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PCMH Congress 2017 has ended
A PCMH-FOCUSED AGENDA
Welcome to the 2017 Patient-Centered Medical Home Congress.  
This is a can’t-miss conference for those who want to be part of an expanded educational program focused on the journey of transformation and recognition success.  Attend specialized tracks and network with high-level executives throughout the care delivery system.   

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Friday, November 3
 

7:00am EDT

Registration and Complimentary Breakfast
Friday November 3, 2017 7:00am - 8:00am EDT
TBA

8:00am EDT

Welcome and Opening Remarks
Moderators
avatar for Michael S. Barr, MD, MBA, MACP

Michael S. Barr, MD, MBA, MACP

Executive Vice President, Quality Measurement & Research Group, National Committee for Quality Assurance
Michael S. Barr is a board-certified internist and Executive Vice President for the Quality Measurement & Research Group at NCQA. His portfolio at NCQA includes performance measurement development and testing, contract/grant management, research, and collaboration across NCQA on strategic... Read More →

Speakers
avatar for Margaret E. O’Kane, MHS

Margaret E. O’Kane, MHS

President, National Committee for Quality Assurance


Friday November 3, 2017 8:00am - 8:15am EDT
TBA

8:15am EDT

OPENING SESSION: The Redesigned PCMH Recognition Program:  Lessons Learned
This spring, NCQA launched an ambitious redesign of the PCMH Recognition program. Join Dr. Barr as he presents the re-engineered model that strengthens NCQA’s commitment to patient-centered care principles while streamlining the process and eliminating administrative inconveniences. Panelists include representatives from practices that enrolled in the new program who will share their experiences and perspectives, as well as NCQA staff who support practices pursuing and sustaining PCMH recognition. (UAN 0850-9999-17-002-L04-P)

Learning Objectives
• Discuss the re-engineered model that strengthens NCQA’s commitment to patient-centered care principles
• Describe the practices’ experience enrolled in the new program
• Outline feedback from NCQA staff who support practices pursuing and succeeding in PCMH recognition 


Moderators
avatar for Michael S. Barr, MD, MBA, MACP

Michael S. Barr, MD, MBA, MACP

Executive Vice President, Quality Measurement & Research Group, National Committee for Quality Assurance
Michael S. Barr is a board-certified internist and Executive Vice President for the Quality Measurement & Research Group at NCQA. His portfolio at NCQA includes performance measurement development and testing, contract/grant management, research, and collaboration across NCQA on strategic... Read More →

Speakers
CB

Christina Borden, PCMH CCE

Assistant Director, Recognition Policy Programs and Resources, National Committee for Quality Assurance


Friday November 3, 2017 8:15am - 9:15am EDT
TBA

9:25am EDT

WORKSHOPS: Select 1 of 3 Topics
Friday November 3, 2017 9:25am - 10:25am EDT
TBA

9:25am EDT

Measuring Primary Care Mental Health Implementation: Procedures, Processes, and Metrics
The goal of this session is to provide outcome and process metrics to support new NCQA Behavioral Health Distinction within the PCMH program. While the components of Integration, Assessment and Care, and Quality Measurement are specified, methods and metrics to measure these dimensions need identification and refinement. This presentation will discuss both a validated measure of level of behavioral health integration used in over 800 primary care practices, and present the results of an expert panel that identified both outcome and process metrics for behavioral health integration, and a methodology for collecting necessary data. (UAN 0850-9999-17-005-L04-P)

 Learning Objectives
  • Learners will identify the need, content and method of collecting a measure of degree of primary care integration.
  • Learners will review the development and content of integration  outcomes and process metrics developed by an national expert panel.
  • Learners will develop a working use of the methodology for collecting the data and constructing the metrics necessary to be used to support NCQA Behavioral Health Distinction.

Speakers
avatar for Rodger Kessler, PhD, ABPP

Rodger Kessler, PhD, ABPP

Chair, Research and Evaluation, Doctor of Behavioral Health Program, College of Health Care Solutions, Arizona State University
Rodger Kessler is a Health Psychologist practicing in Family Medicine for 25 years. He is Chair for Research and Evaluation in the Doctor of Behavioral Health Program, and Research Professor in Biomedical Informatics and the School for the Science of Health Care Delivery at Arizona... Read More →


Friday November 3, 2017 9:25am - 10:25am EDT
TBA

9:25am EDT

Health Equity and Equitable Care Begins at the PCMH
Health Equity is a fundamental component of quality. An organization can achieve the best outcomes by providing equitable care to every patient receiving the right care at the right time, and in the right way, according to unique needs including racial, ethnic or linguistic background. This presentation will highlight strategies on cultural tailoring to improve culturally responsive, patient-centered care in the medical home. (UAN 0850-0000-17-003-L03-P)

 Learning Objectives
  • Describe the key components of an effective population management program including team-based care to address health equity.
  • Identify opportunities within the patient centered medical home to provide equitable care.
  • Implement culturally tailored interventions to promote coordinated, patient-centered care for racial and ethnic populations.

Speakers
RB

Rowena Bartolome, RN, BSN, PHN MHA

Director, Clinical Quality and Quality Management, Inland Empire Health Plan, Inland Empire Health Plan
Rowena is a National Quality Leader at Kaiser Permanente (KP) Department of Hospitals, Quality and Care Delivery Excellence based in Oakland, CA. Her current responsibilities include the strategic planning and implementation of Healthcare Equity and Health Disparities Programs. Prior... Read More →
AP

Anita P. Joshua, MPH

Senior Consultant, Regional Complete Care Support Programs, Southern California Permanente Medical Group


Friday November 3, 2017 9:25am - 10:25am EDT
TBA

9:25am EDT

Providing Care at The Right Place, at The Right Time: Serving Vulnerable Populations through a Better Understanding of their Healthcare Information Needs
The goal of this presentation is to provide insight and guidance to practices on how to engage vulnerable patients through the provision of health information that is accessible, understandable, and actionable to these patient populations. Participants will learn about the latest research findings on the barriers experienced by vulnerable patient populations as they attempt to engage with the health care system and actively participate in their care. Examples presented will feature the work of safety-net primary care practices including how they approached these efforts with limited resources, as well as the challenges and successes experienced through their transformation. (UAN 0850-9999-17-004-L04-P)

 Learning Objectives
  • Determine the challenges when vulnerable populations face accessing and interpreting health information and how this may impact these patients' ability to access needed care and manage their health.
  • Identify practical, practice-level improvements to increase patient access to health information that is understandable and actionable particularly for vulnerable populations
  • Explain how efforts to increase patient access to understandable and actionable health information can result in patients that are more engaged in their care.

Speakers
MK

Meshie Knight, MA

Program Associate, Robert Wood Johnson Foundation
PG

Parie Garg, PhD

Partner, Health & Life Sciences, Oliver Wyman


Friday November 3, 2017 9:25am - 10:25am EDT
TBA

10:35am EDT

WORKSHOPS: Select 1 of 3 Topics
Friday November 3, 2017 10:35am - 11:35am EDT
TBA

10:35am EDT

Lessons Learned from Primary Care Payment Reform and Practice Transformation: Informing Alternative Payment and Care Delivery Models
Public and private payers are moving away from fee-for-service (FFS) payments to alternative payment and care delivery models that promote the triple aim. Although the evidence base for successful alternative payment models (APMs) is still emerging, Massachusetts' Primary Care Payment Reform initiative was foundational and provided many lessons in the design and implementation of newer APMs. (UAN 0850-9999-17-007-L04-P)

Learning Objectives

  • Identify methods to strengthen primary care and to advance behavioral health integration in the primary care setting
  • Apply lessons learned from PCPR in the transition from FFS to alternative payment models that increase providers' accountability for care and quality
  • Determine optimal resources to deploy to support clinical transformation
 

Speakers
JC

Jean Carlevale, RN, BSN

Program Lead, MassHealth/Payment and Care Innovation, UMass Medical School/Commonwealth Medicine
CL

Carolyn Langer, MD, JD, MPH

Chief Medical Officer, MassHealth, Director, Office of Clinical Affairs, Associate Professor, UMass Medical School/Commonwealth Medicine


Friday November 3, 2017 10:35am - 11:35am EDT
TBA

10:35am EDT

Leveraging PCMH to Achieve Value-Based Payment Success as a Small Practice Provider
After the initial release of the highly anticipated MACRA legislation, CMS estimated that 87% of small practice providers would be penalized. Although these projections improved after the final rule was released, the odds are still stacked against small practice providers who have limited resources. PCMH transformation and sustainability are key to succeed in this new landscape. In this presentation, we will discuss how the PCMH process can sufficiently help small practices meet QPP requirements for all the MIPS categories. (UAN 0850-9999-17-008-L04-P)

 Learning Objectives
  • Leverage MIPS as a framework for PCMH practice facilitation.
  • Utilize PCMH process to ease providers into VBP.
  • Develop strategies to align PCMH with other VBP initiatives.


