2014: LIVING the CHANGE...8:00 – 9:00 am • Cobalt Room Conference Registration and Continental...

Northwest Regional Primary Care AssociationSpring Primary Care Conference and Annual Membership Meeting May 17–20, 2014 Hyatt at Olive 8 | Seattle, Washington Alaska · Oregon · Idaho · Washington

2014: LIVING the CHANGE

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Our Deepest Gratitude to Our Annual Sponsors

Gold Sponsor

Silver Sponsors

Funding for this conference was made possible in part by the Bureau of Primary Health Care. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does mention of trade names, commercial practices or organizations imply endorsement by the U.S. Government.

Attendance 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 of the attendee/participant’s image and/or voice in photographs, videotapes, electronic reproductions and audiotapes of the conference for educational and marketing use.

Conference Supporter Sponsor

Welcome to Seattle, the beautiful “Emerald City,” and to our annual Region X Spring Primary Care Conference! As the Affordable Care Act continues to unfold, we want to thank you for taking time out of your busy schedules to join us in learning new and innovative ways to serve your communities. May Seattle and this event prove to be an ideal destination for Living the Change that is upon us.

We’re confident that, with the support of our members, partners and valued associates, we’re bringing together some of the most inspiring presenters and keynoters from Region X and beyond to make these next four days among your best in 2014. We’re particularly thrilled to welcome Larry Wallack of OHSU and Michael Gervasi of Florida CHC as our plenary keynoters, along with HHS Region X Director Susan Johnson and NACHC’s Joe Gallegos. From nuts-and-bolts fiscal and operations sessions to a visionary approach to addressing the social determinants of health, we hope these sessions will help you better navigate a rapidly changing healthcare marketplace with an eye to both its thorny issues and transformative possibilities.

Please enjoy this wonderful city while you’re here, and please also make the most of this opportunity to network and share your wisdom and challenges with your colleagues from throughout this wonderful, vibrant Northwest health center community!

Bruce GrayChief Executive OfficerNWRPCA

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SATURDAYConference Registration and Continental Breakfast8:00 – 9:00 am • Ballroom Foyer

Conference Sessions9:00 am – 12:00 pm

Lunch on Own or O&E Lunch12:00 – 1:30 pm

Conference Sessions1:30 – 4:30 pm

SUNDAYYoga6:30 – 7:30 am • Stay Fit Gym, 2nd Floor

OCHIN Overview & Acuere Analytics(bring breakfast from buffet) 8:00 – 9:00 am • Cobalt Room

Conference Registration and Continental Breakfast8:00 – 9:00 am • Ballroom Foyer


Lunch on Own or Board of Directors Roundtable Lunch 12:00 – 1:30 pm

CHC Basics(includes lunch) 12:15 – 1:15 pm • Cobalt Room

CONFERENCE AGENDA AT A GLANCE


NWRPCA Board Meeting4:30 – 6:30 pm • Cobalt Room

Welcome Reception 6:00- 8:00 pm • Ballroom C

MONDAYConference Registration and Continental Breakfast7:30 – 8:30 am • Ballroom Foyer

Keynote Plenary8:30 – 10:30 am • Ballroom

Break with Exhibitors10:30 – 11:00 am • Ballroom Foyer


Roundtable Lunches12:30 – 2:30 pm

Dessert Break with Exhibitors2:30 – 3:00 pm • Ballroom Foyer


Exhibitor Reception 4:30 – 6:00 pm • Ballroom Foyer

TUESDAYPTSO: NextGen User Roundtable (bring breakfast from buffet) 7:30 – 8:30 am • Cobalt Room

2015 Spring Conference Planning Committee Meeting(includes breakfast) 7:30 – 8:15 am • Cyan B Room

Conference Registration and Continental Breakfast7:30 – 8:30 am • Ballroom Foyer

Conference Sessions8:30 – 10:00 am

HealthPoint Midway Health Center Tour 9:00 am – 12:00 pm • Meet in hotel lobby at 8:45 am

Break with Exhibitors10:00 – 10:30 am • Ballroom Foyer


Membership Lunch12:15 – 2:00 pm • Ballroom

Dessert Break with Exhibitors2:00 – 2:30 pm • Ballroom Foyer


Twitter and FacebookTwitter.com/NWRPCA, follow us @NWRPCAUse #SPCC14 to check out conference chatterLike us on Facebook at Facebook.com/NWRPCA

Mobile AppDownload the free NWRPCA SPCC14 Mobile App at www.eventmobi.com/SPCC14

STAY CONNECTED There are many ways that you can join the conversation with NWRPCA and attendees. Using your computer, tablet, or mobile device to connect has never been easier!

Digital Smartphone Comment CardScan our QR code and give us feedback with our digital comment card. You can download a free “QR Code Scanner” app in your smartphone’s app store.

Need Wifi?Network: Hyatt MeetingPassword: SPCC14

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CONTINUING EDUCATION UNITS

PLENARY SESSIONMonday • May 19

KEYNOTE SPEAKERLawrence Wallack, DrPH, Senior Public Health Fellow, Moore Institute for Nutrition and Wellness, Oregon Health & Science University. His primary interest is in the role of media framing and social values in shaping public health issues. He has published extensively on topics related to prevention, health promotion, communication and community interventions.

Susan Johnson, HHS Regional Director, Region XSusan Johnson served as the director of the King County Health Action Plan in Seattle and King County for 12 years prior to her appointment as HHS Regional Director in 2009. In that capacity, she developed and implemented innovative programs addressing health care needs for children, teenagers and persons with chronic diseases.

Joe Gallegos, NACHC SR VP for Western OperationsJoe coordinates NACHC’s activities with health centers and state and regional primary care associations in the western states. In addition, he provides technical assistance to CHCs and PCAs, and provides staff support to the Farmworker Health Committee.

Annual Membership Lunch MeetingTuesday • May 20

GUEST SPEAKERMichael Gervasi, DO, CEO of Florida Community Health Center, has spent most of his career working with the underserved. He is certified in Health Care Quality Management by the American Board of Quality Assurance and Utilization Review Physicians, with sub-specialty certifications in risk management and patient safety. He is a popular lecturer on risk management, quality improvement and customer service.

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 Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 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 EducationNWRPCA has applied for approval for certification credit hours toward Professional in Human Resources (PHR) and Senior Professional in Human Resources (SPHR) recertification through the Human Resource Certification Institute (HRCI). For more information about certification or recertification, please visit the HRCI homepage at www.hrci.org.

Continuing Medical Education (CME)Application for CME credit has been filed with the American 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 for NWRPCA Governance Credits (up to 6 credit hours) applied toward the NACHC Governance Certificate. To receive GOV credits you must be officially enrolled 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.

SPEAKER DISCLOSURES: »» Adele Allison, Greenway Health»» Ryan Graven, Kyle Holmes, Matrix Networks»» Rebecca Johnson, Health Center Solutions, Inc.»» Rishi Manchanda, Health Begins

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Apexus 340B University340BPVP.comApexus is HRSA’s Office of Pharmacy Affairs awarded contractor serving as the prime vendor for the 340B Program. Apexus is responsible for securing sub-ceiling discounts on outpatient drug purchases, other pharmacy related products and services for public hospitals, community health centers and other eligible safety-net providers participating in theprogram. [email protected] (888) 340-2787

athenahealthwww.athenahealth.com athenahealth, a leading provider of cloud-based services for EHR, practice management and care coordination, was named the Best in KLAS #1 Overall Software Vendor for 2013. With a cloud-based network of more than 50,000 providers, athenahealth helps caregivers thrive through change and stay focused on patient care. [email protected] (617) 402-1000

ATSU SOMA/NWRPCA Campuswww.nwrpca.org/atsu-student-login.htmlThe A.T. Still University/NWRPCA campus is an osteopathic medical program with a unique focus on training future physicians in rural and underserved areas across Region X. Students train at CHCs, hospitals and clinics in the region, with the aim that they might return to these communities for future practice in a CHC. [email protected] (206) 783-3004

ClaimRemediwww.claimremedi.comClaimRemedi’s clearinghouse solutions are designed to accelerate the Claim Life-Cycle with enhanced editing and powerful analytics, ensuring management and maximization of your CHC’s revenue. In addition to superior customer support, ClaimRemedi offers connectivity to all Professional, Institutional, and Dental payers and seamless integration with your practice management software for optimal work flow. [email protected] (800) 763-8484

Community Health Center, Connecticutwww.qualitychc1.comHealth Center, Inc (CHCI), a statewide FQHC in Connecticut, offers a unique “Project ECHO" distance-learning opportunity to safety-net practices nationwide. CHC’s Project ECHO joins primary-care providers with multidisciplinary teams of specialists via teleconference to improve management of patients with complex conditions such as Pain, HCV, HIV, and opiate addiction.

Community Health Plan of Washington NWRPCA Annual Silver Sponsor & Member

www.chpw.orgWe made a commitment more than 20 years ago: To improve the health of our communities by making quality health care accessible to all Washington State residents. As the only local, nonprofit Managed Care Organization in the state, we continue that pledge today through our mission, which is to deliver accessible managed care services that meet the needs and improve the health of our communities. (206) 521-8833

MEET OUR SPONSORS AND EXHIBITORS

Your Passport to Win! Be sure to have your Passport stamped by every exhibitor.

Turn in your completed Passport at the registration desk to be eligible for our Raffle at the Membership Lunch. Check the back of your passport card for an important survey question.

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Community Health Ventures www.communityhealthventures.comCommunity Health Ventures (CHV) is the business development affiliate of the National Association of Community Health Centers (NACHC). Founded in 2000, CHV was created under the direction of health center leadership and tasked with creating workable solutions to the tremendous economic pressures facing today’s health centers. By negotiating group-purchasing agreements, staffing solutions, lab agreements and more, CHV helps health centers reduce costs and remain [email protected] (888) 299-0324

Council Connections www.councilconnections.com, www.premierinc.comCouncil Connections, a national Group Purchasing Organization and Premier Affiliate offers free access to a comprehensive savings portfolio that includes thousands of contracts covering all aspects of an organization’s purchasing from med/surg supplies to office furniture, car rentals and cell phone [email protected] (619) 542-4331

DZAwww.dzacpa.comDingus, Zarecor & Associates PLLC (DZA), is a certified public accounting firm located in Spokane Valley, Washington. We specialize in working with community health centers and other healthcare and not-for-profit organizations. We provide audit, Federal single audit, IRS Form 990, and reimbursement services. [email protected] (509) 242-0874

Expense Reduction Analysts Supporter Sponsorwww.expensereduction.comExpense Reduction Analysts (ERA) is a global cost management consulting firm that assists clients in developing and executing strategies to improve cash flow and operating budgets. ERA’s fees are performance based and our industry specialists typically squeeze out an additional 20% without jeopardizing existing relationships and without forcing clients to use specific vendors.

