Minnesota Community Health Worker Alliance 2014 Statewide Conference Partnering for Health Equity: Progress, Practice and Policy ASL interpreting provided Bringing together CHWs, Certified Navigators & Outreach Workers, their employers and other stakeholders interested in healthier communities for a day of learning, networking and partnership-building to advance health equity including health access June 5, 2014 from 7:30 a. m. – 4:30 p.m. The Commons Hotel, 615 Washington Avenue SE, Minneapolis, MN 55414 www.commonshotel.com To register, visit: http://www.mpha.net/Default.aspx?pageId=1242643&eventId=885037&EventViewMod e=EventDetails Overview Our one-day statewide conference, held in conjunction with the Minnesota Public Health Association (MPHA) Annual Conference, will build our knowledge, capacity and momentum to work together to achieve healthier communities for all. We’ll share lessons and best practices to help achieve health equity and improve health access through the engagement of community health workers including community health representatives, promotoras, certified navigators and outreach workers. Our MPHA partnership means that Alliance and MPHA conference registrants will participate in a joint opening plenary on the morning of June 5th and also be able to attend breakouts from either conference planned for that half-day. Our Alliance conference will continue into the afternoon with a buffet luncheon, plenary program, and breakouts. We will close with an awards ceremony and call to action. Conference Objectives 1. Recognize how the work of CHWs and navigators helps advance health equity including access to affordable coverage 2. Understand major federal and state health reform policies and their potential impact on the outlook for CHW and navigator roles 3. Identify best practices, lessons learned and financing options by programs that engage CHW and outreach and enrollment services 4. Describe CHW education, employer types and career pathways 5. Identify research and success factors for next-stage work. Conference Location and Parking…The Commons Hotel, Minneapolis The conference will be held at The Commons Hotel at 615 Washington Avenue SE in Minneapolis on the East Bank campus of the University of Minnesota. For directions, call the hotel at 612-379-888 or visit: http://www.commonshotel.com/directions.aspx Parking may be found in the adjacent Washington Avenue parking ramp @$2.50 per hour with a maximum of $12/day and at other nearby parking ramps and lots with lower daily rates. The hotel may also be reached by public transportation and bicycle. See the following link for University of Minnesota East Bank campus map for visitor parking options: http://www1.umn.edu/pts/maps/Library/pdf/EBank.pdf Accomodations For hotel reservations, please contact The Commons Hotel directly at 612-379-8888 or toll-free at 1-800-822-6757. Cancellation of a room reservation is your responsibility. Please review the hotel’s cancellation policy prior to making a reservation. How to Register Registration is required and is separate from registration for the MPHA Annual Conference. Rates are: CHWs/navigators: $50; CHW students and full-time students in degree programs: $50; stakeholders: $100 and luncheon/afternoon-only: $50. Registration includes the program, meals and materials. Register and pay online at: http://www.mpha.net/Default.aspx?pageId=1242643&eventId=885037&EventViewMod e=EventDetails Online registration features immediate confirmation of your registration via email and follow-up reminders from the Minnesota Public Health Association which is serving as our conference registrar. Credit card payment is required for online registration. Pre-registration ends on May 28. Please email any questions to Joan Cleary at the MN CHW Alliance at joanlcleary@gmail.com. Cancellation Policy: Due to heavily discounted rates and the short time horizon for our conference, we regret that we are unable to refund registration fees. Continuing Education Credits Continuing education units, contact hours and recertification credits are available through the University of Minnesota School of Public Health. Please contact Maggie Truax by email at truax031@umn.edu if you have questions or are interested in receiving a certificate. Program Schedule 7:30-8:15 a.m. Registration and Continental Breakfast 8:15-8:30 a.m. Opening Introductions and Welcome 8:30-9:30 a.m. Plenary Session: Advancing Health Equity in Minnesota Melanie Peterson Hickey, Interim Director Center for Health Equity, Minnesota Department of Health (MDH) This session will provide a brief overview of the new Center for Health Equity. The new Interim Director will describe the Center and its work overseeing the implementation of the recommendations of the MDH report “Advancing Health Equity in Minnesota.” She will identify the team, next steps and how people can be involved with the Center’s work. Learning Objectives: -Provide brief overview of the Advancing Health Equity in MN Report: What creates health? -What needs transformation to assure Health Equity? -Describe status of implementing Center for Health Equity and recommendations from the report (Team of MDH program areas that are part of the Center, etc). -Identify next steps and how people can be involved. 