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Regional Care Collaborative
Sustaining Patient-Centered Medical Home,
Improving Population Health
GULFPORT, MISSISSIPPI: FEBRUARY 24 + 25, 2016
Presented by the Primary Care Capacity Project
A PROGRAM OF THE GULF REGION HEALTH OUTREACH PROJECT
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Agenda and Session Descriptions
Color code:
General Session
Track 1: Sustaining PCMH
Track 2: Improving Population Health
Special meetings (invitation only)
Wednesday, February 24th
Welcome and Light Breakfast:
Time: 9:00 – 9:30am
Location: Coastal I+II
Plenary Session
ABCs of a Thriving Patient-Centered Medical Home
Presenter: Dr. Christopher H. Tashjian, Vibrant Health Family Clinics
Time: 9:30 – 10:45am
Location: Coastal I+II
Breakout Session
Revenue Cycle Improvement: Are You Leaving Money on the Table?
Presenter: Kelley Lipsey, Healthcare Evolutions
Time: 11:00 – 12:15pm
Location: Harbor Room
Suggested Audience: Administrators, managers, billing staff, and providers
Participants can expect to learn about process improvement opportunities in each area of the revenue
cycle, aimed at maximizing patient-generated revenue. This session will look at how to optimize revenue
by improving processes related to front office, patient flow, documentation and coding, billing, and
accounts receivable management.
Breakout Session
Making Meaningful Use of Meaningful Use
Presenter: Dr. Christopher H. Tashjian, Vibrant Health Family Clinics
Time: 11:00 – 12:15pm
Location: Coastal III
Suggested Audience:
Dr. Tashjian will share how his primary care clinic embraced Meaningful Use. By doing so, his group has
measurably increased the quality of care they deliver to their patients. He will show how his group went
from average to world class and maintains a hypertension control rate of more than 85% while the
national average is closer to 50% control. Finally, he will review the Million Hearts Initiative and why it
matters to you and your patients.
Lunch
Tables will be assigned based on your role at your organization.
Time: 12:15 – 1:15pm
Location: Coastal I+II
Breakout Session
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Your Front Office: How it Drives the Revenue Cycle
Presenter: Kelley Lipsey, Healthcare Evolutions
Time: 1:15 – 2:30pm
Location: Harbor Room
Suggested Audience: Administrators, managers, and front office staff
Participants can expect to learn how the staff, processes, and data collected at the front desk impact the
entire practice. The front office is where the revenue cycle begins, and accurate and complete processes
are vital to the success of the entire revenue cycle. The presentation will review processes such as
scheduling, data integrity, capturing complete patient financial information, compliance, and ensuring a
positive patient experience.
Breakout Session
Managing Populations: Building a Sustainable Care Coordination Program through Teams
Presenters: Lori Hinga, Clinical Nurse Consultant, LPHI
Time: 2:45 – 4:00pm
Location: Harbor Room
Suggested Audience: Administrators, managers, operations and quality staff
Comprehensive care coordination will be key in new care delivery models that aim to improve patient
outcomes and reduce waste in health care systems. This promise of better care and lower cost, however,
will only be realized if programs are well designed and implemented effectively. This session will discuss
practical strategies to build a solid care coordination program through population management and care
team development.
Workshop
(CME credit available)
Telehealth in the Primary Care Setting: Where to Start and Where to Go?
Presenters: Dr. John Wells, Dr. Lindsey Poe, Nicole Savage, Telehealth IT Specialist TBA, Clinic partner
experience TBA
Time: 1:15 – 4:15pm
Location: Coastal III
Suggested Audience: Providers, administrators, managers, operations staff, social workers, and support
staff
This workshop will cover the basics of providing telehealth care within the primary care setting, from the
implementation and logistics to the clinical use and cases. If you are curious about what role telehealth
can play in your practice, how it can be utilized, or looking to improve your current use, then this
workshop is for you. We will be discussing regulatory issues, technical requirements and options, as well
as a review of different models that can be implemented including routine care, specialist services,
consultative services, and training. There will also be an overview of specific telehealth training modules
and current guidelines.
Networking Reception
Hors d’oeuvres and cash bar
Time: 4:00 – 6:00pm
Location: Lobby
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Thursday, February 25th
Breakfast
Clinic Pairings. Clinics will be assigned tables with other clinics to encourage networking.
