Facing the Future Together

May 1 - 4, 2017 Hyatt Regency Indian Wells Resort

Indian Wells, California

Learning Objectives

Gain a deeper understanding of governance prac-tices for oversight of strategy, quality & patient safety

Learn how to define the board’s role in navigating the organization through transformation

Understand what value-based payment strategies mean to rural hospitals

Become knowledgeable of the impact legislative actions will have on rural hospitals

Facing the Future Together

For 30 years, HealthTechS3 (previously Brim Healthcare) has hosted the Trustee & Physician Confer-ence to provide valuable tools and resources to com-munity healthcare leaders. And never have hospital boards had a greater need to understand the leadership

challenges and opportunities that lie ahead. At this year’s conference you will hear from knowledgeable healthcare professionals who will provide strategic in-sights on how organizations and individuals can flourish as they face the future, learning together.

I invite you to join us in Indian Wells, California where you will connect and share best practices with board mem-bers from across the country.

I look forward to seeing you there.

Sincerely,

Neil Todhunter President

Agenda At A Glance

Monday May 1

1:00-6:00 p.m. Registration

3:30-5:00 p.m. New Trustee Orientation (optional)

6:00-7:00 p.m. Welcome Reception for attendees and

guests

Tuesday May 2

8:00-9:30 a.m. President’s Breakfast for board chairs (or an-

other representation if board chair is not in

attendance)

10:00-10:15 a.m. Conference opening

10:15-11:45 a.m. General session

11:45-1:00 p.m. Lunch (attendees only)

1:00-2:15 p.m. General Session

2:15-2:30 p.m. Break

2:30-3:45 p.m. General Session

3:45-5:00 p.m. General Session

5:00 p.m. Adjourn for the day

6:00-9:00 p.m. Conference dinner

Wednesday May 3

7:30-8:30 a.m. Breakfast

8:30-9:45 a.m. Breakout Session I

9:45-10:15 a.m. Break

10:15-11:30 a.m. Breakout Session II

11:30 a.m. Adjourn for the day - lunch on your own

1:00 p.m. Sightseeing tours

Evening on your own

Thursday May 4

7:30-8:30 a.m. Breakfast

8:30-9:45 a.m. General session

9:45-10:15 a.m. Break

10:15-11:30 a.m. Closing session

11:30 a.m. Conference adjourns

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Speaker BiosSpeaker Bios Karma Bass, MPH, FACHE Principal, Via Healthcare Consulting

Over her 20-year career, Karma Bass has been a sought-after speaker, facilitator, and consultant with deep knowledge and experience in governance, strategic plan-ning, philanthropy, quality oversight, health care policy, and board effectiveness. Before founding Via Healthcare Consult-ing, she spent two years as president and CEO of Alliance Healthcare Foundation in San Diego, California. Notably, Kar-ma spent 10 years at The Governance Institute holding various positions including Vice President, Membership Services and Director of Research & Publications. During her time at The Governance Institute, she oversaw the prestigious biennial hospital governance practices survey tracking trends in US hospitals and health systems. Karma is board-certified in healthcare management and holds a master's degree in public health with a focus in health services administration from San Diego State University. She received her bachelor's degree from the University of California, San Diego.

Maggie Elehwany, JD Vice President, Government Affairs and Policy, National Rural Healthcare Associa-tion (NRHA)

Maggie joined NRHA staff in 2007. She is the head lobbyist for the association and is responsible for the Government Affairs and Policy department. She has 20 years of federal legislative experience. Maggie previously served as health counsel to U.S. Sen. Lisa Murkowski, a member of the Senate Health, Education, Labor and Pensions Committee, and to U.S. Sen. Frank Murkowski, a member of the Senate Finance Committee, where she worked on comprehensive Medicare and Medicaid legislation. Maggie also served as counsel to former U.S. Senate Finance Committee Chairman Bob Packwood. From 1999 to 2005, she served as assistant director of congressional affairs for the American Medical As-sociation, where she advocated on patient and physician is-sues. Maggie earned a J.D. from the University of Oregon and a B.A. from Oregon State University.

