chambermaster.blob.core.windows.net€¦ · web viewdr. john r. langefeld is vice president of...

KPCA 2019 Annual Conference Session Description

Thursday, October 17 th , 2019 9:00 -10:15 am

Building for Success in Value-Based Reimbursement

Dr. John Langefeld, Vice President, Clinical Integration and Quality Innovation, Vizient MidSouth, Atlanta, GA

Session Description:

Dr. Langfeld will guide the attendees on the basic foundation necessary for building a successful value-based reimbursement system in practice. He will share past and present experiences in the changing healthcare environment in moving towards high value-based care.

Following the presentation, the participants will be able to:

1. Describe the foundational elements necessary for a successful value-based reimbursement system in practice

2. Describe opportunities for change in practice to reach a successful value-based reimbursement system based upon ‘performance risk’.

3. Share best practices for journey readiness and building a sustainable value-based reimbursement infrastructure in practice

Biography:

Dr. John R. Langefeld is vice president of clinical integration and quality innovation for Vizient Southern States. He is a board certified family physician and physician executive with health care experience in clinical care that ranges from rural primary care to large delivery systems. Dr. Langefeld also has expertise in the areas of provider management, managed care organization leadership, consulting for large employer-sponsored benefit programs, worker’s compensation and disability management, and information

management.

Prior to joining Vizient Southern States, Dr. Langefeld was chief medical officer for the Kentucky Cabinet for Health and Family Services - Department for Medicaid Services. Other past positions include chief medical officer for Artemetrx, a company specializing in how data analysis can impact clinical quality outcomes; medical director and vice president of health care management for Bluegrass Family Health, a regional health plan in Lexington, Kentucky; chief medical officer for Health Associates of Kentucky, a management service organization (MSO) supporting a large primary care network affiliated with the University of Kentucky Medical Center; as well as several other medical director and clinical care positions. Dr. Langefeld has also served on the faculty for two academic medical centers and in 2015, was selected as Citizen Doctor of the Year by the Kentucky Academy of Family Physicians.

1KPCA Annual Conference Session Descriptions • Thursday, Oct. 17th & Friday, Oct. 18th, 2019

Dr. Langefeld completed his undergraduate work at Berea College, received his medical degree from the University of Louisville’s School of Medicine, and completed his family medicine residency at St. Elizabeth Medical Center.

10:15 -11:30 am

Successfully Leading Your Clinic from Here to ThereMelissa Stratman, CEO, Coleman Associates, Boulder, CO


1. Learners will understand how upcoming changes to their health center reimbursement structure mean changes to their roles as leaders.

2. Listeners will add tools to their toolbox about how to move staff forward despite resistance to change.

3. Listeners will be able to formulate an effective communication plan for how to help staff make changes to a Value Based Payment World


Stratman will codify her years of experience in helping clinics make Dramatic Change. She will share examples from other clinics and other companies outside healthcare who have successfully made the leap from the current processes to the future. In this session the participants will learn to the patterns to watch for and hear how other clinics have made operational changes to move the organization forward and make them more ready for a Value Based Payment System.

Biography:

Melissa has a diverse healthcare background and is the owner and CEO of Coleman Associates. Coleman Associates is a healthcare training and consulting firm with a strong mission and an over 20-year reputation helping improve operations, finances, teamwork, quality of work life as well as patient outcomes and satisfaction.

11:30 - 12:15 pm

Field Development Update on the Centralized Healthcare And Reimbursement data Leading Innovation (CHARLI): the KPCA-wide centralized value-based payments management system

Jerry Gob, Principal, nSightMed Solutions, Louisville, KY

Steve Linthicum, Principal, nSightMed Solutions, Louisville, KY


Steve Gruner, President/CEO, HEALTHWARESYSTEMS, Elgin, Ill.


This session will demonstrate the latest developments in the association’s new and developing centralized value-based payment management system, CHARLI (Centralized Healthcare And Revenue data Leading Innovation), for KPCA member practices. The latest updates since the Spring 2019 Conference in the development and role of the system within healthcare practice, utilization of the system to improve quality and efficiency of care, and system opportunities for future quality improvement initiatives will be discussed.


1. Describe the role of a Clinical Value-Based Payment Management System (CVBPMS) within a healthcare practice

2. Describe how the utilization of CVBPMS reporting can improve quality and efficiency of care within a healthcare practice

3. Discuss opportunities for future practice quality improvement initiatives supported by a CVBPMS

Biography:

Gob is an experienced technology entrepreneur with 23-year history in helping start, build and grow variety of information technology companies. Extensive experience in building, managing software teams to build applications in financial and healthcare sectors. Owned and operated a cloud managed services company focusing on healthcare and financial services verticals.

