2014 RCPA Technology Conference

Transcription

1 REHABILITATION AND COMMUNITY PROVIDERS ASSOCIATION 2014 RCPA Technology Conference April 8 9, 2014 Lancaster Marriott at Penn Square Lancaster, PA

2 RCPA is pleased to offer the 2014 RCPA to you. The conference provides attendees with new ways to improve the efficiency and effectiveness of organizations and use technology to connect with consumers, clients, and future leaders. Richard S. Edley, PhD In an era of increased demand and diminished resources, the most successful human service agencies combine dedication to the people they serve with sharp business acumen. An organization can distinguish itself from colleagues and the competition by using technology to improve service delivery and analyze workflows. The conference features speakers with cutting-edge information on technologies supporting professional development and offering tools to implement at your agency. An Exhibit Hall and opportunities to meet with vendors that can assist you in accomplishing your strategic goals are also featured. We look forward to seeing you at the 2014 RCPA. Richard S. Edley, PhD President/CEO Conference Schedule Conference Schedule Tuesday, April 8 8:00 a.m. 5:00 p.m. Registration 10:00 10:30 a.m. Morning Coffee 10:30 a.m. 12:00 p.m. Workshops W01 W04A 12:00 7:00 p.m. Exhibit Hall Open 12:00 1:15 p.m. Lunch Exhibit Hall 1:30 3:00 p.m. Workshops W05 W09 3:00 3:15 p.m. Afternoon Break 3:15 4:45 p.m. Workshops W10 W14 5:00 7:00 p.m. Welcome Reception Exhibit Hall Contents 2 Welcome 2 Schedule 3 Workshops 8 CE Information 10 Exhibit Hall/Networking 10 Hotel Information 11 Registration Wednesday, April 9 8:00 a.m. 12:00 p.m. Registration Open 8:00 a.m. 2:00 p.m. Exhibit Hall Open 8:00 9:00 a.m. Breakfast Exhibit Hall 9:00 10:30 a.m. Workshops W15 W18 10:30 10:45 a.m. Coffee Break Exhibit Hall 10:45 a.m. 12:15 p.m. Workshops W19 W22 12:30 2:00 p.m. Lunch Exhibit Hall 2:00 p.m. Prize Giveaways Exhibit Hall 2

3 Tuesday, April 8 Workshops Special thanks to the following individuals for their assistance in planning and selecting the workshops: Stephen Christian-Michaels, Family Services of Western Pennsylvania; Bruce Cohen, Community Services Group; Alberto Esquenazi, MossRehab Hospital; Drew Nagele, Beechwood Rehab Services; and Amy Olsen, AO Consulting. 10:30 a.m. 12:00 p.m. W01 Software Survival Strategies for the Convoluted Logic, Obtuse Regulations, and Capricious Enforcement of the 60 Percent Rule Sam Fleming, erehabdata Kristen Smith, MHA, PT, Fleming-AOD - erehabdata The 60 percent rule has lain dormant for the last eight years, but will erupt into relevancy again in October with dramatic changes to the enforcement protocols. Sam Fleming, director, erehabdata, will discuss the history of the rule, using software to model various versions of the rule, common misconceptions, current Centers for Medicare and Medicaid enforcement (including recent technological errors), and the new wave of enforcement activities which will commence for discharges after October 1. Kristen Smith will present a data analysis of specific coding practices and their impact on compliance. W02 Why Electronic Health Records Are Ill-suited for Population Management Susan Norris, PhD, InfoMC Allen Daniels, EdD, InfoMC Medical records are the cornerstone of quality health care practice. Electronic medical records (EMRs) have proliferated and are standard for most practices. Health reform is stimulating new delivery systems and payment/reimbursement structures. Provider organizations are forming new systems of care enabling them to manage large populations and assume financial risk for care outcomes. A comprehensive approach to population health management requires sophisticated information systems capable of a core set of functionality. These technology requirements go well beyond the capabilities of EMRs. This presentation illustrates the core functional components of population risk management software and how it can be best implemented. health treatment, the Child and Adolescent Needs and Strengths (CANS) tool has gained tremendous national popularity over the past five years. The presenters will provide insight to the importance of integrating data into the assessment and service planning process to get the most utility from an outcomes monitoring effort. W04 Online and Mobile Self-help Tools: Critical Treatment Extenders to Improve Access, Outcomes, and Efficiencies Charles Tepper, mystrength This session will showcase how consumer-facing technology applications tools have been integrated into different community behavioral health models, lessons learned, outcomes achieved, and clinician and consumer adoption. W04A Using Social Media to Market Your Services While Building Community Ira Yoffe, The HealthWorks Group Bryn Ruggiero, The HealthWorks Group More than ever, the health care industry is in a state of constant change. How information is presented and the speed at which it is delivered has never been more important. Providers with critical information to share are recognizing that the best way to distribute important updates, new information, and valued resources is to properly market this information to clients. To be most effective, providers must harness the power of community building through effective marketing and social media, making use of traditional and non-traditional means. W03 Innovation in Behavioral Health Outcomes: Using Technology to Bridge the Evidence Gap With the CANS Steven Herr, PhD, Clinical Outcomes Management Center Mark Lardner, LCSW-C, Institute for Implementation and Innovation This presentation gives participants an organized real world perspective of how providers are using technology to manage the complexities of collecting clinical outcome data. In behavioral 3