A. Clinton MacKinney, MD, MS Clinical Associate Professor, Department of Health Management and Policy, College of Public Health, University of Iowa

A. Clinton (Clint) MacKinney, MD, MS has worked in health care for over 30 years, including 14 years as a rural family physician, practicing the full scope of family medicine. Dr. MacKinney worked as Medi-cal Director for a globally-capitated primary care group with 210 employees and a $50 million budget. He also worked for 8 years as a national rural healthcare consultant in over 50 rural communities. Dr. MacKinney currently works as an emergency

department physician in rural Minnesota. Dr. MacKinney is Clin-ical Associate Professor in the Department of Health Manage-ment and Policy at the College of Public Health, University of Iowa. Dr. MacKinney has been a member of the RUPRI Health Panel since 1998 and has served on multiple national commit-tees. Dr. MacKinney's professional interests include rural healthcare value, health system design, physician and admin-istration relationships, physician payment, rural health policy, and population-based health care.

Ian Morrison, PhD Author, Consultant, and Futurist

Ian is an internationally known author, consult-ant, and futurist specializing in long-term fore-casting and planning with particular emphasis on health care and the changing business envi-ronment. He combines research and consulting skills with an incisive Scottish wit to help public and private organizations plan their longer-term future. Ian is the author of several books including, most recently, Leading Change in Healthcare: Building a Viable System for Today and Tomorrow. His book: The Second Curve - Managing The Velocity of Change was a New York Times Business Bestseller and BusinessWeek Bestseller. Ian is a founding partner in Strategic Health Per-spectives a forecasting service for clients in the healthcare in-dustry.

Dan Negroni, JD Founder and CEO of launchbox

Dan Negroni delivers provocative, inspiring keynote presentations using his bold, au-thentic, no-nonsense approach and interac-tive style to challenge and empower his au-dience. Offering the solution to today’s criti-cal cross-generational issues, Dan successful-ly bridges the gap between managers and their millennial workforce to increase employee engagement, productivity and profits. With a successful 20+ year career as a CEO, attorney, senior sales and marketing executive, Dan’s keynotes, work-shops, and coaching sessions are proven to reinvigorate busi-nesses and people on the spot. Dan is also the author of Chas-ing Relevance: 6 Steps to Understand, Engage, and Maximize Next-Generation Leaders in the Workplace.

Michael D. Pugh President, MdP Associates, LLC

Michael D. Pugh has over thirty years of CEO experience as an advisor and consultant in hos-pitals, health care systems, managed care or-ganizations, consulting and health care tech-nology companies. He is an Adjunct Professor at the University of Colorado Denver Business School Health Administration Program, an Instructor in the Mt. Sinai Medical School Health Care Leadership Program and a Senior Faculty member for the

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Conference AgendaConference Agenda Monday May 1 1:00-6:00 p.m. Registration open

3:30 - 5:00 p.m. New Trustee Orientation (optional session)

This session is designed to orient new hospital trustees to their governance responsibilities and roles. Gain information and tools on how to be an effective Board member and how HealthTechS3 can assist.

6:00-7:00 p.m. Welcome Reception (for attendees and guests)

Welcome to the desert and HealthTechS3’s 30th annual conference! Please join us on the Serena Vista lawn where you can reconnect with your peers and HealthTechS3 staff.

Michael D. Pugh, Institute for Healthcare Improvement (IHI). Currently Michael serves as the Vice Chair of the IHI Leadership Faculty. Since 1998 he has focused his consulting and advisory practice on helping senior leaders define and execute strategies for im-provement and organizational transformation. Specific areas of expertise include strategy, clinical integration, quality systems, quality measurement, technology, governance, leadership sys-tem development and strategic planning. Michael holds a B.S. and an M.P.H. in Health Care Administration from Tulane Uni-versity and is the author of multiple articles and book chapters on quality and governance.