Speakers
MG

Matt Gannon, PCMH CCE

Practice Transformation Manager, NYC Department of Health & Mental Hygiene
avatar for Jameson King

Jameson King

Practice Transformation Specialist, NYC Department of Health and Mental Hygiene
Jameson King is a Practice Transformation Specialist at the Primary Care Information Project (PCIP), a bureau of New York City Department of Health and Mental Hygiene. He provides technical assistance to primary care practices in patient-centered medical home transformation and clinical... Read More →


Friday November 3, 2017 10:35am - 11:35am EDT
TBA

10:35am EDT

Pre-Visit Planning: Connecting, Collaborating, and Creating Opportunities for Quality Improvement and a Stronger Medical Neighborhood
The demands on healthcare professionals to provide quality healthcare is increasing as we move into an era of quality-driven models of care. The resources needed to meet these demands are often high and the specifics on how to meet these demands are broad and general and often not specific to any one discipline. This can leave healthcare professionals trying to meet the demands set forth for them with limited resources and inadequate education. Pre-visit planning is a process that is flexible and conducive to many environments and can be tailored to fit the needs of any healthcare discipline. This session will present effective ways to use pre-visit planning for patient encounters in order to achieve improvement in quality measures, Annual Wellness Visits, patient engagement, and overall PCMH sustainability. (UAN 0850-9999-17-006-L05-P)

 Learning Objectives
  • Recognize the benefits of pre-visit planning in various office settings and how quality and patient engagement will improve when utilized consistently and effectively.
  • Identify the areas in the practice setting where the use of pre-visit planning will increase efficiency and create an environment that maintains and sustains PCMH growth.
  • Create innovative ways to apply the use of pre-visit planning as a way to strengthen relationships with the medical neighborhood.

Speakers
avatar for Christy Houghton, LMFT

Christy Houghton, LMFT

Director of Quality, Premier Family Medical
Christy received her undergraduate degree in behavioral science with and emphasis in psychology in 2011 from Utah Valley University.  She went on to complete her graduate degree in marriage and family therapy in 2013 from Argosy University.  Christy has worked in  healthcare for... Read More →
avatar for Sherry Keller, NCMA

Sherry Keller, NCMA

Assistant Director of Quality, Premier Family Medical
 Sherry Keller has been in the medical field for over 15 years. She has held positions as Medical Assistant, Reception Supervisor and is currently working as Assistant Director of Quality. Sherry joined Premier Family Medicine in 2010 as a Medical Assistant in their Lindon office... Read More →
avatar for Katie Poecker

Katie Poecker

Director of Quality, Premier Family Medical
Katie received a Bachelor's of Science degree in healthcare administration with minors in business management and community health education from Utah Valley University in 2014. Katie has worked in healthcare for the past nine years. Currently, she works as the Director of Training... Read More →


Friday November 3, 2017 10:35am - 11:35am EDT
TBA

11:45am EDT

Population Health: Impact on the Medical Home Neighborhood 
The Merit Based Incentive Payment System (MIPS) mandates four performance components that could alter how practices implement PCMHs and other practice improvement initiatives. The success of these practices will impact population health and determine the structure of the healthcare system. This presentation will review MACRA and the ACA and focus on the impact they have on under-resourced practices and hospitals, and underserved communities. (UAN 0850-9999-17-032-L04-P)

Learning Objectives
  • Describe current policy as it relates to state and federal EHR incentive programs
  • Review the impact of health reform and equity on population health
  • Outline solutions to improve access to care in under-resourced communities 

Speakers
avatar for Dominic H. Mack, MD, MBA

Dominic H. Mack, MD, MBA

Professor, Director National Center for Primary Care, Morehouse School of Medicine, Executive Medical Director, Georgia Health Information Technology Extension Center, Georgia Health Connect


Friday November 3, 2017 11:45am - 12:45pm EDT
TBA

12:45pm EDT

Lunch in the Exhibit Hall
Friday November 3, 2017 12:45pm - 2:05pm EDT
TBA

12:45pm EDT

Lunch Industry-Supported Symposium: Aligning Diabetes Practice to High-Quality, Value-Based Care

Supported by an educational grant from Merck & Co., Inc. 

Complimentary Lunch for all Attendees 


Friday November 3, 2017 12:45pm - 2:05pm EDT
TBA

12:45pm EDT

Lunch Industry-Supported Symposium: Therapeutic Advances for the Patient-Centered Management of Hypercholesterolemia
Supported by an educational grant from Amgen

Complimentary Lunch for all Attendees 

Friday November 3, 2017 12:45pm - 2:05pm EDT
TBA

2:15pm EDT

WORKSHOPS: Select 1 of 3 Topics
Friday November 3, 2017 2:15pm - 3:15pm EDT
TBA

2:15pm EDT

Beyond PCMH: How to Sustain the PCMH Model of Care and Plan for the Future
As NCQA has recognized, 3 years is a long time to not check in with a practice on how they are doing and hope that the workflows created are still in place during a practice's renewal. This session is designed to educate participants on the reasons to invest in a PCMH sustainability model. Learn from a group how to manage the NCQA redesign process that has a proven method to support their physicians with continued PCMH success. (UAN 0850-9999-17-011-L04-P)

Learning Objectives
  • Understand our networks current model to ensure the PCMH model of care continues post implementation and how we measured that success
  • Describe the criteria and resources needed to tackle the more difficult components of how to sustain PCMH at a small practice (1-2 providers, 1-2 staff members)
  • Identify how to utilize 2017 PCMH re-design and our current model to continue the goal of PCMH sustainability

Speakers
CP

Candace Perry, PCMH CCE

Senior Manager, Medical Home and Practice Quality, New England Quality Care Alliance


Friday November 3, 2017 2:15pm - 3:15pm EDT
TBA

2:15pm EDT

Patient-Centered Community Care Model: Does The Investment Pay Off?
Limited access to primary care services has reached a critical point in care delivery that threatens to undermine efforts for population health. Primary care providers report burnout at record numbers. As such, a health system aunched a Community Care Consortium to assist both employed and affiliated primary care practices in developing innovative, comprehensive, and coordinated solutions for patient-centered, team-based care delivery. This partnership includes patients, providers, staff, administrative, and community leaders and is piloting various care transformation initiatives, including an expanded care team model with care guides and health advisors. The results of these pilots will be shared, as well as ROI forecasted and achieved. (UAN 0850-9999-17-012-L04-P)

Learning Objectives

  • Clarify the importance and key components of primary care redesign across the full provider continuum and community, including opportunities, challenges, and repercussions of postponing such changes.
  • Brainstorm and develop implementable solutions and potential ROIs relative to primary care redesign, including care management and care coordination of patient populations.
  • Share achieved ROIs resulting from primary care redesign, including care team expansion and accountable fee for service efforts.
 

Speakers
avatar for Emma Gray, MBA, MHA, PCMH CCE

Emma Gray, MBA, MHA, PCMH CCE

Senior Vice President, Population Health, IKS Health
Ms. Mandell is a Manager with ECG Management Consultants, a firm that has conducted thousands of advisory projects for health systems, hospitals, academic medical centers and medical groups since 1973. Ms. Mandell’s extensive experience in strategic planning, operations and... Read More →


Friday November 3, 2017 2:15pm - 3:15pm EDT
TBA

2:15pm EDT

Achieving and Sustaining PCMH in an FQHC
The PCMH and the health center model share the same vision of high-quality, cost-effective care that is tailored to their patient population's needs and focused on improving health outcomes, yet FQHCs often do not feel confident they can achieve such formal distinction. However, because these models share common goals and UDS echoes multiple factors within PCMH measures, health centers often have an advantage over other organizations in pursuit of PCMH recognition. This session will share our knowledge and processes to demonstrate to other health center practices that the transformation they are hesitant to pursue is within their reach, as these principles have been embedded in their model of care for over 50 years. (UAN 0850-9999-17-010-L04-P)

 Learning Objectives
  • Identify common measures shared by UDS and PCMH
  • Use the PCMH Quality Improvement and Population Management factors to improve UDS clinical performance measures
  • Align factors from PCMH, UDS and MCO incentive programs

Speakers
DL

Damaris Lopez-Diaz, PCMH CCE

Director of Practice Recognition and Development, Cornerstone Family Healthcare
AS

Avi Silber, MD, FAAP

Chief Medical Officer, Cornerstone Family Healthcare


Friday November 3, 2017 2:15pm - 3:15pm EDT
TBA

3:25pm EDT

WORKSHOPS: Select 1 of 3 Topics
Friday November 3, 2017 3:25pm - 4:25pm EDT
TBA

3:25pm EDT

A Case Study Examining Alignment of a Provider and Payer Partnership to Achieve the Quadruple Aim
During this session, a large urban-based health system and a large statewide payer will present in tandem joint activities that support patient-centered care, patient experience, team-based approaches and reduction in costs. Steps to collaboration will be discussed and presented, enabling audience members to adapt and use in their clinical setting. (UAN 0850-9999-17-015-L04-P)

Learning Objectives
  • Describe reports utilized to measure quality and utilization in the primary care setting
  • List steps taken by the organizations to foster collaboration and enhance likeliness of success
  • Identify strategies undertaken to stratify patient health risk from the provider and payer perspectives.