4 Tuesday, April 8 Workshops continued 1:30 3:00 p.m. W05 Improving Consumer Outcomes Through Assistive Technology Joseph Campbell, MEd, OTR/L, Woods Mark Bresler, MBME, PE, ATP, Woods The presenters will use short videos, lecture, and active discussion to describe how rehabilitation and therapeutic outcomes across settings can be improved through effective application of assistive technology. Presenters acknowledge that there is a high rate of equipment abandonment and will share processes that improve the likelihood of matching technology to consumer needs. W06 Pennsylvania Medical Assistance HIT Initiative Matt McGeorge, Office of Medical Assistance Programs, Department of Public Welfare The commonwealth launched its electronic health record incentive program in June As of December 2013, over $240 million in incentives have been disbursed to eligible professionals and hospitals. This presentation by Office of Medical Assistance Programs staff, which oversees the Medical Assistance Health Information Technology (HIT) Initiative, provides a summary of program activity, lessons learned, and an overview of next steps for the program. The presentation will also focus on how meaningful use and health information exchange relates to behavioral health providers. W07 Keys to a Good Population Management Registry System Sherrie Whisler, Pennsylvania Academy of Family Physicians Join the presenter to learn about differences in registries and electronic health records (EHRs) and how a population management registry system helps improve quality of care. A registry holds patient-level data and allows the user to enter specific information such as demographics and visit data on health measures. The user can follow individual patients and view data on a total practice level. To further aid in efficiency, an at-a-glance section aids the user in knowing which patients need immediate follow-up, those coming up, and those who are on schedule. Though these features are also central in an EHR, a registry cannot communicate with other organizations directly. Registries and EHRs have different reporting functions and amount of reports available. W08 Suicide Prevention and Social Media: How Your Organization Can Get More Involved Dennis Morrison, PhD, Netsmart Fifty-two percent of students report being cyberbullied. Online social media sites such as Facebook are sometimes criticized as places where virtual bullying and other negative interactions lead people to take their own lives. While it is true that sites such as these can be used for unhealthy and even destructive purposes, they can also be the source of much support and even lifesaving intervention. Join this session to hear Dr. Morrison discuss the benefits of public social media and the use of closed, invitation-only social media. W09 Leveraging Benchmarking Through the Use of Data Analytics Paul M. Duck, Netsmart Data-related challenges and opportunities are shaking up the entire health care industry. Policy and regulatory changes that affect financial reimbursement and patient-care performance evaluation are forcing organizations to act quickly to improve data analysis. Analytics allow providers to act quickly on data and use benchmarking to identify performance issues that need attention. After benchmarking, analytics are employed to suggest how to bring about improvement. This session will address how health and human services providers can use business intelligence strategies to gain a competitive edge in challenging times. 4