Scott B. Shanker, JD Attorney, Butler Snow, LLP

Scott Shanker has been with Butler Snow since 2010 as a member of the Healthcare, Regulatory & Transactions Group with a practice emphasis in: Healthcare Law, Trans-actions, Regulatory Compliance Counsel and Advice. He has extensive experience counseling healthcare clients regarding business operations and regulatory matters including hospitals and health systems, single- and multi-specialty physician practices, ambulatory surgery centers and ancillary service providers. Scott also has represented buyers and sellers in healthcare transactions and joint ventures. Scott received his law degree from St. Louis University in 2001.

Speaker BiosSpeaker Bios, continued

Tuesday May 2

8:00-9:30 a.m. President’s Breakfast with Board Chairs

Board chairs, you are invited to have breakfast with HealthTechS3’s CEO, President and senior management along with other board chairs from across the country. While enjoying breakfast you will have an opportunity to discuss current issues impacting community hospitals. If a board chair is unable to attend, one board representa-tive is welcome to participate.

10:00-10:15 a.m. Welcome & Introductions

CEO Derek Morkel and President Neil Todhunter kick off the 30th annual Trustee & Physician conference.

10:15-11:45 a.m. The Future of the Healthcare Marketplace: What’s Next? Ian Morrison, PhD, Author, Consultant, and Futurist

The Trump Administration is committed to Repeal and Replace Obamacare in 2017. This is causing all stakehold-ers to re-examine strategy and respond to a potentially dramatic shift in the policy and regulatory environment. Organizations and individuals need to be flexible to ad-just to a new reform agenda, including the push for more widespread reimbursement reform, changes in coverage, growth in transparency and accountability, and the re-lentless quest for value in healthcare driven by patients and purchasers. This presentation will focus on the politi-cal, economic, and strategic context of change in healthcare, describe the possible scenarios we face and examine how the various actors are preparing for the future. Drawing on experience from around the country, it will identify the leadership challenges and opportuni-ties that lie ahead and will provide strategic insights on how organizations and individuals can flourish in the fu-ture.

11:45-1:00 p.m. Lunch (attendees only)

1:00-2:15 p.m. Federal Legislative Challenges and Opportuni-ties with the new Administration and Congress Maggie Elehwany, JD, Vice President of Government Affairs & Policy, National Rural Health Association

Rural America spoke loudly in the 2016 election, but will their voices be heard in 2017? The rural hospital closure crisis continues to escalate. One in three rural hospitals is at financial risk and at the current rate of closure, 25% of all rural hospitals will close unless Congress acts. Reduc-

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tions in Medicare, the lack of Medicaid expansion, and the challenges of rural population health all converge on the rural hospital, making operating margins even narrower. This session will describe legislation advanced to Congress to help stop the rural hospital closure crisis and assist all rural hospitals. It will also describe the regulatory relief asked of a new Administration that promises to ease regula-tory burdens.

2:15-2:30 p.m. Break

2:30-3:45 p.m. Developing Capability: Building Better Board Process and Governance Michael D. Pugh, President, MdP Associates, LLC

The Hospital Board is ultimately responsible for everything that happens in the hospital. More than just fiduciary re-sponsibility, Boards are also responsible for clinical out-comes, patient safety and the overall patient experi-ence. Yet, many Board members are often uncomfortable with this responsibility and are overwhelmed by quality and safety data that they review. It should not be this hard. In this session Mr. Pugh will explore the role and responsibili-ties of the Board with respect to strategy, quality and safety and provide insights and ideas for increasing Board effec-tiveness.

3:45-5:00 p.m.

The Board’s Role in Leading through Transfor-mation Karma Bass, MPH, FACHE, Principal, Via Healthcare Consulting

As the healthcare industry enters a time of unprecedented transformation, hospital and health system boards across the country are grappling with some of the biggest issues their organizations will ever face, including:

• How do we transform the delivery of care and move to-ward population health?

• What are the optimal roles for physicians, executives, and board members in organizational leadership and how should they play off each other?

• Are we doing the necessary hard work to drive down costs and increase efficiency in preparation for new pay-ment models?

Karma Bass has been working with hospital and system leaders across the country as they address these questions and more. Come hear how top-performing boards are fac-ing these challenges and learn tips for navigating them.