Previously Global Manager, Healthcare for CenturyLink.

Linthicum is an experienced technology leader with 25-year history of developing software solutions across multiple business domains including the last 15 years in the Healthcare space.

Innovation Leader having directed the Advanced Analytics & Algorithms Lab at GE Global Research for 7+ years and Innovation Team at GE Healthcare IT for 8 years. Holds 5 US Patents in IT/Software technologies in algorithm development and user interface/interaction technologies. Previously Director Solutions Architecture for

CenturyLink, also held Chief Technology Officer position at the Illinois Health Information Exchange.

Gruner is the founder and President/CEO of HealthWare Systems since 1998. He is responsible for corporate planning, product strategy, research/development, and overall operations. HealthWare specializes in complex data integration, custom application development, workflow automation, and messaging solutions for the healthcare industry.

Prior to HealthWare Systems, Steve worked for Bell Laboratories. His responsibilities involved system design, integration, database development, and


implementations for several international clients including China, Singapore, and other large telecom organizations.

12:15 - 1:30 pm

Keynote Lunch - Policy and Legislative Updates from NACHC, NARHC & PCA

Colleen Meiman, MPP, Senior Policy Advisor at National Association of Community Health Centers (NACHC), Washington, DC

Nathan Baugh, Director of Government Affairs, National Association of Rural Health Clinics, Alexandria, VA;

John D. Inman, Director of Advocacy and Government Affairs, Kentucky Primary Care Association, Frankfort, KY


This session will focus on the latest federal and state updates from the National Association of Community Health Centers, the National Association of Rural Health Clinics and the Kentucky Primary Care Association.


1. Summarize the latest updates impacting Federally Qualified Health Centers

2. Summarize the latest updates impacting Rural Health Centers

3. Consider how those updates impact day to day operations.

Biography:

Colleen Meiman joined NACHC as the Senior Policy Advisor in January 2015. Her department is responsible for working with the Administration – particularly CMS and HRSA -- on policy issues that affect Health Centers and their patients. Previously, Colleen spent over two decades in the Federal government, including in the Office of the HHS Secretary, in the US Senate, and in numerous positions within HRSA, including in the Bureau of Primary Health Care, which oversees the Community Health Center program. Colleen’s expertise is in the regulatory, administrative, and financing aspects of Medicaid, Medicare, 340B, and the

Affordable Care Act, and how they relate to health centers.

Nathan Baugh is the Director of Government Affairs for the National Association of Rural Health Clinics (NARHC) where he has worked since April of 2015. Nathan works on both regulatory and legislative policy at the federal level. He has been involved in issues


such as the CPT reporting policy, the Chronic Care Management benefit, and the Emergency Preparedness rules.

John Inman is the Director of Advocacy and Government Affairs for the Kentucky Primary Care Association (KPCA). His primary responsibilities include staying in contact with the Kentucky state government agencies, advocating on the behalf of the KPCA membership, managing the grassroot advocacy program for KPCA clinics and acting as a liaison with National Association of Community Health Centers (NACHC) and National Association of Rural Health Centers (NARHC) on federal issues.

John is a native Kentuckian and spent his childhood helping his father and grandfather raise tobacco and cattle in rural Taylor County. He then went on to become a deputy sheriff in Grant County and later a police officer with the Kenton County Police. While at Kenton County John served in many capacities and was a detective assigned white collar crime and public corruption cases. In 2016 he was appointed to Deputy Inspector General at the Cabinet for Health and Family Services, where he oversaw all special investigations, healthcare facility licensing and surveys, and childcare facility licensing and inspection. In 2017 John transferred to Medicaid where he supervised Program Integrity, served as legal advisor to the Commissioner, and was Chief of Staff. John holds a bachelor’s degree from Eastern Kentucky University, a Juris Doctorate and Master of Accountancy from Northern Kentucky University, and is a licensed attorney.

2:15 – 3:00 pm

Kentucky Health Information Exchange (KHIE) and KPCA Collaboration Update

Andrew Bledsoe, MS, MBA, Deputy Executive Director, Commonwealth of Kentucky CHFS Office of Health Data and Analytics, Frankfort, KY


This presentation will provide the latest overview of the new technology supporting the Kentucky Health Information Exchange and how it can enhance your practice by providing real-time information through a comprehensive care record and patient driven alerts.


1. Characterize the Cabinet for Health and Family Services technology solutions supporting the Kentucky Health Information Exchange (KHIE).

2. Outline the latest services offered by KHIE and explain how these new KHIE services will impact ambulatory healthcare providers.


