kentucky primary care association 40th anniversary fall ... · ncqa pcmh 2017 redesign: a roadmap...

Times Quality and PCMH TrackData and Funding

Track

Marketing and Advocacy Track FQHC Track

11:00 AM - 12:00 PM Pre-Conference Session: Do You Know Your KPCA Patient-Centered Medical Home Resources? Learn More at this pre-conference informational session.

11:00 AM - 12:00 PM REGISTRATION

12:00 PM - 1:30 PMLUNCH AND KEYNOTE SPEAKER

Yesterday, Today, and Tomorrow: Celebrating 40 Years of KPCA William B. Wagner, CEO, Family Health Centers, Inc., Louisville

1:30 PM - 3:00 PM

NCQA PCMH 2017 Redesign: A Roadmap for Your Practice that Results in a Healthier Population

Dawn Gentsch, MPH, MCHES PCMH CCE, KPCA PCMH Consultant

What Reliable Information Technology is Like, and What That Can Mean for Your Practice

James Hall III, MS NeKY RHIO

We Have a Facebook Page!! Now What?

Jessica Robinson, Owner Print and Pixel Creative

340B: Compliance and MegaGuidance Update

Michael Earls, CPA BKD, LLP

3:00 PM - 3:30 PM BREAK AND VENDOR VISITS

3:30 PM - 5:00 PM

The Medical Neighborhood: Enhancing Care Coordination and Integration through Relationships

Jessica K. Beal, PsyD Behavioral Health Manager - Integrated Care Passport Health Plan

An Overview of the Federal Funding Available for Rural Health Information Technology

Sean McPhillips, FHIMISS, CPHMIS, MBA, MPA Rural Health Funding Initiative

Making Your Organization an Advocacy Center of Excellence

Marc Wetherhorn, MBA Marc Wetherhorn Consulting

FTCA: Confirming Speaker - more information to follow

5:00 PM ADJOURN

Kentucky Primary Care Association 40th Anniversary Banquet

6:30 PM

Kentucky Primary Care Association 40th Anniversary Fall Conference

Wednesday, November 9

Times Quality and PCMH Track Outreach and Enrollment Track RHC Track FQHC Track

8:00AM - 9:00 AM Pre Conference Session: Collaborate with Your Peers Utilizing the Same EHR System

8:00AM - 9:00 AM BREAKFAST AND REGISTRATION

9:00AM -10:15 AM

Your Game Plan: Quality in 2017

Lisa Sanders, MSW Lauren McGuirk Mary Buckler, LPN Precision Healthcare Delivery

State of Enrollment in Kentucky: Outreach and Engagement Goals for OE4

Carrie Banahan, Executive Director, Kentucky Office of Health benefit and Information Exchange April Washington, Public Affairs Specialist, Office of Regional Director, HHS

Setting your Organization Up for Success: Understanding the Complexities of Revenue Cycle

Monique D. Funkenbusch, CPC Managing Consultant, BKD, LLP

10:15 AM - 10:45 AM BREAK AND VENDOR VISITS

10:45 AM - 12:00 PM

Working Together to “Weaken the Link” between Cardiovascular Disease and Diabetes

Kim Headspeth Nancy Semrau Qsource

Current Issues Affecting Application Assisters: Best Practices in the FFM & Using Your Voice for Advocacy

Moderator: Whitney Allen, MPH, Kentucky PCA Elizabeth Kwasnik, MFS, Manager Grassroots Advocacy, NACHC Cheryl O’Donnell, BSJ, MPA, State Assistance Manager, Enroll America

It All Starts at the Front Desk

Monique D. Funkenbusch, CPC Managing Consultant, BKD, LLP

12:00 PM - 1:30 PM LUNCH AND KEYNOTE SPEAKER

Affordable Care Act Doug L. McSwain, Partner, Wyatt Tarant & Combs, LLP, Lexington, KY

1:30 PM - 3:00 PM

Introduction to Lean Healthcare

Tara Hatfield, RN, BSN, CHTS-CP, Great Lakes Practice Transformation Network

How to Navigate the System Efficiently: healthcare.gov 101 & Benefind Update

Moderator: Whitney Allen, MPH, Kentucky PCA Ruby Piscopo, Outreach and Enrollment Coordinator, West Virginia Primary Care Association Kristi Putman, Executive Advisor, DCBS CHFS Jill Hunter, Deputy Commissioner, DCBS CHFS

Heavy Lifting Transitioning to Value Based Care: The Impact of MACRA on Primary Care Providers

Trudi Matthews, MBA, Managing Director Kentucky REC/ UK Healthcare

3:00 PM - 3:30 PM BREAK AND VENDOR VISITS

3:30 PM - 5:00 PM

Health Coaching and Chronic Care Management: A Possible Solution

Cody Mullen, PhD, BS Indiana Rural Health Association

Talk Enrollment to Me: Effective Consumer Messaging

Cheryl O’Donnell, BSJ, MPA State Assistance Regional Manager, Enroll America Tracy Figley Williams, Training Development Specialist II. Kentucky Office of Health Benefit and Information Exchange

Billing and Coding Roundtable Susan Thompson, Director of Network Development Mary Elam, CPC Precision Healthcare Delivery Edward Connors, Clinic Relations Manager, KPCA

Critical Issues and Thoughts on the Value of Your Business

Alex Fritz, CPA/ABV, ASA, CVA, Blue & Co.

5:00 PM ADJOURN

THURSDAY, NOVEMBER 10

http://healthcare.gov

Continuing Education Continuing Education Hours have been applied to for Physician, Physician Assistant, Nurse Practitioner, Nursing, Respiratory, Physical Therapy, Social Work and Dental. These applications are credit pending.

Notice: - Speakers and topics subject to change. - At the time of this printing, a complete listing of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters at the time of the meeting -Keep in mind that the facility tries to maintain meeting room temperatures at an appropriate level. However, because everyone reacts differently to various temperatures, we strongly suggest that you wear layered clothing

FRIDAY, NOVEMBER 11Times Quality Track Oral Health Track RHC Track FQHC Track

8:00 AM - 9:00 AM Pre-Conference Session: Collaborate with Your Peers Utilizing the Same EHR System

8:00 AM - 9:00 AM REGISTRATION AND BREAKFAST

9:00 AM - 10:15 AM

Chronic Opiate Alagesic Therapy: Taking the Pain Out of Prescribing

Judi Daniels, PHD, APRN John Stewart MD, FACP, FAAP University of Kentucky

Making Smiles Happen: Surveillance Initiative

Mahak Kalra, MPH Oral Health Policy Director Kentucky Youth Advocates

Navigating the RHC Licensure and Provider Enrollment Process

Monique D. Funkenbusch, CPA, Managing Consultant, BKD, LLC.