5:00 p.m. Conference adjourns for the day

6:00-9:00 p.m. Conference dinner Join us for casual dining on the Verbena Terrace along with col-leagues and guests from across the country. Dress comfortably and bring a wrap in case the evening turns cool.

Wednesday May 3 7:30-8:30 a.m. Breakfast (for attendees & guests)

8:30 - 9:45 a.m. Breakout Session I

Choose one of the following 3 sessions

Key Tools for Governance Effectiveness and Estab-lishing a Healthy Board Culture Karma Bass, MPH, FACHE, Principal, Via Healthcare Consulting

Hospital boards of directors increasingly find themselves on the front lines of the organizational battle to survive and thrive. When the future of an organization is at stake, only those with the highest level of leadership will prevail. How the Board conducts itself, manages its own business, and interacts with the hospital staff, physicians and community tells an important story that too often is overlooked. This session will focus on the practices effective Boards follow and how a dysfunctional culture in the Boardroom can un-dermine even the most brilliant organizational strategy. Leading governance expert Karma Bass will walk through both the tangible activities that Boards can undertake to improve their own performance as well as the intangible factors that go into creating a healthy Boardroom culture.

Compliance Considerations and Structuring Hospi-tal-Physician Arrangements Scott Shanker, JD, Butler Snow LLP

Compliant relationships with physicians are critical to any Hospital’s success. The two intersect at the “crossroads” of federal/state fraud & abuse laws. Compliance enforcement is increasing and focusing on both corporate wrongdoing and individual liability. Every Hospital Board and C-Suite needs at least a basic understanding of hospital/physician relationships and incentivizing physician behavior in ways that comply with such laws. Contracting with physicians in a compliant and strategic manner can determine a Hospi-tal’s financial success or failure.

Boards and Quality: What Really Matters Michael D. Pugh, President, MdP Associates, LLC

Building on the concepts introduced in the previous day general session, Michael Pugh will lead participants

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through a series of mini-case studies and exercises designed to deepen individual Board member understanding of the govern-ance oversight of quality and patient safety efforts. The session is designed to be a deep dive into the issues and barriers that Boards and Board members face as well as explore Board practic-es and processes that can increase the effectiveness of the overall hospital quality and safety efforts. The questions that Board mem-bers ask are critical and learning to ask the right questions is the key to good governance.

9:45-10:15 a.m.

Break 10:15-11:30 a.m. Breakout Session II Choose one of the 3 sessions listed above

11:30 a.m. Adjourn for the day Afternoon and evening open for tours or sightseeing on your own.

Thursday May 4 7:30-8:30 a.m. Breakfast (for attendees & guests)

8:30 - 9:45 a.m. Value Based Payment: Coming to Rural Hospitals Clint MacKinney, MD, MS, Clinical Associate Professor, Department of Health Management and Policy, College of Public Health, University of Iowa

Dr. MacKinney’s presentation will propose that a fundamental healthcare reform strategy is to shift healthcare payment from volume-based to value-based. Changing healthcare payment will change healthcare delivery – form follows finance. The presenta-tion will define value-based payment, describe value-based healthcare payment systems, and discuss implications for rural providers and communities.

9:45-10:15 a.m. Break

10:15-11:30 a.m. Win the Millennial Race with Employees and Custom-ers, Dan Negroni, JD, Founder & CEO, launchbox What is your company doing to stay relevant, connect and drive engagement with the next generation? Don’t be left behind. Your company must understand the dramatic shift taking place in the workplace and the marketplace. Today, there are 2.4 billion mil-lennials, they represent 36% of the workforce, control $660 billion in spending and will be 75% of your employees and customers by 2025. With valuable insights, extensive experience, and a great sense of humor, Dan delivers aha moments as he shares how to stay relevant. (Dan is providing a copy of his book, Chasing Rele-vance, to conference attendees & will be available to sign after the program.)

11:30 a.m. Conference adjourns

Aerial Tramway & Windmill Farm

Aboard the Palm Springs Aerial Tramway, the World’s largest rotating tramcar, you will experience a breathtaking journey up the sheer cliffs of Chino Canyon. Begin the ten minute ride at the Valley Station, elevation 2,643 feet, and end at the Mountain Station, elevation 8,516 feet. No matter what the season, a one-of-a-kind experience can be had by all.

