FROM VISION TO VALUE

Transcription

FROM
VISION
TO
VALUE
COMMUNITY
HEALTH CENTER
GRASSROOTS
ADVOCACY DAY
MARCH 7
2016
CHCANYS 2015
STATEWIDE
CONFERENCE
& CLINICAL FORUM
OCTOBER 18-20, 2015
TOGETHER
we stand strong
It is critical
that our elected officials understand the
fundamental role played by community
health centers in providing high-quality
health care to New York’s most vulnerable
residents.
THE SAGAMORE RESORT
BOLTON LANDING, NEW YORK
SPONSORS
CONTENTS
Confirmed at press time
Welcome
1
General Information
2
Conference Schedule Summary
3
We invite you to visit our Sponsors in the Event Center to learn how their products and services can meet
your business needs. The more raffle tickets you collect from each vendor, the greater your chances are to
win a $500 American Express Gift Certificate during the Awards Dinner on Monday night. Some vendors are
offering their own prizes as well.
GOLD SPONSORS
Empire BlueCross BlueShield HealthPlus
(formerly HealthPlus Amerigroup)
www.empireblue.com/nymedicaid
www.affinityplan.org
Maps & Floor Plans
4
Workshops At-A-Glance
5
Conference Schedule
6
Sunday
6
Monday
15
Tuesday
25
Poster Sessions
31
Conference Speakers
32
Health Industry Acronyms & Terms
Annual Awards Ceremony
34
36
Exhibitors
43
Sponsors
Inside Back Cover
WEB SPONSORS
FINANCE SCHOLARSHIPS
The Jeffrey T. Latman Foundation
LUNCH SPONSORS
CohnReznick
www.cohnreznick.com
Healthfirst
www.healthfirst.org
United Healthcare Community Plan
www.UHCCommunityPlan.com
EXHIBIT SPONSORS
CHCANYS
Community Health
Care Association of
New York State
New York City Office
111 Broadway
Suite 1402
New York, NY 10006
T 212-279-9686
F 212-279-3851
Albany Office
90 State Street
Suite 600
Albany, NY 12207
T 518-434-0767
F 518-434-1114
www.chcanys.org
Avazzia
www.avazzia.com
BioReference Laboratories
www.bioreference.com
Henry Schein*
www.henryschein.com
KEYCARD SPONSOR
Computer Sciences Corporation (CSC)
www.csc.com
BREAKFAST SPONSORS
Brown & Weinraub, PLLC
www.brownweinraub.com
Primary Care Development Corporation (PCDC)
www.pcdc.org
Low Income Investment Fund
www.liifund.org
RCHN Community Health Foundation
www.rchnfoundation.org
SCHOLARHIPS
Laboratory Corporation of America (LabCorp)
www.labcorp.com
*CommonWealth Purchasing Group (CPG Vendor)
WELCOME
CHCANYS 2015 STATEWIDE CONFERENCE & CLINICAL FORUM 1
Dear Friends of Primary Care and Community Health,
Welcome to CHCANYS’ 2015 Statewide Conference and Clinical Forum! The Adirondacks couldn’t be more beautiful,
with autumn in full color and anticipation of the renewal that another new year will bring. This has been one of the
most exciting and meaningful years in US history as it relates to the health of America’s people. 2015 marks the 50th
anniversary of the nation’s community health centers. Since their beginning as part of the nation’s War on Poverty,
health centers have grown into the largest and most successful primary care system in the country and in New York
State. In 2014, New York’s health centers delivered 8.5 million visits to 1.8 million (unduplicated) people, with some
of the highest quality results in the US.
From Vision to Value, our 2015 conference theme, refers to the important accomplishments in quality of care for
communities and individuals and also in savings for those paying to support the health system. While the entire
movement is showing positive results from years of investment, we still fall short when it comes to moving that
investment into primary care and community health in New York State. Given the size and value of our community
health center system, we think it’s time to invest in New York’s high-quality, primary care network — much as we’ve
seen that investment across the rest of the United States.
These are challenges we will hear addressed by our keynote speakers and in our workshops and general sessions
during the next few days. Through community health centers, we have an opportunity to build on the resources of
New York’s primary care network and truly move our state’s health care delivery system to one which is value-based
and delivers the highest quality to all of New York’s people.
We hope you enjoy all that the Sagamore Resort and Lake George have to offer, and we look forward to spending
the next few days learning together. Our thanks to everyone joining us this year as participants, presenters, partners,
sponsors and exhibitors. Have a great conference!
Larry McReynolds
Chair, CHCANYS Board of Directors
President & CEO
NYU Lutheran Family Health Centers
Elizabeth H. Swain
President & CEO
CHCANYS
2 CHCANYS 2015 STATEWIDE CONFERENCE & CLINICAL FORUM
GENERAL INFORMATION
Tell Your
Health Center
Story
CHroniCles is a dynamic,
multi-media website dedicated to
the living history of the community
health center movement. A special
Special Thanks to
CHCANYS thanks the Jeffrey T. Latman Foundation
for funding programs and scholarships over the
past 18 years to ensure the training of tomorrow’s
leaders in health center finance. The Jeffrey T. Latman
Foundation honors the memory of Mr. Latman, who
was a Partner in the accounting firm Goldstein
project of the RCHN Community
Golub Kessler & Company. He was a national visionary
Health Foundation, the Geiger Gibson
leader in community health center finance and a
Program in Community Health Policy
long-time friend and supporter of NACHC and CHCANYS.
at Milken Institute School of Public
Health and Health Services at
The George Washington University,
and NACHC, the site highlights the
Grassroots Action Network
transformative contributions made
Please visit the Grassroots Action Network
by health center organizations by
table located in the Conference Center to
through which CHCs can contribute
learn why grassroots advocacy is so
Conference
Materials
their own rich stories and materials.
important and find out what you can do
In a continued effort to
Visit the CHroniCles table in the Event
today and going forward to help protect
go green, CHCANYS will
providing an interactive portal
Center to find out how to create a
profile for your CHC and contribute to
post presentations on
the future of New York’s health centers.
its website shortly after
the conference.
this historic, expanding web-based
virtual tapestry.
Uniform Data System
(UDS) Trainings:
• November 9, 2015
Strathallan Hotel, Rochester
• December 2, 2015
NYU, New York City
Learn more and register at
www.chcanys.org
CONFER ENCE
E VAL UATIONS
Continuing Medical Education and Continuing Education (CME/CEs)
CHCANYS does not grant credits, but can provide
documentation to assist you in gaining CME/CEs.
It is necessary to sign in at each workshop for
which you plan to request credits. To receive your
certificate of attendance following the conference,
please send an email to: rwynn@chcanys.org.
Thank you for taking a few moments each day to complete a brief
conference evaluation. Your valuable feedback will help us to improve
future conferences, trainings, and webinars.
CONFERENCE SCHEDULE SUMMARY
SUNDAY 10.18.15
9:00 AM
Registration Opens
Conference Center
10:00 – 11:30 AM
Morning Workshops
See page 5
12:00 NOON – 1:00 PM
Jeffrey T. Latman Scholar Luncheon
Main Hotel
12:00 NOON – 1:00 PM
Networking Luncheon
Conference Center
1:20 – 2:50 PM
Afternoon Workshops
See page 5
2:00 – 4:30 PM
Sponsor/Exhibitor Set-up
Event Center
3:00 PM
Exhibit Hall Opens
Event Center
3:30 – 5:30 PM
Regulatory and Reimbursement Mega Session
Conference Center
5:45 – 7:00 PM
Clinical Committee Meeting
Conference Center
6:00 – 8:00 PM
Welcome Reception with Sponsors and Exhibitors
Event Center
7:00 – 8:00 PM
Poster Session
Event Center
7:00 AM
Registration Opens
Conference Center
7:00 – 8:40 AM
Breakfast with Sponsors and Exhibitors
Event Center
7:20 – 8:40 AM
Breakfast Meetings
See page 16
7:30 – 8:40 AM
NYCEDC CHC Expansion Program Information Session
Event Center
9:00 – 10:30 AM
General Session I
Conference Center
10:30 – 10:50 AM
Coffee/Tea Break with Sponsors and Exhibitors
Event Center
10:50 AM – 12:20 PM
Morning Workshops
See page 5
12:40 – 1:40 PM
Keynote Luncheon I
Conference Center
2:00 – 3:30 PM
Afternoon Workshops I
See page 5
3:30 – 3:50 PM
Event Center
3:50 – 5:20 PM
Afternoon Workshops II
See page 5
5:30 – 6:30 PM
Poster Session
Event Center
5:30 – 7:00 PM
Reception with Sponsors and Exhibitors
Event Center
7:00 – 11:00 PM
Awards Dinner and Dancing
Conference Center
7:00 AM
Registration Opens
Conference Center
7:00 – 8:40 AM
Breakfast with Sponsors and Exhibitors
Event Center
7:20 – 8:40 AM
Breakfast Meetings
See page 25
9:00 – 10:30 AM
General Session II
Conference Center
10:30 – 10:50 AM
Event Center
10:40 AM – 12:40 PM
Behavioral Health Leadership Summit
Conference Center
10:50 AM – 12:10 PM
Morning Workshops
See page 5
12:30 – 1:30 PM
Keynote Luncheon II
Conference Center
1:50 – 3:10 PM
Afternoon Workshops
See page 5
3:10 PM
Exhibit Hall Closes
Event Center
MONDAY 10.19.15
TUESDAY 10.20.15
The Sagamore
Main Hotel:
Check-in, Lodging & Workshops
Conference Center:
Registration & Information,
General Sessions & Workshops
Event Center:
Sponsors/Exhibits,
Receptions &
Breaks
Main Hotel:
Check-in, Lodging & Workshops
Conference Center:
Registration & Information,
General Sessions & Workshops
Check-in
Workshops
WORKSHOPS AT-A-GLANCE
Clinical/QI
HIT
Policy/Finance
Operations/Governance
Why IPA in a VBP World?
Main Hotel: Dollar E&W
Infectious Disease Preparedness in
the Primary Care Setting: Lessons
Learned from Ebola Preparedness
Site Visits and Mystery Patient Drills
Main Hotel: Diamond Island
SUNDAY
MORNING
WORKSHOPS
10:00AM–11:30AM
Continuous Quality Improvement Strategies:
Examples of Successful Team-Based
Approaches to Help Retain and Virally Suppress
High-Risk Patients Living with HIV/AIDS
Conference Center: Abenia
Addressing ADHD and Trauma: Models to
Integrate Behavioral Health and Primary Care
Conference Center: Evelley
Capital Development at Your FQHC
Conference Center: Wapanak
Collaboration and Integration across the
Continuum of Care
Conference Center: Triuna
AFTERNOON
WORKSHOPS
1:20–2:50PM
Pediatric Oral Health Care in the PCMH
3:30–5:30PM
Regulatory and Reimbursement Mega Session Conference Center: Sagamore Ballroom
FQHCs Can Dramatically Improve
Contraception Care: Best Practices
Using Population Health
Management Tools to Achieve
the Triple Aim for High Risk,
High Cost Populations
Value-Based Payment
Contracting: Health Plan,
PPS, and FQHC
Perspectives
The New Sliding Fee Discount
Program Policy: Transitioning from
Guidance to Every Day Operations
Conference Center: Wapanak
MONDAY
MORNING
WORKSHOPS
10:50AM–12:20PM
Achieving Health Equity: Trends, Policies, and
The Role of Partnerships
Primary Care Analytics for
Beginner, Intermediate, and
Advanced Practices
Update from the NYS
DOH Office of Primary
Care and Health Systems
Management: CON, Regulatory Waivers and More
Building a Primary Care Nurse
Practitioner Residency Program
AFTERNOON
WORKSHOPS I
2:00–3:30PM
Understanding Anxiety and Personality Disorders:
Updates for the Primary Care Provider
RHIO Roundtable
Successful Strategies
for Assessing and
Implementing Subrecipient Agreements,
Mergers and Practice
Acquisitions
Driving Performance:
The Open Door Experience
Options Counseling for Unintended
Pregnancy: A Patient-Centered Approach
Connecting with Patients: How
Community Health Workers
Leverage Health Technology to
Engage Patients and Improve
Outcomes
Preparing for ValueBased Payment:
Strategic, Financial and
Clinical Considerations
Deciphering the Role, Function,
and Training Needs of Care
Coordinators within FQHCs
Behavioral Health Leadership Summit
(10:40AM–12:40PM)
What Could be Better than
Best Practice?
