Annual Spring Primary Care Conference and Annual Membership Meeting

May 18–21, 2013

Anchorage Marriott Downtown820 West 7th Avenue

Anchorage, Alaska 99501

True NorTh: Destination 2014!

NORTHWEST REGIONAL PRIMARY CARE ASSOCIATIONToward a healthy Northwest since 1983 years

30th Anniversary Sponsor - UnitedHealthcare Community Plan

Our deepest gratitude to our sponsors who help make this conference possible

Bruce Gray, CEO Nancy Merriman, EDNorthwest Regional PCA Alaska PCA

Dear Conference Attendees: Welcome to beautiful Anchorage and our Annual Spring Primary Care Conference! Your presence here, at a time of historic transformation in the health care landscape, demonstrates your commitment to taking on the challenges and opportunities we face as we work to achieve health equity in our region. We want to offer you our deepest thanks for that commitment. Since the passage of national health care reform in March 2010, we’ve all had our eyes on the significant Affordable Care Act milestones leading up to January 1, 2014. We believe this conference will provide much of value in meeting those milestones successfully, and that we all have much to learn and a great wealth of knowledge to share while here. Our theme for the conference, TRUE NORTH, reflects our threefold purpose in producing this conference in Alaska:

� To collectively forge the truest, surest path to success for all in this era of reform � To renew our commitment to our northernmost members and demonstrate the value of a strong partnership between and among the health centers, APCA and NWRPCA.

� To create an exciting opportunity for all our members to discover (or re-discover) the refreshing Alaska frontier spirit. The staff of NWRPCA and APCA have enjoyed a wonderful working relationship with each other and with those of you who helped to develop these remarkable educational sessions and networking opportunities. We hope you’ll thoroughly enjoy what’s offered through this event, as well as Anchorage and its amazing surroundings. And thanks again for your ongoing commitment to health equity and community wellness.

30th Anniversary Sponsor Gold Annual Sponsor

Champion Sponsor Advocate SponsorsSupporter Sponsor

Silver Annual Sponsors

3

SATurDAYConference Registration and Breakfast8:00am – 9:00am • Ballroom FoyerConcurrent Sessions9:00am – 12:00pmLunch on Own12:00pm – 1:30pmConcurrent Sessions1:30pm – 4:30pm (some ending at 5:00pm) SuNDAYConference Registration and Breakfast8:00am – 9:00am • Ballroom FoyerConcurrent Sessions9:00am – 12:00pmLunch on Own or BOD Roundtable12:00pm – 1:30pmConcurrent Sessions1:30pm – 4:30pm (some ending at 5:00pm)NWRPCA Board of Directors Meeting4:30pm – 6:30pm • Skagway RoomWelcome Reception6:00pm – 8:00pm • Anchorage Room MoNDAYConference Registration and Breakfast7:30am – 8:30am • Ballroom FoyerSession 21 – CHC Basics for Newcomers7:30am – 8:30am • Juneau RoomKeynote Plenary8:30am – 10:30am • Grand Pacific BallroomBreak with Exhibitors10:30am – 11:00am • Ballroom FoyerConcurrent Sessions11:00am – 12:30pmRoundtable Lunches ~ All welcome!12:30pm – 2:30pmHealth Center Tours: Anchorage Neighborhood Health Center and Southcentral Foundation2:30 – 5:00pm ** Meet in main hotel lobby**

Break with Exhibitors2:30 -3:00pm • Ballroom FoyerConcurrent Sessions3:00pm- 4:30pm Exhibitor Reception4:30pm – 6:00pm • Ballroom FoyerSession 32: NexGen Users Group Roundtable with PTSO and Session 33: OCHIN’s Integrated Knowledge Management Vision5:00pm – 6:30pm Alaska Primary Care Association Annual Meeting6:30pm – 9:30pm • Anchorage Room TueSDAYConference Registration and Breakfast7:30am – 8:30am • Ballroom Foyer2014 Spring Conference Planning Committee Meeting7:30am – 8:30am • Valdez RoomConcurrent Sessions8:30am- 10:00amBreak with Exhibitors10:00am – 10:30am • Ballroom FoyerConcurrent Sessions10:30am – 12:00pmMembership Lunch (all invited)12:15pm – 2:00pm • Grand Pacific Ballroom

Dessert Break with Exhibitors2:00pm – 2:30pm • Ballroom FoyerConcurrent Sessions2:30pm – 4:00pm

CoNfereNCe AgeNDA AT A glANCe

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.

Tweet This: #SPCC13

Tour sponsored by NW Cntr. for Public Health Practice, UW School of Public Health

4

PleNArY SeSSioN • MoNDAY MAY 20

Keynote SpeakerDeeDee Jonrowe, Iditarod Musher, Iron Woman, Cancer SurviverDeeDee is an Alaskan icon and inspiration. DeeDee Jonrowe is the foremost female dog musher competing in the world today. She ran her first Iditarod in 1980 and soon undertook the building of her own sled, a comprehensive breeding and training program for her dogs, and a rigorous physical fitness program for herself. She has both the fastest time of any woman in the history of the Iditarod and 15 top-ten finishes in her career.

But DeeDee’s most challenging race was to overcome breast cancer ten years ago. One of her passions is working to improve Alaskans’ access to cutting-edge cancer treatments, and her humanitarian efforts have been well-documented. In 2003 she became an honorary chairperson for the American Cancer Society’s Relay for Life. She received the YWCA’s “Alaska Woman of Achievement of Award” and the most inspirational musher award, and has served as spokesperson for both the National Girl Scout Council and Winter Special Olympics. DeeDee has been profiled in such media outlets as Sports Illustrated, Redbook, and Outside magazine. A published author, she is currently completing a book profiling her comeback from cancer to race again.

Update from Health Resources and Services Administration (HRSA)Margaret Davis, North Central Division Director

Update from National Association of Community Health Centers (NACHC)Joe Gallegos, Senior Vice President, Western Operations

Guest Speaker: Annual Membership Lunch Meeting - Tuesday May 21Adele Allison is the National Director of Government Affairs for SuccessEHS, a national provider of Ambulatory EHR software. She monitors changes and mandates in healthcare reform and healthcare IT and brings this expertise to the 2014 Checklist for CHCs, which she will be presenting at Tuesday’s lunch, which is open and free to all participants, speakers, exhibitors and sponsors. (Find a copy of Adele’s checklist on page 33 )

CoNfereNCe highlighTS

CoNTiNuiNg eDuCATioN uNiTS

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 Spon-sors. 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) recertifi-cation through the Human Resource Certification Institute (HRCI). For more information about certification or recer-tification, 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 of 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 nhovnanian@nachc.com for more information.

Speaker Disclosures: Adele Allison - SuccessEHS Inc., Employee; Jock Putney - WEllFX, Stock Shareholder & Employee

5

501c Agencies Trustwww.501ctrust.orgLearn how nonprofit healthcare organizations can save thousands of dollars by opting out of the state unemployment tax system. It’s your legal right. The 501(c) Agencies Trust helps more than 2,000 members exercise this option and save money.ejohnson@501c.com (800) 442-4867 Alaska State Department of Health & Social Serviceswww.dhss.alaska.govpatricia.carr@alaska.gov (907) 465-8618 Amerigroup Silver Annual Sponsorwww.amerigroup.comAmerigroup is a managed health care company that manages Medicaid, CHIP, and Medicare Advantage programs for disadvantaged and underserved Americans in 11 states. We recognize the key role FQHCs play in serving medically underserved Americans, and we seek to work collaboratively with local providers in meeting the health care challenges in their communities.pperry@amerigroup.com (757) 343-2076 BKD, LLP NWRPCA Memberwww.bkd.comAs one of the ten largest CPA and advisory firms in the nation, BKD provides services to over 150 community health centers nationwide, addressing their unique financial issues. BKD’s services include financial statement audit, tax, accounting outsourcing, operations consulting, cost report preparation, strategic positioning, and third-party payer reimbursement consulting.mschnake@bkd.com (417) 865-8701 Cardinal Healthwww.cardinal.comMake your healthcare services safer and more productive with world-class medical and surgical supplies and technologies from this $87 billion global manufacturer and distributor.andrea.cange@cardinalhealth.com (719) 440-3576 ClaimRemediwww.claimremedi.comClaimRemedi offers innovative, web-based solutions designed to accelerate the Claim Life-cycle with real-time payer connectivity, enhanced editing, powerful analytics and benchmark reporting so you can both manage and maximize your CHC’s revenue. In addition to our robust suite of solutions, ClaimRemedi is a national company that offers superior customer support and seamless integration with your practice management software for optimal work flow.bbleyhl@claimremedi.com (800) 763-8484 CliftonLarsonAllen, LLP Gold Annual Sponsor & NWRPCA Member

www.cliftonlarsonallen.comCliftonLarsonAllen is one of the nation’s top ten certified public accounting and consulting firms. Structured to provide clients with highly specialized industry insight, the firm delivers assurance, tax and advisory capabilities.lindsay.mayer@cliftonlarsonallen.com (425) 250-6075

Community Health Plan/Community Health Network of Washington Silver Annual Sponsor & NWRPCA Member www.chnw.chpw.orgCommunity Health Plan of Washington is a local not-for-profit organization that works in partnership with community health centers statewide. We reinvest in the community to make quality health care more accessible and affordable. For more than 20 years we have been providing managed care services to the underserved, and remain the only health plan in the state created by local community health centers.Chris.Mateo@chpw.org (206) 515.7800 Community Health Ventures Preferred Corporate Partnerwww.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 competitive.avactor@nachc.com (412) 612-0593 Council Connectionswww.councilconnections.comSave up to 88% on pharmaceuticals, lab services, dental and medical/surgical supplies, biomedical equipment and more through our group purchasing organization.stakeda@ccc-sd.org (619) 542-4352 Dingus, Zarecor & Associateswww.dzacpa.comDingus, Zarecor & Associates (DZA) is a certified public accounting firm serving community health centers and other healthcare organizations by offering specialized accounting, auditing, and reimbursement services. DZA is committed to outstanding quality through the firm’s core values of superior client service, employee excellence, and social responsibility.sjohnson@dzacpa.com (509) 242-0874 GCI Connect MD Advocate Sponsorwww.connectmd.comGCI ConnectMD partners with healthcare facilities throughout rural America, helping them achieve their connectivity goals. GCI ConnectMD has 13 years of experience providing a unique combination of telecommunications expertise with a focus on healthcare to deliver medical network services to more than 250 locations.jfurrer@gci.com (907) 868-0389 Henry Scheinwww.henryschein.comHenry Schein provides advanced, affordable dental and medical solutions to help you expand health care access. Whether you are a community health center, Federal or public organization, we can provide you with facility design and all the supplies, equipment, services and technology you will need to successfully meet your goals and enhance operational efficiency, increase profitability, and improve patient care.Christi.Parry@henryschein.com (801) 376-2498

MeeT our exhibiTorS

6

I2I Systemswww.i2isys.comVisit this visionary in Population Health Management systems, committed to creating innovative Health IT solutions. The solutions are self-populating, through intelligent interfaces with your various systems to help you deliver the highest level of proactive patient care effectively and efficiently.janetk@i2isys.com (707) 575-7100

National Network of Libraries of MedicineNWRPCA Member

http://nnlm.gov/pnrNNLM works with CHCs to ensure easy access to quality health information tools for both clinicians and community members you serve. We provide free training and support in the use of PubMed, MedlinePlus, and other resources.susanm@uw.edu (206) 616-0798

Nextgenwww.nextgen.comNextGen Healthcare provides certified HIT, EHR, and practice management solutions and expertise to help primary care providers and community health centers make quality clinical decisions and sound business choices. The new 8 Series EHR is our most streamlined and intuitive release ever, with enhanced usability and a cleaner, fresher design.mdain@nextgen.com (267) 725-5183

North Star Behavioral Healthwww.northstarbehavioral.comNorth Star Behavioral Health offers acute care and residential treatment for youth throughout the State of Alaska. North Star also supports an affiliate office of The Jason Foundation, Inc., which is a national youth suicide prevention program.elke.villegas@uhsinc.com (907) 764-3239

OCHIN NWRPCA Memberwww.ochin.orgOCHIN is a non-profit organization headquartered in Portland, Oregon. OCHIN partners with organizations and communities to create knowledge and high quality information solutions. Our extensive product portfolio includes hosted Epic and eClinicalworks Practice Management Systems (PMS) and Electronic Health Records (EHR), Data Aggregation, Group Purchasing Organization services, Broadband Connectivity and consulting services.colemanl@OCHIN.org (503) 943-2500

