(CHI) Community Health Institute and Expo

Aug 24, 2017 ‐ Aug 28, 2017


Setting the Bar: Legal Approaches to Health Center Board Compliance (formerly At the Bar for Board Members)

Aug 29, 2017 7:00am ‐ Aug 29, 2017 9:00am

Identification: CTuH1

Members of health center boards of directors have a legal duty under Section 330 of the Public Health Service Act (the law creating the Health Center Program) and other federal healthcare laws to assure that the health center complies with all applicable laws and regulations. Congress has significantly increased penalties for non-compliance and federal agencies, including the Justice Department and the Internal Revenue Service, have stepped up their oversight activities. Speakers will discuss areas of potential liability under federal healthcare and tax laws and explain the board's role in reducing the risk of violations, including the important role that an effective corporate compliance program plays in protecting the board and the health center.

  • - Understand key legal responsibilities of health center board members related to fraud and abuse and compliance with tax laws.
  • - Apply basic techniques for avoiding personal and health center liability for violations.
  • - Understand how the board can promote a culture of responsibility and corporate compliance.


Visit Planning Care Team Transformation to Achieve the Quadruple Aim

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuA1

The Community Health Care Association of New York State (CHCANYS) piloted a patient-centered care team transformation project with 11 Federally Qualified Health Centers over a two-year period with funding from the CDC and the New York State Department of Health. Through implementation of a pre-visit planning tool, health centers streamlined care delivery processes and redistributed patient care responsibilities across the care team. Participating health centers engaged leadership to make key decisions related to technical and clinical workflows, configuration of the pre-visit planning report, and redefinition of staff roles and responsibilities. Medical assistant and provider teamlets utilized the tool during daily huddles to identify gaps in required preventative and chronic disease care, and then addressed these needs during scheduled patient visits. A key focus of the project was ensuring data accuracy of the report, and successful implementation of data-driven huddling to other care teams. Following the three-month pilot, each health center demonstrated improved patient outcomes (some by up to 30%) and staff satisfaction. Common challenges and successes will be presented, followed by the specific experience of Settlement Health, a participating CHC in New York City.

  • - Describe the change management phases employed for successful care team transformation.
  • - Illustrate ways care team transformation can help practices achieve the goals of the Triple Aim.
  • - Articulate benefits implementing visit planning in a health center.

  • Warria Esmond, MD, Chief Medical Officer, Settlement Health
  • Diane Ferran, MD, MPH, Vice President, Clinical Affairs & Performance Improvement, CHCANYS
  • Heather Budd, VP of Clinical Transformation, Azara Healthcare, Vice President, Clinical Transformation, Azara Healthcare

Health Center Advocacy for Board Members

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuC1

The role health center board members play in driving effective and powerful advocacy at their health centers, both personally and as an organization, cannot be overstated. Active participation by the board of directors is a key element to building a successful advocacy program at all levels of health center operations and outreach. This session will share best practices on how health center boards can and should work with health center leadership to drive advocacy initiatives, develop board structure and advocacy planning to make advocacy an organizational priority, and effectively leverage relationships with other community leaders to raise awareness and increase power and influence.

  • Identify best practices for participating in advocacy activities with health center staff and out in the community, on behalf of the health center (to include engagement with local, state, and federal elected officials).
  • Think creatively and innovatively about advocacy efforts and activities, including how to leverage your role with outside employers and community groups to raise awareness of and gain support for your health center.
  • Establish and build a culture of advocacy at your health center.

Transforming the Culture to Prosper in a Climate of Change

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuD1

Deloitte Consulting describes organizational and workplace culture like an iceberg; its most important components - values, beliefs, and reward systems - lie below the surface. Transforming culture is often substantially more difficult than changing business processes or information systems. The landscape in healthcare is rapidly changing and the only thing for certain right now will be the competitive market for talent and the health center's capabilities in recruiting and retaining this talent. Transforming the culture to prosper in a climate of change goes directly to the heart of what health centers must be doing right now. This interactive presentation will identify critical workplace culture characteristics and provide steps toward the path to transformation, assuring success now and in the future.