Greenway/SuccessEHS NWRPCA Memberwww.greenwayhealth.com Greenway Health/SuccessEHS is an established leader in software, services and technology meeting the needs of community health centers and clinics caring for medically underserved patient populations. The company serves more than 200 CHCs with complete EHR and practice management solutions, electronic dental record and dental imaging solutions and medical billing services. (866) 242-3805

Group Practice Solutionswww.gpsidental.comGroup Practice Solutions (GPS) provides Community Health Centers with their most commonly purchased dental supplies and technology products like digital x-ray sensors, with significant savings. Stop by our booth to register for a chance to win a Mirrorlite and to request a free savings [email protected]

Henry Schein: Dentrixwww.dentrixenterprise.comDentrix® Enterprise is the leading practice management software for community health centers, multi-site dental practices, hospitals and universities. It is ideal for large dental organizations that require a centralized database to provide scheduling, billing, insurance, collections and robust reporting across multiple locations. Its scalable, multi-site logic manages any number of workstations and provides tight security with access to network usage statistics via one main server—in real time. Dentrix Enterprise will improve patient care, increase efficiency and grow your [email protected] (800) 372-4346

Home Street Bankwww.homestreet.com

InDemand Interpreting NWRPCA membership applied for

www.indemandinterpreting.comPacific NW based InDemand Interpreting provides quality medical interpretive services for Limited English Proficiency (LEP) and American Sign Language (ASL) patients via remote video interpreting. Only InDemand has solutions flexible enough to be used in any inpatient/outpatient situation. Nationwide, we help thousands of clinicians improve patient satisfaction and outcomes.

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Inline Groupwww.theinlinegroup.comThe Inline Group sources Primary Care candidates. Using our extensive database, access to multiple external resources, cold calling, email and direct mail campaigns, we match candidates to opportunities. Qualified candidates then speak directly to you. You will never pay a placement fee. Talk to us. See our history of [email protected] (214) 260-3200

Jones & Roth, CPAs & Business Advisorswww.jrcpa.comJones and Roth CPAs and Business Advisors is currently celebrating 66 years of serving businesses, nonprofit organizations, individuals and families in Oregon. The firm has offices in Bend, Eugene and Hillsboro, Oregon. Jones & Roth provides traditional and non-traditional services, including a Healthcare Team that supports medical practices and clinics. The firm’s people, culture, services and contact information can be explored by visiting the Jones & Roth website at www.jrcpa.com.

KDF Architecture www.kdfarchitecture.comKDF Architecture is an award winning firm and an expert in medical clinic design. Whether it be a renovation, retrofit, replacement, or new, our clients come to us because they know and trust our experience. We value our clients and listen carefully to their needs. [email protected] (509) 575-5408

Matrix Networks www.matrixnetworks.comMatrix Networks has one mission: helping businesses both big and small accomplish their IT and communication goals by delivering innovative solutions supported by integrity, reliability and genuine customer care. We have been serving businesses of the Pacific Northwest since 1984 and are here to help you grow. (503) 654-3000

McKesson NWRPCA member and Featured Vendorwww.mckesson.comMcKesson Medical-Surgical delivers more than 195,000 healthcare products, equipment and technology solutions to alternate healthcare sites. We provide our more than 500,000 customers with solutions and supplies to help them improve the health of their businesses and allowing them to focus on what matters most: delivering quality care for patients.

Nestle Infant Nutrition www.medical.gerber.comNestle’ Infant Nutrition / Gerber Products Company offers The Gerber® Start Healthy, Stay Healthy™ Nutrition System, a one-of-a-kind stage-based system of products for infants and young children, and education and services for healthcare professionals and parents, designed to support optimal nutrition and encourage healthy eating habits. (800) 811-7500

NextGen Healthcarewww.nextgen.comNextGen Healthcare provides interoperable, integrated electronic health records (EHR); practice management; revenue cycle billings, collections and claims; Health Information Exchange (HIE); electronic data interchange (EDI); analytics; and connectivity solutions for Community Health Centers, clinics, and hospitals. Our solutions help clients reduce costs, drive collaborative, accountable care, and improve population health.

NWRPCA www.NWRPCA.orgYour regional primary care association, leveraging regional power and resources to strengthen the community and migrant health centers of the Northwest. Member Services Coordinator: Krista [email protected] (206) 783-3004 x18

Positioned for SuccessPositioned for Success, Increasing Colorectal Cancer Screening Rates, is an NWRPCA initiative to improve CRC screening rates in member community health centers. This program is made possible in part by funding from the Washington State Department of Health, Office of Healthy Communities. [email protected] (206) 783-3004 x20

Pacific University College of Health Professions www.pacificu.edu Pacific University’s College of Health Professions is dedicated to preparing leaders in healthcare innovation for clinical practice within a diverse global community. The eight health professions schools offer numerous opportunities for students to immerse themselves in team-based, interprofessional learning, scholarship, and person-centered clinical and community service for today’s healthcare environment.

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PeaceHealth Laboratories www.peacehealthlabs.org PeaceHealth Laboratories is part of a not-for-profit health care system with eleven locations throughout the Northwest. We offer over 3,000 tests including PtProtect pain medication compliance testing. Our commitment to test quality and pricing transparency gives health care providers access to reliable diagnostic information and allows patients to maximize healthcare resources. That’s peace of mind. That’s PeaceHealth Laboratories. (513) 677-5600

Priority Management Groupwww.gopmg.comPartnering exclusively with CHCs, PMG provides CHCs revenue cycle management (RCM) services. Whether training, chart review, billing audits or the full-service RCM (think billing on steroids) PMG makes CHCs more money. With RCM clients in 20+ states, consulting clients in 40+, PMGs experience is unmatched. Learn more at www.GoPMG.com or contact Carlo Cioffi VP of Sales and [email protected] (401) 616-2041

PTSO NWRPCA Memberwww.ptsowa.orgPTSO is committed to providing community health centers with effective healthcare technology services and solutions that enhance patient care and safety while maximizing business process efficiency. Our collaborative approach to Health Information Technology (HIT) creates integrated systems that facilitate informed and comprehensive care delivery. Through shared, cost-effective technology services, PTSO lowers the cost barrier, enabling CHCs to quickly and successfully implement [email protected] (206) 454-2811

Quest Diagnosticswww.questdiagnostics.com

Reckitt Benckiserwww.rb.com

Tech Headswww.techheads.com Tech Heads is an IT consulting company with a highly trained and certified technical staff. Tech Heads has extensive experience in the healthcare industry working with small practices to community health centers and large hospitals. Services for healthcare include IT consulting, planning, design, implementation, maintenance, and training. [email protected] (503) 639-8542

UnitedHealthcare Community Plan www.uhccommunityplan.comUnitedHealthcare Community Plan participates in programs in 25 states and the District of Columbia, serving approximately 3.9 million beneficiaries of acute and long-term care Medicaid plans, the Children’s Health Insurance Program (CHIP), Special Needs Plans and other federal and state health care programs. UnitedHealthcare Community Plan’s health plans and care programs are uniquely designed to address the complex needs of the populations they [email protected] (206) 749-4381

UW School Of Public Health Executive MPH Programwww.uwemph.org The UW Executive Master of Public Health’s partial distance format is designed for busy health professionals tackling today's major health challenges. Advance your career by building your knowledge in core public health disciplines and three key focus areas: evidence-based research, program development and evaluation, and health promotion and education.

Visualutions www.visualutions.com Visualutions is a Healthcare Technology Company providing clinical, financial, and IT solutions to organizations such as Federally Qualified Health Centers, Community Health Centers, PCPs, Accountable Care Organizations, and Freestanding Emergency Rooms. Our products/services include Revenue Cycle Management/Consulting, PM/EHR Software Enhancements, Data Conversions, Interfaces, and software vendor-agnostic Population Health Management Tools.

NWRPCA Featured Vendor

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Deadline: Friday, June 13thAre the many ACA directives stimulating innovative changes to your Health Center? Are you increasingly using data to make business decisions? Do you have strategies for continued insurance outreach and enrollment? Are you finding ways to be an employer of choice? Do you have best practices in your clinic processes or policies that are innovative or particularly successful? All of these may be of interest to your CHC colleagues, especially other CEOs, Financial, Operations, HR, IT and Outreach staff as well as clinicians and other providers.

We invite you to submit your presentation ideas by June 13th. To submit an abstract, please go to our website at www.NWRPCA.org/abstracts.

Be recognized as a leader in the CHC community and beyond. Thank you for your consideration.

THANK YOU TO OUR CONFERENCE PLANNING COMMITTEEKathleen Clark • WACMHCTim Heinze • Idaho PCABonni Brownlee (retired) • QualisHeidi Baines • Anchorage Neighborhood Health CenterHeather Findlay • Family Health ServicesRhonda Hauff • Yakima Neighborhood Health ServicesKatie Bell • Neighborcare HealthCarolyn Wesner • Valley Family Health CareErica Srisaneha • South Central FoundationKurt Higuera • Siskiyou Community Health CenterErn Teuber • OHSU Family Medicine at RichmondKimberly Cohen • Anchorage Neighborhood Health CenterMonica Adams • Peninsula Community Health Services of AlaskaAnita Monoian • Yakima Neighborhood Health Services

Jim Coffee • Coastal Family Health CenterLaTesia Guinn • Bethel Family ClinicHeidi Traylor • Terry Reilly Health ServicesEileen Conlon-Scott • Iliuliuk Family Health ServicesRichard Swift • Clackamas County Health CentersJanine Childs • Neighborcare HealthRobert “Max” Maxwell • Oregon Primary Care AssociationKrystal Albrecht • Columbia Valley Community HealthNancy Schnoor • Peninsula Community Health ServicesCandace Hassinger • Community Health PartnersAbbie Chandler-Doran • WACMHCAmy Baldwin • Interior Community Health CenterSelma Ramsdell • Eastern Aleutian TribesColleen Hazel • Moses Lake Community Health CenterMarcus Rempel • Neighborcare HealthLucy Sutphen, MD, FACP Eva Galvez • Virginia Garcia Memorial Health CenterAndrew Baron • Terry Reilly Health Services

Topics we are especially interested in (though not limited to):

If you have technical questions please contact Sadie Agurkis at (206) 783-3004 ext. 22 or email at [email protected]. If you have content questions, please contact Eva McGinnis at (206) 783-3004 ext. 13 or email at [email protected]. Thank you.

