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

into the unknown

Annual Conference October 27-28, 2022

Thursday, October 27, 2022

 

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

8:00am - 9:00am  KEYNOTE   Exhibit Hall South

Reviving Your Perspective, Your Situation, and Your FutureRon Culberson

     

Session Description: The world of Emergency Medical Services has many lessons that can be applied to our    life and work. From avoiding harm to taking care of ourselves to being more aware of our situations, crisis management requires focus and attention. In this funny and insightful program, Ron shares a few principles that he learned when pursuing his Emergency Medical Technician certification. He discovered that these principles represent broader concepts that can help us to adjust our perspective, improve our situation, and prepare for a better future. In doing so, we enhance our well-being, sharpen our abilities, and adapt to whatever life may send our way.

Specifically, this presentation will help participants:

  • Do better in the world

  • Manage health and well being

  • Be present and maintain awareness in every situation

  • Gather the resources needed to both improve and thrive in life and work

 

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

  • Embrace the concept of “do no harm.”

  • Protect yourself from harm.

  • Practice being alert and oriented.

  • Maintain situational awareness throughout our lives.

  • Pursue additional resources to move us forward.

 

9:00 - 9:30  Beverage Break / Visit Exhibits  Exhibit Hall North

 

9:30am - 10:45am  Breakout Sessions

DENTAL/POP HEALTH  Junior Ballroom C/D

A Fireside Chat: Navigating a Diverse School-Based Health Landscape, Jennifer Loretta, LPC, DawnElyn Schneider, MEd., Kala Smith, DMD

Session Description:

A well-defined healthcare presence within the school system, when properly implemented, can effectively dissolve access to care barriers that many families face. While the design of school-based health systems may vary, strong partnerships, thoughtful staffing, and well-defined processes and workflows are imperative. In this session, a panel of experts will gather to share their unique experiences in establishing holistic care that is mindful of diversified needs and resources of the students and patients they serve.

 

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

  • Review best practices for establishing partnerships with school districts and families within the school landscape.

  • Identify varied staffing and health care demands within the school-based system across assorted service lines (Behavioral Health, Medical, Dental) and capacities (mobile unit, co-located, etc.).

  • Examine opportunities for bridging health center and school-based operations to provide seamless transitions of care.

  • Proactively discuss unique population treatment and resource needs of the school-based health system, including the inclusion of Social Determinants of Health.

MEDICAL  Junior Ballroom B

Updates in Diabetes Management and Prevention, Cynthia Herrick, MD, MPHS

Session Description:

This session will cover updates related to the use of newer agents in diabetes management, specifically GLP1 receptor agonists and SGLT2 inhibitors, with focus on glycemic and non-glycemic benefits and coverage. Additionally, the evidence base for and availability of diabetes prevention programs will be discussed.

 

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

  • Compare benefits of GLP1 receptor agonists and SGLT2 inhibitors with regard to glycemic control, weight management, cardiovascular outcomes, and renal disease.

  • Create diabetes management plans utilizing GLP1 receptor agonists and SGLT2 inhibitors based on patient comorbidities, potential adverse effects, and preferences.

  • Describe evidence-based strategies for diabetes prevention.

ADMIN/FINANCE  Room 101

Fundamentals of Telehealth in FQHCs, Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I

Session Description:

Restrictive requirements for telehealth within the Medicare program had long been a barrier to access. The COVID-19 Public Health Emergency lead to several flexibilities that created new opportunities for telehealth delivery in FQHCs ad their patients. This session covers the basics of telehealth for FQHCs under the Medicare program prior to the PHE, during the PHE, and after as well as Missouri state rules for telehealth delivery.

  

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

  • Identify telehealth rules under the Medicare program outside of PHE flexibilities

  • Understand how typical Medicare rules were expanded during the PHE to impact telehealth by FQHCs

  • Understand which flexibilities will continue after the PHE, and for how long

  • Discuss Missouri-specific telehealth rules

BOARD GOVERNANCE  Junior Ballroom A

Care and Feeding of the Board’s Soul: Rebuilding the Board Team and its Work for Greater Impact, Paula Woods, Felix Liddell

Session Description:

The health care industry is experiencing significant workforce challenges in the aftermath of the stress and uncertainty of the last two and a half years.  While health center management teams are seeking methods to increase staff resilience, the Board must attend to its own resilience. In this session, directors and management leaders who support the board will learn how to “take a moment to be in the moment”, practice self-care and attend to the needs of the governing board.