The Role of Needs Assessment in Organizational Strategic Planning

Phyllis Platt, PhD, MSW Lindsay Nelson, MSW

10:15 AM-10:45 PM BREAK AND VENDOR VISITS

10:45 AM - 12:00 PM

Sepsis, Early Recognition and Treatment

Therese Hughes, PhD, MPA, RN Epidemiologist Baptist Health Lexington

Oral Expansion in Kentucky: Ten Amazing Projects

Nikki Stone, DMD Dental Director, UK North Folk Valley CHC

M. Raynor Mullins, DMD, MPH UK Center for Oral Health Research

Rural Health Clinics: Healthcare Common Procedural Coding System (HCPCS) Reporting Requirement and Billing Update

Sharon A. Shover, CPC, CEMC Blue & Co, LLC

12:00 PM ADJOURN

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Annual Conference Session Details WEDNESDAY, NOVEMBER 9, 2016

Pre-Conference Session: Do You Know Your KPCA Patient-Centered Medical Home Resources? Learn More

Session Description: This informal session will provide introduction to the resources available to KPCA members in support of clinics attaining NCQA patient centered medical home recognition. Learn more about the opportunities for members to be in the Kentucky Regional Extension Center’s PCMH Cohorts. Come meet the KPCA PCMH Consultant, Dawn Gentsch, MPH, MCHES, PCMH CCE, her one-on-one, customized, consultative approach provides solid guidance in the NCQA recognition standards.

KEYNOTE SPEAKER

Yesterday, Today and Tomorrow - Reflecting on 40 Years of KPCA

William B. Wagner, CEO, Family Health Centers, Inc., Louisville, KY

Session Description: This session will focus on the robust history of the Kentucky Primary Care Association.

BIOGRAPHY: William B Wagner, MSSW is the CEO of the Family Health Centers Inc. (FHC), a Federally Qualified Health Center (FQHC) in Louisville, Kentucky, where he has worked in various administrative capacities for the past 35 years. He has served as FHC’s CEO since 1998. He is responsible for seven community health center sites that serve approximately 40,000 individuals annually in Louisville and Jefferson County.

Mr. Wagner is one of the founders of Kentucky’s Region 3 Medicaid Managed Care Partnership known as Passport Health Plan. Mr. Wagner is on the Board of Directors and is the recent past Chairman of the Board of Passport Health Plan, and previously served as Chairman of Passport’s Partnership Council for 13 years.

Mr. Wagner is a board member of the Louisville Primary Care Association and an ex-officio member of the Louisville Metro Board of Health. He currently chairs the Board of Health’s Outreach and Enrollment Committee whose mission is to ensure that uninsured Jefferson County residents take advantage of insurance available under the Affordable Care Act and kynect.

He earned his BS degree in 1974 from the University of Dayton, and is a 1981 graduate of the University of Louisville where he earned a Masters Degree in Social Work with concentration in comprehensive health services. In 2006, Mr. Wagner was named the UofL Alumni Fellow from the Kent School of Social Work.

QUALITY AND PCMH TRACK

NCQA PCMH 2017 Redesign: A Roadmap for Your Practice that Results in a Healthier Population

Dawn Gentsch, MPH, MCHES, PCMH CCE – KPCA Consultant, Chicago, IL

Session Description: This session will provide your practice with a roadmap to obtain NCQA PCMH recognition. An overview of the proposed 2017 NCQA PCMH standards and redesigned process and program will be discussed.

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Strategies for true practice transformation that focuses on population health, quality improvement, and patient engagement will be shared to enable participants to obtain meaningful and sustained change.

Following the presentation, participants will be able to:

1) Understand the basic components of the NCQA PCMH 2017 standards 2) Outline a process to obtain recognition and program requirements 3) Identify at least one strategy to utilize in their practice that impacts each of one of the three; population health,

quality improvement and/or patient engagement.

BIOGRAPHY: Dawn is a health educator with over 20 years of experience in public health and primary care. As a PCMH coach and practice facilitation consultant she has worked with Federally Qualified Health Centers (FQHCs) and private primary care practices in Iowa, Kentucky and Nevada. Many of these practices have obtained NCQA PCMH recognition, with over half attaining level 3. Dawn began supporting Kentucky health centers seeking PCMH recognition the fall of 2012.

Dawn is an NCQA PCMH certified content expert as well as a master certified health education specialist. She received her Master’s in Public Health degree from Indiana University and Bachelors of Science from Iowa State University in community health education. She previously served as the Network Performance Improvement Manager for the Iowa Primary Care Association, responsible for data collection and

reporting for systems improvement, electronic medical records systems development, quality, performance and systems improvement and training. She also led the PCMH Learning Collaborative for all Iowa community health centers. This Collaborative focused on practice transformation and Patient Centered Medical Home recognition.

She has served in governmental public health, non-profit health organizations and academia. Her work has included systems design development for children’s health service and access issues as well as chronic disease self-management system design. Dawn has extensive experience with coalition building, program management, as well as performance and quality improvement activities from a systems perspective.

The Medical Neighborhood: Enhancing Care Coordination and Integration through Relationships

Jessica K. Beal, Psy. D., Behavioral Health Program Manager – Integrated Care, Passport Health Plan, Louisville, KY

Session Description: This session will explore the medical neighborhood through a review of players (both providers and community partners) and discuss ways to establish a medical neighborhood. A review of how an established medical neighborhood can improve care coordination, enhance efforts towards the practice of integrated care and has the potential to improve provider satisfaction and patient outcomes.


1) Define medical neighborhood 2) List at least one benefit to patients and providers of establishing a strong medical neighborhood 3) Identify at least two ways to network in the formation of a medical neighborhood

BIOGRAPHY: Dr. Beal completed her master’s and doctoral degrees in clinical health psychology at Spalding University. After completing her internship year in integrated primary care, specializing in pediatrics at Cherokee Health System in Tennessee, she returned to Kentucky for the Lovick C. Miller fellowship in pediatric psychology at the University of Louisville School of Medicine, Division of Child and Adolescent Psychiatry and Psychology. Following an extended fellowship in behavioral medicine for stem cell transplant, she served as the pediatric psychologist and Director of Pediatric Hematology/Oncology Behavioral Health with the Division of Pediatric Hematology/Oncology/Stem Cell Transplant. Dr. Beal also has a background in pediatric rehabilitation and brain injury. In April of 2015, took a position as the Behavioral Health Program Manager for Integrated Care at Passport Health Plan.

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DATA AND FUNDING TRACK

What Reliable Information Technology is Like, and What That Can Mean for Your Practice

James David Hall III, Masters of Science, Management Information Systems, Northeast Kentucky Regional Health Information Organization, Morehead, KY

Session Description: This session will focus on the importance of establishing a highly functional information technology foundation in your practice. Particular emphasis of what makes up a functional information technology system, how that looks and what steps your practice can do to more your organization towards having one will be discussed. Systems that function to provide reporting features have a significant positive impact on quality scores, dashboards for practice improvement, and provider engagement.


1) Distinguish between good and bad information technology practices 2) List at least two emerging or established technologies that can be used to improve your network 3) Describe ways in which these technologies can be cost neutral

BIOGRAPHY: James Hall has been an Information Technology professional for the past five years; in this time, he has played an integral role in the development of many projects, including the construction of a Metropolitan Area Network, the successful recovery of a system compromised by ransomware, and is a regular author on NeKY RHIO’s information technology blog.

An Overview of Federal Funding Available for Rural Health Information Technology

Sean McPhillips, FHIMSS, CPHIMS, MBA, MPA, Rural Health Funding Initiative, Cynthiana, KY

Session Description: Federal, Regional and State entities provide funding assistanc for providers who serve rural cummunities. This presentation will be a high-level overview inviting participants to attend upcoming webinars. Funding programs available from USDA, Appalachian Regional Commission, Delta Regional Authority, FCC/USAC, as well as potentially private funding sources


1) List at least two potential funding sources 2) Describe the steps to get connnected with these funds 3) Distinguish between basic funding requirements of two programs

BIOGRAPHY: Sean McPhillips serves in a voluntary support capacity for federal programs dedicated to supporting rural communities. In addition, Mr. McPhillips is an industry leader in System Integration and Interoperability and has served in leadership roles on numerous large-scale projects, including CSC BioSense Biosurveillance and the British Columbia Interoperable Electronic Health Record. In addition to being a CPHIMS Certified as well as Fellow in Healthcare Information and Management Systems Society. McPhillips holds a Maters of Public Administration in Government and a MBA in Marketing.