New York State Medicaid
Finance and Rate Setting
Update
Improving the Patient Experience:
Promoting a Team-Based
Approach to Customer Service
at your Health Center
Addressing Social Determinants
of Health: Implementing a
Standardized Patient Risk
Assessment Protocol in your
Electronic Health Record
DSRIP Update
Conf. Center: Evelley
The Searchlight Intensifies:
Investigations, Self-Disclosures,
Whistleblowers, Oh My!
Innovative Strategies to Enhance PracticeBased Population Health Management
AFTERNOON
WORKSHOPS II
3:50–5:20PM
HepC: Strategies of Management at Your FQHC
TUESDAY
MORNING
WORKSHOPS
10:50AM–12:10PM
Preventing Chronic Diseases:
Operationalizing the Prevention Agenda
AFTERNOON
WORKSHOPS
1:50–3:10PM
CONFERENCE SCHEDULE
SUNDAY, OCTOBER 18
9:00 AM
REGISTRATION OPENS
Conference Center
10:00 – 11:30 AM
MORNING WORKSHOPS
Clinical/QI
Conference Center
Abenia
Continuous Quality Improvement (CQI) Strategies: Examples of Successful Team-Based
Approaches to Help Retain and Virally Suppress High-Risk Patients Living with HIV/AIDS
Shulamis Lieber, LCSW, Associate Program Director of Community-Based
Prevention, The Institute for Family Health
The Institute for Family Health has implemented innovative CQI projects that target
retention in care and viral load (VL) suppression in their most high-risk patients living
with HIV/AIDS, achieving a nearly 10% increase in VL suppression over the past three
years. This workshop will share effective and replicable CQI strategies best used in a
multidisciplinary, team-based, integrated setting to engage all levels of staff, as well
as highlight the value of behavioral health staff as leaders in CQI.
Objectives:
• Gain an improved understanding of how a multidisciplinary team can use CQI to
support patient retention, as well as VL suppression in high risk patients
• Provide examples of replicable retention and VL suppression CQI interventions to
support optimal outcomes for patients living with HIV/AIDS
Clinical/QI
Conference Center
Evelley
Addressing ADHD and Trauma: Models to Integrate Behavioral Health and Primary Care
Part I: A Model of Integrating Primary Care and Behavioral Health to Improve ADHD Care
Kara Tucker, LCSW-R, Mental Health Clinician/Youth Coordinator, The Institute
for Family Health
Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common mental
health disorders among children. Approximately 11% of children 4–17 years of age
(6.4 million) received this diagnosis in 2011. Although ADHD is a disorder that begins
in childhood, it can continue through adulthood with health, social, and academic
repercussions, and there is a compelling need to identify very young children who
show symptoms of ADHD in order to provide early intervention. While many adults with
ADHD are in treatment for other mental disorders and substance abuse, a smaller
proportion receives treatment for their ADHD symptoms. This session will outline an
integrative care model used to improve screening, assessment and treatment of
ADHD in both children and adults.
Objectives:
• Learn the benefits of an integrated care model for the treatment of ADHD
• Identify standardized screening instruments that can be used in the assessment
and diagnosis of ADHD
SUNDAY MORNING WORKSHOPS continued
Part II: Pediatric Integrated Care Collaborative: Families in ACTION (Accessing Care Together in Our
Neighborhoods)
Daniel Miller, MD, Chief of Clinical Integration and Graduate Medical Education,
Hudson River HealthCare (HRHCare)
Roberta Leiner, LMSW, Chief of Patient and Engagement and Community Health
Planning, HRHCare
HRHCare is one of eleven teams nationwide selected for the Johns Hopkins
University’s Pediatric Integrated Care Collaborative (PICC). PICC: Families in ACTION
is a significant step for HRHCare toward an intentional model of trauma identification,
assessment, referral, psycho-education and treatment, augmented with resources
that are essential to promoting the health and well-being of affected families. Building
on existing interventions and other innovative strategies such as Healthy Steps and
Bright Futures, HRHCare and its behavioral health partner, Westchester Jewish
Community Services, is creating a unified model tailored to the unique needs, barriers
and life circumstances confronted by many patients served by FQHCs. The development of this model ensures the early identification of children experiencing emotional,
cognitive, physical, behavioral or developmental challenges or delays and uses evidencebased interventions to provide the support needed to mitigate these challenges and
be prepared to learn and thrive in a strengthened family. This session will provide
participants with strategies to integrate an evidence-based model into pediatric care.
Objectives:
• Learn the key clinical and operational building blocks required to foster integrated
care practices and community collaborations
• Understand how to create a trauma informed environment of care
Clinical/QI
Conference Center
Triuna
Collaboration and Integration across the Continuum of Care
Part I: Care Management Programs to Improve Outcomes in a Value-Based Payment
Environment: Early Lessons from the Primary Care Development Corporation’s Integrated
Care Planning Collaborative
Karla Silverman, MS, RN, CNM, Director, Clinical and Training Initiatives, Primary
Care Development Corporation (PCDC)
New York State’s Delivery System Reform Incentive Payment (DSRIP) program, the
National Committee on Quality Assurance’s (NCQA) Patient-Centered Medical Home(PCMH) 2014 program, and the state’s Value-Based Payment (VBP) initiative all require
effective use of integrated care management resources. This session will highlight
PCDC’s Integrated Care Planning Collaborative, which supports the work of five participating organizations toward developing and implementing processes that strengthen
collaboration and communication between traditionally non-integrated departments
such as primary care, behavioral health and social services. The presenter will share
implementable solutions from the participating organizations, early lessons learned, and
challenges in developing integrated care planning systems. The session will also outline
the applicability of these best practices to care coordination and team based care.
Objectives:
• Identify best practices that support coordinated care and integrated care planning
• Understand effective integrated team processes that support improved patient
engagement and outcomes
Part II: Advancing Care Management Activities through the Integration of HEDIS and QARR
Benchmarks
Pablo Idez, LCSW, Director, Care Management, The Institute for Family Health
At the forefront of the Value-Based Payment model is the Healthcare Effectiveness
Data Set (HEDIS) / Quality Assurance Reporting Requirements (QARR) annual audit,
which measures performance against baselines set by The National Committee for
Quality Assurance and the New York State Department of Health. Medical providers
and Managed Care Organizations are trained on the measures yearly as they shift to
follow trends in both Population Health and best clinical practices. Over the years, the
role of the Care Manager has evolved to encompass a host of services, all directed
at improving patient adherence and access to treatment. Learn how training Care
Managers in the same HEDIS/ QARR standards followed by their colleagues provides
them with the framework necessary to direct patient care in a more meaningful way
and to speak the same language, which is integral in an ever-changing healthcare
environment.
Objectives:
• Learn how training Care Managers on HEDIS/ QARR standards deepens the
integration of care management with mental and physical health
• Identify the ways in which integrating HEDIS/ QARR standards into care
management has a meaningful impact on treatment and medication adherence
Part III: Emergency Department Diversion through Co-Location of Care Management:
A Collaboration between a FQHC and Community Hospital
Avi Silber, MD, CMO, The Greater Hudson Valley Family Health Center
Jesse Sarubbi, Director of Care Management and Education, The Greater Hudson
Valley Family Health Center
The unnecessary use of Emergency Departments (ED) for non-emergent care burdens
the health care system and impedes positive health outcomes in patients who would
be better served in primary and preventative care settings. This session will highlight
the success of the ED Diversion project created by the Greater Hudson Valley Health
Center and Saint Luke’s Cornwall Hospital. Through the implementation of supportive
patient education and care coordination services, this project has reduced unnecessary
ED visits, improved patient engagement, and promoted better health by redirecting
care to the most appropriate setting. Positive outcomes, challenges and lessons
learned from implementing a community collaboration, including care integration,
tracking, and data sharing, will be reviewed.
Objectives:
• Learn how co-location of care management in the ED can be used to reduce
inappropriate ED utilization
• Review challenges and experiences gained from collaborating with community
partners on a project, including data collection, information sharing, and care
integration
Policy/Finance
Main Hotel Lower Level 1
Dollar East & West
Why IPA in a VBP World?
Moderator: Beverly Grossman, Senior Policy Director, Community Health Care
Association of New York State (CHCANYS)
Jacki Liefer, Senior Partner, Feldesman Tucker Leifer and Fidell LLP
Emily Maxson, MD, Medical Director, Aledade, Inc. and Medical Director,
FamilyHealth ACO
Lisa Perry, MPP, MBA, Senior Vice President, Quality & Technology Initiatives,
CHCANYS
A major goal of health care payment reform in New York is the movement from volumebased reimbursement to value and outcome-based reimbursement (VBP). In this
environment, it is critical that FQHCs develop the ability to clearly demonstrate their
value and keenly negotiate with managed care organizations (MCO). Some FQHCs
may lack influence over contractual terms offered by MCOs, while at the same time
facing an increased administrative burden as they work to align their contracts and
performance measures. An Independent Practice Association (IPA) can provide
FQHCs with the leverage and shared resources to address these and other issues
that arise due to the systemic shift to value-based payment for care. In this session,
the presenters will provide an overview of IPAs, explain the benefits and protections
available to health centers that join or form an IPA, and discuss how best to develop
an IPA strategy within a VBP context.
Objectives:
• Develop an understanding of how IPAs can be beneficial to FQHCs participating
in VBP arrangements
• Identify elements to consider when forming or joining an IPA
Diamond Island
Infectious Disease Preparedness in the Primary Care Setting: Lessons Learned from Ebola
Preparedness Site Visits and Mystery Patient Drills
Gianna Van Winkle, MBA, Program Manager, Health Center Support Team,
Emergency Management, Community Health Care Association of New York State
Marsha Williams, MPH, Director, Healthcare Facilities Preparedness, Office of
Emergency Preparedness and Response, NYC Department of Health and Mental
Hygiene (NYC DOHMH)
Madeline M. Tavarez, MPA, AEM, Senior Project Manager, Emergency Management
Initiatives, Primary Care Development Corporation
Recent infectious disease outbreaks highlight the importance of maintaining preparedness in the primary care setting, which is a critical entry point for the broader health
care system. The Primary Care Emergency Preparedness Network (PCEPN) and NYC
DOHMH conducted site visits to support Ebola preparedness at 61 primary care
sites across NYC. Working with a team of on-site health center staff, PCEPN and
NYC DOHMH also developed the Primary Care Mystery Patient Drill Project, which
conducted mystery patient drills to assess implementation of screening and isolation
protocols at 21 health center sites. This session will provide an overview of these
initiatives, review the gaps, strengths, and performance improvements identified,
and provide participants with training and exercise tools to support preparedness
among primary care staff.
Objectives:
• Review recent PCEPN initiatives to support/increase infectious disease
preparedness in the primary care setting
• Outline gaps, strengths, and performance improvements identified through
the Ebola preparedness site visits and Mystery Patient Drill Project
• Learn about training and exercise tools to support infectious disease
preparedness among primary care staff
• Highlight potential opportunities for collaboration with the CHCANYS E
mergency Management program and/or PCEPN
Conference Center
Wapanak
Capital Development at Your FQHC
Moderator: Steven Solinksy, MPA, Senior Director of Finance, Community Health
Care Association of New York State (CHCANYS)
Moderator: Abigail Zaylor, MPA, Program Analyst, CHCANYS
Neil Benjamin, Senior Healthcare Consultant, Brown & Weinraub, PLLC
Anne Dyjak, Managing Director, Capital Investment, Primary Care Development
Corporation
Katia Izyumova, Loan Officer, Low Income Investment Fund
Brenda Loya, Senior Development Officer, Financial Services, Nonprofit Finance Fund
Mark Lurtz, Senior Director of Partnership Development, Capital Link
Marisa Manley, President, Healthcare Real Estate Advisors
Al Shehadi, Chief Lending Officer, Vital Healthcare Capital
New York’s FQHCs have seen substantial growth during the past several years and
are now serving more patients than ever before, providing access to high quality,
affordable primary care services to many of our state’s most underserved communities.
As major Medicaid safety net and comprehensive care providers, FQHCs play a central
role in both federal and state health care reform strategies and as such, must increase
capacity to serve even more patients. However, this expansion requires capital—
funds that FQHCs can use to renovate existing space, update infrastructure, and
build new sites.
During this session, a panel of experts will discuss the challenges, opportunities,
and processes involved in undertaking a capital development project at a FQHC.
