Rural Hospital Innovation Summit May 8-11, 2018 New Orleans, LA

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Tuesday, May 8, 2018 5 7 p.m. Exhibit Hall Opening Welcome Reception Room: Bissonet/Carondelet (3 rd Floor) Wednesday, May 9, 2018 7 8 a.m. fast Room: Bissonet/Carondelet (3rd Floor) Rural Hospital Innovation Summit May 8-11, 2018 New Orleans, LA 8-9:30 a.m. Opening Session / Keynote Room: Acadia (3 rd Floor) Rebekah Gee, MD, Louisiana Department of Health, Secretary 9:30 10:45 a.m. Exhibit Hall: Bissonet/Carondelet (3 rd Floor) 10:45 a.m. 12:00 p.m. 1A: Innovative Designs for Value-Based Care Networks: Without the Brute Force of M&A Studio 8 (2 nd Floor) Joseph Lupica, Newpoint Healthcare Advisors, LLC, Chairman A. Clinton MacKinney, MD, MS, College of Public Health, University of Iowa, Clinical Associate Professor and Deputy Director, RUPRI Center for Rural Health Policy Analysis, Department of Health Management and Policy Finally, a disruptor recognizes the value proposition of rural health: The industry s shift toward shared risk for population health. It s changing behavior in rural hospitals and major medical centers alike. This session explores innovative health network designs that evade the brute force of merger while boosting collaboration and network performance. 1B: Is your physician compensation (money) where your mouth is (focused on quality)?

Studio 9 (2 nd Floor) MaryEllen Pratt, St James Parish Hospital, CEO Tying physicians compensation to value based performance is the way to create alignment within your medical staff towards quality outcomes. At St. James Parish Hospital contract medical groups and now individual employed physicians have transitioned to a value-based compensation model. I will present our model and how we developed it. 12 1:30 p.m. Lunch Exhibit Hall: Bissonet/Carondelet (3rd Floor) 1:30 2:45 p.m. 2A: Better Together : Population Health and the Future of Rural Healthcare Eric Shell, Stroudwater Associates, Director Warren West, North Country Healthcare, CEO This seesion will use the case study of a successful rural hospital network to explore the future of rural care as the healthcare industry transitions from a fee-for-service model to compensation based on value and quality. 2B: Implementing the Frontier Community Health Integration Project (FHCIP) John Gale, MS, Maine Rural Health Research Center, Senior Research Associate The FCHIP Demonstration supports the integration of telehealth, hospital-based ambulance, and expanded swing bed services in 10 small, frontier Critical Access Hospitals. We explore the experience of the hospitals in developing these services and the impact on access to care and the ability to better serve patients in the community. 2:45 3 p.m Bissonet/Carondelet (3rd Floor) 3 4:15 p.m. 3A: Designing a Parent-Engaged Developmentally-Oriented Rural Hospital Rex Brown, Hillsboro Area Hospital, Chief Executive Officer Jeanne Koehler, SIU School of Medicine, Medical Education, Assistant Professor Sameer Vohra, SIU School of Medicine, Office of Population Science and Policy, Executive Director Heather Westrick, SIU School of Medicine, Office of Population Science and Policy, Administrative Director

The session describes the partnership of a rural hospital, a community based medical school, and a hospital based day care center to improve the developmental outcomes of children in their town. The program aims to engage parents, create child-centered practices, and establish hospitals role in building children s futures. 3B: Operationalizing Hierarchical Condition Categoires - Lessons From the Fields Ralph Llewellyn, Eide Bailly LLP, Partner Joy Krush, Eide Bailly LLP, Health Care Consult Manager The ability to accurately report patients complex needs to account for their resource utilization is becoming increasingly important. Multiple Medicare programs utilize Hierarchical Condition Category coding as a means of communication of diagnosis history, current health status, and projected resource utilization. This session will address lessons learned in the field. 4:15 5:15 p.m. C-Suite Roundtable Room: Acadia (3 rd Floor) 5:15-7 p.m. Closing Reception Room: Bissonet/Carondelet (3rd Floor) Thursday, May 10, 2018 8-9 a.m. Hospital Constituency Group meeting and breakfast Studio 8 (2 nd Floor) 9 10:15 a.m. 4A: Influential Innovators: Strategies Helping Rural Hospitals Thrive Studio 8 (2 nd Floor) Deborah Whitley, BKD, Partner Innovation is the commonality linking hospital leaders nationwide, and it s the characteristic helping their hospitals thrive. With more than 300 rural health clients across the country, BKD sees myriad applied strategies and successes. Join us as we share strategies helping hospitals thrive and the questions innovative leaders are asking. 4B: Innovations in Care Coordination and More Studio 9 (2 nd Floor) John Supplitt, American Hospital Association, Senior Director

