2014 National Combined Councils Meeting
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1 2014 National Combined Councils Meeting Theme: Access to Care Achieving Equity in Health DAY 1: Monday, June 23, 2014: IHS National Councils meeting with the Acting Director, Indian Health Service IHS National Council meeting with the Acting Director 1:00 1:30pm 1:30 2:00pm National Nurse Leadership Council 2:00 2:30pm 2:30 3:00pm 3:00 3:15pm Break 3:15 3:45pm 3:45 4:15pm 4:15 5:45pm 5:45 6:15pm DAY 2: Tuesday, June 24, 2014: 8:00 8:15am Opening Prayer/Welcome Tribal Vice President Martin Harvier, Salt River Pima-Maricopa Indian Community Tribal President Diane Enos, BFA, JD, Salt River Pima-Maricopa Indian Community 8:15 8:30am Opening Remarks CAPT Susan Karol, MD - Chief Medical Officer, Indian Health Service 8:30 9:15am Indian Health Service Director s Update Dr. Yvette Roubideaux, MD, MPH Acting Director, Indian Health Service 9:15 9:30am Overview of the Week Barbara Vize, MD - Acting Improving Patient Care Director - (Chair) 1
2 9:30 10:30am Updates [1 credit/1.0 contact hour/adg hour /ACPE UAN L04-P (Knowledge type)] Raho N. Ortiz, J.D. Director of Business Office Enhancement, Office of Resource Access and Partnerships, Chief Medical Officer, Nashville Area Alec Thundercloud, MD, Clinical Director, White Earth Health Center The reforms included in the Patient Protection and (ACA) potentially benefit tribal communities by lowering health care costs, rendering more health choices, and enhancing the quality of health care. In addition, the ACA may facilitate special improvements for health in Indian Country via the permanent authorization of the Indian Health Care Improvement Act and unique protections for American Indians and Alaska Natives in the Health Insurance Marketplace. The purpose of this presentation is to increase awareness about the ACA and discuss how the ACA impacts the Indian health care system. Accurately educate patients about the ACA as it pertains to I/T/U. Recognize impact of ACA implementations on clinical operations. Initiate measures to address current and potential ACA impacts on clinical operations. 10:30 10:45am Break 10:45 12:00pm IHS Intercouncil Workgroup Team Meeting: Breakout Sessions IHS Intercouncil Workgroup Team Meeting NCC Member: NCC Member: 12:00 1:00pm Lunch break 1:00 4:30pm IHS National Council Meeting: Breakout Sessions IHS National Council Meeting 2
3 National Nurse Leadership Council DAY 3: Wednesday, June 25, 2014: 8:00 12:30pm IHS Intercouncil Workgroup Team Meeting: Breakout Sessions IHS Intercouncil Workgroup Team Meeting NCC Member: NCC Member: 8:00 12:30pm IHS National Council Meeting: Breakout Sessions IHS National Council Meeting National Nurse Leadership Council 12:30 1:30pm Lunch Break 3
4 1:30 4:15pm IHS Intercouncil Workgroup Report-Out Summary Sessions IHS Intercouncil Workgroup Report-Out Summary Sessions 1:30 2:00pm 2:00 2:30pm 2:30 3:00pm 3:00 3:15pm Break 3:15 3:45pm 3:45 4:15pm NCC Member: NCC Member: 4:30 5:00pm Closing Remarks and Q&A CAPT Susan Karol, MD - Chief Medical Officer, Indian Health Service DAY 4: Thursday, June 26, 2014: 8:00 8:15am Opening Remarks/Welcome 8:15 9:15am [1 credit/1.0 contact hour/adg hour /ACPE UAN L04-P (Knowledge type)] Part 1: Prescription Drug Monitoring Programs CDR Cynthia Gunderson, PharmD Part 2: Overview of Pay Flexibilities at the Indian Health Service Snehal Bhatt, MD, Medical Director, Addiction and Substance Abuse Programs, Assistant Professor, Psychiatry, University of New Mexico Prescription drug abuse has increased approximately 4-fold in the US since 1990, and deaths due to prescription drug abuse have followed suit. The purpose of this activity is to better acquaint the learner (clinical professionals) with state prescription drug monitoring programs, and to enable learners to better assess risk for addiction and manage aberrant behavior in patients with chronic pain. Access their state s PDMP, and to use the PDMP effectively and properly. Identify epidemiological and clinical risk factors for aberrant behavior in populations with chronic pain. Develop practical strategies to manage aberrant behavior. Employ the use of clinical tools to assess risk of addiction. 9:15 10:15am Recruitment, Retention, and Human Resources: Considerations for building your Clinical Staff [1 credit/1.0 contact hour/adg hour /ACPE UAN L04-P (Knowledge type)] Part 1: Recruitment, Retention and Human Resource Overview, MPA, CEO, Clinton Service Unit Part 2: Recruitment and Retention Practices Jerry N. Harrison, PhD, Executive Director, New Mexico Health Resources Part 3: Overview of Pay Flexibilities at the Indian Health Service Jennifer Fry, Human Resource Compensation Specialist, Division of Human Resources 4