Pride Enterprises Dental Labwww.pride-enterprises.orgPRIDE is a full service laboratory providing services to Community Health Centers nationwide. Partner with us to give your patients access to affordable, premium dental appliances fabricated using state of the art scanning and Computer-Aided Design software. Let us help you improve the quality of your patients’ lives and give them something to smile about.mrosenberg@pride-enterprises.org (800) 599-5919

Priority Management Groupwww.gopmg.comPriority Management Group, Inc., is a leader in FQHC revenue cycle and subject matter experts. We specialize in optimization of financial, billing and cash flow so CHCs’ mission, financial and board goals can be met. PMG offers revenue cycle billing management solutions. Supporting FQHC/CHC/PCAs with consulting, innovation, webinars, tutorials and healthcare regulations analysis.jquandt@gopmg.com (401) 626-5213

PSS World Medical NWRPCA Member & Preferred Corporate Partner

www.psschc.comPSS World Medical is a national distributor of medical products and solutions. With a focus on strengthening the clinical success and financial health of caregivers by solving their biggest problems, PSS World Medical remains a recognized leader in the non-acute market. PSS World Medical fully embraces and proudly supports the CHC movement.ShHudson@pssd.com (904) 380-4920 PTSO of Washington Advocate Sponsor and NWRPCA Member

PTSO is a Health Center Controlled Network delivering Electronic Health Record, Practice Management, and Electronic Dental Record systems, technological infrastructure, and integration services to community health and safety net providers. We work in partnership with community health centers to improve patient care and increase business efficiency through shared, cost effective technology and services.rlacroix@ptsowa.org (206) 613-8876 Quest Diagnosticswww.questdiagnostics.comVisit the world’s leader in diagnostic testing and information services.donna.m.venenga@questdiagnostics.com (907) 562-5884 Success EHS NWRPCA Memberwww.ehsmed.comAn industry leader in providing system solutions for CHCs, EHS’s unified practice management and electronic health record system excels in addressing your unique scope of service requirements and quality of care initiatives.miken@ehsmed.com (480) 284-4900 The Inline Groupwww.theinlinegroup.comThe Inline Group is an innovative Primary Care sourcing company that’s dedicated to radically improving how Community Health Centers find quality providers. We offer support on a month-to-month basis, with no long-term contract required. We find qualified candidates for ALL positions for ONE low monthly fee. It’s that simple.bfurbacher@theinlinegroup.com (214) 260-3218 UnitedHealthcare Community Plan 30th Anniversary Sponsor

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 serve.amina_suchoski@uhc.com (206) 749-4381 Walgreenswww.walgreens.comWalgreens has the 340B solution that every safety-net provider should consider. Covered entities participating in 340B drug programs are challenged with managing the complex administrative duties and inventory control inherent in the program. Walgreens offers you our 340B Complete® program—the most comprehensive suite of 340B services in the industry. larry.daugherty@walgreens.com (360) 216-7049

7

A. T. Still University SOMA • Lisa Watts, DO

Alaska PCA • Joelle Brown, Cherise Fowler, Dave D’Amato, Sarah Johnson, Nancy Merriman

Anchorage Neighborhood Health Center • Len Stewart, Heidi Baines, MD, Ghaza Ringler, DDS

Bethel Family Clinic • Suzanne Niemi

Blue Grass Community Health Center • A. Steven Wrightson, MD

Camai Community Health Center • Patty Linduska

Central Washington Family Medicine Residency • Russell Maier, MD

Community Health of Central Washington • Mike Maples

Columbia Basin Health Association • Kent Mosbrucker

Columbia Valley Community Health • Malcolm Butler, MD

Cowlitz Family Health Center • Tina Pond

Cross Road Medical Center • Joel Medendorp

DentaQuest Institute • Mark Doherty, DDS

Family Health Centers • Heather Findlay

Group Health Research Institute • Michael Von Korff, ScD

Idaho PCA • Teri Barker

Iliuliuk Family Health and Services • Laura Ballou, FNP-BC

Kodiak Community Health Center • JC Rathje

La Clinica del Valle • Barbara McClung

Neighborcare • Katie Bell, Janine Childs

Oregon PCA • Bob Maxwell

Peninsula Community Health Services (AK) • Ellen Adlam, Monica Adams

Peninsula Community Health Services (WA) • Nancy Schnoor

Qualis Health • Bonni Brownlee

Seldovia Village Tribe • Shirley Hurley

Southcentral Foundation • Laura Kotelman, Erica Srisaneha

Sunshine Community Health Center • Mary Loeb

Swedish Family Medicine Residency • Paul Gianutsos, MD, MPH, James Walsh, MD

Tanana Chiefs Conference • Daniel Reynolds, Matt Rogers, PA-C

Terry Reilly Health Services • Dan Watt, DDS, FAGD

University of Washington Health Services • Gary Franklin, MD, Mary Catlin, RN, Catherine Q. Howe, MD, PhD, David Tauben, MD, Roger Rosenblatt, MD

Valley Family Health Center • Carolyn Wesner

WACMHC • Kathleen Clark, RN, Abbie Chandler-Doran

Call for Abstracts for fall Primary Care Conference 2013Are healthcare reform directives stimulating innovative changes to your health center? Are you making better use of data to make business and clinical decisions? Are you better engaging your employees now? Can you now offer some unique best practices? 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 submit your abstract to our online portal by June 7th at www.NWRPCA.org/abstracts. Be recognized as a leader in the CHC community and beyond, and make a contribution to better community health in the Northwest.

Topics we are especially interested (though not limited to): � Health Care Reform - the 2014 countdown � Patient-Centered Medical/Health Home � Patient Engagement � Outcome Measures � Recruitment and Retention � Meaningful Use Stage 2 & 3 � Telehealth, Remote Monitoring etc. � Emergency Preparedness � Customer Service � Clinical Topics related to CHCs � Health Insurance Exchanges (Marketplaces) � Community Needs Assessments � Sliding Fee Scale � Social Determinants of Health � Healthy People 2020 � Financial Sustainability � Accountable Care Organizations

For more information, or to submit an abstract, visit our web site at www.NWRPCA.org. Questions? Contact Eva McGinnis, Education and Training Programs Manager, at 206-783-3004 x13, or at emcginnis@nwrpca.org. Please submit abstracts by June 7.

SiNCere ThANkS To our CoNfereNCe PlANNiNg CoMMiTTee

8Funding 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.

SATurDAY, MAY 18, 20138:00 – 9:00 am • Registration (Ballroom Foyer) & Continental Breakfast (Anchorage Room)

9:00 am – 12:00 pm • Conference Sessions (break 10:15 – 10:30 am)Chronic Pain after

Opioids PCMH Governance Operations Community Health Improvement

1aPermission to Stop

Prescribing OpioidsMalcolm Butler, MD,

Columbia Valley Community Health; David Tauben, MD, UW Center for Pain Relief; Catherine

Howe, MD, PhD, UW Medical Center; Paul

Gianutsos, MD, MPH, Swedish Family Medicine

Residency

2PCMH BootcampAdele Allison, National Director of Government

Affairs, SuccessEHS

3Great Governance:

Begin with the FundamentalsKimberly McNally,

President, McNally & Associates

4Health Insurance Enrollment: Train

the Outreach Trainer

Kristen Stoimenoff, Deputy Director, and Liberty Day, Senior Project Manager, Health Outreach

Partners

5Improving

Community Health—Why It matters to

CHCsSeth Doyle, Community

Health Improvement Manager, NWRPCA

6School Based

Health Centers: An Innovative Delivery

Model Colin Walker, School-

based Program Manager, Neighborcare

DENALI HAINES FAIRBANKS JUNEAU KENAI

12:00 – 1:30 pm • Lunch on your own

1:30 – 4:30 pm • Conference Sessions (break 3 – 3:15 pm)

1bA Vision for the Future and a Roadmap to Get

ThereMalcolm Butler, MD,

Columbia Valley Community Health; David Tauben, MD, UW Center for Pain Relief; Catherine

Howe, MD, PhD, UW Medical Center; Paul

Gianutsos, MD, MPH, Swedish Family Medicine

Residency

2PCMH BootcampAdele Allison, National Director of Government

Affairs, SuccessEHS

73:30 – 5:00 pm

Focus on Joint Commission Standards

Lon Berkeley, Project Director, The Joint

Commission

3Great Governance:

Begin with the FundamentalsKimberly McNally,

President, McNally & Associates

4Health Insurance Enrollment: Train

the Outreach Trainer

Kristen Stoimenoff, Deputy Director, and Liberty Day, Senior Project Manager, Health Outreach

Partners

8Village Wellness Project: Building

Bridges of StrengthCyndi Nation, Director of the Community Health Outreach Program, and Peter Schweinitz, MD,

Tanana Chiefs Conference

DENALI HAINES FAIRBANKS JUNEAU KENAI

Have your badge scanned at the end of each session! That’s how you get your CEUs!

9Consent to use of photographic images 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’s image or voice in photographs, videotapes, electronic reproductions and audiotapes of the conference for educational and marketing purposes.

SuNDAY, MAY 19, 2013 8:00 – 9:00 am • Registration (Ballroom Foyer) & Continental Breakfast (Anchorage Room)

9:00 am – 12:00 pm • Conference Sessions (break 10:15 – 10:30 am)

Clinical PCMH Governance Operations Health Services Integration Fiscal

9Diabetes Patient

Activation: Motivational Interviewing

Ariel Singer, Technical Assistance Curriculum

Manager, OPCA

10HIV Update 2013Elizabeth Saltonstall,

MD, HIV Medical Director, Alaska

Native Tribal Health Consortium

11Patient

Engagement Workshop

Lisa Mouscher, CEO & Lead Consultant,

Sogence Training and Consulting

12Skills of the High

Performing Board

Kimberly McNally, McNally &

Associates; Suzanne Niemi, Niemi

Healthcare; Joe Gallegos, NACHC; Mark Rivera, MSCG

consultant

13Emergency

Management for CHCs—A Real-World Approach

Mollie Melbourne, Director of Emergency

Management, NACHC

14Dental Health Integration: A

Strategic Team Approach

Dan Watt, DDS, Terry Reilly Health Services; Alan Wrightson, MD,

Bluegrass CHC

DENALI HAINES FAIRBANKS JUNEAU KENAI

12:00 – 1:15 pm • Board of Directors (in Governance Track) Roundtable • Fairbanks Room

12:00 – 1:30 pm • Lunch on your own

1:30 – 5:00 pm • Conference Sessions (break 3:00 - 3:15 pm)

15Using Mobile

Technologies Bedside and Beyond

Mahria Lebow, Technology Coordinator,

NNLM - PNW

163:30-5:00 pm

Remote Monitoring: Chronic Care Management

Kim Schwartz, CEO, Roanoke CHC; Tom Martwinski, COO,

InScope International, Inc.

11Patient

Engagement Workshop

Lisa Mouscher, Sogence Training and

Consulting

173:30-5:00 pmWellFX: An

Innovative Patient-Engagement

ApproachMalcolm Butler, MD,

Medical Director, Columbia Valley

Community Health; Jock Putney, CEO,

WellFX

12Skills of the High

Performing Board

Kimberly McNally, President, McNally

& Associates

(until 4:30)

13Emergency

Management for CHCs—A Real-World Approach

Mollie Melbourne, Director of Emergency

Management, NACHC

(until 4:30)

18Meaningful Use:

Dentistry and Oral Health

Adele Allison, National Director of Government Affairs,

SuccessEHS

193:30 – 5:00 pm

Training Student Practitioners: an Interdisciplinary

ModelLaura Ballou, Family Nurse Practitioner, Iliuliuk Family and

Health Services

20aCurrent Fiscal

Issues for CHCsMike Schnake, Partner,

BKD LLP

20b3:30–5:00pm

“RAC” Compliance ChallengesMonique D.

Funkenbusch, CPC, Senior Consultant,

BKD, LLP

DENALI HAINES FAIRBANKS JUNEAU KENAI VALDEZ

4:30 – 6:30 pm • NWRPCA Board Meeting • Skagway Room

>>> 6:00 - 8:00 pm • Welcome Reception • Anchorage Room <<<

10

MoNDAY, MAY 20, 2013 7:30 - 8:30 am • Registration (Ballroom Foyer) & Continental Breakfast (Anchorage Room)

7:30 - 8:30 am • Session 21 – CHC Basics with John Kim and Beryl Cochran (bring your breakfast into session) • Juneau8:30 – 10:30 am • Plenary with Keynote Speaker Dee Dee Jonrowe and HRSA & NACHC updates • Grand Pacific Ballroom

10:30 - 11:00 am • Break with Exhibitors • Ballroom Foyer11:00 am – 12:30 pm • Conference Sessions

HR / Workforce PCMH Operations / IT Policy Fiscal22

Four Fresh-Thinking Ideas for Hiring People

Who Stay Dick Finnegan, CEO,

C-Suite Analytics

23Whole System

Transformation: Nuka’s Twelve Years of

Success Steve Tierney, MD, Medical Director for QI, and David Fenn,

Improvement Advisor, Southcentral Foundation

24Meaningful Use:

Stages 2 and 3Adele Allison, National Director of Government

Affairs, SuccessEHS

25Oregon’s Healthcare

ReformCraig Hostetler, CEO,

and Laurie Francis, Senior Director of Clinical

Excellence, OPCA; Gil Munoz, CEO, Virginia

Garcia Memorial Health Center

26Lead a Fiscal Champion:

Key Questions and Benchmarks

Robert Skeffington, Executive VP, Priority Management

Group, Inc.