5 Tuesday, April 8 Workshops continued 3:15 4:45 p.m. W10 Integrating Rehabilitation Documentation Requirements Into an Electronic Documentation System Tara Altenritter, OTR/L, Uniform Data System for Medical Rehabilitation Pawel Wieczorek, CIO, Uniform Data System for Medical Rehabilitation This presentation highlights how an electronic documentation system can be developed to meet regulatory requirements specific to rehabilitation facilities. Rehabilitation-specific documentation requirements will be reviewed and the presenter will demonstrate how these requirements can be efficiently and accurately met by using an electronic documentation built specifically for the level of care provided in inpatient rehabilitation. Common difficulties that facilities face when implementing a one-size-fits-all electronic medical record will be discussed, along with the benefits of HL7 interfacing when using more than one electronic system within an organization. Successful implementation and training strategies will be shared. W11 HIT Me! Taking the Gamble out of Funding Health Information Technology Karen L. Chrestay, TURN Matthew Weinstein, TURN Meaningful use incentives can only go so far. Health information technology (HIT) isn t just an electronic health record, it s an organization-wide strategy connecting the provider to the entire health care industry. And it s expensive. Fortunately, new resources are emerging every day. Beyond grants, join the presenters to learn how to identify opportunity and develop enduring strategic relationships with new funding partners. W12 You Don t Need a Title to Be a Leader, But You Do Need Data Victoria Hoshower, BA, Keystone Human Services Mental Health Services Michael Grier, MSA, Keystone Human Services Mental Health Services This presentation provides participants with an overview of experiences at Keystone Human Services Mental Health Services and shares how performance measures and improvement ideas are embedded into the daily operations of the organization using various electronic records and centralized data collection tools. Additionally, the learner will gain an understanding of the need to manage with data at all levels in an organization and what methodologies and tools may be of benefit. An interactive exercise will have participants select measures and improvement ideas to try in their own work. W13 Delivering Evidence-based Treatment Through a Computer: NREPP-approved Sharon Hicks, MSW, MBA, Community Care Behavioral Health Organization Computer-delivered Cognitive Behavioral Therapy (CCBT) has been used throughout the world with great success for many years. Beating the Blues US is one such program and, at the time of this writing, is the only one that has sufficient clinical and academic research to meet the test of the National Registry of Evidence-based Programs and Practices (NREPP) through the Substance Abuse and Mental Health Services Administration. The presenter will review the basics of CBT, CCBT, and discuss literature that supports the use of CCBT generally and Beating the Blues specifically. W14 Smart Technology in the Workplace: A Reasonable Accommodation Jamie Arasz Prioli, RESNA ATP, Pennsylvania Initiative on Assistive Technology This session will help attendees better understand how phones, tablets, and other smart technologies can be used in the workplace to support individuals with access and functional needs. Built-in accessibility features, an overview of apps, and various accessories designed to help improve access will be shared. 5

6 Wednesday, April 9 Workshops 9:00 10:30 a.m. W15 Robotics in Rehabilitation: Part 1 Alberto Esquenazi, MD, MossRehab Jaclyn Glosser, MS, OTR/L, CBIS, UPMC Rehabilitation Institute Sue Golden, PT, Good Shepherd Rehabilitation Network Frank Hyland, MS,PT, Good Shepherd Rehabilitation Network Stacey Kinter OTR/L, Good Shepherd Rehabilitation Network Sherri Repsher, MS, CCC-SLP/L, Good Shepherd Rehabilitation Network In the last 10 years, there have been great advances in robotics and other rehabilitation technologies and a number of them are being deployed in rehabilitation facilities. Some controversy exists regarding potential utility of these technologies when compared with other rehabilitation interventions on the patient recovery process in persons with sequela from brain injury, stroke, and spinal cord disease. Available data will be presented from the literature and the collective clinical and research experience of three large regional providers. Potential advantages and disadvantages will be discussed and case presentations will be used to illustrate the key issues surrounding implementation of similar programs. This is the first session of a two-part workshop, ending at 12:15 p.m. W16 Understanding Inherent Risks in EMRs and the Risk Management Strategies to Combat Them Renee H. Martin, JD, RN, MSN, Rhoads & Sinon, LLP This session explores the relevance of the medical record to client care and its increasing importance as health care systems evolve from paper to electronic medical records (EMRs) and the utilization of EMRs in health care exchanges. As with any other technology, EMRs are not the panacea they were once heralded to be; their use requires providers to adopt and evolve more complex risk management strategies to avoid client harm and business disruption. Best practices in minimizing EMR fraud and abuse and serious event related risks will be discussed and addressed. W17 Electronic Dashboard and Work Process Re-Engineering: Using Technology to Improve Business Outcomes Stephen Christian-Michaels, MA, LSW, Family Services of Western Pennsylvania Steve Blaney, Performance Associates International Kathy Yarzebinski, Family Services of Western Pennsylvania This workshop describes how dashboards displaying key performance indicators can be used to improve organizational outcomes, efficiencies, and integrate improvement efforts across multiple levels of the organization. New technology will be described that assists in carrying out redesigned work processes including global positioning systems, tablets, real time surveys, and automated performance evaluation systems. Presenters will describe the process of collaborative program review with line staff, supervisors, directors, and upper management to redesign work flows while determining key performance indicators and implementing new technology. Examples of improved outcomes will be provided. W18 Better Outcomes Through Better Data: Addressing Severe Behaviors Through Telemedicine Arlene C. Moll, MEd, Capital Area Intermediate Unit Nicole Showers, MS, CCC-SLP, BCBA, Capital Area Intermediate Unit This presentation highlights the effective use of new and emerging store-and-forward telemedicine technologies in the observation, assessment, and treatment of behavioral disorders. Schools and agencies continue to see an increase in the number of students who present with significant behavioral challenges. Combining telemedicine practices with evidence-based behavioral interventions decreases the time frame for implementing interventions while increasing the effectiveness of the interventions by providing visual data that has historically been unavailable for use by service providers. 6

