(CHI) Community Health Institute and Expo

Aug 24, 2017 ‐ Aug 28, 2017


Patient-Centered Medical Home: Insights and Updates From Three National Accreditation/Recognition Organizations

Aug 28, 2017 12:30pm ‐ Aug 28, 2017 2:00pm

Identification: CMK2

This session will provide the latest updates from the three national patient-centered medical home (PCMH) organizations recognized by HRSA through its Accreditation and Patient-Centered Medical Home Recognition Initiative, which has as its priority to support health centers to achieve national quality standards and ongoing quality improvement. Speakers from the National Committee for Quality Assurance (NCQA), The Joint Commission (TJC), and the Accreditation Association of Ambulatory Healthcare (AAAHC) will discuss their PCMH recognition/accreditation programs: new and existing programs, benefits and challenges, start-up and maintenance, and guidance around top risks and stumbling blocks.

  • - Differentiate between the PCMH recognition/accreditation programs of the three HRSA recognized organizations.
  • - Identify unique features of each model, instructions on the process of achieving/renewing recognition or certification, and guidance with regard to logistics and engaging with each organization.
  • - Plan strategies for enhancing your health center’s approach to PCMH.

  • Mona Sweeney, RN, BSN, Assistant Director, Primary Care, Accreditation Association of Ambulatory Health Care (AAAHC)
  • William Tulloch, MA, PCMH CCE, Director, Government Recognition Initiatives, NCQA
  • Joyce Webb, RN, MBA, Proj Dir, Dept. of Standards and Survey Methods, Proj Lead, PCMH Initiative, The Joint Commission
  • Cheryl Modica, PhD, MPH, BSN, Director, Quality Center, NACHC

Providing Essential Health Services to Veterans

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMA3

Since enacted in August of 2014, the Veterans Access, Choice and Accountability Act ("Choice Act") has expanded options for how veterans enrolled for healthcare with the VA can choose to access healthcare in their communities. The Choice Act opened the door for health centers to serve more veterans in their communities and strengthen partnerships with both local VA facilities and veteran non-profit organizations in the community. Since becoming law, the Choice Act has been refined and updated to simplify processes and better meet the needs of veterans.

The extension of the Choice Act beyond August 7, 2017, provides time for congressional and VA leadership to work on further needed changes to this act. Of interest to health centers is the notion of an expanded and improved community provider program. Earlier efforts in this area have named health centers as "core" community providers in any expanded community care partnership arrangements. This session will provide an update on the Choice program and other VHA programs directed at providing veterans care within their communities; detail resources and strategies aimed at increasing veteran community care; and highlight health centers that are connecting, engaging, and serving veterans within their communities.

  • - Gain an understanding of the Choice and other VHA programs and updates that impact how health centers become recognized providers for veterans by the VHA.
  • - Understand how health centers can collaborate with the local VA and VSOs.
  • - Identify resources available to develop and implement a Veteran Engagement Plan.

  • Greg Nycz, Executive Director, Family Health Center of Marshfield
  • Graham Rae, MBA, MEd, Chief Financial Officer, Indian Stream Health Center
  • Richard Bohrer, Consultant, Network Relations, NACHC
  • Regan Crump, Assistant Deputy Under Secretary for Health, Policy and Planning, Veterans Health Administration
  • Kameron Matthews, MD, JD, FAAFP, Deputy Executive Director, Provider Relations and Services, Office of Community Care Delivery Operations, Veterans Health Administration

Federal Legislative Update: The Latest from Capitol Hill

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMC3

The congressional landscape in 2017 has been a roller coaster, with major debates on budget priorities, healthcare, and other key policy issues that directly impact health centers and our patients. We'll look at the latest developments on Capitol Hill, including what's happening with the health center funding cliff, workforce policy, Medicaid, 340B, telehealth, and other priority issues. We'll also discuss how best to use the NACHC Federal Affairs team as a resource.

  • - Understand the structure and responsibility of the NACHC Federal Affairs Team and how to utilize it as a key resource.
  • - Anticipate and contribute to health center advocacy on key issues of importance to our future.
  • - Get up to speed on the congressional health policy agenda for 2017 and get to know the new Administration and the 115th Congress.