Participants will hear from nonprofit lenders, financial advisors, capital development
management advisors, regulatory experts, and others. In response to feedback from
the Capital Development session at last year’s conference, attendees will have an
opportunity to schedule appointments with any of the panelists for specific times
during the conference in order to obtain additional details and have their questions
addressed.
Objectives:
• Gain insight into the capital development process
• Develop an understanding of capital development resources available to FQHCs
• Identify funding sources
SUNDAY continued
12:00 Noon – 1:00 PM
JEFFREY T. LATMAN SCHOLAR LUNCHEON
Diamond Island
12:00 Noon – 1:00 PM
NETWORKING LUNCHEON
Conference Center
Sagamore Ballroom
1:20 – 2:50 PM
AFTERNOON WORKSHOPS
Clinical/QI
Conference Center
Abenia
Pediatric Oral Health Care in the Patient-Centered Medical Home
Melinda B. Clark, MD, Associate Professor of Pediatrics, Albany Medical Center
Developed for pediatric primary care providers, administration and organizational
leaders, this session will provide an overview of pediatric Patient-Centered Medical
Home standards of care and methods to integrate an oral health primary prevention
agenda. Topics to be covered include Early Childhood Caries (ECC) prevention,
anticipatory guidance, dental referral, support staff training, office integration, and
billing and reimbursement through insurers for fluoride varnish application by primary
care providers.
Objectives:
• Understand the impact of oral health on the overall well-being of children
• Obtain working knowledge of the National Guidelines for oral health care and referral
• Demonstrate the benefits of fluoride varnish and the integration of oral health
prevention into the medical home
Clinical/QI
Conference Center
Evelley
FQHCs Can Dramatically Improve Contraception Care: Best Practices
Part I: Improving Contraceptive Services in FQHCs: A Quality Improvement Collaborative Pilot
Adrianna Saada, MPH, Program Coordinator, Family Planning Capacity Building
Program, Public Health Solutions
Monika Grzeniewski, MPH, Quality Improvement Specialist, Family Planning
Capacity Building Program, Public Health Solutions
FQHCs provide comprehensive primary care services, including family planning, to
underserved populations. However, research suggests that FQHCs without Title X
Family Planning Program funding offer a limited scope of contraceptive services.
Public Health Solutions (PHS) initiated a 20-month quality improvement collaborative
(QIC) pilot in February 2014 to assess the feasibility of creating sustained improvements
in contraceptive service provision at four non-Title X-funded FQHCs in New York City.
As part of this project, PHS developed a set of change ideas and quality measures
to drive the adaptation and implementation of best practices for contraceptive care,
with targeted efforts around pregnancy intention screening and contraceptive counseling. Results from the first year of the pilot point to substantial improvement of
contraceptive service provision across health centers. This workshop is for administrators and clinicians at non-Title X-funded FQHCs interested in learning about the
QIC approach to improving contraceptive services in their practices.
Objectives:
• Understand best practices in contraceptive care
• Learn how a quality improvement collaborative model can be used to improve
contraceptive services
SUNDAY AFTERNOON WORKSHOPS continued
Part II: Update on Contraception
Martha A. Simmons, MD, Reproductive Health Fellow, The Institute for Family
Health, Reproductive Health Access Project
In 2013, the Centers for Disease Control and Prevention updated its “Medical Eligibility
Criteria for Contraceptive Use” with its “Selected Practice Recommendations for
Contraceptive Use,” and there are now 12 distinct categories of family planning
medications and devices. Historically, women without health insurance have been
unable to access this care, but due to the Affordable Care Act (ACA) mandate to
provide “preventive services,” an increasing number of reproductive age women now
rely on community health centers for contraceptive care. This session will review the
new contraception recommendations, contraindications, and methods and will discuss
the importance of patient-centered counseling within an evidence-based framework.
Objectives:
• Provide patient-centered counseling about contraceptive needs
• Assess medical eligibility for provision of different birth control options
• Educate patients about proper use of birth control and emergency contraception
HIT
Conference Center
Triuna
Using Population Health Management Tools to Achieve the Triple Aim for High Risk,
High Cost Populations
Jessica Diamond, MPA, CPHQ, Senior Vice President, Organizational Culture and
Quality, Brightpoint Health
As the health care environment shifts from a volume to value-based reimbursement
model, it is imperative that FQHCs take responsibility for the health of their entire
population. Providing clinic staff with training and data to conduct meaningful Population Health management can help FQHCs prepare for this shift. Brightpoint Health
has created provider and clinic-level dashboards that are used to identify patients
who are due for both preventative and treatment services. Since all measures are
evidence-based, external benchmarks are used to compare internal results with state
and national averages and to identify opportunities for improvement. Population data
facilitates greater engagement into care and services and improves patient-centered
care and the overall health of a population. This session will review key steps toward
replicating the Brightpoint Health model, including a focus on the critical roles that
health informatics, quality improvement and clinical staff play in the process.
Objectives:
• Understand the critical role that Population Health management plays in the
shifting health care environment
• Learn how to develop a staff infrastructure and reporting solution to support
providers in improving clinical outcomes and quality of care aligned with the
Triple Aim of better care and better health at lower costs
Policy/Finance
Dollar East & West
Value-Based Payment Contracting: Health Plan, PPS and FQHC Perspectives
Moderator: Peter Epp, CPA, Healthcare Industry Co-Practice Leader,
CohnReznick LLP
Harold Iselin, Managing Shareholder, Greenberg Traurig
Bridgette Wiefling, MD, Senior Vice President, Chief Quality and Innovation
Officer, Rochester Regional Health System
Art Jones, MD, Principal, Health Management Associates
By 2020, 80–90% of all payments from managed care organizations (MCO) to
providers must be through a value-based methodology. This session will provide
insight into value-based contracting from three different perspectives: a health plan,
a performing provider system (PPS) network, and a FQHC.
The health plan perspective will be represented by Harold Iselin, who serves as
counsel to the New York Health Plan Association and provides strategic guidance and
advice to numerous other health care clients. Bridgette Wiefling, currently Interim
Medical Director of the Finger Lakes PPS, will discuss her experience in helping to
run a large health system. Art Jones of Health Management Associates will share
insights from his experience of leading FQHCs through the transition to a VBP system.
Prior to joining Health Management Associates, Dr. Jones was the founding physician
and CEO at a large FQHC in Chicago, which he developed into a model MCO at the
forefront of delivering services under a near global capitation payment system. Specific
topics to be addressed during this session include how to articulate a health center’s
value when entering into value-based payment (VBP) contracts, what questions health
centers should be asking of the MCO/PPS network, and the partners with whom
FQHCs should consider collaborating in VBP arrangements.
Objectives:
• Identify core contracting elements to consider when entering into a VBP arrangement
• Promote collaboration and integration between FQHCs and other communitybased providers
• Learn how to demonstrate FQHC value to health plans
Conference Center
Wapanak
The New Sliding Fee Discount Program Policy: Transitioning from Guidance to Every Day
Operations
Jacki Leifer, Senior Partner, Feldesman Tucker Leifer Fidell LLP
In September 2014, HRSA issued the long-awaited Sliding Fee Discount Program
(SFDP) policy, providing health centers with concrete guidance on what can—and
cannot—be done in establishing and implementing one of the cornerstones of the
health center program. This session will walk participants through the key components
of the new policy, including fee and sliding fee discount schedules, nominal fees,
eligibility verification policies, billing and collection policies, and the board’s role in
approving the SFDP, addressing both the policy requirements and their legal / operational implications. Participants will explore real-life scenarios and strategies for
developing or improving their SFDPs, including discussion areas of “flexibility” and
the complex decisions necessary to balance the triple purposes of maximizing
reimbursement, minimizing barriers, and ensuring access to care.
Objectives:
• Describe how the requirements of the new SFDP policy differ from previous
policies and requirements
• Understand the required and optional components of the SFDP and their
legal/operational implications
2:00 – 4:30 PM
Sponsor and Exhibitor Set-Up
Event Center
3:00 PM
Exhibit Hall Opens
Event Center
3:30 – 5:30 PM
Conference Center
Sagamore Ballroom
REGULATORY AND REIMBURSEMENT MEGA SESSION
Moderator: Beverly Grossman, MSW, Senior Policy Director, Community Health
Care Association of New York State
Peter R. Epp, CPA, Healthcare Industry Co-Practice Leader, CohnReznick LLP
Jacqueline C. Leifer, Senior Partner, Feldesman Tucker Leifer and Fidell LLP
The presenters will share their knowledge and experience of health center programmatic and reimbursement regulations and requirements in this dynamic Mega Session.
They will discuss recent developments and future prospects regarding health reform
and strategies, health center billing reimbursement, federal grant-related rules and
requirements, and compliance issues. This session will also include an overview of
current health center reimbursement and compliance issues in New York State, from
the big picture policy concerns to the critical details.
Topics to be addressed include:
• Implications of HRSA’s proposed “Mega Guidance” on 340b
• Future implementation of the Office of Management and Budget’s “SuperCircular”
• Recurring OIG and OSV audit issues
• Grant funding initiatives for high-value centers
• “Carve-in” of School Based Health Centers into Medicaid managed care
• Lessons learned: Executive Order #38 and limits on executive compensation and
administrative expenses
• Effects of New York’s Not-for-Profit Revitalization Act on financial management
• DSRIP and VBP Roadmap update
• … and more!
5:45 – 7:00 PM
CLINICAL COMMITTEE MEETING
Conference Center, Abenia
6:00 – 8:00 PM
WELCOME RECEPTION WITH SPONSORS AND VENDORS
Event Center
7:00 – 8:00 PM
POSTER SESSION
Event Center
See page 31 for more information
MONDAY, OCTOBER 21
7:00 AM
REGISTRATION OPENS
Conference Center
7:00 – 8:40 AM
BREAKFAST WITH SPONSORS/EXHIBITORS
Event Center
7:20 – 8:40 AM
BREAKFAST MEETINGS
Conf. Center, Albenia A
Family Planning
Conf. Center, Albenia B
Behavioral Health
Conf. Center, Triuna A
Oral Health
Conf. Center, Triuna B
HIV/HepC/STD
Conf. Center, Evelley
FQHC Workforce Committee
7:30 – 8:40 AM
Event Center
NYC ECONOMIC DEVELOPMENT CORPORATION COMMUNITY HEALTH CENTER
EXPANSION PROGRAM INFORMATION SESSION
9:00 – 10:30 AM
GENERAL SESSION I: COMMUNITY HEALTH CENTERS AND THE TRIPLE AIM
Conference Center
Sagamore Ballroom
Alan Weil, Editor-in-Chief, Health Affairs
Please see page 33 for more information on speaker.
10:30 – 10:50 AM
Coffee/Tea Break with Sponsors and Vendors
Event Center
10:50 AM – 12:20 PM
MORNING WORKSHOPS
Clinical/QI
Achieving Health Equity: Trends, Policies, and The Role of Partnerhips
Conference Center
Abenia
Moderator: Kathy Alexis, MPH, CHES, Director, Quality Improvement Program,
CHCANYS
Thomas LaVeist, PhD, Director, Hopkins Center for Health Disparities Solutions
and William C. and Nancy F. Richardson Professor in Health Policy, Johns
Hopkins Bloomberg School of Public Health
Sue Kaplan, JD, Research Associate Professor–Community Service Plan, Department
of Population Health, NYU School of Medicine, NYU Langone Medical Center
Disparities in life expectancy, death rates, infant mortality, and other risk conditions
and behaviors are strikingly apparent among communities of color. Barriers to quality
health care access are persistent in this population, particularly in low-income communities. The delivery of culturally competent health care is paramount to improving
access and reducing health disparities, but there continues to be a lack of clarity around
the definition of cultural competence and how to operationalize it. This workshop will
provide an opportunity to begin this discussion and to devise a plan of how best to
deliver cultural competent training to providers.
Objectives:
• Understand the role that health disparities play in the delivery of quality care
• Learn the true definition of cultural competency and how best to operationalize it
MONDAY MORNING WORKSHOPS continued
HIT
Conference Center
Triuna
Primary Care Analytics for Beginner, Intermediate, and Advanced Practices
Peter Cucchiara, BSMIS, MBA, Consultant
Deborah Johnson Ingram, Director Compliance, Accreditation and Patient
Centered Services, Primary Care Development Corporation
Any major initiative in the New York primary care environment comes with an increasing
demand for data analytics programs that can be used in analysis, evidence and
decision-making. The roll-out of these programs is particularly difficult, and there is
no handbook to guide practices through the maze.