 

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

  • Identify the signs of “board member burnout” in themselves and their colleagues

  • Develop strategies for reconnecting the board to the health center’s purpose

  • Identify ways to add more meaning to board meetings

HUMAN RESOURCES  Room 102

CHC Credentialing & Privileging Basics, Brook Balentine, Chelsea Bargfrede, Tina Bradshaw, Natalie Dykman, MPH, OHCC 

Session Description:

Join us for a high-level overview of the basic aspects of Community Health Center credentialing and privileging.  This is a great session for anyone involved with health center credentialing.  Whether you are new and just beginning to learn about credentialing and privileging or looking for a refresher as a seasoned professional, everyone will benefit from the presenters, networking, and Q/A time.

 

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

  • Understand the difference between credentialing and privileging.

  • Become familiar with the HRSA, FTCA, and State Statute requirements for CHC credentialing and privileging.

  • Recognize acceptable record keeping for credentialing and privileging processes.   This includes a special look at how Missouri Health+ partners with health centers to perform credentialing and privileging.  

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

11:00am - 12:15pm  Breakout Sessions

 

DENTAL  Junior Ballroom D

Dental Drug Therapy: (Part 1) How to Maximize Results with Minimal Risk, Part 1: Antibiotics of Choice for Odontogenic Infections, Karen Baker

Session Description:

The range of drug therapy options available to dental practitioners has greatly expanded over the past ten years.  This expansion has opened the door to unprecedented therapeutic successes as well as disastrous drug misadventures.  This course will update the dental team on recent developments in dental pharmacotherapy while providing strategies for prescribing to ensure therapeutic success.  Clinically relevant information about effectiveness, adverse effects, patient specific drug selection criteria, dosing, and cost will be presented for systemic antibiotics and analgesics currently used in dentistry.  We will examine certain controversial areas such as opiate risk avoidance and dental antibiotics contributing to bacterial resistance.  Detailed handouts will be provided to maximize the chairside value of this fast-paced and entertaining course.

 

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

  • Choose the most cost-effective systemic antibiotic for a specific patient,

  • Decide whether to prescribe antibiotic premedication for certain patients with a variety of implants including cardiac and orthopedic devices,

  • Discuss the benefits/risks of specific pain control regimens for effective dental analgesia, and

  • Identify the most serious drug interactions with common dental medications.

MEDICAL  Junior Ballroom B

Kidney Disease Update for Primary Care, Kunal Malhotra, MD, MBA, FNKF, FASN

Session Description:

in this session, you will hear about the burden of chronic kidney disease and complications it can lead to. You will learn about gaps in care and the implications of not addressing them. The talk will highlight best practices and practical evidence-based guidelines to take care for the patients with kidney disease and provide resources you can use in daily practice. You will also learn about new HEDIS measures related to CKD care and NKF’s efforts in Missouri to lead a national effort. Finally, you will learn on how you can start connecting with other primary care workforce and tap into multidisciplinary expert resources every month to improve your clinical practice.

 

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

  • Know how to diagnose CKD

  • Manage CKD in primary care

  • Understand when to refer to Nephrologist

ADMIN/FINANCE  Room 101

Telehealth and the 6-Month In-Person Visit Requirement: Demystifying the Rule, Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I

Session Description:

One of the most confounding new rules in telehealth nationwide is a unique requirement to have a face-to-face visit within six months of certain types of telehealth visits. This session details the nuances of telehealth delivery for substance use disorder and mental/behavioral telehealth services, describing the circumstances when the six-month in-person visit requirement applies and just as importantly, when it does not.