Call for Abstracts for CHAMPS/NWRPCA Fall Primary Care ConferenceDenver, CO—October 19-22, 2014

»» Beyond Insurance Outreach and Enrollment & Marketplaces »» Affordable Care Act Impact»» Patient Centered Medical/Health Home»» Patient Engagement»» Policy Issues for CHCs»» Outcome Measures»» Recruitment and Retention»» EHR Implementation and Meaningful Use Stages 2 & 3»» Telehealth, Remote Monitoring, etc.

»» Emergency Preparedness»» Customer Service»» Clinical Topics related to CHCs»» Community Needs Assessments»» Social Determinants of Health»» Financial Sustainability »» Accountable Care Organizations»» Financial Sustainability »» Accountable Care Organizations

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SATURDAY MAY 17

8:00 – 9:00 am • Registration & Continental Breakfast • Ballroom Foyer9:00 am – 12:00 pm • Conference Sessions (Break with Exhibitors • 10:15 – 10:30 am • Ballroom Foyer)

Pain Management Behavioral Health / PCMH Governance Operations Outreach/Enrollment1 - Chronic Pain Patients: Self-

Management, Dosing and Testing

Joseph Merrill, MD, Harborview Medical

Center; Grant Beardsley, MS, Clinical Toxicologist, PeaceHealth Laboratories

2 - Behavioral Health in the Patient Centered

Medical Home Model – Making it Work!

Dennis Freeman, PhD, andBob Franko, Cherokee

Health Systems

3 - CHC Board Fundamentals

Kimberly McNally, McNally & Associates

4 - Preparing for a HRSA Operations Site

Visit

Beryl Cochran, HRSA (retired); Rebecca

Johnson, Health Center Solutions, Inc.; Nancy

Schnoor, Peninsula Community Health

Services; Barbara Rosa, The Bernal Group

5 – A Look at Outreach & Enrollment Post 3/31

Elizabeth Winders, HealthPoint; Kascadare Causeya, Central City Concern; Ezra Watland

and Dayanne Leal, Enroll America

Ballroom B Ballroom A Azure Ballroom D Ballroom E12:00 – 1:30 pm • Lunch on your own / Outreach & Enrollment Lunch • Ballroom E

1:30 – 4:30 pm • Conference Sessions (Break with Exhibitors • 3:00 – 3:15 pm • Ballroom Foyer)6 - Chronic Pain

Patients: Dealing with Conflicts and Risks

Kirk Strosahl, PhD, Mountainview Consulting

Group; Mark Sullivan, MD, PhD, UW School of

Medicine

2 - Behavioral Health in the Patient Centered

Medical Home Model – Making it Work! cont.

Dennis Freeman, PhD, andBob Franko, Cherokee

Health Systems; Christine Jensen-Fox, MD, CHC of

Lane County

3 - CHC Board Fundamentals, cont.

Kimberly McNally, McNally & Associates;

Rebecca Johnson, Health Center Solutions, Inc.

4 - Preparing for a HRSA Operations Site Visit,

cont.


Johnson, Health Center Solutions, Inc.; Nancy

Schnoor, Peninsula Community Health

Services; Barbara M. Rosa, The Bernal Group

7 – Post 3/31: Addressing Challenges and

Generating Solutions for 2014’s Open Enrollment

Dayanne Leal and Ezra Watland, Enroll

America; Jessica Burkard, NWRPCA

Ballroom B Ballroom A Azure Ballroom D Ballroom E

WE WANT YOUR FEEDBACK! All day, in every session—the easy way!Just scan this image with your smartphone, identify your session, and give us feedback. Then win a prize! Eight times during the conference we will draw a winner and award a prize, including a Kindle Fire, Visa gift cards and more. Watch for prize announcements at the Registration Desk. Visit www.sye.me/nwrpca to give feedback without a QR Code Scanner. Thanks to PTSO, Group Practice Solutions, and CliftonLarsonAllen for prize donations.

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SUNDAY MAY 18 (PCA DAY)

Yoga 6:30 – 7:30 am • Gym, 2nd Floor 8:00 – 9:00 am • OCHIN Overview & Acuere Analytics • Cobalt Room (bring breakfast from buffet)

8:00 – 9:00 am • Registration & Continental Breakfast • Ballroom Foyer9:00 am – 12:00 pm • Conference Sessions (Break with Exhibitors • 10:15 – 10:30 am • Ballroom Foyer)

Pain Management PCMH Governance Operations Outreach/Enrollment8 - Alternative

Approaches to Chronic Pain Management:

Mindfulness and TelePain

David Kearney, MD, UW School of Medicine; Ardith Doorenbos, PhD, RN, UW

School of Nursing

9 - Behavioral Health Services in the PCMH-

An Evidence-Based Model

Patricia Robinson, PhD,Mountainview Consulting Group; Mike Maples, MD,

Community Health of Central WA

10 - Strengthening the Board/CEO Partnership


11 - Nineteen §330 Program Requirements:

Primer & Review


Johnson, Health Center Solutions, Inc.

12 - Patient Engagement: They’re Covered, Now

What?

Mikaela Louie, Cross Cultural Health Care

Program

Ballroom B Ballroom A Azure Ballroom D Ballroom E12:00 – 1:15 pm • Board of Directors Roundtable Lunch • Azure Room

12:15 – 1:15 pm • CHC 101 – Intro to Community Health • Cobalt Room (includes lunch)12:00 – 1:30 pm • Lunch on your own

1:30 – 4:30 pm • Workshops continue (Break with Exhibitors • 3:00 - 3:15 pm)Clinical Track Clinical Track Governance Operations Leadership/Fiscal Track 13 - Strategic

Opportunities – Improving Colorectal

Cancer Screening Rates

Robert Smith, PhD,American Cancer Society

Inc.; Michael McKee, International Community Health Services; Dulcye Field, Columbia Basin

Health Assoc.

14 - Moving Upstream: Clinical Practices to Address the Social

Determinants of Health

Rishi Manchanda, MD, MPH, Health Begins

10 - Strengthening the Board/CEO Partnership,

cont.


15 - New Access Points Readiness: Write a

Successful §330 Grant


Johnson, Health Center Solutions, Inc.

16 - Take the Next Steps: Region X Benchmarking

Kyla Delgado, CliftonLarsonAllen

Paramount Hotel, Cascade Room (next door to Hyatt)

Ballroom A Azure Ballroom D Ballroom E

4:30 – 6:30 pm • NWRPCA Board Meeting • Cobalt Room 6:00- 8:00 pm • Welcome Reception • Ballroom C

To access presentations and handouts from the 2014 Spring Primary Care Conference, go to:

www.nwrpca.org/spring2014Username: spring2014Password: 1Confer!

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MONDAY MAY 19

7:30- 8:30 am Registration & Continental Breakfast – Ballroom Foyer8:30 – 10:30 am - Plenary with Region X HHS Welcome from Susan Johnson; NACHC Update from Joe Gallegos,

and Keynote Speaker Lawrence Wallack 10:30 - 11:00 am – Break with Exhibitors - Ballroom Foyer

11:00 am – 12:30 pm • Conference SessionsClinical HR/Workforce Operations Policy/Environment Operations

17 - Medical Errors – Focus on Prevention

Michael Gervasi, DO, CEO, Florida CHC Inc.

18 - Provider Compensation

Robert Hoch, MD, Harbor Health Services, Inc.

19 - Making Every Minute Count: Two Approaches to Cycle

Time Studies

Bonni Brownlee, Qualis Health (retired)

20 – Access is the Answer: Advocacy in the New Era of Health Care

Amanda Pears Kelly, NACHC

21 - Revenue Cycle Management – Best

Practices and Common Pitfalls in AR

Lauren Baratto and Kyla Delgado, CliftonLarsonAllen

Ballroom B Ballroom E Ballroom D Ballroom A Azure12:30 – 2:30 pm • Roundtable Lunches

Clinicians Roundtable Lunch

Pat Luedtke, MD, MPH, Community Health

Centers of Lane County

HR Roundtable Lunch

Barbara McClung, HR Manager, La Clinica

Operations Roundtable Lunch

Patty Kleinkopf, COO, Family Health Services

CEO Roundtable Lunch

Anita Monoian, CEO, Yakima Neighborhood

Health Services

CFO Roundtable Lunch

Norm Kraft, Finance Manager, NWRPCA

Ballroom B Ballroom E Ballroom D Ballroom A Azure2:30 – 3:00 pm • Dessert Break with Exhibitors • Ballroom Foyer

3:00 – 4:30 pm • Conference Sessions22 - Interdisciplinary Training Teams: An

Effective Precepting Model

Judy Ortiz, MHS, MS, PA, and David Keene, MPAS,

PA-C, and Jeremy Hughes, Pacific University

23 - Effective Provider Credentialing:

Highlights and Pitfalls

Joel Hughes, CEO, Community Link

Consulting

24 - Risk Management: Liability & Fraud/Abuse

Michael Gervasi, DO, CEO, Florida CHC Inc.

25 - Health Care Reform in the CHC Market

Adele Allison, SuccessEHS/Greenway

26 - CFO Roundtable Discussion Extended

Norm Kraft, CFO, NWRPCA

Ballroom B Ballroom E Ballroom D Ballroom A Azure4:30 – 6:00 pm • Exhibitor Reception • Ballroom Foyer

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.

