Cary, North Carolina June 26

2014
Cary,
North Carolina
June 26-28, 2014
SPONSORS & EXHIBITORS
The North Carolina Community Health Center Association wishes to thank the
NC Office of Rural Health & Community Care and the NC Association of Free
Clinics for their partnership in executing the conference. NCCHCA also wishes to
thank all of our sponsors and exhibitors for their financial support.
SPONSORS
Platinum
Amerigroup
Henry Schein
LabCorp
UnitedHealthcare
Gold
AmeriHealth Caritas
Silver
athenahealth, Inc.
CallPointe
Centene
Community Health Ventures, Inc.
The Inline Group
McKesson Medical Surgical
Medical Mutual
NextGen Healthcare
Tinkbird Healthcare Staffing
Donor
Data Net Solutions, Inc.
Organizational Objectives Associates
EXHIBITORS
Lung Cancer Initiative of NC
NC Fetal Alcohol Prevention
Consortium for Implementation Science
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NCCHCA does not endorse specific vendor products or services or any speaker views or opinions shared.
NCCHCA is not responsible for content expressed and cannot be held liable for information received.
Words from The Chief Executive Officer
Cary was chosen as the host city of our 2014 NC Primary Care Conference for its proximity to the
legislative action on Jones St. This “short session” of the General Assembly promises to continue
the dramatic directional change in Raleigh. We’ve positioned this year’s conference to be accessible to policy makers and key administration leaders involved in NC Medicaid Reform. We want to
hear first-hand from decision makers and discuss the impact on programs and services for the
populations we serve. Regardless of the political direction health reform takes, as safety-net
providers we need to keep our focus on improving the value we bring to our patients and system
of care in our communities. Many of the concurrent sessions will address strategies to improve
quality, cost, and the patient experience – aka “the triple aim”.
Over the years, this conference has fostered relationships resulting in improved access to primary
care. Most recently, our effective collaboration has enabled the safety-net to lead the way in connectivity to the NC Health Information Exchange. Nationally, North Carolina is a recognized
leader in collaboration across the safety-net. Our partnership continues to expand with the addition of the North Carolina Association of Free Clinics to the conference. We’ll be introducing a
new logo and theme highlighting the collaborative spirit of our gathering.
Please enjoy your time in the capitol area. We hope this conference will continue to produce
meaningful outcomes for your health centers and communities.
Sincerely,
E. Benjamin Money
E. Benjamin Money, Jr., MPH
President and Chief Executive Officer
North Carolina Community Health Center Association
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Annual Meeting Planning Committee
Anganette Young, MedNorth Health, Committee Chair
Jennifer Henderson, Blue Ridge Community Health Services
Teresa Shackleford, Randolph Family Health Care at MERCE
Sheila Simmons, First Choice Community Health Centers
Alice Salthouse, High Country Community Health
Tammy Norville, Office of Rural Health & Community Care
Jason Baisden, NC Association of Free Clinics
Cheyenne Gill, North Carolina Community Health Center Association
Rosa Navarro, North Carolina Community Health Center Association
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Continuing Education Credits
1.3 CEUs and 13.0 contact hours are available through Northwest AHEC of Wake Forest University School of Medicine. Additionally, Nurses can use this educational activity (13.0 contact hours) toward continuing competence plan for maintaining
current licensure with the North Carolina Board of Nursing. Those interested in receiving credits must:
1. Sign the Continuing Education Credits sign-in sheet at the NCCHCA registration desk.
2. Complete the online Tracking to Success evaluation at https://www.surveymonkey.com/s/2014PCC.
Once you complete the evaluation, you will be prompted to enter the information needed for your CEU certificate. Evaluations must be submitted no later than July 28, 2014. We encourage you to complete the feedback form, even if are not interested in receiving CEUs.
Disclosures
* Annie Thornhill, MPH
Prevention Partners provides consultation to employers to make improvements to culture and environment. The primary
consultation is via a web-based program (WorkHealthy America) and includes a license fee. Typically, license fees and consultation are underwritten through grants.