  • - Define what is a culture of excellence.
  • - Provide examples of factors driving the need for cultural transformation.
  • - Identify best practice methods in cultural transformation.


Leveraging Community Health Workers to Provide Care Coordination and Enabling Services

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuE1

Community health workers (CHWs) are frontline public health workers that serve as an intermediary between health/social services and the communities they serve. Health centers have long utilized CHWs to address social determinants of health, facilitate access to services, and improve the quality and cultural competence of service delivery. CHWs - and other enabling services staff - play an increasingly important role as health centers redefine how they provide and coordinate care, serve as patient-centered medical homes, and manage population health in a value-based payment model.

This session will highlight models for utilizing CHWs in community health centers. Presenters will report on the findings of a recent comprehensive study on CHWs in health centers in the Pacific Northwest region. They'll also discuss the rationale for engaging CHWs; the range of current roles, titles, core competencies, and skills; and the varied work focus for CHWs. An overview will be provided of (1) health centers in Michigan that have successfully cross-trained various staff members as CHWs in order to provide a wide range of enabling services and (2) state payment mechanisms created to help finance the employment of CHWs and their activities.

  • - Describe the range of CHW roles and core competencies.
  • - Highlight ways in which CHWs can be utilized to advance patient- and community-centered models of care.
  • - Discuss the financial sustainability of CHWs.

  • Feygele Jacobs, DrPH, President & CEO, RCHN Community Health Foundation
  • Jaspreet Malhotra, MPH, Enabling Services Manager, Michigan Primary Care Association
  • Seth Doyle, Community Health Improvement Program Manager, Northwest Regional Primary Care Association
  • Mr. Ted Henson, Director, Health Center Performance and Innovation, National Association of Community Health Centers, Director, Health Center Growth & Development, NACHC

Making Self-Measured Blood Pressure Monitoring Work in Your Health Center: Lessons From the Field

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuF1

Did you know that having patients measure their blood pressure outside of the clinical setting can significantly improve blood pressure outcomes? Did you know that a recent study also found that reimbursement of home blood pressure monitoring, also called self-measured blood pressure monitoring (SMBP) would generate overall net savings and up to a 4:1 positive return on investment (ROI) in the first year and up to 20:1 ROI after 10 years? The healthcare system is moving toward SMBP as a standard of care - don't wait to get on board! This session will provide tips, lessons learned, and quick wins to accelerate implementing a successful SMBP program in your own health center.

  • - Explain why SMBP is superior to office-based measurement.
  • - Describe key elements of implementing a home blood pressure monitor loaner program and long-term program.
  • - Identify ways to engage patients and staff around SMBP.

  • Jennifer Covin, MPH, Director of Programs, Health Quality Partners of Southern California
  • Gina DeVito, RD, CDN, Director of Wellness Initiatives, Open Door Family Medical Center
  • Joseph Humphry, MD, Program Medical Director, Lana‘i Community Health Center
  • Meg Meador, MPH, CPHI, Director, Clinical Integration and Education, NACHC

Forecasting the Impact of Value-Based Payment on Health Center Financial Performance

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuG1

Health reform and the evolution of value-based payment (VBP) is changing the way health centers will be paid by third-party payors including Medicare and Medicaid. Most VBP models introduce the payment mechanism of rewarding CHCs for managing the total cost of care of their patients. Although FQHC wraparound protections remain, CHCs must become familiar with how VBP arrangements will impact financial operations and begin the processes of both adjusting financial and operational management systems and forecast the impact such payment models will have on the bottom-line and cash flow.

This session will begin with an overview of VBP arrangements, the individual payment components, and what can be done today to prepare for the future. In addition, the presenters will discuss the key drivers to financial success under VBP and what business processes and reporting systems will require adjustment. Since care coordination, paying for quality, and managing the total cost of care are front and center in VBP, the session will also begin to address forecasting revenue under VBP and the "new" costs of participation so that centers can understand the potential return on investment (ROI) and demands on cash flow and overall operations.

