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FULL Schedule Friday  (subject to change - updated 9/20/2022)

into the unknown

Annual Conference October 27-28, 2022

Friday, October 28, 2022 

7:00am - 7:45am  Breakfast  Exhibit Hall South

 

8:00am - 9:00am 

PLENARY  Exhibit Hall South

Mindset Matters: How to Mitigate Burnout and Build Workplaces that Thrive!  Dr. Tim Crowley

Session Description:

Health care workers constitute the most affected group of people in the fight against the COVID-19 virus. While we continue to face many unknowns, we must develop the right mindset to persist and emerge strong-minded from these challenging times. Mindset Matters is a timely and eye-opening message that centers on how to navigate a course that we never planned into a future we never imagined. This captivating presentation will allow us to reflect, recharge, and celebrate our wins, while we reconnect to ourselves, others and our profession.

 

This presentation is filled with captivating stories, motivating anecdotes, and actionable takeaways on creating workplaces in which most people wake up every day inspired, feel supported and safe wherever they are, and end the day fulfilled by the work they do. After participating in this keynote presentation, you can expect to return to your personal and professional life renewed, inspired, and equipped with more tools to offer yourself and your colleagues.

 

By the end of the presentation, participants should be able to:

  • Identify key qualities of a positive mindset for improving culture and reducing burnout

  • Identify the number one leadership skill for creating connection and collaboration

  • Describe the number one way to create highly engaged workplaces

  • Describe practical ways to support the physical and psychological health of your people

  • Discuss how vulnerability and compassion helps us to be high impact leaders

  • Discuss how to build self-care and well-being initiatives into your company culture

  • Identify the three essential ingredients for establishing and fostering a culture of well- being and self-care in your organization

9:15am - 9:30am  Beverage Break  Exhibit Hall North

9:30am - 10:45am  Breakout Sessions

DENTAL/MEDICAL/POP HEALTH Junior Ballroom B/D/C

A Frameshift for Primary Care, Jeffrey Panzer, MD

Session Description:

Clinicians feel an institutional push towards production line activities and an opposing personal mission pull towards the solution shop to address patient symptoms, build trust, and minimize suffering. The tension between these two poles contributes to moral distress and burnout.” (From “The Solution Shop and Production Line article: https://www.nejm.org/doi/full/10.1056/NEJMp2202511.) In this session, Dr. Panzer will introduce the conceptual framework of the “production line” and “solution shop” and why it is fundamental to understanding the challenge of primary care in the current era.  He will then share practice-based research findings demonstrating unintended consequences from a production line focus. Lastly, he will showcase how one FQHC in Illinois has made some practice-level improvements and innovations based on the framework and the research findings.

 

By the end of the presentation, participants should be able to:

  • Discuss the dynamic interplay of “solution shop” and “production line” work and its relevance to primary care redesign.

  • Explore research that demonstrates the need to rethink the current balance of standardization and customization in primary care settings.

  • Describe how an FQHC has leveraged a frameshift to reimagine the care model, workflows, and use of technology. 

ADMIN/FINANCE Room 101

No Surprise Billing Act, What we know now and what's coming!   Gervean Williams, MS (NACHC)

Session Description:

Starting January 1, 2022, The No Surprises Act requires all health care providers and facilities to provide uninsured and self-pay patients with a "good faith estimate" of expected charges before a patient receives services. This webinar reviews the regulatory requirements under the No Surprises Act and best

practices for implementing the good faith estimate into your health center's workflow.

 

By the end of the presentation, participants should be able to:

  • Identify the required elements of a good faith estimate (GFE).

  • Describe the regulations and guidance for the no surprise billing act.

  • List the new changes that CMS will implement in January 2023.

BOARD GOVERNANCE Junior Ballroom A

Regroup, Refocus and Reenergize, Jessica Macy

Session Description:

The last few years have been difficult. We've learned new words like quarantine, essential, pivot, zoom, blursday, and much more. But what do we do as volunteer board members to help our organization adapt to an ever-changing environment? In this session, we will explore the reasons why we are involved with FQHC, find creative ways to recommit to the work, and break out of the "this is the way we do it" method. We will build energy, create hope and spur optimism to keep this work going and growing!

