Navigating the Legal Pitfalls of Remote Work Arrangements in Health Centers

Oct 30, 2022 11:00am ‐ Oct 30, 2022 12:15pm

Identification: ISuB1

Credits: None available.

The COVID-19 pandemic forever changed the health center workplace as “stay-at-home “orders abruptly required many health centers to send non-clinical staff home to work. Although non-clinical staff have returned to working on-site, health centers are increasingly permitting certain staff members to work from home on a part-time or full-time basis. Given this new and unprecedented reality, health centers must resolve a myriad of legal and compliance considerations by ensuring their policies address the unique issues presented by home workplaces, while also adhering to HRSA’s requirements. Successfully navigating this tightrope of compliance land mines as well as federal, state, and local laws is of the utmost importance to the sustainability of health center operations. In this session, Feldesman Tucker Leifer Fidell, LLP will help health centers identify some of the more common operational and legal issues that arise with remote work arrangements and explore the best practices for ensuring that your organization’s policies and processes comply with HRSA’s requirements and the applicable law. Health center leaders will also showcase their efforts to incorporate remote work policies and arrangements in their organizations. Attendees will learn how to utilize Remote Work Agreements to limit potential liabilities, increase productivity, and manage remote work arrangements with staff.

Lunch and Networking Time in EXPO Hall

Oct 30, 2022 12:15pm ‐ Oct 30, 2022 1:45pm

Identification: BRK2

Credits: None available.

The Evolution of a Value-Based Program and Strategy: Realigning Teams for Success

Oct 30, 2022 12:45pm ‐ Oct 30, 2022 2:00pm

Identification: ISuC2

Credits: None available.

Adelante Healthcare is an FQHC in Phoenix, Arizona. As an organization, we have committed to data- driven practice transformation aligned with value-based care to embrace change. Practice transformation required us to identify and evaluate our teams and led to a complete realignment and restructuring of the value-based care team. This also led to redefining of roles and responsibilities with specific goals and KPIs for the team. This was done in alignment with our current value-based contracts. In addition, Adelante invested in a resource on the data analytics side, specific for value-based functions, so that we have actionable data for our outreach and clinical teams to drive results and better clinical outcomes. We have also built customized dashboards which include performance metrics baselines and targets which are visible to the organization. HIT improvements, digital outreach and tools are implemented.

The focus is to delineate responsibilities and have teams work to the top of their licenses. We have seen a significant financial improvement with regards to value-based incentives and are building financial models for the next three to five years with regards to this program. Team-based strategy and focus on building infrastructure and creating financial sustainability are the focus. Attend this session to learn how your organization can utilize data analytics to transform your team, drive results, and improve clinical outcomes.

Proactively Retaining Member Coverage Amid the PHE Unwinding - SOLUTIONS SPOTLIGHT SPONSORED BY POINTCARE

Oct 30, 2022 1:00pm ‐ Oct 30, 2022 1:30pm

Identification: SS2

Credits: None available.

Solutions Spotlights are presented in the EXPO Hall Theater by leading health center partners and feature industry innovation, case studies, and best practices relevant to the business of community health care. Each session delivers practical, “real-world” solutions in just 30 minutes! Patient coverage statuses change constantly and EMR systems are not equipped to monitor these coverage events. The result? Fewer covered patients, reduced healthcare visits, and lost revenue. The pandemic is over and with the approaching unprecedented wave of patients dropping from public coverage as the federal public health emergency (PHE) is unwound, that impact cannot be ignored, and if your clinic isn’t actively tracking these lapses you may be leaving money on the table. In this session, learn how your organization can approach this problem and work effectively to ensure the most revenue for your clinic, all while providing the best experience for your patients. Presenter: Everett Lebherz, Co-Founder and CEO, PointCare

Reforming Pharmacy Structure to Prepare for Growth and the Use of 340B Savings in an FQHC

Oct 30, 2022 1:45pm ‐ Oct 30, 2022 3:00pm

Identification: ISuB2

Credits: None available.