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TUESDAY MAY 20

7:30 – 8:30 am • Registration & Continental Breakfast • Ballroom Foyer7:30 – 8:15 am • SP15 Planning Committee Meeting • Cyan B (includes breakfast)

7:30 – 8:30 am • PTSO: NextGen User Roundtable • Cobalt Room (bring breakfast from buffet)9:00 am – 12:00 pm • Health Center Tour: HealthPoint Midway (meet in hotel lobby at 8:45 am)

8:30 – 10:00 am • Conference SessionsHR/Workforce PCMH Operations/IT Policy/Environment Fiscal

27 - Motivation-Based Interviewing 101: Hiring

Passionate and High-Achieving Staff

Carol Quinn, CEOHire Authority

28 - 2014 NCQA Revised Standards for PCMH

Recognition

Bonni Brownlee, Qualis Health (retired)

29 - Patient Engagement – Game On!

Adele Allison, SuccessEHS/Greenway

30 - Community Centered Health Home:

A Framework for Incorporating Prevention

Jeremy Cantor, Prevention Institute

31 - Maximizing Claims Revenue

Peter Bowhall, ClaimRemedi

Ballroom E Ballroom B Ballroom D Ballroom A Azure10:00 – 10:30 am Break with Exhibitors • Ballroom Foyer

10:30 am - 12:00 pm • Conference Sessions32 - Customer Service in Health Care: Impact of

Work-Life Balance

Michael Gervasi, DO, CEO,

Florida CHC Inc.

33 - Beyond Empanelment: Actively

Managing the Panel

Heidi Baines, MD, Anchorage Neighborhood

Health Center; Bonni Brownlee, Qualis Health

(retired)

34 - HIPAA Challenges and Solutions for CHCs

Rhonda Hauff, COO, Yakima Neighborhood Health

Services; Dana Kenny and Lee Kuo, Ogden Murphy

Wallace P.L.L.C.

35 - Community Development and

Health: Partnerships to Support Equity

Mike Hassing, Family Health Centers; Kevin

Boes, New Markets Support Company

36 - Post ACA Front Desk Training

Ray Jorgensen, PMG

Ballroom E Ballroom B Ballroom D Ballroom A Azure12:15 - 2:00 pm • Membership Lunch – Dr. Michael Gervasi • Ballroom

2:00 – 2:30 pm • Dessert Break with Exhibitors • Ballroom Foyer2:30 – 4:00 pm • Conference Sessions

37 – Workforce Interprofessional

Collaboration & Benefits

Judy Ortiz, MHS, MS, PA-C, Pacific University;

Lydia Jackson MHS, PA-C, Virginia Garcia

MHC

38 - Creating Optimal Physical Environments

for PC Teams

Cindy Barr, Capital Link Consulting

39 – Centralized vs. Decentralized Call Centers

Kyle Holmes, Matrix Networks; Debbie

Wilkinson, HealthPoint; Barbara McClung, La Clinica

40 - Paying for Prevention:

Opportunities under CMS Rule Change

Carl Rush, U. of Texas Institute for Health Policy

41 - The ACA & Revenue Cycle

Changes

Ray Jorgensen, PMG

Cyan A & B Ballroom B Cobalt Room Ballroom A Azure

WE'LL SEE YOU IN DENVERFall Primary Care ConferenceOctober 19-22, 2014Westin Downtown, Denver, ColoradoIn partnership with CHAMPS and Western Clinicians Network

14

SATURDAY MAY 171 - Chronic Pain Patients: Self-management, Dosing and TestingTrack: Pain ManagementCEUs: 3 CMEs, 3 CNEs, 3 CDEs

Managing chronic pain requires skills in and knowledge about communicating with and monitoring patients. Such care can present difficult patient communications challenges in the primary care setting. Learn communication skills specific to chronic pain management, including avoiding high dose prescribing, lowering high dose opioid therapy to improve safety, and promotion of self-management techniques. Monitoring chronic opioid therapy using laboratory tests can improve patient safety and reduce risk to the practice and the community. Understanding drug metabolism and elimination are important to interpretation of drug test results. This presentation will help educate physicians on appropriate communication and laboratory monitoring for patients who receive chronic opioid therapy.

Learning Objective 1: Describe the risks of high dose opioid prescribing for chronic pain and explain the science behind urine drug testing for such patients.Learning Objective 2: Give reasons that support reduction of high dose opioid regimens and address requests to increase opioid dosing for chronic pain.Learning Objective 3: List techniques that promote patient self-management of chronic pain in the primary care setting.Learning Objective 4: Discuss the role of urine testing for monitoring as well as third-party guidelines for patient testing frequency.

Presenters: Joseph Merrill, MD, MPH, Harborview Medical Center; Grant Beardsley, MS, Clinical Toxicologist, Manager, Drug Testing Services, PeaceHealth Laboratories

2 – Behavioral Health in the Patient Centered Medical Home Model – Making It Work!Track: Patient Centered Medical Home/PCMHCEUS: 6 CMEs, 6 CNEs, 6 CDEs

Cherokee Health Systems is both a federally qualified health center (FQHC) and community mental health center (CMHC) with over 40 clinical sites throughout East Tennessee. Cherokee has offered a primary behavioral health integrated care model for over 40 years and is nationally recognized as a leader and innovator of the model. In this workshop, Cherokee Health Systems will share its experiences and lessons learned in a basic understanding of its behaviorally enhanced PCMH model and in the essential operations of the model.

The session will include sharing a case study or two on an integrated approach with a colleague from the Northwest Region who has trained with Cherokee, and an open discussion/Q&A period with attendees to help them with their specific issues and questions in implementing similar approaches in their communities.

Learning Objective 1: List essential functions of an integrated model that make it different from a traditional primary care approach.Learning Objective 2: Identify operational steps necessary for implementing an integrated model.Learning Objective 3: Describe specific benefits of an integrated approach.

Presenters: Dennis Freeman, PhD, CEO, and Bob Franko, Vice President, Cherokee Health Systems; Christine Jensen-Fox, MD, CHC of Lane County

SESSION DESCRIPTIONS

Connect on Twitter: #SPCC14

• SATURDAY MAY 17

15

3 - CHC Board FundamentalsTrack: GovernanceCEUs: 6 GOV

This full-day workshop is designed to help new board members understand their governance responsibilities. It can also serve as a refresher for more experienced board members. The workshop will address the unique role of a board member and the specific governance requirements of the FQHC program. Strategies and tools for effective governance will be presented. Participants will learn about their roles and responsibilities through video vignettes, case examples and facilitated discussions.

Learning Objective 1: Discuss the changing role of boards and the link between great governance and organizational performance.Learning Objective 2: Define the nine responsibilities of community health center boards.Learning Objective 3: List several best practices of successful health care governance for practical application in the boardroom.

Presenter: Kimberly McNally, President, McNally & Associates; Rebecca Johnson, Owner, Health Center Solutions, Inc.

4 - Preparing for a HRSA Operations Site VisitTrack: OperationsCEUs: 6 CPEs

This full-day session will jump-start your preparation for your HRSA Operational Site Visit (OSV) by taking you through the process and the new content from start-to-finish: new, FOAs, how to prepare, who to involve, and what to do when it’s over. The session will be interactive, offer opportunities for lots of Q & A, and provide you with examples of sure ways to demonstrate your CHC's compliance with all 19 program requirements.

Learning Objective 1: Outline the OSV process, and describe the importance of timing the visit to minimize consequences of any conditions of award.Learning Objective 2: Give concrete examples of demonstrating compliance with the 19 program requirements.Learning Objective 3: Explain how to use the new HRSA site visit guide.

Presenters: Beryl Cochran, Consultant, former HRSA Project Officer for Region X; Rebecca Johnson, Owner, Health Center Solutions, Inc.; Barbara Rosa, RN, consultant and OSV reviewer, The Bernal Group; Nancy Schnoor, Chief Financial and Operations Officer, Peninsula Community Health Services

“NWRPCA banks confidently with Homestreet Bank.”Bruce GrayChief Executive OfficerNWRPCA

MAY 17 SATURDAY •

POSITIONED FOR SUCCESSINCREASING COLORECTAL CANCER SCREENING RATES

Colorectal Cancer Screening Saves Lives » Colorectal cancer (CRC) is the second leading cancer killer in the U.S. and one of the most preventable.

» A recommendation from a patient’s primary care doctor is the most effective way to ensure that every age-appropriate individual gets screened.

» The National Colorectal Cancer Roundtable, an organization cofounded by the American Cancer Society and the Centers for Disease Control and Prevention, has committed to screening rates of 80 percent by 2018. Commit your center to this challenge at www.nccrt.org!

Health Centers are Positioned for SuccessThe time is now! CHCs have been identified as uniquely positioned to address disparities in colorectal cancer screening. » HRSA has added CRC screening rates as a standard performance measure, positioning CHCs with strategic data analysis opportunities to improve screening rates.

» Patient Centered Medical Home offers opportunities by supporting CRC screening access, continuity of care, empanelment and coordinated care.

Resources for Health Centers:

Special Session with International CRC Expert Robert A. Smith, PhD

Strategic Opportunities-Improving Colorectal Cancer Screening Rates Sunday, May 181:30-4:30 p.m.

Paramount Hotel724 Pine StreetSeattle, WASpace is limited! To participate, see conference registration desk at Hyatt at Olive 8.

Exhibit Table

Positioned for Success – Increasing CRC Screening Rates Spring Primary Care Conference Exhibit HallHyatt at Olive 8

Online Resources

NWRPCA Online Resource Course www.NWRPCA.org/crc2013

National Colorectal Cancer Roundtable Tools and Resourceswww.nccrt.org

Washington State Department of Healthwww.doh.wa.govSearch: Colon Cancer Screening Resources

17

5 – A Look at Outreach and Enrollment Post 3/31Track: Outreach & Enrollment

Open enrollment in the health insurance marketplaces kicked off on October 1, 2013, with plenty of sensational headlines and roadblocks. Community Health Centers have played a key role in this important piece of the Affordable Care Act. Learn what to expect looking ahead, and hear best practices, lessons learned and strategies from 2013’s open enrollment.

Learning Objective 1: Give examples of best practices and strategies for success for outreach and enrollment.Learning Objective 2: Describe how outreach and enrollment services have been integrated into CHCs.Learning Objective 3: Discuss what to expect from a national perspective in 2014’s open enrollment, based on lessons learned in 2013.