This session will guide attendees through the planning, executive engagement, team
types, analysis bias, and speed of implementation of data analytics programs so they
can learn how to handle complex analytics problems by selecting the right data and
the right amount of data. Participants will also learn how to locate, sift, extract, and
model data into a self-serve environment where experts and providers can leverage
it to its best advantage for the practice.
Problems to be considered in the session will include the elements of data maturity,
sources of data external to a practice’s systems, definitions of useful measures, and
current models used to evolve a program of data analytics from elementary to sophisticated. The presentation will also review how to focus analytics initiatives across a
multitude of variables in order to arrive at faster cost savings and quality improvement.
Objectives:
• Understand what it takes to develop a successful Primary Care Analytics program
• Learn about various models and rubrics that can guide a practice’s ascent to
successful analytics
Policy/Finance
Dollar East & West
Update from the NYS Dept. of Health Office of Primary Care and Health Systems
Management: CON, Regulatory Waivers, and More
Dan Sheppard, Deputy Commissioner, Office of Primary Care and Health Systems
Management, New York State Department of Health (NYSDOH)
Lisa Ullman, Director of the Center for Health Care Policy and Standards
Development, Office of Primary Care and Health Systems Management, NYSDOH
NYSDOH is continuing its effort to streamline the Certificate of Need (CON) process
to reduce project lead times for Diagnostic and Treatment Centers, including FQHCs
and other providers. Additionally, as part of the DSRIP program, NYSDOH instituted
a regulatory waiver process and promulgated integrated licensing regulations to support
integration of primary care and behavioral health. This session will review recent
updates to the CON process, including self-certification, the latest developments and
waivers approved under their regulatory waiver process, and new regulations that
will govern proposals for co-location of primary care and behavioral health services.
Participants will have an opportunity to hear directly from NYSDOH about recent
developments on these subjects and more.
Objectives:
• Learn about the CON process, including self-certification
• Understand the regulatory waiver process
• Learn about integrated licensing regulations
• Receive updates on the Capital Restructuring Financing Program (CRFP)
MONDAY MORNING WORKSHOPS continued
Conference Center
Evelley
Building a Primary Care Nurse Practitioner Residency Program
Elizabeth Dubois, FNP-BC, MSN, AAHIVS, Director of Advanced Practice Nursing,
Community Healthcare Network (CHN)
Matthew Weissman, MD, MBA, FAAP, Chief Medical Officer/VP of Medical Affairs, CHN
The insufficient number of primary care providers in the US healthcare system has
been well documented, and Nurse Practitioners (NP) have emerged as a valuable
resource to help remedy this deficit. This session will provide an overview of New York
State’s first Primary Care NP Residency Program, launched by CHN in September
2015 in order to address the unique needs within primary care and prepare students
for the realities of practicing in an FQHC environment. CHN’s NP residents will receive
a wide array of primary care and specialty training, including rotations that will allow
them to directly experience the diverse patient populations and communities served
by New York City’s FQHCs. CHN believes that this program will help them to meet
the Triple Aim of better care and improved health outcomes at lower costs while concurrently preparing their residents to provide care in community health settings.
Objectives:
• Learn about the shortages within primary care driving the need for programs
such as CHN’s Primary Care NP Residency Program
• Identify key considerations for developing a Primary Care NP Residency Program
in your health center
12:40 – 1:40 PM
Conference Center
Sagamore Ballroom
KEYNOTE LUNCHEON I: FROM VISION TO VALUE
Jason Helgerson, Medicaid Director and Deputy Commissioner, Office of Health
Insurance Programs, New York State Department of Health
2:00 – 3:30 PM
AFTERNOON WORKSHOPS I
Clinical/QI
Understanding Anxiety and Personality Disorders: Updates for the Primary Care Provider
Conference Center
Abenia
Part I: Treating Anxious Patients Without Becoming Anxious Yourself
Jacob Samander, MD, Board Certified Psychiatrist, Open Door Family Medical
Centers
Anxiety disorders are one of the most prevalent and disabling psychiatric illnesses.
Many physicians experience frustration in treating this illness, and some unintentionally
resort to measures that can be counterproductive. Benzodiazepines are often prescribed as a quick fix both for the physician and the patient, often leading to additional
complications. This lecture will help both primary care providers and behavioral health
clinicians manage anxiety disorders safely and more effectively.
Objectives:
• Learn about the prevalence of anxiety disorders
• Understand how to safely treat anxiety disorders
MONDAY AFTERNOON WORKSHOPS I continued
Part II: Working with Difficult Personality Disorders within the World of Mental Health Reform
Heather Muxworthy, DNP, PMHNP-BC, Chief of Behavioral Health, Anthony L.
Jordan Health Center
In both primary and behavioral health care settings, patients with personality disorders
are among the most challenging. Many are demanding of time and have the expectation of immediate results. This session, designed to help clinicians provide more
effective treatment to these patients, will begin with an overview of Diagnostic and
Statistical Manual of Mental Disorders, 5th Edition (DSM V) criteria and the diagnostic
criteria included in the new dimensional model domains. Inclusion and exclusion
criteria for each diagnosis; the neurobiology of the brain, etiology, and developmental
arrests; and the basics of psychopharmacology will be reviewed. The concept of
Marsha Linehan’s behavioral analysis and Beck's Cognitive Distortions will be introduced as tools to use within care settings, and coping skills for patients and crisis
intervention strategies will be provided. This session will also include a discussion
about the impact that patients with personality disorders have on providers’ emotions.
Objectives:
• Learn the criteria for evaluating different types of personality disorders
• Identify etiology, pharmacology, and cognitive behavioral skills to use with
patients with different personality disorders
Clinical/QI
Conference Center
Triuna
Innovative Strategies to Enhance Practice-Based Population Health Management
Part I: Healthy Patients/Engaged Patients: Are They Synonymous?
Sue Ling Lee, RN, MPA, Associate Executive Director for Nursing, Gouverneur
Health
Kenneth Feldman, PhD, FACHE, Associate Executive Director for Ambulatory
Care, Gouverneur Health
The health care paradigm is experiencing many shifts: from acute care to ambulatory
care, from primary care to Population Health, and from traditional, fragmented, providercentric models to coordinated patient-centered models. These changes are being
promoted by agencies such as The National Committee for Quality Assurance (NCQA),
the Centers for Medicare and Medicaid Services (CMS), and The Joint Commission.
In 2015, Gouverneur Health, along with an affiliated hospital, adopted a new nursebased population management model called “RN Treat to Target,” which focuses on
patients who are particularly challenging to manage and engage in care. As part of
this model, Public Health Advisors provide support by keeping chronic disease patients
engaged and connected to healthcare services. Patients experiencing hospital and/or
emergency room admissions are contacted post-discharge by the project’s RNs to
engage them back into care so that their health needs may be addressed. This session
will provide participants with insights and strategies for developing a program that
will continue to foster plans to address Population Health management within FQHCs.
Objectives:
• Understand the concept of Population Health
• Identify the strategies needed to develop a Population Health program
Part II: Population Management: A Two-Generation Approach to Pediatric Primary Care and
Women’s Health
Mary McCord, MD, MPH, Director of Pediatrics, Gouverneur Health
Jessica Buol-Ferg, BS, Assistant Director of Pediatrics, Gouverneur Health
Molly Lopez, MPH, MS, Associate Director of Women's and Children's Health,
Gouverneur Health
The role that early life events play in shaping one’s health trajectory, and the strong
connection between a child’s well-being and that of their parents, calls for new
Population Health models to address risk and protective factors. Most young parents
do not regularly seek health care, and as many as 50% of mothers miss postpartum
check-ups. Yet, young parents take their children for pediatric visits 3–5 times over
the first 4 months of life. Preventing unintended pregnancies and addressing psychosocial risk factors in young families can be a focus of pediatric well-child care and
may potentially improve a family’s health. This session will outline Gouverneur Health’s
pediatric primary care approach, which uses a two-generation model to integrate
women’s health and pediatric services.
Objectives:
• Understand the reasons for, and logistics of, implementing a two-generation model
• Recognize that life course health development provides a framework for addressing
risk and resiliency in primary care
HIT
Diamond Island
RHIO Roundtable
Moderator: Lisa Perry, MPP, MBA, Senior Vice President, Quality & Technology
Initiatives, Community Health Care Association of New York State
Thomas Check, President and CEO, Healthix
Christina Galanis, CEO, HealthlinkNY
D. Scott Mumrow, MPH, Vice President, HIXNY
Paul Wilder, Chief Information Officer, New York eHealth Collaborative
Health Information Exchange has seen significant progress during the last year in New
York State. A standard set of “dial-tone” services are now available from each RHIO
(aka “Qualified Entity”); statewide patient record lookup is rolling out; and an incentive
program was offered to help cover the costs of connecting to a RHIO. With DSRIP
and Value-Based Payment moving forward, the need for timely, secure exchange of
patient information to facilitate care coordination and lower costs has never been
greater. Come hear the latest information from the New York eHealth Collaborative,
stewards of New York State’s health information exchange system, the Statewide
Health Information Network of NY (SHIN-NY), and three RHIO leaders: Healthix,
HealthlinkNY, and HIXNY.
Objectives:
• Review updates on services currently available from individual RHIOs
• Learn the status of statewide services available through the Statewide Health
Information Network of New York (aka the SHIN-NY)
• Understand how to qualify for information exchange incentive dollars and
how to connect to receive RHIO services
Policy/Finance
Dollar East & West
Successful Strategies for Assessing and Implementing Subrecipient Agreements,
Mergers and Practice Acquisitions
Jacqueline C. Leifer, Esq., Senior Partner, Feldesman Tucker Leifer and Fidell LLP
Health reform has changed the health care landscape, and efforts to manage
Population Health and improve quality have prompted community health centers to
implement contractual collaboration agreements with community provider partners
and expand their services and patient base through subrecipient arrangements,
mergers of equals, and practice acquisitions. Not only do these strategies position
health centers for success in the marketplace, they also provide opportunities to
improve efficiency and maintain or improve financial performance. When considering
such strategies, health centers must enter into discussions with “eyes wide open.”
In addition to offering real world examples, the presenters will highlight important
strategic considerations, explain how to evaluate market position and select quality
partners, and discuss the types of relationships and legal structures to pursue.
Significant legal considerations, the financial assessment and analyses required to
evaluate the fiscal impact of different models, as well as effective due diligence
processes will also be addressed.
Objectives:
• Evaluate the business case for a potential collaboration and identify quality partners
• Understand the different structures of merger and acquisition transactions, as
well as other legal implications
• Prepare the requisite financial analyses and projections to evaluate the fiscal
viability of each type of transaction
Conference Center
Evelley
Driving Performance: The Open Door Experience
Dick Batten, PhD, Vice President, Karp Resources
Lindsay C. Farrell, MBA, FACMPE, President and CEO, Open Door Family
Medical Centers
Improving performance and maximizing productivity requires leadership-initiated,
organization-wide activity and commitment. Working with Dick Batten, Open Door
Family Medical Centers has created and implemented a strategic planning process
that includes the evaluation of performance from top to bottom, the assessment of
leadership capability, and the overall management of talent. This session will outline
key concepts and the steps needed to assess an FQHC’s human resources administrative capability, as well as examine strategies for investing in an organization’s
human capital. Participants will be provided with tools for improving organizational
performance that are driven by strategic planning, accountability, and clearly-delineated
roles and responsibilities of Board, Executive, mid-level and front-line managers.
Objectives:
• Identify key principles to drive organizational performance
• Share key concepts and tools for assessing and effecting change
MONDAY continued
3:30 – 3:50 PM
Event Center
3:50 – 5:20 PM
AFTERNOON WORKSHOPS II
Clinical/QI
HepC: Strategies of Management at Your FQHC
Conference Center
Abenia
Moderator: Peter Meacher, MD, Chief Medical Officer, Callen-Lorde Community
Health Center
Part I: Components of a HepC Program: A Panel Discussion
Robert Murayama, MD, MPH, Chief Medical Officer, Apicha Community Health
Center
Shuchin Shukla, MD, The South Bronx Health Center for Children and Families,
Children's Hospital at Montefiore
Luis Freddy Molano, MD, Vice President of Infectious Diseases and LGTBQ
Programs and Services, Community Healthcare Network
Hepatitis C treatment is now ready for prime time—are you? In order to successfully
implement a Hepatitis C treatment program at a FQHC, core administrative and
clinical components must be in place. This panel discussion will be useful for
FQHCs considering starting such a program. Issues such as medication coverage,
adherence and quality metrics will be discussed, and strategies for engaging clinical
staff and leadership will be proposed..
