2017 TPCA Conference Schedule (subject to change)

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Day 1: Wednesday, Boot Camps 2017 TPCA Conference Schedule (subject to change) Time Session Title Speaker(s) Description 9:00am 3:00pm Boot Camp 1: HR Boot Camp Ann Hogan This 3hour interactive

1 Day 1: Wednesday, Boot Camps 2017 TPCA Conference Schedule (subject to change) Time Session Title Speaker(s) Description 9:00am 3:00pm Boot Camp 1: HR Boot Camp Ann Hogan This 3hour interactive facilitated session will be a facetoface learning session geared toward the HR needs of the health centers. Training sessions will include: What HR related data will your organization need and how to provide that to your leadership; Recruiting and Retention of all staff; Developing your Workforce Strategy; and Question and Answer Session. 9:00am 3:00pm Boot Camp 2: Dental Boot Camp Dr. Samuel Parish The opioid epidemic is a growing problem across the U.S. affecting individuals, families, businesses, and government at the local, state, and national level. Substance Use Disorders (SUD) present in all fields of healthcare although Primary Care and Oral Health providers are uniquely situated to screen and intervene in patients affected by SUD. In this workshop we will review the origins and status of drug use and addiction. The clinical manifestations of SUD as it relates to Oral Health will be reviewed. Tools for screening will be discussed to provide a standardized approach to identify patients at risk for SUD. Pain management issues related to oral health conditions will be reviewed. The value of collaboration between oral health, primary care, behavioral health and addiction services will be demonstrated throughout the workshop. 1. Review the history and significance of drug use in the U.S. and TN with a focus on the opioid epidemic. 2. Understand the Biopsychosocial Model in addiction. 3. Recognize Oral Health manifestations of Substance Use Disorders. 4. Review Screening Tools for Substance Use Disorders in an Integrated Primary Care/Dental practice. 5. Review pain management issues in dental patients with and without history of Substance Use Disorder. 6. Discuss MedicationAssisted Treatment in an Integrated Model. Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

2 9:00am 3:00pm 5:00 7:00 pm Boot Camp 3: Transformation Management Series Part 3: TPCA Annual Leadership Conference: Kickoff Reception Mellissa Stratman, Chris Espersen, & Peter Epp Day 2: Thursday, Conference Time Session Title Speaker(s) Description 9:00am 10:00am 10:00a Keynote: Do it Well. Make it Fun. The Key to Success in Life, Death, and Almost Anything in Between Break Leadership Workshop Executive Level Succession Planning in a CHC. Finance Workshop Transformation Management and Data Metrics for Preparation and Participation: The New Age of Healthcare Reimbursement Part 1: Ron Culberson You have made excellent progress in your transformation journey, and now it is time to take your next step towards highfunctioning practice status. We will combine lessons learned from high performing practices with what you need to do to meet TennCare PCMH Provider Operating Manual requirements. Based on Ron Culberson's book by the same name, this presentation shows primary care staff and leaders how to create a less stressful work environment where people want to work. It also helps them understand that excellence combined with fun and humor can improve productivity, create better working relationships, enhance creativity, change the workplace culture, and lead to the delivery of better patient services Bobbi Ryder This session is designed to address multilevel succession planning, with a focus on the Executive Team, including the CEO. Content will address various types of succession plans, including some that have led to success and others that have not. The role of the Board of Directors in relation to CEO level succession planning will be addressed. Resources include a digital version of the NCFH developed tools titled, "Succession Planning Policy and Procedures" (as sample template for CHC use) and the "Personal Career and Succession Planning Guide," both of which are copyrighted by NCFH and provided to participants for their use and local adaptation. The presenter will assess the interests of the audience and will emphasize areas of greatest interest of those present. This will be a highly interactive session with discussion among participants, exchange of experiences and ideas will be encouraged. Curt Degenfelder Nationally, healthcare payors are looking to align their payments with the Triple Aim: reducing total cost of care, improving clinical quality, and improving the patient experience. Current health center reimbursement systems are not in alignment with these goals, and are likely to change. This session will cover two key topics of payment transformation: payforperformance and FQHC Alternative Payment Methodologies (APMs). The session will help CHC staff understand both topics, and identify preparation steps necessary to prepare for changing reimbursement systems. Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