9:30-9:45 a.m. Break 9:45-10:45 a.m Concurrent Sessions Race, Racism and Medicine Stephen Nelson, MD, Director, Hemoglobinopathy Program; Co-Director, Vascular Anomalies Clinic, Children's Hospitals;Adjunct Assistant Professor, Department of Pediatrics, University of Minnesota Children’s Hospital Many factors play a role in racial health care disparities. These will be addressed with an emphasis on racism and health provider bias. Learning Objectives: -Recognize race as an independent factor in health equity -Understand the factors that influence racial health care disparities -Begin to understand and have conversations about how unconscious bias affects health care delivery -Formulate an action plan to reduce racial health care disparities Cultural Groups and Health Niccu Tafarrodi Alvine Siaka This session will discuss strategies for engaging immigrant and refugee populations in linguistically and culturally-appropriate health education and strategies for engaging cultural communities in creating a community voice to impact health. Accountable Communities for Health Renee S. Frauendienst, Public Health Division Director/CHS Administrator, Stearns County Human Services Elizabeth Auch, Administrator/DON, Countryside Public Health Marie Maes-Voreis, Director Health Care Homes, State of Minnesota This session will provide an overview and update on Accountable Communities for Health through the Minnesota Accountable Health Model and share perspectives of public health partnering for public health improvement. This session will discuss MPHA recommendations on the role of public health and community engagement, a vision for what we hope will come out of ACH/SIM funded projects but also how we can help support ACH approach in other ways outside of the SIM grant. Learning Objectives: -Describe overview, updates and vision for outcomes of ACH -Discuss recommendations for role of public health and community engagement in ACH approach CHW Field Basics I: CHW Scope of Practice & Statewide Curriculum Anne Ganey, MPH, BS, Faculty, CHW Certifcate Program, South Central College Julie Mumm, MBA, CLS(ASCP)CM , Program Coordinator, CHW Certificate Program, St. Catherine University Minnesota is recognized as one of the nation’s leading states for CHW field development with a defined scope of practice and a statewide standardized, competency-based CHW curriculum based in higher education. This session will focus on the CHW role, its contributions to addressing health equity and the Triple Aim, as well as core competencies and the content of our state’s CHW curriculum which leads to a certificate recognized by the Minnesota Department of Human Services and the Centers for Medicare and Medicaid Services. Learning Objectives: -List the courses in the CHW Certificate Program -Understand how the CHW Core Competencies are interwoven in the curriculum -Describe how the CHW Certificate programs address health equity and the Triple Aim. Addressing Healthy Housing Disparities Rachelle Menanteau Peleska, MPH, Director of Education and Outreach Sustainable Resources Center, Minneapolis Healthy housing is a key determinant of health. Substandard and unsafe housing contributes to asthma, lead poisoning, cancer and injuries with disproportionate burden on low income communities and people of color. This session will describe healthy housing and provide best practices for home visitors including community health workers. Learning Objectives: -Define the seven principles of healthy housing -Learn recommended practices for keeping a healthy home Navigator Roundtables: Lessons Learned from MNsure Outreach and Enrollment Sarah Greenfield, Health Care Program Manager, Take Action Minnesota – Facilitator Over 200,000 individuals have gained health coverage through the roll-out of MNsure our state’s health insurance exchange. As the face, heart, and hands of MNsure, outreach workers and certified navigators across Minnesota have played a vital role in helping members of their communities learn about and enroll in a system with wellpublicized challenges. This interactive session will provide a forum for sharing experience, best practices and lessons to date. The outcome will be a strong set of collective reflections and recommendations for future improvements. Learning Objectives: -Critique the outreach and enrollment process for the first enrollment period...what worked, what didn't and why. -Share best practices for outreach and enrollment -Build recommendations for how navigators and navigator organizations can improve future outreach and enrollment efforts for the fall 2014 enrollment period, and recommendations for what MNsure could