*William F. Tulloch, MA, PCMH CCE
Mr. Tulloch is an employee of the NCQA, which benefits financially when practices choose to undergo PCMH Recognition
through the organization.
All other speakers have nothing to disclose as it relates to this activity.
Session Tracks
The sessions have been divided into tracks: Administrative, Clinical (Behavioral Health, Dental, Pharmacy, and Primary Care),
Governance, Finance, and Human Resources. This is only a guide to assist participants in selecting workshops. Though
breakouts may focus on a certain topic, you are welcome to attend any session and do not need to have expert knowledge
in a specific area.
Tracking to Success
To continually improve the quality of the services we provide, the North Carolina Community Health Center Association is
focusing on an effort we are calling “Tracking to Success.” By asking what participants remember from conference sessions
and even more importantly, what participants do with their new knowledge and skill, we will be better able to determine—and improve upon— the quality of the training provided. This has been a year-long process that has included working with the Planning Committee and presenters selected to be on the program.
To help us with this effort, please be sure to complete the “Tracking to Success” survey at the end of conference online. The
survey link can be found in the program and will also be emailed out to participants. Your participation is crucial in helping
us to improve the workshops in the future. Thank you in advance for your help!
Raffle Prizes
NCCHCA wants to give a special thanks to all organizations that donated raffle prizes. Prizes are raffled during most breaks
or will be noted on your program so be sure to stick around! Thanks for following these three very simple rules:
1. You must be present to win.
2. Your name will only be called 3 times.
3. Only the person whose name is called should claim the prize.
Remember raffle prizes are scheduled during networking breaks in order to provide participants timeto mingle with sponsors &
exhibitors and learn about their services. We encourage you to be in the room!
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Thursday, June 26, 2014
8:00AM - 9:00AM
Breakfast on Your Own
9:00AM - 5:00PM
Registration Open
12:00PM - 1:00PM
Lunch
1:00PM - 5:00PM
Community Health Center Governance Training
Reynolds
Space is limited and previous registration required.
This session will be a practical and interactive session that will provide the
basics around the roles and responsibilities of a health center board of directors, while discussing and practicing the application implications. There will
also be an opportunity to discuss the characteristics of a high-performing
board, as well as what areas can get a board into trouble. By the conclusion of
this session, participants will be able to:
1) Describe the legal and program responsibilities of a board (Are you doing
the right things?);
2) Describe and demonstrate an understanding of the roles of a board (Are you
meeting the responsibilities in the “right” way?); and
3) Describe how you know when a board is working well.
Foyer
Restaurant/Atrium
Track: Administrative, Governance
Julie Boden Schmidt, MS, Associate Vice President, Training and
Technical Assistance, National Association of Community Health Centers
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1:00PM - 5:00PM
NCCHCA Board of Directors Meeting
1:00PM - 5:00PM
ORHCC Meeting
1:00PM - 5:00PM
NC Association of Free Clinics Meeting
Pinehurst
Hope
Mendenhall
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014PCC
–you will be prompted to enter the information needed for your CEU certificate.
Thursday, June 26, 2014
5:15PM - 6:15PM
Foyer/Blowing Rock
Welcome Reception & Centers of Excellence Poster Session
Sponsor: Henry Schein
During this Welcome Reception, you are encouraged to network with
colleagues and view Centers of Excellence, a poster session on innovative
programs, exciting projects, and best practices throughout North Carolina
Health Centers. This year’s participants include:
Navigating Diabetes to a Healthier Life
The Health Navigation Enhanced Diabetes Care Project (HNEDC) is a project
that focuses on Type 2 diabetics who are patients at First Choice Community
Health Centers or members of the surrounding communities. These patients
are most at-risk for heart disease, kidney damage, eye damage, nerve
damage, foot damage and skin/mouth conditions due to elevated hemoglobin A1C levels of 7.5 or higher. HNEDC uses a healthcare navigator to
support communication among the providers and patients, and provide
educational diabetes management.