DENALI KENAI JUNEAU FAIRBANKS HAINES

12:30 - 2:30 pm • Roundtable Lunches HR/Workforce

Moselle Horiuchi, HR Director, HealthPoint

CliniciansPatrick Luedtke, MD,

Medical Director, Community Health

Centers of Lane County

Operations Katie Bell, COO,

Neighborcare Health

CEOGil Munoz, CEO, Virginia Garcia Memorial Health

Center; Cheryl Kilgore, ED, Interior CHC

Fiscal Norm Kraft, Finance Manager, NWRPCA

DENALI KENAI JUNEAU FAIRBANKS HAINES2:30–5:00 pm • Health Center Tours at Anchorage Neighborhood Health Center and Southcentral Foundation

Tour sponsored by NW Cntr. for Public Health Practice, UW School of Public Health>>> Meet in hotel lobby <<<

2:30 – 3:00 pm • DESSERT Break with Exhibitors • Ballroom Foyer3:00 – 4:30 pm • Conference Sessions

27The Power of Stay

Interviews Dick Finnegan, CEO,

C-Suite Analytics

28Data Collection on Enabling Services:

Quality Up, Disparities Down Tuyen Tran and Hui

Song, AAPCHO; Kristen Stoimenoff, HOP

29Health Information Exchange (HIE) for Coordinated Care

Adele Allison, SuccessEHS

30ACA Implementation:

Challenges and Opportunities for

Primary Care Sallie Sanford, JD, Assistant

Professor, UW Health Services

31Preparing for your HRSA

Operational Site Visit Suzanne Niemi, Mark Rivera and Alyson Roby, MD, HRSA

Consultants

DENALI KENAI JUNEAU FAIRBANKS HAINES

4:30–6:00 pmExhibitor Reception

Meet our exhibitors and sponsors. Enjoy appetizers and refreshments as their guest.

325:00 – 6:30 pm

NextGen Users Group Roundtable with PTSO

Judy Featherstone, HealthPoint; Roy LaCroix,

CEO, PTSO

335:00 – 6:30 pm

OCHIN’s Integrated Knowledge Management

Vision RoundtableLaurie Coleman and Amanda

Thorgramson, OCHIN

BALLROOM FOYER SKAGWAY VALDEZ

6:30 – 9:30 pm • APCA Annual Meeting • Anchorage Room

11

TueSDAY, MAY 21, 20137:30 – 8:30 am • Registration (Ballroom Foyer) & Continental Breakfast (Anchorage Room)

7:30am – 8:15am • SPCC2014 Planning Committee Meeting • Valdez Room

8:30 – 10:00 am • Conference SessionsHR PCMH Operations Policy Fiscal

34Employee

Engagement Through Effective Performance

ManagementLisa Mouscher, CEO &

Lead Consultant, Sogence Training and Consulting

35Integrated Mental Health: Two Real-World Examples

Diane Powers, UW AIMS Center; Wayne Bentham, MD, MPP, UW Assistant Professor; Chris Cornelius, MD, Director for Clinical

Services, Anchorage Neighborhood Health

Center

36Health Center Social Media Best Practices

Lindsey Ruivivar, Associate Director, National

Advocacy, NACHC

37Frontier Extended

Stay Clinics: A Model for the Future

Patricia Atkinson, Alaska Regional Health Consortium;

Marcia Scott, SEARHC Haines Health Center; Laura

Ballou, Iliuliuk Family and Health Services

38Budgeting 101:A Practical PlanPaul Bailey, CPA, Partner, and Kyla

Delgado, Senior Auditor, CliftonLarsonAllen

DENALI HAINES KENAI FAIRBANKS JUNEAU

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

10:30 am - 12:00 pm • Conference Sessions39

Addressing Workplace Violence:

A Comprehensive Approach

Mollie Melbourne, Director, Emergency

Management, NACHC

40SBIRT

Implementation in Six PCMH Settings:

Lessons LearnedJim Winkle, Project

Director, OHSU Family Medicine

41Implementation of Advanced Patient

Access: A RoadmapDavid Frain, Operations

Director, Anchorage Neighborhood Health

Center

42Vaccination in the

CHC SettingRosalyn Singleton, MD,

MPH, Immunization Program Director, Alaska

Native Tribal Health Consortium

43Fiscal Guidance for HRSA Grant

ApplicationsCharles Davies, Principal

Administrator, Community Health Center Financial

Administrators

DENALI HAINES KENAI FAIRBANKS JUNEAU

12:15 - 2:00 pm • Membership Lunch Meeting, sponsored by UnitedHealthcare Community Plan • Grand Pacific Ballroom

2:00 – 2:30 pm • DESSERT Break with Exhibitors • Ballroom Foyer

2:30 – 4:00 pm • Conference Sessions44

Culture of Teaching: Growing Your Own

CliniciansJC Rathje and Miranda

Berkenbile, Kodiak CHC; Debbie Standefer, Peninsula CHS; Laura Ballou, Iliuliuk

Family Health Services; Tamera Ahren, Hidalgo

Medical Services; Clayton Smith, Network scholarship

recipient

45Where is your CHC on

the 2014 Milestones Checklist? Roundtable

DiscussionsLisa Mouscher, CEO and Lead Consultant, Sogence

Training & Consulting; Adele Allison, National Director

of Government Affairs, SuccessEHS; Heidi Baines, MD, Medical Director of

Quality Integration, Anchorage Neighborhood Health Center

41Implementation of Advanced Patient

Access: A RoadmapDavid Frain, Operations

Director, Anchorage Neighborhood Health

Center

46Understanding

Accountable Care Organizations (ACOs)Patrick Luedtke, MD, Medical Director, Community Health

Centers of Lane County; Joe Gallegos, Senior VP for Western Operations,

NACHC; Gil Munoz, CEO, Virginia Garcia Memorial

Health Center

47Investing CHC Assets:

Policy and Strategy Jack Hartman, Financial

Advisor, and Gregg Hartman, CIMA, The

Hartman Group, Morgan Stanley

JUNEAU HAINES KENAI FAIRBANKS DENALI

12

SATurDAY, MAY 18, 20131A • Permission to Stop Prescribing OpioidsTrack: Clinical – Chronic Pain after Opioids Competencies:

�� Risk Management��Understanding of special populations and community health issues

In the face of a crisis spawned by the broad use of opioids to treat chronic pain, indisputable evidence shows that the current model is deeply flawed and dangerous. Chronic pain is best managed in a team-based primary care setting or the “patient-centered medical home.” Learn how a small community collaborated to introduce a new disease model to battle shocking mortality statistics related to opioid prescribing and how the science of pain supports this new model. Discover why opioids are simply the wrong tool to treat chronic pain and how they actually exacerbate any co-morbid behavioral illness. With an understanding of a new concept of “complex opioid dependency secondary to chronic pain,” develop a much-improved understanding of the dangers of opioid prescribing for chronic non-cancer pain and their causes.Learning Objective 1: Identify how and why opioids are not first-line treatment in the management of chronic pain.Learning Objective 2: Cite positive changes in systems with reduced use of opioids.Learning Objective 3: Describe new disease model in use by a CHC in Washington.Presenters: Malcolm Butler, MD, Medical Director, Columbia Valley Community Health; David Tauben, MD, Chief, UW Div. of Pain Medicine (interim), Clinical Associate Professor Depts. of Medicine and Anesthesia and Pain Medicine, and Medical Director of the UW Center of Pain Relief; Catherine Howe, MD, PhD, Acting Assistant Professor of Psychiatry and Behavioral Sciences, UW Medical Center; Paul Gianutsos, MD, MPH, Interim Program Director of Swedish Family Medicine Residency (Cherry Hill) and Clinical Professor of Family Medicine & Project ROAM researcher, UW.

1B • A Vision for the Future and a Roadmap to Get ThereTrack: Clinical – Chronic Pain after OpioidsCompetencies:

�� Risk Management��Understanding of special populations and community health issues

Presenters will introduce an optimized model for the management of chronic pain and two specific tools that have proven effective in pain management. The University of Washington AIMS Center will showcase a cost-effective new model for managing pain by integrating mental health into primary care. Suboxone will be introduced as a solution for managing complex opioid dependency secondary to chronic

pain. Finally, the panel will walk participants through a real-life case, illustrating both the complexity and the manageability of a chronic pain program without opioids.Learning Objective 1: Identify gaps between the current pain management model and the optimized future state.Learning Objective 2: Describe what data should be collected and analyzed to power the change to the optimized future state.Learning Objective 3: Describe what major obstacles might be overcome to get from the present to the future state and the “next steps” toward addressing each.Presenters: Malcolm Butler, MD, Medical Director, Columbia Valley Community Health; David Tauben, MD, Chief, UW Div. of Pain Medicine (interim), Clinical Associate Professor Depts. of Medicine and Anesthesia and Pain Medicine, and Medical Director of the UW Center of Pain Relief; Catherine Howe, MD, PhD, Acting Assistant Professor of Psychiatry and Behavioral Sciences, UW Medical Center; Paul Gianutsos, MD, MPH, Interim Program Director of Swedish Family Medicine Residency (Cherry Hill) and Clinical Professor of Family Medicine & Project ROAM researcher, UW.

2 • Patient-Centered Medical Home Boot CampTrack: Patient-Centered Medical HomeCompetencies:

�� Knowledge of quality improvement systems and strategies��Communicating risks to staff

The Patient-Centered Medical Home (PCMH) model is transforming the health care system in the United States. Learn to shift the paradigm from reactive care into promotion of wellness, improved health and prevention through the PCMH. In this in-depth, day-long session, you will examine the core Change Concepts of PCMH and the NCQA 2011 PCMH recognition requirements and compare them with JC requirements. (Session #7 will focus specifically on Joint Commission requirements for PCMH, but this morning session is a prerequisite for it). Learn about related trends, how to coordinate PCMH with Meaningful Use, use a hybrid PCMH to address primary care shortages, work with Accountable Care Organizations, and take advantage of the HRSA PCMHI initiative. We will plot the NCQA “must pass” elements on a comprehensive planning matrix. Learning Objective 1: Understand how PCMH fits into U.S. Healthcare reform.Learning Objective 2: Identify the core Change Concepts provided by PCMH and the recognition requirements made by NCQA 2011 PCMH standards.Learning Objective 3: Initiate planning for becoming PCMH recognized by NCQA.Presenter: Adele Allison, National Director of Government Affairs, SuccessEHS

SeSSioN DeSCriPTioNS

A local health plan working for the community.

Community Health Plan of Washington has been providing affordable health care to the state of Washington for more than 20 years. We are the only health plan in the state created by local community health centers. As a not-for-profit organization, our mission is to deliver accessible managed care services which meet the needs and improve the health of our members. We offer five affordable options: Healthy Options (Medicaid), Washington Health Program, Medicare Advantage, Medical Care Services, and Basic Health.

™

w w w.chpw.org

NWRPCA fullpage_ad_A1.indd 1 4/9/13 8:26 AM

14

3 • Great Governance: Begin with the FundamentalsTrack: GovernanceCompetencies:

��Governance skills�� Knowledge of public policy and advocacy

This full-day workshop is designed to help new 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) Community Health Center program. Strategies and tools for effective governance will be presented. Using a new educational resource developed by the National Association of Community Health Centers, participants will learn about their roles and responsibilities through relevant video vignettes, case examples and facilitated discussions. Group dynamics and facilitation skills will also be addressed. Boards are encouraged to attend as a team for maximum benefit.Learning Objective 1: Better understand 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: Identify best practices of successful health care governance for practical application in the boardroom.Presenter: Kimberly McNally, President, McNally & Associates

4 • Health Insurance Enrollment: Train the Outreach TrainerTrack: OperationsCompetencies:

��Culturally relevant and responsive to service population, in-cluding translation ad interpretation for clients��Delivers health information using culturally appropriate terms and concepts

Ensuring that underserved populations have health coverage is one way to increase access to health care by addressing the cost barrier. Connecting eligible individuals and families to public health insurance is a key function of many outreach programs. With the Affordable Care Act Medicaid Expansion, it is vital that health centers understand the role outreach staff can play in providing education and support for public health insurance enrollment. In this interactive day-long workshop, participants will learn how to effectively use the Health Outreach Partners’ curriculum to enable outreach staff and partnering organizations to conduct public health insurance outreach. Simulated activities will cover 1) the basics of public health insurance, 2) myths and barriers to accessing public health insurance, 3) increasing health access by connecting eligible individuals and families to public health insurance. Develop a sample agenda and learn how HOP can support efforts to use the content of the curriculum for future trainings.