Objectives:
• Engage clinical staff and leadership in building a Hepatitis C treatment program
• List the components of a successful Hepatitis C treatment program and project
the staffing and resources needed
• List quality metrics needed to evaluate such a program
Part II: HepCure: An Innovative, Web-Based Toolkit to Support the Treatment of Hepatitis C
at Community Health Centers
Jeffrey Weiss, PhD, MS, Associate Professor of Medicine, Director, HCV Clinical
& Research Program in the Division of General Internal Medicine, Department of
Medicine, Icahn School of Medicine at Mount Sinai
Korin Parrella, MPH, Program Manager, HCV Clinical & Research Program in the
Division of General Internal Medicine, Department of Medicine, Icahn School of
Medicine at Mount Sinai
Ponni Perumalswami, MD, Assistant Professor of Medicine, Director of Hepatitis
Outreach Network, Division of Liver Diseases/RMTI, Department of Medicine,
Icahn School of Medicine at Mount Sinai
With recent advances in Hepatitis C virus (HCV) treatment, there is a renewed effort to
expand the capacity of FQHCs to optimize patient engagement and provide treatment.
HepCure, a web-based application, is the result of collaboration between an academic
medical center, the NYS Department of Health, and community health centers throughout the state. It is an open access Dashboard toolkit app that expands the capacity
of providers to conduct guideline-based HCV treatment, provide patient education,
MONDAY AFTERNOON WORKSHOPS II continued
send reminders of medication regimens, track adherence and symptoms, and provide
a tele-education platform for medical providers. This session will highlight the innovative
HepCure platform and how it can be implemented in your health center.
Objectives:
• Review current challenges to conducting Hepatitis C treatment at community
health centers
• Demonstrate how the HepCure toolkit can be implemented to overcome existing
barriers to Hepatitis C treatment at community health centers
Clinical/QI
Conference Center
Triuna
Options Counseling for Unintended Pregnancy: A Patient-Centered Approach
Martha A. Simmons, MD, Reproductive Health Fellow, The Institute for Family
Health, Reproductive Health Access Project
Approximately half of all pregnancies in the U.S. are unintended, a rate much higher
than in other developed countries. Women experiencing unintended pregnancy in our
country have three options: becoming a parent, placing the child for adoption, or
terminating the pregnancy. Nearly 40% of unintended pregnancies in the U.S. end in
abortion, and fewer than 2% of births result in an adoption placement. Non-judgmental,
supportive counseling on all pregnancy options can be easily provided in an FQHC
setting. Using a case-based approach, this presentation will address a number of
issues including the resources available to pregnant women, specifically to those who
have unintended pregnancies; and the services and types of support that FQHCs can
provide to help reduce the number of unintended pregnancies and assist patients in
making informed decisions.
Objectives:
• Develop skills for non-judgmental, supportive counseling
• Understand the available resources for pregnant women
• Identify important referral relationships that need to be in place in order to
provide comprehensive options counseling
HIT
Conference Center
Evelley
Connecting with Patients: How Community Health Workers Leverage Health Technology to
Engage Patients and Improve Outcomes
Moderator: Abigail Zaylor, Program Analyst, Community Health Care Association
of New York State
Jamillah Hoy-Rosas, MPH, RD, CDE, Director of Health Coaching and Clinic
Partnerships, City Health Works
Warria Esmond, MD, Chief Medical Director, Settlement Health & Medical Services
Mary Zelazny, MBA, Chief Executive Officer, Finger Lakes Community Health
Health IT and health technologies are widely cited as strategies to engage more
patients in care while creating efficient platforms for the communication and documentation of health outcomes. But truly connecting with patients requires direct
interaction with those who understand the patient communities and the resources
they offer. Using Community Health Workers (CHWs) to engage patients can improve
patient outcomes and address health-related socio-economic issues.
This session explores the use of CHWs with health technologies (such as patient
portals, remote monitoring, and telemedicine) to facilitate collaboration among clinical
providers, non-clinical community resources, and most importantly, patients. Applying
traditional FQHC enabling services and emerging health technologies, CHWs can
enhance the value of the FQHC community-based care model. The Delivery System
Reform Payment (DSRIP) program offers an opportunity to test and document the
Population Health benefits of this combined intervention and assess its contribution
to value-based reimbursement.
Objectives:
• Increase understanding of available technologies for patient engagement
• Improve awareness of the CHW model and its impact on clinical outcomes
• Provide insight into strategies to document the value of CHW services to payers
• Learn about CHW resources in New York City and Upstate New York
Policy/Finance
Dollar East & West
Preparing for Value-Based Payment: Strategic, Financial and Clinical Considerations
Art Jones, MD, Principal, Health Management Associates
New payment and delivery models are at the heart of health reform. In New York, the
transition to value-based payment (VBP) will bring an increased emphasis on developing and preparing for novel payment and integrated care delivery models that will
require new collaborations among providers. FQHCs must become familiar with how
VBP will impact financial and clinical operations and begin the process of adjusting
financial and operational management systems to succeed under these new methodologies. This session will provide an overview of VBP arrangements, present options
and considerations for new care delivery and payment collaborations, and explore
ways to prepare for the emerging models.
Objectives:
• Review potential VBP arrangements as outlined in New York’s VBP Roadmap
• Highlight FQHC experience in transitioning to and operating under new delivery
and payment models
• Identify challenges and opportunities in preparing for VBP
CHCANYS 2015 Statewide Conference & Clinical Forum
October 23 – 25, 2016
Westchester Marriott, Tarrytown, NY
SAVE
THE
DATE
Operations & Governance
Diamond Island
Deciphering the Role, Function, and Training Needs of Care Coordinators within FQHCs
Moderator: David Davis, LMSW, Assistant Director, Primary Care Workforce
Initiatives, Community Health Care Association of New York State (CHCANYS)
Shawna Trager, Executive Director, New York Alliance for Careers
Chelsea Truehart, Program Coordinator, Hudson Mohawk-Area Health Education
Center
Jeff Barnes, Co-Director of Data Systems, CHCANYS
Bridget K. Baker, MA, ABD, Senior Research Associate, Center for Health
Workforce Studies
At the heart of health care transformation in New York State has been the introduction
of new models of team-based care that will require primary care providers, including
FQHCs, to make modifications in patient access to care, as well as patient and Population Health outcomes. Many experts consider the use of Care Coordinators within
these team-based models to be vital to the achievement of health care transformation
goals. However, there is much ambiguity about the role and function of Care Coordinators, as they often have numerous titles and fulfill many different roles and functions.
This session will review current qualitative and quantitative research exploring the role
and function of Care Coordinators within New York’s FQHCs and highlight current
training efforts that address their needs.
Objectives:
• Gain detailed information on how FQHCs use Care Coordinators
• Learn training strategies and recommendations for Care Coordinators
• Learn how to develop and implement Care Management training
5:30 – 6:30 PM
POSTER SESSION
Event Center
See page 31 for more information
5:30 – 7:00 PM
RECEPTION WITH SPONSORS AND EXHIBITORS
Event Center
7:00 – 11:00 PM
Conference Center
Sagamore Ballroom
AWARDS DINNER AND DANCING
TUESDAY, OCTOBER 20
7:00 AM
REGISTRATION OPENS
Conference Center
7:00 – 8:40 AM
BREAKFAST WITH SPONSORS AND EXHIBITORS
Event Center
7:20 – 8:40 AM
BREAKFAST MEETINGS
Main Hotel, Dollar East & West
Center for Primary Care Informatics (CPCI) User Group
Conference Center, Evelley
Emergency Management
Conference Center, Triuna
Corporate Compliance Group
9:00 – 10:30 AM
GENERAL SESSION II: REALIZING QUALITY AND VALUE IN ADVANCED PRIMARY
CARE: FEDERAL AND STATE PERSPECTIVES
Conference Center
Sagamore Ballroom
Foster Gesten, Chief Medical Officer, Office of Quality and Patient Safety, New
York State Department of Health
Suma Nair, Director, Office of Quality Improvement, Bureau of Primary Health
Care, Health Resources and Services Administration
Please see page 32 for more information on speakers.
10:30 – 10:50 AM
Event Center
10:40 AM – 12:40 PM
BEHAVIORAL HEALTH LEADERSHIP SUMMIT
Conference Center, Triuna
ENTER OUR RAFFLE
You could win a $500
American Express gift card!
Please make sure to visit our sponsors and
exhibitors in the Event Center during the
conference! Pick up a raffle ticket with each
visit for a chance to win a $500 American
Express gift card. Our sponsors and exhibitors
offer an array of products and services to meet your
organization’s needs; some are offering their own prizes
as well. Stop by often, and increase your chances of winning!
TUESDAY continued
10:50 AM – 12:10 PM
MORNING WORKSHOPS
Clinical/QI
Conference Center
Abenia
Preventing Chronic Diseases: Operationalizing the Prevention Agenda
Part I: A Partnership to Increase Preventive Screening in Community Health Centers through
the Lens of Improving Cancer Screening Outcomes
Christina Faber, MS, RD, Senior Director, Primary Care Systems, American
Cancer Society
Alison Gold, MPH, RD, Hudson River HealthCare
Cancer disproportionately affects those with lower socioeconomic status, resulting
in higher incidence for some cancers, late diagnosis, and poor outcomes, including
high mortality rates. The American Cancer Society’s (ACS) Nationwide Mission Priority
calls for reductions in breast and colorectal cancer mortality rates by increasing the
number of effective interventions implemented in communities with an unequal burden
of cancer, and the organization has worked closely with FQHCs in recent years to
increase breast, colorectal and cervical cancer screening rates. This session will
include a presentation on the resources and strategies available to increase these
screening rates within health centers.
Objectives:
• Learn about tools and resources for improving cancer screening rates, with a
focus on colorectal cancer screening and the National Colorectal Cancer
Roundtable’s 80% by 2018 initiative
• Identify appropriate evidence-based interventions that contribute to increased
cancer screening rates
Part II: Healthy Families: A Multi-Disciplinary Approach to Transforming Care for Obese
Hispanic 9-11 Year Old Children
Tamar Renaud, MPH, Director, Community Health, NYU Lutheran Family Health
Centers
Earlier this year, NYU Lutheran Family Health Centers piloted Healthy Families, a
12-week multi-disciplinary program for 10 and 11 year old obese Hispanic children
and their parents. The program was designed in response to a 21% obesity rate among
Sunset Park children and the corresponding increase in diabetes, heart disease, high
blood pressure, cancer and asthma. The Healthy Families model provides culturally
appropriate care for a Hispanic population, screens for childhood obesity, refers
patients to sub-specialists, and most importantly, includes parents. This session will
highlight how the program also stabilizes BMI and BMI z-scores while helping parents
increase their children’s physical activity and consumption of fruit and vegetables and
reduce the use of sugar-sweetened beverages and daily screen time.
Objectives:
• Learn strategies that can change the health trajectory for obese children,
using culturally appropriate methods
• Understand the staffing, billing, and curricula needed to implement a
multi-disciplinary program to reduce childhood obesity
TUESDAY MORNING WORKSHOPS continued
Part III: Integration of Evidence-Based Tobacco Dependence Screening and Treatment into
Standard Delivery of Care
Elizabeth Jones, MPA, Director for Health Systems Improvement, Cicatelli
Associates (CAI)
Kameron Wells, ND, RN, Primary Care and Integrative Medicine Consultant
The Center of Excellence for Health Systems Improvement (COE for HSI) is a project
of the New York State Department of Health’s Bureau of Tobacco Control that promotes
the routine assessment of tobacco use and the provision of evidence-based tobacco
dependence treatment, including pharmacology. The COE for HSI works with ten
regional contractors throughout New York State to support FQHCs, Look Alikes, mental
health treatment facilities, and other health care settings in their efforts to integrate
evidence-based tobacco dependence screening and treatment into the standard
delivery of care. The program targets health care settings that serve high-using tobacco
populations, such as low-income individuals and those with low education and/or
serious mental illness. This session will provide a roadmap for implementing a systemslevel approach to addressing tobacco use and discuss how the aforementioned health
care entities have collaborated to improve health outcomes and reduce disparities
through changes in their health care delivery systems.
Objectives:
• Establish a rationale for the integration of evidence-based tobacco dependence
treatment into standard delivery of care
• Outline strategies and best practices for integrating tobacco dependence screening
and treatment into clinical workflow
HIT
Conference Center
Evelley
What Could Be Better than Best Practice?