Time: 8:00 – 9:00am
Location: Coastal I+II
Breakout Session
Gulf Coast Emergency Preparedness for Primary Care: A New Initiative for Organizational and
Community Resilience
Presenters: Kristin Stevens, Consultant, PCDC and Anita Chandra, Director, RAND Justice, Infrastructure,
and Environment, RAND Corporation
Time: 9:00 – 10:15am
Location: Harbor Room
Suggested Audience: Administrators, quality improvement managers, emergency preparedness managers
Community Health Centers are essential for community resilience based on the role they fulfill during and
after disasters. Resilience is key to helping communities respond and recover from a range of events and
stresses and to be more adaptive in the future. The approach has also required engagement across
sectors, bringing together diverse groups such as primary care providers, emergency managers and other
community-based organizations to not only plan together, but to create integrated systems to build
resilience capacities and capabilities. This session will review the fundamental concepts of
community resilience and emergency preparedness and will introduce a new GRHOP initiative intended to
improve CHCs’ ability to prepare for, respond to, and recover from emergencies.
Breakout Session
Community-Centered Health Homes: Quick Start Guide
Presenters: Rea Pañares, Prevention Institute, Jaymee Lewis Desse, Melody Robinson, LPHI, with
representation from the CCHH cohort
Time: 9:00 – 10:15am
Location: Coastal III
Suggested Audience: Administrators
This session will introduce attendees to The Prevention Institute’s Community Centered Health Home
(CCHH) Model and give insight into a quick start format for implementing the CCHH Model in a
community health center setting with limited additional resources. CCHHs engage their community by
addressing health concerns and work in partnership to improve health outcomes, thus resulting in a
better quality of life for the community members and moving the work of the clinic outside the clinic walls
in a non-traditional method. Attendees will hear from current CCHH sites on their experience with
implementing the model and community engagement throughout the process.
Breakout Session
Leveraging Data for Performance Improvement
Presenter: Chatrian Reynolds, Access Health LA, Jack Millaway, LPHI
Time: 10:30 – 11:45am
Location: Coastal III
Suggested Audience: Quality improvement staff, billing/operations staff
This session will briefly discuss national trends driving performance improvement programs affecting
CHCs and FQHCs. Then, participants will hear about the approach that one health center organization is
using in order to leverage data available to them through multiple data sources for performance
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improvement. A specific example will highlight leveraging data to better manage Emergency Room /
Hospitalization follow-up care and the challenges and strategies surrounding this type of effort.
Breakout Session
Making the Most of Community Assessments: From Quality Improvement to Collective Action
Presenters: Sandra Serna and George Hobor, LPHI
Time: 10:30 – 11:45am
Location: Coastal III
Suggested Audience: Administrators, managers, community engagement staff (e.g., community health
worker, outreach worker, patient navigator, etc.)
Community assessments are a key activity for FQHCs, nonprofit hospitals, public health, private
foundations, and others. Once an assessment is done, how do you make the most of all the information
gathered? Session attendees will discuss strategies to take their assessment to the next level— ways to
use community data with clinical data for clinical decision making and quality improvement and ways to
make their findings actionable and accessible to partners in the community to inform other assessments
and drive more coordinated planning.
Lunch
Planning and Reflection for Action
Facilitator:
Time: 11:45am – 1:00pm
Location: Coastal II+II
Special Meeting (invitation only)
Emergency Management Workgroup
Time: 1:00 – 4:00pm
Location: Gulfview Boardroom
Special Meeting (invitation only)
CCHH Grantees
Time: 1:00 – 4:00pm
Location: Bay Room
Breakout Session
Conceptualizing the Sustainability of Mental and Behavioral Health Integration within Community
Health Centers
Presenters: Dr. Timothy Rehner, USM; Dr. Jennifer Langhinrichsen-Rohling, USA; Dr. Glenn Rohrer, UWF,
Dr. Anthony Speier, LSUHSC
Time: 1:00 – 2:25pm
Location: Harbor Room
Suggested Audience: Open to anyone
The four Mental and Behavioral Health Capacity Project (MBHCP) partners will present information that
outlines the current sustainability efforts and/or plans for their states (Alabama, Florida, Louisiana and
Mississippi). Each of the projects operate in unique systems under various legislative restraints. This has
required each state program to develop approaches that not only address specific community need, but
are financially sustainable by partnering agencies. Each state project will present information that outlines
progress toward sustainability. This will include both current initiatives and future goals. In addition, the
presentation will provide information on how the projects have collaborated to problem solve and
discover approaches that can be useful for any behavioral health initiative.
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Breakout Session
Community Health Workers: A View from the Field
Ilene Baskette, Franklin Primary Health Center; Jane Nguyen and Kim-Lien Tran, Boat People SOS; Irma
White, Plaquemines Community C.A.R.E. Centers Foundation; discussion moderated by Selena Coleman,
University of South Alabama
Time: 2:40 – 4:00pm
Location: Harbor Room
Suggested Audience: Anyone interested in expanding healthcare capacity by including lay health workers
in care teams or outreach
Community Health Workers (CHWs) continue to be an integral part of the healthcare team by bridging
the gap between healthcare services and community members. This session will include a panel discussion
of active community health workers from Alabama, Mississippi, and Louisiana. Panelists will highlight
common opportunities and challenges in serving within various capacities, particularly underserved
populations.
