditions, Mental Health Specialists co-located and in the PC teams, providing therapy to PC patients, and the integration of Primary Care services into a specialty BH setting. Highlights will include what not to do, what works in terms of engaging patients and staff in both settings, and how to maintain the progress in spite of potentially two different billings systems and sets of electronic health records. Outcome measures that can be used will also be discussed.

» U"(7-+-2$?@Q"*.+1"$ig$U+&.$&5"*+3*$&."5&$.,#(7)$PGjPC and PC/BH integration.

» U"(7-+-2$?@Q"*.+1"$_g$:"&*7+@"$&5"*+3*$.,,0&$!,7$engaging patients and staff in this new model.

» Learning Objective 3: List outcome measures that demonstrate progress with integration.

Presenters: David Edwards, FQHC Director, and Janelle McLeod, Manager, Clinical Operations, Clackamas County

BOARDROOM

V’S LOUNGE

HOTEL LOBBY

HORACE TABORPREFUNCTION

MOLLY BROWNPREFUNCTION

HORACE TABORMOLLY BROWN

AUGUSTA

LOBBY LEVEL, SECOND FLOOR

1672 Lawrence St.Denver, Colorado 80202

P: (303) 5727208 F: (303) 5727236www.westindenverdowntown.com

CONTINENTAL BALLROOM

TELLERROOM

LAWRENCE A

LAWRENCE B WELTON MCCOURT

BLAKE

COOK

TABOR AUDITORIUM

GILPIN

CURTIS

CONTINENTALFOYER

CONFERENCEOFFICE B

CONFERENCEOFFICE C

CONFERENCEOFFICE A

MEZZANINE LEVEL, THIRD FLOOR

LARI

MER

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