3. Illustrate how the new technology is supporting KPCA initiatives and describe additional cabinet initiatives that can benefit healthcare providers in Kentucky

Biography:

Mr. Bledsoe (Andrew) has a number of years of managing health Information exchanges in the State of Kentucky. He began his career at St. Claire Regional Medical Center, obtaining insight into rural medicine for both hospitals and ambulatory providers. Leveraging his rural experience, Andrew moved to the Northeast Kentucky Regional Health Information Organization (NeKY RHIO), serving as the Network Director initially, later moving into the role of Executive Director. Andrew is very well versed in national quality standards (MU, PQRS, VBM, MIPS, MACRA, HEDIS, PCMH, HIPAA) and holds multiple credentials focusing on health information technology. Andrew’s current position is the Deputy Executive Director for the Cabinet for Health and Family Services,

Office of Health Data and Analytics where he oversees the Kentucky Health Information Exchange (KHIE). With a primary focus on the state-wide initiative for health information exchange, Andrew coordinates and facilitates the KHIE Strategic & Operational Plan, which is focused on connecting all providers across the state of Kentucky to the health information exchange. Andrew is a graduate of Morehead State University with a MBA in Management and BA in Business Administration.

3:00 – 4:00 pm

Hierarchical Condition Categories (HCCs) - What Are They & How Do They Impact Value-Base Payment

Marla K. Dumm, CPC, CCS-P, CRC, Managing Consultant, Health Care Performance Advisory Services, BKD, Springfield, MO


The Centers for Medicare & Medicaid Services (CMS) is moving aggressively to shift health care payments from the traditional volume-based fee-for-service model towards value-based payment models, also called value-based reimbursement (VBR). This shift is focused on reducing the cost of health care in the U.S. while also giving healthcare providers incentives to improve their quality of care. These models require a risk-adjustment methodology, so payment can be adjusted based on the burden of illness of each individual.


1. Understand the new value-based reimbursement models CMS is implementing

2. Discover the role HCCs and diagnosis code assignment have in affecting value-based payments

3. Learn best practices for accurately capturing HCCs across the patient population.


Biography:

Marla has more than 20 years of experience in the health care industry. She provides reimbursement and compliance audit services as well as education to physician clinics, provider based clinics, rural health clinics, federally ‐qualified health centers and outpatient behavioral health providers.

Her experience is in professional coding, documentation and billing compliance audits, analysis of medical practice charge master description or

fee schedule descriptions, CMS 1500 and UB 04 claims detail and charge capture review, hierarchical ‐ ‐condition category (HCC) and clinical documentation analysis, analysis of risk adjustment reimbursement impact, quality measure analysis, physician and staff education on coding, billing and regulatory compliance issues.

Marla frequently gives lectures about evaluation and management coding and documentation guidelines, CPT/HCPCS code updates, rural health clinic/federally qualified health centers coding, billing and compliance issues and ICD 10 CM and HCC coding accuracy and clinical documentation ‐ ‐improvement at events hosted by state and national primary care and rural health associations and chapters of The American Health Information Management Association (AHIMA), AAPC, Healthcare Financial Management Association (HFMA), Medical Group Management Association and for BKD internal and external webinars. She has authored numerous health care articles for national publications, including Briefings on APCs and BKD’s e newsletters. ‐She is a member of AAPC, AHIMA and Missouri Health Information Management Association.

Marla has CPC® and CRC® certification through AAPC and CCS P certification through AHIMA, and she is ‐an AHIMA Approved ICD 10 CM Trainer.‐ ‐ ‐

4:15 - 5:15 pm

BREAKOUT - Thinking Outside the Rural Health Clinic Box

Barry Martin, CEO, Primary Care Centers of Eastern Kentucky, Hazard, KY



Biography:

Barry is the Chief Executive Officer of Primary Care Centers of Eastern Kentucky (PCCEK). PCCEK operates four rural health clinics in the heart of Appalachia in southeastern Kentucky. He started the organization in 2003 with the goal of providing quality healthcare to the residents of the region and to contribute to the communities where the patients live.

He began his career in healthcare straight out of college as a Kentucky Medicaid Auditor. He worked as a Controller in a long-term care facility after he left State


Government. His next move was to the position as the CFO of Shriners Hospitals for Children in Lexington, KY. During his experience at Shriners he remained involved in working with RHCs as a consultant and this helped him decide to return to his home region to make a difference.

Barry’s work ethic, along with his 30 years of diverse health care experience has given him the business understanding and industry knowledge to build a clinically integrated, multi-tiered, patient centered primary care system using the RHC model. The practice includes Family Medicine, Pediatrics, OB/GYN, Behavioral Health, Dentistry, Diabetes Center, Pharmacy and other ancillary services all in one location. Additionally, he has developed unique relationships with various partners to meet the needs of the patients PCCEK serves. Working with the local hospital, the University of Kentucky, and a regional Community Mental Health Center he has developed innovative approaches to issues faced by the patient population served by PCCEK. Barry has the willingness to adapt to an ever-changing healthcare environment and he makes needed investments to serve the patient population and meet their needs.