5 10:15 10:30am Break The purpose of this presentation is to increase and enhance the knowledge necessary to support the clinical services through human resource management. This includes the workforce development in using human resources such as Title 38, Direct Hire Authority, and workforce structure along with recruitment and retention activities to support the clinical workers in advancing patient care. Identify the need for increased awareness and actions for recruitment and retention along with human resources to support clinical and other position. Implement strategies for effective position management. Identify effective best practices and tools to support clinicians 10:30 11:30am Leadership and Improvement Lessons from the Triple Aim Collaborative - Chinle Service Unit [1 credit/1.0 contact hour/adg hour /ACPE UAN L04-P (Knowledge type)] Kevin Rand, MD, Clinical Director, Chinle Comprehensive Health Care Facility Ron Tso, Chief Executive Officer, Chinle Comprehensive Health Care Facility Charlene West, RN, Assistant Chief Nurse Executive for Outpatient, Chinle Comprehensive Health Care Facility Johanna Bahe, RN, Assistant Chief Nurse Executive for Inpatient, Chinle Comprehensive Health Care Facility The Institute for Healthcare Improvement (IHI) developed the IHI Triple Aim in response to the high cost of providing health care, pressure to derive greater value from resources, and the increased demands on medical and social services by aging populations coupled with chronic health problems. The IHI Triple Aim is a framework that describes an approach to optimizing health system performance. The IHI believes new designs must be developed to simultaneously pursue three dimensions: Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and Reducing the per capita cost of health care. This presentation provides an overview of the Chinle Service Units experiences with embracing the IHI Triple AIM Collaborative redesign concepts. Assess own health care facility for opportunities to improve the patient experience; improve care, and reduce costs. Implement the Triple AIM- Concept Design. Create a culture of improvement for continual progress and to sustain results. 11:30 12:30pm Organizational Preparation for Stage 2 Meaningful Use and ICD-10 [1 credit/1.0 contact hour/adg hour /ACPE UAN L04-P (Knowledge type)] CAPT Howard Hays, MD, MSPH, FAAFP CDR Susan Pierce-Richards, MSN, ARNP, FNP-BC, ANP-BC (invited) In the latter part of FY 2014 IHS, Tribal and Urban facilities across the country will be implementing the 2014 Certified RPMS Electronic Health Record in preparation for Stage 2 of the ONC/CMS Meaningful Use initiative. This session will provide participating leaders of IHS, Tribal and Urban health care facilities with an overview of the organizational planning and preparation steps in order to facilitate the implementation of the 2014 Certified Electronic Health Record, ensure compliance with Stage 2 Meaningful Use requirements, and prepare for the transition to ICD-10 coding. Initiate activities to clean up RPMS EHR problem lists in preparation for the 2014 Certified EHR. Plan and implement a Clinical Documentation Improvement activity at their facility in preparation for ICD-10. Plan for implementation of the Personal Health Record and Direct Secure Messaging at their facility, including the identification of PHR Registrar(s), a Direct Administrator, facility Messaging Agent(s), and organizational structure for managing Direct communications from patients and outside providers. 12:30 1:00pm Non-Plenary Non-CE Open Discussion Topic = Indian Health system is dedicated to providing an excellence in learning, teaching, and leading professional development concepts. Clinical Support Center (CSC) and the Telebehavioral Health Center of Excellence (TBHCE) Education s continuing education experience is to promote the success of each customer s professional development and in every program. 1:00pm Adjournment 5
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