First Choice Community Health Centers
Developing a Statewide Integrated Care Assistance Model:
Lessons Learned from North Carolina
The Center of Excellence for Integrated Care (COE) is a multidisciplinary
group of experts assembled to promote, support, develop, sustain, and
improve local, regional, and statewide Integrated Care (IC) efforts. In addition to providing community-based outreach to promote IC and convening
the IC Steering Committee (and facilitating subsequent work groups), the
COE provides consulting and technical assistance services to support and
advance integrated care services in all types of healthcare and mental health
settings. COE technical assistants use the INSIGHT practice evaluation tool (P.
Rives) to assess integration projects from multiple angles, capture site data,
measure progress over time, identify areas of growth and strength, and aid
in linking practices with resources for model development.
NC Center of Excellence for Integrated Care
Using Opioids to Treat Acute and Chronic Pain
Providers with Piedmont Health Services will share their experiences with
devising and revising a health center policy around using opioids to treat
acute and chronic pain.
Piedmont Health Services
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Thursday, June 26, 2014
5:15PM - 6:15PM
Foyer/Blowing Rock
Welcome Reception & Centers of Excellence Poster Session
(continued)
PCMH, Integrated Care and Analytics: How NOT to be driven by data,
but by Solid Patient Relationships
This poster demonstrates the inter-related aspects of implementing a
medical home that integrates the mind back into the body. The importance
of healthy relationships among providers, and between providers and
patients, etc. can improve processes and outcomes. The goals of this
project include: achieving Level III NCQA PCMH recognition through the
integration of behavioral health care in primary care and leveraging data to
guide decisions, not drive them.
Rural Health Group
Community Outreach Ambassador Program
The Ambassador Program was created to engage staff and Board members
in the mission of Wake Health Services (WHS). This program started as a
grassroots approach to training health center staff and Board of Trustees,
encouraging them to become an “Ambassador” and tell WHS’ community
health center story. The creation of resources describing the work of WHS,
how the organization is different, and their impact on the local community
has proved to be successful.
Wake Health Services
Building a Centralized Call Center in a Health Center
This poster will provide an overview of the workflow, processes, and
technology utilized in building a centralized call center at Wake Health
Services. The goals of the project include: reduced telephone wait time,
improved patient satisfaction, and refocused center staff resources.
Wake Health Services
6:15PM
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Dinner on Your Own
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014PCC
–you will be prompted to enter the information needed for your CEU certificate.
Friday, June 27, 2014
7:30AM - 4:15PM
Registration Open
Foyer
8:00AM - 9:00AM
Networking Breakfast
Blowing Rock/Chimney Rock
9:00AM - 10:30AM
Morning Plenary
Blowing Rock/Chimney Rock
Welcome and Opening Remarks
E. Benjamin Money, MPH, Chief Executive Officer & President,
North Carolina Community Health Center Association
Chris Collins, Director, North Carolina Office of Rural Health and
Community Care
Jason Baisden, Executive Director, North Carolina Association of
Free Clinics
Teaching for the Future: How Community Health Center Based Residency
Programs will Impact the Health of the Community
Songhai Barclift, MD, Division of Medicine and Dentistry Branch
Chief, Health Resources and Services Administration
Shannon Dowler, MD, Chief Medical Officer, Blue Ridge Community
Health Services
Geoffrey Jones, MD, Program Director, Hendersonville Family Medicine
Moderator: Jennifer Henderson, Chief Executive Officer, Blue Ridge
Community Health Services
10:30AM - 11:00AM
Networking Break & Raffle Prizes
Sponsor: AmeriHealth Caritas
Mingle with Sponsors and Exhibitors
11:00AM - 12:15PM
Concurrent Sessions
Foyer/Blowing Rock/Chimney Rock
Pinehurst
I Never Promised You a Tricorder: The Current and Future State of
Telehealth and Health in North Carolina
Rapid expansion of telehealth technology across the state of North Carolina
poses a variety of opportunities for providers to expand patient access to
care, while also presenting challenges regarding the potential onslaught of
patient-generated data. This session will examine inpatient, outpatient, and
home monitoring telehealth programs currently in use in North Carolina. The
role of telehealth in preventing 30 day readmissions will also be discussed.