Workshop
(CME & CEU credit available*)
How to Address Environmental and Occupational Concerns in Your Patient Populations
Presenters: (see individual presentation descriptions below)
Time: 1:00 – 4:00pm
Location: Coastal III
Suggested Audience: This workshop is intended primarily for clinical staff including physicians, nurse
practitioners, PAs, nurses, social workers, etc. CME and CEU credits are provided and clinical social work
education credits are being applied for at this time. However, all clinic staff members are welcome to
attend to learn more about environmental and/or occupational exposures and how to access information
about them. You may attend any one or up to all three of the sessions for credits.
Jointly provided by the Association of Occupational and Environmental Clinics, the Tulane University
School of Public Health & Tropical Medicine's Department of Global Environmental Health Sciences, and
the Tulane Center for Continuing Education
Lecture 1:
Reproductive Health Effects of Environmental Exposures
Presenter: Dr. Susan Buchanan, University of Illinois-Chicago
Time: 1:00 – 2:00pm
The purpose of this module is to increase clinician knowledge and capacity regarding the effects
on the reproductive system of exposure to occupational and environmental hazards. This module
uses a case-based approach to review the known hazards, estimates of exposure to these hazards
to workers and volunteers, and the known effects of the hazards on the reproductive system.
Learners have the opportunity to problem solve the causality of three cases and address the
question: did the exposure cause the health effects? Dr. Buchanan will also explain how these
scenarios apply to other exposures.
Lecture 2:
Air Quality, Airborne Formaldehyde, Humidity, and Childhood Respiratory Illness
Presenter: Dr. Robert Geller, Emory University and Atlanta/Pediatric Environmental Health Specialty Unit
Region 4
Time: 2:00 – 3:00pm
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The purpose of this module is to increase clinician knowledge and capacity regarding the effects
of exposure to environmental hazards to pediatric patients. You will learn the basic principles of
pediatric environmental health as well as more specific topics including: formaldehyde in indoor
air, asthma diagnosis and management in children and mold, dampness, and the management of
clinical issues ensuing from these exposures which will allow you to treat your patient most
effectively.
Lecture 3:
Taking an Occupational and Environmental Health History
Presenter: Dr. Robert Harrison, University of California-San Francisco
Time: 3:00 – 4:00pm
Exposures to hazardous substances in the environment and workplace are estimated to account
for 24% of the global disease burden and 23% of all deaths. You will learn three simple questions
that will help you identify and treat problems caused by environmental and occupational
exposures. These questions will help you to connect the dots between a patient's health problems
and the possible sources of those problems in his or her environment, which will allow you to
treat your patient most effectively. In the process, you may also be protecting other people from
the same risks.
*Continuing Education Credit Information:
Accreditation: This activity has been planned and implemented in accordance with the accreditation policies of the
Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Tulane University
Health Sciences Center, the Association of Occupational and Environmental Clinics, and the Tulane University School
of Public Health Department of Global Environmental Health Sciences. Tulane University Health Sciences Center is
accredited by the ACCME to provide continuing medical education for physicians.
Designation: Tulane University Health Sciences Center designates this internet enduring material for a maximum of 3
AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
Tulane University Health Sciences Center presents this activity for educational purposes only and does not endorse
any product, content of presentation or exhibit. Participants are expected to utilize their own expertise and judgment
while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have
been selected because of their recognized expertise.
CEU Credits: Tulane University, Center for Continuing Education has been accredited as an Accredited Provider by the
International Association for Continuing Education and Training (IACET). Tulane University, Center for Continuing
Education is authorized by IACET to offer .3 CEUs for this program.
Disclosure: It is the policy of the Center for Continuing Education at Tulane University Health Sciences Center to plan
and implement all of its educational activities in accordance with the ACCME's accreditation policies to ensure
balance, independence, objectivity and scientific rigor. In accordance with the ACCME’s Standards for Commercial
Support, everyone who is in a position to control the content of an educational activity certified for AMA PRA
Category 1 Credit TM is required to disclose all financial relationships with any commercial interests within the past 12
months that creates a real or apparent conflict of interest. Individuals who do not disclose are disqualified from
participating in a CME activity. Individuals with potential for influence or control of CME content include planners and
planning committee members, authors, teachers, educational activity directors, educational partners, and others who
participate, e.g. facilitators and moderators. This disclosure pertains to relationships with pharmaceutical companies,
biomedical device manufacturers or other corporations whose products or services are related to the subject matter
of the presentation topic. Any real or apparent conflicts of interest related to the content of the presentations must be
resolved prior to the educational activity. Disclosure of off-label, experimental or investigational use of drugs or
devices must also be made known to the audience.