Speakers
avatar for Nancy Yates Street, MBA, MS, PMP, LSSBB, PCMH CCE

Nancy Yates Street, MBA, MS, PMP, LSSBB, PCMH CCE

Assistant Vice President, Population Intelligence, Cooper University Health Care
CM

Cari Miller, MSM, PCMH CCE

Manager, Value-based Programs, Horizon Blue Cross Blue Shield of NJ
Cari Miller, MSM, PCMH CCE, is Director of Advocacy and Program Operations for the New Jersey Academy of Family Physicians. Ms. Miller has developed, implemented and directed healthcare projects for more than 20 years. To date, she has worked with more than 1500 physicians in more... Read More →
CC

Catherine Curley, PhD, RN

Assistant Vice President, Innovative Delivery, Cooper University Health Care


Friday November 3, 2017 3:25pm - 4:25pm EDT
TBA

3:25pm EDT

Integrated Behavioral Health in Primary Care: Together We Can!
"Whole person care" is not just a buzzword: Studies show that integrated medical/behavioral healthcare leads to better patient outcomes and experiences, and lower costs. This presentation will inform participants of the process of integrating behavioral health into primary care, the application of quality improvement methodology to integrating care teams, and development of alternative payment models to support this area of work. (UAN 0850-9999-17-013-L04-P)

Learning Objectives
  • Understand the impact of integrated behavioral health and primary care on health outcomes, patient and provider satisfaction, and costs of care
  • Demonstrate the ability of a health plan to work in partnership with the delivery system to build and sustain a model for integrated behavioral health in primary care
  • Define key strategies to engage payers and providers in their own communities to move toward sustainable models of integrated care

Speakers
avatar for Cassie Archer, MS

Cassie Archer, MS

Behavioral Health Innovation Specialist, Mountain Area Health Education Center
Cassie Archer is passionate about serving others and embarked on a career in behavioral health to improve the health and well-being of individuals in her community. She obtained her Master’s degree in clinical psychology and spent the first several years of her career providing... Read More →


Friday November 3, 2017 3:25pm - 4:25pm EDT
TBA

3:25pm EDT

A Community Approach to PCMH
This session will share lessons learned from Battleboro Memorial Hospital’s participation in a two-year, state-wide learning collaborative focused on community-based care management of patients with complex needs. Participants will learn how this interplays with NCQA's care plans and quality initiatives, as well as the positive impact this work has on influencing change among patients experiencing these issues and patients with chronic conditions. (UAN 0850-9999-17-014-L04-P)

Learning Objectives
  • Identify tools that are effective in engaging patients and community partners in a collaborative approach to care management
  • Employ SBIRT (Screening, Brief-Intervention and Referral to Treatment) into your Medical Group Practice or Emergency Department
  • Choose quality initiatives, chronic conditions for care plans and preventive measures that satisfy NCQA and ACO’s quality metrics

Speakers
avatar for Eilidh Pederson, MPH

Eilidh Pederson, MPH

Executive Director, Brattleboro Memorial Hospital Medical Group, Brattleboro Memorial Hospital
Eilidh Pederson, MPH oversees operations for Brattleboro Memorial Hospital (BMH)’s twelve outpatient practices. BMH is a non-profit hospital in Windham County and employees 600 staff.  Ms. Pederson is responsible for ensuring that quality and easily accessible care is provided... Read More →
avatar for Jodi Dodge, MSN, BBA, RN

Jodi Dodge, MSN, BBA, RN

Director of Community Initiatives, Project Manager, Vermont Blueprint for Health, Brattleboro Memorial Hospital
Jodi Dodge, MSN, BBA, RN, is the Director of Community Initiatives at Brattleboro Memorial Hospital, a 61 bed, not-for-profit community hospital located in southeastern Vermont.  In this role, she serves as the area project manager for the Vermont Blueprint for Health, a state-led... Read More →


Friday November 3, 2017 3:25pm - 4:25pm EDT
TBA

4:35pm EDT

Ask The Experts—Breaking Down PCMH Barriers with the Congress Steering Committee
Close out day 1 of PCMH Congress by getting answers to your burning questions! Attendees will be invited to submit their challenging cases and in-depth questions for a chance to receive expert insight from the PCMH Congress Steering Committee, as well as colleagues in the audience. (UAN 0850-9999-17-043-L04-P)

Learning Objectives

• Discuss challenges faced by PCMH practices and strategies to overcome these challenges as part of the recognition process
• Review best practices and guidelines for optimizing patient care
• Outline the roles of the healthcare team members as they relate to overcoming barriers to patient-centered care 





Moderators
avatar for Michael S. Barr, MD, MBA, MACP

Michael S. Barr, MD, MBA, MACP

Executive Vice President, Quality Measurement & Research Group, National Committee for Quality Assurance
Michael S. Barr is a board-certified internist and Executive Vice President for the Quality Measurement & Research Group at NCQA. His portfolio at NCQA includes performance measurement development and testing, contract/grant management, research, and collaboration across NCQA on strategic... Read More →

Speakers
avatar for Joseph E. Fojtik, MD, FACP, PCMH CCE

Joseph E. Fojtik, MD, FACP, PCMH CCE

Medical Deputy Coordinator, Mercy Health Systems; Illinois Department of Finance and Professional Regulations
avatar for Mina Harkins, MBA, PCMH CCE

Mina Harkins, MBA, PCMH CCE

Assistant Vice President, Recognition Programs Policy and Resources, National Committee for Quality Assurance
avatar for NC Tenenbaum, PCMH CCE

NC Tenenbaum, PCMH CCE

Owner, Medical Frontiers
avatar for James Tan, MD, MPH, MBA, CPE

James Tan, MD, MPH, MBA, CPE

Physician Director, North Service Area, Staff Physician, Family Medicine Department, Northwest Permanente, PC (Kaiser Permanente)
avatar for Paul Klintworth, MSPM, HIT

Paul Klintworth, MSPM, HIT

Medical Home, Public Health Analyst, Office of the National Coordinator for Health Information Technology (ONC), U.S. Department of Health and Human Services
Paul Klintworth is a leader in healthcare delivery system reform and practice transformation at the Office of the National Coordinator for Health Information Technology (ONC) in Washington, DC. ONC is a staff division within the Office of the Secretary of the U.S. Department of Health... Read More →
avatar for Patricia Barrett, MHSA

Patricia Barrett, MHSA

Vice President, Product Design and Support, National Committee for Quality Assurance


Friday November 3, 2017 4:35pm - 5:35pm EDT
TBA

5:35pm EDT

Exhibit Hall Grand Opening
Friday November 3, 2017 5:35pm - 7:05pm EDT
TBA
 
Saturday, November 4
 

7:00am EDT

Complimentary Breakfast in the Exhibit Hall
Saturday November 4, 2017 7:00am - 8:00am EDT
TBA

8:00am EDT

WORKSHOPS: Select 1 of 3 Topics
Saturday November 4, 2017 8:00am - 9:00am EDT
TBA

8:00am EDT

The Nuts And Bolts Of Patient-Centered Medical Home Content Expert Certification Exam Preparation
Achieving the title “NCQA Patient-Centered Medical Home Certified Content Expert™ (PCMH CCE)” demonstrates a comprehensive knowledge of medical home concepts and NCQA’s PCMH 2017 Recognition Program requirements. The PCMH Content Expert Certification program was launched in January 2013 and currently there are almost 1000 CMH CCEs across 50 states. Candidates interested in becoming a PCMH CCE must demonstrate their expertise by completing prerequisite coursework and passing a standardized examination. This session will be facilitated by current content experts (PCMH CCEs) and is designed to help prepare candidates for the required exam. Our experts will discuss best methods to prepare for the exam and share helpful hints and frequently asked questions to help ease anxiety regarding the test. As a participant in this session, you are encouraged to bring your questions.
This session will not offer CME/CNE/CPE credit.