Presenters: Kascadare Causeya, Outreach and Enrollment, Central City Concern; Ezra Watland, Northwest State Assistance Manager, and Dayanne Leal, Deputy Director of the Best Practices Institute, Enroll America; Elizabeth Winders, Managed Care Coordinator, HealthPoint

6 - Chronic Pain Patients: Dealing with Conflicts and RisksTrack: Pain ManagementCEUs: 3 CMEs, 3 CNEs, 3 CDEs

Consider the treatment of pain in the context of primary care that reinforces therapeutic relationships and helps patients understand that opioids play a small role in the treatment of chronic nonmalignant pain. First address the practicalities and logistics of a comprehensive organization-wide pain management pathway: constructing a consistent, non-reactive organizational policy regarding the assessment, treatment and management of chronic pain patients; organizational policies operationalized in the exam room, including activities all physicians should engage in during a standard pain management visit; constructing the EMR template to ensure adherence; writing and enforcing pain contracts, and procedures to assess risk of opioid abuse; and steps to be consistently followed when opioid abuse is suspected or detected. Patients on chronic opioid therapy show high rates of opioid misuse and addiction. Examine tools useful in identifying patients at risk and strategies for treatment that include tapering opioids, discontinuing opioids, and transitioning patients to opiate substitution therapy with buprenorphine when needed.

Learning Objective 1: List the standard clinical tools that provide a clinical pathway for chronic pain and some of the tools helpful in identifying patients at risk of misusing opioids.Learning Objective 2: Discuss how to handle opioid abuse risk using an organization-wide philosophy.Learning Objective 3: Describe a standard opioid taper strategy.Learning Objective 4: Discuss the evidence for treating patients with chronic pain and a history of opioid misuse or addiction with buprenorphine.

Presenters: Mark Sullivan, MD, PhD, Executive Director, COPE-REMS Training Program, UW School of Medicine; Kirk Strosahl, PhD, Clinical Psychologist, Mountainview Consulting Group

OUTREACH ENROLLMENT

FREE WEBINAROutreach and Enrollment: Maximizing OE Staff & Continued Enrollment June 3rd at Noon – 1:30 PM PST

Join us to learn how the outreach and enrollment (OE) program aligns with the mission/vision of CHCs, how it impacts the bottom line, and hear how OE has been a revenue generator for CHCs.

Presenters:Kristen Stoimenoff, Health Outreach PartnersCurt Fackler, Better Health TogetherZach Baron, Enroll America (invited)

Register from NWRPCA website: www.nwrpca.org/outreach-and-enrollment

MAY 17 SATURDAY •

18

7 – Post 3/31: Addressing Challenges and Generating Solutions for 2014’s Open EnrollmentTrack: Outreach & Enrollment

2013’s open enrollment period presented an array of challenges for community health centers. What can these challenges teach us about 2014 open enrollment? How can CHCs plan to overcome these barriers? This session will be an interactive workshop for CHC outreach and enrollment staff members to identify their CHCs main challenges, develop strategies to resolve those challenges, and create a work plan for their efforts moving forward.

Learning Objective 1: Identify the major challenges and barriers to your efforts.Learning Objective 2: Describe the importance of using a work plan to address these challenges and barriers.Learning Objective 3: List some specific tools and resources for creating and implementing an outreach work plan.

Presenters: Ezra Watland, Northwest State Assistance Manager, and Dayanne Leal, Deputy Director of the Best Practices Institute, Enroll America; Jessica Burkard, Project Manger for Outreach and Enrollment, NWRPCA

SUNDAY MAY 18

8 - Alternative Approaches to Chronic Pain Management: Mindfulness and TelePainTrack: Pain ManagementCEUs: 3 CMEs, 3 CNEs, 3 CDEs

The University of Washington offers clinicians two new ways to consider managing chronic pain patients. Biological, psychological, and social factors influence the disease process and must be addressed for optimal disease management. Interventions to develop increased acceptance through training in mindfulness might complement traditional approaches. Defined as “paying attention on purpose, in the present moment, and nonjudgmentally to … experience moment by moment,” mindfulness promotes curiosity, openness, acceptance, and kindness and offers a means for facilitating constructive cognitive and behavioral changes. Taught clinically as Mindfulness-Based Stress Reduction (MBSR), it has resulted in increased mindfulness skills and changed brain function and structure. In chronic pain patients, mindfulness skills are associated with reduced pain intensity ratings and enhanced quality of life. The presentation will include the conceptual framework, a literature review, and a brief participatory mindfulness exercise for attendees. The University of Washington Division of Pain Medicine offers UW TelePain to increase the knowledge and skills of community practice providers who treat chronic pain patients. TelePain has offered positive outcomes and high satisfaction for patients, PCPs, and specialist consultants with access to real-time support in the care and treatment of the most challenging chronic pain patients. The session will provide an overview of the program and preliminary study results.

Learning Objective 1: Describe the biopsychosocial model of illness and how it relates to chronic pain and list two effects of high-dose opioid prescribing. Learning Objective 2: List three patient-oriented outcome measures used to assess treatment effectiveness.Learning Objective 3: Define “mindfulness” and list two qualities of mindful attention and three benefits of the TelePain approach.Learning Objective 4: Practice a simple mindfulness meditation technique and describe how it can be useful for patients and providers.

Presenters: David Kearney, MD, Staff Physician, VA Puget Sound; Ardith Doorenbos, PhD, RN, Associate Professor, School of Nursing, University of Washington



• SUNDAY MAY 18

19

9 - Behavioral Health Services in the PCMH - An Evidence-Based ModelTrack: Patient Centered Medical Home (PCMH)CEUs: 3 CMEs, 3 CNEs, 3 CDEs

This workshop provides an overview of the Primary Care Behavioral Health (PCBH) model. This approach to integration brings a Behavioral Health Consultant (BHC) to the PCMH. The BHC implements a population-based care approach to behavior change in primary care patients with medical and/or mental health problems. BHCs offer 30-minute visits to patients of all ages (and most often on the same day of the patient’s medical visit). BHCs also assist in pathways designed to improve outcomes for specific patient groups (such as chronic pain). Evidence for this model suggests that most patients improve in functioning and in symptoms after two BHC visits. We will present an example of this model implemented in a pediatric clinic.

Learning Objective 1: Describe the PCBH model and evidence supporting its use.Learning Objective 2: Define PCBH Core Competency Tools for guiding retraining of PCPs, RNs, and BH providers.Learning Objective 3: Define the PCBH program matrix that summarizes goals, objectives and measurement strategies.

Presenters: Mike Maples, MD, CEO, Community Health of Central Washington; Patricia Robinson, PhD, Psychologist, Mountainview Consulting Group

10 - Strengthening the Board/CEO PartnershipTrack: GovernanceCEUs: 6 GOV

Building a strong and productive relationship between the Board and CEO is essential for board effectiveness, senior leadership success and satisfaction, and overall CHC performance. This full-day workshop will help board members and CEOs identify steps to strengthen their partnership and their organization’s ability to deliver on its mission.

Learning Objective 1: Describe characteristics of an effective Board/CEO partnership.Learning Objective 2: Discuss what it takes to develop a collaborative relationship.Learning Objective 3: Identify ways to work together to strengthen the relationship.

Presenter: Kimberly McNally, President, McNally & Associates

MAY 18 SUNDAY •

GO MOBILE!Download the free NWRPCA SPCC14 Mobile App at www.eventmobi.com/SPCC14

20

11 - Nineteen §330 Program Requirements: Primer & ReviewTrack: Operations/ITCEUs: 3 CPEs

Have you noticed that all the new funding opportunities are cautioning grantees that they may not be eligible for funding with certain award conditions? Prevent this from happening to your CHC by being knowledgeable about the 19 Program Requirements for FQHCs. This session will provide an overview of the §330 program requirements and give some insight on policy included in the new 2014 site visit guidelines. This session is designed for health center staff who are new to the §330 world, new and experienced board members, and anyone who wants a refresher course on program compliance.

Learning Objective 1: Explain the importance of meeting 100 percent of the program requirements.Learning Objective 2: Identify any program requirements that you should be focusing your health center’s resources on to bring it up to compliance.Learning Objective 3: Describe HRSA’s process of verifying compliance and the consequences of not complying.

Presenters: Beryl Cochran, Consultant, former HRSA Project Officer for Region X; Rebecca Johnson, Owner, Health Center Solutions, Inc.

12 - Patient Engagement: They’re Covered, Now What?Track: Policy/Environment

Every human interaction is cross-cultural. Whether you are interacting with colleagues, friends, family, or the community members you serve in a professional capacity, there can be cultural bumps and miscommunication. In this workshop, participants will explore visible vs. invisible diversity, learn about activating basic self-awareness, and examine the implications of low health literacy and health disparities in primary care. Verbal and non-verbal communication styles, as well as concepts such as unconscious bias, will be explored. We will present strategies for effective cross-cultural communication.

Learning Objective 1: Define the basic concepts of cultural competence.Learning Objective 2: Give examples of the impact of culture on communication.Learning Objective 3: Identify tools and strategies for effective cross-cultural communication.

Presenter: Mikaela Louie, Program Manager and Trainer, Cross Cultural Health Care Program

CHC 101 – An Introduction to Community Health

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. Learn about 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.

Presenter: Seth Doyle, Community Health Improvement Program Manager, NWRPCA

Like NWPRCA on Facebook: Facebook.com/NWRPCA

• SUNDAY MAY 18

21

13 – Strategic Opportunities – Improving Colorectal Cancer Screening RatesTrack: ClinicalCEUs: 3 CMEs, 3 CNEs, 3 CDEs

Part 1: The Current Evidence This presentation will highlight current evidence in the descriptive epidemiology of colorectal cancer (CRC), including recent trends overall and age-specific trends in incidence and mortality at the national level, as well as data from the Northwest. We will consider evidence on the performance of different screening tests, including estimates from modeling and the potential for tailored screening using hybrid-screening strategies. We will also discuss guidelines for colorectal cancer screening and the difference between the recommendations of the United States Preventive Services Task Force (USPSTF) and the American Cancer Society (ACS). Finally, we will discuss factors associated with the accuracy of screening tests, and interventions that improve quality.