 

By the end of the presentation, participants should be able to:

  • Describe the qualities of a fully engaged board

  • Explore tools to carry out a board self-assessment and create a game plan

  • Identify techniques to improve board communication

10:45am - 11:00am Beverage Break  Exhibit Hall North

11:00am - 12:00pm  Breakout Sessions  

DENTAL Junior Ballroom D

Minimally Invasive and Atraumatic Dental Treatment: A New Standard of Care, Pt. 1, Peter Milgrom, DDS

Session Description:

Through the use of lecture, audience participation, slides and video, the presentation will address the biological and psychosocial rationale for minimally invasive and atraumatic preventive and restorative treatment of coronal and root surface dental caries, concepts of caries risk prediction, the materials and techniques for applying these techniques, follow-up care, coding and billing, and ethical and legal standards.

By the end of the presentation, participants should be able to:

  • Describe the biological basis for minimally invasive and atraumatic dental care for children and adults.

  • Discuss the psychosocial rationale for changing treatment approaches and standards and the impact on patients.

  • Describe the rationale and methods of caries risk assessment.

MEDICAL Junior Ballroom B

Suicide Risk and Identification: What Everyone Should Know About Suicide, Lauren Moyer, LSCSW, LCSW

Session Description:

Suicide is the 10th leading cause of death in the U.S. and 2nd leading cause of death of youth ages 15-24 YET suicide identification and intervention are not required training in healthcare graduate programs and few professionals have formal training in suicide assessment and intervention. During the 30 months preceding the pandemic, ER visits for suicidality was about 5.8%; during the pandemic this increased by 55%. While evidence-based treatment is effective and available, many people do not receive or complete an intervention in many healthcare settings. Of those dying by suicide every day, approximately 45% will have seen their primary care provider within 30 days prior to their death. Broader scale screening of suicide risk outside of behavior health settings is a necessity.   This training reviews the current scope of suicide rate at national and State level, explores Dr. Thomas Joiner’s Interpersonal Psychological Theory of Suicidal Behavior, identifies risk and protective factors, and provides a model for developing a suicide care path within primary care. 

 

By the end of the presentation, participants should be able to:

  • Discuss scope of suicide risk at national and state level

  • Apply Interpersonal Psychological Theory of Suicide concepts, identify risk and protective factors to identify and intervene when someone is at risk of suicide

  • Describe role of culture and language in barriers to care and efficacy of treatment

  • Identify one model to Integrate suicide identification and triage techniques into everyday practice

 

ADMIN/FIN  Room 101

Managing Your Medicare Patients, Rebekah S. Wallace Pardeck, CPC, CMPE, CPCP

Session Description: As the Medicare population continues to grow, Health Centers are increasingly seeking guidance to understand the complexities and nuances of the program in order to effectively meet the unique needs of these patients.  We will discuss reimbursement considerations, program updates and compliance activities which impact Federally Qualified Health Centers.

By the end of the presentation, participants should be able to:

  • Identify Medicare opportunities for FQHCs

  • Discuss program changes

  • Outline common reimbursement considerations

 

BOARD GOVERNANCE Junior Ballroom A

Governing Board of Directors & Corporate Compliance, Steven L. Harmon, Esq., Rebecca Muckelrath, Tracy L. Simmons, MHL


Session Description:

Presentation on how Risk Management and Corporate Compliance issues are presented to the health center’s Board of Directors and ensuring the board has an active role in oversight and governance in compliance with mandates from regulatory agencies.

 

By the end of the presentation, participants should be able to:

  • Inform the attendees how each health center responds to Board Governance pertaining to corporate compliance.

  • Address how health centers can confirm program and risk management compliance with FTCA, HRSA, JC, and other regulatory agency guidelines.

  • Educate and inform the Board of Directors of corporate compliance, potential risks, and liabilities that health centers face, and how to address them.