MARKETING AND ADVOCACY

We Have a Facebook Page!! Now What?

Jessica Robinson, Owner, Print and Pixel Creative, Mt. Sterling, KY

Session Description: Social media is a great way for practices to share their story and connect with patients. However, managing a successful HIPAA complaint social media page takes come planning, plus a basic understanding of Facebooks rules, algorithms and best practices.


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1) Outline the easy steps for your practice to keep your social media page HIPAA compliant 2) List best practices to maximize your post reach 3) Understand Facebook’s algorithms 4) Describe the basics of how to plan a simple, targeted Facebook ad campaign

BIOGRAPHY: Jessica Robinson, a proud eastern Kentucky native, is passionate about branding and design. Long before obtaining her Bachelor of Fine Arts degree from Eastern Kentucky University she valued a well- planned and strategic approach to creative problem solving. As a small child, some of her earliest memories are of watching her grandmother perfectly blend handpicked pattern and color combinations to carry out her artistic vision for each quilt she sewed by hand. Years later, while earning her degree, Jessica learned how to implement the design principles she had watched her grandmother effortlessly use on her beloved quilt patterns. Today, as the owner and principal designer at Print & Pixel Creative, Jessica works with rural healthcare organizations, small businesses and nonprofits to craft authentic, cohesive brands that build trust, attract the right audience and lead to more profitability. She loves empowering eastern Kentucky clients by guiding their organizations through brand visioning and goal setting, then combining strategy and design to provide creative solutions. Jessica has more than 15 years of experience as a graphic designer. She has worked in industries ranging from healthcare to thoroughbreds, nonprofits to retail. Her work has earned recognition including Addy, KSPHRM, and TRAVERSE awards. Jessica resides in Mount Sterling, Kentucky with her husband and two children, Olivia and Mason. She is a member of the Mt. Sterling Chamber of Commerce, Red Cross volunteer and a parent member of Mount Sterling Elementary School SBDM council. When not crafting designs or coding websites, you will find Jessi, along with her family, unplugged camping at one of the many beautiful state parks across Kentucky. Making Your Organization an Advocacy Center of Excellence

Marc Wetherhorn, MBA, Marc Wetherhorn Consulting, Lyndurst, VA

Session Description: This session is an introduction to principals of effective advocacy and will outline the grassroots advocacy infrastructure that organizations need to build power and influence through advocacy at the state and federal levels.

Following the presentations, participants will be able to:

1) Learn the basic elements of grassroots advocacy 2) Understand how to build effective grassroots advocacy infrastructure at their organization 3) Create a work plan for becoming an advocacy center of excellence

BIOGRAPHY: Marc Wetherhorn has over 30 years of political, organizing and advocacy leadership experience at the state and national levels. Marc served or 15 years as the National Advocacy Director and Senior Director of Advocacy and Civic Engagement for the National Association of Community Health Centers. Prior to joining NACHC, Marc worked on statewide election campaigns in Georgia, worked on Capitol Hill and served as State Director for a U.S. Senator. Marc later started and ran a grass roots consumer and environmental advocacy organization and directed grassroots advocacy and organizing campaigns in seven southern states.B.E. in Chemical Engineering from Vanderbilt University and an MBA from the University of Virginia.

FQHC TRACK

340B: Complaince and MegaGuidance Update

Michael Earls, CPA, Director, BKD, LLP, Fort Wayne, IN

Session Description: This presentation will provide participants and opportunity to learn of recent developments in the 340B world from Health Resources and Services Administration (HRSA) and other sources. Insight will be provided to

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help participants understand what a compliance audit would entail, and to gain a better understanding of compliance risks, concerns and how to effiectively monitor compilance. The presentation will assist in providing a better understanding of the need to evaluate the benefits with the 340B Drug Program. Key insights on the recent MegaGuidance and how it is expected to impact community health centers will also be discussed.


1) Develop and strengthen existing internal policies, procedures and internal controls around the 340B Drug Program

2) List several recent updates to the 340B Drug program 3) Identify key components of a compliance program

BIOGRAPHY: Micheal Earls is a member of BKD National Health Care Group, and provides assurance and consulting services for healthcare and not-for-profit organizations, including hospitals, health systems, community health centers, nursing homes and social health and welfare organizations. He performs audit services in accordance with Government Auditing Standards and advises on issues related to the 340B Drug Discount Program. He is a member of the AICPA, Indiana CPA Society and HFMA. Michael is a graduate of distinction from Indiana University-Purdue University, Fort Wayne, with a B.S. degree in business. Michael has presented at numberous primary care associations as well as other health care conferences. In addition, he has delivered several webinar sessions on 340B and the related MegaGuidance.

THURSDAY, NOVEMBER 10, 2016 Pre-Conference Session: Collaborate with Your Peers Utilizing the Same EHR System

Session Description: This session will allow conference participants who share common electronic health records opportunity to collaborate on their system. This participant driven session will provide a means for user to connect and collaborate, discuss pain points and exchange contact information. A contact list for each EHR system will be available for participants to share their contact information which will be circulated to each User Group.

KEYNOTE SPEAKER

Affordable Care Act

Douglas L. McSwain, Partner, Wyatt Tarant & Combs, LLP, Lexington, KY

QUALITY IMPROVEMENT TRACK

Your Game Plan: Quality in 2017 Healthcare

Lauren McGuirk, Lisa Sanders, MSW, CSW, Mary Buckler LPN, Quality Specialists, Precision Healthcare Delivery, Louisville, KY

Session Description: 2017 is almost here. Establishing a plan of action to address quality improvement in your practice will ensure 2017 is successful. This presentation will focus on how to set and implement a successful quality game plan for 2017. The presenters will describe tips on organization and preparation for the upcoming 2017 quality measures.


1) List key components in organizing actions and staff for meeting quality metrics 2) Develop an action plan 3) Identify key staff to educate and plan

BIOGRAPHY: Lauren McGuirk, Precision Healthcare Delivery, 2301 River Road, Suite 302, Louisville, KY 40206. Lauren is currently a Quality Specialist for Precision Healthcare Delivery. Together with her team, she is responsible for developing and implementing quality management strategies and programs. She works directly with participant physicians and their staff to implement these processes to improve the quality of patient care, increase patient satisfaction,

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increase accessibility and improve the productivity of the medical clinic in reducing costs. Lauren graduated from the University of Georgia with a bachelor’s degree in Consumer Economics and has since worked in various roles within the healthcare industry.

BIOGRAPHY: Lisa Sanders, MSW, CSW is currently a Quality Specialist for Precision Healthcare Delivery. Prior to coming to PHD Lisa worked for the Kentucky Health Information Exchange (KHIE) as the Behavioral Outreach Coordinator. She has experience in working on quality programs within physician practices and hospitals. Lisa worked 17 years as the Director of Social Services for Appalachian Regional Health Care – Division of Home Services/Inpatient Psychiatric Services. Lisa received her Bachelors of Arts degree at Berea College, and her Master of Social Work from the University of Kentucky.