3 10:30a COO Workshop Strengthening Employee Engagement, Productivity and Retention Through Proactive Performance Management, Coaching and Accountability Lisa Mouscher Learning Objective: Understand the basics of pay for performance Understand the basics of Alternative Payment Methodologies Identify data elements necessary to track performance in the future Relate the impact of practice transformation to payment Engaged employees are involved and committed at work and demonstrate that engagement in both their performance and behavior. They are happier, more productive and far more likely to stay for the longterm. In this highly interactive session, we will discuss practical and realistic ways to strengthen engagement by developing goals with meat; implementing structured oneonones; speedcoaching; constructive, direct and tactful communication; timely, individualized and meaningful recognition; and ongoing accountability. Participants should attend ready to gain ideas, strategies and skills to immediately increase employee engagement at their health center. 10:30a Clinical Workshop Patient Engagement Chris Espersen 1. Understand the critical need to engage employees to increase retention, satisfaction and productivity 2. Learn to develop goals with meat to drive success in meeting departmental and organizational goals 3. Gain skills to provide direct and tactful communication; implement speed coaching ; and increase accountability Patient engagement is more than a key strategy to survive the transition to value based paymentit is the most important focus for your organization and for the patients you serve. Most of us came to work in healthcare to care for people, and the landscape is changing to get us back to what matters the most: our patients. This session will cover the basics patient engagement: business case, social determinants of health, methods of engagement, measurement, and meeting patients where they are at. This session is intended to be interactive, and participants will create a plan within the session to bring back to their center. Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

4 1:00pm 1:00pm 2:15pm Lunch 1. Discuss realworld strategies to improve patient engagement in a community health center setting and how to use these strategies for value based payment. 2. Learn about existing patient engagement frameworks and how they work (and how they don t work) for community health centers. 3. Create a patient engagement plan to further develop and implement at your health center using lessons learned from presenter and from group discussion. Leadership Workshop FTLF This session provides an update on the current requirements for health centers regarding compliance and quality programs and shared best practices for implementing these programs that improve the health of patients and the organization. A series of case studies will demonstrate how health centers from across the country are responding to the increase in compliance requirements and quality measures. 1:00pm 2:15pm Finance Workshop Transformation Management and Data Metrics for Preparation and Participation: The New Age of Healthcare Reimbursement Part 2: Learning Objectives; 1. Understand the compliance requirements for health centers. 2. Understand how compliance and quality intersect. 3. Discuss best practices for implementing a compliance and quality program within your health center. Curt Degenfelder Nationally, healthcare payors are looking to align their payments with the Triple Aim: reducing total cost of care, improving clinical quality, and improving the patient experience. Current health center reimbursement systems are not in alignment with these goals, and are likely to change. This session will cover two key topics of payment transformation: payforperformance and FQHC Alternative Payment Methodologies (APMs). The session will help CHC staff understand both topics, and identify preparation steps necessary to prepare for changing reimbursement systems. Learning Objective: Understand the basics of pay for performance Understand the basics of Alternative Payment Methodologies Identify data elements necessary to track performance in the future Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

5 1:00pm 2:15pm COO Workshop Behavioral Interviewing to Hire Candidates with the Right Skills and Organizational Fit for the Long Term Lisa Mouscher Relate the impact of practice transformation to payment Hiring the right candidate for every position is key to low turnover, high productivity and employee satisfaction, yet the fact is that traditional interviews rarely provide sufficient information and insight into each candidate s skills, abilities and organizational fit to ensure a good hire. In contrast, Behavioral Interviews provide a robust and honest picture of the candidate and significantly increase the quality of the hiring process, enabling your organization to hire the right candidate for your specific needs. In this highly interactive session, participants learn and practice the skills and strategies needed to gain important information regarding the candidate s skills, experience, work style, and career goals, as well as the type of environment they are truly seeking. With this knowledge, you can hire the right employees for the longterm and significantly increase the quality of your organization! 1:00pm 2:15pm 2:15pm 2:45pm 2:45pm 4:00pm Clinical Workshop Team Based Care Part 1 Snack Break Leadership Workshop Sustaining Primary Care Transformation for LongTerm 1. Understand the components of an effective hiring process utilizing behavioral interviewing. 2. Develop skills to conduct effective behavioral interviews to gain a more comprehensive and accurate picture of the candidate s skills, experience and organizational fi.t 3. Gain knowledge of interviewing do s and don ts to stay legally compliant. Melissa Stratman In this session the participants will understand how to ideally evaluate their own Team Based Care evolution as compared to other Community Health Centers across the region and the country. The topics of Teamlets or Robust Patient Care Teams, Patient Care Team Huddles and leveraging those for a new world of quality outcomes and lessons learned on how to ideally scheduling patients and the Patient Care Team. Diane Marriott In a fastpaced world of change in both care delivery transformation and payment reform, many challenges face communitybased primary care organizations and clinics. This session aims at identifying those most relevant to primary care and designing strategies and tactics that provide for longterm sustainability. 1. Understand the key environmental dynamics that face primary care today. Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