do to improve future outreach and enrollment efforts and navigator infrastructure 11: 00a.m. - 12 Noon Concurrent Sessions Accessing Primary Care: Partnership Success Story Zahra Abdalla, CHW, Wellshare International Jeri Peters, RN, BNS, PHN, VP, Chief Nursing Officer, UCare This case study will focus on a successful CHW intervention developed and evaluated in partnership by UCare and WellShare International with an emphasis on redirecting preventable emergency department use by Somali immigrants. Learning Objectives: -Show how using Community Health Workers can improve health of community. -Describe the work of a partnership between community agencies and communitities and the innovative model of care suing CHWs. -Present outcome data showing how the CHW initiative improves access, changes utilization of services and reduces costs. -Provide hands on examples and stories of the work of a CHW in the field. Next Up: Helping Consumers Confirm and Understand How to Use Their Health Coverage Leigh Grauman, Training and Policy Implementation Manager, Portico Healthnet Gaining access to health coverage is critical but only part of the solution. What’s also key is knowing how to use that coverage to appropriately access care and stay healthy. This session is designed to help navigators educate enrollees on using their health benefits, accessing primary care and building their capacity for better health. Learning Objectives: -Step One: Confirm your client’s coverage in their determined program. -Understand what's most important about accessing and using health coverage and why -Discuss effective approaches for educating enrollees on how to use their health benefits and access care -Learn about culturally-appropriate messages and resources Health Care Home Spotlight: Early Lessons and Results from CHW Integration Jean M. Gunderson, DNP, RN, Community Engagement Coordinator Co-Supervisor of the Community Health Worker (CHW) Pilot, Mayo Clinic Employee and Community Health (ECH), Rochester, MN Tara Nelson, CHW Certificate Holder, Intercultural Mutual Assistance Assn, Rochester Elizabeth Rogers, MD, MAS; University of Minnesota School of Medicine, Divisions of General Internal Medicine and Pediatrics, Applied Clinical Research Program; CUHCC Clinic Integration of CHW internships and programming within Health Care Home infrastructure and secondary community based partner sites, offer promising and holistic patient centered outcomes impacting health. The development of transdisciplinary teambased care within a community-based, co-supervisory CHW model integrating home visits, community-based partner sites, and primary care, is essential in promoting health equity. The description of the infrastructure, teams, tools, and processes promoting both patient and team capacities, as the community contexts and patient priorities defining health and resiliency, will be highlighted by Mayo Health System, one of five statecertified health care homes known to incorporate CHWs on their teams. Learning Objectives: -Describe the building of teams integrating CHWs in a certified Health Care Home -Review the collaborative infrastructure and funding aligning CHW capacities promoting community health -Examine the community based co-supervisory CHW model integrating patient centered team based care -Illustrate the impact of CHW home visits on the understanding of the patient experience, through descriptions of goal setting, self-management, and acts of resiliency CHW Field Basics II: Financing Strategies Will Wilson, Supervisor, Primary Care Financial and Technical Assistance Unit, Office of Rural Health and Primary Care, Minnesota Department of Health - Facilitator Steve Masson, Benefits Program Manager, Minnesota Department of Human Services Marie Timmerman, Health Care Policy Director, Minnesota Department of Human Services Sustainable financing is needed to extend the reach and benefits of CHW strategies. Panelists will discuss coverage of CHW services by Minnesota Health Care Programs (Medical Assistance and PMAP) and under Accountable Care Organization (ACO) financing models. CHW Leadership for Health Equity Jaime Martinez, Director of Community Development, Clearway Minnesota -Facilitator Anita Buel, CHW Certificate Holder, Minnesota Deaf CHW Project Akhmiri Sekhr-Ra, Administrative Director and Health Systems Navigator, Certified Prenatal, Cultural Wellness Center, Minneapolis Marie Tran, CHW Certificate Holder, Minneapolis Visiting Nurse Association This session will begin with an overview of community leadership styles and approaches followed by a panel discussion by CHW leaders who will share their perspectives and stories on their own leadership and career paths and the role of CHW leadership in building healthier communities. 