7 Wednesday, April 9 Workshops continued 10:45 a.m. 12:15 p.m. W19 Robotics in Rehabilitation: Part 2 Alberto Esquenazi, MD, MossRehab Jaclyn Glosser, MS, OTR/L, CBIS, UPMC Rehabilitation Institute Sue Golden, PT, Good Shepherd Rehabilitation Network Frank Hyland, MS,PT, Good Shepherd Rehabilitation Network Stacey Kinter OTR/L, Good Shepherd Rehabilitation Network Sherri Repsher, MS, CCC-SLP/L, Good Shepherd Rehabilitation Network In the last 10 years, there have been great advances in robotics and other rehabilitation technologies and a number of them are being deployed in rehabilitation facilities. Some controversy exists regarding potential utility of these technologies when compared with other rehabilitation interventions on the patient recovery process in persons with sequela from brain injury, stroke, and spinal cord disease. Available data will be presented from the literature and the collective clinical and research experience of three large regional providers. Potential advantages and disadvantages will be discussed and case presentations will be used to illustrate the key issues surrounding implementation of similar programs. This is the second session of a two-part workshop that began at 9:00 a.m. W21 The Future of Data Driven Decision Making in Behavioral Health Jason Medlin, Qualifacts Systems, Inc. Ronnie Skibicki, Barber National Institute Access to and dissemination of the right data at the right time can have a transformative effect on industries. Behavioral health care delivery is no different. By learning from other industries and companies and applying those lessons to your agency, organizations will ensure competitive advantage and long-term success. The presenters will provide a behavioral health case study and ways to teach employees how to act on insightful data. W22 Training to Develop the Best: Working Smart, Not Hard Kristi McClure, LCSW, Relias Learning Dana Thomas, Relias Learning Ready to take the next steps toward building a culture of continuous improvement? Training is critical to organizational survival. This session will share training best practices to improve service delivery. Move from surviving to thriving by exploring simple, easy to deploy strategies and tools to rapidly develop and distribute training. W20 Lives Saved: How an HIE Can Have Big Impact on Care AJ Peterson, Netsmart Coordinated care, primary care integration, and improving outcomes are much-discussed goals in the rapidly changing health care ecosystem. Netsmart client Red Rock Behavioral Health Services, the first behavioral health provider to join the Oklahoma Health Insurance Exchange (HIE) is doing just that integrating primary and behavioral health, using one EHR to manage data, connecting to an HIE, sharing continuity of care documents between multiple providers, and having a huge impact on care. AJ Peterson, Netsmart general manager, will share his perspective on connecting to an HIE as well as provide insight into this client s amazing journey. 7