6 2:45pm 4:00pm Finance Workshop Uniform Guidance: Lessons learned postimplementation and continuing developments Gil Bernhard 2. Learn about how other states have approached sustainability challenges. 3. Discern techniques and strategies that can be applied by participants to better prepare their organization for longterm success. The Uniform Administrative Requirements, Cost Principles, and Audit Requirements (Uniform Guidance) has presented unique challenges for community health centers (CHCs) in implementing the various administrative requirements as well as opportunities for enhancing policies and procedures, internal controls and risk assessment. The goal of this presentation is to provide an overview of Uniform Guidance, and insights into the lessons learned postimplementation, including best practices to address common findings. The session will also discuss recent developments including the 2017 OMB Compliance Supplement and it's affect on the Federal Single Audit. 2:45pm 4:00pm COO Workshop Making Customer Service a Reality: Creating and Sustaining a Culture of Service Excellence Lisa Mouscher 1. Understanding the importance of establishing and maintaining effective internal control that provides reasonable assurance that federal awards are managed in compliance with statutes, regulations and terms and conditions of the federal awards. 2. Awareness of the challenges, common findings and best practices in complying with the requirements of the Uniform Guidance. 3. Gain an understanding of the recent developments including extension of the procurement requirements and the 2017 Compliance Supplement for the Federal Single Audit. The quality of customer service in community health care influences the health of both patients and the health center itself, yet in today s fastpaced and often challenging environment, CHCs often find it difficult to create and maintain a culture of service excellence. This training for CHC leaders and managers sets the stage for successfully implementing and/or solidifying a culture of service excellence where customer service is an expectation with every interaction in your department or throughout your organization. Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

7 2:45pm 4:00pm Clinical Workshop Team Based Care Part 2 Day 3: Friday, Conference 1. Understand the critical nature of customer service excellence in community health care. 2. Learn specific and actionable steps to create a culture of customer service in your department or throughout your organization. 3. Gain tips and strategies to successfully sustain a culture of customer service for the longterm. Melissa Stratman Part 2 builds on the learnings of Part 1 (attendance in Part 1 is a prerequisite to this session). In this session we will further explore best practices around care team communication events, care team feedback and staff engagement in the Team Based Care Model. We will also explore the evolving need for support staff protocols and will discuss the role of the Tactical Nurse in supporting the provider and the entire Patient Panel. Time Session Title Speaker(s) Description 7:30am 8:45am 7:30am 8:45am 7:30am 8:45am 8:00am 8:45am CEO Networking Breakfast (Mirabella A) Finance Manager's Networking Breakfast (Mirabella B) Medical Director s Networking Breakfast (Mirabella C) Breakfast for All Other Guests (Mirabella E) Jana Eubank, NACHC Glenn Grigsby, BKD Lisa Juran, TPCA This is an opportunity for CEOs to network and connect with colleagues over a casual breakfast. A buffet will be served in the hall, and attendees will dine in their respective rooms with peers who share their job function. This is an opportunity for CFOs to network and connect with colleagues over a casual breakfast. A buffet will be served in the hall, and attendees will dine in their respective rooms with peers who share their job function. This is an opportunity for Medical Directors to network and connect with colleagues over a casual breakfast. A buffet will be served in the hall, and attendees will dine in their respective rooms with peers who share their job function. 9:00am 10:00am Keynote Federal Legislative Update Jana Eubank, NACHC This interactive session will provide participants with an overview of pressing federal policy and legislative issues impacting community health centers and their patients. The latest information on the FY 2018 funding outlook for health centers, including the extension of health center mandatory funding and workforce programs, including the Teaching Health Center Program and National Health Service Corp, and reforms to Medicaid and the Marketplace will be discussed. A review of the current political landscape in Congress, including opportunities and challenges related to the Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