Jeff Barnes, Co-Director, Data Systems, Community Health Care Association of
New York State
Debra Gerson, MD, Medical Director, Open Door Family Medical Centers
As the pace of health care reform quickens, so will the pace at which FQHCs are
expected to implement workflow changes, management procedures, and clinical
models that are considered to be “Best Practice.” This session will explain why Best
Practices may not always be as good as they seem, and why Best Practice implementation can sometimes fail to produce promised results. Presenters will suggest
ways to assess the body of research about Best Practice implementations to provide
concrete feedback about effectiveness and provide information about an evolving
initiative aimed at developing Best Practice implementation techniques specifically
for the FQHC organizational environment.
Objectives:
• Understand issues related to the quality of Best Practice research
• Learn how to implement and test a new practice in a FQHC
TUESDAY MORNING WORKSHOPS CONTINUED
Policy/Finance
Dollar East & West
New York State Medicaid Finance and Rate Setting Update
John Ulberg, Medicaid Chief Financial Officer, Division of Finance and Rate
Setting, New York State Department of Health (NYSDOH)
Michael Ogborn, Director, Bureau of Acute and Managed Care Rate Setting,
NYSDOH
Janet Baggetta, Chief Health Care Fiscal Analyst, Bureau of Acute and Managed
Care Rate Setting, NYSDOH
This session will provide insight into New York State Medicaid reimbursement
regulations and give FQHCs an opportunity for meaningful conversation with the
New York State Department of Health about financial issues affecting health centers.
Topics to be addressed include:
• Uncompensated Care and VAP funding updates
• the rate setting process, including the new rate appeal reconciliation process
• Essential Plan
• the Change of Scope process
• the shift to Value-Based Payment
Diamond Island
Improving the Patient Experience: Promoting a Team-Based Approach to Customer
Service at your Health Center
Liliana Heredia, MPA, Director, Health Center Support Team, Primary Care
Workforce Initiatives, Community Health Care Association of New York State
(CHCANYS)
Gianna Van Winkle, MBA, Program Manager, Health Center Support Team,
Emergency Management, CHCANYS
Jasmin Rampath, MPH, Program Coordinator, Health Center Support Team,
Primary Care Workforce Initiatives, CHCANYS
This session will showcase two modules of a Customer Service training program
designed to enhance and improve the ability of health center staff to communicate
with and engage patients. This program builds upon the concept that patient-centered
care requires that all levels of staff are well-positioned to effectively engage patients
and their family members, as well as communicate with other health center team
members delivering care and services. Participants will learn about available tools and
resources designed to promote individual and team responsibility for communicating
with clients and their families in a professional, culturally-sensitive manner.
Objectives:
• Understand Customer Service in Healthcare as an organization-wide, patientcentered approach that inspires trust and encourages patients to establish a
medical home
• Learn strategies for prioritizing and increasing customer service at your health
center
TUESDAY CONTINUED
12:30 – 1:30 PM
Conference Center
Sagamore Ballroom
KEYNOTE LUNCHEON II: FEDERAL POLICY UPDATE
John Sawyer, Director of Federal Affairs, National Association of Community
Health Centers
1:50 – 3:10 PM
AFTERNOON WORKSHOPS
HIT
Conference Center
Abenia
Addressing Social Determinants of Health: Implementing a Standardized Patient Risk
Assessment Protocol in your Electronic Health Record
Stephanie Rose, Project Director, Health Center Network of New York
Liana Fixell, Assistant Director, Care Coordination Program, Open Door Family
Medical Centers
Andrew Lehto, Director of Community Outreach and Engagement of Special
Populations, Hudson River HealthCare
The current lack of standardized data on non-clinical patient risk factors, commonly
known as social determinants of health (SDH), hinders our ability to fully assess
patient and community needs, develop appropriate interventions, and accurately
reflect patient complexity. Capturing standardized data in the EHR will provide care
teams with valuable information to fully assess and treat patients while providing
organizations with the necessary data to measure patient complexity across their
populations. Depicting patient complexity and its impact on cost of care is a key
step in the development of appropriate payment methodologies to sustain delivery
of enabling services aimed at improving health outcomes.
The Health Center Network of New York (HCNNY), Hudson River HealthCare and
Open Door Family Medical Centers are engaged in a pilot project to implement a
nationally endorsed, standardized tool in their EHR systems to capture patients’ social
determinants of health. The project is supported by the National Association of Community Health Centers (NACHC) and other partner organizations and encompasses
four network/health center teams across the nation. In this session, HCNNY and its
partner health centers will present elements of the standardized tool, lessons learned
from training and implementation to date, and current and planned use of the data at
various levels to support patient care, assess enabling service delivery, and measure
patient complexity. Opportunities to leverage implementation of the standardized
protocol to meet PCMH 2014 requirements will be highlighted.
Objectives:
• Understand SDH and their impact in a Patient-Centered Medical Home
• Learn basic features of the standardized tool for capturing information on SDH
and the potential role of data in delivery of clinical care and enabling services and
payment for these services
TUESDAY AFTERNOON WORKSHOPS CONTINUED
Policy/Finance
Conference Center
Evelley
DSRIP Update
Emmeline Kunst, Director, Healthcare Life Sciences, KPMG
Ryan Hayden, Director, Healthcare Life Sciences, KPMG
Members of KPMG’s Direct Account Support Team, which provides support to the
PPS and Data & Analytics Teams, will provide an update on DSRIP from the PPS level.
Topics to be covered include the status of the internal development of PPS networks
and their reporting to the State; the status of sharing information on funds flow with
the State; an introduction and description of the Medicaid Accelerated eXchange (MAX)
program; a discussion of how data will flow from the State to the PPS leads; and how
accessible that data will be to FQHCs and other community-based organizations
through use of the Medicaid Analytics Performance Portal (MAPP).
Objectives:
• Hear updates about the work happening in PPS networks across the state
• Learn about the Medicaid Accelerated eXchange Series program for clinicians
involved in DSRIP
• Learn about KPMG’s ongoing role in DSRIP
Dollar East & West
The Searchlight Intensifies: Investigations, Self-Disclosures, and Whistleblowers, Oh My!
Jacki Leifer, Senior Partner, Feldesman Tucker Leifer Fidell LLP
Increased program funding for health centers has been met with a comparable investment in federal and state oversight, supporting audits and investigations by the HHS
Office of Inspector General (OIG), Medicaid Fraud Control Units (MFCU), Medicare and
Medicaid Recovery Audit Contractors (RAC), HRSA’s Division of Financial Integrity, and
a host of other agencies and offices—not to mention whistleblowers. In this session,
Jacki Leifer, Senior Partner with Feldesman Tucker Leifer Fidell LLP and NACHC’s
General Counsel, will present major regulatory, policy and enforcement updates impacting
health centers, as well as the “hottest” compliance topics emerging from recent whistleblower claims, self-disclosures, OIG audits, HRSA operational assessments, 340B
audits, and HIPAA enforcement actions. Governance high risks, including executive
compensation, lobbying do’s and don’ts, avoiding preferential treatment and addressing
“rogue” conduct, will be discussed, as will the health center board’s role in preventing,
detecting, and correcting noncompliance.
Objectives:
• Identify the current “hottest” risks for noncompliance
• Take appropriate steps to evaluate a health center’s compliance with such risks
and address gaps or issues which may be found
3:10 PM
Event Center
EXHIBIT HALL CLOSES
POSTER SESSIONS
A new addition to CHCANYS’ Annual Conference & Clinical Forum this year, the poster sessions give presenters
from across the state an opportunity to highlight their programs and share their successful ideas with colleagues by
presenting research projects, practical problem-solving efforts and/or innovative initiatives being pursued by their
organizations. Posters may be viewed in the Event Center and presentations are scheduled for Sunday, 7:00–8:00 PM,
and Monday, 5:30–6:30 PM.
NO. POSTER
PRESENTER
CATEGORY
1
A Primary Care Pandemic Influenza Exercise:
How to Better Prepare the Primary Care Sector for
a Biological Event
NYC Department of Health
and Mental Hygiene
Emergency
Management
2
Finding the Pulse: A Family Medicine Residency
Conducts a Community Health Needs Assessment
The Institute for Family
Health
General / Clinical
3
Sustaining Excellence in Hypertension Management
North Country Family Health
Center
General / Clinical
4
Opening New Avenues for Patient Engagement
VillageCare
HIV / HepC / STD
5
How a Medicaid HIV Special Needs Managed Care
Plan in NYC Achieved Cost Savings and
Successful Clinical Outcomes
Amida Care
HIV / HepC / STD
6
A Short-Term Impact Evaluation of the Primary Care
Emergency Preparedness Network (PCEPN) Model
on New York City’s Primary Care Sector
NYC Department of Health
and Mental Hygiene
Emergency
Management
7
ED Diversion through Co-Location of Care
Management: A Collaboration between a FQHC
and a Community Hospital
The Greater Hudson Valley
Family Health Center
General /Clinical
8
Marijuana: The Real Deal With Teen Brains
Open Door Family Medical
Centers
Behavioral Health
9
Evidence-Based Medicine on a Budget: Tips for
Saving Time and Money on Literature Searching
National Network of
Libraries of Medicine,
Middle Atlantic Region
General / Clinical
10
Diabetes in the Heart of Brownsville
Brownsville Multi-Service
Family Health Center
General / Clinical
11
Continuous Quality Improvement (CQI) Strategies:
Examples of Successful Team-Based Approaches to
Help Retain and Virally Suppress High-Risk Patients
Living with HIV/AIDS
The Institute for Family
Health
HIV / HepC / STD
12
RN Treat to Target
Gouverneur Health
General / Clinical
13
Healthy Patients/Engaged Patients: Are They
Synonymous?
Gouverneur Health
General / Clinical
CONFERENCE SPEAKERS
Listed alphabetically
Foster Gesten
Chief Medical Officer for the Office of Quality and Patient Safety within the New York State
Department of Health, Foster Gesten is responsible for the development of quality measurement
and improvement programs within the state’s Medicaid and health insurance plans. His work
has helped to establish New York State as a leader in health system performance reporting and
quality incentive application, effectively reducing health care quality disparities between low
income and commercial populations. Dr. Gesten helped to establish and currently leads an
ongoing collaborative of clinical providers, hospitals, and payers in a regional, multi-year medical
home demonstration project that incorporates care and payment reform through the exchange
of regional health data and serves as the foundation of New York’s State Innovation Model (SIM) initiative. Dr. Gesten
is also responsible for the development of New York’s Medicaid incentive program for Patient-Centered Medical Homes
(PCMH), which has resulted in New York leading the nation in NCQA PCMH recognized practices. In partnership with
the Centers for Medicare and Medicaid Services, he created and co-led an innovative initiative to dramatically improve
primary care services and PCMH training across over 150 ambulatory training sites for resident physicians. Dr. Gesten
participates on the Committee for Performance Measurement at the National Committee for Quality Assurance, as
well as the Measurement Application Partnership at the National Quality Forum.
Jason Helgerson
Jason Helgerson is New York’s Medicaid Director. He also serves as the Executive Director for
New York’s Medicaid Redesign Team. In this capacity, he leads Governor Cuomo’s effort to
fundamentally reshape the state’s Medicaid program in order to both lower costs and improve
health care quality. Additionally, he is a Clinical Associate Professor at the State University of
New York at Albany, School of Public Health. Prior to arriving in New York, Mr. Helgerson was
Wisconsin’s Medicaid Director. He was also the principle project sponsor for BadgerCare Plus,
former Wisconsin Governor Jim Doyle’s signature health care initiative. Through this program,
98% of Wisconsin residents have access to affordable health care, including all children. Before
joining the Doyle Administration, he served as the Senior Education Policy Advisor for Mayor Ron Gonzales of the City
of San Jose, CA. In this role, he provided advice and counsel to the Mayor on all issues related to children. Mr. Helgerson
has a Bachelor’s degree in Political Science from American University in Washington, DC, and a Master of Public Policy
degree from the University of Chicago.
Suma Nair
Suma Nair is the Director of the Office of Quality Improvement in the Health Resources and
Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC). BPHC administers the
Health Center Program, which supports 1,300 health centers nationwide, including community
health centers, migrant health centers, health care for the homeless centers, and public housing
primary care centers. Prior to joining BPHC, Ms. Nair worked on program evaluation and
performance improvement programs impacting more than 80 different grant programs across
HRSA. Suma earned her Bachelor of Arts degree in Nutrition and a Master of Science degree
in Public Health Nutrition from Case Western Reserve University.