After the scenic Tramway adventure, you’ll take a quick bus trip to the only windmill farm tour that is endorsed by the Desert Wind Energy Association. The tour goes inside the fences onto the private property where no other tour can go making stops at the windmills to give you an up close view. This wind farm on the San Gorgonio Mountain Pass in the San Bernadino Mountains contains more than 4000 sepa-rate windmills and provides enough electricity to power Palm Springs and the entire Coachella Valley.

Celebrity Homes & Downtown Palm Springs

More than 500 stars and celebrities have called Palm Springs their desert oasis. Award winning guides will share the stories passed down for more than 45 years. This spectacular 2 1/2 hour voyage will transport you from the present to the past as you visit the lifestyles of the rich and famous. Visit "Hollywood in the Desert" to see

homes of the stars past and present .

Then travel to downtown Palm Springs where you will have the opportunity to walk around the charming, quaint area. See the Walk of Stars and visit interesting shops uniquely Palm Springs.

Wednesday Afternoon Activities You must make a reservation in advance to participate

in one of the following tours leaving at 1:00 p.m.

Frank Sinatra’s home

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CONSULTING

SALES

STAFFING

SUPPORT

5432 Any Street West Townsville, State 54321 425.555.0132 ph 425.555.0133 fax www.adatum.com.

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Ways to Register - Mail registration form along with check: HealthTechS3 Attn: Jennifer Van Den Brink 5110 Maryland Way, Suite 200 Brentwood, TN 37027

Register online: www.healthtechs3.com From home page go to About Us / News & Events to complete regis-tration.

Fax registration: 615-370-2859 Attn: Jennifer Van Den Brink

Email registration: Jennifer.vandenbrink@healthtechs3.com

Give completed registration form to your hospital administration office.

TUITION SUMMARY - Fill out all applicable blanks. Please send check payable to HealthTechS3 to the address listed above.

Conference Tuition $950/per person (due April 10) $_________

Guest Registration: # of guests _____ x $175 $_________

Grand Total $_________

PARTICIPANT INFORMATION - Please print as you would like information to appear on your name badge.

Attendee Name

Attendee Title

Hospital

Address

City State Zip

Attendee Email

Attendee Emergency Contact Name & Relationship

Emergency Contact Number

BREAKOUT SESSIONS WEDNESDAY MAY 3 - Check box next to the breakout session you plan to attend (one per timeslot).

8:30-9:45 a.m.

Key Tools for Governance Effectiveness and Establishing a Healthy Board Culture

Compliance Considerations & Structuring Hospital-Physician Arrangements

Board and Quality: What Really Matters

10:15-11:30 a.m.

Key Tools for Governance Effectiveness and Establishing a Healthy Board Culture

Compliance Considerations & Structuring Hospital-Physician Arrangements

Board and Quality: What Really Matters

SPECIAL EVENTS

I will attend the following events included in my tuition:

Monday: Reception

Monday: New Trustee Orientation (optional)

Tuesday: President’s Breakfast (for Board Chairs Only)

Tuesday: Conference Dinner

Wednesday afternoon: Choose one of the following options Tramway / Windmill Farm Celebrity Homes / Downtown Palm Springs Not participating in hosted tour

CONFERENCE REGISTRATION

DEADLINE IS APRIL 10, 2017

HOTEL DEADLINE IS MARCH 31, 2017

Cancellations received after April 24 will be

refunded, less $50 administrative expense.

Your registration may be transferred to

another member of your organization.

No refunds will be given if your registration

is not canceled in writing before the con-

ference begins on May 1st.

GUEST REGISTRATION

Please print guest(s) name as it should appear on the

name badge. If more than two guests, contact Beth

Davis at 615.309.7421.