POPULATION HEALTH Junior Ballroom C

Implementing Virtual Lifestyle Change Programming, Kim Thro, Stephanie Watkins

Session Description:

HabitNu provides an end-to-end solution for Diabetes Prevention Program patients, and providers, which supports long-term patient engagement, and program sustainability.  In this session, you will learn about the state-wide Umbrella Hub Network created by HabitNu, the Gateway Region YMCA, and the Department of Health and Senior Services in St. Louis County, in order to increase program recruitment and bring efficiency to program delivery.  With the support of HabitNu, the Gateway Region YMCA is able to run the Diabetes Prevention Program, seek support with the necessary CDC Reporting, and submit claims all from a single platform.  Simultaneously the participants they serve benefit from a set of digital tools that allow them to actively engage in the DPP inside and outside of the classroom. The speakers will discuss ways to identify patients for the program, increase referrals, and educate providers about getting involved with the program.

 

By the end of the presentation, participants should be able to:

  • Understand how to increase referrals from FQHCs into LCPs located in the state of Missouri

  • Identify more Medicaid recipients for enrollment in the LCP in the state of Missouri

  • Educate more providers about offering the LCP in Missouri

12:00am - 1:00pm  QA Awards Luncheon  Exhibit Hall South

1:00pm - 1:15pm  Beverage Break  Exhibit Hall North

1:15pm - 2:45pm  Breakout Sessions

DENTAL Junior Ballroom D

Minimally Invasive and Atraumatic Dental Treatment: A New Standard of Care, Pt. 2, Peter Milgrom, DDS

Session Description:

Through the use of lecture, audience participation, slides and video, the presentation will address the biological and psychosocial rationale for minimally invasive and atraumatic preventive and restorative treatment of coronal and root surface dental caries, concepts of caries risk prediction, the materials and techniques for applying these techniques, follow-up care, coding and billing, and ethical and legal standards.

By the end of the presentation, participants should be able to:

  • Describe the rationale and methods of caries risk assessment.

  • List the treatment techniques that are part of minimally invasive and atraumatic care.

  • Explain the basic ethical and legal standards relevant to minimally invasive and atraumatic care.

MEDICAL  Junior Ballroom B

Asthma Update - Presented in 2 Parts
>>PART ONE: Best Practices for Collective Impact
, Ben Francisco, PNP, AE-C, PhD

Session Description:

Significant changes in asthma step therapy were recommended by the 2020 Updates. MO HealthNet and some commercial insurers have modified prescribing rules to support Single Maintenance and Reliever Therapy (SMART). Other rule changes set limits on albuterol dispensing and restrict use of montelukast (Singulair). Missouri has substantial support in place to help health homes adopt asthma best practices, including use of objective measures of airflow to assess severity and control and enhance inhalation instructions (94664). ICD-10 J-45 codes provide a matrix describing specified asthma status. Asthma phenotypes are readily mapped through inclusion of ICD-10 codes for co-morbidities. Primary care health homes are also engaging community partners across 9 regional hubs with funding by the Missouri Foundation for Health and the CDC to address social determinants of health through effective asthma services. Administrative claims data are being used to identify and target high risk patients and assess the impact of efforts to improve asthma outcomes.

 

By the end of the presentation, participants should be able to:

  • Identify key elements of the 2020 Update to asthma guidelines, including SMART approach and related MoHealthNet prescribing policy changes

  • Use J45 codes to specify asthma severity and control

  • Describe available resources to expedite adoption of best asthma practices

>>PART TWO: Population Health Based Asthma Care, Tracy A. Godfrey, MD, FAAFP, MAS

Session Description:

In this session, population health management strategies for improving asthma care in your practice will be explored.