Learning Objective 1: Become familiar with the Public Health Insurance Outreach Training of Trainers Curriculum.Learning Objective 2: Develop increased self-efficacy for conducting public health insurance outreach and assistance in the community.Learning Objective 3: Prepare to facilitate at least two activities aimed at capacitating peers on public health insurance outreach and assistance.Presenters: Kristen Stoimenoff, Deputy Director, and Liberty Day, Senior Project Manager, Health Outreach Partners

5 • Improving Community Health – Why it Matters to Community Health CentersTrack: Community Health ImprovementCompetencies:

��Advocating for local health needs�� Provides basic health services to high-risk populations and support for healthier behaviors and lifestyle choices

Emerging from the Civil Rights and other social justice movements, community health centers have a long history of addressing health disparities impacting underserved populations.  Current investments in community prevention and health homes, including PCMH and ACO formation, offer tremendous opportunities for CHCs to strengthen their capacity to achieve better health outcomes in the communities they serve.  This session will explore both clinical and community interventions that promote health equity.  Learning Objective 1: Explain the historical roots of community health center efforts to address health disparities.Learning Objective 2: Identify current opportunities for advancing community prevention work.Learning Objective 3: Identify models of community collaboration and clinical care delivery that help improve health outcomes. Presenter: Seth Doyle, Community Health Improvement Program Manager, NWRPCA

6 • School-based Health Centers: An Innovative Delivery ModelTrack: Community Health ImprovementCompetencies:

��Advocating for local health needs�� Provides basic health services to high-risk populations and support for healthier behaviors and lifestyle choices

School-Based Health Centers (SBHCs) are emerging as an effective way to deliver consistent, high-quality primary health care and mental health services to children and adolescents, particularly to the underserved. This session describes various SBHC delivery models and sponsorship arrangements. Structure, community involvement, start-up, financial sustainability, and health and educational benefits will be explored. Explore the strengths, challenges and future opportunities of SBHCs, with a focus on the FQHC and SBHC sponsorship model. Consider the role of SBCHs in the emergent health care environment including Patient-centered Medical Homes and Accountable Care Organizations.

15

Learning Objective 1: Identify various school-based health center delivery models and partnership arrangements.Learning Objective 2: Define three strengths of the school-based health center model for FQHCs and other community-based organizations.Learning Objective 3: Describe the opportunities and potential role of SBCHs in the health care reform environment.Presenter: Colin Walker, School-based Program Manager, Neighborcare

7 • Focus on Joint Commission StandardsTrack: Patient-Centered Medical HomeCompetencies:

�� Participating in collaboratives�� Knowledge of quality improvement systems and strategies

As a special continuation of the PCMH Bootcamp (session #2), this session will discuss The Joint Commission’s program for Primary Care Medical Home designation, an optional track for health centers already accredited under TJC’s Ambulatory Care standards. The presentation will review the evolution of the standards, the operational characteristics of the PCMH as defined by the Joint Commission, and the specific areas of focus that lead a health center to become a high functioning PCMH with a commitment to comprehensive, coordinated and accessible care. Learning Objective 1: Understand The Joint Commission’s PCMH standards.Learning Objective 2: Determine whether the health center

meets The Joint Commission’s eligibility criteria for obtaining PCMH designation.Learning Objective 3: Identify organizational strengths and weaknesses with respect to The Joint Commission’s PCMH standards.Presenter: Lon Berkeley, Project Director, The Joint Commission

8 • Village Wellness Project: Building Bridges of Strength in Alaska’s Interior RegionTrack: Community Health ImprovementCompetencies:

��Culturally relevant and responsive to service population, in-cluding translation and interpretation for clients�� Participating in collaboratives

The Village Wellness Project of the Tanana Chiefs Conference aims to promote resiliency, wellness, and general health, and to prevent suicide in Alaska’s Interior region. This presentation will use film, lecture, and discussion to present details of this community-based, collaborative project. We emphasize the process of community organizing, village empowerment, and cross-departmental integration (Community Health Outreach, Behavioral Health, and Medical Services), and review the challenges and successes of building a community-based wellness program to address the health of the population we serve.

Presenters: Cyndi Nation, Director of the Community Health Outreach Program, and Peter Schweinitz, MD, Tanana Chiefs Conference

16

SuNDAY, MAY 19, 2013 9 • Diabetes Patient Activation: Motivational InterviewingTrack: ClinicalCompetencies:

��Understanding of special populations and community health issues��Continuous learning skills/adaptability

Chronic diseases are the leading cause of death and disability in the United States, so improving care for patients with chronic conditions continues to be an important focus. A key function is effective self-management support for patients to make daily decisions that will improve quality of life and clinical outcomes. Motivational interviewing (MI), a key tool for promoting patient self-management, is an evidence-based approach to facilitating health behavior change. Patient activation, the ability of a patient to manage his/her own health and health care, is another key concept in effective self-management of chronic illness. Highly activated patients have better outcomes, and Motivational Interviewing helps health care teams enhance patient activation, increase healthy behaviors and improve clinical outcomes. We will review the spirit and the core communication methods that comprise the basic toolkit of MI, with a discussion of how the use of MI could improve care for diabetic patients and others suffering from chronic illness.Learning Objective 1: Understand how communication can facilitate or inhibit health behavior change.Learning Objective 2: Describe the spirit of motivational interviewing.Learning Objective 3: Review the motivational interviewing methods for enhancing patient activation and helping people change behaviorPresenter: Ariel Singer, Technical Assistance Curriculum Manager, Oregon PCA

10 • HIV Update 2013Track: ClinicalCompetencies:

��Understanding of special populations and community health issues

New cases of HIV are on the rise everywhere. An “outbreak” of HIV in Alaska was reported in January 2012. A few significant developments should impact the primary care provider’s practice of addressing HIV. Our best HIV prevention method is now widely recognized and accepted as treatment. The most effective treatment is initiated early in the infection. This workshop presents HIV case studies and the new HIV test algorithms. New primary care provider tools include the Home/Rapid test approved May 2012 and Pre-Exposure Prophylaxis (PrEP) approved September 2012. HIV treatment developments include the new Quad pill 2012 and new guidelines on initiating HIV antiretroviral therapy in drug-naïve patients. HIV treatment is HIV prevention.Learning Objective 1: Describe strategies for PrEP.Learning Objective 2: List new algorithms with fourth generation HIV screening.Learning Objective 3: List significant elements of initiating HIV ARV in drug-naive patients.

Presenter: Elizabeth Saltonstall, MD, HIV Medical Director, Alaska Native Tribal Health Consortium

11 • Patient Engagement: Strategies for SuccessTrack: Patient-Centered Medical HomeCompetencies:

�� Knowledge of quality improvement systems and strategies�� Supervises clinical staff and resources

As an integral aspect of Patient-Centered Medical Homes, patient engagement can significantly improve clinical outcomes and strengthen both customer and staff satisfaction and retention. Yet the reality is that building and sustaining a culture that supports this critical endeavor takes planning, commitment and skill building. In this intensive, highly interactive, full-day session, participants will learn to increase patient engagement by effectively gathering and using patient feedback and involvement, creating a culture of service excellence, strengthening health literacy and increasing cultural competency. Gain actionable strategies to make patient engagement a driving factor throughout your organization.Learning Objective 1: Gain knowledge to gather and use meaningful patient feedback.Learning Objective 2: Learn to create a culture of service excellence and increase health literacy.Learning Objective 3: List steps to implement cultural competency throughout your organization.Presenter: Lisa Mouscher, CEO & Lead Consultant, Sogence Training and Consulting

To access presentations and handouts from the 2013 Spring Primary Care Conference, go to

www.nwrpca.org/spring2013Username: spring2013Password: GoNorthin2014!

17

12 • Skills of the High-Performing BoardTrack: GovernanceCompetencies:

�� Fiscal responsibility��Governance skills

This full-day workshop will build on the fundamentals of governance and prepare you to take your board’s performance to a higher level, stimulating even greater performance for your health center. Critical governance and leadership challenges require boards to evolve in new ways to guide their CHCs through profound changes. Workshop content will focus on four topics: financial stewardship, compliance, board/CEO relationship, and current governance issues stemming from the Affordable Care Act. Expect time for sharing and Q&A. Leave with an action plan for taking your board’s performance to the next level.Learning Objective 1: Understand how to fulfill your financial stewardship responsibilities.Learning Objective 2: Describe the elements of an effective board/CEO relationship.Learning Objective 3: Build group dynamics and meeting facilitation skills to conduct better board meetings.Presenters: Kimberly McNally, President, McNally & Associates; Suzanne Niemi, Niemi Healthcare Consulting; Joe Gallegos, Senior VP of Western Operations, NACHC; Mark Rivera, MSCG consultant for HRSA operations site visits

13 • Emergency Management for CHCs: A Real-World ApproachTrack: OperationsCompetencies:

�� Establishing procedures, training and testing of responsive-ness��Organization-wide planning for response to various emer-gencies and disasters

Building a comprehensive emergency management program for health centers is a critical step to prepare for, respond to, and recover from emergencies, disasters, and other disruptions. This intensive will provide an overview for health centers, describing the reasons why we need to engage in these activities from patient, staff, organizational, programmatic, risk management, and business continuity perspectives. Participants will complete a hazard vulnerability analysis and site assessment to determine the gaps in their current planning efforts and take part in a tabletop exercise to bring emergency management to life. Resources, tools, and templates will be shared and there will be an opportunity for participants to share lessons learned and best practices.Learning Objective 1: Articulate the importance of emergency management from multiple perspectives.Learning Objective 2: Complete a hazard vulnerability assessment.Learning Objective 3: Describe planning gaps and articulate the next steps to enhance health center resilience.Presenter: Mollie Melbourne, Director of Emergency Management, NACHC

YOUR PARTNER OF CHOICE TO IMPROVE PATIENT CARE THROUGH SHARED, COST-EFFECTIVE TECHNOLOGY SERVICES

“ By providing us with comprehensive, integrated electronic health and

dental record support, PTSO has been an essential partner in our success.”

Michael Hassing | CEO | Family Health Centers

For more in format ion, p lease contact : Roy La Cro i x , CEO, PTSO | 1 .206.454.2811 | r l ac ro i x@ptsowa.o rg | www.p tsowa.o rg

Proud Conference Sponsor of NWRPCA

• Implement a custom NextGen® EMR / EPM environment to meet your health center’s specifi c needs.

• Improve health outcomes and patient care quality.

• Proactively and predictably manage technology costs.

• Rely on in-depth, on-demand reports with PTSO Report Services.

• Access your NextGen applications from home or off-site locations.

• Realize signifi cant cost savings as part of a larger consortium.

12-02554_PTS_AD_PTSOTradeshowAd-2013-REVISED.indd 1 4/8/13 9:30 AM

TowArD A heAlThY NorThweST SiNCe 1983

A Voice for the NorthwestEarly in the history of the Northwest health center movement, only about two dozen health centers existed in HRSA Region X (10): Alaska, Idaho, Oregon and Washington. They were geographically distant from one another and not inclined to work together. In 1982, a respected migrant health coordinator from Region X was re-assigned to Texas, which alarmed many of the local health center leaders. Together, they protested the move and had the reassignment overturned, catching a glimpse of the collective power they could wield. The next year, 1983, they met again to create Northwest Regional Primary Care Association (NWRPCA), giving the Northwest a national and regional voice and a venue for continued collaboration. Their plan was to pool resources to provide substantial services to all Northwest health centers. NWRPCA’s Early EffortsNWRPCA worked with the Region X HRSA field office to advocate for Northwest health centers. The new PCA first assessed health center technical assistance (TA) needs and expectations, intending to provide a menu of necessary services, including training, clinical support, clinician recruitment and advocacy. This led to successful federal advocacy to increase the number of shortage designations, including Health Professional Shortage Area (HPSA), Medically Underserved Area (MUA), and Medically Underserved Population (MUP) designations, resulting in more funding for Region X CHCs. Within five years, NWRPCA had expanded its efforts to clinician recruitment, conducting regional conferences in partnership with HRSA, and developing a program to support migrant and seasonal farmworkers. Influencing PolicyRegion X leaders have always been concerned that federal officials based on the east coast were unaware of the Northwest’s unique issues. The combination of sparse population and challenging geography restricted access to healthcare in many Northwest communities. Early funding allocation formulas did not typically meet the needs of Northwest communities. When federal project officers were moved to Rockville, MD, NWRPCA and the Northwest SPCAs worked together to keep lines of communication open, and NWRPCA increased its role as a convener and facilitator for regional meetings and efforts. Together the PCAs successfully promoted key legislation.