Learning Objective 1: Describe some of the current trends in the underlying descriptive epidemiology of colorectal cancer in the US generally and the Northwest in particular.Learning Objective 2: Cite the evidence supporting different screening options for CRC, how they compare, and the rationale supporting clinical recommendations for colorectal cancer screening. Learning Objective 3: List several factors associated with ineffective colorectal cancer screening practices, and strategies primary care providers can take that will result in higher quality colorectal cancer screening. Part 2: Improving Screening Rates and Outcomes—the Role of Systems and Team-Based Care This presentation will examine the important contribution of systems, policies, practice initiatives, navigation, and clinical care teams as key initiatives to increase high quality colorectal cancer screening. Topics will include: • The importance of reminder systems and referrals

from a health professional• How to use the medical home model and team-based

care to improve screening operations• Identification and use of evidence-based

interventions• The basics of navigation• How to design a screening program based on local

needs, capabilities and resources• The new 80 percent by 2018 national initiative

Learning Objective 1: Describe the critical role that primary care providers and the healthcare team play in reducing colorectal cancer incidence and mortality rates.Learning Objective 2: List common barriers to colorectal cancer screening and appropriate strategies to address those barriers.Learning Objective 3: Enumerate the key practice-change elements (the “4 Essentials”) proven to increase screening rates outlined in the National Colorectal Cancer Roundtable Physician’s Toolkit. Learning Objective 4: Describe evidence-based CRC screening interventions and resources from the ACS, the NCCRT and other organizations.

Presenters: Robert Smith, PhD, Senior Director, Cancer Screening, American Cancer Society, Inc.; Michael McKee, Director of Health Services and Community Partnerships; Dulcye Field, Director of Quality, Columbia Basin Health Association

New Medical Directors TrainingDate: Oct 18 & 19 at CHAMPS/NWRPCA Fall 2014 ConferencePlace: Denver, Colorado

Are you a new Medical Director? This NACHC training provides the foundational knowledge and core competencies you need to be an effective manager, leader and advocate for your health center and community. It is designed for Medical Directors with two years or less of experience at a CHC.

Topics include: » History of CHCs and NHSC » Regulatory Expectations » Federal Tort Claims Act & Risk Management » Performance Evaluation: Review and Accreditation » Quality Management, PCMH & Meaningful Use and more

Presenters: » Keith Horwood, MD, Associate Medical Director,

Community Health Centers, Inc. Midvale, UT » Kumble Rajesh, MD, FAAP, Chief Medical Office, Lowell

Community Health Center, Lowell, MA

10 CMEs ProvidedCo-sponsored with NACHC & CHAMPS

For details and registration, visit www.NWRPCA.org

MAY 18 SUNDAY •

14 - Moving Upstream: Clinical Practices to Address the Social Determinants of HealthTrack: ClinicalCEUs: 3 CMEs, 3 CNEs, 3 CDEs

This workshop is an immersive educational experience for "upstreamists" - innovators, entrepreneurs and leaders inside healthcare systems who want to improve care and social determinants of health for patients and communities. Working in teams, participants learn how to pitch, plan, advance, execute and spread a successful upstream intervention in the context of healthcare transformations such as the patient centered medical home, electronic medical record implementation, and value-based payment reforms.

Learning Objective 1: Define “upstreamists” and explain their importance for developing healthier communities.Learning Objective 2: Describe a successful upstream intervention in the context of a PCMH.Learning Objective 3: List ways EMR implementation and value-based payment reforms are related to social determinants of health.

Presenter: Rishi Manchanda, MD, MPH, Director, Health Begins

15 - New Access Points Readiness: Write a Successful §330 GrantTrack: OperationsCEUs: 3 CPEs

What does it take to write an outstanding §330 grant application that fully tells the story of your health center? Whether it’s a new access point, a competitive renewal or an expansion grant, you need to write with the reviewer in mind and know how to effectively complete the forms. The strongest grant proposals come from health centers that have all of the compliance components in place on the date the announcement is published.

Learning Objective 1: Explain how to use the guidance and scoring criteria to tell your story.Learning Objective 2: Identify steps to completing the form so it tells your compelling story.Learning Objective 3: Identify any program requirements you should be focusing on bringing into compliance to assure your health center is ready to apply for the next grant opportunity.

Presenters: Beryl Cochran, Consultant, former HRSA Project Officer for Region X; Rebecca Johnson, Owner, Health Center Solutions, Inc.

Providing innovative Clinical, Financial, and IT solutions that transform healthcare organizations.

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changes. Even though sometimes we all get caught up in the whirlwind of changes!”Kathy Castaneda - Data Manager

Terry Reilly Health Services, Nampa, ID

16 – Take the Next Steps: Region X BenchmarkingTrack: Leadership/FiscalCEUs: 3 CPEs

This session will discuss results of the 2013 Region X Annual Measure of Finance, Operations and Productivity (AMFOP). CliftonLarsonAllen (CLA) will share general observations regarding the report and best practices of consistently high-performing FQHCs in the region. We will discuss the overall organizational impact when various ratios are improved by using CLA Intuition, a proprietary financial planning model that creates a visual interactive modeling of financial performance in a variety of scenarios.

Learning Objective 1: Explain the importance of benchmarking to FQHCs.Learning Objective 2: Give examples of how seemingly small inefficiencies or initiatives can impact a healthcare facility’s bottom line.Learning Objective 3: Describe the importance of setting goals throughout the organization that support the mission and also make fiscal sense.

Presenter: Kyla Delgado, CliftonLarsonAllen



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MONDAY MAY 19

17 - Medical Errors - Focus on PreventionTrack: ClinicalCEUs: 1.5 CMEs, 1.5 CNEs, 1.5 CDEs

Medical malpractice poses one of the greatest financial risks to any health care organization. The role of medical errors in this issue cannot be understated. This session will examine the nature, causes, and extent of the problem, and offer suggestions for prevention. It will also look at the history behind some of the regulatory efforts to create a safer healthcare system in this country.

Learning Objective 1: Describe the historical context of regulatory efforts in this country.Learning Objective 2: Discuss the nature and causes of medical errors and medical malpractice.Learning Objective 3: Explain the focus on prevention and give examples of prevention best practices.

Presenter: Michael Gervasi, DO, CEO, Florida Community Health Centers, Inc.

18- Provider CompensationTrack: HR/WorkforceCEUs: 1.5 HR

This session will review the goals, objectives, and mechanics of successful provider compensation systems, including incentive or performance compensation.

Learning Objective 1: Describe the link between provider compensation and the CHC mission.Learning Objective 2: List the essential components of a successful provider compensation system.Learning Objective 3: List the steps of the change process needed to develop incentive compensation for CHC providers.

Presenter: Bob Hoch, MD, Chief Medical Officer, Harbor Health Service, Inc.

19 - Making Every Minute Count: Two Approaches to Cycle Time StudiesTrack: Operations

As health centers strive to create effective patient-care teams, they often have difficulty determining the trouble spots in their daily work of providing care. The number one patient complaint is the length of time spent waiting. The Cycle Time Study is a useful tool for highlighting bottlenecks and duplication of staff effort. This session will demonstrate two approaches to the cycle time study: one from the patient’s experience and one from the provider’s mode of care delivery.

Learning Objective 1: Discuss the purpose and value of conducting a Cycle Time study.Learning Objective 2: Explain the difference between the patient-centric and the provider-centric approaches to the cycle time study.Learning Objective 3: Give examples of using cycle time data to improve team functioning and patient experience.

Presenter: Bonni Brownlee, Qualis Health (retired)

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MAY 19 MONDAY •

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20 – Access is the Answer: Advocacy in the New Era of Health CareTrack: Policy/Environment

Community health centers provide high-quality, low-cost healthcare to people who need it – regardless of their ability to pay. Those who know about CHCs know that the access to care they provide is the answer to many of this country’s healthcare problems. Nevertheless, in 2016, the law as written will result in a 70 percent funding decrease for CHCs. With so much at stake, CHCs need to be prepared to take action in order to continue providing high-quality health care to their patients. This session will briefly review the basics of the funding cliff expected to occur in 2016. It will then focus on NACHC’s “Access is the Answer” advocacy strategy. Participants in this session will also learn how to incorporate health center advocacy into their daily operations.

Learning Objective 1: List and discuss the basic policy challenges facing health centers, including the FY2016 Health Centers funding cliff.Learning Objective 2: Describe the main elements of NACHC’s strategy for ensuring appropriate levels of funding for health centers, called “Access is the Answer.”Learning Objective 3: Give examples of strategies for participating in “Access is the Answer.”

Presenter: Amanda Pears Kelly, Director of National Advocacy & Civic Engagement, NACHC

21 - Revenue Cycle Management- Best Practices and Common Pitfalls in ARTrack: FiscalCEUs: 1.5 CPE, Finance

This session will give healthcare professionals a comprehensive look into the front, middle and back ends of the healthcare revenue cycle. Best practices and benchmarking will be reviewed in all areas: • Front end - scheduling, registration, and insurance

verification• Middle end - medical documentation, coding, and claims

submission• Back end - payment posting, denials management, and

accounts receivable

We will also share best practices of Region X FQHCs who have exhibited consistently low days in AR or who have shown significant improvement.

Learning Objective 1: Describe the full scope of the revenue cycle.Learning Objective 2: Give examples of seemingly small inefficiencies that take a large toll on a healthcare facility’s bottom line.Learning Objective 3: Identify ways to troubleshoot processes in order to maximize revenue.

Presenters: Lauren Baratto, Associate, and Kyla Delgado, CPA, CliftonLarsonAllen LLP

Collaborative Opioid Prescribing Education

Free CME – online, self-paced tutorial for healthcare providers

Provided by the University of WashingtonEndorsed by NWRPCA

www.COPEREMS.org

• MONDAY MAY 19

27

22 - Interdisciplinary Training Teams: An Effective Precepting ModelTrack: ClinicalCEUs: 1.5 CME, 1.5 CNE, 1.5 CDE

Part of being a professional is “paying it forward” to the next generation of professionals. It may seem that having students at your workplace would take a lot of resources, but being a preceptor is easier than you think. Working with students can improve patient care outcomes as well as efficiency in the clinic setting. This interactive session will outline several of the basic tenets of being a successful preceptor and/or mentor. We will offer tips and techniques useful for both first-time preceptors and those more experienced in working with students.

