Iowa Healthcare Collaborative Care Coordination Workshop April 20, 2017 Intended Audience Physicians, nurse managers, critical care nurses, staff nurses, pharmacists, health coaches, care coordinators, risk managers, quality assurance professionals, case managers, long-term care and home healthcare providers and individuals working in the public health sector. Purpose Statement The IHC Care Coordination Workshop will bring together healthcare professionals from across the care continuum to drive partnerships and collaboration, learning about current transitions of care topics prevalent in today s healthcare environment. Best practices will be shared and discussed to increase knowledge of those in attendance. Workshop Agenda 8:00 AM Registration 8:30 AM Welcome and Introductions 8:40 AM Making the Case for Change: MACRA and the Continued Tide to Value-Based Care Don Klitgaard, MD, Physician Faculty, Iowa Healthcare Collaborative, Des Moines 9:50 AM Break The repeal of the Medicare Sustainable Growth Rate and passage of MACRA as the methodology for the physician fee schedule thrust the healthcare and physician world into organized chaos. While MACRA builds upon the value-based movement initiated with the Affordable Care Act, its combination of existing quality programming with additional merit-based incentive magnifies the call for whole system transformation. Dr. Klitgaard will examine the legislation, its impact on the healthcare community and the role MACRA will play in sustaining the movement to value-based care. Outline MACRA and the key components that will drive reimbursement change. Explore how providers can advance and thrive through MACRA. Summarize what MACRA means for providers and allied healthcare professionals.
10:00 AM Looking Beyond the 15 Minutes: How to Identify and Engage In-Need Patients Jacqueline Pippin, RN, Nurse Care Manager/Health Coach, Primary Health Care, Marshalltown Our time with patients is limited. Between obtaining the medical history and the why are we seeing you today, running vitals and time actually spent with the provider, the fifteen minutes of each appointment often seems like only seconds. It s understandable then that care for patients during those short windows often does not make it beyond the point of diagnosis and treatment for that short-term, acute illness that finally brought them in the door. There is opportunity though! In this session, our speaker will share practical and tangible opportunities to look beyond acute care visits to identify and outreach patients who are in need of intervention for chronic care and support. Describe the process of accessing, understanding and using patient-level data to identify patients at need of additional outreach and follow-up. Outline the workflow that leads from identification of patients to attribution and outreach to patients. Discuss key strategies in implementing new processes and protocols, including getting buy-in from providers, administrators and direct care staff. Identify patient stories and outcomes experienced as part of expansive efforts to engage patients in their chronic care. 11:00 AM Bringing Patients Onboard: The Role of Health Literacy, Engagement and Activation Kady Reese, MPH, CPHQ, Program Lead, Statewide Strategies, Iowa Healthcare Collaborative, Des Moines Person and family engagement has been acknowledged as one of, if not the most important catalyst to improving patient outcomes and transforming healthcare. Inviting and involving patients and caregivers as partners in care requires that their care team understands patients as people and is able to meet them where they are. Considerations such as language, culture, generation and education are all significant influences on how patients both engage and wish to be engaged. This session will dive into the concepts of health literacy, person and family engagement and patient activation, leading to more inclusive and meaningful provider-patient partnerships for better health. Describe what person and family engagement means, its impact and the roles in engagement for both patients and providers. Identify relevant and impactful strategies and opportunities for intervention and engagement to support patient integration and active involvement. Identify existing tools and resources to capture and measure person and family engagement. 12:00 PM Lunch (On your own)
1:15 PM Demonstrating Improvement: You ve Got the Data, Made the Change, Now What? Sarah Pavelka, PhD, MHA, CPHQ, FNAHQ, Faculty, Iowa Healthcare Collaborative, Des Moines Has anyone ever said to you I don t like numbers or I don t agree with your data? If it hasn t already happened, you are lucky. As a healthcare leader data analytics and data management is becoming increasingly an important job skill. This session will give you tools to align quality improvement efforts and simple data management techniques. It will also provide a hands-on approach to use data confidently with a sustainable impact to the organization. Describe the journey of quality improvement and what we can learn from past experiences. 2:30 PM Break Illustrate how a few key data analytical tools can help gain and sustain improvements. Create an organizational plan for data and information management to align with quality improvement efforts. 2:40 PM Provider Engagement: Getting Buy-In and Keeping It Don Klitgaard, MD, and Larry Beaty, MD, Physician Faculty, Iowa Healthcare Collaborative, Des Moines This session will feature a discussion focused on one of the key drivers in care transformation and creating and sustaining culture provider engagement. Physician champions will share their experiences as direct care providers and care team leaders and offer insight into the mindset of providers, key motivators and recommendations for making the connection with providers to support and sustain change. Examine the current landscape of healthcare, including engrained physician culture and the progressing and evolving demands of healthcare reform. Identify and respond to some common barriers and challenges to garnering provider engagement and investment. Discuss opportunities to utilize the value-based healthcare momentum to articulate and establish the case for change. 