12:00 Noon View exhibits and posters 12:15 p.m. Buffet Lunch Available 12:45-2:00 p.m. Plenary Program: Panel Discussion with Audience Q &A Local and Global Perspectives on Community Health Worker Approaches The benefits of community health worker strategies---a vital component in global public health-are now gaining greater recognition in the United States during this promising era of health reform. Our distinguished panelists will share their outlook on opportunities and challenges to advance health equity and access through the role and impact of community health workers including navigators, promotores(as) and community health Jennifer Lundblad, CEO, Stratis Health, Facilitator Alfred Babington-Johnson, President and CEO, Stairstep Foundation Carol Berg, Public Health and County Manager, UCare Paurvi Bhatt, Senior Director for Global Health Access,The Medtronic Foundation Marie Tran, CHW Certificate Holder, MVNA Pam White, Founder and President, Health Empowerment (HER) Clinic 2:15-3:30 p.m. Concurrent Sessions Looking Ahead: Plans & Priorities for MNsure Outreach & Navigation Jackie Edison, MPP, Navigator Coordinator, MNsure Christina Wessel, MA, Director of Navigator Relations, MNsure This session will provide an opportunity for community health workers and navigators to learn about MNsure’s vision for the navigator program going forward. MNsure staff will talk about upcoming plans for outreach and enhanced learning opportunities during the summer and fall, as well as what changes may be coming before the next Open Enrollment starts in November. Participants will be encouraged to provide their feedback on how MNsure can use the navigator program to effectively support increasing health equity in Minnesota. Learning objectives: -Understand the role and scope of MNsure’s Navigator program. -Become informed about MNsure’s outreach efforts and enrollment campaigns for the summer and fall. -Become informed about opportunities for community assistance partners to participate in education and networking during the summer and fall. -Inform MNsure’s strategies for addressing health disparities in Minnesota SIM Emerging Professions Integration Initiative Will Wilson, Supervisor, Primary Care Financial and Technical Assistance Unit, Office of Rural Health and Primary Care, Minnesota Department of Health The Minnesota Emerging Professions Integration Grant Program fosters the integration of emerging professions into the workforce in roles that support the broad goals of Minnesota’s State Innovation Model (SIM) related to providing coordinated care, across settings, for complex patients, populations and models of accountable care. This session will provide information on the Program’s objectives, funding and technical assistance targeted to Minnesota’s CHW workforce integration. Policy Roadmap for Health Equity: Outlook and Opportunities Michael Scandrett, JD, and Emily Zylla, MPH, Minnesota Health Care Safety Net Coalition staff The health care system is changing dramatically under federal and state health care reforms and health system trends related to quality, cost and health status. During this session, the presenters will provide an update on recent major health policy developments affecting health equity and disparities and a preview of expected future actions, with comments on the impact on CHWs. Learning Objectives: -Developments related to MNsure, the Affordable Care Act, and the state’s Accountable Health Model. -New care delivery and payment models that are emerging such as Integrated Health Partnerships and Accountable Communities for health, with a focus on projects serving low-income, diverse and disadvantaged patients. -Policy developments related to measurement of health care provider quality of care, including new legislation requiring quality measures to identify and adjust for race, ethnicity, language and other social determinants of health. -Efforts to provide health coverage to the remaining low-income uninsured Minnesotans who are not eligible for state programs or MNsure coverage. -Roles and opportunities for CHWs as a result of these developments. Settings for CHW Practice: Roles, Qualifications & Impacts Donn Vargas, Northpoint Health and Wellness Inc. – Facilitator Yesenia Bahena-Mata, Minneapolis Public Schools Roxanne White, NorthPoint Health and Wellness, Inc. Lou Yang, Community Dental Services Nationally and in Minnesota, CHWs have successfully helped patients manage chronic conditions, develop healthier lifestyles, improve maternal and child health, increase rates of preventive screenings and improve access to and use of health care and social services through outreach, enrollment and patient education. Panelists from a variety of CHW employment settings including primary care and oral health will discuss specific CHW roles, qualifications and contributions to health equity and the Triple Aim. 3:30-3:45 p.m. Break 3:45-4:30 p.m. Final Plenary: Awards and Action Steps We would like to acknowledge and thank our conference sponsors: American Cancer Society, Midwest Division Minnesota Department of Health The Otto Bremer Foundation Wellshare International Updated 5/23/2014