Learning Objectives

• Identify the key subject areas covered on the examination
• Develop a strategy to prepare for the test based on best practices discussed during the session
• Review sample examination questions
• Identify resources to aid in successful study efforts 


Speakers
avatar for Nicole Harmon, MBA, PCMH CCE

Nicole Harmon, MBA, PCMH CCE

Senior Director, Practice Advancement Strategies, Healthcare Association of New York State (HANYS)
NICOLE HARMON, MBA, PCMH CCE, leads HANYS Solutions’Patient-Centered Medical Home (PCMH) Advisory Services, working with hospital-based primary care practices and clinics to achieve practice transformation. She has experience in the areas of primary care practice transformation... Read More →
CM

Cari Miller, MSM, PCMH CCE

Manager, Value-based Programs, Horizon Blue Cross Blue Shield of NJ
Cari Miller, MSM, PCMH CCE, is Director of Advocacy and Program Operations for the New Jersey Academy of Family Physicians. Ms. Miller has developed, implemented and directed healthcare projects for more than 20 years. To date, she has worked with more than 1500 physicians in more... Read More →
JD

Jennifer D'Alessandro, MPA

Assistant Director, Education, National Committee for Quality Assurance


Saturday November 4, 2017 8:00am - 9:00am EDT
TBA

8:00am EDT

The Social Construction of a Patient: Exploring the Patient Experience and Its Influence on Care Delivery
Take a journey with three patients as they explore and experience health care in a number of settings (hospital, specialty office, skilled nursing facility, and mental health care) over a 6 month media-driven time lapse as we work to understand the effects of social determinants of health and its impact on health outcomes. (UAN 0850-9999-17-018-L04-P)

Learning Objectives
  • Identify patient family support and how the level of support impacts the care delivery
  • Understand market resources to leverage coordination to improve patient outcomes
  • Discuss how to individualize care based on patient's health literacy

Speakers
avatar for Michael Attanasio, DO

Michael Attanasio, DO

Physician, Owner, Ritner Medical Associates
Dr.  Michael Attanasio is a board-certified Doctor of Osteopathy in family practice and has over 20 years of experience.  He is a graduate of Villanova University and received his doctor of osteopathy degree from the Philadelphia College of Osteopathic Medicine.  He completed his... Read More →
avatar for Megan Santanna, MA

Megan Santanna, MA

Director, Practice Optimization, Ritner Medical Associates
Megan Santanna is the Director of Practice Optimization at Ritner Medical Associates in South Philadelphia. In her current role, she works to leverage and align insurance programs and government incentive programs within her office to maximize the return while reducing the human effort... Read More →


Saturday November 4, 2017 8:00am - 9:00am EDT
TBA

8:00am EDT

PCMH Transformation and Collaboration in an Urban, Multi-Site FQHC
This session’s panel represents a collaborative effort by a Federally Qualified Health Center (FQHC) and a multi-payer PCMH initiative, the Care Transformation Collaborative of Rhode Island, to design and implement a unique clinical transformation program. FQHC organization leadership and PCMH practice facilitators from the Brown Primary Care Transformation Initiative will share successes, challenges, and opportunities for replication of their value-driven effort. (UAN 0850-9999-17-017-L04-P)

Learning Objectives

  • Describe how PCMH practice facilitators can collaborate with primary care practices to help them implement practice transformation efforts so that they are successful and sustainable

  • Identify tools, resources, and strategies for transformation projects and how they can be used at different stages of clinical transformation

  • Identify common barriers and solutions for identifying transformation leadership, engaging staff and providers, adopting PCMH change concepts, and measuring outcomes throughout the clinical transformation process


Speakers
avatar for Chris Camillo, MBA

Chris Camillo, MBA

Chief Operating Officer, Providence Community Health Centers
avatar for Caitlin Towey, MPH

Caitlin Towey, MPH

Practice Facilitator, Brown Primary Care Transformation Initiative
Caitlin Towey works with primary care practices undergoing PCMH transformation as part of the Rhode Island Care Transformation Collaborative (CTC-RI), the state's multi-payer funded patient centered medical home (PCMH) initiative. Caitlin has a background in community health and health... Read More →
avatar for Suzanne Herzberg, PhD

Suzanne Herzberg, PhD

Director, Brown Primary Care Transformation Initiative
Suzanne R. Herzberg, PhD, is a gerontologist and Clinical Assistant Professor of Family Medicine at the Alpert Medical School of Brown University, where she is Director of Practice Transformation at the Brown Primary Care Transformation Initiative.  She and her team provide direct... Read More →


Saturday November 4, 2017 8:00am - 9:00am EDT
TBA

9:10am EDT

WORKSHOPS: Select 1 of 3 Topics
Saturday November 4, 2017 9:10am - 10:10am EDT
TBA

9:10am EDT

Free Yourself from Frustration Using Lean Team Tools in PCMH Development
The workflow of medical practices uses multiple processes each day by all staff members. Successful PCMH practices can isolate these processes and re-engineer them for efficiency using Lean Six Sigma Tools. The concept of teamwork is key and will be emphasized. These principles are low-cost and can be used by all sizes of organizations, from single-physician offices to large multi-physician practices, and by staff at all levels. (UAN 0850-9999-17-020-L04-P)

Learning Objectives

  • Identify a process in your practice that needs to be improved and run a benchmark
  • Utilize a Lean Six Sigma tool to implement needed improvement
  • Remeasure process after Lean Six tool utilized and monitor improvement
 

Speakers
avatar for Paulette Phillips, RN, BSN

Paulette Phillips, RN, BSN

Site Manger, Louisville Medical Center, Pioneer Physicians Network, Clinical Adjunct Population Focused Nursing, Byers School of Nursing, Walsh University
I have worked in various nursing roles for the past 30 plus years. The last 19 years have been in office management, currently at Louisville Medical Center, Louisville, Ohio, part of the Pioneer Physicians Network (a group of independent physicians) in a primary care office setting... Read More →
EA

Elizabeth A. Prosser, MD, FACP

Site Medical Director, Louisville Medical Center, Pioneer Physicians Network
For the past 30 years in Louisville Ohio, I have been in private practice of Internal Medicine with my husband.  We joined Pioneer Physician Network in 2011, an independent collaborative of 39 forward thinking physicians.  I have worked on various Performance Improvement projects... Read More →


Saturday November 4, 2017 9:10am - 10:10am EDT
TBA

9:10am EDT

Oncology Specialty Care: Using the Patient-Centered Care Model to Drive Transformation in Oncology
NCQA’s Patient-Centered Specialty Practice Recognition provides a framework for specialty care practices to facilitate team-based care and coordination in the medical neighborhood, and to be better partners with patients and primary care in achieving the triple aim. The program addresses the foundational aspects of specialty care expectations, but does not fully incorporate the nuanced needs of specialties such as oncology, where the physician is principally responsible for patient care during active treatment. NCQA has been engaged in many efforts to improve the quality of oncology care, including measure development and a pilot study funded by the Patient-Centered Outcomes Research Institute (PCORI) in evaluating the impact of the PCSP model on quality, patient experience and cost in oncology practices. Most recently, NCQA launched an Oncology Medical Home Recognition program to address the provision of comprehensive, patient-centered and coordinated care to patients in active cancer treatment. This panel, facilitated by NCQA faculty and oncology experts, will discuss the results of the pilot study, highlight key aspects of the Oncology Medical Home Recognition program and share lessons learned and best practices to help oncology practices develop their own roadmap toward recognition. (UAN 0850-9999-17-021-L04-P)

Learning Objectives
  • Discuss how the Patient-Centered Specialty Practice Recognition model can be used to impact care for oncology patients
  • Highlight the Oncology Medical Home Recognition program
  • Use examples from the PCORI project to develop a roadmap towards recognition

Speakers
KP

Kashyap Patel, MD

Oncologist, Carolina Blood and Cancer Care
avatar for Patricia Barrett, MHSA

Patricia Barrett, MHSA

Vice President, Product Design and Support, National Committee for Quality Assurance
avatar for Manasi Tirodkar, PhD, MS