3:15 PM Capturing Your Successes and Telling Your Story Kady Reese, MPH, CPHQ, Program Lead, Statewide Strategies, Iowa Healthcare Collaborative, Des Moines In teaching others, we teach ourselves. This well-known proverb exemplifies what we know to be true in healthcare, that there is no greater way to improve than to learn from each other. This session will overview an opportunity for workshop participants to celebrate their experiences in putting their care coordination and quality improvement learning to use either through implementation of a new protocol or best practice, using data to identify new opportunities for improvement, or a patient success story stemming from improved team-based care efforts. 3:30 PM Closing Comments & Adjournment
Registration Fees There is no cost to attend the Care Coordination Workshop. Click here to register. Speaker Biographies Larry Beaty, MD, is a family medicine physician. He practiced the full scope of family medicine in a town of 1500, taught in family medicine residency and served as director of the residency program at Broadlawns Medical Center. Returning to private practice he practiced mainly geriatrics in a town of 27,000. Dr. Beaty currently works in urgent care and is faculty with the Iowa Healthcare Collaborative. His understanding of MACRA legislation and implementation rules for MIPS mixes well with his experience in family medicine. He received his medical degree from the University of Iowa Carver College of Medicine. Don Klitgaard, MD, FAAFP, has been passionately devoted to the creation and growth of Heartland Rural Physician Alliance, a statewide IPA dedicated to helping independent practices in Iowa thrive in the rapidly-changing world of value-based purchasing and healthcare delivery transformation. He currently serves as board president and ACO medical director for both Medicare Shared Savings and Wellmark BC/BS ACOs. In 2014, Dr. Klitgaard transitioned from 16 years of full-scope, rural clinical practice to a new role as vice president, then chief medical officer, of Accountable Care Associates of Springfield, MA, in addition to serving as the national medical director for Healthcare, working with ACCS and PACS, two national Medicare Shared Savings ACOs. In 2015, he created MedLink Advantage, a healthcare consulting and ACO management company that he leads as CEO. MedLink focuses on the development, support, and management of physician-led ACOs in Iowa and elsewhere. He is also an active member of the AAFP s Commission on Quality and Practice. Dr. Klitgaard graduated from the University of Iowa College of Medicine and completed his residency at the Lincoln Family Medicine Program in Lincoln, Nebraska. Sarah Pavelka, PhD, has more than 19 years of experience teaching and coaching in organizational performance and continuous improvement in business, industry, education and healthcare. Pavelka is an improvement advisor for the Iowa Healthcare Collaborative and serves as a faculty member for the Master of Healthcare Administration at Des Moines University. She is also the director-at-large on the Board of Directors for the National Association for Healthcare Quality. She holds degrees in biology and psychology from Luther College in Decorah, an occupational therapy degree from Concordia University Wisconsin, a master s degree in health administration from Des Moines University, and a doctorate from Walden University. She is a fellow of the National Association for Healthcare Quality. Jacqueline Pippin, a nurse care manager at Primary Health Care in Marshalltown, has been a registered nurse for more than 23 years working in specialties such as public health, home care and community-based nursing. She has a passion for breaking down barriers to care, improving quality measures, motivational interviewing and teaching healthy living practices. Challenging those around her to take control of their health and lives is her dream in action. Pippin has been empowering vulnerable populations to be the best they can be at Primary Health Care for 13 years.
Kady Reese, MPH, CPHQ, serves as the program lead for statewide strategies with the Iowa Healthcare Collaborative. In this role, Reese helms statewide strategic operations aimed at development of cross-collaborative and multi-disciplinary standards for population health to address priority health issues and disease states. She also acts as a public health liaison. She holds a master s degree in public health from Benedictine University, as well as certificates in health management and policy and health education and promotion. She is an active member of the American Association of Public Health, Society for Public Health Education, National Association for Healthcare Quality and the Iowa Department of Public Health. Location Courtyard by Marriott Ankeny 2405 SE Creekview Drive Ankeny, IA 50021 Cancellation Policy IHC reserves the right to cancel the workshop due to insufficient enrollment, in which case pre-registered participants will be notified. Continuing Education Nursing: 0.6 Nursing CEUs will be awarded for this workshop by IHA Iowa Board of Nursing provider #4. Note: Iowa Nursing CEUs will not be issued unless your Iowa license number is provided on the certificate completed the day of the workshop. NOTE: To receive CEUs or a certificate of attendance, you must attend the entire workshop. No partial credit will be granted. ADA Policy IHC does not discriminate in its educational programs on the basis of race, religion, color, sex or handicap. IHC wishes to ensure no individual with a disability is excluded, denied services or segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids and services. If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this conference, please call 515-288-1955 or write to the Department of Education at IHC.