 

By the end of the presentation, participants should be able to:

  • Identify social determinants of health and issues of health equity impacting asthma care

  • Characterize team-based care strategies to improve asthma care

  • Understand care improvement opportunities through ECHO

ADMIN/FINANCE  Room 101

Current Grants Management Hot Topics - COVID Funding and Provider Relief Fund Audits, Catherine Gilpin, CPA

Session Description:

While working to respond to the COVID pandemic, Health Center’s received a tremendous amount of support. This support came in the form of grant funds, provider relief payments, the payroll protection and EIDL loan programs, and other various support. The terms and conditions related to the federal funding are complex and, in some circumstances, continue to change. During this session, we will address new funding (if applicable), review changes and hot topics related to all funding, address important audit considerations that might be helpful in the future, and review important grants management considerations applicable to all federal funding.

 

By the end of the presentation, participants should be able to:

  • Discuss new federal funding and current hot topics related to current federal funding

  • Review financial management requirements / grants management principles of Health Center financial records to refresh knowledge surrounding record keeping

  • Discuss how federal funds are being audited and how to prepare for financial and federal audits in the future.

BOARD GOVERNANCE  Junior Ballroom A

Fireside Chat with MPCA Leadership, Joseph E. Pierle, Sam Joseph, Lindsey Haslag, Rodney Hummer

 

Session Description: 

This presentation will discuss key economic, policy, workforce, healthcare delivery system, and regulatory trends that will impact health center operations in a post-COVID19 environment. The speakers will explore how health centers can align operations and patient care to provide demonstrable value and communicate the impact of that value to patients and stakeholders. CHC Board Leaders will have the opportunity to ask MPCA Leadership about any issue impacting CHCs.

 

By the end of this session, participants should be able to:  

  • Identify key trends impacting CHCs

  • Describe how to provide Value to patients, payers, and government in post-COVID19 environment

  • Provide an opportunity for CHC Board Leaders to ask MPCA Leadership questions about issues impacting the future of CHCs

POPULATION HEALTH  Junior Ballroom C

Presented in 2 Parts

>>PART ONE: Redesigning Workflow Practices to Improve PRAPARE Data Collection and the Response to Social Needs at Health Centers, Albert Ayson, Jr., MPH, Yuriko De La Cruz, MPH, CPHQ

Session Description: 

The National PRAPARE® team at the Association of Asian Pacific Community Health Organizations (AAPCHO) and National Association of Community Health Centers (NACHC) will be focusing on ways your health center can improve the overall implementation of social drivers of health (SDOH) screening, including how to redesign your social needs screening workflow practices and how to help health center staff assess and act on identified social needs data from PRAPARE®. In addition, this session is an opportunity to network with other health centers, obtain rapid feedback from subject matter experts, and create a clearer vision for PRAPARE® SDOH implementation throughout Missouri. By developing a better roadmap, Missouri's health centers will be at the forefront to improve PRAPARE® SDOH data collection that is essential to address health and social care gaps and to quantify the value of health centers to payers, policymakers, and the various programs/initiatives in your state and region.

 

By the end of the presentation, participants should be able to:

  • Describe how to collect sensitive social needs data using person-centered language and other PRAPARE® implementation and action toolkit strategies.

  • Redesign workflow practices to support Community Health Workers and other nonclinical, enabling services staff to implement PRAPARE®.

  • Explore innovations and resources for assessing and addressing the social needs of special populations using PRAPARE®.

>>PART TWO: Integrating the Social Determinants of Health into Clinical Practice, Naiomi Jamal, MD, MPH, CMQ

Session Description:

The session aims to acquaint participants with setting up an organizational Health Equity framework and using said framework to inform social determinants of health integration in clinical practice. We will review the Quadruple aim in the context of team based integrated care. The session will also focus on how to establish standardized screening mechanisms for the social determinants of health and closing the loop on referrals placed community resources. 

 

By the end of the presentation, participants should be able to:

  • Establish an Organizational Health Equity Framework

  • Achieve the Quadruple aim with the assistance of Community Health Workers and Behavioral Health Consultants

  • Screen and track (close the referral loop) for the Social Determinants of Health in clinical settings

2:45pm - 3:15pm  PRIZE DRAWINGS  Registration Desk

 

Conference Concludes

 

Friday