BIOGRAPHY: Mary Buckler, LPN is currently a Quality Specialist for Precision Healthcare Delivery. She works with physicians and their staff in the Western Region of Ky. Prior to coming to PHD Mary worked as the Director of Quality Management and Infection Control for Kindred Hospital Louisville at Jewish.

Working Together to “Weaken the Link” between Cardiovascular Disease and Diabetes

Kim Headspeth HIM and Nancy Semrau MHI, Qsource, Louisville, KY

Session Description: This presentation will describe the link between cardiovascular disese and diabetes, prevalence and health disparities among various populations, and quality improvement initiatives in place to promote provider and patient engagement for improved health outcomes. Two main goals will be the focus of the presentation, improvement of cardiovascular health and reduction in disparities in diabetes care. The presentation will promote the use of standarized blood pressure protocols with every patient encounter and discussion which empower patients to the their ABCS to enhance quality of care. As well as emphasize the importance of identifying those at risk, monitoring data regularly, and referring to educational programs to encourage active patient participation.

Following the presentation, the participants will be able to:

1) Recognize the components of promoting patient engagement 2) List common health disparities in diabetes patients 3) Outline the steps in a quality improvement initiatives

BIOGRAPHY: Kim Headspeth, is a Quality Improvement Advisor for Kentucky Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO). In this capacity she works with the cardiovascular task which includes improving cardiac health and reducing health disparities for the state of Kentucky. Ms. Headspeth received her Bachelor of Science degree in Health Information Management from Eastern Kentucky University. Thereafter, she earned her Master’s degree in Business Administration with a focus on Health Administration from Troy University, Columbus Georgia.

Ms. Headspeth began her career as a Regional Long Term Care Ombudsman in the state of Alabama, also working within the agency she was a certified Case Manager and a Nutritional Coordinator. Thereafter, Ms. Headspeth began working as a Patient Safety Manager at Maxwell Air Force Base, Montgomery.

BIOGRAPHY: Ms. Semrau is a QI Advisor for the Kentucky Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO). In this position, she facilitates diabetes classes, trains diabetes class Peer Facilitators, and works with physician practices to improve diabetes outcomes for Medicare beneficiaries in the state of Kentucky. Ms. Semrau has a B.S. in Business Administration from California State University, Sacramento, and a Master’s degree in Health Informatics from Northern Kentucky University. She is a Registered Nurse with more than 11 years of experience in a variety of roles, such as medical-surgical, emergency department, charge nurse, hospice, rehabilitation, and quality improvement.

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Introduction to Lean Healthcare

Tara Hatfield, RN, BSN, CHTS-CP, Director, Purdue Healthcare Advisors/Great Lakes Practice Transformation Network, Brownstown, IN

Session Description: In this presentation, participants will be introduced to the concept of Lean Healthcare as it applies to the healthcare setting. There is a tremendous need in health care to improve quality and efficiency while controlling costs. Lean is a quality improvement philosophy and set of principles that is promising as a management approach to improving quality in the healthcare setting.

Following the presentation, the participant will be able to:

1) List the key components of Lean Healthcare 2) Understand how to apply the lean health care principles 3) Understand how to apply lean activities to add value to the patient 4) Understand how to apply the Plan Do Study Act method

BIOGRAPHY: Tara Hatfield, RN, BSN, CHTS-CP, CPHPA, is the Indiana Clinical Lead and the Network Clinical Lead for the Great Lakes Practice Transformation Network (GLPTN), a 32-partner consortium dedicated to guiding 11,500 Midwest-based providers toward value-based care. As a managing advisor of quality reporting at Purdue Healthcare Advisors (PHA), Tara guided providers toward attainment of EHR Meaningful Use standards. Prior to joining the PHA team in May of 2014, Tara worked in a variety of work-flow redesign and quality improvement roles with Indiana’s Quality Improvement Organization and another Midwest-based HITECH Regional Extension Center. She assisted in the Meaningful Use attestation and Physician Quality Reporting System (PQRS) submission for more than 100 healthcare providers. Tara earned a Baccalaureate of Nursing from Indiana University, and she is certified as a Health IT Provider Consultant. Her nursing experience includes more than eight years of clinical experience in critical care, oncology, and nursing management. She also has completed courses in the areas of Patient Centered Medical Home (PCMH) Coaching and Lean Six Sigma for Healthcare.

Health Coaching and Chronic Care Management: A Possible Solution

Cody Mullen, PHD, BS, Director of Chronic Care Management and Wellness, Indiana Rural Health Association, Terre Haute, IN

Session Description: Chronic disease management has become an area of concern for rural America. A higher prevalence of citizens with chronic conditions are living in rural America than ever before. Participants will be able to explain the importance of chronic disease management, understand the components of Indiana’s chronic disease management program and discuss strategies to improve condition management in rural settings.


1) Explain the importance of chronic disease management 2) Understand Indiana’s chronic disease management program 3) Describe strategies to improve condition management in rural settings

BIOGRAPHY: Cody Mullen, PhD(c), is the network development coordinator for the Indiana Rural Health Association facilitating the development of chronic care management program supporting citizen within rural Indiana to help lower the cost and improve quality of care for individuals. Cody earned his BS from Purdue University in Interdisciplinary Science with a focus on healthcare engineering and statistics. Cody is currently a doctoral candidate in Health Policy and Management at the Richard M. Fairbanks School of Public Health with research interests in quality of care and access to care for vulnerable populations, especially citizens of rural America and individuals with an intellectual/developmental disability. Cody has been active in health services research for 8 years, working on projects ranging from infant mortality to hospital readmissions to the utilization of assistive technology by individuals with a disability. Cody is interested and active with the Patient Centered Outcome Research Institute and the Institute for Healthcare Improvement as a patient/caregiver

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advocate. He is also very active with the American Public Health Association, serving on the board of the student assembly and coordinating their scientific meeting for three years. Locally, Cody is active with the Arc of Indiana, serving as chair of the Blueprint for Change Steering Committee, a member on the Health and Wellness Committee, and on the Board of Directors. Cody is also an adjunct faculty member at Ivy Tech Community College in Lafayette and an associate instructor for the Fairbanks School of Public Health at IUPUI. OUTREACH & ENROLLMENT TRACK

State of Enrollment in Kentucky: Outreach & Engagement Goals for OE4

Carrie Banahan, Executive Director, Kentucky Office of Health Benefit and Information Exchange, Frankfort, KY

April Washington, Public Affairs Specialist, Office of Regional Director, HHS, Atlanta, GA

Session Description: The presentation will provide an overview of activity leading up to the 2017 Open Enrollment Period and the transition to the Federally Facilitated Marketplace, as well as highlighting the strategic goals and objectives for OE4.


1. Identify role and responsibility changes for KHBE 2. Provide update on 2017 OEP 3. Discuss system changes in website and account transfer 4. Provide ACA training to partners and in-person assisters

BIOGRAPHY: Carrie Banahan is the Executive Director of the Kentucky Office of the Health Benefit and Information exchange and is responsible for the implementation and operations of the Exchange. Carrie is a graduate from the University of Louisville and has over 30 years’ experience in State Government. From 2008-2012, she was the Executive Director of the Office of Health Policy and was responsible for the administration of the Certificate of Need program and Health Planning and development for the Cabinet for Health and Family Services. During that time, Carrie also served as the implementation Director for Medicaid Managed Care in which 540,000 individuals was transitioned from a fee-for-service delivery system to managed care.