Finally, several emerging health and telehealth technologies that will be
available to patients in the next three to five years will be shared. With each
technology discussed, there will be a focus on considerations when integrating telehealth technologies into current and emerging office workflows. By
the conclusion of this session, participants will be able to:
1) Identify telehealth services that are currently reimbursable services;
2) Recognize three telehealth applications that FQHC’s have implemented to
improve the quality of care they provide; and
3) Understand the current state of telehealth in North Carolina and emerging
technologies.
Track: Administrative, Clinical
Steve North, MD, MPH, Founder and Medical Director, Center for Rural
Health Innovation
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Friday, June 27, 2014
11:00AM - 12:15PM
Concurrent Sessions (Continued)
Tanglewood
Insurance Outreach and Enrollment in North Carolina: What Happened
and What's Next?
This session will provide an overview of North Carolina’s experience during
the first open enrollment period of the Affordable Care Act, focusing on
successes, challenges, and lessons learned. Presenters will describe the
importance of integrating outreach and enrollment in all aspects of a primary care setting and the continued role organizations can play in helping
people utilize new health insurance coverage. A road map for how primary
care settings can move forward to incorporate enrollment and utilization
assistance into their work. Also, best practices for outreach and enrollment
program management will be shared. By the conclusion of this session,
participants will be able to:
1) Identify North Carolina's successes and challenges in the first open
enrollment period, as well as current enrollment opportunities and key
areas of work for the next open enrollment period;
2) Understand the role of primary health care organizations in helping
consumers enroll in available coverage and utilize health insurance
coverage; and
3) Identify effective strategies for incorporating outreach and enrollment
work into all areas of an organization.
Track: Administrative
Alice Pollard, MSW, MSPH, Outreach and Enrollment Coordinator,
North Carolina Community Health Center Association
Brendan Riley, Outreach and Enrollment Coordinator, North Carolina
Community Health Center Association
340B Pharmacy Programs Update
Hope
The 340B Federal Drug Discount Program provides access to affordable
medications to low-income populations by supporting the operations of
healthcare safety net providers. Since the program’s inception in 1992, it has
been instrumental to organizations like Federally Qualified Health Centers
(FQHCs). This session is designed to assist FQHCs in understanding the 340B
Purchasing Program, the importance of compliance issues, and how to
utilize the 340B Program to benefit uninsured patients. Participants will also
learn about the 340B Program and Medicaid, specifically in North Carolina.
By the conclusion of this session, participants will be able to:
1) Understand compliance issues in the 340B Program;
2) Understand the importance of 340B to uninsured patients; and
3) Understand the role of 340B vendors.
Track: Administrative, Clinical
Carl Taylor, Director of Pharmacy Services, Clinical Assistant Professor
University of North Carolina— Chapel Hill School of Pharmacy,
Piedmont Health Services
10
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014PCC
–you will be prompted to enter the information needed for your CEU certificate.
Friday, June 27, 2014
11:00AM - 12:15PM
Concurrent Sessions (Continued)
Mendenhall
National Committee for Quality Assurance's 2014 Patient-Centered
Medical Home Program: An Introduction
This session will discuss and describe the changes that the National Committee for Quality Assurance (NCQA) has made to its Patient-Centered
Medical Home (PCMH) Recognition Program for 2014. These changes
include both updates to the existing standards and newly added standards. This session will explore the rationale for the program changes, and
describe the transition process from the 2011 to 2014 standards. The
challenges that practices have faced in meeting NCQA standards in the
past will be shared, and advice on how practices seeking Recognition can
overcome obstacles will be offered. By the conclusion of this session,
participants will be able to:
1) Identify the changes NCQA has made to its PCMH Recognition Program;
2) Explain how the changes and the overall structure of the NCQA Program
relate to the principles of the Medical Home; and
3) Implement a strategy to determine when and how to seek Recognition
as a Medical Home.