He graduated from the University of Kentucky in 1986 with a Bachelor of Science in Accounting and obtained a Master of Health Administration degree, also from UK, in 1995.

Barry is the Past Chair of Kentucky Primary Care Association (KPCA) and has been a board member and/or committee member of the organization for over 20 years. In addition to his duties as Chair he currently sits on the organizations Executive Committee, IPA Committee and Kentucky Medicaid Primary Care Technical Advisory Committee. He is also a member of the KPCA ACO Board of Directors and was involved in the creation of this RHC/FQHC driven organization. Some of his past community service includes Chair of Kentucky Mountain Health Alliance, President of the Hazard Rotary Club and a Board of Regents for the Kentucky Community and Technical College System.

4:15 - 5:15 pm

BREAKOUT - Understanding Compliance in Practice for FQHCs

Marcie Zakheim, Partner, Feldesman Tucker Leifer Fidell LLP, Washington, DC


In today's fast-paced and ever-changing health care environment, Federally Qualified Health Centers (FQHCs) are subject to an array of federal legal requirements, including the Health Center Program Requirements issued by the Health Resources and Services Administration as well as various laws and rules that apply to federal grantees in general. While some of these requirements are ongoing, others appear to change often. This session will provide brief overviews of the latest developments in HRSA and other federal requirements applicable to FQHCs. Participants will explore how these developments coulq impact health center operations, both in theory and in practice.


1. Understand the latest developments in compliance with the Health Center Program Requirements of the Health Resources and Services Administration

2. Understand other recent federal legal developments impacting health centers


3. Develop a plan to implement such legal developments

Biography:

Marcie H. Zakheim is a health care Partner at the firm, specializing in Federal grants and grant-related requirements for health care services (including Section 330 of the Public Health Service Act); non-profit corporation law, including governance; health care provider networks and affiliations; managed care contracting; corporate compliance programs for health care providers; and federal health care fraud and abuse law. Ms. Zakheim’s work includes providing advice to community health centers, other providers, and provider consortia on governance, administration and operations (including evaluating, developing and negotiating agreements, organizational documents, and operational policies). In

addition to reviewing, developing and providing advice on federal grant applications and federal legal requirements. Her work also includes reviewing, analyzing, and drafting formal comments and advice on statutes, regulations, and policies impacting community health centers and the health care industry in general.

Ms. Zakheim is counsel to the National Association of Community Health Centers and she provides technical assistance services and advice to health care providers and provider-based consortia, national and state associations and public agencies nationwide. Ms. Zakheim also conducts training programs, presents seminars and webinars, and has written various issues briefs, information bulletins, advisories, manuals and articles on a wide array of health care-related issues.

Prior to joining the firm, Ms. Zakheim served as a consultant to the George Washington University (GWU) School of Public Health and Health Services, where she co-authored "Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts” (editions one through four). Ms. Zakheim continues to serve as a Professorial Lecturer of Health Policy at the George Washington University School of Public Health and Health Services.

Friday, October 18 th , 2019

7:45 - 8:30 am

PRE-CONFERENCE - Motivational Interviewing to Influence Patient Decision MakingStacy R. Stanifer, MSN, APRN, AOCNS Oncology Clinical Nurse, Specialist Baptist Health Lexington, Lexington, KY


This session will consist of PowerPoint presentation which will identify key concepts of motivational interviewing (Ml). Role play and patient scenarios will be included. We expect that providers will gain an


interest in Ml and seek out more information as well as attempt to utilize the concepts in their own practice.


1. At the conclusion of this program the participant will be able to describe motivational interviewing

2. At the conclusion of this program the participant will be able to identify patient scenarios which would benefit from motivational interviewing

3. At the conclusion of this program the participant will be able to apply motivational interviewing techniques to influence a patient's motivation and commitment to behavior change.

Biography:

Stacy Stanifer, MSN, APRN, AOCNS is an Advanced Practice Registered Nurse, a Certified Oncology Clinical Nurse Specialist, and PhD candidate at the University of Kentucky College of Nursing. Ms. Stanifer works as an Oncology Clinical Nurse Specialist at Baptist Health Lexington and her research interests lie in cancer prevention. Ms. Stanifer's research focuses on radon testing and mitigation, as well as HPV vaccination.

