Iowa Healthcare Collaborative. 12th Annual Conference. Charting the Course. November 10, 2015 The Meadows Events & Conference Center Altoona

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Iowa Healthcare Collaborative 12th Annual Conference Charting the Course November 10, 2015 The Meadows Events & Conference Center Altoona

Agenda 7:00 am Registration and Continental Breakfast and Visit Vendor Tradeshow 8:00 am Welcome and Introduction Tom Evans, President & CEO, Iowa Healthcare Collaborative, Des Moines 8:30 am Keynote Presentation: The Essentials of Collaboration Todd Henry, Founder, Accidental Creative, Cincinnati, OH Lack of effective collaboration kills teams, but it s easier to default to old habits and familiar systems when the pressure is on. If you want to do brilliant work, you must understand why collaboration breaks down and what to do about it. In this talk, you ll learn how to effectively engage in conversation about process, gain a better understanding of your co-workers motivations and goals and how to set yourself up for long-term success in the marketplace of ideas. yidentify the barriers to brilliant teamwork and ways to countermand them. yexplore techniques to effectively prune priorities and focus your team s energy. ydemonstrate five conversations that dispel fear and paralysis when doing important work. 9:30 am Networking Break at Vendor Tradeshow 9:45 am Breakout Sessions 1A Leadership Track : The Value of the Dyadic Co-Leadership Model in Today s Rapidly Changing Healthcare Industry Robert Ritz, CEO, Mercy Medical Center, Des Moines One of the changes healthcare organizations have undertaken to prepare for the future is a new leadership model called the physician dyadic (dyad) leadership model. The dyad assigns the dual responsibility to a physician and a non-physician leader, who assume accountability for a clinical service, strategic initiative or operating department within a healthcare organization s structure. youtline how the dyad model has improved culture of physician engagement, recruitment and clinical outcomes. ysummarize how improved communication has increased among the Mercy Medical Center staff. ydefine how using the dyad model can improve your organization s financial performance and strategic agility. 1B Population Health Track: Creating a Population Health System Knitasha Washington, DHA, FACHE, Executive Director, Consumers Advancing Patient Safety, Chicago, IL The continuous movement toward improvements in quality, cost and access have been key drivers behind much of the emphasis on population health. Dr. Washington will address developing the business case for population health management strategies within your health system and the need to focus on the patient, population and health of the organization delivering care. ydescribe some of the current priorities facing minority groups. ydiscuss what the shift to population health means for traditional healthcare systems, payers and providers. ycompare how key players within these communities are effectively (or not) addressing these specific priorities and needs. 1C Patient and Family Engagement: Engaging Patients in Outpatient Anticoagulation Therapy Audrey Housel, PharmD, Fort Madison Community Hospital, Ft. Madison Fort Madison Community Hospital (FMCH) is helping to lead the way in patient safety through efforts to engage patients in medication management, garnering the 2015 IHC Patient Safety Award in Patient and Family Engagement. As a clinical pharmacist with FMCH, Dr. Housel began an anticoagulation clinic, providing patient education and medication counseling. This presentation will detail the process by which FMCH has established a successful anticoagulation clinic, focusing on patient engagement and collaborative care. yidentify the structure of a patient-centered outpatient anticoagulation clinic. ydescribe techniques for engaging patients and their families as active participants in medication therapy and chronic care. ydiscuss lessons learned and opportunities to advance current patient safety achievements.