Learning Objective 1: Give examples of ways students can improve patient care and workflow.Learning Objective 2: Describe what defines and characterizes a quality preceptor across multiple health disciplines.Learning Objective 3: Define the four roles of the preceptor in developing students’ clinical skills.

Presenters: Jeremy Hughes, Director of Experiential Education & Assistant Professor, Pacific University School of Pharmacy; David Keene, Director of Clinical Education & Assistant Professor, and Judy Ortiz, Program Director & Professor, Pacific University School of Physician Assistant Studies

23 - Effective Provider Credentialing: Highlights and PitfallsTrack: HR/WorkforceCEUs: 1.5 HR

Often agencies hire providers without considering or anticipating the impact on financial systems. Even with effective communication and follow-through, the process of credentialing or enrolling providers with insurance companies can be time consuming and complex. This session will focus on common errors and the effects of those errors on financial systems, provide an overview of the basics of an effective credentialing system, and highlight potential pitfalls or delays.

Learning Objective 1: Give examples of the impact of credentialing on financial systems.Learning Objective 2: List the essential elements of an effective credentialing system. Learning Objective 3: Explain how to anticipate problems and plan solutions to those problems.

Presenter: Joel Hughes, CEO, Community Link Consulting

24 - Risk Management: Liability & Fraud/AbuseTrack: Operations

Risk management in the health care setting brings to mind medical malpractice - and it should. Medical malpractice usually represents the largest financial risk to an organization. However, there are other risks that are potentially even more devastating. This session will examine risks that health care organizations face, with a focus on liability, fraud and abuse, and will offer suggestions for minimizing those risks.

Learning Objective 1: List the major causes and consequences of medical malpractice.Learning Objective 2: Give examples of potential liability in CHC operations. Learning Objective 3: Give instances of fraud and abuse and their impact on a CHC.


Michael Gervasi, DO Guest Speaker

FREE LUNCH » Fun, uplifting speaker » Brand new NWRPCA video – are you in it?

» Exhibitor drawing – Kindles, Fit Bits, gift cards, tickets…

» Annual Business Meeting – short and sweet

» A sit-down lunch for all our guests

Tuesday, May 20, noon to 2:30, in the ballroom

Followed by Dessert with the Exhibitors in the foyer

No reservations – just show up hungry!

Our thanks to UnitedHealthcare Community Plan for funding our video as part of the 30th Anniversary Sponsorship, 2013

MAY 19 MONDAY •

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25 - Health Care Reform in the CHC MarketTrack: Policy/Environment

2014 is a big year for the Affordable Care Act (ACA), with the market drastically changing for health care professionals. This session will examine key developments in healthcare reform that will shape how care is delivered and reimbursed as we move forward. It will highlight cornerstones of this law and industry trends it has created, including performance measuring through clinical reporting, value-based purchasing, and patient engagement requirements supported under Meaningful Use. Providers and executives who understand the restructuring underway will be in a position to positively affect quality of care for patients in their communities. Gain insights into how data and novel payment models are shifting the paradigm of care delivery, and get help with forward-thinking strategic planning.

Learning Objective 1: List the key components of the ACA that will impact care delivery in 2014.Learning Objective 2: Compare various market approaches for measuring process improvement.Learning Objective 3: Give examples of integrating health care reform requirements with competing clinic priorities such as Meaningful Use.

Presenter: Adele Allison, SuccessEHS/Greenway

26 – CFO Roundtable Discussion ExtendedTrack: Fiscal

This session will follow up the CFO Roundtable with a more focused discussion on hot topics and questions. The facilitator requests participants bring at least two or three hot topics for discussion.

Learning Objective 1: Develop an understanding of current fiscal topics related to success in a changing marketplace.Learning Objective 2: Identify new practices and approaches to finding solutions for common financial problems facing CHCs.Learning Objective 3: Describe the practical application of at least one new informational resource for fiscal leaders.

Presenter: Norm Kraft, CFO, NWRPCA

• MONDAY MAY 19

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TUESDAY MAY 20

27 - Motivation-Based Interviewing 101: Hiring Passionate and High-Achieving StaffTrack: HR/WorkforceCEUs: 1.5 HR

Learn about a powerful interviewing method that will enable you to improve your organization’s quality-of-hire. Motivation-based interviewing is called the “game changing” interview because it goes beyond skill assessment to look at all three of the components high achievers share. With the right “attitude” a person can conquer monumental challenges. Adding “passion” takes self-motivation to its highest level. This session is designed to introduce attendees to this global interviewing method specifically developed for hiring high achievers.

Learning Objective 1: Define motivation-based interviewing (“MBI”) and explain why it’s more effective than traditional behavior-based interviewing in hiring high achievers.Learning Objective 2: List the three components that all “A Players” share, and explain why they are all important.Learning Objective 3: Explain what “attitude” is and the significant role it plays in job performance and achievement.

Presenter: Carol Quinn, CEO, Hire Authority

28 - 2014 NCQA Revised Standards for PCMH RecognitionTrack: Patient Centered Medical Home (PCMH)CEUs: 1.5 CMEs, 1.5 CNEs, 1.5 CDEs

Many health centers have adopted the patient-centered model of care and have taken steps toward formal NCQA PCMH Recognition. Early adopters were initially recognized under the 2008 NCQA PCMH standards; others sought recognition under the 2011 updated standards. After a long planning and public comment period, NCQA released the latest version of its PCMH standards in Spring 2014. This session will provide updates in NCQA’s recognition program. In addition, the presenter will highlight a variety of challenges that health centers have faced in meeting specific standards, as well as shortcomings in documentation prepared to support the application. The presentation will help the health center determine the appropriate pathway to initial, add-on, and renewal recognition.

Learning Objective 1: Cite enhancements in the 2014 NCQA PCMH recognition package.Learning Objective 2: Identify the most challenging standards to meet and the pitfalls to avoid in preparing the supporting documentation for your health center’s NCQA PCMH recognition application.Learning Objective 3: List skills essential to guiding your health center’s application, whether in the initial, add-on, or renewal phase

Presenter: Bonni Brownlee, Qualis Health (retired)

Geiger Gibson Capstone Program in Health Policy and Leadership June 2-4, 2014Washington, DC

Mid-level and senior staff pursuing executive leadership careers, learn health policy trends and their implications for CHCs.

Apply Online: www.publichealth.gwu.edu/projects/geiger-gibson-capstone

MAY 20 TUESDAY •

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29 - Patient Engagement – Game On!Track: Operations/IT

One of the hottest topics in policymaking today, patient engagement has a significant impact on provider outcomes and reimbursement. Clinicians voice frustration with patients who don’t follow protocol and advice. Patients complain of access barriers and one-sided decision-making that fails to consider their particular needs and circumstances. Through a multi-dimensional approach, patients and providers can be connected to produce better communication and therefore a healthier community. This session will explore the use of technology and strategies to engage patients, for example, personalizing the care experience with patient questionnaires, portals and mobile tools. You will learn how to use data to create clinic team-building activities that promote a culture of patient-centeredness, as well as innovative techniques of improving patient engagement.

Learning Objective 1: Describe specific payer and policy trends in the growing call for patient-centered care delivery.Learning Objective 2: Give examples of using technology in patient encounters to create patient-centered outcomes.Learning Objective 3: Describe and evaluate at least two patient engagement strategies or models used to promote the provider-patient relationship.

Presenter: Adele Allison, SuccessEHS/Greenway

30 – Community Centered Health Home: A Framework for Incorporating PreventionTrack: Policy/Environment

Increasingly, clinical institutions and organizations are exploring primary prevention approaches to reduce rates of chronic disease and injury in their patient populations and to control costs. This session presents the concept and elements of a “community-centered health home” (CCHH), which builds on both ACA investments in community prevention and health homes and the tradition of community-focused work in community health centers. The CCHH goes a step further by encouraging health care institutions to take an active role in addressing community factors and the social conditions that impact health, in addition to improving the health of individual patients. Participants will practice using a readiness assessment tool designed to aid providers in advancing the CCHH model.

Learning Objective 1: Describe the dynamic relationship between community conditions, clinical practice, and individual health outcomes.Learning Objective 2: Outline concrete ways that healthcare providers can engage in community-change advocacy efforts.Learning Objective 3: Identify specific structural and system-wide changes that are necessary in order to promote effective integration of community and clinical practice.

Presenter: Jeremy Cantor, Program Manager, Prevention Institute

Enhancing Collaborative ManagementDeveloping Clinical – Operations TeamsJune 10-13, 2014

Combine perspectives to see the whole elephant!

Partnering with NACHC and CHAMPS

Register at www.NWRPCA.org

• TUESDAY MAY 20

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31 – Maximizing Claims RevenueTrack: FiscalCEUs: 1.5 CPE, Finance

Identify and review the challenges of the claim lifecycle process, and evaluate different strategies for maximizing claim revenue. Various claim processing statistics such as denial rates, reasons for denials, underpayments, days to pay, and more, will also be presented.

Learning Objective 1: List the major causes of rejections and denial.Learning Objective 2: Compare your organization’s numbers with the averages cited.Learning Objective 3: Give examples of overcoming hurdles in the denial management process.

Presenter: Peter Bowhall, CEO, ClaimRemedi

32 - Customer Service in Health Care: Impact of Work-Life BalanceTrack: HR/WorkforceCEUs: 1.5 HR

Excellent customer service is what separates great organizations from all the rest. While delivering great customer service in the healthcare setting can be extremely challenging, providing patients with a pleasant and upbeat atmosphere is rewarding to both patients and staff.

This session will examine why customer service is important in the healthcare setting and how good customer service can lower legal risks. We will also explore reasons consistently good customer service is so hard to deliver, and discuss some ways of overcoming the obstacles. Finally, we will examine the concept of “work-life balance” and its impact on staff’s ability to deliver good customer service.

Learning Objective 1: List four reasons why customer service in the health care setting is important.Learning Objective 2: List three obstacles to delivering consistently good customer service.Learning Objective 3: Describe three strategies for overcoming these obstacles


33 - Beyond Empanelment: Actively Managing the PanelTrack: Patient Centered Medical Home (PCMH)CEUs: 1.5 CMEs, 1.5 CNEs, 1.5 CDEs

In moving toward the PCMH model of care, health centers must first build a foundation for the patient-provider relationship. This is done through a process of empanelment: assigning active patients to providers. This rigorous undertaking is not a one-time event; it requires ongoing evaluation in order to maintain a balanced workload for healthcare providers. This session will provide an overview of the empanelment process and will explore several different approaches to ongoing panel management. A case study will be presented which highlights the panel management experience of Anchorage Neighborhood Health Center.