From 2006 to 2008, Ms. Banahan served as Deputy Commissioner for the Department for Medicaid Services. While at Medicaid, Carrie was instrumental in overseeing the implementation of Kentucky Health Choices and the new MMIS, as well as assisting with the development of new waiver programs.

From 1998 until 2006, she was employed by the Department of Insurance and worked in the Health Division as a Branch Manager, Division Director and also served as Deputy Commissioner. While at Insurance, Ms. Banahan was responsible for overseeing and implementing HIPAA insurance requirements, prompt pay laws for insurers, an internal and external review process for consumers, and a state high risk pool for individuals who were unable or had difficulty obtaining health insurance.

From 1986 to 1998, Carrie was employed by the Department for Medicaid Services and served in various capacities including policy development, drafting of Medicaid regulations and State Plan amendments and assisted with implementation of a new MMIS, and the Medicaid Partnership Program.

BIOGRAPHY: April Washington serves the Regional Director (RD) and Immediate Office of the Secretary relative to the development and management of program strategies as well as fostering relations with Health and Human Services internal and external partners to facilitate strategic initiatives and objectives. One of the April’s primary duties is to support the President’s initiative in the education, promotion and implementation of the Affordable Care Act throughout Region IV.

April oversees ACA efforts in Florida, North Carolina, Tennessee and Kentucky.

Prior to joining the U.S. Department of Health and Human Services, Region IV, April worked as a veteran award-winning journalist and public affairs professional.

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For nearly 20 years, April worked in high-pressure newsrooms and the halls of government. For much of her journalism career, she served as a governmental/political reporter and writer for the Rocky Mountain News, Denver, Colo., and The Dallas Morning News, Dallas, Texas, covering state and local government public-policy issues, political campaigns, elected officials, the Colorado General Assembly, mayoral and gubernatorial administrations, Texas Congressional Delegation and local, state and national elections.

April served as principal writer and contributing editor for a recently published book, A Defining Moment, Barack Obama: The Historic Journey to 1600 Pennsylvania Avenue. The book was nominated for 2012 NAACP Image Award for Debut Literary Work. April also co-managed a diversity outreach initiative for the United States Tennis Association of Colorado (USTA). In that capacity, April served as Associate Producer of the documentary film "Crossing the Net: The Denver City Park & The Black Tennis Experience.” The award-winning film captures the words and deeds of African American tennis players who broke color barriers to establish a thriving tennis community in the Denver metro area.

April has earned recognition and numerous national and regional awards: Received the International Academy of the Visual Arts 2012 Communicator Award of Distinction in the Print Division for the USTA Colorado Breaking Barriers project in two categories: Marketing/Promotion-Special Event; named 2005 Print Journalist of the Year by Colorado Association of Black Journalists.

April was born and raised in Denver, Colo. She earned a BA in journalism from Metropolitan State University of Denver. She holds a Master’s degree in Management/Public Administration from the University of Phoenix.

Current Issues Affecting Application Assisters: Best Practices in the FFM & Using Your Voice for Advocacy

Moderator: Whitney Allen, MPH, Kentucky Primary Care Association, Frankfort, KY

Elizabeth Kwasnik, MFS, Manager Grassroots Advocacy, NACHC, Washington, DC

Session Description: This session will provide application assisters with an overview of tried and true best practices from assisters in states using the FFM. Key issues affecting the work of assisters will be discussed as well as review relevant topics for the fourth open enrollment period and beyond. The presentation will also cover the basics of advocacy, and the unique role that application assisters have in engaging patients and the community in advocacy efforts to support their health center.


1. Review key best practices that aid in the application process and will help assisters do jobs more efficiently 2. Understand landscape of enrollment assistance across the country 3. Learn about remaining challenges and opportunities in the assister’s line of critical work 4. Provide an understanding of advocacy basics and why it is important for assisters to be advocates 5. Discuss resources and support available from NACHC

BIOGRAPHY: Whitney Allen is currently the Coordinator of Community Development and Outreach for the Kentucky Primary Care Association. In this position, she develops, implements, and coordinates the KPCA’s Community Development and Outreach programs. These programs are designed to: 1) strengthen, increase, and expand access to affordable, quality health care to all populations throughout Kentucky; 2) support outreach and enrollment (O&E) programs and workers; and 3) support and raise awareness of KPCA members and KPCA services.

Prior to joining KPCA, Whitney was an Outreach Worker at an FQHC in Southeastern Kentucky where she helped establish the health center’s first Outreach & Education program. She also helped coordinate marketing efforts and served as Patient Navigator for a quality improvement project.

Whitney holds a MPH from Eastern Kentucky University and a BS from Georgetown College.

BIOGRAPHY: Elizabeth Kwasnik, MFS is the Manager of Grassroots Advocacy, NACHC. Elizabeth joined NACHC’s Public Policy and Research division in 2014 as the Manager of Grassroots Advocacy, and is the point of contact for grassroots advocacy training, education, and support in the Midwest region of the country (including Kentucky). She

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oversees NACHC’s Key Contact and Advocacy Center of Excellence (ACE) Programs, as well as clinician engagement, board member engagement, and advocate recognition. Prior to NACHC, she managed the grassroots program at the Parkinson’s Action Network, where she was Advocacy Manager.

How to Navigate the System Efficiently: Healthcare.gov 101 & Benefind Update

Moderator: Whitney Allen, MPH, Kentucky Primary Care Association, Frankfort, KY

Kristi Putnam, Executive Advisor, DCBS CHFS, Frankfort, KY

Jill Hunter, Deputy Commissioner, DCBS CHFS, Frankfort, KY

Ruby Piscopo, Outreach & Enrollment Coordinator, West Virginia Primary Care Association, Charleston, WV

Session Description: This session will provide application assisters with the basics of healthcare.gov including an application walk-through. An update on benefind will be given on the new system functionality that will make it possible to better assist clients with their benefits coverage.


1. Describe the healthcare.gov application and enrollment process 2. Provide an overview of benefind self-service portal (SSP) for providers 3. Explain new function to assign an authorized representative in benefind SSP 4. Provide updates regarding operational enhancements planned for DCBS and DMS

BIOGRAPHY: Whitney Allen is currently the Coordinator of Community Development and Outreach for the Kentucky Primary Care Association. In this position, she develops, implements, and coordinates the KPCA’s Community Development and Outreach programs. These programs are designed to: 1) strengthen, increase, and expand access to affordable, quality health care to all populations throughout Kentucky; 2) support outreach and enrollment (O&E) programs and workers; and 3) support and raise awareness of KPCA members and KPCA services.

Prior to joining KPCA, Whitney was an Outreach Worker at an FQHC in Southeastern Kentucky where she helped establish the health center’s first Outreach & Education program. She also helped coordinate marketing efforts and served as Patient Navigator for a quality improvement project.

Whitney holds a MPH from Eastern Kentucky University and a BS from Georgetown College.

BIOGRAPHY: Jill Hunter is currently serving as the Deputy Commissioner for the Kentucky Department for Medicaid Services. She has served in many roles in Medicaid, including the Director of Provider and Member Services and the Director of Healthcare Facilities Management. Prior to rejoining Medicaid, Jill served as the Director of Billing Operations for KMSF, the foundation that serves the University of Kentucky Medical Center healthcare providers. Jill earned both her Bachelors and Masters Degrees from Ball State University in the area of organizational behavior and management.