1D Care Transitions: Care Transitions Successes from the 2015 Patient Safety Grand Prize Winner Zacharina Winker, Director of Nursing & Transition Coach, Stewart Memorial Community Hospital, Lake City Stewart Memorial Community Hospital identified multiple gaps in communication as patients transitioned through the care continuum. Staff discovered that patient information was overlooked, not current or not delivered to the key people who needed that information. In response, they formed a multidisciplinary team with representation from the hospital and clinics with the goal of improving the care transition process. Many interventions were identified for implementation, with the key to our success being have a dedicated transition nurse. yprovide an overview of the Stewart Memorial process for developing and implementing successful transition of patient care. yidentify care transition points across the continuum, both internally and externally. yexamine the obstacles and barriers encountered during the implementation process. yexplore expanding the external patient care transition process. 10:45 am Networking Break at Vendor Tradeshow 11:00 am Breakout Sessions 2A Leadership Track : Thriving in a High Value Healthcare system; A Perspective on the Rapidly Changing Healthcare Industry Tom Newton, Executive Vice President, Health Care Strategy & Policy, Wellmark Blue Cross and Blue Shield, Des Moines This session will give an overview of Wellmark s Accountable Care Organization (ACO) payment model, including the use of quality metrics and its connection to the State Innovation Model (SIM) effort. Wellmark has used the Value Index Score (VIS) to measure quality in its ACO arrangements with Iowa provider organizations. The presentation will also focus on some of the learnings from Wellmark s ACO experience that could be applied to the SIM effort. yidentify the basic components of the VIS and how it differs from traditional disease specific measures in health care. y Describe how Wellmark is using the VIS within ACO arrangements with Iowa healthcare providers and the data and resources available to help manage the care of patients. y Identify some of the lessons learned on how to be successful in Wellmark s ACO arrangement as well as how to effectively improve a VIS. 2B Population Health: A Key Population Health Strategy Knitasha Washington, DHA, FACHE, Executive Director, Consumers Advancing Patient Safety, Chicago, IL Integrating the patient voice as equal partners into the quality improvement work of hospitals and health systems has been a focal point for many health care leaders. Consumers Advancing Patient Safety (CAPS) has partnered with health service delivery organizations to build patient and family infrastructures that align with population health strategies. Within this session we will discuss ways to align patient and family engagement and population health strategies. y Understand how patient and family engagement is fundamental to achieving population health. y Discuss how to adopt equitable strategies. y Identify some of the key learnings from hospitals that have built patient and family infrastructures 2C Patient and Family Engagement: Supporting Family Engagement Jim Cushing, Executive Director, Iowa Association of the Area Agencies on Aging, Des Moines Social determinants of health (SDH) are the biggest driver of healthcare costs and can have the highest impact on patient success. When there is a lack of understanding about services available to fill SDH needs, patient and family engagement is significantly impacted. If addressed, quality outcomes improve, costs reduce, and overall quality of life improves. This session will discuss services for the patient and family caregiver to ensure basic needs are met and to support patient outcomes. ydescribe SDH and their impact on patient and family experiences of care. y Discuss the role of patients, families and community-based provider to ensure the best outcomes, before and after care. yexplore home and community-based services that are available today to help address SDH and collaborative care locally. 2D Care Transitions: Iowa Office of Substitute Decision Maker and Public Guardianship in the 21st Century Tyler Eason, Director, Office of Substitute Decision Maker, Iowa Department on Aging, Des Moines This session will outline the numerous areas that the Iowa Office of Substitute Decision Maker can assist, educate and inform. It will review current trends and practices surrounding guardianship, conservatorship, powers of attorney, Iowa Physcian Orders for Scope of Treatment (IPOST) and other tools in the area of substitute decision making. yexplain the Iowa s Office of Substitute Decision Maker and the numerous areas that it can assist, educate and inform. y Identify current trends and practices surrounding guardianship, conservatorship, powers of attorney, IPOST and other tools in the area of substitute decision making. 12:00pm Lunch and Visit Vendor Tradeshow