 

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

  • Review fundamental Medicare telehealth rules

  • Cover the SUPPORT Act’s expansion of telehealth coverage for SUD and co-occurring mental health conditions

  • Cover the Consolidated Appropriations Act of 2020, and subsequent CMS regulations, and their further expansion of telehealth for mental and behavioral conditions not co-occurring with SUD

  • Discuss many frequently asked questions, facts, and misconceptions about the in-person visit requirements

BOARD GOVERNANCE  Junior Ballroom A

Strategic Planning in Unprecedented Times, Jennifer Genua-McDaniel

Session Description:

In the past 2 years, Community Health Center’s (CHCs) have had their organizations turned upside down. Many have had to adjust clinical workflows, deal with retention, recruitment of employees and reevaluate their strategic plan in order to move forward in healthcare transformation. This session will focus on the importance of strategic planning during a period of crisis, provide tools to assist health center leadership and boards of directors in planning during undertimes times (now and in the future) and finally methods for innovation planning. Innovation planning may include in-scope and out of scope activities which generate revenue. A formula based excel spreadsheet will be provided to participants which will assist them in determining the minimum number of patient that a health center has to see in order to break even through the pandemic. This spreadsheet also includes dental patients.

 

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

  • Identify 3 different tools that can assist with strategic planning

  • List the only 2 requirements that HRSA requires in a strategic plan

  • Be able to determine how many patients a CHC has to see in order to break even during the continued Covid-19 pandemic

  • Identify at least one out of scope activity which may be generate nonfederal/non-program income

POPULATION HEALTH  Junior Ballroom C

Focus on Elder Wellness; Implementation of Medicare Annual Wellness Visits from a Team-Based Perspective, Tierney Giannotti, MPA

Session Description:

Medicare Annual Wellness Visits (AWVs) support patients in developing a personalized prevention plan, completing a health risk assessment, and discussing health concerns with their provider and care team. Further, research has shown that these visits result in an increase in completed preventive services. In 2019 Community Health Center, Inc., a statewide FQHC, implemented this visit type with Registered Nurses (RNs) and primary care providers each completing the required components. This session will describe the strategies used to implement this visit type. We will report on the uptake of these visits and the roles each member of the team plays in successfully engaging with patients to complete these visits. Themes from interviews with providers and nurses about their experiences conducting the visits will be shared along with additional descriptions of ongoing quality improvement work to better leverage telehealth and other strategies to increase patient engagement in completing these visits.

 

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

  • List three components of Medicare Annual Wellness Visits (MAWVs)

  • Describe the strategies a statewide FQHC used to implement MAWV and Medicare Chronic Care Management

  • Identify barriers and facilitators to patients and staff in engaging in these visits

  • Describe the possible benefits from both MAWVs and CCM to both patients and to FQHCs generally

  • Explore how to leverage the team-based model of care to successfully complete AWVs

HUMAN RESOURCES  Room 102

Reimagining the Workplace - One Team at a Time, Part 1, April Lewis

Session Description:

It’s no surprise that our CHC teams and staff are susceptible to being stressed and burnt out!  Stressors lead to disengagement, absenteeism, poor decisions, and inferior performance.  This mini workshop will focus on equipping participants with the skills and mindset to show up fully engaged and present in the work they do. Join us as we take an inside out approach to understanding that organizational changes require individual behavioral change.  We’ll cover a wider variety of tips, strategies, and tools to help you create an environment where your team can work well.  Because healthier organizations begin with each individual person!

 

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

  • Employ proven strategies to manage their energy and focus so quality work can be completed.

  • Effectively and mindfully communicate within their team and other teams in their organization.

  • Design a productivity template.

 

12:15pm - 1:15pm  Lunch  Exhibit Hall South

1:15pm - 2:45pm  Breakout Sessions

 

DENTAL  Junior Ballroom D

Dental Drug Therapy - How to Maximize Results with Minimal Risk, Part 2: Antibiotic Premedication, The Opioid Epidemic, and Patient-Specific Pain Control, Karen Baker

Session Description:

The range of drug therapy options available to dental practitioners has greatly expanded over the past ten years.  This expansion has opened the door to unprecedented therapeutic successes as well as disastrous drug misadventures.  This 3-part course will update the dental team on recent developments in dental pharmacotherapy while providing strategies for prescribing to ensure therapeutic success.  Clinically relevant information about effectiveness, adverse effects, patient specific drug selection criteria, dosing, and cost will be presented for systemic antibiotics and analgesics currently used in dentistry.  We will examine certain controversial areas such as opiate risk avoidance and dental antibiotics contributing to bacterial resistance.  Detailed handouts will be provided to maximize the chairside value of this fast-paced and entertaining course.