Proposing to review case examples on rural innovation for coordinated care, hospital/health center innovation and social determinants. May be combined with another session or it can be separate. If separate, then if you have another similar session, then I would defer to that rather than be redundant or in competition. 10:15 10:45 a.m. Studio Foyer (2 nd Floor) 10:45 a.m. 12:00 p.m. 5A: Demonstrating Hospital Population Health Outcomes Sally Buck, National Rural Health Resource Center, CEO Tracy Morton, National Rural Health Resource Center, Senior Program Manager With value models, providers must assess needs and design programs based on health status and community health data to address care coordination, prevention and quality. Building an evaluation to assess and communicate outcomes is an important step to demonstrate the value of population health to partners, payers and the community. 5B: What is Your Impact? Capturing Your 340B Impact Molly Pliszka, Verity Solutions, Inc., Strategic Accounts Director The purpose of this presentation is to heighten awareness of the 340B program to eligible rural health care providers. Key learning objectives will be to understand the value the program brings to the facilities and the communities they serve and articulate and continually update this value or impact. 12 1:45 p.m Rural Health Awards Luncheon Room: Bissonet/Caroldelet (3rd Floor) Join NRHA for a tribute to the 2018 Rural Health Award winners. 1:45 3:15 p.m. Terry Reilly Lecture Room: Acadia (3rd Floor) Karen DeSalvo, MD, Leavitt Partners, Senior Advisor; former Acting Assistant Secretary for Health at the U.S. Department of Health and Human Services 3:15 3:45 p.m. Studio Foyer (2 nd Floor) 3:45 5 p.m.

6A: Payment Innovation for Small CAHs: Washington's Medicaid Pilot Jacqueline Barton True, MSW, MPH, Washington State Hospital Association, Director, Rural Health Programs In January of 2018, Washington State launched the Washington Rural Health Access Preservation (WRHAP) pilot. Supported by the legislature, this pilot will give vulnerable critical access hospitals the opportunity to test a new payment methodology aimed at sustaining access to essential services, including primary, emergency and long term care. 6B: Paving the Way: Rural Transportation Challenges and Opportunities Alex Evenson, PhD, University of Minnesota Rural Health Research Center, Research Project Specialist Alana Knudson, PhD, NORC Walsh Center for Rural Health Analysis, Program Area Director and Co-Director, NORC at the University of Chicago Transportation is critical to access to care, community participation, and quality of life. This session will present empirical evidence of rural-urban differences in transportation use, results from a survey of key informants from all fifty states on key rural transportation challenges and opportunities, and examples of model rural transportation programs. Friday, May 11, 2018 8 8:40 a.m. CMS Rural Council Update Room: Acadia (3 rd Floor) Cara James, Centers for Medicare and Medicaid Services, Director of the Office of Minority Health 8:40 9:30 a.m. Washington Update Room: Acadia (3rd Floor) Maggie Elehwany, JD, NRHA Government Affairs and Policy vice president Join rural health s top federal lobbyist for an insider s update about what s going on in Washington, and what to expect in the next year. 9:45 11 a.m. 7A: Better Care and $ with Track 1 ACOs Lisa Kilawee, MPA, Caravan Health, VP Alliance Partnerships Lee McCall, Neshoba Community Hospital, CEO Tim Putnam, DHA, MBA, FACHE, Margaret Mary Health, CEO Timothy Thomas, Neshoba County General Hospital, Finance Consultant, ACO Champion

A fear with accountable care payment models is that quality will decline, and finances negatively impacted with fewer heads in beds. Data from ACOs will be highlighted and show Track 1 ACO participation has positively impacted hospitals. Two rural hospital administrators and a Finance Consultant will share their experiences. 11 a.m. End of Conference