Manasi Tirodkar, PhD, MS

Research Scientist, National Committee for Quality Assurance


Saturday November 4, 2017 9:10am - 10:10am EDT
TBA

9:10am EDT

Community Centered Health Home Model Transforms a Safety-Net OB Practice
In order to address disparities in infant mortality, Mountain Area Health Education Center (MAHEC) implemented the Community Centered Health Home model and partnered with African American women in a low-income housing community. Learn how, after two years, MAHEC clinical leaders and quality improvement staff shifted the practice culture to be more aware of health disparities, social determinants of health of low-income women, and how to support healthier pregnancy outcomes for the most vulnerable. (UAN 0850-9999-17-019-L04-P)

Learning Objectives
  • Understand the Community Centered Health Home model, how it includes patient voices, and how it can support quality improvement efforts
  • Describe examples of how the Community Centered Health Home model can be applied in a primary care practice
  • List 3 ways the Community Centered Health Home model can include input from patients and align with quality improvement efforts to reduce health disparities

Speakers
avatar for Maggie Adams

Maggie Adams

Project Manager, Buncombe County Community Centered Health Home Initiative, Mountain Area Health Education Center
Maggie Adams, BA, is the Project Manager for the Community Centered Health Home Initiative in Buncombe County based at  MAHEC OB/GYN. Maggie specializes in facilitating and leading conversations in healthcare and community settings with a racial equity lens. Her current priority... Read More →
AM

Amanda Murphy, CNM, MSN

Ob/GYN Specialists Staff Nurse Midwife, Mountain Area Health Education Center


Saturday November 4, 2017 9:10am - 10:10am EDT
TBA

10:20am EDT

WORKSHOPS: Select 1 of 3 Topics
Saturday November 4, 2017 10:20am - 11:20am EDT
TBA

10:20am EDT

Role of Health Literate Organizations in Providing Optimal Equitable Care
This session will examine the role Health Literate Organizations play in maximizing equitable care, as well as fulfilling the PCMH standards of care across all domains. The session will provide information about the structure of Health Literate Organizations, who can participate, what its impact can be, as well as address its part in the Quality of Care in the future. This session will also highlight the 10 Essential Attributes of a Health Literate Organization and the role of health literate advocates, and include initiatives and research findings in this area. (UAN 0850-9999-17-024-L04-P)

 Learning Objectives
  • Define health literacy, health literate organization, and role of health literate advocates. Determine who can participate and why and who benefits from health literate organizations.
  • Describe the economic impact, prevalence, and skills needed to be a health literate organization; educate on research findings and initiatives to assist with conceptualization of health literate sites.
  • Showcase the 10 Attributes of a health literate organization and tools they use to fulfill PCMH Standards as well as walk them through applicability of those tools to meet the PCMH 2014 or 2017.

Speakers
avatar for Nooriya Khokha, MSC, MBBS, PCMH CCE

Nooriya Khokha, MSC, MBBS, PCMH CCE

Community Practice Transformation Specialist, Community Health Network of Connecticut
Ms Khokha works full-time at Community Health Network of CT (CHNCT) as their Community Practice Transformation Specialist (CPTS) – under their Person-Centered Medical Home Program (PCMH). Ms Khokha assists practices and providers attain NCQA –PCMH recognition status... Read More →
LD

Laura Demeyer, RN, MSN

Director, Community Practice Transformation Program, Community Health Network of Connecticut
Laura Demeyer is the Director of the Community Practice Transformation Program at Community Health Network of Connecticut (CHNCT). She is responsible for overseeing a team of nine Community Practice Transformation Specialist (CPTS) who provide education and support to Connecticut... Read More →


Saturday November 4, 2017 10:20am - 11:20am EDT
TBA

10:20am EDT

Community-Based Care Shared Care Plans
To realize the benefits of comprehensive shared care plans, government, private industry, consumers, academic communities, and an array of clinicians and other providers must work together, not unlike the way in which comprehensive shared care plans enable clinicians to collaborate on a smaller scale. Only through such coordination can we achieve a more connected, person-centered healthcare delivery system. (UAN 0850-9999-17-022-L04-P)

Learning Objectives
  • Describe how a Shared Care Plan supports better care coordination in an integrated model of physical and behavioral health.
  • Identify how a "Shared Care Plan" promotes client engagement and self -management of physical/behavioral health conditions. 

Speakers
avatar for Vaishali Patel, RN, BSN

Vaishali Patel, RN, BSN

Independent Consultant
avatar for Mary Doherty, RN, MSN

Mary Doherty, RN, MSN

Senior Clinical Consultant/Owner, Jeans Angels LLC
Mary Doherty holds a Masters in Nursing Education and is an adjunct professor teaching population and disease management in a nursing master’s program. With 10 years of consulting experience in healthcare management operations and more than 25 years of industry-related experience... Read More →


Saturday November 4, 2017 10:20am - 11:20am EDT
TBA

10:20am EDT

Practicing PCMH in a Value-Based Care Environment
This session will introduce practices who are currently recognized or pursuing recognition to the intent of PCMH Standards (and select factors within) and tools that will allow them to be sustainable within a Value Based Care delivery model. Participants will leave with a better understanding of how to utilize their PCMH recognition and demonstrate value. The interconnectivity of the PCMH Standards will be demonstrated through the implementation of practical tools. (UAN 0850-9999-17-023-L04-P)

Learning Objectives

  • Review how to use PCMH to create your Value Based Statement
  • Discuss how to remove yourself from "Standard Silos" and integrate the intent of the Standards to demonstrate improvement
  • Implement practical tools that will assist in truly transforming and practicing the PCMH principles and ultimately be sustainable in a value based system


Speakers
avatar for Shannon Nielson, MHSA, PCMH CCE

Shannon Nielson, MHSA, PCMH CCE

Senior Vice President of Consulting Services, Centerprise, Inc.
As Sr. Vice President of Consulting Services, Shannon leads a team of expert consultants. A proven strategist and hands-on change agent, she guides provider practices in the transformation journey to value based care.  She is a veteran leader in primary care operations, with more... Read More →


Saturday November 4, 2017 10:20am - 11:20am EDT
TBA

11:30am EDT

Re-Energizing Your Practice: How the PCMH Model Impacts Physician Burnout
Physician burnout has reached epidemic proportions in healthcare, presenting a significant impediment to the achievement of the Triple Aim of better patient care and better population health at a lower cost. This session will focus on the '4th Aim' of healthcare — the importance of caring for the caregivers, and how the lessons of addressing this in the Carillon Clinic health system (as featured in US News and World Report) are applicable to both health systems and individual practices.

Learning Objectives

• Explain the importance of the national data regarding physician burnout and what that means for organizations and individuals
• Discuss the power of “local data” for advancing clinician well-being
• Describe a developmental model for approaching clinician burnout from an organizational perspective
• Establish a framework and a plan for addressing clinician burnout and advancing toward thriving both individually and organizationally

Speakers
avatar for Mark H. Greenawald, MD, FAAFP

Mark H. Greenawald, MD, FAAFP

Vice Chair, Academic Affairs and Professional Development, Carilion Clinic, Department of Family and Community Medicine, Professor and Vice Chair of Family and Community Medicine, Virginia Tech Carilion School of Medicine, Medical Director of Physician Leadership and Professional Development and Chair, Professional Well-Being Committee, Carilion Clinic


Saturday November 4, 2017 11:30am - 12:30pm EDT
TBA

12:30pm EDT

Lunch in the Exhibit Hall
Saturday November 4, 2017 12:30pm - 1:50pm EDT
TBA

12:30pm EDT

Lunch Industry-Supported Symposium: Optimizing the Management of Urinary Incontinence within the Patient-Centered Medical Home

Supported by an educational grant from Astellas Pharma, US.