Track: Administrative, Clinical
William (Bill) Tulloch, MA, PCMH CCE, Director of Government
Recognition Initiatives, National Committee for Quality Assurance
12:15PM - 12:30PM
Transition Break
12:30PM - 2:30PM
Keynote Address
Foyer/Blowing Rock/Chimney Rock
Sponsor: UnitedHealthcare
Robin Cummings, MD, Deputy Secretary for Health Services,
North Carolina Department of Health and Human Services
Awards Luncheon
Sponsor: LabCorp
North Carolina Community Health Center Association Awards
Association Contribution Award
Outstanding Provider Award
Dr. Evelyn D. Schmidt Award for Outstanding Service
Health Center Advocate Award
North Carolina Office of Rural Health and Community Care Awards
Outstanding Administrator of the Year
Outstanding Provider of the Year
Blue Cross Blue Shield of North Carolina Foundation Award
Robert J. Greczyn, Jr., Community Health Center Leadership Award
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Friday, June 27, 2014
2:30PM - 3:00PM
Networking Break & Raffle Prizes Foyer/Blowing Rock/Chimney Rock
Mingle with Sponsors and Exhibitors
3:00PM - 4:15PM
Concurrent Sessions
Meaningful Use—The Sequel
Pinehurst
This session will delve into the details of Meaningful Use (MU) Stage 1 and
its contributions to clinical quality. The requirements of MU Stage 2 and the
anticipated effect on quality will be discussed. Practical questions regarding attainment of Stage 2 requirements will be answered, giving participants additional insight into pursuing MU. By the conclusion of this
session, participants will be able to:
1) Identify the potential chronic care improvements that can be leveraged
by achievement of MU;
2) Identify the additional requirements of MU Stage 2 compared
to Stage 1; and
3) Practically apply shared principles to achieve MU Stage 2 requirements
and improve chronic disease management in a practice Medical Home.
Track: Administrative, Clinical
Samuel Cykert, MD, Clinical Director of the NC AHEC Practice Support
Services, University of North Carolina—Chapel Hill School of Medicine
Recent Developments in Employment Law
Tanglewood
This session will focus on topics such as when leave is required as a reasonable accommodation under the Americans with Disabilities Act (ADA), and
when accommodation is legally required based on the applicant’s or
employee’s religious beliefs. Participants will have the opportunity to
engage in interactive dialogue to identify possible and reasonable accommodations based on the facts of the situation. Additional topics will be
explored, including the recent Equal Employment Opportunity Commission (EEOC) guidance on the use of criminal background checks and
whether an application of the employer’s policy on criminal records has an
adverse impact on specific populations, such as minorities or men. By the
conclusion of this session, participants will be able to:
1) Understand the requirements of the ADA;
2) Understand how the obligation to accommodate religious beliefs is
different from reasonable accommodation obligation under the ADA
and under what circumstances employers must consider exceptions to
appearance standards or attendance requirements because of religious
beliefs or practices; and
3) Understand what the EEOC looks for in investigating an employer’s use
of criminal background checks and how to develop a legally defensible
procedure that allows for a case-by-case assessment of an applicant’s
criminal history.
Track: Administrative, Human Resources
Gretchen Ewalt, JD, Laywer, Ogletree Deakins
12
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014PCC
–you will be prompted to enter the information needed for your CEU certificate.