9:10 – 10:15 am

Human Resource Issues & the Value-Based Practice

Melanie Kilpatrick, JD, Attorney, Williams Kilpatrick, PLLC, Lexington, KY

Tricia A. Shackelford, Esq., Of Counsel, Williams Kilpatrick, PLLC, Lexington, KYSession Description:

This session will develop an understanding of the interaction between human resources practices and patient care in a value-based practice paradigm. It will develop an understanding of the framework for value-based human resources policies and identify tools to address employee recruiting, employee retention and employee engagement.


1. Understand the importance of ethics and professionalism in value-based practice organizations;

2. Identify and understand the principles for human resources in a value-based practice;

3. Discuss the relationship between a value-based practice and employee retention

Biography:

Melanie Kilpatrick practices in the areas of employment law, commercial litigation, and mineral and energy law. She has authored articles and given presentations on topics of interest in the workplace safety, employment law and mineral and energy fields. She is experienced in arguing appellate cases


before the United States Court of Appeals, the Kentucky Court of Appeals and the Federal Mine Safety and Health Review Commission. Ms. Kilpatrick has been admitted to practice before the Kentucky the United States Court of Appeals for the Fifth, Sixth and D.C. Circuits.

Ms. Kilpatrick serves on the Board of Directors for Radio Eye, Inc., the University of Kentucky Law Alumni Association, and the Fayette County Bar Association. She serves on the Board of Trustees and on the Scholarship Committee of the Energy & Mineral Law Foundation. She has been recognized in the listing of Kentucky Super Lawyers from 2012 to the present and the listing of U.S. News – Best Lawyers for 2020.

Ms. Kilpatrick was Articles Editor (1995-96) and a Staff Member (1994-95) for the Kentucky Law Journal. She served as law clerk to the Honorable Eugene E. Siler, Jr. on the United States Sixth Circuit Court of Appeals from 1996-97. She was an associate and then partner at Wyatt, Tarrant & Combs, LLP, where she worked from 1997-2005. Ms. Kilpatrick received her B.A. degree with High Honors in 1992 from the University of Virginia and her J.D. degree (valedictorian) from the University of Kentucky in 1996.

Tricia Shackelford joined Williams Kilpatrick in September 2019. Her practice focuses on all aspects of health law, including corporate issues, employment issues, bankruptcy issues, Medicare Fraud and Abuse, billing and coding, EMTALA, HIPAA, Accountable Care Organizations, Managed Care Organizations, Independent Physician Organizations, mergers and acquisitions, Certificate of Need, licensure defense, and peer review and credentialing. Her clients include hospitals, hospital systems, hospice providers, rural health clinics, practice management companies, primary care centers, ambulatory surgery centers, community health centers, public health departments, home health agencies, nursing homes, durable medical

equipment companies, pharmaceutical marketing companies, and individual providers (physicians, advanced practice nurse practitioners (APRNs), physician assistants, audiologists, certified registered nurse anesthetists (CRNAs), physical therapists, and dentists).

Tricia graduated, cum laude, from the University of Miami School of Law in 1999 and started her legal career at Steel Hector & Davis, one of South Florida’s leading business and international law firms. After returning to Lexington in 2001, Tricia spent several years practicing with McBrayer, McGinnis, Leslie & Kirkland, in one of the Commonwealth’s premier health law practices. She also practiced with the healthcare team at Woodward, Hobson & Fulton and served as in-house counsel for Crown Medical Management – a full service medical practice management company. Prior to joining Williams Kilpatrick, Tricia was the Managing Member of Shackelford Law Office, a solo practice she founds in 2005. Tricia works hard to provide clients with superlative, cost-effective legal advice and exemplary personal service.

Tricia is currently the Treasurer of the Kentucky Bar Association Health Law Section and previously served as the Chair of the Health Law Section of the Fayette County Bar Association. Her past community involves includes serving as the Vice President for the Board for the Lexington Medical Society Alliance, serving on the board of Lexington Singers, the oldest continuously organized choral group in the United States, the Friends of the Arts Board (Secretary and Vice President), the Board of Spindletop Hall, the University of Kentucky Faculty and Alumni Club (Secretary and Vice President), and


Habitat for Humanity Board. She has published numerous legal articles – including co-authoring a Chapter of the Kentucky Health Law Handbook and co-authoring the American Health Lawyers Association publication on Corporate Practice of Medicine: A Fifty State Survey (2019 Edition) – and has been a frequent lecturer on a wide range of health law topics.

Tricia resides in Lexington and enjoys spending time with her family, theater and the arts, music and singing, travel, cooking, yoga and fitness.

10:15 - 11:15 am

Building a Practice Infrastructure for Success in the Value-Based Healthcare: Business Strategy Models including Incentivizing, Salary Models, Quality-Oriented Staffing Support

Dr. John Langefeld, Vice President, Clinical Integration and Quality Innovation, Vizient MidSouth, Atlanta, GA


During this session, Dr. Langfeld will build upon his first-day plenary session by discussing in detail specific program elements of a successful value-based system. Successful business strategy models for incentivizing, salaries, and building the supporting staff infrastructure will be discussed.