12:45 pm Breakout Sessions 3A Leadership Track: HEN Data Gives Birth to Enhanced Obstetric Services at a Critial Access Hospitals Robb Gardner, CEO, Cindy Cotton,RN,BSN, Quality/Infection Control Director, and Shayla Malone, RN, BSN, Maternity Services Director, Henry County Health Center, Mount Pleasant This session will explain how to use Hospital Engaement Network (HEN) data for improving engagement from board of trustees, health center leadership and medical staff to enhance obstetrical care and services while reducing patient harm. Learn how the Henry County Health Center team worked collaboratively to reduce the likelihood of an adverse obstetrics event from occurring at their facility. y Identify strategies on how to engage and implement change as a medical community from the board to the medical staff. ydescribe how using HEN data will foster continued enhancement of the culture of patient safety in your organization. yidentify how data creates awareness and desire for implementation of new guidelines for obstetrical care in your organization. 3B Population Health: Health Disparities: An Iowa Perspective Michele Devlin, DPH,Professor and Director, Iowa Center on Health Disparities, University of Northern Iowa, Cedar Falls Iowa is currently experiencing some of the most significant demographic changes in the United States. Faced with one of the nation s largest percentages of aging residents and the out-migration of its young workforce to other states, many meatpacking and agricultural processing companies are actively recruiting thousands of refugees and immigrants from Latin America, Eastern Europe, Southeast Asia and Africa settle into Iowa and work. In order to address the obvious and rapidly growing need for health disparities research, training and community outreach, the University of Northern Iowa received a highly competitive grant from the National Institutes of Health to establish the Iowa Center on Health Disparities. y Summarize the Iowa Center on Health Disparities services and why it serves as a national model to other rural states challenged with addressing health disparities. y Recogize how the Iowa Center on Health Disparities provides statewide academic leadership in addressing and reducing health disparities among minority, immigrant and medically underserved populations. yidentify the services, education and outreach programs that serve Iowa s diverse and underserved populations. 3C Patient and Family Engagement: Moving from a System-Centered to a Patient-and-Family-Centered System: An Organization s Journey Amy Vanderscheuren, Strategy Program Manager, Essentia Health, Duluth, MN As part of its strategic implementation of the patient- and family-centered care philosophy, Essentia Health created a program that successfully engages patients and families as partners across the organization. In this presentation, Amy Vanderscheuren will provide an overview of the program s development and infrastructure. This includes a description of how to gain support and participation from executive leadership, physicians and other caregivers and front line staff. She will also describe strategies for recruiting, vetting and training patient partners and explain how these partnerships play a key role in shaping organizational culture. And how they will lead to more engaged patients and staff, transform healthcare delivery and design and improve the overall patient experience. y Discover how to develop a framework that effectively engages patients and families across care settings. yname tools to recruit, vet and train patient and family partners. y Identify benefits of partnering with patients and families. 3D Care Transitions: A Case Study in Care Transitions Shelley Horak, Executive Director and Jennifer Walters, Community Health Coordinator, Dallas County Public Health Nursing Services, Adel This session will feature a case study of a client with a history of multiple care transitions and complex medical and social needs. Through her own personal narrative, the client will describe her struggle toward better health. Interventions by the public health department and community partners that have assisted in her success both clinically and socially will be shared. This session will be interactive and engage participants in solving social needs for improved patient outcomes. yidentify partners and resources to support care transitions for patients within the public health system. yrecognize social factors that influence patient outcomes. ydescribe strategies for intervening in the social determinants of health.

1:45 pm Networking Break at Vendor Tradeshow 2:00 pm- Plenary: Reducing Readmissions Amy Boutwell, MD, MPP, Executive Director Collaborative Healthcare Strategies, Newton, MA Hospitals and their cross-continuum partners have been hard at work for years to reduce avoidable readmissions. This session will build on the first phase of readmission reduction work and provide specific, feasiblefield-tested methods for conducting a robust assessment of your readmission reduction portfolio of efforts and recommendations on how to update your strategy moving into 2016. ydescribe ways that readmission patterns differ for Medicare and Medicaid adults. y Recall why conducting a readmission interview is not just for a one-time root cause analysis. y Identify key features of hospitals that have achieved hospital-wide results. y Outline ways that technology is essential to supporting the work to reduce readmissions. 2:45 pm- Keynote Presentation: Leading Through Uncertainty Todd Henry, Founder, Accidental Creative, Cincinnati, OH There are certain core attributes that brilliant, effective leaders share, especially in the face of uncertainty. In this talk, you ll learn how to deal with the uncertainty inherent in our ever-changing marketplace, how to set your team and co-workers up for success, and what great creative leaders do consistently to unleash their best work every day. ydiscuss sources of misalignment and dissonance and how to identify them. ydemonstrate specific practices to gain better focus and define the edges of your team s work. ydescribe the five essentials of leading when clarity, even when you re uncertain. 3:30 pm- Closing Keynote Presentation: Building Healthier Communities Chuck Long, CEO & Executive Director, Iowa Sports Foundation, Des Moines Charles Franklin Chuck Long, Jr. is an American football coach and CEO/executive director of the Iowa Sports Foundation (ISF). The ISF s mission is to provide sports, recreation, health and wellness opportunities for Iowans of all abilities. ISF is comprised of the Iowa Games, Live Healthy Iowa and Adaptive Sports Iowa. y Outline Long s passion for sports and advocacy for lifelong fitness to inspire adults and youth of all ages to live a healthy active lifestyle. y Summarize how the ISF is contributing to Iowa s goal of becoming the number one state in well-being. y Discuss the importance and necessity of building healthier communities together. 4:00 pm Adjournment Register online at ihc.ihaonline.org Conference Fees: $175 per indivdual