Friday, June 27, 2014
3:00PM - 4:15PM
Concurrent Sessions (Continued)
Hope
Slide Fee Discount Program: The Old and the Affordable Care Act
This session will focus on the requirements of the federal Slide Fee Discount
Program (SFDP). Discussions will center on what should be included in the
policy and application to pass program requirement seven when receiving
a Health Resources and Services Administration (HRSA) Operational Site
Visit assessment. This session will also demonstrate how to set up and
conduct an organizational self-audit on the SFDP, utilizing an auditing tool
that encompasses the parameters that are viewed by health center annual
financial auditors. By the conclusion of this session, participants will be able
to:
1) Develop and implement a HRSA approved SFDP;
2) Audit current SFDP for compliance utilizing a shared tool; and
3) Apply ACA guidelines to the current SFDP.
Track: Administrative, Finance
Sharon Brown-Singleton, LPN, MSM, Health Center Operations
Specialist, North Carolina Community Health Center Association
Mendenhall
Healthy Places Change Lives: Building a Culture of Wellness for Health
Center Employees
Community health has become a focal point of the Affordable Care Act,
putting health centers in the spotlight for reducing chronic disease in their
communities. But what about the health of their employees? Employee
health is critical to improving the health of the community. This session will
engage health center leadership in understanding how to improve and
sustain employee health and build a culture of wellness at community
health centers using effective policies, benefits, and environmental
supports. Best practices will be shared and a compelling review of how
these efforts improve patient care, reduce healthcare costs, and change
lives. By the conclusion of this session, participants will be able to:
1) Understand the value and return on investment of a comprehensive
approach to employee health and wellness;
2) Engage and sustain leadership from the top down to truly transform
the culture of health and wellness; and
3) Attain meaningful and lasting employee engagement.
Track: Administrative
Annie Thornhill, MPH, Strategic Alliances Director, Prevention Partners
4:15PM
Dinner On Your Own and A Night On The Town
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Saturday, June 28, 2014
7:30AM - 11:00AM
Registration Open
7:30AM - 9:00AM
Morning Plenary Speaker and Breakfast
Foyer
Blowing Rock/Chimney Rock
Outside Four Walls: Improving Health with Our Community
Michelle Lyn, MBA, MHA, Assistant Professor and Chief, Duke Division
of Community Health, Duke Medicine
7:30AM - 9:00AM
9:00AM - 10:15AM
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Pinehurst
The State of Dental and Primary Care: If the Eyes are the Window to the
Body, then the Mouth must be the Door!
Space is limited and previous registration required.
The Patient-Centered Health Home (PCHH) is important to ensuring that
patients have access to comprehensive health care, inclusive of dental care.
During this session, the organization and metrics that will strategically guide
the direction of the PCHH will be shared, including leadership support,
dental integration into health center management, co-location of services,
quality improvement/quality assurance, support staff buy-in, and patient
support services. Participants will also hear about the barriers to integrating
oral health into the PCHH, some of which include funding and issues with
interoperability between medical and dental information technology
systems. By the conclusion of this session, participants will be able to:
1) Understand shared metrics that assist in the integration of medical and
dental care delivery to patients;
2) Understand the barriers to integrating oral health into the PCHH; and
3) Jointly collaborate to increase participation in medical and dental
integration.
Track: Administrative, Clinical, Finance
Adam Coleman, MSPAS, PA, Medical/Dental Integration Program
Coordinator, North Carolina Community Health Center Association
Concurrent Sessions
Tanglewood
Risk Management 101: Developing a Risk Management Plan—Part 1
This session will include the basics of developing a risk management plan,
including policies and procedures, record reviews, and results tracking. The
Federal Tort Claim Act (FTCA) application and how to work with the FTCA
office will be discussed. Additionally, environment of care issues, provider
and staff education, and being proactive through Failure Mode Effective
Analysis and documentation will be explored. By the conclusion of this
session, participants will be able to:
1) Identify the basic components of a Risk Management Plan;
2) Take home two risk management concepts that can be implemented; and
3) Provide resources and/or tools to foster plan development.