1. Describe business strategy models for a successful value-based reimbursement system2. Describe successful practice incentivization models for value-based systems3. Describe successful salary models for value-based systems4. Describe successful staffing models for value-based systems

Biography:

Dr. John R. Langefeld is vice president of clinical integration and quality innovation for Vizient Southern States. He is a board-certified family physician and physician executive with health care experience in clinical care that ranges from rural primary care to large delivery systems. Dr. Langefeld also has expertise in the areas of provider management, managed care organization leadership, consulting for large employer-sponsored benefit programs, worker’s compensation and disability management, and information

management.

Prior to joining Vizient Southern States, Dr. Langefeld was chief medical officer for the Kentucky Cabinet for Health and Family Services - Department for Medicaid Services. Other past positions include chief medical officer for Artemetrx, a company specializing in how data analysis can impact clinical quality outcomes; medical director and vice president of health care management for Bluegrass Family Health, a regional health plan in Lexington, Kentucky; chief medical officer for Health Associates of Kentucky, a


management service organization (MSO) supporting a large primary care network affiliated with the University of Kentucky Medical Center; as well as several other medical director and clinical care positions. Dr. Langefeld has also served on the faculty for two academic medical centers and in 2015, was selected as Citizen Doctor of the Year by the Kentucky Academy of Family Physicians.

Dr. Langefeld completed his undergraduate work at Berea College, received his medical degree from the University of Louisville’s School of Medicine, and completed his family medicine residency at St. Elizabeth Medical Center.

11:30 – 12:15 pm

KPCA Centralized Healthcare And Reimbursement data Leading Innovation (CHARLI): Utilizing the CHARLI System in Practice

Jerry Gob, Principal, nSightMed Solutions, Louisville, KY

Steve Linthicum, Principal, nSightMed Solutions, Louisville, KY;

Steve Gruner, President/CEO, HEALTHWARESYSTEMS, Elgin, Ill.


During this session, the CHARLI Development Leaders will demonstrate hands-on use of the CHARLI system in practice. Speakers will display some of the unique capabilities and best practices of the CHARLI system to integrate clinical records and other healthcare data including claims, exchange, and lab data. CHARLI system quality reporting and population and care management in practice in real-time best practices will be demonstrated.


1. Describe CHARLI system capabilities for quality in practice through reporting2. Describe CHARLI system capabilities for quality in practice through care

management/population management opportunities3. Detail opportunities for quality program development supported by CHARLI system data

Biography:

Gob is an experienced technology entrepreneur with 23-year history in helping start, build and grow variety of information technology companies. Extensive experience in building, managing software teams to build applications in financial and healthcare sectors. Owned and operated a cloud managed services company focusing on healthcare and financial services verticals.

Previously Global Manager, Healthcare for CenturyLink.

Linthicum is an experienced technology leader with 25-year history of developing software solutions across multiple business domains including the last 15 years in the Healthcare space.


Innovation Leader having directed the Advanced Analytics & Algorithms Lab at GE Global Research for 7+ years and Innovation Team at GE Healthcare IT for 8 years. Holds 5 US Patents in IT/Software technologies in algorithm development and user interface/interaction technologies.

Previously Director Solutions Architecture for CenturyLink, also held Chief Technology Officer position at the Illinois Health Information Exchange.

Gruner is the founder and President/CEO of HealthWare Systems since 1998. He is responsible for corporate planning, product strategy, research/development, and overall operations. HealthWare specializes in complex data integration, custom application development, workflow automation, and messaging solutions for the healthcare industry.

Prior to HealthWare Systems, Steve worked for Bell Laboratories. His responsibilities involved system design, integration, database development, and

implementations for several international clients including China, Singapore, and other large telecom organizations.

12:15 – 1:30 pm

KPCA Awards Presentation & The Future of KPCA

David Bolt, CEO, Kentucky Primary Care Association, Frankfort, KY


During this session, KPCA leadership will highlight this year’s accomplishments within the association and membership in the areas of leadership, quality, and emerging leaders with the presentation of annual awards. This session will also include KPCA leadership discussion on the future of KPCA and its journey to successful value-based reimbursement systems.

Following the presentation, the participants will be to:

1. Describe the current state of KCPA in the value-based reimbursement system change 2. Detail the goals of the KPCA for the coming year in moving towards successful value-based

reimbursement systems.