A Thank You to Our Community Partners Alegent Creighton Health Foster Group Genesis Health System Iowa Department of Public Health Iowa Hospital Association Iowa Medical Society Mary Greeley Medical Center Mercy Health Network Mercy Medical Center - Cedar Rapids Telligen The MMIC Group UnityPoint Health University of Iowa Health Care Wellmark Blue Cross and Blue Shield of Iowa Wheaton Franciscan Healthcare Iowa

Iowa Healthcare Collaborative Annual Conference Charting the Course November 10, 2015 The Meadows Events & Conference Center Altoona Conference Location The Meadows Events & Conference Center Prairie Meadows 1 Prairie Meadows Drive Altoona, IA 50009 Cancellation Refund Policy Registration Individuals are encouraged to use the online registration at www.ihconline.org No-shows will be billed. Substitutions welcome anytime via email. A full refund will be given to all cancellations received 10 or more business days prior to the conference. A $50 administrative fee will be charged to all cancellations received six to nine business days prior to the conference. No refunds will be given to cancellations received five or fewer business days prior to the conference. Refunds will be calculated by the date received and the IHC business days remaining prior to the conference. IHC reserves the right to cancel the conference due to insufficient enrollment, in which case pre-registered participants will be notified and full refunds provided. All cancellations and substitution requests must be sent by email to dixonj@ihaonline.org Continuing Education Nursing: The Iowa Hospital Association has been approved as a provider of continuing education for nurses by the Iowa Board of Nursing, provider #4. 0.51 Nursing CEUs will be available during this conference to participants who attend sessions in their entirety. Partial credit for individual sessions will not be granted. NOTE: To receive CEUs or a certificate of attendance, you are required to attend the entire session that credit is being requested for. No partial credit will be granted. ACHE Qualified Education Credit: The Iowa Healthcare Collaborative is authorized to award 1.75 hours of pre-approved ACHE Qualifed Education Credits for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification. Certificate of Attendance: Continuing Education Certificates for proof of attendance can be printed afte completion of the event survey that will be emailed after the conference. Some national, state and local licensing boards and professional organizations will grant continuing education credits for attendance when you submit the course outline and your certificate of attendance. IHC recommends keeping a copy of the onsite agenda and that you contact your own board or certification organization to find out what is required. Purpose Statement Convening leaders from across the state to work toward the common goal of exceptional health care in Iowa. Conference Lodging Prairie Meadows Hotel 1 Prairie Meadows Drive, Altoona $104.00 plus tax IHC room block expires October 19, 2015 Phone: 515.957-3000 or www.prairiemeadows.com use Group Code -11162015HCI Target Audience The various tracks will benefit physicians, CEOs, CFOs, senior administrators, nurses, quality assurance professionals, trustees/board members, clinic managers, infection control professionals, hospital pharmacy directors, clinical pharmacists and other health care personnel. Conference Notes This conference is paperless. Copies of the agenda, roster, speakers biographies and handouts will be available on the IHC website. A direct link to access these will be e-mailed to you one week prior to the conference. Copies of the handouts will not be distributed at the conference.