John Sawyer
John Sawyer is the Director of Federal Affairs at the National Association of Community Health
Centers (NACHC). Under John’s leadership, the NACHC Federal Affairs Department leads the
Association’s efforts to preserve, strengthen and expand community health centers through the
federal legislative process. The work of John and his team spans across federal legislative policy,
including budget and appropriations, Medicare, Medicaid and insurance, workforce development,
pharmaceutical and technology policy. Prior to joining NACHC in October of 2005, John served
as Legislative Assistant for Health Policy to Representative (now Senator) Sherrod Brown of
Ohio, the Senior Democrat on the House Energy and Commerce Health Subcommittee. During
his tenure with Representative Brown, John focused on issues related to public health (including community health
center funding), as well as global health, Medicare, and Medicaid policy. John also served as an aide to Representative
Rosa L. DeLauro of Connecticut, a member of the House Appropriations Committee. More recently, during several
years away from the health center movement, John lived in South America and New Zealand and worked in local
government in Pittsburgh, PA. He re-joined NACHC in February of 2014. An Ohio native, John graduated from the
University of Michigan with a degree in Political Science. He lives in Washington, D.C.
Alan Weil
Alan Weil is Editor-in-Chief of Health Affairs, a multidisciplinary peer-reviewed journal dedicated
to the serious exploration of domestic and international health policy and system change and
the nation’s leading journal at the intersection of health, health care, and policy. Previously,
he was the Executive Director of the National Academy for State Health Policy (NASHP), an
independent, non-partisan, non-profit research and policy organization. Prior to his work at
NASHP, he directed the Urban Institute’s Assessing the New Federalism project, one of the
largest privately funded social policy research projects ever undertaken in the United States;
held a cabinet position as Executive Director of the Colorado Department of Health Care Policy
and Financing; and was assistant general counsel in the Massachusetts Department of Medical Security. Mr. Weil is
a frequent speaker on national and state health policy, Medicaid, federalism, and implementation of the Affordable
Care Act. He is the co-editor of two books, publishes regularly in peer-reviewed journals, has testified before Congress
more than half a dozen times, and is called upon by major media outlets for his knowledge and analysis. A member
of the Kaiser Commission on Medicaid and the Uninsured and of the Board of Trustees of the Consumer Health
Foundation in Washington, DC, Mr. Weil earned his Bachelor’s degree from the University of California at Berkeley, a
Master’s degree from Harvard’s Kennedy School of Government, and a J.D. from Harvard Law School.
HEALTH INDUSTRY ACRONYMS
AAAHC:
Accreditation Association for Ambulatory
Health Care
EPSDT:
Early and Periodic Screening, Diagnosis,
and Treatment
AAFP:
American Academy of Family Physicians
EVD:
Ebola Virus Disease
ACA:
Affordable Care Act
FEMA:
Federal Emergency Management Agency
ACO:
Accountable Care Organization
FLSA:
Fair Labor Standards Act
ADA:
Americans with Disabilities Act
FPL:
Federal Poverty Level
AHEC:
Area Health Education Center
FQHC:
Federally Qualified Health Center
AHIP:
America’s Health Insurance Plans
FTCA:
Federal Tort Claims Act
AHRQ:
Agency for Healthcare Research and Quality
GME:
Graduate Medical Education
AMA:
American Medical Association
GPO:
Group Purchasing Organization
APC:
Advanced Primary Care
HCCN:
Health Center Controlled Network
ARRA:
American Reinvestment and Recovery Act
HDC:
Health Disparities Collaborative
ASPR:
Assistant Secretary for Preparedness
and Response
HHS:
U.S Department of Health and Human Services
HIPAA:
Health Insurance Portability and
Accountability Act
BHPR:
Bureau of Health Professions
BPHC:
Bureau of Primary Health Care
HIE:
Health Information Exchange
CDC:
Center for Disease Control and Prevention
HIT:
Health Information Technology
CEEP:
Community Health Center Capital
Enhancement and Equipment Program
HMO:
Health Maintenance Organization
HPSA:
Health Professions Shortage Area
CFR:
Code of Federal Regulations
HRSA:
Health Resources Services Administration
CHC:
Community Health Center
IDS:
Integrated Delivery Service
CHIP:
Children’s Health Insurance Program
IHI:
Institute for Healthcare Improvement
CMS:
Centers for Medicare & Medicaid Services
IPA:
Independent Practice Association
CON:
Certificate of Need
ISDI:
Integrated Service Delivery Initiative
COPC:
Community Oriented Primary Care
LGBT:
Lesbian, Gay, Bisexual and Transgender
CQI:
Continuous Quality Improvement
MA:
Medical Assistant
DCMH:
Division of Community and Migrant Health
MCH:
Maternal and Child Health
DHHS:
Department of Health and Human Services
MCO:
Managed Care Organization
DMD:
Doctor of Dental Medicine
MGMA:
Medical Group Management Association
DO:
Doctor of Osteopathy
MH/SA:
Mental Health/Substance Abuse
DSRIP:
Delivery System Reform Incentive Payment
MHC:
Migrant Health Center
EHR:
Electronic Health Record
MSO:
Management Service Organization
EM:
Emergency Management
MU:
Meaningful Use
EMR:
Electronic Medical Record
MUA:
Medically Underserved Area
MUP:
Medically Underserved Population
PCER:
Primary Care Effectiveness Review
NAP:
New Access Point
PCMH:
Patient-Centered Medical Home
NCQA:
National Committee for Quality Assurance
PCO:
Primary Care Office
NAPH:
National Association of Public Hospitals and
Health Systems
PDPA:
Prescription Drug Purchase Assistance Program
PEERS:
Patient Experience Evaluation Report System
NHSC:
National Health Service Corps
NIH:
National Institutes of Health
PHS:
Public Health Service
NIMH:
National Institute of Mental Health
PPE:
Personal Protective Equipment
NIMS:
National Incident Management System
PPS:
Prospective Payment System
NP:
Nurse Practitioner
PSO:
Provider Sponsored Organization
OIG:
Office of Inspector General
QA:
Quality Assurance
OMB:
Officer of Management and Budget
QI:
Quality Improvement
OPA:
Office of Pharmacy Affairs
RHC:
Rural Health Clinic
PA:
Physician Assistant
RHIO:
Regional Health Information Organization
PACE:
Program of All-Inclusive Care for the Elderly
SHIP:
State Health Insurance Assistance Program
PBRN:
Practice-Based Research Network
SIM:
State Innovation Model
PCA:
Primary Care Association
UDS:
Uniform Data System
PCEPN:
Primary Care Emergency Preparedness Network
VBP:
Value-Based Payment
PCCH:
Patient-Centered Health Home
WIC:
Women, Infants and Children Program
PHARMD: Doctor of Pharmacy
HEALTH INDUSTRY TERMS
The terms Health Center Program Grantee, FQHC, FQHC Look-Alike (FQHC LA), Health Center and Community
Health Center have different meanings in relation to the Health Center Program.
•
Health Center Program Grantee(s) are organizations that receive grants under the Health Center Program as
authorized under section 330 of the Public Health Service Act, as amended.
•
FQHC is defined in Medicare and Medicaid statutes and is used by CMS to indicate an organization approved to
be reimbursed under Medicare and Medicaid using specific methodologies.
•
FQHC LAs are health centers that have been certified by CMS, based on recommendations provided by
HRSA/BPHC, as meeting all Health Center Program requirements. FQHC LAs do not receive funding under the
Health Center Program.
•
Health Center is a general term that does not specifically indicate whether an entity is a Health Center Program
grantee, FQHC or FQHC LA.
•
Community Health Center is not defined in the section 330 statute. It is commonly used to refer to Health Center
Program grantees who receive funding to target a general underserved community or population and may also
include FQHC LAs.
ANNUAL AWARDS CEREMONY
Monday | October 19 | 7:00 PM | Sagamore Ballroom
The Jeffrey T. Latman Award
Bobby Watts, MS, MPH
Executive Director
Care for the Homeless
Bobby Watts is the Executive Director of Care for the Homeless, a FQHC that exclusively targets
homeless people, annually serving 8-10,000 homeless men, women and children in shelters,
soup kitchens, and alongside street outreach teams in NYC. He began his career as a live-in
counselor at a men’s rescue mission and has been working at Care for the Homeless for more
than twenty years—the last ten years as the Executive Director. During his tenure, Care for the Homeless has tripled
its staff and budget and has added major new programs, including a shelter for homeless women with mental illness
and medical frailty. Bobby is recognized as a national expert in providing care to homeless people and as an effective
advocate for making systems responsive to their needs. He is the former Board President of the National Health
Care for the Homeless Council, and he currently serves as a member of the NYS Department of Health’s (NYSDOH)
Medicaid Redesign Team Affordable Housing workgroup and NYSDOH’s Value-Based Payment Social Determinants
and CBO workgroups. He holds a BA degree in Biology and Society from Cornell University and has an MPH in
Health Administration and MS in Epidemiology, both from Columbia University’s School of Public Health.
The Jeffrey T. Latman Award is dedicated to the memory of Mr. Latman, who was part of the National Association
of Community Health Centers’ nationwide efforts to provide technical assistance to health centers. Mr. Latman
played an integral role in implementing cost-based reimbursement to strengthen the fiscal operations of health
centers.
The Rosemarie Forstner Award
David Sandman, PhD
Senior Vice President
New York State Health Foundation
As Senior Vice President of the New York State Health Foundation (NYS Health), David Sandman
is a key advisor to the President and CEO and has a central role in developing NYSHealth’s
program areas, identifying emerging opportunities and strategic niches, building partnerships
with other foundations, ensuring quality and accountability, and evaluating the performance of
programs and grantees. Dr. Sandman was previously Managing Director of Manatt Health Solutions, where he advised
health care providers, foundations, payers, associations, government, and companies about the development of new
health care programs, services, and restructuring plans. Before joining Manatt, Dr. Sandman was appointed by the
Governor of New York as Executive Director of the Commission on Health Care Facilities in the 21st Century, a nonpartisan panel charged with evaluating and reforming the State’s health care delivery and financing systems. Previously,
Dr. Sandman was Vice President at Harris Interactive, a global research and consulting firm and Assistant Vice President
at the Commonwealth Fund. He currently serves on the board of directors of the Callen-Lorde Community Health
Center, on the regional advisory committee of the New York Health Benefit Exchange, and on the public policy committee
of Philanthropy New York. Dr. Sandman received his BA degree, Phi Beta Kappa, from Haverford College and his MPA
and PhD from New York University’s Wagner School of Public Service.
The Rosemarie Forstner Award is presented in memory of a project officer of the Public Health Service who was a
humanitarian for poor and medically underserved patients.
The Dr. Jack Geiger Award
Eric Gayle, MD
New York City Regional Medical Director
Institute for Family Health
Eric Gayle, MD is a Vice President for Medical Services and the New York City Regional Medical
Director for the Institute for Family Health, one of the largest FQHC networks in New York State.
Dr. Gayle was instrumental in the Institute’s recent opening of two new family health centers in
the Bronx and Manhattan, as well as a new residency program in Harlem. Within the Institute’s
network, he is an influential champion of team-based care, integrated behavioral health care, and value-based payment
models. Dr. Gayle originally joined the Institute as a resident in its Mount Sinai Beth Israel Residency in Urban Family
Practice, where he was Chief Resident. He then joined an Institute family practice in the Bronx, where he was later
appointed Medical Director. In 2006, he became Regional Medical Director for the Bronx. Originally from Jamaica, Dr.
Gayle attended the Sophie Davis School of Biomedical Education and completed his medical degree at Mount Sinai.
He frequently donates his time to mentor students interested in careers in medicine in underserved communities.
The Dr. Jack Geiger Award is presented to a licensed provider in New York State for outstanding clinical service.
This award was established in honor of Dr. Geiger, who has devoted most of his career to the problems of health,
poverty and human rights. He initiated the community health center movement in the United States by founding
and directing the nation’s first two community health centers in the Mississippi Delta and in Columbia Point,
Boston. This award distinguishes a provider from his/her peers for demonstrating the same commitment to the
health and well-being of patients in the communities they serve.
The Dr. Philip W. Brickner Advocacy Award
Robert M. Hayes, JD
President & Chief Executive Officer
Community Healthcare Network
Named President and CEO of Community Healthcare Network in December 2014, Robert M.