BIOGRAPHY: Kristi Putnam serves as Executive Advisor in the Office of the Commissioner for Department for Community Based Services. She has experience on both the policy and direct services sides of human services and education through her leadership positions in the Florida Executive Office of the Governor, Department of Children and Families, and Department of Education. She also has been a classroom teacher, a preschool director, and a Veterans Services Representative with the U.S. Department of Veterans Affairs. Prior to joining DCBS, Kristi served as Child Welfare Services Manager in the Florida Department of Children and Families. Kristi earned her Bachelors Degree from Florida State University, and completing a Masters of Psychology Degree in Organizational and Industrial Change. BIOGRAPHY: Ruby Piscopo graduated from Wheeling Park High School in Wheeling, West Virginia and later moved to Charleston, West Virginia to attend West Virginia State University. Ruby worked open enrollment periods one and two with Maximus before she came to West Virginia Primary Care Association. Since her transition she has continued to seek opportunities for the WVPCA and its members to participate in collaborations, and partnerships related to expanding access to care and assisting consumers in understanding their coverage as well as utilizing the health system.

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Talk Enrollment to Me: Effective Consumer Messaging

Cheryl O’Donnell, BSJ, MPA, State Assistance Regional Manager, Enroll America, Washington, DC

Tracy Figley Williams, Training Developing Specialist II, Kentucky Office of Health Benefit and Information Exchange, Frankfort, KY

Session Description: Change is hard, especially for consumers who are new to health insurance. The evolving health insurance marketplace landscape presents challenges for engaging un- and newly insured consumers to enroll and retain health coverage. This interactive workshop will prepare assisters to effectively communicate changes in the state’s health insurance marketplace so that consumers feel confident in enrolling in coverage. The presentation will also review the key points of KY’s communication plan and milestones for consumer outreach and messaging.


1. Understand basic consumer messaging principles 2. Provide tools and ideas for applying message lessons to the marketplace transition 3. Provide a timeline for messaging 4. Provide resources for messaging

BIOGRAPHY: Cheryl O'Donnell is the State Assistance Regional Director for Enroll America, the nation's leading healthcare enrollment coalition. Based in Charleston, SC, Cheryl establishes and maintains an ongoing relationship with community partners in the southeast U.S. to support local enrollment efforts and identify best practices that inform efforts nationwide. Prior to serving as Regional Director, Cheryl served as Enroll America's Arizona State Director, working with partners across the state to help nearly 500,000 Arizonans get access to health coverage.

Cheryl has 15 years of experience in development programs and public affairs campaigns aimed at enhancing the health and well-being of women and children.

BIOGRAPHY: Tracy Figley is a Training Development Specialist II for the Kentucky Office of Health Benefit and Information Exchange. She joined the kynect team last October. Prior to her time with kynect, Tracy did training for the Federal Marketplace beginning with the first Open Enrollment Period. Her passion is helping people understand.

RHC AND FQHC TRACK Setting Your Organization Up for Success: Understanding the Complexities of the Revenue Cycle

Monique D. Funkenbusch, CPC, Managing Consultant, BKD, LLP, Springfield, MO

Session Description: Is your revenue cycle operating at peak efficiency? Have you identified there are issues with your medical billing and revenue cycle, but are not certain what is actually “broken”? For most executives, medical billing and the revenue cycle are two commonly challenging areas of an organization’s operations. The workflows and processes related to these areas can be very complicated and impact nearly every operational component within an organization. With additional pressures and challenges from regulatory agencies and organizations, along with constantly changing guidelines and rules, leadership must determine how to better manage the revenue cycle which in turn may improve and sustain the organization’s fiscal health. Revenue management and compliance are at the forefront of organization sustainability. We will address key revenue cycle topics and put them in context with the current industry focus on compliance. Understanding the complexities of the Medicare program is a challenge for many health centers and the risk associated with potential non-compliance is real in today’s environment. Following the presentation, participants will be able to:

1. Describe key revenue cycle areas

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2. Discuss key performance indicators 3. Highlight common compliance issues in the industry 4. Discuss recent & upcoming Medicare regulatory changes

BIOGRAPHY: Monique, a member of BKD National Health Care Group, has health care operations experience in administrative and management capacities in hospital and clinic settings. She provides reimbursement and operational consulting for physician clinics, rural health clinics and federally qualified health centers. She assists in providing guidance related to Medicare enrollment and credentialing processes and physician compensation structure analysis, operations and improvement and revenue cycle enhancement consulting. Monique also performs general financial and operational consulting services related to electronic health record systems. Prior to joining BKD, she was the manager of systems integration for a top-rated integrated health care system. While there, she worked with management and provided services throughout the implementation of the electronic health record. She is experienced in change management, staffing and efficiency analysis, process improvement and training. Monique also lectures about operational improvements, revenue enhancements and billing topics at events hosted by state primary care associations. Monique is a Certified Professional Coder (CPC) through the American Academy of Professional Coders. She is a 2002 graduate of Truman State University, Kirksville, Missouri, with a B.S. degree in health science, and a 2005 graduate of Saint Louis University, Missouri, with an M.H.A. degree. It All Starts at the Front Desk Monique D. Funkenbusch, CPC, Managing Consultant, BKD, LLP, Springfield, MO Session Description: What does your front desk reveal about your organization? You never get a second chance to make a good first impression. The front office is a very important area of your organization as it sets the tone when the patient arrives. Efficient front desk staff enhances the patient experience and reduces wait times, which can make a big difference to your patient retention rate and new referrals. Front desk staff members are one of the most important resources in the process of collecting payments up front and collecting outstanding patient balances. Front desk staff also handle major tasks such as patient management, capture and verification of patient demographics, and appointment scheduling. It is also extremely important to establish efficient front desk workflows and systems to manage and collect money because once a patient walks out the door, collection opportunities decrease drastically. This session will address best practice standards at the front desk area along with various pitfalls to avoid.


1. Highlight key responsibilities of front office staff 2. Identify best practices related to front office workflows 3. Discuss challenges and common pitfalls to avoid at the front desk

BIOGRAPHY: Monique, a member of BKD National Health Care Group, has health care operations experience in administrative and management capacities in hospital and clinic settings. She provides reimbursement and operational consulting for physician clinics, rural health clinics and federally qualified health centers. She assists in providing guidance related to Medicare enrollment and credentialing processes and physician compensation structure analysis, operations and improvement and revenue cycle enhancement consulting. Monique also performs general financial and operational consulting services related to electronic health record systems. Prior to joining BKD, she was the manager of systems integration for a top-rated integrated health care system. While there, she worked with management and provided services throughout the implementation of the electronic health record. She is experienced in change management, staffing and efficiency analysis, process improvement and training. Monique also lectures about operational improvements, revenue enhancements and billing topics at events hosted by state primary care associations.

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Monique is a Certified Professional Coder (CPC) through the American Academy of Professional Coders. She is a 2002 graduate of Truman State University, Kirksville, Missouri, with a B.S. degree in health science, and a 2005 graduate of Saint Louis University, Missouri, with an M.H.A. degree. Heavy Lifting: Transitioning to Value Based Care and the Impact of MACRA on Primary Care Providers

Trudi Matthews, MA, Managing Director of the Kentucky Regional Extension Center/UK Healthcare, Lexington, KY

Session Description: The acceleration towards value based care and the recent Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 present specific challenges to small, rural primary care providers and large health systems alike. This presentation is designed to provide a glimpse into the regulatory framework behind MACRA that will take effect in 2017. The rule will be analyzed and the necessary steps practices need to take in order to prepare for the distinct reporting mandated by MACRA. The value based purchasing provisions in the Medicaid Managed Care rule and other MCO contracts will also be discussed.