Workforce Development EffortsNWRPCA’s recruitment program began in 1985, focusing first on primary care physicians and then including dentists, behavioral health care workers, physician assistants and nurse practitioners. Steadily increasing program costs were offset by fee-based services. Ultimately NWRPCA and the SPCAs developed the Northwest Community Health Recruitment Collaborative, a truly regional collaborative that lasted until 2009. Since then, workforce development efforts have evolved to match a rapidly changing landscape. Clinician support has been a mainstay of NWRPCA’s efforts. From 1986-1993, the PCA coordinated direct service delivery programs. By the early 1990s, NWRPCA saw the need to formalize a clinician retention strategy in order to help health centers reduce staff turnover, ultimately hiring a clinical staff member to develop services for clinicians and the Region X Clinical Network. In response, clinicians petitioned the organization for greater representation on the board, and NWRPCA had its first clinical board president, a dentist, in 2002. Throughout the ‘90s NWRPCA developed resources for clinicians, and in 2000 began work with HRSA to catalogue best practices, a task that later continued through the Northwest Clinicians Network. In recent years special attention has been given to the training and support of Medical Directors in Region X. Migrant and Seasonal Farmworkers (MSFWs) and other Special PopulationsFrom its inception, NWRPCA has ensured that the needs of the MSFW population were not overlooked, focusing on cultural sensitivity and acting as a clearinghouse for information. Following enactment of the National Immigration Reform and Control Act of 1986, NWRPCA took the lead in influencing funding and legislation on behalf of immigrant farmworkers’ healthcare access. In 1991, NWRPCA produced the first Western Migrant Stream Forum (WMSF), an annual gathering that continued until 2013, when it transitioned to the Western Forum for Migrant and Community Health, serving a broader patient population with special emphasis on the Community Health Worker.

NORTHWEST REGIONAL PRIMARY CARE ASSOCIATIONToward a healthy Northwest since 1983 years

30th Anniversary Sponsor - UnitedHealthcare Community Plan

Education and TrainingNWRPCA has been involved in providing education and training to health centers since 1986, including large regional conferences, originally co-produced with HRSA, small job-specific stand-alone trainings, targeted trainings for individual health centers, and distance-based training. In 1997, NWRPCA first partnered with Region VIII’s CHAMPS to provide a 10-state, bi-regional fall conference, a practice that continues. From 2001 to 2008 the number of health centers in Region X increased 93%, and the number of staff more than doubled. In recent years the number of seasoned candidates for CHC leadership positions has not kept pace with the number of openings. To address this gap, NWRPCA developed the Community Health Leadership Institute (CHLI) in 2007 in partnership with the PCAs in Regions VIII and X, Community Health Plan, CareOregon, and the University of Washington. In 2008, CHLI kicked off with an inaugural class of 30 students. In 2012 NWRPCA and its partners completed the final portion of its multi-tiered Northwest CHLI with the addition of Critical Skills for Mid-Level Managers. Today more and more professional development opportunities are offered from a distance via Online Learning Connections. Growing Region X Health CentersBack in 1983, roughly 21 geographic areas in the Northwest had free or low-cost, high-quality health care provided through NHSC, Indian Health Service free clinics or federally funded health centers. By 1990, many of the FQHCs in the Northwest had been defunded. NWRPCA helped secure funding for 28 new CHCs by 2000. An infusion of new federal funding doubled the number of Region X CHCs by 2007.

Region X State Primary Care AssociationsDuring the early ‘90s NWRPCA applied for and obtained initial funding from HRSA to develop the SPCAs in Oregon, Washington and Alaska and supplemental funding for IPCA. As the state PCAs grew, NWRPCA intentionally kept its membership dues relatively low to support the region’s SPCAs, which had received some of the lowest funding in the nation. Thirty Years LaterToday NWRPCA, with a staff of 16, serves 97 members, including 81 health centers (the voting members), 3 individuals, and 13 nonprofit associations and for-profit corporations. The four state PCAs, fully staffed and providing vital, state-appropriate services to CHCs, function independently of but cooperatively with NWRPCA. Governed by a 16-member board of directors with equal representation from each state, the Association has achieved national prominence as a leading convener, facilitator, trainer and advocate.

We are grateful to Unitedhealthcare Community Plan for generously sponsoring our 30th anniversary celebration.

20

14 • Dental Health Integration: a Strategic Team ApproachTrack: Health Services IntegrationCompetencies:

�� Integrates various departmental services efficiently��Goal setting and action planning

Oral disease affects all generations, and dental caries is the leading infectious disease in the US. The incidence in children is rising, and 27% of adults live with untreated caries that often take them to the emergency department. Moderate to severe periodontal disease affects 12-23% of adults and is linked to poor diabetic control, vascular disease, arthritis, and dementia. Healthy People 2020 lists oral health as a leading indicator for better health across the board. Oral health can and should be integrated into the Patient Centered Medical Home (PCMH). It is consistent with the goals of patient self management, patient education, comprehensive and efficacious care, and improved access, especially for those underserved. But oral health integration does not mean the same thing to every health center. Join a dental director and a medical director from two different health centers as they describe oral-systemic linkages, the barriers to integration, successful models, and assistance in planning your own strategy for integration.Learning Objective 1: Understand why medical providers can and should care for the oral health of their patients.Learning Objective 2: Identify ways to integrate oral health care delivery into a medical practice.Learning Objective 3: Propose solutions to specific barriers to oral health integration into primary care.Presenter: Dan Watt, DDS, Terry Reilly Health Services; Alan Wrightson, MD, Bluegrass CHC

15 • Using Mobile Technologies Bedside and BeyondTrack: ClinicalCompetencies:

��Understands existing and emerging technologies�� Improves the efficiency of the organization through smooth movement of data

Focusing on the current role of mobile technologies in health care, we will look at trends and statistics around the use of smartphones and tablets at point of care and the use of health care apps among patients. Current research and techniques for using mobile technologies to engage patients in their own health care will be discussed. Explore several mobile websites and apps for health care providers, especially established resources that can be used on multiple devices (iPhones, iPads, Androids). Potential future directions for these technologies in healthcare will be explored.Learning Objective 1: Articulate knowledge of go-to mobile applications for health care providers.Learning Objective 2: Understand different uses of mobile technologies to engage with patients.Learning Objective 3: Comprehend current trends and future directions for mobile technologies.Presenter: Mahria Lebow, Regional Technology Coordinator, National Network of Libraries of Medicine PNW

16 • Remote Monitoring: Chronic Care ManagementTrack: ClinicalCompetencies:

��Understanding of special populations and community health is-sues��Assists in implementation of EMR and other telehealth modali-ties

Roanoke Chowan Community Health Center implemented the first remote monitoring and chronic care management program within a FQHC for cardiovascular disease, diabetes and hypertension patients. Since this time, the remote monitoring network has spread to six community health centers, two rural hospitals, and the East Carolina University School of Cardiology Heart Institute serving patients in 28 counties of NC. This presentation will describe the Community Health Center Remote Monitoring and Chronic Care Management Model of Care and identify 3-year financial and clinical outcomes. We will discuss the impact of Remote Monitoring and Chronic Care Management for community health centers and their patients. Participants will learn the purpose of Remote Monitoring and Chronic Care Management within community health centers and understand the effect of disparities on health outcomes and clinical and financial outcomes. Learning Objective 1: Identify Remote Patient Monitoring tools and utilization in a safety net environment.Learning Objective 2: Identify key financial and clinical factors for replicating a RPM program in a CHC.Learning Objective 3: Identify how utilizing RPM increases patient and provider engagement and improves overall health status.Presenters: Kim Schwartz, CEO, Roanoke CHC; Tom Martwinski, COO, InScope International, Inc.

See you in Seattle at the Waterfront Marriott forNWRPCA/CHAMPS 2013 Fall Primary Care Conference October 19 – 22, 2013Annual Western Forum for Migrant and Community Health February 26 – 28, 2014NWRPCA 2014 Spring Primary Care ConferenceMay 17 – 20, 2014

Stretch Your Professional Development Dollars!Let NWRPCA Online Learning Connections help:

» Get your CEUs without leaving the office. » Work at your own pace and on your own schedule. » Develop a distance-based collaboration with your colleagues.

» Learn from the best!

FOUR GREAT COURSE OPTIONS IN 2013

Advanced CFO Skills for the CHCPresented by David Fields, Rebekah Wallace, Monique Funkenbusch, and Catherine Gilpin

A special 30th anniversary series sponsored by Unitedhealthcare Community Plan » Aug 29 Grants Management Cost Allocation Principles » Sep 12 Billing Department Structure » Sep 26 Avoid Medicare Billing Non-Compliance » Oct 10 Grants Management Sliding Fee Program Policy Notice

Countdown to 2014!Provided by SucessEHS

» June 18 Health IT Gap Assessment – Optimizing the Tools “In-Hand”

» July 16 Glide Path to Health Information Exchange » August 20 Value-based Purchasing – Impact on CHCs » September 17 Accountable Care Organizations – A Community of Care

» October 15 Meaningful Use – Getting Ready for Stages 2 and 3

» November 19 Clinical Decision Support for Performance Improvement

» December 17 Patient-Centered Care Delivery

Advanced Social MediaPresented by Lindsey Ruivivar, National Association of Community Health Centers

» Build user traffic and enhanced communication with a blog. » Increase your visibility with multimedia social networks like YouTube.

» Improve audience-targeting strategies for best results and outstanding metrics.

» Explore new options for a continually develop- ing social media presence.

» Go in new directions you haven’t yet tried.

Medicare Cost ReportingPresented by Mike Schnake » June 17 Where the Cost Report Begins » June 24 Cost Reclassifications and Adjustments » July 1 Productivity and Cost Report Settlement Matters » July 15 It’s Your Turn—A Quick Review & Discussion of Participant Questions

Don’t leave your money on the table!Learn how to make your money go farther with these two great course offerings from BKD, LLP.

Don’t get left behind.Make sure your health center is ready for 2014!

To register for these courses or see other offerings, visit learn.NWRPCA.orgQuestions?

janscher@NWRPCA.org

22

17 • WellFX: An Innovative Patient Engagement Approach Track: Patient-Centered Medical HomeCompetencies:

��Understands existing and emerging technologies�� Improves the efficiency of the organization through smooth movement of data

As unprecedented numbers of new patients enter the healthcare system and care management costs rise, the power of social platforms to educate and connect patients presents a new solution. Available mobile apps and Web sites fail to incorporate either security or clinical direction as a healthcare solution. Protected health information must remain private, and health education needs to be clinically validated.A patient-centered, provider-directed, private and secure social platform, designed specifically for healthcare providers to engage and empower patients in better managing their health, addresses these core issues. Providers increase their efficacy of care, reduce costs and create a healthier patient community through a provider-directed social platform. Gain a general industry overview and learn about the benefits for providers and patients as well as best practices for implementing such a platform into a clinical practice. Learning Objective 1: Describe what a provider-directed social platform is.Learning Objective 2: Identify what greater healthcare industry-wide issues provider-directed social platforms address.Learning Objective 3: List and distinguish between the benefits of provider-directed social platforms for providers and patients.Presenter: Malcolm Butler, MD, Medical Director, Columbia Valley Community Health; Jock Putney, CEO, WellFX

18 • Meaningful Use: Dentistry and Oral HealthTrack: Health Services IntegrationCompetencies:

�� Integrates various departmental services efficiently�� Knowledge of information management

Moving to adoption of interoperable certified EHR technology is required as a matter of law under the ARRA 2009 for the full continuum of health care providers. This Meaningful Use transformation has been particularly challenging for the dentist. While the law has fully embraced oral health, policymakers have lagged in incorporating oral health into the task at hand. This session helps health leaders bridge the gap between Stage 1 and Stage 2 Meaningful Use requirements and the reality of moving dentists into compliance. Learn whether your dental practice meets the exclusion criteria for each applicable measure. Review the clinical quality measure reporting process, considerations in integrating electronic dental records (EDRs) with certified EHR technology (CEHRT), and the challenges to success for the dental practitioner.Learning Objective 1: Recognize the exclusion clauses available to dental providers for Stages 1 and 2 Meaningful Use.Learning Objective 2: Learn about Meaningful Use clinical quality measures and the oral health practitioner.Learning Objective 3: Review considerations related to EDR and CEHRT integration.Presenter: Adele Allison, National Director of Government Affairs, SuccessEHS

19 • Training Student Practitioners: An Interdisciplinary ModelTrack: Health Services Integration:Competencies:

�� Supervises clinical staff and resources�� Precepting medical students

Training of medical (PA, NP, MD, DO) students in a clinical practice provides an opportunity for recruitment of new staff, bringing new insights in EBP to your clinic, and re-energizing your practice. Clinical sites need to be able to provide interesting clinical and community experiences for students and must understand the needs of students that rotate through their facility. With the growing move to team-based patient care, interdisciplinary training of students is a vital part of their curriculum. We will examine a current working model in Alaska that incorporates interdisciplinary training and note future plans for refinements as the relationship between healthcare training and the PCMH movement unfolds.Learning Objective 1: Recognize key elements of an interdisciplinary training program for students at various levels.Learning Objective 2: Understand efficient incorporation of precepting into a practice.Learning Objective 3: Identify benefits of precepting students.Presenter: Laura Ballou, Family Nurse Practitioner, Iliuliuk Family and Health Services

AK RURAL CHC NETWORK GRANT – supporting medical students since 2010!

