AGENDA. 10 a.m. Welcome and Introductions Kaying Hang, Senior Program Officer, Sierra Health Foundation

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1 Sacramento Region Health Care Partnership Safety Net Learning Institute Thursday, November 19, a.m. 3 p.m. Sierra Health Foundation Bannon Island Room AGENDA 10 a.m. Welcome and Introductions Kaying Hang, Senior Program Officer, Sierra Health Foundation 10:15 a.m. Provider Recruitment, Retention, Compensation and Productivity Curt Degenfelder, Principal, Degenfelder Health Consulting 12:30 p.m. Lunch 1:15 p.m. Strategies for Medi-Cal PPS Rate Setting Curt Degenfelder 2:45 p.m. Feedback on Today s Session Bobbie Wunsch, Principal, Pacific Health Consulting 2:55 p.m. Plans for 2016 and Closing Remarks Kaying Hang 3 p.m. Adjournment The Learning Institute is sponsored by Sierra Health Foundation in partnership with Dignity Health, Kaiser Permanente, Sutter Health and UC Davis Health System.

2 Curt Degenfelder Consulting, Inc. Curtis E. Degenfelder President C curt@degenfelderhealth.com Summary of Experience Curt Degenfelder is a national expert on community health centers (CHCs) with more than 17 years of experience in operational assessments, financial modeling, strategic planning, and analysis of developing Federally Qualified Health Centers (FQHCs) and FQHC look-alikes. Curt has assisted more than 70 community based organizations and health systems in obtaining FQHC and FQHC look-alike designation for their clinics and supports clients with a broad base of grant and change in scope applications. Curt s clients have included hospital and health systems, HIV/AIDS providers, physician practices, managed care plans, and community-based social service organizations. Curt Degenfelder Consulting focuses on addressing a client s critical issues to help organizations evolve to their next-level. Curt believes that clients should receive strategic solutions that encompass health center operations from appointment scheduling to patient discharge, health center regulatory & reporting requirements, Board & community relations, and bottom line and cash considerations. He has developed effective approaches that enable CHCs to establish internal benchmarks that improve operations and financial performance and works with CHCs struggling to start each clinical session on time or have issues with front desk performance. He is nationally recognized for his expertise in developing Relative Value Units for enabling services and consults with clients on ambulatory care finance and operations projects. Curt has personally visited more than 140 clinic sites nationwide and is currently providing thought leadership to FQHC/ Prospective Payment System (PPS) payment reform efforts in several states. His analyses considers best practices, the impact of the patient centered medical home, full utilization of electronic health records, and regulatory & budget trends. Mr. Degenfelder frequently performs trainings for state primary care associations, the National Association of Community Health Centers (NACHC), and the Health Resources Services Administration. He is one of the lead trainers on nationwide trainings for NACHC entitled Financial and Operations Management (Levels 1, 2 & 3), Practice Operations Management (Levels 1 & 2), Establishing Effective Community Health Center Finance Departments and Strategic Planning. He has also led NACHC webcasts, which have presented timely trainings on over 60 topics of interest to health centers over the last six years. Curt has recently developed and delivered a presentation on Operationalizing Compliance to assist health center organizations in understanding how to meet OIG compliance requirements. Education Curtis received a B.A. in economics and history from Cornell University.

3 Safety Net Learning Institute Participant List November 19, 2015 First Name Last Name Title Organization Francisco Aguirre Chief Medical Officer WellSpace Health Ellen Aoki Medical Director Chapa-De Indian Health Jim Austin Nurse Manager and Practitioner Cares Community Health Lynnette Brady Area Services Director Planned Parenthood Mar Monte Lynn Bramwell COO CommuniCare Health Centers Sierk Haitsma CFO Chapa-De Indian Health Program Holly Harper CB Manager Sutter Health Denise Highfill Compliance Officer Cares Community Health Bob Kamrath Chief Operations Officer Elica Health Centers Pauline Karunakaran Dental Director Chapa-De Indian Health Patrick Klein Clinic Director El Dorado Community Health Center Lisa McKay HR Director Sacramento Native American Health Deborah Mitchell Health Center Manager Planned Parenthood Mar Monte Sabrina Nabhani PFS Director Cares Community Health Laura Niznik Williams Asst. Director, Government and Community UC Davis Health System Colleen Perry FNP/Director of Nursing CommuniCare Health Centers Jonathan Porteus Chief Executive Officer WellSpace Health Carol Serre Community Benefit Manager Kaiser Permanente Bonnie Shea PHR CommuniCare Health Centers Brenda Shipp Chief Operations Officer WellSpace Health Judy Stein Finance Director El Dorado Community Health Center Alexandra Stephens HR Director Cares Community Health Terri Stratton Executive Director El Dorado Community Health Center Bob Styron CEO Cares Community Health Chuck Wiesen CEO Health For All Hazaiah Williams Community Development Director Elica Health Centers Liana Wishart HR Director El Dorado Community Health Center The Learning Institute is sponsored by Sierra Health Foundation in partnership with Kaiser Permanente, Dignity Health, Sutter Health and UC Davis Health System.

4 Presenters and Consultants Curt Degenfelder President Curt Degenfelder Consulting Sierra Health Foundation Staff Kaying Hang Senior Program Officer Sierra Health Foundation Kari Lacosta Public Affairs and Communications Director Sierra Health Foundation Diane Littlefield Vice President of Programs and Partnerships Sierra Health Foundation Robert Phillips Director of Health Programs Sierra Health Foundation Fatima Malik Program Assistant Sierra Health Foundation The Learning Institute is sponsored by Sierra Health Foundation in partnership with Kaiser Permanente, Dignity Health, Sutter Health and UC Davis Health System.

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