 

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

  • Decide whether to prescribe antibiotic premedication for certain patients with a variety of implants including cardiac and orthopedic devices,

  • Identify the opioid epidemic’s impact on dental pain management

  • Discuss the benefits/risks of specific pain control regimens for effective dental analgesia

MEDICAL  Junior Ballroom B

Primary Care and Public Health Challenges in Missouri, George Turabelidze, MD, PhD

 

Session Description:

Presentation will describe important communicable diseases of public health concern in Missouri in the primary care context.

 

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

  • Understand the current communicable diseases of public health concerns in Missouri.

  • Identify practical steps primary care providers could take to address challenges in public health.

  • Improve communication between primary care providers and the public health.

 

ADMIN/FINANCE  Room 101

Industry Update: Current Cybersecurity Threats and How to Protect Your Health Center, Adam Kehler, CISSP

Session Description:

Cybersecurity threats continue to cast a dark shadow on the already strained healthcare system, causing widespread disruption to healthcare operations and risk to patient safety. In this presentation, Online Business Systems (Online) will address some of the most common security threats to our healthcare industry by walking through real-world scenarios and learning experiences from the front lines. The intent is to foster discussions and exchange ideas on how to combat common threats collectively. Using real-life Dark Web examples and understanding essential cybersecurity tools and services that can help decrease the risk of data breaches is vital to all organizations.

 

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

  • Discuss current cybersecurity threats

  • Describe real world examples of how these threats are affecting health centers

  • List practical measures organizations can take to protect against and respond to these threats

BOARD GOVERNANCE  Junior Ballroom A

Transitioning Post-Pandemic; Preparing for OIG Audits, Edward T. Waters, J.D.

Session Description:

Audits by the Office of Inspector General, HRSA and others are inevitable after the large volume of COVID funds received by Health Centers. This session will review audit process, GAO “Yellow book standards” of note and what the OIG will be looking for as demonstrated on sample, real-life

document requests

 

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

  • Prepare for OIG audits

  • Describe the audit process

  • Discuss post-audit reports, resolution, and appeals

POPULATION HEALTH  Junior Ballroom C

Revisiting Your Telehealth Strategy: What Do You Want To Carry Forward From Your COVID Telehealth Experience?Natalie Truesdell, MBA, MPH

Session Description:

Health center utilization of telehealth advanced in leaps and bounds since the start of the COVID-19 pandemic in March 2020.  In 2019, fewer than 500,000 visits in federally qualified health centers (FQHCs) and look-alikes (LALs) nationwide were provided via telehealth, and in 2020, over 28 million visits were conducted virtually as reported in the Uniform Data System (UDS) What aspects of telehealth are strategic for your health center to maintain? Join to discuss strategic questions to guide your telehealth strategy going forward.

 

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

  • Articulate why defining a vision and/or goal for integrating telehealth is important to long-term sustainability for your health center.

  • Describe your health center’s goal(s) for telehealth as part of your primary care services. 

  • Identify potential access issues that impact a patient's ability and/or interest in accessing services via telehealth.

  • Describe how patient-specific needs and preferences can be integrated into your telehealth strategy.

HUMAN RESOURCES  Room 102

Reimagining the Workplace - One Team at a Time, Part 2, April Lewis

Session Description:

It’s no surprise that our CHC teams and staff are susceptible to being stressed and burnt out!  Stressors lead to disengagement, absenteeism, poor decisions, and inferior performance.  This mini workshop will focus on equipping participants with the skills and mindset to show up fully engaged and present in the work they do. Join us as we take an inside out approach to understanding that organizational changes require individual behavioral change.  We’ll cover a wider variety of tips, strategies, and tools to help you create an environment where your team can work well.  Because healthier organizations begin with each individual person!

 

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

  • Create a positive work environment anchored in trust and mutual respect for the mission.