8 10:00am Break Fenway Talk upcoming 2018 Congressional elections, will be highlighted as well as specific action steps that health center staff, board members and clinicians can take to support the national and state policy agenda to assist health centers meet growing unmet need in Tennessee. LGBT people face stigma and related health disparities in health care. In spite of the advancements in LGBT acceptance and policy, many LGBT people remain largely invisible to their primary care providers. In order to address these disparities, new requirements in the UDS require health centers to collect and report sexual orientation and gender identity. This session will prepare health centers on how best to capture this data and begin utilizing it to improve clinical outcomes for LGBT patients. Collecting SO/GI data of new and returning primary care patients is critical for health centers to provide a welcoming, inclusive environment. Routine SO/GI data collection in the EHR can be used to improve care and measure and track health outcomes at the individual and population level. Systems that support collection of SO/GI data support improved quality of care, timely clinical information, and improved communication among patients and care teams. Health centers will share their experiences implementing changes within the EHR, revising workflows, and training clinical and nonclinical staff to successfully implement SO/GI data collection and creating an LGBT inclusive environment in primary care. By the end of this session, learners will be able to: 1. Describe LGBT concepts, terms, and health disparities. 2. Summarize how to incorporate SO/GI data collection into your EHR to improve communication, quality care, and data and quality management activities. 3. Describe the impact SO/GI data collection and development of related decision support will have on key stakeholders (patients, staff, and management). 4. Identify at least one method to actively engage and educate staff on the importance of collecting SO/GI data and how to do so, and its impact on health disparities Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

9 11:00am Take 30: Social Determinants of Health: The Roots of Population Health Dr. Samuel Parish Improving population health has been a primary focus of the Triple Aim. Much of what determines health at the community level depends on factors beyond healthcare. The WHO defines Social Determinants of Health (SDH) as "the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life." Initiatives to improve health at the local, national, and international level are rarely successful without incorporating social factors into the plan. Health Centers can leverage the power of the EHR by using the PRAPARE tool to identify and intervene in the major factors that drive poor outcomes. This workshop will review the importance of SDH in the origin of the first community health centers and the correlation of SDH in Tennessee's major health issues including tobacco use, physical inactivity, obesity, and addiction. 11:00am 11:00am 11:00 11:05 Take 30: Patient Engagement Operation Related Topic Christ Community TBD Take 30: Finance Related Topic Lifespan/BKD TBD Take 20 Transition TBD TBD 1. Understand the history of Social Determinants of Health (SDH) as it relates to the origin of Health Centers. 2. Understand the importance of collecting comprehensive SDH data in the EHR using the PRAPARE tool (Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences). 3. Identify the major SDH associated with the major health issues in Tennessee including tobacco use, physical inactivity, obesity, and addiction. Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

10 11:05am 11:35am 11:05a 11:35am 11:05am 11:35am 1:00p m 1:15pm 2:00pm Take 30: TBD Take 30: TBD Take 30: TBD Awards Luncheon Education Committee Meeting Lifespan Special Project: Crista Franks/TDOH rep. Mountain People s Jessica Sexton, FNP HTN Pharmacy: Lucy Atkins, TPA (FQHC TBD) TBD TBD TBD Tennessee Primary Care Association 710 Spence Lane, Nashville, TN

PRELIMINARY AGENDA - SUBJECT TO CHANGE

Tuesday, October 2 - Preconference PRELIMINARY AGENDA - SUBJECT TO CHANGE 9:00 a.m. 10:00 a.m. REGISTRATION Des Moines 10:00 a.m. - 4:00 p.m. PRECONFERENCE SESSIONS Transformation Collaborative Operational