Hayes has deep experience in leading mission-driven organizations locally and nationally, both
advocating for and delivering direct services to people in need. Mr. Hayes founded and led
the National and New York Coalitions for the Homeless, winning the nation’s first right to
shelter court ruling and battling to remedy many of the upstream causes of homelessness, including the shortage of
supportive housing for people with mental illness, substance abuse, HIV/AIDS and families in need of protective and
preventive services. He has served as the president of the Medicare Rights Center, a non-profit organization supporting
consumer interests in national and state debates over issues of healthcare and aging. Most recently, he oversaw
consumer protection for more than two million Americans with Medicare as the Senior Vice President for Health Quality
at Universal American Corp. Mr. Hayes has practiced law with firms in New York and Maine, including Sullivan &
Cromwell and O’Melveny & Myers, is a MacArthur Foundation fellow, and has been awarded honorary degrees by
11 colleges and universities. A staunch advocate for healthcare, behavioral health care, housing, food and income
support, he has an unwavering commitment to social justices and issues of equity. Mr. Hayes is a graduate of
Georgetown University and the New York University School of Law.
The Dr. Philip W. Brickner Advocacy Award was established in honor of Dr. Brickner, a staunch advocate and
champion for the medical needs of those who are homeless and vulnerable. Dr. Brickner’s work to address the
medical needs of the homeless became the basis for the McKinney-Vento Homeless Act of 1987, an initiative that
mandated comprehensive services in shelters and food lines. That law, since amended and now part of other
initiatives, finances programs in over 200 cities today.
The NACHC Grassroots Advocacy Hall of Fame Award
Anne Kauffman Nolon, MPH
President & Chief Executive Officer
Hudson River HealthCare
Anne Kauffman Nolon, MPH, has provided vision and leadership to HRHCare as President and
CEO for nearly 40 years. She is responsible for guiding the growth and development of one of
the largest community health center systems in New York State from a single primary care site
in Peekskill to a network of twenty-five directly-operated FCHCs in the Hudson Valley and
Long Island; an additional eight health centers through sub-recipient agreements; and a regional migrant voucher
program serving a ten-county agricultural region in southeastern New York State. With the guidance of the Board of
Directors, she has implemented broad goals that have culminated in a staff of over 1,000 serving 135,000 patients
throughout the network. Mrs. Nolon was named a Geiger Gibson Distinguished Visitor in Community Health Policy at
the George Washington School of Public Health and Health Services, where she focused on health care policy for
improving access to care for migrant and seasonal farmworkers, and was also appointed by the Secretary of Health
and Human Services to the National Advisory Council on Migrant Health for four years. She has been a member of
CHCANYS’ Board of Directors since the organization’s inception and now serves as Chair of the Fundraising Committee.
Mrs. Nolon received her Master’s Degree in Public Health from Columbia University and her Bachelor of Science in
Health Policy and Planning from the Pennsylvania State University.
The NACHC Grassroots Hall of Fame Members have all made lasting contributions to insuring the creation,
survival and strength of health centers and the health center movement through their dedicated and tireless
advocacy efforts over many years.
The Paul Ramos Memorial Award
Mary Zelazny, MBA
Chief Executive Officer
Finger Lakes Community Health
Finger Lakes Telehealth Network
Mary Zelazny began her career at Finger Lakes Community Health (FLCH) as a Community
Health Worker serving migrant and seasonal farmworkers. After several years of working in
program development, finance and administration at a growing FQHC program, Mary was
appointed CEO of Finger Lakes Community Health in 2006. As CEO of an organization with PCMH Level III recognition,
Mary has led a major expansion effort to provide access to healthcare services throughout the Finger Lakes region,
including the development of enhanced programs and services that incorporate a high level of cultural competency,
as well as the integration of care coordination and technology into primary care that has created new collaborative
relationships. To provide the community with more access to care, FLCH has focused on the integration of health
information technology and has created the Finger Lakes Telehealth Network, which connects primary and specialty
care providers, hospitals and social service agencies. FLCH has also opened 7 additional health center sites and has
expanded its Migrant Voucher Program into 42 counties of New York State. This effort has resulted in expanded
access for patients by addressing the many barriers to care that are inherent in rural communities of New York State.
Mary holds an MBA in Health Information from New England College.
The Paul Ramos Memorial Award was established in 2002. Mr. Ramos dedicated his life’s work to health care and
social improvement, and was the founder of the Betances Health Center, a leader in community-based primary
care on the Lower East Side of Manhattan.
The Dorothy Kartashevich Consumer Award
E. Ronald Guy, MA
Chairperson, Board of Directors
William F. Ryan Community Health Center
Since 1998, E. Ronald Guy has been on the Board of Directors of the William F. Ryan Community
Health Center, where he has served as Chairperson since 2011. Mr. Guy is currently the Director
for Outreach and Community Services at Harlem Single Stop–Goddard Riverside, one of New
York City’s leading human service organizations. A well-known advocate and longtime resident
of northern Manhattan, Mr. Guy has guided the Ryan Network to realizing increased access for special populations,
including individuals and families experiencing homelessness. He has held senior leadership positions at the Greater
Harlem Housing Development Corporation, HELP USA, the West Harlem Group Assistance, Inc., and the Washington
Heights-West Harlem-Inwood Mental Health Council, and he is currently affiliated with several other local, regional,
and national organizations, including local faith-based organizations, the Greater Harlem Chamber of Commerce, the
New York Urban Coalition, Children’s Aid Society, and the National Council on Crime and Delinquency. He frequently
represents the Ryan Center at community events and, as a community health center board member, he is actively
involved in national advocacy efforts though NACHC. Mr. Guy holds a Master’s Degree in Urban Planning from The
New School for Social Research.
The Dorothy Kartashevich Consumer Award was established as a tribute to a Sunset Park Health Center Network
board member who was distinguished by her unwavering commitment to the health center movement.
The Catherine M. Abate Memorial Award
Colleen Runner, AAS
Community Outreach Director
Finger Lakes Community Health
Colleen Runner has 24 years of experience in Community Outreach. As a part-time Prenatal
Outreach Worker in Rushville, NY, she helped women and underserved populations apply for
insurance and access transportation to their health center. Ms. Runner provided education to
women on how to stay healthy while pregnant and developed labor, delivery, and breastfeeding
classes at the local hospital. Later, she became a Senior Community Health Worker, beginning her career as a supervisor and trainer for new staff. Ms. Runner was integral to the start of a domestic violence program, and is co-founder
of a camp in Yates County for children with behavioral challenges. In 2006, she started a Community Outreach
Department at Finger Lakes Community Health that has grown into a team of 12 that includes Community Health
Workers, Patient Navigators, and Health Educators. She holds a Associate in Applied Science degree from Alfred
State College.
The Catherine M. Abate Memorial Award award was established in honor of Catherine Abate, a visionary leader
with a lifelong commitment to protecting the rights and dignity of the underserved, particularly the reproductive
rights of women. Ms. Abate was President and CEO of Community Healthcare Network (CHN) from 1999 until her
passing in May 2014. During her tenure, CHN expanded its offerings from family planning and women’s health
services to a full range of primary care programs for people of all ages, including holistic care and services for
teens, LGBT individuals, and people with multiple chronic illnesses.
Notes
Notes
Notes
EXHIBITORS
We invite you to visit our Exhibitors in the Event Center to learn how their products and services can meet your business
needs. The more raffle tickets you collect from each vendor, the greater your chances are to win a $500 American
Express Gift Certificate during the Awards Dinner on Monday night. Some vendors are offering their own prizes as well.
AbbVie
www.abbvie.com
Clearview 360
www.clearview360.org
AbbVie Population Health
www.abbvie.com
Clinical Genomics
www.clinicalgenomics.com
Affinity Health Plan
CohnReznick
www.CohnReznick.com
Amida Care
www.amidacareny.org
CommonWealth Purchasing Group (CPG)*
www.cwpurchasing.com
Assurgent Medical Staffing
www.assurgentmedical.com
Community Health Center Insurance Broker*
(aka Dowling & O’Neil)
www.chcinsurance.com
Avazzia
www.avazzia.com
Azara Healthcare
www.azarahealthcare.com
brightstack
www.brightstack.com
Candelis
www.candelis.com
Capital Link
www.caplink.org
Cardinal Health
www.cardinalhealth.com
Centene Corporation
www.centene.com
ChemRX
www.chemrx.net
ClaimRemedi
www.claimremedi.com
Community Health Ventures
www.communityhealthventures.com
Custom Computer Specialists
www.customtech.com
Direct Relief
www.directrelief.org
eClinical Works
www.eClinicalWorks
The Execu I Search Group
www.execu-search.com
GlaxoSmithKline Vaccines
www.gsk.com
Greenway Health/Success EHS
www.greenwayhealth.com
Healthfirst
www.healthfirst.org
EXHIBITORS
continued
Healthix
www.healthix
Polycom
www.polycom.com
Health Management Associates (HMA)
www.healthmanagement.com
www.pcdc.org
Henry Schein*
www.henryschein.com
Priority Management Group (PMG)
www.gopmg.com
Hudson Headwaters Health Network (340 B)
www.340bsolutions.org
QIAGEN
www.QuantiFERON.com
Innovative Cost Solutions*
www.innovativecostsolutions.com
Quest Diagnostics
www.questdiagnostics.com
KaVo Kerr Group
www.KavoKerrgroup.com
RCHN Community Health Foundation – CHroniCles
www.labcorp.com
RubiconMD
www.rubiconmd.com
McKesson*
www.mckesson.com
Sanofi Pasteur
www.sanofipasteur.com
MEDENT
www.medent.com
Seamless Medical Systems
www.seamlessmedical.com
MedImmune
www.medimmune.com
Sense Health
www.sensehealth.com
Merck & Co.
www.merck.com
Sobel Affiliates, a Brown and Brown Company
www.sobelins.com
Merritt Hawkins
www.meritthawkins.com
Sunrise Medical Laboratories
www.sunriselab.com
Mt. Sinai Institute for Advanced Medicine/
CEI – Clinical Education Initiative
www.ceitraining.org
Thermo Fisher Scientific
www.ThermoFisher.com
National Network of Libraries of Medicine
www.nnlm.gov
Office Depot*
www.business.officedepot.com
Optum
www.optum.com
PointCare
www.pointcare.com
United Health Care Community Plan
Wellcentive
www.wellcentive.com
Winston Resources
www.winstonresources.com
Zurick Davis*
www.zurickdavis.com
SPONSORS
CONTENTS
Welcome
1
General Information
2
Conference Schedule Summary
3
We invite you to visit our Sponsors in the Event Center to learn how their products and services can meet
your business needs. The more raffle tickets you collect from each vendor, the greater your chances are to
win a $500 American Express Gift Certificate during the Awards Dinner on Monday night. Some vendors are
offering their own prizes as well.
GOLD SPONSORS
Maps & Floor Plans
4
Workshops At-A-Glance
5
Conference Schedule
6
Sunday
6
Monday
15
Tuesday
25
Poster Sessions
31
Conference Speakers
32
Health Industry Acronyms & Terms
Annual Awards Ceremony
34
36
Exhibitors
43
Sponsors
Inside Back Cover
WEB SPONSORS
FINANCE SCHOLARSHIPS
LUNCH SPONSORS
CohnReznick
www.cohnreznick.com
Healthfirst
www.healthfirst.org
United Healthcare Community Plan
EXHIBIT SPONSORS
CHCANYS
Community Health
Care Association of
New York State
New York City Office
111 Broadway
Suite 1402
New York, NY 10006
T 212-279-9686
F 212-279-3851
Albany Office
90 State Street
Suite 600
Albany, NY 12207
T 518-434-0767
F 518-434-1114
www.chcanys.org
Avazzia
www.avazzia.com
Henry Schein*
www.henryschein.com
KEYCARD SPONSOR
Computer Sciences Corporation (CSC)
www.csc.com
BREAKFAST SPONSORS
Brown & Weinraub, PLLC
www.brownweinraub.com
www.pcdc.org
Low Income Investment Fund
www.liifund.org
RCHN Community Health Foundation
SCHOLARHIPS
www.labcorp.com
FROM
VISION
TO
VALUE
COMMUNITY
HEALTH CENTER
GRASSROOTS
ADVOCACY DAY
MARCH 7
2016
CHCANYS 2015
STATEWIDE
CONFERENCE
& CLINICAL FORUM
OCTOBER 18-20, 2015
TOGETHER
we stand strong
It is critical
that our elected officials understand the
fundamental role played by community
health centers in providing high-quality
health care to New York’s most vulnerable
residents.
THE SAGAMORE RESORT
BOLTON LANDING, NEW YORK

FROM VISION TO VALUE

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