Track: Administrative, Clinical, Finance, Human Resources
Karen Smith, M.Ed., Director of Quality Education and Performance
Improvement, CommWell Health
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014PCC
–you will be prompted to enter the information needed for your CEU certificate.
Saturday, June 28, 2014
9:00AM - 10:15AM
Concurrent Sessions (Continued)
Hope
Transforming the Safety Net through Collaborations, Connectivity, and
Analytics
Over 100 safety net provider entities are connected to the North Carolina
Health Information Exchange (NC HIE) and are contributing to a central
data repository from which Community Care of North Carolina (CCNC) has
developed a platform to allow for better care coordination, regulatory
compliance and ad-hoc capabilities for real-time quality improvement
initiatives at the system and community level. This session will explore the
project from conception through launch, highlighting lessons learned and
what is next for this multi-stakeholder project in 2015. By the conclusion of
this session, participants will be able to:
1) Design collaborations around the use of data across organizations to
improve health outcomes;
2) Select a pathway for their own participation with the NC HIE and CCNC’s
population health programs: and
3) Identify the regulatory needs or requirements that can be met through
data collaboration.
Track: Clinical
Jayson Caracciolo, MPH, PMP, CCEP, Project Coordinator-Technical
Integrations, Community Care of North Carolina
Mendenhall
Accountable Care Organizations and North Carolina FQHCs
This session will look at utilization of the Accountable Care Organization
(ACO) model with regards to participation in the Medicare Shared Savings
Program (MSSP). Within the context of the MSSP, the ACO is the entity
responsible for achieving savings in the total cost of care for a defined
population of Medicare beneficiaries. While primary care accounts for only
a fraction of total cost, FQHCs are in a position to identify high cost patients
and develop interventions to improve the efficiency of care. The tools
utilized will be both high-tech and high touch, including sophisticated data
management and analysis, as well as a strong care management component provided on the ground at the FQHC level. By the conclusion of this
session, participants will be able to:
1) Understand what an ACO is and how the model works for an FQHC;
2) Understand the basics of how the MSSP works in an FQHC environment; and
3) Identify the opportunities and challenges that changes to the
North Carolina Medicaid Program creates for FQHCs.
Track: Administrative, Finance
Steve Smith, MHA, Business Development Manager, North Carolina
Community Health Center Association
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Saturday, June 28, 2014
9:00AM - 10:15AM
Concurrent Sessions (Continued)
Understanding and Finding Cost in Health Centers
Reynolds
This session will help participants become familiar with identifying, understanding, and using cost analysis to improve health center operations and
improve increases in net assets. Participants will walk through the steps
involved in influencing the volume of business in order to impact cost
reduction and management. Additionally, discussions will focus on recommended reports that guide expenses and improve productivity to manage
costs and the bottom line. By the conclusion of this session, participants
will be able to:
1) Understand the difference between cost and expense;
2) Cost health center services for negotiation with plans and Affordable
Care Organizations; and
3) Understand how management should look at costs in health centers for
operational decision-making.
Track: Administrative, Finance
Michael Holton, President and Chief Executive Officer, Holton
Healthcare Consulting, Inc.
10:15AM - 10:45AM
Networking Break & Raffle Prizes
Mingle with sponsors and exhibitors
10:45AM - 12:00PM
Concurrent Sessions
Foyer/Blowing Rock/Chimney Rock
Tanglewood
Risk Management 101: Developing a Risk Management Plan—Part 2
This session will include the basics of developing a risk management
program. Topics such as the various components of a risk management
plan, and how to identify the key players will be explored. Participants will
also learn how to look for risks and avoid them, and what to do when
something unexpected happens. By the conclusion of this session, participants will be able to:
1) Identify the basic components of a Risk Management Plan;
2) Take home two risk management concepts that can be implemented; and
3) Provide resources and/or tools to foster plan development.