1. Understand the basics of the rule and how MACRA consolidates existing reporting programs under the Merit Based Incentive Payment System (MIPS)

2. Provide a step by step break down of the reporting metrics 3. Evaluate practice readiness

BIOGRAPHY: Trudi Matthews serves as Managing Director of the Kentucky Regional Extension Center (REC) at the University of Kentucky. Trudi manages all staff, programs and operations of the Kentucky REC, a center charged with assisting health care providers, practices, and hospitals across Kentucky with using technology, connectivity, process improvement and value-based care models to improve the quality and value of health care. Trudi also serves as a policy advisor on the External Affairs team for UK HealthCare. In this role, Trudi helps leadership remain informed of changing state and federal legislation, regulation and policy related to quality, value, meaningful use of IT, and payment innovation. Trudi formerly served as Director of Policy and Business Development with the Health Collaborative, HealthBridge and the Greater Cincinnati Health Council, where she worked with one of the nation’s top regional health improvement and transformation teams. Between 2008-2014, Trudi provided leadership and support for a wide range of technology and quality improvement initiatives including Cincinnati’s Beacon Community Program, the Tri-State Regional Extension Center, Aligning Forces for Quality, the Kentucky and Indiana State Health Information Exchange Programs, and the Nationwide Health Information Network, among other initiatives. Trudi led grant and business development efforts which garnered more than $26 million in funding for regional health improvement programs. From 2005-2007, Trudi was Senior Policy Advisor with the Kentucky Cabinet for Health and Family Services serving as coordinator for Kentucky’s statewide e-Health efforts. Trudi worked for the Council for State Governments from 1999-2005, where she managed CSG’s health policy activities for state legislators and executive branch officials. Trudi received her B.S. and M.B.S. in political science from Iowa State University. She lives in Lexington, KY with her husband, four children and a cat. Billing and Coding Roundtable Susan Thompson, Director of Network Development, Precision Healthcare Delivery, Louisville, KY

Mary Elam, CPC, Precision Healthcare Delivery, Louisville, KY

Edward Connors, Member Relations, KPCA, Frankfort, KY

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Session Description: This session will offer participants an opportunity to review common billing and coding issues faced by KPCA members. Billing and coding examples will be submitted to the panel and these will be reviewed and discussed during the session.

BIOGRAPY: Susan Thompson is the Network Development Director for Precision Healthcare Delivery (PHD). PHD manages three Independent Practice Association (IPA) networks in the Commonwealth of Kentucky and Southern Indiana. Susan brings a plethora of experience to her current position as over the last 25 years working in the healthcare industry, she has held several positions including revenue cycle management, practice management and compliance. This well rounded experience is a tremendous asset to her work with KPCA member clinics.

BIOGRAPY: Mary Elam is a Certified Professional Coder (CPC) and has extensive experience with billing and AR management related to Medicare, Medicaid and commercial plans in the primary care, health department, and specialty settings.

BIOGRAPY: Edward Connors is a New Jersey native, who has made Kentucky his home for the last six years. Edward has diverse experience working in health care the last 16 years which includes both the private and institutional settings on both the insurance side and provider side. He is currently the Member/Clinic Relations Manager for KPCA.

Critical Issues and Thoughts on the Value of Your Business

Alex Fritz, CPA/ABV, ASA, CVA, Director, Blue and Co, LLC, Louisville, KY

Session Description: This session will assess some of the key variables for owners and administrators to consider in evaluating and executing an acquisition or sale strategy including: fair market value, valuation of tangible/intangible assets, post-acquisition compensation (i.e. structuring, productivity bases, incentive metrics, etc.) and post-acquisition governance and management.


1. Understand key considerations and techniques in valuing a practice 2. Understanding due diligence for implementing a technique

BIOGRAPHY: As part of the Valuation and Healthcare Strategy Group Alex is responsible for coordinating services to doctors and their group practices. Majority of time is spent on healthcare practice management issues and business valuations for physician practices, rural health clinics, hospitals, and other healthcare related entities

FRIDAY, NOVEMBER 11, 2016 Pre-Conference Session: Collaborate with Your Peers Utilizing the Same EHR System

Session Description: This session will allow conference participants who share common electronic health records opportunity to collaborate on their system. This participant driven session will provide a means for user to connect and collaborate, discuss pain points and exchange contact information. A contact list for each EHR system will be available for participants to share their contact information which will be circulated to each User Group.

QUALITY IMPROVEMENT TRACK

Chronic Opiate Alagesic Therapy: Taking the Pain Out of Prescribing

Judi Daniels, PHD, APRN, Assistant Professor, University of Kentucky, John Stewart, MD, FACP, FAAP, Assistant Professor, University of Kentucky, Lexington, KY

Session Description: Review the challenges of prescribing opiates in primary care due to our patient population and HB1. Review available screening tools to assess for addiction potential and risk of misuses and highlight recommendations for management. An outline for the model implemented in primary care practice for opioid prescribing will be described.


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1. Explain the epidemic of opiate abuse in Kentucky 2. Describe the tools available to assess and manage risk of opiate abuse/misuses in patients receiving

chronic opiate therapy 3. Outline a model for prescribing chronic opiate for your practice

BIOGRAPHY: Dr. Daniels completed her MSN/FNP at Michigan State University in 1987 and PhD in nursing at the University of Kentucky in 2004. Throughout her nursing career she has had a variety of clinical experiences. She is dual board certified in Family and Pediatrics and maintain an active practice at the Polk Dalton: Internal Medicine /Pediatrics Clinic. She was named Medical Director of the Chronic Opioid Assessment and Treatment Clinic in July 2016. Dr. Daniels is currently on faculty at the University of Kentucky College of Nursing.

BIOGRAPHY: John Stewart, MD, FACP, Assistant Professor, University of Kentucky, Lexington, KY has been in healthcare for over 40 years, 30, of which have been in advanced practice. Currently, Dr. Stewart is the Medical Director of the Chronic Opioid Assessment and Treatment clinic, which is integrated within the primary care clinic.

Sepsis, Early Recognition and Treatment

Therese Hughes, Ph.D., MPA, RN, Epidemiologist, Baptist Health Lexington, Lexington, KY

Session Description: Sepsis affects millions around the world each year, contributing to approximately 50% of all hospital deaths. It continues to fly under the radar screen due to its insidious presentation. The best outcomes are through early identification and treatment. This presentation will focus on recognizing the early signs and symptoms sepsis, and early management and treatment.


1. Define Sepsis, Severe Sepsis and Septic Shock 2. Recognize the early warning signs for sepsis 3. Understand the recommended treatment and management of sepsis

BIOGRAPHY: Dr. Hughes is currently employed at Baptist Health Lexington as their Nurse Epidemiologist working in Infection Control. She serves as a subject matter expert in infection control practices and epidemiology. She is a Registered Nurse with many years of experience, who also has a PhD in epidemiology from the University Of Louisville School Of Public Health and Information Sciences. She was the recipient of the University of Louisville 2015 Alumni Fellow award. In addition, she has a Masters’ degree in Public Administration, with additional certification in infectious disease epidemiology from Johns Hopkins University. She has extensive education and experience working on local, national and global health initiatives within the Department of Health and Human Services, and within a hospital clinical setting. This includes epidemiologic studies, infectious diseases and public policy. She has been extensively involved in the sepsis initiative for all Baptist Health hospitals in KY.