The Use of Social Determinants of Health and Analytics to Maximize Alternative Payment Model Programs - Special Exhibitor Session Sponsored by OCHIN

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMD3

Emerging alternative payment models (APMs) and accountable care organization (ACO) models increasingly require accurate social determinant of health (SDH) and community resource information. Infrastructure and processes are required to collect and aggregate patient and community-level SDH data, and efficiently utilize it to connect patients to the right community services, evaluate risk, transform care, and maximize new payment models. In OCHIN's network, health centers have been using the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) tool developed by NACHC, the Association of Asian Pacific Community Health Organizations, the Oregon Primary Care Association, and the Institute for Alternative Futures to collect and respond to SDH data. Presenters will share lessons learned on aggregating data across OCHIN's member health centers and analyzing that data to inform care transformation and APMs.

  • - 1) Review the need for and opportunity to use patient and community-level SDH to maximize APM programs.
  • - Understand how PRAPARE data findings from OCHIN research projects can inform risk evaluations.
  • - Understand how SDH data, resulting from PRAPARE, can be used to transform patient care.


Collecting SO/GI Data: Lessons Learned and Next Steps for Using the Data to Support LGBT Patients

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:30pm

Identification: CME3

The UDS 2016 requirement to report sexual orientation and gender identity (SO/GI) data inspired health centers to collect this information from patients for the first time. In order to implement systems to collect this demographic data, many health centers learned that they needed to educate patients on the "why" of sharing this personal information; engage staff in understanding why care teams need to understand a patient's sexual orientation and gender identity; educate the healthcare organization about what factors may impact a lesbian, gay, bisexual, and/or transgender patient's quality of care and experience of care; and use quality improvement methods to develop systems incorporating workforce skills and responsibilities and HIT fields and forms to collect, report, and begin to use SO/GI data to improve patient care. In this two-hour session, experts from the field will share promising practices for collecting SO/GI data and then lead a discussion about outstanding challenges and next steps for use of SO/GI data.

  • - Summarize how to incorporate SO/GI data collection into your EHR to improve communication, quality care, and data and quality management activities.
  • - Describe the impact SO/GI data collection and development of related decision support will have on key stakeholders (patients, staff, and management).
  • - Identify methods to actively engage and educate staff on the importance of collecting SO/GI data, how to do so, the data’s impact on health disparities, and how SO/GI can be used to direct education and clinical practice.

  • Andrew Cronyn, MD, Pediatrician, El Rio Community Health Center
  • Luis. R. Garza, MD, Chief Medical Officer, Project Vida Health Center
  • Aida Ponce, Chief Outreach/Wellness Officer, Project Vida Health Center
  • Robin Tenenbaum, MBA, IT Director, El Rio Community Health Center
  • Chris Grasso, Associate Vice President, Informatics and Data Services, The Fenway Institute
  • Alex Keuroghlian, MD, MPH, Director, Education and Training Programs, The Fenway Institute

Effecting Change Through the Use of Motivational Interviewing

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMF3

Motivational interviewing (MI) is a counseling method for enhancing an individual's internal motivation for positive behavior change through exploring and resolving ambivalence. With this approach, patients are effectively engaged in a discussion about their problematic behavior, typically stemming from behavioral health and other medical and psychological conditions. In this session, attendees will learn that by employing a person-centered counseling style, care providers at all levels can improve communication with patients, more effectively explore and address problematic behaviors, improve patients' medical and psychological health, and reduce their own work stress. This course is intended for individuals with a beginning or intermediate MI skill level.

  • - Describe the core motivational interviewing skills and processes.
  • - Recognize the signs of and demonstrate how to roll with patient resistance.
  • - Explain how to enhance a patient’s self-examination and motivation to change.

  • Ellen Robinson, MHS, PMP, Director, Information Resources and Outreach, NACHC
  • Andrew Kurtz, MA, LMFT, Clinical Specialist, UCLA Integrated Substance Abuse Programs, Pacific Southwest Addiction Technology Transfer Center (ATTC)

NIH’s All of Us Research Program FQHC Pilot: Bringing Precision Medicine Research to the Safety-Net Community

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMG3

The National Institutes of Health's (NIH) All of Us (AoU) Research Program is a nationwide effort to gather health data from one million or more participants reflecting the nation's diversity, with a goal of generating a platform for biomedical research to improve health. Participants will contribute physical measurements, biospecimens, survey responses, and EHR data. AoU is initially recruiting participants in healthcare provider organizations (HPO) and direct volunteer sites across the country. In preparation for expanding this program within the safety net community, including Federally Qualified Health Centers (FQHC), AoU is piloting the implementation of this research protocol in six FQHCs. This "study within a study" is exploring and testing the implementation of the AoU research protocol within an FQHC setting and within the diverse communities they serve. The FQHC pilot will generate lessons learned and provide recommendations to scale-up participation to other FQHCs. Pilot FQHC sites, including Centro de Salud de la Communidad San Ysidro (CA), Community Health Center, Inc (CT), Central Mississippi Civic Improvement Association (MS), Hudson River Health Care (NY) Eau Claire Cooperative Health Center (SC), and Cherokee Health Systems (WV), will be on hand to share their experiences.