8 Continuing Education RCPA is proud to serve its members and guests by offering continuing education credits in conjunction with Drexel University College of Medicine, Division of Behavioral Healthcare Education, Department of Psychiatry. Registration for continuing education may be completed as part of conference registration or on site at the registration table. Participants who desire continuing education credit are required to complete and return paperwork to verify their license and workshops attended while at the event. All participants requiring continuing education credit should come prepared with license information. Participants cannot receive continuing education credits if they do not complete the registration process. A fee of $35 is charged for each type of continuing education certification requested. RCPA ensures that a formal validation of continuing education credit is sent to those who register and complete paperwork. The certificate is generated through Behavioral Healthcare Education. Drexel University College of Medicine Behavioral Healthcare Education Behavioral Healthcare Education (BHE) was established in 1980 with contractual funding from what is now the Pennsylvania Office of Mental Health and Substance Abuse Services. The purpose of its creation was to turn clinical knowledge from biological and programmatic research into information and skills directly useful to practitioners in the behavioral health fields, particularly those working with persons in the public and Medicaid managed care arenas that have serious and persistent mental disorders. Since that time, BHE has added expertise in the areas of substance use disorders, intellectual/developmental disabilities, and child and adolescent diagnoses and treatment. The mission of BHE is to support behavioral health practitioners in providing high-quality services to people of all ages. We fulfill this mission through delivering continuing education, consultation, technical assistance, and conferences, using evidenced-based and promising practices, research findings, and program and policy advances. 8

9 Continuing Education continued Continuing Education Credits APA (Psychology): Drexel University College of Medicine, Behavioral Healthcare Education is approved by the American Psychological Association to sponsor continuing education for psychologists. Drexel University College of Medicine, Behavioral Healthcare Education maintains responsibility for this program and its content. This program is being offered for up to 7.5 hours of continuing education. CPE (Certified Public Accountants): Drexel University College of Medicine, Behavioral Healthcare Education has applied Approval pending. CPRP (Certified Psychiatric Rehabilitation Practitioners): Behavioral Healthcare Education, Drexel University College of Medicine is approved by the United States Psychiatric Rehabilitation Association (Provider #107) to sponsor continuing education for Certified Psychiatric Rehabilitation Practitioners. Behavioral healthcare Education maintains responsibility for the program and its content. This program is being offered for up to 7.5 hours of continuing education. CRCC (Commission on Rehabilitation Counselor Certification): Drexel University College of Medicine, Behavioral Healthcare Education has applied Approval pending. HRCI (HR Certification Institute): This program has been submitted to the HR Certification Institute for review. Approval pending. LSW/LCSW/LPC/LMFT (PA SBSWE Licensed Social Workers in Pennsylvania): Drexel University College of Medicine is a preapproved provider of continuing education for Social Workers and Clinical Social Workers. This program is being offered for up to 7.5 hours of continuing education. NAADAC (National D&A): This conference has been approved by the National Association of Alcoholism and Drug Abuse Counselors for a maximum of 7.5 educational hours. NAADAC Approved Provider # PA Nurses: Drexel University College of Medicine, Behavioral Healthcare Education is an approved provider of continuing nursing education by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Participants will be awarded a maximum of 7.5 contact hours for attending this program. PCB (PA Certified Additions Counselor): Drexel University College of Medicine, Behavioral Healthcare Education will award a maximum of 7.5 PCB Approved Hours of Education for this program. Our program is certified by the Pennsylvania Certification Board, Provider # 133. Pennsylvania Department of Public Welfare Personal Care Home Administrators Certification: Drexel University College of Medicine, Behavioral Healthcare Education has applied Approval pending. CEU for all others: Drexel University College of Medicine, Behavioral Healthcare Education has been accredited as an Authorized Provider by the International Association for Continuing Education and training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA In obtaining this approval, Drexel University College of Medicine, Behavioral Healthcare Education has demonstrated that it complies with the ANSI/IACET Standard which is widely recognized as the Standard of good practice internationally. As a result of their Authorized Provider accreditation status, Drexel University College of Medicine, Behavioral Healthcare Education is authorized to offer IACET CEUs for its programs that qualify under the ANSI/IACET Standard. Drexel University College of Medicine, Behavioral Healthcare Education, is authorized by IACET to offer.75 CEUs for this program. Please note that in the preceding credit statements if a maximum of means just that, since credit is awarded according to the number of actual sessions attended. Signed validation forms attest to the number of sessions attended. NBCC (National Counselors): Drexel University College of Medicine/BHE is an NBCC-Approved Continuing Education Provider (ACEP ) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program. We can award a maximum of 7.5 hours of CE credit. PA Educators Act 48: Drexel University College of Medicine, Behavioral Healthcare Education is recognized by the Pennsylvania Department of Education to offer continuing education credits under Act 48 guidelines. Drexel University College of Medicine, Behavioral Healthcare Education adheres to Act 48 Continuing Education Guidelines. PA educators will receive a maximum of 7.5 hours of credit for attending this program. 9