ORAL HEALTH TRACK Making Smiles Happen Surveillance Initiative Mahak Kalra, MPH, Oral Health Policy Director, Kentucky Youth Advocate, Louisville, KY Session Description: Delta Dental of Kentucky’s charitable initiative, Making Smiles Happen, launched the first statewide oral health surveillance in 15 years. The Making Smiles Happen Surveillance Initiative engaged third and sixth grade students with a goal to better understand the oral health needs for Kentucky’s youth. Following the presentation, participants will be able to:

1. List the components of the Making Smiles Happen Surveillance 2. Understand the recently released regional and statewide data

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BIOGRAPHY: Mahak Kalra graduated from the University of Louisville with a bachelor’s degree in health and human performance along with a biology minor and received her Master’s in Public Health from the University of Louisville School of Public Health. Mahak is a policy director at Kentucky Youth Advocates. There, she manages the statewide, Kentucky Oral Health Coalition, develops and publishes oral health policy fact sheets/issue briefs, manages several oral health grants, and works closely with key officials to create policy change. Mahak has worked on multiple health issues at Kentucky Youth Advocates, including childhood obesity, expanding children’s health coverage, and smoke free policies.

Oral Health Expansion in Kentucky – Ten Amazing Projects

Daria Nichole “Nikki” Stone, DMD, Dental Director, UK North Fork Valley CHC, Hazard, KY

M. Raynor Mullins, DMD, MPH, UK Center for Oral Health Research, Lexington, KY

Session Description: Kentucky received ten oral health expansion grants in 2016! Each one of the ten recipients will be invited to share a brief summary of their oral health project, best practices, and an opportunity for Q&A. Facilitators will guide the remainder of the session bringing perspective to state and national data so that recipients can track progress.


1. Understand the success of Kentucky’s ten oral health expansion grants 2. Explain the goals of the program 3. Evaluate the project

BIOGRAPHY: Nikki Stone is an associate professor at the University of Kentucky’s first regional dental program, Hazard, Perry County. She is also the dental director for the UK North Fork Valley Community Health Center. She directs their mobile dental outreach program that has been recognized by the Robert Wood Johnson Foundation and has kept data showing over ten years of successfully bringing tooth decay rates down in rural Appalachia. Dr. Stone has over 20 years of experience as an FQHC dentist and enjoys helping and encouraging FQHC’s to implement dental outreach programs.

BIOGRAPHY: M. Raynor Mullins is Emeritus Faculty, UK College of Dentistry and UK Center for Oral Health Research. He is also a member of the Executive Board of KPCA. Dr. Mullins is a Past-President of the American Association of Public Health Dentistry and a member of the Kentucky Public Health Hall of Fame.

RHC TRACK Navigating the RHC Licensure and Provider Enrollment Processes Monique D. Funkenbusch, CPC, Managing Consultant, BKD, LLP, Springfield, MO Session Description: Have you experienced reimbursement delays due to lack of or inefficient provider enrollment steps? Is your RHC currently meeting all of the required Medicare conditions of coverage? Are annual program evaluations conducted and documented at your RHC? Does your mid-level provider meet the staffing requirements? Provider enrollment can become a major roadblock to organizations receiving reimbursement from its payers. RHCs also have the added responsibilities of meeting specific criteria in order to participate in the Medicare and Medicaid programs. This session will address the key RHC operational requirements outlined in the conditions of coverage and enrollment steps as mandated by the Centers for Medicare and Medicaid Services. We will address common pitfalls throughout the Medicare enrollment process and how you can avoid these and other conditions of coverage issues in the future. Following the presentation, the participants will be able to:

1. Identify Medicare key conditions of coverage as an RHC 2. Highlight common provider enrollment compliance issues 3. Discuss recent Medicare regulatory changes related to enrollment revalidation

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BIOGRAPHY: Monique, a member of BKD National Health Care Group, has health care operations experience in administrative and management capacities in hospital and clinic settings. She provides reimbursement and operational consulting for physician clinics, rural health clinics and federally qualified health centers. She assists in providing guidance related to Medicare enrollment and credentialing processes and physician compensation structure analysis, operations and improvement and revenue cycle enhancement consulting. Monique also performs general financial and operational consulting services related to electronic health record systems. Prior to joining BKD, she was the manager of systems integration for a top-rated integrated health care system. While there, she worked with management and provided services throughout the implementation of the electronic health record. She is experienced in change management, staffing and efficiency analysis, process improvement and training. Monique also lectures about operational improvements, revenue enhancements and billing topics at events hosted by state primary care associations. Monique is a Certified Professional Coder (CPC) through the American Academy of Professional Coders. She is a 2002 graduate of Truman State University, Kirksville, Missouri, with a B.S. degree in health science, and a 2005 graduate of Saint Louis University, Missouri, with an M.H.A. degree. Rural Health Clinics (RHCs): Healthcare Common Procedural Coding System (HCPCS) Reporting Requirement and Billing Update Sharon A. Shover, CPC, CEMC, Blue & Co, LLC, Louisville, KY Ms. Shover has proven experience in all aspects of revenue cycle management including knowledge and implementation of best practices in revenue cycle management and associated information systems. Ms. Shover's areas of expertise include practice management, clinical documentation improvement, chart auditing, coding, the accounts receivable cycle from patient access to collections, analyze commercial insurance contracts, and corporate compliance implementation processes, and policy and procedures. Her session will provide further guidance to the April 2016 instruction from CMS to RHCs to hold claims only for a billable visit shown in red on the RHC QVL until October 1, 2016. FQHC TRACK The Role of Needs Assessments in Organizational Strategic Planning Phyllis Platt, Ph.D., MSW, Shawnee Christian Healthcare Center, Lindsay Nelson, MSW, Development and Growth Strategies Session Description: This presentation will review key elements of conducting a comprehensive needs assessment and will include information on conducting a market analysis and environment scan. The presentation will also describe how to use these elements for organizational strategic planning. Following the presentation, the participants will be able to:

1. Understand key elements of a needs assessment 2. Identify resources to assist in a needs assessment 3. Understand how a comprehensive needs assessment informs the organizational strategic plan

BIOGRAPHY: Dr. Phyllis Platt has nearly twenty-five years of experience working with non-profits and community based organizations. She earned a Masters in Social Work from The Southern Baptist Theological Seminary in Louisville, KY and a PhD from the University of Kentucky. Phyllis has taught at the University of Kentucky and Spalding University where she also served as Chair of the School of Social Work. She has expertise in school based health, rural health, integrated care, non-profit leadership, and organizational capacity building. Her primary interest is in helping address community needs through partnerships and collaboration. Dr. Platt currently serves as the CEO of Shawnee Christian Healthcare Center.

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BIOGRAPHY: Lindsay Nelson works as a grant writer and non-profit consultant with Development and Growth Strategies. Lindsay previously worked with the Kentucky Primary Care Association as the Coordinator of Community Development and Outreach. Lindsay earned a Bachelors from Gettysburg College and her Masters in Social Work from Spalding University. Lindsay is passionate about social justice and improving health disparities.

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