  • - Become familiar with NIH's All of Us initiative.
  • - Understand more about the pilot FQHCs involved in the All of Us initiative and what it takes to implement the program.
  • - Identify messaging to share with patients in regards to the All of Us initiative.

  • Bacilia Angel, AoU Deputy Project Leader, Lead Business Process Engineer, The MITRE Corporation
  • Joan Grand, RN, MSN, Principal Health Care Consultant, The MITRE Corporation
  • Jason Patnosh, Associate VP, Development and Innovation, NACHC

340B Medicaid Pharmacy Reimbursement: Trends, Risks, and Opportunities for the Health Center C-Suite

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMH3

In order to comply with the CMS Covered Outpatient Drug Rule, states have implemented a variety of strategies to establishing 340B Medicaid policy through state plan amendments (SPAs). This session will provide an overview of the approaches states have taken that impact health centers, the trends nationally that have emerged, and both long- and short-term anticipated consequences. Pharmacy leadership from health centers will describe their experience working with Medicaid on 340B polices, as well as the risks and opportunities they have encountered. Presenters will focus on the unique experiences of health centers, based upon lessons learned in this emerging area.

  • - Describe the trends in state policy regarding 340B Medicaid reimbursement and duplicate discount prevention.
  • - Discuss risks to FQHCs with different Medicaid 340B policy trends.
  • - Identify opportunities for FQHCs based upon best practice experiences with states.

  • Jason Atlas, RPh, MBA, Manager, 340B Education and Compliance Support, Apexus
  • Felicity Homsted, PharmD, BCPS, Chief Pharmacy Officer, Penobscot Community Health Care
  • David W. W. Christian, RPh, Pharmacy Director, Central Virginia Health Services, Inc.
  • Sue Veer, MBA, President and CEO, Carolina Health Centers, Inc.

Best Practices in Engaging the Media on Hot-Button Issues

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMJ3

In today's polarized political climate, the news media are increasingly focused on healthcare and proposals that will impact the future operations of community health centers. Health centers and associations are already fielding questions from reporters about the repeal of the Affordable Care Act, proposals to block Medicaid, and immigration-related policy actions. This session will review and share best practices from the field when engaging media on these and other hot-button topics.

  • - Identify effective media engagement practices to ensure facts are correctly represented.
  • - Create nessage points to correct facts and put broader issues in context.
  • - Identify strategies for staying on message under pressure.

  • Deb Polun, MA, Director of Government Affairs/Media Relations, Community Health Center Association of Connecticut
  • Adela de la Torre, MA, Communications Director, National Immigration Law Center

La defensa de los centros de salud: cómo ser un campeón para la salud comunitaria

Aug 28, 2017 2:30pm ‐ Aug 28, 2017 4:00pm

Identification: CMK3

En un mundo de cambios políticos constantes, financiamiento incierto y para mejorar el entendimiento de los factores sociales que afectan la salud. Hoy es más importante que nunca, que usted, como un defensor de los centros de salud de su comunidad tenga los instrumentos y recursos necesarios para ser un campeón para su centro de salud. Esta sesión cubrirá los principios básicos de la defensa y los nuevos recursos de la Red de Defensores de los Centros de Salud y lo que usted puede hacer para apoyar a su centro de salud. En la segunda parte, aprenderá las estrategias para desarrollar y motivar a la base de defensores comunitarios en su comunidad incluyendo el uso de las redes sociales y la colección de cuentos diseñados para atraer la atención a temas importantes. En esta sesión obtendrá un plan para organizar y movilizar a su comunidad, y pasar a la acción de apoyo a los centros de salud y la salud en su comunidad.

  • - Entender los básicos de la defensa y los recursos que lo pueden ayudar
  • - Poder implementar estrategias básicas de la defensa incluyendo comunicándose con los funcionarios electos
  • - Crear un plan de defensa