This session will dive into the world of pharmacy in a federally qualified health center. Pharmacy is completely different, operationally, from what is traditionally seen on the medical side. From community pharmacy to clinical pharmacy, and appropriate use of savings, this presentation will show one health center’s approach to responsible use of 340B savings and creating a dynamic team to help the pharmacy department and the organization continue its path of growth.

Using Data to Drive Leadership Behaviors

Oct 30, 2022 1:45pm ‐ Oct 30, 2022 3:00pm

Identification: ISuA2

Credits: None available.

Many health centers had to shift their focus away from formal continuous quality improvement efforts in the face of the COVID-19 pandemic. As we move into the next pandemic stage, health centers are refocusing on measures that impact their financial health, such as high no-show rates and low productivity while addressing profound burnout amongst staff members. This workshop will include a case study of one health center that reduced cycle time by 26 percent and missed opportunities by 10 percent. Attendees will learn tactics they can use to improve no-show rates, productivity, and cycle time; and leave with an understanding of the roadmap to success and concrete tactics that can be implemented immediately to improve operations.

KPIs for the New Normal

Oct 30, 2022 1:45pm ‐ Oct 30, 2022 3:00pm

Identification: ISuC2

Credits: None available.

Health center finances changes substantially during COVID. Patient service revenue declined, grant revenue increased, and staffing patterns and compensation were disrupted. As health centers move forward in the post-COVID period, they will need to evaluate metrics of their performance. This session will cover Key Performance Indicators (KPIs) that health centers should use today and in the immediate future. These measures will focus on cash, revenue composition, drivers of patient service revenue, and staffing. We will also discuss how to interpret these measures and incorporate them into financial planning.

Refreshment Break in EXPO Hall

Oct 30, 2022 3:00pm ‐ Oct 30, 2022 3:45pm

Identification: BRK3

Credits: None available.

Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders

Oct 30, 2022 3:45pm ‐ Oct 30, 2022 5:00pm

Identification: ISuA3

Credits: None available.

While hospitals and health systems have trained and promoted administrative fellows through their executive ranks for 45+ years, health center fellowship opportunities remain scarce (an online search of “FQHC administrative fellowship” only produced two results, with our organization, Community Health Center, Inc., constituting one of those results). This session is designed to provide an overview of administrative fellowships, items to consider prior to implementation, and practical tools to recruit, train, and place fellows into permanent roles. This framework is designed to be flexible, allowing leaders to customize their content and future fellows’ experience. As former administrative fellows ourselves, we strongly support these training programs, and realize that with the many challenges facing the health care industry, it is important to invest in the future leaders within the field. Unlike strictly academic programs, post-fellowship, candidates are uniquely prepared to think practically, critically, and innovatively, having obtained the necessary skills to support and implement the essential changes in health care. We hope this session will prompt health center leaders to consider establishing administrative fellowships at their organizations to develop the next generation of health care professionals who are passionate about the health of their community and committed to superior patient care.

To Seek the Future, We Must Look to the Past: A Health Center Merger on Hawai`i Island

Oct 30, 2022 3:45pm ‐ Oct 30, 2022 5:00pm

Identification: ISuC3

Credits: None available.

While business and finance interests drive the blueprint of mergers and acquisitions, the role of operations and organizational culture is often overlooked or undervalued. We posit that a successful health center merger is defined by the degree of collaboration between merging teams; with processes rooted in integrity, respect, and the unique values of each organization. “I ka wa ma mua, I ka wa ma hope: The future is found in the past,” a Hawaiian proverb, describes the spirit of the merger between the West Hawai’i Community Health Center and Bay Clinic, both located on Hawai’i Island. This session will address four areas relating to that merger process: (1) theoretical framework for collaboration; (2) organizational structure and culture; (3) importance of leadership development; and (4) our Merger Toolkit. Merger processes will focus on health center operations, including the intentional strategic planning process, facilitating alliance between teams, and taking a strengths-based approach to individual and staff development. Presenters will discuss the challenges faced in delivering healthcare in a diverse, rural community while staying grounded in the CHC mission.