Biography:

David Bolt joined KPCA with a vast amount of experience in health care and in the FQHC, RHC and Primary Health Care world, specifically. Prior to joining the KPCA, David was Director of Network Management for WellCare of Kentucky adding to his involvement and knowledge in managed care which began in 1976. David has experience in clinic operations, recruitment, pharmacy, dental clinic operations, school health, EMS, grant development and other areas. Previously, he served as CEO of a new start health center in western Kentucky achieving a no deficiency OSV

within the first 24 months of operation. David served as the COO of a large FQHC system for 10 years


adding 4 new sites, pharmacy, dental services, integrated BH and primary care and managed the adoption of the first integrated EMR in a KY FQHC. David spent 19 years running inpatient and outpatient services at a rural regional hospital. There he set up the first telehealth health program in the state in 1994, established one of the first ER Fast Tracks in the state, developed and operated 4 LPCC/RHCs and established the first regional AHEC in Kentucky. While with the AHEC he was the lead in establishment of the UK PA and NP programs in Morehead, developed the program that lead to a rural track FP residency program, assisted in the development the first rural based Pharmacy Residency Program, and developed the first regional Paramedic Program outside of major urban areas in Kentucky, among other accomplishments.

David is a long-standing member of KPCA and served as chair the Board several terms. He has served on the Board of the KRHA, is a past Chair of Foundation for a Healthy Kentucky, served a six-year term on the Foundation’s CAC, provided volunteer support to the Foundation’s efforts before becoming formally involved with the CAC, and was a member of the Kentucky Health Information Exchange Coordinating Council, among others. He has published articles on rural health care issues and holds Voluntary Community Based faculty appointments in the Colleges of Medicine, Health Services and Public Health at the University of Kentucky.

David has been recognized for his leadership by several organizations over the years. He was awarded the Dan Martin Award by the Kentucky Rural Health Association; the UK College of Health Sciences and the Kentucky Academy of Physician Assistants have recognized his efforts He has been honored on the floor of the Kentucky House and Senate for his contributions and efforts in behavioral health and for other services.

David is currently on the Board of Directors and a long-time member of the Prichard Committee for Academic Excellence among other state committees.

David has served as a consultant to the National Health Service Corps, various Primary Care Associations throughout the Midwest and Southern US and has served as a HRSA grant reviewer. In his, almost 5 years in State Government he ran the KY ARC Health and Human Services programs helping to integrate those programs into overall economic develop efforts for the Appalachian area of the state. In his last two years with State Government he oversaw the Office of Local Government Assistance overseeing city and county budget and technical assistance programs, in addition to his other ARC program responsibilities.

He lives in and served as the elected Commissioner and Mayor of the City of Lakeview Heights, KY for 35 years. David holds a bachelor and master’s degrees from Morehead State University where he is a member of the Alumni Hall of Fame and was recognized as the Outstanding Fundraiser for the University’s Foundation.

1:45 – 2:45 pm

Organizational Culture and its Relationship to Information Security and Compliance


Charles R. Snyder, CISM, CISA, PMP, Senior Managing Consultant, BKD, Louisville, KY


Culture can have a powerful influence not only on information security risk management and controls design, but also in establishing and maintaining an environment that encourages compliant and responsive behaviors throughout the organization. The objective of this presentation is to provide the attendees with an understanding of how an organization's culture can have an oversize impact in maintaining information security and its related compliance requirements. After attending this session, attendees should be able describe or enumerate the following:

A. That information security and compliance is not solely the responsibility of technical teams or compliance personnel.

B. There can be positive and negative aspects of an organization's culture that can have pervasive impacts on both control design and effectiveness.

C. Finally, other organizational initiatives and incentives may impact, or be impacted, by the information security controls and compliance activities.


1. Understand that it takes more than policies and procedures to protect the security and privacy of personal health information.

2. When it comes to security and privacy, you must realize that actions speak louder than words.

3.Stop and think about how other initiatives and goals could affect, or be affected by information security and compliance.

Biography:

Charles has more than 15 years of technology project management, consulting and internal audit experience. He has performed risk assessments, IT audits, control reviews and IT project management services in the health care and insurance industries using globally established control, audit and security frameworks, including Committee of Sponsoring Organizations of the Treadway Commission (COSO), Control Objectives for Information and Related Technologies (COBIT), Project Management Body of Knowledge (PMBOK®) and IT Infrastructure Library (ITIL®).

He has completed IT risk audits and consulting services for application development and change control, information security administration, business continuity, IT disaster recovery, HIPAA compliance, network operations and health care provider contracting and claims processes. His expertise includes systems development life cycle and change management, project management, business continuity management, quality assurance and process reengineering.