Track: Administrative, Clinical, Finance, Human Resources
Karen Smith, M.Ed., Director of Quality Education & Performance
Improvement, CommWell Health
16
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014PCC
–you will be prompted to enter the information needed for your CEU certificate.
Saturday, June 28, 2014
10:45AM - 12:00PM
Concurrent Sessions (Continued)
Pinehurst
Health Center Advocacy and Civic Engagement in the New Era of
Health Care
Health Centers are facing a variety of challenges and opportunities in the
post-Affordable Care Act health care environment, including threats to
Health Center funding and fights for Medicaid Expansion. It is more important than ever that Health Centers organize their staff, board members,
patients, and communities to be engaged on these issues so their voice can
be heard. This session will discuss the National Association of Community
Health Centers’ (NACHC) advocacy strategy to ensure appropriate levels of
funding for Health Centers, and strategies for incorporating Health Center
Advocacy into ongoing operations. This session will also cover the basic
legal guidelines for Health Center Advocacy and methods for growing a
grassroots base. Participants will learn the basics of non-partisan voter
registration and engagement at health centers and the potential health
centers have to empower their communities. By the conclusion of this
session, participants will be able to:
1) Participate in the “Access is the Answer” campaign and messaging to
ensure adequate funding for health centers;
2) Develop strategies for a grassroots base to mobilize community members
to take action on a variety of issues; and
3) Understand the importance and power of registering and engaging
voters at health centers.
Track: Administrative, Governance
Alexandra Harris, MSPH, National Advocacy Specialist, National
Association of Community Health Centers
Marc Wetherhorn, MBA, Principal, Marc Wetherhorn Consulting, LLC
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Saturday, June 28, 2014
10:45AM - 12:00PM
Concurrent Sessions (Continued)
Hope
Connecting the Executive Management with Billing Operations
In this session, participants will learn how executive management can be
more involved in the revenue cycle process. Revenue cycle processes must
be efficiently managed to ensure that a health center receives the payment it
is due, which is no easy task given the rapid pace of changes to legislation,
payer rules, and technology. To prepare for what will come next in this
demanding environment, it is key for today's leadership to stay on top of
industry practices, trends, and to clearly understand the revenue cycle
operation. Providing revenue cycle staff with the resources needed to do
their jobs and function as an integral part of the organization is something
health center executives must deliver. By the conclusion of this session,
participants will be able to:
1) Understand the revenue cycle components;
2) Understand the information needed to monitor the revenue cycle; and
3) Acknowledge the resources senior leaders need to provide to ensure
have an effective revenue cycle operation.
Track: Administrative, Finance
Michael Holton, President and Chief Executive Officer, Holton
Healthcare Consulting, Inc.
Rightful Hires to Avoid Wrongful Discharge
Mendenhall
This session will discuss how employers can reduce the risk of staff complaints, claims, and litigation by proactively managing employees. The
discussion of the interview process will contain detailed examples of the
types of interviewing questions employers may/may not ask of applicants.
The use of probationary periods and their role in eliminating problem hires
early in the employment process will also be explored. Additionally, the
proper use of constructive discipline, how to handle internal investigations,
and managing employee terminations in a way that minimizes the risk of
claims will be addressed. By the conclusion of this session, participants will
be able to:
1) Improve hiring decisions by properly managing the recruitment and
interviewing process;
2) Use constructive discipline to reduce risk and minimize claims; and
3) Manage the employee separation process in a way that reduces litigation
risk and liability exposure.
Track: Administrative, Human Resources
Kevin Ceglowski, JD, Partner, Poyner Spruill LLP
12:00PM - 2:00PM
Lunch and Closing Plenary
Blowing Rock/Chimney Rock
Warren Newton, MD, MPH, Vice Dean, Director NC AHEC,
University of North Carolina —Chapel Hill School of Medicine
Grand Prize Raffle
SAVE THE DATE
2015 North Carolina Primary Care Conference - - Date TBD
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2014 North Carolina Primary Care Conference
nference & A
Annual
nnual Meeting