PMG CODING WEBINARS NWRPCA currently does not contract for coding and billing training with any particular vendor. However, we encourage our members to take advantage of the excellent training offered by Priority Management Group (PMG). You may view the webinar offerings at www.goPMg.com.

www.gopmg.com

23

20a • Current Fiscal Issues for CHCsTrack: FiscalCompetencies:

�� Role of CFO in CHC Environment (Healthcare opera-tional expertise)�� Fiscal responsibility

What are the current fiscal issues that the Accountable Care Act and other federal requirements are bringing to the forefront for fiscal staff at CHCs? This session is an opportunity to discuss with CHC peers and a BKD, LLP financial expert. Join in small-group discussions of common issues. This is a highly recommended but optional session for NWRPCA CFO online certificate course participants as the final session, but is open to all fiscal CHC staff.Learning Objective 1: Identify the key fiscal issues facing CHCs.Learning Objective 2: Define the most effective responses to top challenges.Learning Objective 3: Develop initial plans for action for appropriate solutions.Presenter: Mike Schnake, Partner, BKD LLP

21 • CHC Basics: Are you new to all this?Competencies:

��Operationalize Organizational VisionNew 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. (Pick up your breakfast and bring it to this session, which is a “must” for those new to the FQHC world.)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.Presenters: John Kim, COO, NWRPCA; Beryl Cochran, consultant

HEAL MORE PEOPLE IN YOUR COMMUNITY

Many Primary Care Facilities are saving thousands of dollars annually by better managing their unemployment costs.

To fi nd out more, register for an upcoming FREE webinar. REGISTER NOW

www.501cTrust.org(800) 631-2967

20b • Recovery Audit Contractors “RAC” Up Compliance ChallengesCompetencies:

��Audit Requirements for Grantors/Funders�� Fiscal responsibility

Is your health center at risk for a RAC audit?  The federal government has been making an unprecedented push to reduce the billions lost annually through improper Medicaid and Medicare reimbursement.  Don’t let your health center be caught unprepared.  This session will provide an overview of the RAC program and the importance of identifying internal compliance assessment tools and processes to project areas of risk; to improve coding, documentation and billing procedures; and to build a strong response infrastructure.  We will also update you on the latest RAC activities and new concerns that face your organization in 2013.Learning Objective 1: Comprehend scope, structure and timing of a RAC auditLearning Objective 2: Understand current RAC issues and activitiesLearning Objective 3: Recognize areas of weakness within your organization which may be at potential risk for RAC reviewLearning Objective 4: Identify tips for success and ways to plan for the futurePresenter: Monique D. Funkenbusch, CPC, Senior Consultant, BKD, LLP

How to become a DOCTOR MAGNET – view the free webinar atwww.nwrpca.org/images/stories/2013/doctor_magnets/doctor_magnet_slides.pdf

24

MoNDAY, MAY 20, 2013 22 • Four Fresh-Thinking Ideas for Hiring People who StayTrack: HR/WorkforceCompetencies:

��Administering staff retention strategies�� Recruitment and hiring of staff

Don’t be a health center caught on the recruitment hamster wheel of “same old,” placing online advertisements to fill clinical and administrative jobs and then taking the best candidates available. This session will present fresh-thinking recruitment-for-retention ideas used by very few organizations but with great track records for hiring employees who stay. Included will be examples of realistic job previews, demographic data of new hires that stay longer, a screen-out method to make job offers, and employee referral ideas that really work!Learning Objective 1: Design realistic job previews so new hires screen themselves into the job and face zero surprises in their new roles.Learning Objective 2: Identify a fresh-thinking method to make job offers that lead to applicants opting out of accepting positions rather than accepting and then quitting early.Learning Objective 3: Devise a plan to gather high quality employee referrals which eliminate the need for and costs associated with external recruiting.Presenter: Dick Finnegan, CEO, C-Suite Analytics

23 • Whole System Transformation: Nuka’s Twelve Years of SuccessTrack: Patient-Centered Medical HomeCompetencies:

�� Knowledge of quality improvement systems and strategiesFind out why many medical systems nationally and internationally are now looking to the Southcentral Foundation (SCF) Nuka System as a way to transform a whole system of care. A foundation of long-term personal relationships backed by full, open access, integration of the mind and body, commitment to measurement and quality, and a transfer of power and control to the patient and family has resulted in sustained, dramatic, documented improvements over 12 years. As a result, utilization of ER and specialty care has dropped in half, hospital days have decreased by over 40 percent, and health outcomes as well as customer and staff satisfaction have dramatically improved. This Learning Lab will describe the SCF Nuka System of Care at Alaska Native Medical Center and address the applicability of the model to other settings.Learning Objective 1: Describe the SCF Nuka System of Care and key elements needed to transform a whole system of care.Learning Objective 2: Discuss what a mature improvement infrastructure looks like after 12 years of continual creation.Learning Objective 3: Identify how the SCF Nuka System of care might be applied in other settings.

Presenters: Steve Tierney, MD, Medical Director for QI, and David Fenn, Improvement Advisor, Southcentral Foundation

24 • Meaningful Use: Stages 2 & 3: The Next WaveTrack: OperationsCompetencies:

�� Budgeting and long-range fiscal planning�� Knowledge of information management

Effective January 1, 2014, eligible professionals (EPs) will begin moving into Meaningful Use Stage 2. Designed for the more advanced meaningful user who seeks to look ahead and position for Stages 2 and 3, this session will present a detailed review of the 17 core and 6 menu measures required for Stage 2 and will also explore clinical quality measure reporting and the National Quality Strategy domain areas. With the Stage 2 wave on the horizon, policymakers have been hard at work crafting measures for Stage 3. Learn how the third wave is developing and which measures and technologies will best position your clinic for the future.Learning Objective 1: Identify areas of clinic redesign required for Stage 2 Meaningful Use measures.Learning Objective 2: Learn about the core and menu clinical quality measures required for all stages of Meaningful Use. Learning Objective 3: Understand the recommendations being formulated by policymakers for Stage 3.Presenter: Adele Allison, National Director of Government Affairs, SuccessEHS

25 • Oregon’s Healthcare ReformTrack: PolicyCompetencies:

�� Knowledge of Public Policy and Advocacy�� Participating in collaboratives

Oregon FQHCs have been working for more than two years to develop an Alternative Payment Methodology (APM) that aligns FQHC payment with the Patient-Centered Primary Care Home. This effort has culminated in a State Plan Amendment to CMS that opened the door to de-linking FQHC payment from producing face-to-face visits. Several Oregon FQHCs are part of a pilot group that has been implementing the APM since March 1, 2013. The APM is aligned with Triple Aim goals and other efforts in Oregon to reorganize the Oregon Health Plan around the concept of Coordinated Care Organizations. Come hear about Oregon’s experiment with payment reform and what their experience has been since they went live with the program in March!Learning Objective 1: Describe how traditional payment models present barriers to fully implementing PCMH. Learning Objective 2: List three ways care delivery needs to be reorganized for the Coordinated Care Organizations. Learning Objective 3: Identify issues to take into account when creating value-based pay options.Presenters: Craig Hostetler, CEO, and Laurie Francis, Senior Director of Clinical Excellence, Oregon Primary Care Association; Gil Munoz, CEO, Virginia Garcia Memorial Health Center

UnitedHealthcare Community Plan is pleased to provide Healthy Options and Basic Health plans to individuals and families throughout the State of Washington. We aim to make public-sector health care a better experience for our members, while helping you provide the highest level of care to your patients.

We are pleased to be the official sponsor of NWRPCA’s 30th anniversary. Please stop by our booth to learn more about us and how we support community health in Region X.

Healthier Patients, Healthier Practices.

M858950 CST2536 UHC CP WA Prov Facing NWRPCA Ad.indd 1 4/17/13 11:47 AM

26

26 • Lead a Fiscal Champion: Key Questions and BenchmarksTrack: FiscalCompetencies:

�� Knowledge of Information Management�� Fiscal responsibility

Too burdened with BOD, grant requests, and senior management hiring issues to learn whether you are leading a fiscal champion? In one session, learn key questions to ask and benchmarks to which staff should aspire. Become insightful and knowledgeable in an arena most non-financial C-level staff dread. Evaluate your success with quantitative methods.Learning Objective 1: List key financial and billing criteria and terms.Learning Objective 2: Understand billing benchmarks and why they are important.Learning Objective 3: Learn how to evaluate a charge master to optimize.Presenter: Robert Skeffington, Executive VP, Priority Management Group, Inc.

28 • Data Collection on Enabling Services: Quality Up, Disparities DownTrack: Patient-Centered Medical HomeCompetencies:

��Advocating for local health needs�� Improves the efficiency of the organization through smooth movement of data

Enabling services (ES) are non-clinical services such as case management and health education that are provided to patients to support health care delivery and facilitate access to care. They are an essential component of comprehensive services provided by community health centers (CHCs) and will play an increasingly important role in expanding access to and improving health outcomes for the anticipated influx of new patients under the Affordable Care Act. Until recently, health centers have had little guidance and practice in collecting data on the scope of their enabling services. The Association of Asian Pacific Islanders Community Health Organizations has developed a standardized model for collecting and analyzing enabling services data and its impact on health outcomes. This is an important tool for health centers to advocate for sustainable funding, improve quality, and demonstrate the value of enabling services in improving access and outcomes for medically underserved populations. Review AAPCHO’s enabling services data collection model and experiences in training health centers on this methodology.Learning Objective 1: Understand the implications and importance of collecting and tracking enabling services data using a standardized protocol.Learning Objective 2: Be familiar with AAPCHO’s enabling services data collection model.Learning Objective 3: Identify the steps necessary to implement AAPCHO’s enabling services data collection model at your organization.Presenters: Tuyen Tran, Program Coordinator, and Hui Song, Research Manager, Association of Asian Pacific Community Health Organizations; Kristen Stoimenoff, Deputy Director, Health Outreach Partners.

Have your badge scanned at the end of each session! That’s how you get your CEUs!