  • Identify the leading distractions in your workday.

  • Apply mindful communication strategies to meetings and one-on-ones.

  • Create a process to receive feedback from team members.

  • Identify opportunities for cross-departmental conversations.

  • Implement a Peak Performance routine and schedule.

2:45pm - 3:15pm  Beverage Break / Visit Exhibits  Exhibit Hall North

3:15pm - 4:30pm Breakout Sessions

 

DENTAL  Junior Ballroom D

Dental Drug Therapy- How to Maximize Results with Minimal Risk, Part 3: Drug Interactions Significant in Clinical Dentistry, Karen Baker

Session Description:

The range of drug therapy options available to dental practitioners has greatly expanded over the past ten years.  This expansion has opened the door to unprecedented therapeutic successes as well as disastrous drug misadventures.  This 3-part course will update the dental team on recent developments in dental pharmacotherapy while providing strategies for prescribing to ensure therapeutic success.  Clinically relevant information about effectiveness, adverse effects, patient specific drug selection criteria, dosing, and cost will be presented for systemic antibiotics and analgesics currently used in dentistry.  We will examine certain controversial areas such as opiate risk avoidance and dental antibiotics contributing to bacterial resistance.  Detailed handouts will be provided to maximize the chairside value of this fast-paced and entertaining course.

 

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

  • Identify the most serious drug interactions with common dental medications

  • Employ new strategies in prescribing for therapeutic success

  • Adapt prescribing methods to the most current protocols

MEDICAL/POP HEALTH  Junior Ballroom B/C

Substance Abuse Disorders: Overview, Challenges, Treatment, and Opportunities, Christy Henley, MSN, RN, PMHNP-BC

Session Description:

This session will provide a brief overview of substance use disorders. Challenges associated with different populations will be addressed. Different treatment options will be reviewed and discussed as well as the benefits of integration within primary care. Lastly, reducing stigma and future opportunities will be reviewed.

 

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

  • List and describe SUD impacts on senior adults.

  • List 3 different treatment options for medication assisted treatment.

  • Describe practices for the management of tobacco, alcohol, and other substance use disorders

  • Discuss practical ways to address stigma associated with SUD treatment.

ADMIN/FINANCE  Room 101

Grant Writing and Management Tips, Rebecca Scott, MA
 

Session Description:

In this session, using data to assess proposal strength will be discussed, along with how to develop your proposal concept, outline project goals and ensure proposal alignment, manage the health center’s Scope of Project, determining if a scope adjustment or full change in scope is needed, and how to make service area considerations.

 

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

  • Align grants with your organization and service area needs.

  • Develop solid grant project concepts.

  • Stay updated on your 330 Scope of Project.

BOARD GOVERNANCE  Junior Ballroom A

Healthcare Center Governance: Best Practices and Pitfalls to Avoid in a Hybrid World, Edward T. Waters, J.D.

Session Description:

This session will discuss best practices in Health Center governance, where the rules come from and will include a focus on challenges and opportunities arising from a post-COVID world.

 

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

  • Discuss Governance as a combination of State and Federal law for Health Centers

  • Differentiate between Management versus Oversight

  • Discuss actions that can go wrong and strategies to avoid or resolve

HUMAN RESOURCES  Room 102

Reimagining the Workplace Pt 3 - One Team at a Time: How to Create a Healthy, Engaged, and Trusting Workforce, April Lewis

Session Description:

It’s no surprise that our CHC teams and staff are susceptible to being stressed and burnt out!  Stressors lead to disengagement, absenteeism, poor decisions, and inferior performance.  This mini workshop will focus on equipping participants with the skills and mindset to show up fully engaged and present in the work they do. Join us as we take an inside out approach to understanding that organizational changes require individual behavioral change.  We’ll cover a wider variety of tips, strategies, and tools to help you create an environment where your team can work well.  Because healthier organizations begin with each individual person!

 

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

  • Employ strategies to repair and build trust.

  • Identify a process for accountability.

  • Review strategies to improve employee engagement scores.

                   

4:45pm - 6:00pm  RECEPTION Exhibit Hall Pre-Function (outside the exhibits hall)

Thursday