  • - Learn what VBP arrangements are and how health centers can begin to prepare today for them.
  • - Determine the key drivers in VBP arrangements to achieving financial success, including what business processes and reporting systems will need to be evaluated.
  • - Understand the "new" costs of participation and demands on existing cash flow and overall health center operations in VBP arrangements, and their effects on the potential ROI.


Engaging and Retaining Patients With Substance Use and Behavioral Health Issues in Ongoing Primary Care

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuJ1

People with substance abuse disorders and behavioral health issues experience significant health disparities and barriers to care. They comprise one of the most medically underserved populations in the United States today. Yet many community health centers report feeling ill-equipped to address the needs of these patients or have difficulty engaging/retaining them in care. Come to this session for an overview of addiction science, insights into the unique needs of this patient population and how to keep them engaged in care. Explore practical steps your health center can take to create a patient-centered environment, which offers both a welcoming experience and quality primary care to "using" patients that is culturally responsible, sensitive, affirming, and effective. A panel of your health center colleagues will share the tools they have used to create success and meet challenges in caring for this growing epidemic in their communities. Bring your own experiences and questions.

  • - Describe how addiction impacts the brain.
  • - Understand the role of health centers in managing culturally responsible care of the complex patient with substance use disorder and behavioral health issues.
  • - Describe the role of collaboration in supporting services for complex patients with co-occurring substance use disorder and behavioral health issues.

  • Roderick Seamster, MD, MPH, President & CEO, Watts Healthcare Corporation
  • Timothy W. Fong, MD, Professor of Psychiatry and Director, UCLA Addiction Psychiatry Fellowship, University of California, Los Angeles
  • Raphael G. Irving, MA, MDiv, Immediate Past Board Chair, Watts Healthcare Corporation
  • Jorge Reyes, MS, Director, Behavioral and Social Services, Watts Healthcare Corporation

Accountable for the Health of a Population? You Must Include Oral Health

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuK1

The healthcare environment is undergoing significant changes that include caring for the whole person, paying for value not volume, and being accountable for the health of a population. To address these changes, you must include oral health. Data and models are available to support your health center's need to address the five domains of HRSA's Integration of Oral Health and Primary Care clinical core competencies (risk assessment, oral health evaluation, preventive intervention, communication and education, and interprofessional collaborative practice), develop or enhance your dental program, and make the business case. This session will focus on the resources and technical assistance available to your health center.

  • - Describe areas where your health center can improve the integration of oral health and primary care, including options for making improvements.
  • - Formulate a business plan that makes the financial case for having a dental program at your health center.
  • - Identify resources that are available to assist your health center to improve the oral health of the community you serve.

  • Melody Martin, Director, Development and Training, Kansas Association for the Medically Underserved, National Oral Health Innovation and Integration Ne
  • Theodore Wymyslo, MD, Chief Medical Officer, Ohio Association of Community Health Centers, NOHIIN
  • Kim Butler Perry, DDS, MSCS, FACD, Associate Vice President, University Strategic Partnerships, A.T. Still University
  • Huong Le, DDS, MA, Chief Dental Officer and Board Member, Asian Health Services
  • Donald L. Weaver, MD, Senior Advisor, Clinical Workforce, NACHC

BPHC Update: Part One - Quality, Data, and FTCA

Aug 29, 2017 7:30am ‐ Aug 29, 2017 9:00am

Identification: CTuL1

Interested in learning the latest from the Bureau of Primary Health Care (BPHC) on improvements in quality and data? Session attendees will hear from BPHC's Office of Quality Improvement and will focus on quality and data updates impacting health centers. Previous attendees, please note this year we are breaking the traditional BPHC Update into two sessions, Part One (this session) focuses on updates on quality and data, while Part Two will focus on policy updates.

  • - Learn the latest developments from BPHC's Office of Quality Improvement.
  • - Understand how these developments impact your health center.
  • - Identify BPHC resources on quality and data.

  • Colleen Meiman, Senior Policy Advisor, NACHC
  • Suma Nair, PhD, MS, RD, Director, Office of Quality Improvement, Bureau of Primary Health Care/HRSA