10 Networking and Exhibit Hall Heritage Ballroom Exhibit Hall is the hub of activity and networking! Exhibitors are on hand to discuss technology services and products to help your organization achieve its mission and vision in an efficient, costeffective way. A Welcome Reception, lunches, and breakfast on April 9 are all events held within the hall amidst the backdrop of new solutions to address your organization s needs. In addition to offering information and resources, exhibitors provide significant financial support for the conference, helping to keep registration affordable for attendees. Please join RCPA in thanking these vendors. Win an ipad! While visiting with exhibitors, register for the grand prize drawing of an ipad. The winner will be announced at 2:00 p.m., April 9. Hotel Information The 2014 RCPA will be held at the Marriott Lancaster Convention Center, Penn Square, Lancaster. Conference participants must arrange for lodging directly with Marriott reservations at or Indicate that you are a RCPA conference participant to receive discounted rates. The conference room rate includes parking for overnight guests. Space is limited and rates are available until March 17 at 5:00 p.m. Guests are encouraged to book reservations early! Room rate: $119/night for single/double/triple/quadruple occupancy. 10

11 Lancaster Marriott at Penn Square, Lancaster, PA April 8 9, 2014 Registration The form must be completed in its entirety and submitted with payment. Continuing Education (CE) payment may be included or paid on site at the conference. Registrations submitted without full payment are not considered complete and individuals will not be registered for the conference. If multiple persons are registering from the same agency, please complete and attach a separate form for each individual. Quick and secure credit card registration is available from the RCPA web site at Online registration saves processing time and instantly confirms your place at conference. Online registration closes April 4 at 5:00 p.m. Name (as it should appear on badge) Title Agency Address City State Zip Phone Fax Special Accommodations Conference Attendance Full Conference (Tuesday and Wednesday) Tuesday Only Wednesday Only Conference Fee Schedule (Please enter appropriate rate in the calculation field below) Early bird registration must be received online or postmarked by March 7, Registration is not complete and will not be processed without payment. Early Bird Rates (Received by March 7, 2014) Full Conference 1 Day (Tuesday or Wednesday) Member $195 $125 Non-Member $295 $225 Regular Conference Rates (Received after March 7, 2014) Full Conference 1 Day (Tuesday or Wednesday) Member $250 $180 Non-Member $350 $280 Conference Fee (Transfer to fee calculation section on next page) $ Continued on next page 11

12 Continued from previous page Session Attendance Please select one session for each day/time you are planning to attend. Session descriptions are located in the registration brochure. Tuesday, April 8 10:30 a.m. 12:00 p.m. W01 W02 W03 W04 W04A 1:30 p.m. 3:00 p.m. W05 W06 W07 W08 W09 3:15 p.m. 4:45 p.m. W10 W11 W12 W13 W14 Wednesday, April 9 9:00 a.m. 10:30 a.m. W15 W16 W17 W18 10:45 a.m. 12:15 p.m. W19 W20 W21 W22 Fee Calculation Registration Fee CE Fee (add $35 per CE type, if requested) Total Enclosed $ $ $ Payment Method Register and pay securely online at with Visa or MasterCard. Check enclosed made payable to RCPA Credit Card Visa MasterCard Card Number Exp. / CVV Code Billing Zip Code Cardholder s Name Cardholder s Signature Cancellations No refunds will be issued after March 21, All refunds prior to that time are assessed a $50 cancellation fee. Substitutions are permitted. Please notify RCPA in writing, ATTN: Tina Miletic, prior to March 21, 2014 of substitutions. Remit registration and payment to: Rehabilitation and Community Providers Association Attn: Tech Conference Registrar 777 E Park Dr, Ste 300 Harrisburg, PA Fax: tmiletic@paproviders.org 12