Complimentary Lunch for all Attendees 


Saturday November 4, 2017 12:30pm - 1:50pm EDT
TBA

2:00pm EDT

WORKSHOPS: Select 1 of 3 Topics
Saturday November 4, 2017 2:00pm - 3:00pm EDT
TBA

2:00pm EDT

Advocate Physician Partners' ACO Journey Toward PCMH Transformation in a Value-Based Environment
Advocate's ACO serves a wide geographic area that includes the seven counties, including Kendall, of greater Chicago as well as Central Illinois. Patient demographics and socioeconomics vary considerably from densely populated urban areas with a disproportionate share of Medicaid and uninsured, to suburban and rural areas that are generally more insured. The goal of the session is to understand how a large ACO and clinically integrated healthcare delivery system in the Chicagoland and Central Illinois region found value and return on investment through implementing NCQA's PCMH program. (UAN 0850-9999-17-028-L04-P)

Learning Objectives
  • Learn how a large ACO and clinically-integrated healthcare delivery system found ROI through NCQA PCMH transformation of aligned independent primary care practices in a value-based environment

  • Understand how to successfully scale NCQA PCMH clinical transformation throughout a large ACO primary care network

  • Evaluate the impact of NCQA PCMH transformation through an analysis of quality performance from a robust clinical integration program


Speakers
AL

Ashley Ligue, RMA, PCMH CCE

Lead PCMH Advisor, Advocate Physician Partners
avatar for Alvia Siddiqi, MD, FAAFP

Alvia Siddiqi, MD, FAAFP

Medical Director, Advocate Physician Partners
Dr. Alvia Siddiqi serves as Medical Director with Advocate Physician Partners (APP).  She oversees the APP Process Improvement department, which includes a focus on clinical and value transformation projects, including practice transformation for nearly 200 aligned primary care practices... Read More →
avatar for Megan Reyna, MSN, RN

Megan Reyna, MSN, RN

Director of Process Improvement, Advocate Physician Partners
Megan Reyna, MSN, RN Director of Process Improvement Advocate Physician Partners (APP)  Megan is the Director of Process Improvement with Advocate Physician Partners (APP).  The APP Process Improvement department focuses on clinical and value transformation projects, include the... Read More →


Saturday November 4, 2017 2:00pm - 3:00pm EDT
TBA

2:00pm EDT

Southern Discomfort: How Family Physicians Innovated Medical Home Change
While the business community coupled with payors should be eager to assist primary care physicians into medical home transformation, they are resistant and willing to maintain the status quo of pay-by-CPT numbers. This presentation will show how a small association banded together to create the PCMH University, and how physicians grew the NCQA PCMH practices from 4 to over 300 in 36 months. (UAN 0850-9999-17-027-L04-P)

Learning Objectives

  • Review and evaluate the interest of the payor and physician community for practice transformation
  • Develop community based practice transformation and achievable educational goals
  • Identify how to implement and strategize to receive community-wide interest and acceptance of the PCMH model
 

Speakers
FF

Fay Fulton, MHS

Executive Vice President, Georgia Academy of Family Physicians


Saturday November 4, 2017 2:00pm - 3:00pm EDT
TBA

2:00pm EDT

MACRA: Maximizing the MIPS Categories
Detailed evaluation and transformation of processes associated with quality outcomes, improvement activities and meaningful use status affords practices with the necessary infrastructure for MACRA. In contrast, failure to adequately evaluate and manage the change needed to be successful in MIPS could result in a negative impact on reimbursement in subsequent program years. Successful practice transformation supports the goals of cost containment, quality outcomes, purposeful improvement actions and robust technology capabilities. (UAN 0850-9999-17-026-L04-P)

Learning Objectives

  • Understand the importance of selecting the right quality metrics in multi-specialty group practices.
  • Learn how to use PQRS QRUR reports to identify the gaps in MIPS categories.
  • Discuss strategy to improve the practice's position for future success with clinician collaboration and buy-in. 

Speakers
avatar for Carmen Francavilla, MBA, BSN, RN-BC, PCMH CCE

Carmen Francavilla, MBA, BSN, RN-BC, PCMH CCE

Director, Practice Advancement Strategies, Healthcare Association of New York State (HANYS)
Carmen Francavilla works collaboratively with healthcare organizations to achieve physician practice transformation. She has worked in hospital systems aligned with physician practices to advance population health, quality outcomes, practice transformation, the Delivery System Reform... Read More →
avatar for Nicole Harmon, MBA, PCMH CCE

Nicole Harmon, MBA, PCMH CCE

Senior Director, Practice Advancement Strategies, Healthcare Association of New York State (HANYS)
NICOLE HARMON, MBA, PCMH CCE, leads HANYS Solutions’Patient-Centered Medical Home (PCMH) Advisory Services, working with hospital-based primary care practices and clinics to achieve practice transformation. She has experience in the areas of primary care practice transformation... Read More →


Saturday November 4, 2017 2:00pm - 3:00pm EDT
TBA

3:10pm EDT

WORKSHOPS: Select 1 of 3 Topics
Saturday November 4, 2017 3:10pm - 4:10pm EDT
TBA

3:10pm EDT

Creating PCMH Programs for Large Communities
Many consulting experts are going beyond engaging one-to-one with practices. Many large organizations are attempting to develop programs that can reach a large number of their extended physician communities. This session will present ways in which to develop comprehensive, easy-to-understand and easy-to-use programs that can achieve engagement as well as provide valuable assistance for community physicians to work through the transition to PCMH status. (UAN 0850-9999-17-030-L04-P)

Learning Objectives
  • Identify how to approach educating large communities about NCQA's PCMH, in language they can understand
  • Discuss what communication platforms and tools where most effective at helping the targeted community to engage
  • Outline the critical components needed for the success of the program

Speakers
AC

Amanda Ciadella, PCMH CCE

Senior Consultant, Patient Centered Solutions
avatar for Susanne Madden, MBA, PCMH CCE

Susanne Madden, MBA, PCMH CCE

CEO, The Verden Group's Patient Centered Solutions


Saturday November 4, 2017 3:10pm - 4:10pm EDT
TBA

3:10pm EDT

Brief Motivational Interviewing in Medical Homes: Applications and Best Practices
This presentation will teach participants how Brief Motivational Interviewing can enhance health behavior change and adherence in medical home settings. Video examples in the areas of smoking cessation and diabetes management will be provided. (UAN 0850-9999-17-029-L04-P)
 
Learning Objectives
  • Identify 3 conversational roadblocks to change
  • Define the relational principles and active listening components (OARS) used in BMI
  • Identify and understand how to apply each step of the 3-Step CHANGE model

Speakers
avatar for Scott Glassman, PsyD

Scott Glassman, PsyD

Clinical Assistant Professor, Philadelphia College of Osteopathic Medicine
Scott Glassman, PsyD, MS, MS.Ed. is a licensed psychologist in Pennsylvania, Associate Director of the MS Program in Mental Health Counseling in the Department of Psychology at the Philadelphia College of Osteopathic Medicine (PCOM), and Director of the PCOM Primary Care Group Wellness... Read More →


Saturday November 4, 2017 3:10pm - 4:10pm EDT
TBA

3:10pm EDT

Utilizing a Unique Practice Setting to Improve Care of Geriatric Patients
Due to the increasing number of geriatric patients and the complexity of care required to treat this population, a unique practice setting design is needed in order to ensure quality of care to patients. Participants will gain an understanding of the dynamics of caring for patients in a unique practice setting and how collaborative partnerships can improve quality of care. (UAN 0850-9999-17-031-L04-P)

Learning Objectives
  • Describe the unique practice design established by the Center for Elder Care in Huntsville, AL
  • Understand the benefit of community-based programs being intertwined with primary practice
  • Review the benefit of incorporating educational training partnerships with Nursing and Medical schools

Speakers
avatar for Julie Beard, CRNP

Julie Beard, CRNP

Geriatric Nurse Practitioner, Center for Elder Care
Julie Beard is a Certified Registered Nurse Practitioner (CRNP), who works in conjunction with Dr. Zaheer Khan to provide care for the elderly. Julie joined the Center for Elder Care in Huntsville, AL in 2013. She received her Bachelor of Science in Nursing from Belmont University... Read More →
AH

Amy Hunter, DNP, FNP

Clinical Associate Professor, Center for Elder Care
Amy Hunter is a Certified Registered Nurse Practitioner (CRNP), who works in conjunction with Dr. Zaheer Khan to provide care for the elderly.  She joined the Center for Elder Care in 2014. She had 10 years of experience in the operating room and medical surgical nursing prior to... Read More →
avatar for Zaheer Khan, MD

Zaheer Khan, MD

Founder and Medical Director, Center for Elder Care
Dr. Khan has been a clinical Gerontologist with hands on experience for over 30 years. With this background, he has established an evidenced-based, cutting edge geriatric practice in the community for the past 15 years. He is the Founder and President of the Center for Elder Care... Read More →


Saturday November 4, 2017 3:10pm - 4:10pm EDT
TBA

4:20pm EDT

FEATURED SESSION: Transforming Patient Lives: The Art of Person-Centered Care
In her riveting and thought-provoking presentation, Allison Massari takes her audience on a journey, offering tools to rise above any obstacle, and to find peace, purpose, and happiness despite turbulent times. As the survivor of two life-threatening car accidents, Allison Massari shares her story of absolute loss, to forgiveness and understanding. She illuminates how compassionate, patient-centered care can build an expansive, life-changing foundation for healing, for both patient and provider. With sensitivity and compassion born from her experiences, Allison shines light on the provider's immense value to a patient who is suffering, reinvigorating employees and helping heal healthcare burnout in the workplace. Allison’s program illustrates how kindness is a critical healing tool. She explains, "The power of what you do goes far beyond the technical part of your job. You are healing the places medicine cannot touch. In fact YOU are the medicine." As an advocate for both patient and healthcare provider, Allison’s powerful understanding of the essential nature of patient-centered care fortifies audience members, offering applicable tools for managing change, adversity, and the everyday challenges of being human.