FREE Job Postings—visit us at www.NWRPCA .org

27 • The Power of Stay InterviewsTrack: HR/WorkforceCompetencies:

��Administering staff retention policies�� Recruitment and hiring of staff

For healthcare organizations, often the only time managers meet with clinical and administrative staff is to solve urgent work-related problems. This session provides data on the importance of regular structured, one-on-one meetings to drive engagement and retention, and also supplies the tools for managers to conduct Stay Interviews, especially important for employees who work in rural environments that serve special needs populations. In addition, we will look at healthcare companies that have turned Stay Interview results into a method for forecasting potential future employee turnover and addressing the issues before losing employees.Learning Objective 1: Learn and leverage the specific high-dollar cost of turnover to lead actions to lessen it.Learning Objective 2: Practice and develop skills to conduct Stay Interviews.Learning Objective 3: Take home a comprehensive plan to implement Stay Interviews in your organization.Instructor: Dick Finnegan, CEO, C-Suite Analytics

27

29 • Health Information Exchange (HIE) for Coordinated CareTrack: OperationsCompetencies:

�� Improves the efficiency of the organization through smooth movement of data�� Knowledge of information management

Have you ever seen a demo of health information exchange (HIE)? It is completely underwhelming! That is because the natural process of health care delivery is one that is dynamic and involves coordination among multiple stakeholders, including the patient. HIE is a cornerstone to federal initiatives including meaningful use, Accountable Care Organizations and the medical home. The landscape for moving data is changing and standards are emerging. This session will examine the current HIE environment, development of use cases, standards-based exchange, and factors for success.Learning Objective 1: Understand the current trends in health information exchange in the U.S.Learning Objective 2: Learn about developing HIE use cases using guiding principles.Learning Objective 3: Identify the four most common use cases and HIE transport options and standards.Presenter: Adele Allison, National Director of Government Affairs, SuccessEHS

Northwest Regional Primary Care Association is pleased to announce its new

CoMMuNiTY heAlTh iMProVeMeNT ProgAM NWRPCA is broadening its Migrant Health Program to a new Community Health Improvement Program (CHI Program) to help its members better serve migrant/seasonal farmworkers and the other most vulnerable populations, and to support HRSA Bureau of Primary Health Care priorities for special populations. The CHI Program will address:

» Serving the most vulnerable populations, including migrant/seasonal farmworkers » Fostering collaborative approaches for creating healthier communities » Identifying and developing models of care that support community health improvement (Initially the CHI Program will focus on integration of effective trauma-informed care practices into primary care.)

» Identifying and developing the workforce to support community health improvement (Initially the CHI Program will support select Community Health Worker initiatives and programs in the primary care setting.)

Establishing the CHI Program creates a structure that will not only continue to support our migrant and seasonal farmworker health services but also ensure that CHCs are equipped with the right training and resources to improve health outcomes in all the populations they serve. As federal and state reform initiatives continue to develop, we strongly believe that NWRPCA and CHCs must address population health more broadly and all the factors affecting it.

Please contact Seth Doyle, Community Health Improvement Program Manager, at sdoyle@nwrpca.org or 206-783-3004 x16, for more information on the types of services and programming planned for the coming year and to learn about partnership opportunities.

30 • ACA Implementation Challenges and Opportunities for Primary CareTrack: PolicyCompetencies:

�� Leadership�� Knowledge of public policy and advocacy

Implementation of the Affordable Care Act kicks into high gear this year, as several key access-related provisions go into effect. State legislatures will debate whether to expand their Medicaid programs. State-based health insurance exchanges will begin to offer subsidized insurance that covers essential health benefits. Medicaid reimbursement rates will rise, temporarily, for primary care services. And various public health measures will receive additional regulatory and financial support. This implementation effort presents great challenges and great opportunities for community health centers, primary care providers, public health offices, and the vulnerable populations they serve. This presentation aims to provide a solid overview of key ACA provisions, their implementation status, and their relevance for primary care in the Northwest.Learning Objective 1: Identify key provisions of the Affordable Care Act.Learning Objective 2: Report on their implementation status.Learning Objective 3: Define their relevance for primary care in the Northwest.Presenter: Sallie Sanford, JD, Assistant Professor, University of Washington Health Services

28

31 – Preparing for your HRSA Operational Site VisitTrack: OperationsCompetencies:

��Manages data reporting requirements�� Fiscal responsibility

This session will be presented by reviewers who have served as HRSA consultants on Operational Site Visits. Clinical, Financial and Governance/Administrative reviewers will share their experience and help you prepare for a successful visit.Learning Objective 1: Understand the details of HRSA’s 19 Program Requirements.Learning Objective 2: Identify key components of compliance and the reviewers’ expectationsLearning Objective 3: Be prepared for your site visit.Presenters: Suzanne Niemi, Mark Rivera and Alyson Roby, MD, consultants for HRSA

32 • NextGen Users Group Roundtable with PTSOTrack – User GroupsCompetencies:

�� Knowledge of information management��Understands existing and emerging technologies

Come collaborate with other CHCs on NextGen. This will be an interactive session with individuals seated at tables specific to their version of the tool to discuss how to use this electronic tool to improve healthcare within their organizations. There will be specific questions to guide discussion. Get answers to your questions on using NextGen for PCMH, meaningful use, team-based care, care management, tracking referrals and diagnostics. Learning Objective 1: Collaborate with other CHCs on NextGen.Learning Objective 2: Define specifics of using this electronic tool to improve healthcare within your organization.Learning Objective 3: Describe usage of NextGen for PCMH, meaningful use, team based care, care management, tracking referrals and diagnostics.Presenters: Judy Featherstone, Medical Director, HealthPoint; Roy LaCroix, CEO, PTSO

33 • OCHIN’s Integrated Knowledge Management VisionTrack: Open to all conference participantsCompetencies:

��Understands existing and emerging technologies�� Knowledge of information management

OCHIN is excited to meet existing OCHIN customers and any other organizations that would like to know more about OCHIN’s Integrated Knowledge Vision. Learn about the work OCHIN has done nationally and its expanded integrated product offering for CHC health information and practice needs. OCHIN will highlight its newly developed Data Aggregation Toolset that has been co-developed by OCHIN and members of THQLINK. This toolset will provide individual and regional organizations with robust analytics and data aggregation capabilities for both clinical and claims data to support and meet the IHI Triple Aim initiatives. Learning Objective 1: Learn how to benchmark key clinical and financial indicators across disparate EHRs and Practice Management Solutions.Learning Objective 2: Understand how the latest software can provide advanced analytics and identified and de-identified benchmarking.Learning Objective 3: Identify a new tool for Accountable Care Organization reporting.Presenters: Laurie Coleman and Amanda Thorgramson, OCHIN

Congratulations and Best Wishes to our 2013 GraduatesATSU-SOMA NWRPCA Campus graduates 11 new osteopathic doctors!We proudly send them off to their residencies now, hoping they will return to serve our Region X community health centers.

Suzanne BemisBethany Berman-BradyJohn CooperDallas HolladayNick MulcahyChioma OhaleteAdam PattynMartin PetersIan SchliederAdam SchwindMaria Tumanik

ATSU-SOMA NWRPCA Campus

Collaboration for Community Health Center based medical education Federal Region X

AlaskaIdahoOregonWashington

Beryl V. Cochran has served as the Project Officer for many of the community health centers in NWRPCA/Region X over the past 30 years, if not directly, then indirectly as she shared her wisdom and knowledge of our federal program and then expected us to share our skills with our colleagues. She has urged caution and encouraged risk-taking, and has been deeply committed

to the patients we serve. Beryl has been all business, but a great friend and mentor to our CHC leaders as well as our PCA leaders. Bruce Gray told me, “Beryl mentored me in ‘96 when I rotated through Seattle regional office and has been a solid support since.” Beryl has been one of the most conscientious Project Officers ever to work with the Bureau of Primary Health Care. She is unorthodox, unconventional, and always right on target. When Beryl spoke, grantees were well-advised to “listen up” because she was telling you explicitly what you needed to know. She respected hard work and clear goals, and her most often repeated admonition was “Did you read the Notice of Grant Award?” Over the years she has translated “fed speak” to clear language to help our Boards understand and thrive. With over 40 years in federal service—from the Social Security Administration to her current Project Officer assignment with Region X—she knows the laws. In fact she wrote most of the regulation that guides our programs. Did I mention--she is SMART? Beryl has always been committed to excellence, hoping to inspire her grantees to achieve excellence, often in the face of tremendous odds and even years of adversity. The best times she has had, I think, were on her adventures in Alaska—traveling the state near and far during the huge surge of health center expansion over which she presided. Beryl enjoys a challenge—she has taken on lost causes with reckless abandon and then fought relentlessly to see the odds overcome and success achieved. Her greatest joy is in animals---she is surrounded by dogs, ducks, ponies, and… well, you get the idea. When her friends call, as they frequently do, with trouble overwhelming their lives, Beryl always takes it on, especially if there are children or animals involved! She has a heart of gold. We said good-bye and good luck to Beryl Cochran when she retired at the end of December. But she will always shine on as one of the true gems in the federal workforce. Recently we did a “soft hand-off” to a new project officer after 20 years under Beryl’s tutelage. It felt strange, but this is the natural course of things, and we know Beryl will be there for us if we call! That’s just the way it is.

We bid a fond farewell to Beryl Cochran Barbara Malich, CEO, Peninsula Community Health Services(Originally published in QuickNotes, December, 2012)

30

TueSDAY • MAY 21, 201334 • Employee Engagement through Effective Performance ManagementTrack: HR/WorkforceCompetencies:

��Administering staff retention strategies�� Recruitment and hiring of staff

Engaged employees feel involved, committed, passionate and empowered at work and demonstrate that engagement in their performance and behavior. They are happier, more productive, and far more likely to stay for the long term. Your organization can benefit from engaged employees simply by incorporating effective performance management processes into ongoing operations. In this highly interactive session we will discuss practical and realistic ways to strengthen engagement by developing goals with “meat,” implementing structured one-on-ones, “speed-coaching,” acknowledgement and recognition, and accountability. We will also discuss ways to increase trust and reduce burnout. Gain ideas and strategies you can implement immediately to increase employee engagement at your health center.Learning Objective 1: Understand the importance of employee engagement in improving productivity, morale and retention.Learning Objective 2: Gain knowledge and strategies to strengthen employee engagement through effective performance management processes.Learning Objective 3: Learn to increase trust and reduce employee burnout.Presenter: Lisa Mouscher, CEO and Principal Consultant, Sogence Training and Consulting

35 • Integrated Mental Health: Two Real-World ExamplesTrack: Patient-Centered Medical HomeCompetencies:

�� Knowledge of quality improvement systems and strategies�� Participating in collaboratives

Presenters from two integrated mental health programs located in community health centers, one from a single site in Alaska and one from a statewide initiative in Washington, will describe the structure and outcomes associated with their programs. Benefit from an overview of the key components of evidence-based integrated care and two concrete examples of mature programs. Presenters will discuss the organizational structure of the program, including staffing, clinical workflows and funding models. They will present clinical outcomes achieved by these programs and compare them to similar programs in the published literature. Learning Objective 1: Identify the key components of evidence-based integrated mental health programs.Learning Objective 2: Describe clinical outcomes achieved by two mature integrated care programs in Alaska and Washington.Learning Objective 3: Describe effects of payment models on clinical outcomes and variations in care and outcomes for mothers from different racial/ethnic groups.Presenters: Diane Powers, Program Manager, University of Washington AIMS Center; Wayne Bentham, MD, MPP, Assistant Professor, University of Washington; Chris Cornelius, MD, Director for Clinical Services, Anchorage Neighborhood Health Center

36 • Health Center Social Media Best PracticesTrack: OperationsCompetencies:

��Understands existing and emerging technologies�� Knowledge of information management

Learn which social media sites your health center colleagues are using and get great ideas for how to use social media to reach your health center’s audience. From Facebook to Twitter, Pinterest and blogs, health centers are harnessing free social media platforms to connect with patients, donors, elected officials and more! View examples of health center social media posts, and learn best practice tips.Learning Objective 1: Learn tips and guidelines for Facebook and Twitter posts.Learning Objective 2: Identify effective ways to blog for a health center.Learning Objective 3: List social sites health centers are currently using, and understand the basics of how and why they are using them.Presenter: Lindsey Ruivivar, Associate Director, National Advocacy, NACHC

Annual Membership Lunch MeetingTuesday, May 21, 12:15 to 2:30All welcome - no reservation required. Vote on membership business, and get your must-do 2014 checklist from Adele Allison, National Director of Government Affairs, SuccessEHS, followed by our popular exhibitors’ drawing for prizes.Our Annual Membership Lunch Meeting is generously sponsored by Unitedhealthcare Community Plan.

©20

13 C

lifton

Lars

onAl

len

LLP

PLAN FOR CHANGEShape your future by collaborating with people who understand the financial, operational, and reimbursement needs of federally qualified health centers.