Guest Name

Guest Name

SPECIAL EVENTS — My guest(s) will attend the fol-

lowing event(s) included in their tuition:

□ Monday Welcome Reception

□ Tuesday Conference Dinner

□ Wednesday Breakfast

□ Wednesday Tour: Tramway / Windmill Farm

□ Wednesday Tour: Celebrity Homes / Palm

Springs

□ Thursday Breakfast

□ Closing Speaker

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Hotel Accommodations - deadline March 31, 2017 Hyatt Regency Indian Wells Resort & Spa 44600 Indian Wells Lane Indian Wells, California 92210 760-776-1231

A discounted room rate of $219 per night+ tax is available for conference attendees until March 31st or the room block is sold out. The room rate may be available before and after conference dates subject to availability. If you need to cancel a reservation, 72 hours’ notice from arrival date is required.

For a daily fee of $5.00 per room (discounted from $25) the Hy-att will provide: 24 hour access to the fitness center, unlimited fitness & yoga classes, in-room premium internet access, in-room personal Starbucks coffee & tea maker, 2 bottled waters per stay, in-room safe, daily newspaper available in main lobby, one hour tennis court time per day, 10% off select merchandise at Agua Serena Spa. At the adjoining Indian Wells Golf Resort: dis-counted green fees, shuttle service to golf course, 9-hole putting course, 10% off merchandise at Pro Shop. Hyatt is also offering a 10% discount on Agua Serena Spa services. To make your reser-vation at the Spa in advance, please call 760.674.4100.

Weather The temperature in Indian Wells/Palm Springs area is warm year round. The average high for the beginning of May is around 88o with lows in the mid-60s. Bring sunscreen!

Attire Attire for the conference is business casual. Plan to dress in lay-ers to ensure you are warm or cool enough for inside meetings and outdoor activities. The reception and dinner are scheduled to take place outside in the evening so please dress accordingly.

Airport Transportation / Hotel Parking Palm Springs International Airport is the closest airport to the Hyatt Regency Indian Wells. Another flight option is the Ontario International Airport which is 85 miles away. Parking at the hotel is $11 per day for self parking and $27 for valet. Taxi, Uber or Lyft are available for travel from airport to hotel.

Special Accommodations HealthTechS3 wants to ensure everyone enjoys the conference. If you need any services identified with the Disabilities Act or have special dietary needs, let us know in advance by contacting Beth Davis at 615.309.7421.

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Guest Program Monday May 1

6:00 - 7:00 p.m.

Join us for a reception as HealthTechS3 wel-comes you to the 30th annual Trustee & Physi-cian Conference.

Tuesday May 2

10:00 a.m. - 4:00 p.m.

During these hours, the Hyatt is providing a complimentary shuttle to & from the El Paseo Shopping district. The shuttle will continually loop from the hotel to the shopping district.

6:00-9:00 p.m.

Conference dinner

Gather with conference attendees to enjoy a casual dinner on the Verbena Terrance.

Wednesday May 3 7:30-8:30 a.m.

Join attendees for breakfast

1:00 p.m. Sightseeing tours (see page 6)

1. Aerial Tramway & Windmill Farm

2. Celebrity Homes & downtown Palm Springs

Thursday May 4 7:30-8:30 a.m.

Join attendees for breakfast

9:45-11:30 a.m.

Join us for a cup of coffee at the morning break and stay to hear closing speaker Dan Negroni .

CONTINUING EDUCATION CREDITS Continuing Education Credit Hours provide a standard measure of formal recog-nition of participation in an organized, professional learning experience. Most states accept approved contact hours for reciprocity and participants simply submit documentation of attendance and contact hours approval. HealthTech applied for 11.75 elective credits from the American Academy of Family Physi-cians. Many professional organizations such as AHIMA, HFMA, and ACHE award continuing education credit with documentation of attendance. The program is also pre-approved by the California Board of Registered Nursing (Provider No. 08769) for up to 10.25 contact hours depending on the sessions attended.

HealthTechS3 maintains pre-approval status with this board.

In order to receive contact hours, you must: 1. Complete the sign-in form for each educational session 2. Claim hours of contact that you actually spent in the educational

session 3. Submit a certificate of attendance (provided by HealthTechS3)

and any other necessary forms or documents to your respective professional organization