Learning Objective 1: Define the goals of empanelment and discuss typical methods. Learning Objective 2: List the key roles and responsibilities of health center staff involved in the empanelment process.Learning Objective 3: Identify the right approach to ongoing panel management for your health center.

Presenters: Heidi Baines, MD, Medical Director for Quality Integration, Anchorage Neighborhood Health Center; Bonni Brownlee, Qualis Health (retired)

GO MOBILE!Download the free NWRPCA SPCC14 Mobile App at www.eventmobi.com/SPCC14

• TUESDAY MAY 20

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34 - HIPAA Challenges and Solutions for CHCsTrack: Operations/IT

What are your top risk challenges in complying with HIPAA Privacy Practices? It sounds simple to begin with, but there are many nuances involved in serving the CHC populations. These might include dealing with homeless youth, law enforcement issues such as complying with subpoenas, warrants and court orders, or withholding information that a provider thinks is harmful. This is an interactive discussion session, so bring your questions and examples of challenging situations.

Learning Objective 1: List the top risks for HIPAA privacy practices that affect CHCs.Learning Objective 2: Discuss common issues for CHC patients that have legal implications.Learning Objective 3: Give examples of significant 2013 HIPAA regulation changes.

Presenters: Rhonda Hauff, COO/Deputy CEO, Yakima Neighborhood Health Services; Dana Kenny, Attorney, and Lee Kuo, Attorney, Ogden Murphy Wallace P.L.L.C.

35 – Community Development and Health: Partnerships to Support EquityTrack: Policy/Environment

Social determinants of health (SDOH) include social, economic, political and cultural factors that impact health and quality of care. Effectively addressing these SDOH requires strategic partnerships and coalition building. Recently, the community development and health fields have begun to focus on ways they can work together more effectively. This session will explore innovative strategies for leveraging community development and healthcare partnerships, such as the Healthy Futures Fund, which was established to help finance collaborations between community health centers and affordable housing. Participants will learn how these types of innovative partnerships can help address the social determinants of health in community health center patient populations.

Learning Objective 1: Define some of the major social determinants of health.Learning Objective 2: Give examples of ways community development corporations can be effective partners for community health centers.Learning Objective 3: List several effective strategies for creating partnerships and leveraging community development resources.

Presenters: Kevin Boes, President and CEO, New Markets Support Company; Mike Hassing, CEO, Family Health Centers

Smarter Together!2014-15 Biennial Salary and Benefits SurveyDiscover the salary and benefits paid by your peers, identified by annual budget, years employed, location and number of sites. View data comparison over time since 2008. Learn the average benefits-to-salary formula for providers, mid-levels, exempt and non-exempt staff. Find point-in-time vacancy and turnover data organized by length of recruitment, hiring organization’s budget range and more. Compare salary and benefits data related specifically to support staff and executive team.

All job descriptions have been updated for 2014.

Each NWRPCA member has received an MOU to sign and return.

Time now to collect and report your data. Have you submitted your MOU and paid your $250 participation fee that gets you the final report at a 50% discount?

Questions? Lynn Gerlach: 206-783-3004 x12; [email protected] or [email protected].

We are grateful for the continuing support of CliftonLarsonAllen’s Annual Gold Sponsorship, which helps make this project affordable to CHCs.

MAY 20 TUESDAY •

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36 – Post ACA Front Desk TrainingTrack: FiscalCEUs: 1.5 CPEs, Finance

Learn how the Affordable Care Act is forcing change on this important patient-facing department of your organization. Is your front desk performing well or poorly as compared to other CHCs? What data should be collected and analyzed by administrators and managers to ensure revenue isn’t falling through the cracks? What tools should the CHC be using to effect change for under-performing front desk teams? Participants will leave the session with tools for measuring important information and using the results to ensure a successful ACA transition. An overview of best practices for front desk operations will be included.

Learning Objective 1: Determine what functions of your front desk need improvement and changes as a result of the ACA.Learning Objective 2: Explain why a change in front desk performance is critical to the financial stability of a CHC.Learning Objective 3: Use revenue cycle reports and other available data as a measure of front desk success.Presenter: Ray Jorgensen, MS, CPC, CHBME, President and CEO, PMG

37 - Workforce Interprofessional Collaboration & BenefitsTrack: HR/WorkforceCEUs: 1.5 HR

In order to meet our future healthcare worker demands, many universities and health centers are establishing innovative collaborations to create quality clinical training experiences within the productivity model employed by many health centers. Pacific University and Virginia Garcia Memorial Health Center (VGMHC) have collaborated to develop a co-faculty physician assistant (PA) position within the VGMHC Hillsboro clinic. The model was designed to balance time between teaching students and caring for patients. Collaboration between the PA co-faculty and staff pharmacist has provided opportunities for interprofessional collaboration between their respective students. The students have provided added value by completing public health and wellness projects for the clinic. Hear from representatives of the two institutions about how the model works and their plans for expanding opportunities for interprofessional collaboration and practice.

Learning Objective 1: Outline the needs and desires of the organizations that led to the development of the partnership.Learning Objective 2: Describe the financial and employment models needed to support the institutional collaboration.Learning Objective 3: List the major benefits and challenges of the partner project for the institutions, providers, patients and students.

Presenters: Judy Ortiz, MHS, MS, PA-C, Pacific University Oregon; Lydia Jackson MHS, PA-C, Virginia Garcia MHC

38- Creating Optimal Physical Environments for PC TeamsTrack: Patient Centered Medical Home (PCMH)CEUs: 1.5 CMEs, 1.5 CNEs, 1.5 CDEs

The development of highly functional teams is critical to the successful, sustainable transition to a PCMH organizational culture. From small but critical changes within existing facilities to alternative layouts for new facilities, spaces which facilitate interdisciplinary relationships, maximize available technology, encourage creative problem solving, and respect individual strengths, needs and contributions will enhance team development. Our exploration of effective options supported by evidence-based design principles will be organized around three types of team zones: team work zones, both on- and off-stage; team respite zones; and team development zones.

Learning Objective 1: Describe how to design and equip team workspaces to support team function and patient engagement using variations of three basic models. Learning Objective 2: Explain how staff respite areas complement and enhance team function.Learning Objective 3: Identify seven key elements of effective team development spaces.

Presenter: Cindy Barr, Operations & Facilities Planner, Capital Link Consulting

Connect on Twitter: #SPCC14

• TUESDAY MAY 20

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39 – Centralized vs. Decentralized Call Centers in CHCsTrack: Operations/IT

Do call centers promote efficient patient access to healthcare in CHC's or are they an additional hurdle that the patients must overcome? What is the influence and importance of a call center in a CHC? What are the questions an administrator needs to ask in order to know if the organization is a fit for call center applications? This will be an open discussion on the pros and cons of call centers in the CHC setting with representatives from both sides relating their experiences. Matrix Networks will act as facilitator and resource.

Learning Objective 1: List at least three pros and three cons of call centers in healthcare organizations.Learning Objective 2: List the essential questions you need to ask yourself as an administrator when making decisions about call centers.Learning Objective 3: Give examples of how call centers can help you be more efficient and productive and serve your patients better.

Presenters: Kyle Holmes, Sales Manager, Matrix Networks; Barbara McClung, HR Manager, La Clinica; Debbie Wilkinson, COO, Healthpoint

40 - Paying for Prevention: Opportunities under CMS Rule ChangeTrack: Policy/Environment

Beginning January 1, 2014, the Center for Medicare and Medicaid (CMS) has broadened the choice of providers under Medicaid. These additional providers could receive reimbursement for and provide preventive services beyond physicians and other licensed practitioners at a state’s discretion. This rule change provides a potentially significant financing opportunity for Community Health Workers (CHWs), as CHWs contribute to more efficient care delivery, better management of chronic conditions, and improvement in addressing the social determinants of health. This session will explore the potential role for CHWs under this rule change and will identify opportunities and challenges for collaborating with state Medicaid agencies and Managed Care Organizations to pursue coverage for new reimbursement.

Learning Objective 1: Describe the new opportunity for reimbursement of community prevention related to the Medicaid rule change.

Learning Objective 2: Identify financing opportunities for CHWs under this rule change. Learning Objective 3: Identify strategies for working with state Medicaid agencies and Managed Care Organizations to pursue coverage for new reimbursement.

Presenter: Carl Rush, Project on CHW Policy & Practice, University of Texas Institute for Health Policy

41 - The ACA & Revenue Cycle ChangesTrack: FiscalCEUs: 1.5 CPEs, Finance

With the changes brought on by the implementation of the ACA, CHC administrators need tools to analyze their organization’s financial processes and ensure a path to financial stability. What should they look for to ensure the organization is on secure financial footing? PMG will explain the changes to the CHC in relation to its billing and collections by using easy-to-create reports and benchmarks for every size organization. By using common financial reports, billing system data and the UDS Reports, each clinic can assess its weaknesses and strengths and determine how to move toward best practices. Program attendees will leave the session armed with the tools to measure the changes since ACA and ensure the health center is on the right path from a revenue standpoint. The session is designed as a high-level overview for board members and senior CHC administrators.

Learning Objective 1: Understand the billing and collections process at a CHC and how changes in the ACA affect this important source of revenue.Learning Objective 2: Analyze data available from different sources (billing systems, UDS Reports, etc.) to ensure financial stability.Learning Objective 3: Identify common best practices and benchmarks in relation to billing and collections at CHC organizations nationally and on a state-by-state basis.

Presenter: Ray Jorgensen, MS, CPC, CHBME, President and CEO, PMG

Like NWPRCA on Facebook: Facebook.com/NWRPCA

MAY 20 TUESDAY •

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2014: LIVING the CHANGE...8:00 – 9:00 am • Cobalt Room Conference Registration and Continental...

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Transcript of 2014: LIVING the CHANGE...8:00 – 9:00 am • Cobalt Room Conference Registration and Continental...