Bellevue, Washington 425-250-6100 | cliftonlarsonallen.comAssurance Tax Advisory

32

37 • Frontier Extended Stay Clinics: A Model for the FutureTrack: PolicyCompetencies:

�� Knowledge of quality improvement systems and strategies��Management of facility

The Frontier Extended Stay Clinic (FESC) is a demonstration funded by the CMS Innovation Center, Alaska Medicaid, and the HRSA Office of Rural Health Policy. A FESC is a clinic certified to keep certain patients for observation up to 48 hours, saving the expense and risk of unnecessary medevac transfers to hospitals. In frontier areas where hospitals are few and far between, this promising model is an excellent and proven way to improve patient care and lower costs. This presentation will focus on the benefits to patients, the requirements clinics must meet, and the future of the model in the current health policy landscape.Learning Objective 1: Define the CMS Conditions of Participation for a FESC.Learning Objective 2: Describe the need and rationale for the FESC.Learning Objective 3: Identify challenges to expanding the model to other sites.Presenters: Patricia Atkinson, Program Manager, Alaska Regional Health Consortium; Marcia Scott, Administrator, SEARHC Haines Health Center; Laura Ballou, FNP-BC, Iliuliuk Family and Health Services

39 • Addressing Workplace Violence: A Comprehensive ApproachTrack: HR/WorkplaceCompetencies:

�� Risk Management�� Building positive workplace environment

Workplace violence is a real threat facing health centers in every setting. A Zero Tolerance Policy on Violence is a good starting point, but it is critical that organizations address this issue systematically with an oversight committee, assessment, a workplace violence plan, and training to enable staff to recognize triggers, de-escalate tense situations, and defuse aggression. This session will provide an overview of workplace violence, outline key considerations to be included in a plan, and provide resources to support the development of a comprehensive approach to address workplace violence. A tabletop exercise will conclude the session to bring the issues to life and help the participants identify gaps in their current organizational policies that address workplace violence. Learning Objective 1: Identify the types of workplace violence.Learning Objective 2: Define the steps necessary to develop and implement an effective and comprehensive workplace violence prevention and response program.Learning Objective 3: Access resources available to support health centers in addressing the threat of workplace violence.Presenter: Mollie Melbourne, Director, Emergency Management, NACHC

40 • SBIRT Implementation in Six PCMH Settings: Lessons LearnedTrack: Patient-Centered Medical HomeCompetencies:

�� Knowledge of quality improvement systems and strategies��Oversees Electronic Medical Records system

Despite demonstrated efficacy, Screening, Brief Intervention, and Referral to Treatment (SBIRT) remains underemployed in primary care settings. Physicians are motivated to provide excellent patient care, but cite significant barriers to performing SBIRT. Investigate to what extent an implementation strategy that reinforces the Patient-Centered Medical Home Model can integrate SBIRT into primary care settings. In six primary care clinics located in Portland, Oregon, SBIRT processes were assigned to ancillary staff and clinicians. Implementation rates were measured over two years. The study found that a team-based approach to SBIRT in primary care settings capitalizes on the Medical Home model but also creates unique barriers to implementation.Learning Objective 1: Describe how a team-based approach to implementing SBIRT capitalizes on the Medical Home model of primary care.Learning Objective 2: List three main components of the SBIRT clinic flow.Learning Objective 3: Identify barriers and facilitators to implementing SBIRT in the Medical Home.Presenter: Jim Winkle, Project Director, OHSU Family Medicine

Train the clinical leaders of tomorrow—BECOME A PRECEPTOR!

38 • Budgeting 101: A Practical PlanTrack: FiscalCompetencies:

�� Fiscal responsibility�� Budgeting and long-range fiscal planning

The session will cover the basics of budget development and identify some best practices from peers within the CHC world, including examples of working budgets and budgeting tools. In addition we will discuss the importance of the budget as a means to meet an organization’s strategic objectives.Learning Objective 1: Understand the purpose of the budget and the various approaches to budgeting.Learning Objective 2: Define the major components of the budget.Learning Objective 3: Effectively integrate key indicators and benchmarking as part of the budget management process.Presenters: Paul Bailey, CPA, Partner, and Kyla Delgado, Senior Auditor, CliftonLarsonAllen

Countdown to 2014!January 2014 is a mere six months away. Do you have your ducks in a row? Are you positioned for success, ready to address all the new initiatives?

LEARN the ChecklistAdele Allison, National Director of Government Affairs, SuccessEHS (NWRPCA Associate Member) will run you through this checklist at our Annual Membership Lunch Meeting on Tuesday, May 21, 12:15. All are welcome; no reservations required.

10-Key Topics and Calls to Action

Price $35 per webinar or $210 for the entire seriesSpecial NWRPCA Member Rate $25 per webinar or $140 for the entire series

The cost of presenting this webinar series is being significantly underwritten by our member, SuccessEHS

Get your Ducks in

a Row!

1. Medicaid – Emerging payment models, Expansion, Meaningful Use

2. Dental – Streamlined EHR/EDR, Meaningful Use3. HIE – Quality up, costs down; available options; vendor

support4. Interfaces – Lab/imaging results; immunization state registry5. Reporting – Workflows mapping; MU CQMs; needed

reports availability6. Performance Improvement – Chronic diseases, patient

engagement, disparity reduction; MOC and/or PI-CME for providers; digital dashboard

7. Patient Engagement – Patient portal; patient collaboration; market the tools; patient-reported data

8. Medical Home – Cultural shift; recognition; Nat’l Quality Recognition Initiative (NQRI)

9. Optimizing Health IT – In the medical home; certification; NQRI

10. ICD-10 – Impact analysis; transition/training program; gap identification and correction

LIVE the Checklist7-Webinar Countdown to 2014! Series – June through December – take one, take them all!

register at www.NwrPCA.org

» June 18 Health IT Gap Assessment—Optimizing the Tools at Hand

» July 16  Glide Path to Health Information Exchange » August 20 Value-based Purchasing—Impact on CHCs » September 17  Accountable Care Organizations—A Community of Care

» October 15  Meaningful Use—Getting Ready for Stages 2 and 3 » November 19  Clinical Decision Support for Performance Improvement

» December 17  Patient-Centered Care Delivery

34

41 • Implementation of Advanced Patient Access: A RoadmapTrack: OperationsCompetencies:

�� Integrates various departmental services efficiently��Management of facility

This presentation will outline the specific steps taken by one CHC in the journey to Advanced Access, offering a roadmap that other health centers may choose to use as their model for achieving greater access in their communities. Specific tools, examples and experiences will be offered in an effort to duplicate this successful Advanced Access model. This is the step beyond theory, addressing implementation. Focus will be on measures (prior to implementation), panels, care team staffing ratios, structure of the care teams, contingency planning, patient engagement, backlog reduction, maintenance of Advanced Access, board reports, scheduling rules, and troubleshooting.Learning Objective 1: Understand the steps of the Advanced Access journey and how to duplicate it.Learning Objective 2: Break each step of the journey into bite-sized pieces.Learning Objective 3: Describe challenges and workable solutions.Presenter: David Frain, Operations Director, Anchorage Neighborhood Health Center

42 • Vaccination in the CHC Setting: Policy, Practice and ImpactTrack: PolicyCompetencies:

�� Risk management��Understanding legal issues

The importance of vaccines and their impact in preventing Vaccine Preventable Disease is well documented.  This session will focus on policies affecting vaccine access and administration, using the state of Alaska as an example. We will also look at how some northwest states are creatively overcoming barriers to vaccine access. There will be an update on the latest vaccine recommendations.Learning Objective 1: Review the current CDC recommendations for childhood and adult vaccines.Learning Objective 2: Describe the current policies and future legislation affecting vaccine funding and access to vaccines in Alaska.Learning Objective 3: Develop an overview of vaccine-preventable disease in the US and Alaska and the impact of vaccines on these threats.Presenter: Rosalyn Singleton, MD, MPH, Immunization Program Director, Alaska Native Tribal Health Consortium

43 • Fiscal Guidance for HRSA Grant ApplicationsTrack: FiscalCompetencies:

�� Budgeting and long-range fiscal planning��Grants management

The Grant Application budget can be the most challenging part of any application. This session will provide HRSA program budget

guidance by reviewing forms and line item requirements, program income requirements, and cost considerations

(determination, classification and matching). There will be a discussion of the budget justification/narrative, financial performance measures, sliding fee scale requirements and reporting requirements.Learning Objective 1: Define the HRSA Program Budget Application process.Learning Objective 2: Understand the fiscal guidance portion of the application.Learning Objective 3: Identify requirements for the sliding fee scale and reporting.Presenter: Charles Davies, Principal Administrator, Community Health Center Financial Administrators

44 • Culture of Teaching: Growing your own CliniciansTrack: HR/Workforce Competencies:

�� Precepting medical students��Administrating staff retention strategies

How does a CHC create a culture of training for recruitment and retention?  Through collaboration and partnerships, the Alaska Rural Family Medicine Community Health Center Clerkship Network is training medical students in remote rural centers as a pathway for their return to practice in these communities. Join our panel for lessons learned, interim evaluation results and student feedback on how to successfully grow your own.Learning Objective 1: List three preceptor benefits that result from a comprehensive training program.Learning Objective 2: Describe how a CHC successfully supports trainees at a practice site.Learning Objective 3: Identify best practices based on student and preceptor interim evaluation results.Presenters: JC Rathje, ED, and Miranda Berkenbile, Executive Assistant, Kodiak CHC; Debbie Standefer, Director of Operations, Peninsula CHS; Laura Ballou, FNP-BC, Iliuliuk Family Health Services; Tamera L. Ahner, Workforce Manager and AHEC Director, Hidalgo Medical Services; Clayton Smith, Network Scholarship Recipient

45 • Where is your CHC on the 2014 Milestones Checklist? (Roundtable discussion)Will your CHC be ready for all the mandates of the Affordable Care Act and all the healthcare reform expectations converging in 2014?  We have compiled a checklist of “Must Do” processes and programs, and this is your opportunity for facilitated discussion of your top three issues with your colleagues in a roundtable format. With the information gathered at this conference, this closing session is a place to network with peers and gather strength and resources and make plans for the tasks ahead.Learning Objective 1: Evaluate the position of CHCs for ACA readiness using a 2014 milestone checklist.Learning Objective 2: Learn from peers innovative ways to meet the challenges of mandated changes.

35

Learning Objective 3: Gather resources and create plans to address required tasks.Facilitators: Lisa Mouscher, CEO and Lead Consultant, Sogence Training & Consulting; Adele Allison, National Director of Government Affairs, SuccessEHS; Heidi Baines, MD, Medical Director of Quality Integration, Anchorage Neighborhood Health Center

46 • Understanding Accountable Care Organizations (ACOs): The Oregon ExperienceTrack: PolicyCompetencies:

�� Knowledge of quality improvement systems and strategies�� Participating in collaboratives

Oregon is leading the way in creating Accountable Care Organizations with its own version – the Coordinated Care Organization.  This session will provide an overview of ACO development nationally and explore the key issues, opportunities and challenges related to two Oregon CCO models, one relatively urban, the other relatively rural.  What are the barriers to creating and operating such organizations?  How can such barriers be overcome?  Presenters will provide the background and some lessons learned for health centers in partnering with established medical and public institutions in their communities. Learning Objective 1: Define the historical and political forces that are creating ACOs generally and CCOs in Oregon specifically.Learning Objective 2: Identify three barriers addressed in the CCO models profiled.Learning Objective 3: List lessons learned from the models that you can take back to your organization.Presenters: Patrick Luedtke, MD, Medical Director, Community Health Centers of Lane County; Joe Gallegos, Senior VP for Western Operations, NACHC; Gil Munoz, CEO, Virginia Garcia Memorial Health Center

47 • Investing CHC Assets: Policy and StrategyTrack: FiscalCompetencies:

�� Fiscal responsibility�� Treasury management (including financing)

It’s important to know what minefields to avoid when investing CHC assets. This course will explore the steps to building investment policies and strategies for the future of your CHC, including creating a budget plan. Adjusting your strategies to capitalize on today’s market and where the market might be heading will also be explored.Learning Objective 1: Define sound investment strategies for CHCs to avoid common mistakes.Learning Objective 2: List benefits of creating an investment policy and goals.Learning Objective 3: Understand how to capitalize on today’s market.Presenters: Jack Hartman, Financial Advisor, and Gregg Hartman, CIMA, The Hartman Group, Morgan Stanley

When a healthcare facility needs to expand its reach so its patients receive the best care possible, telehealth is the answer.

For more than 13 years, ConnectMD has made telehealth a reality for facilities throughout Alaska and the Pacific Northwest, providing them with customized telecommunications solutions. With ConnectMD’s technical expertise, clinical insight, and passion for improving healthcare, patients receive the care they need, regardless of where they live.

Learn more at www.connectmd.com

Telehealth. Simplified.

When a healthcare facility needs to expand its reach so its patients receive the best care possible, telehealth is the answer.

For more than 13 years, ConnectMD has made telehealth a reality for facilities throughout Alaska and the Pacific Northwest, providing them with customized telecommunications solutions. With ConnectMD’s technical expertise, clinical insight, and passion for improving healthcare, patients receive the care they need, regardless of where they live.

Learn more at www.connectmd.com

Telehealth. Simplified.

Juneau

AnchorageFairbanks

Kenai

HainesDenali

Ballroom Foyer

KodiakElevators

SkagwayValdezRestroomsStairs

ANChorAge MArrioTT DowNTowN2nd floor meeting space floor plan