Speakers
avatar for Allison Massari

Allison Massari

Keynote Speaker, Executive Coach, Artist
Allison Massari’s unique history provides her with an intimate understanding of demands and challenges of the medical profession and rare insight into the integral and delicate nature of patient-centered care. Raised by her father, an Oncology surgeon, and her mother, a nurse, Allison... Read More →


Saturday November 4, 2017 4:20pm - 5:20pm EDT
TBA

5:20pm EDT

Exhibit Hall Reception
Saturday November 4, 2017 5:20pm - 6:50pm EDT
TBA
 
Sunday, November 5
 

7:00am EST

Breakfast
Sunday November 5, 2017 7:00am - 7:30am EST
TBA

7:30am EST

PCMH Integrated Care: Meet The Behavioral Health Team
Join Dr. Jackson, behavioral health expert with a focus on primary care, as he explores how the behavioral health team can improve patient care in the PCMH setting. This session will examine the various roles in an integrated behavioral health setting and how these individuals can support the existing PCMH team. (UAN 0850-9999-17-009-L04-P)

Speakers
avatar for W. Clay Jackson, MD, DipTh

W. Clay Jackson, MD, DipTh

Clinical Assistant Professor of Psychiatry, Department of Family Medicine, University of Tennessee College of Medicine
Dr. Jackson is a Clinical Assistant Professor of Family Medicine and Psychiatry at the University of Tennessee College of Medicine in Memphis, Tennessee, where he maintains a private practice in family and palliative medicine. He is Medical Director of Comprehensive Primary Care and... Read More →


Sunday November 5, 2017 7:30am - 8:30am EST
TBA

8:40am EST

WORKSHOPS: Select 1 of 3 Topics
Sunday November 5, 2017 8:40am - 9:40am EST
TBA

8:40am EST

A Comprehensive Approach to the Management of Panel and Appointment Supply-Demand in the Veterans Affairs Primary Care Setting
Access to Primary Care services is a key component of every healthcare delivery system. The efficient and cost-effective management of provider panels and appointment availability is of great importance in capitated systems in general and in organizations within the framework of accountable care in particular. This session introduces the comprehensive panel and appointment management system developed and implemented in the Primary Care Service Line at the Ralph H. Johnson VAMC, Charleston, SC. (UAN 0850-9999-17-035-L04-P)

Learning Objectives
  • Review the primary care specific framework of the capitated system in the Veterans Health Administration
  • Recognize key processes and tools used in the timely and cost-effective management of primary care provider panels
  • Identify key processes and tools that allow on-demand availability of primary care appointments

Speakers
avatar for Johann Herberth, MD, PhD, MPH

Johann Herberth, MD, PhD, MPH

Associate Chief of Staff, Primary Care Service Line, Ralph H Johnson VAMC, Clinical Associate Professor of Medicine, Medical University of South Carolina
Dr. Herberth serves as Associate Chief of Staff, Primary Care Service Line, Ralph H. Johnson Veterans Affairs Medical Center in Charleston, SC. In addition to his duties involving the care of over 57,000 veterans, Dr. Herberth provides mentorship to several colleagues in leadership... Read More →


Sunday November 5, 2017 8:40am - 9:40am EST
TBA

8:40am EST

Nurse Annual Well Visits and Chronic Care Management: New Medicare Services Provide Revenue for an Expanded Medical Home Team
Newer Medicare codes, Annual Well Visits and CCM reimburse for services delivered by nurses under physician supervision, providing sufficient revenue for expanded medical home teams. This presentation will describe practical considerations for implementing these nurse services, including business cases with ROI and various models for implementation. The implications of using fee-for-service revenue to deliver higher-value care will be highlighted. (UAN 0850-9999-17-033-L04-P)

Learning Objectives
  • Understand basic requirements for nurse Annual Well Visits and Chronic Care Management (non-complex and complex)
  • Analyze the business opportunity for new Medicare services in relation to panel size, practice setting, staff scope of practice
  • Evaluate various models for delivery of these services by impact on patient care value, access, and experience of care

Speakers
avatar for Karen Fitzpatrick, MD, PCMH CCE

Karen Fitzpatrick, MD, PCMH CCE

AVP & Medical Director, West Virginia University Family Medicine
Karen M. Fitzpatrick, M.D. is a board certified family physician who graduated from West Virginia University School of Medicine in 1983.  She is an associate professor of Family Medicine with longstanding interests in patient-centered chronic disease care, medical informatics and... Read More →


Sunday November 5, 2017 8:40am - 9:40am EST
TBA

8:40am EST

Taking Those Critical First Steps — Self-Assessment and Gap Analysis
NCQA highly recommends the use of self-assessment and gap analysis as a baseline for understanding where a practice is on Day 1 and recognizing opportunities for transformation. This session will clearly detail the process to complete an in-depth practice assessment to identify a practice's readiness, outline a process to provide a comprehensive gap analysis based on the assessment findings, and as a result of the findings, learn techniques to prioritize the gap areas with clear and direct remediation goals. (UAN 0850-9999-17-034-L04-P)

Learning Objectives

  • Assess the current processes of a practice in relationship the NCQA Patient-Centered Medical Home 2017 Standards
  • Measure the assessment outcomes and provide feedback on priorities for implementation, identification of care management populations, and improvement on the overall operation of a practice
  • Prioritize the needs of a practice and provide recommendations designed to assist the practice in achieving PCMH Recognition through workflow improvement, policy development, reporting, and EHR optimization

Speakers
avatar for Courtney Beach, PCMH CCE

Courtney Beach, PCMH CCE

Senior Consultant, Massachusetts eHealth Collaborative
SS

Samantha Sawdon, PCMH CCE

Senior Consultant, Massachusetts eHealth Collaborative


Sunday November 5, 2017 8:40am - 9:40am EST
TBA

9:50am EST

WORKSHOPS: Select 1 of 3 Topics
Sunday November 5, 2017 9:50am - 10:50am EST
TBA

9:50am EST

Recognized as a PCMH, Now What? Supporting Real and Ongoing Transformation at Your Organization
During this session, PCMH-recognized organizations will learn continuous quality improvement strategies that sustain their transformed healthcare services. Case studies will be shared from organizations that have successfully used their PCMH recognition work as a stepping stone for sustainable change. Participants will leave with the knowledge to identify, assess, and develop activities that can be applied toward their own practice. (UAN 0850-9999-17-038-L04-P)

Learning Objectives

  • Understand best practices in PCMH transformation and sustainability activities in the field
  • Apply lessons learned from the presented case studies to their own unique circumstances
  • Learn about the PCMH transformation process of different practice settings

Speakers
avatar for Maia B. Morse, MPH, PCMH CCE

Maia B. Morse, MPH, PCMH CCE

Senior Program Manager, Primary Care Development Corporation
Maia has worked at PCDC since February 2012, and is an expert coach and facilitator for practices aiming to achieve patient-centered medical home (PCMH) transformation and access improvement. During her years at PCDC, Maia has led numerous medium- and large-scale performance improvement... Read More →
avatar for Henrietta Croswell, MPH

Henrietta Croswell, MPH

Senior Program Manager, Primary Care Development Corporation
Henrietta has more than 15 years of management experience in the areas of project management, health care operations, training and behavioral health management. As a Senior Program Manager at Primary Care Development Corporation (PCDC), Henrietta leads projects on the Patient-Centered... Read More →