Charles' professional memberships include ISACA®, Project Management Institute, Inc., and ORI International, Inc. He is a Certified Information Systems Auditor® (CISA®}, Certified Information Security


Manager® (CISM®), Project Management Professional (PMP®) and a Certified Business Continuity Professional (CBCP). Charles also has an ITIL® Foundation certification.

He is a 1996 graduate of Eastern Kentucky University, Richmond, with an M.B.A. degree.

3:00 – 4:00 pm

BREAKOUT - Strategies and Best Practices for Increasing Adolescent Immunization Rates

Sandi Knight, BS, Health Systems Manager, Primary Care and State-based Systems, American Cancer Society, Lexington, KY

Jeff Vella, MHA, Health Systems Manager, Primary Care and State-based Systems, American Cancer Society, Lexington, KY


This session aims to help increase awareness and completion rates of vaccine rates in adolescents. The

focus includes the HEDIS Immunizations for Adolescents (IMA) measure of one dose of the

meningococcal vaccine, one Tdap vaccine, and the complete human papillomavirus (HPV) vaccines

series. According to the American Academy of Pediatrics (AAP), Kentucky lags the nation in cumulative

flu season coverage and HPV vaccination rates for both boys and girls. Kentucky adolescents also lag

the Healthy People 2020 goal for the Combined 7-vaccine series in children 19-35 months old. The

session will provide strategies to enhance immunization rates at the provider and healthcare system

level including a strong provider recommendation, motivational interviewing strategies/techniques,

and clinical/operational enhancements including EHR workflows, data utilization, provider

prompts/reminders, and standing orders. Also provided will be information on best practice resources

to enhance clinical staff influence, answering parents’ questions, minimizing missed opportunities and

creating a pro-immunization environment through staff, leadership, and cultural engagement.


1. Increase awareness and completion rates of the HEDIS Immunizations for Adolescents (IMA)

measure of one dose of the meningococcal vaccine, one Tdap vaccine, and the complete human

papillomavirus (HPV) vaccines series by the adolescent’s 13th birthday in the FQHC setting.

2. Discuss and enhance awareness about evidence-based methods to increase vaccine rates at the

provider and healthcare system level including a strong provider recommendation, motivational


interviewing strategies/techniques, and clinical/operational enhancements including EHR workflows,

data utilization, provider prompts/reminders, and standing orders.

3. Provide support, tools and resources to enhance clinical staff influence, answering parents’ questions, minimizing missed opportunities and creating a pro-immunization environment through staff, leadership, and cultural engagement.

Biography:

Sandi Knight is a Health Systems Manager at the American Cancer Society. In her

role, she works directly with FQHCs to increase cancer screening measures through

provider and staff education/engagement, provides technical project assistance,

and helps to direct organization’s to screening resources. She also has extensive

experience with EHR implementation and optimization in the clinical setting. She is

a graduate of the University of South Carolina.

Jeff Vella is a Health Systems Manager at the American Cancer Society. In his role,

he works with FQHCs to increase screening measures through provider and staff

education/engagement, provides technical project assistance, and helps to direct

organization’s to screening resources. His passion is quality and performance

improvement at the health system level. He is a graduate of the University of

Kentucky.

3:00 – 4:00 pm

BREAKOUT - Rural Health Center (RHC) Survey and Certification 101

Elsie Bates Crawford, RN, BSN, MHA, VP, Operations-Director of Nursing, Wilkens Medical Group, Jellico, TN


1. Speaker will discuss the requirements for certification as a Rural Health Clinic.

2. The participant will experience a “virtual walk through” of the clinic from the inspector’s perspective.

3. The participant will learn what details Surveyors will be looking for and what to avoid.


Rural Health Clinic participants and employees will have a broad, general knowledge of what to expect with an RHC survey.


Biography:

Ms. Crawford is a current member of the National Association of Rural Health Clinics Board of Directors. She also serves on the Board of Directors of the Kentucky Primary Care Association and the Board of Directors for the Tennessee Rural Health Association.

She is the Vice President of Operations and Director of Nursing with Wilkens Medical Group in Jellico, Tennessee and manages clinics in Kentucky and Tennessee.

Elsie attended Cumberland College and Carson Newman College for Business Administration and Roane State Community College and The University of Tennessee for Nursing.

She has been the Vice President of Operations and Director of Nursing for Wilkens Medical Group in Jellico, Tennessee, since 1974. She is a certified Medicare Rural Health Clinic surveyor and works with AAAASF doing clinic surveys.

Elsie has served on the board of The Tennessee College of Applied Science (Nursing Division) since 2004, Board Member of NARHC since 2006, Jellico SDA Church School Board Member (Treasurer) for 9 years & Jellico City Council Member for 12 years.


chambermaster.blob.core.windows.net€¦ · web viewdr. john r. langefeld is vice president of...

Documents