Sunday November 5, 2017 9:50am - 10:50am EST
TBA

9:50am EST

A Blueprint for Navigating Barriers in the Ongoing PCMH Transformation Journey
Achieving PCMH recognition can be a long journey, with many barriers and detours along the way. The goal of this session is to provide team-based, practice-level guidance for developing an overall planning and approach to the patient-centered transformation journey. Understanding the importance of developing internal governance, as well as having contingent team members, champions or project participants in place, can be key factors to ensure continued momentum toward PCMH transformation. (UAN 0850-9999-17-036-L04-P)

Learning Objectives

  • Demonstrate functional knowledge of organizational structure and its relationship to developing internal governance
  • Identify barriers and potential pitfalls associated with implementing governance change to support PCMH
  • Define key members, roles and responsibilities in order to develop a PCMH core team
 

Speakers
avatar for Rebecca Rudd, RN, NCP, PCMH CCE

Rebecca Rudd, RN, NCP, PCMH CCE

Quality Consultant, OSIS
Rebecca is employed with OSIS as Manager of Consulting Services.  She certified in NextGen EHR, EPM and ICS programs.  She is a NCQA PCMH Certified Content Expert and assists OSIS members in achieving NCQA PCMH recognition.  Prior to joining OSIS in 2013, she was employed for 14... Read More →
avatar for Elizabeth Sledge, LPN, NCP, PCMH CCE

Elizabeth Sledge, LPN, NCP, PCMH CCE

Quality Consultant, OSIS
Elizabeth is employed as a Quality Consultant with OSIS, a Health Center Controlled Network that supports Community Health Centers from Hawaii to Maine in the use and optimization of their NextGen EHR.  She is a PCMH Certified Content Expert as well as a certified professional in... Read More →


Sunday November 5, 2017 9:50am - 10:50am EST
TBA

9:50am EST

Building an Ambulatory Quality Infrastructure in a Multispecialty Medical Group
The goal of this session is to share how Baystate Health built an ambulatory quality infrastructure to measure, monitor, and improve safety, clinical quality, and patient experience. Outcomes of a strong quality program include supporting success in Accountable Care Organizations, PCMHs, and Population Health. (UAN 0850-9999-17-037-L04-P)

Learning Objectives

  • Discuss how to develop an ambulatory quality program across a multi-specialty medical group
  • Review how to use process improvement models and tools to improve clinical quality, safety and patient experience, and to develop and sustain your patient centered medical home
  • Identify different ways to display your data to drive improvement and meet the needs of the audience  


Speakers
avatar for Diane Russell, RN, BSN, MBA, PCMH CCE

Diane Russell, RN, BSN, MBA, PCMH CCE

Director Ambulatory Quality and Medical Management, Baystate Health
Diane Russell RN, MBA is the Ambulatory Director of Quality and Medical Management for Baystate Health in Springfield, MA. Diane has worked in the quality department for 15 years.  She has a BS in Nursing from Salem State College in Salem, MA and an MBA with a Health Care Concentration... Read More →


Sunday November 5, 2017 9:50am - 10:50am EST
TBA

11:00am EST

Brunch Industry-Supported Symposium: Applying the Medical Home Model to Advance the Management of COPD

Supported by an educational grant from GlaxoSmithKline.

Complimentary Lunch for all Attendees 


Sunday November 5, 2017 11:00am - 12:00pm EST
TBA

11:00am EST

Brunch Industry-Supported Symposium: Biosimilars and the Oncology PCSP: Value-Based Strategies to Improve Access and Reduce Cost

Supported by an educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.

Complimentary Lunch for all Attendees 


Sunday November 5, 2017 11:00am - 12:00pm EST
TBA

12:10pm EST

WORKSHOPS: Select 1 of 3 Topics
Sunday November 5, 2017 12:10pm - 1:10pm EST
TBA

12:10pm EST

How Patient-Centered Recognition Prepares You for MIPS and APMs
This presentation will provide participants with a better understanding of how attaining and maintaining PCMH or PCSP recognition will help them improve in their transition to MIPS. We will explain how patient-centered recognition gives full credit for the Improvement Activities category in MIPS. The PCMH approach also prepares practices to perform well in the Quality category of MIPS through monitoring quality measures, acting to improve, and remeasuring performance. (UAN 0850-9999-17-041-L04-P)

Learning Objectives
  • Understand how PCMH & PCSP can help them succeed in the new CMS payment model
  • Understand where they are in regards to MIPS/APM and identify at least one resource they will need to make this transition
  • Identify at least two quality measures that align with CMS MIPS measures that they can act to improve during PCMH/PCSP transformation and maintenance

Speakers
avatar for Vickie Monahan, BS, CMA, PCMH CCE

Vickie Monahan, BS, CMA, PCMH CCE

Quality Management Specialist, Horizon Blue Cross Blue Shield of New Jersey
I am currently with Horizon Blue Cross Blue Shield of New Jersey as a Quality Management Specialist for Government Programs.  I have over 20 years experience in healthcare and prior to Horizon, I was the Outcomes Project Manager for Hackensack Meridian Health.  In my nearly four... Read More →


Sunday November 5, 2017 12:10pm - 1:10pm EST
TBA

12:10pm EST

Doing Data When Your EHR Isn't Built for It
Many small practices with limited financial resources often choose a free or low-cost EHR with inadequate functionality for PCMH transformation. The goal of this session is to present how two case studies of small practices thrive with smart solutions to their health IT limitations. (UAN 0850-9999-17-039-L04-P)

Learning Objectives

  • Understand important Health IT features that help and hinder PCMH success
  • Apply smart solutions to optimize workflows with limited Health IT resources
  • Identify best practices and lessons learned from case studies

 

Speakers
avatar for Anname Phann, MPH

Anname Phann, MPH

Practice Transformation Specialist, New York City Department of Health and Mental Hygiene


Sunday November 5, 2017 12:10pm - 1:10pm EST
TBA

12:10pm EST

Methods and Strategies for Behavioral Health Integration into Primary Care
The need for education in the area of Behavioral Health integrating into Primary Care is substantial. Behavioral Health integration is not a new topic or goal; however, it is still a decision many organizations struggle with, even when there is agreement to undertake the endeavor. The need for a seamless system is clear; however, many have lacked the roadmap to follow to achieve the goal. This presentation will provide both technical assistance as well as data to assist others in developing an integrated Behavioral Health system within Primary Care. (UAN 0850-9999-17-040-L04-P)

Learning Objectives
  • Evaluate process of care outcomes and cost factors that support moving to integrated care
  • Describe 3 different models of behavioral health integration
  • Outline 3 process of care factors as reasons to integrate behavioral health into primary care
 

Speakers
avatar for Sandi Ford, ARNP

Sandi Ford, ARNP

PanCare of Florida, Inc.
SH

Stephanie Hofrichter, LCSW

PanCare of Florida, Inc
avatar for William Kuzbyt, PsyD, JD, CAP, LHRM

William Kuzbyt, PsyD, JD, CAP, LHRM

Director of Behavioral Health, PanCare of Florida, Inc.


Sunday November 5, 2017 12:10pm - 1:10pm EST
TBA

1:20pm EST

Healthcare Policy Update: Controversies and Promises
In today’s political climate, health policy is in an apparently constant state of flux, leading many practices to wonder where they stand within the healthcare system. What do the latest policies and reforms mean from a practical standpoint for the practicing PCMH or PCSP? Join our expert panel as they discuss the latest topics in healthcare policy, the promises made and controversies created, and what all of this really means for your practice. (UAN 0850-9999-17-042-L04-P)

Learning Objectives
  • State how the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will affect PCMH and PCSP practices

  • Identify how clinicians move up from Fee-For-Service/Merit-Based Incentive Payment Systems to Alternative Payment Models

  • Outline tactics that practices can implement to prepare for upcoming policy changes

  • Discuss ways that practices can help influence the policy debate 


Moderators
avatar for Michael S. Barr, MD, MBA, MACP

Michael S. Barr, MD, MBA, MACP

Executive Vice President, Quality Measurement & Research Group, National Committee for Quality Assurance
Michael S. Barr is a board-certified internist and Executive Vice President for the Quality Measurement & Research Group at NCQA. His portfolio at NCQA includes performance measurement development and testing, contract/grant management, research, and collaboration across NCQA on strategic... Read More →

Speakers
avatar for Paul Cotton

Paul Cotton

Director of Federal Affairs, National Committee for Quality Assurance
SM

Shari M. Erickson, MPH

Vice President, Governmental and Medical Practice, American College of Physicians


Sunday November 5, 2017 1:20pm - 2:20pm EST
TBA

2:20pm EST

Conference Summary and Concluding Remarks
Sunday November 5, 2017 2:20pm - 2:30pm EST
TBA
 
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