Workshop Descriptions

KENTUCKY PRIMARY CARE ASSOCIATION 2010 Annual Meeting www.kypca.netWorkshop DescriptionsMonday, October 18, 20108:30 to Noon (Board members may want to join the Combined Track in the afternoon- see description below) Health Center Governance TrackFinancial Stability – A Governing Board’s Perspective Cynthia Prorok, HRSA Consultant This session will cover the required financial measures, business plan, financial scorecard, monitoring financial performance, and governance requirements. Board members will increase their skills in assessing and monitoring the financial status of the Health Center.8:30 to 5:00 Combined Track: Clinical/Quality AND Leadership/Governance/Finance: Focus on Organizational Change and OpportunitiesChanging Culture to Improve Quality and Become a Medical Home Mark Witte, CEO, The Family Medical Group Dr. Timothy J. McCarren, The Family Medical Group Mr. Witte was extremely well received when he spoke at the KPCA’s Quality Conference last May. We have invited him back to talk about managing organizational change and are delighted that he has accepted our invitation. Mr. Witte will present examples of programs the Family Medical Group implemented to transform their practice into an NCQA recognized Medical Home. The session will provide an opportunity for small groups to reflect on change and identify specific areas to address when they return to their clinics.The Family Medical Group, recognized by NCQA as a Patient Centered Medical Home, is participating in the Aligning Forces for Quality initiative developed by Cincinnati’s Health Improvement Collaborative in partnership with the Robert Wood Johnson Foundation.1 The Family Medical Group serves as a medical home to over 30,000 patients at three locations in the Greater Cincinnati area.Patient Centered Medical Home Mark Witte, CEO, The Family Medical Group Mr. Witte will continue the conversation about Medical Homes focusing on definitions, the certification process and impact on the quality of care delivered.Achieving Meaningful Use in Kentucky: HIT Panel Jeff A. Brady, Exec. Dir., Governor’s Office of Electronic Health Information Sandeep Kapoor, Chief Technical Officer, Dept. for Medicaid Services Kentucky’s Regional Extension Centers – speakers to be decided This panel of experts will provide the latest Kentucky-specific information on questions such as:  Will the Kentucky Health Information Exchange be up and running in time to assist providers in meeting Meaningful Use? How can providers access KHIE?  How do Meaningful Use requirements differ between Medicaid and Medicare HIT incentive programs?  What resources are available to assist Kentucky clinics in meeting Meaningful Use?National Update: Health Care Reform and Safety Net Clinics Kaitlin McColgan, Assistant Director, Federal Affairs, NACHC How will Health Care Reform impact primary care safety net clinics? Which issues are critical to the successful implementation of Health Care Reform from the safety net perspective? What regulatory and legislative hurdles lie ahead? Join this session to hear the latest Health Care Reform developments and discuss the implications for your clinic.8:30 to 5:00 Coding and Billing Track5010 Transactions/ICD-10 Overview/ICD-9 Update Sherry Thomas, PHIAAre you 5010 compliant? Level 1 compliance is required by December 31 of this year. Do you know the specifics involved with the 5010 transactions and are you ready? Sherry will explain the new 5010 transaction, what’s involved, what steps you need to take and what questions you should be asking your software/hardware vendors. Sherry will take you through the steps required to be compliant with Level 1 as well as Level 2 regarding the new 5010 transactions.ICD-10 Overview This presentation will provide an overview regarding the new ICD-10-CM code set as well as the guidelines, structure of this new coding system, documentation issues and auditing. We will discuss the top 6 ICD-9 coding mistakes and review comparisons between ICD-9 and ICD-10 documentation requirements. Hands on exercises will be provided and each attendee will need a copy of the current version of the ICD-10- CM book. ICD-9 updates for 2011 New, deleted, and revised ICD-9 codes become effective October 1, 2010. Sherry will discuss this year’s updates to ICD-9 involving 122 NEW diagnosis codes (half of which2 involve a significant number of new “V” codes that could affect your practice), 10 REVISED code titles and 11 invalid diagnosis codes.3 Customer Service TrackDealing with Difficult People Jan Luke, Rockhurst University Continuing Education CenterIn this life-enhancing, career-changing workshop, How to Handle Difficult People, participants will learn how to alter the negative behavior of coworkers and clients with positive results. Discover the appropriate responses and tools to stay in control when confronted with irritating or intimidating behavior. At the end of this session, there will be special tips on the appropriate responses when confronted by drug seekers.HIT TrackOverview of the Regional Extension Centers & Meeting Eligibility Criteria for Incentive Programs Martha Riddell & Carol Ireson, Kentucky’s Regional Extension CentersWhat is Meaningful Use and What Does It Mean for My Practice? Martha Riddell & Carol Ireson, Kentucky’s Regional Extension CentersAchieving Meaningful Use in Kentucky: HIT Panel Jeff A. Brady, Exec. Dir., Governor’s Office of Electronic Health Information Sandeep Kapoor, Chief Technical Officer, Dept. for Medicaid Services Kentucky’s Regional Extension Centers – speakers to be decided This panel of experts will provide the latest Kentucky-specific information on questions such as:  Will the Kentucky Health Information Exchange be up and running in time to assist providers in meeting Meaningful Use? How can providers access KHIE?  How do Meaningful Use requirements differ between Medicaid and Medicare HIT incentive programs?  What resources are available to assist Kentucky clinics in meeting Meaningful Use?5:30 – 8:00 Evening Session (a working dinner will be served) Health Center Grant Development TrackPutting the Finishing Touches on Your New Access Point Application Pamela Byrnes, NACHCThe KPCA Board will meet at 5:30pm.4 Tuesday, October 19, 20108:30 to 5:00 Clinical/Quality Track: Focus on Risk Management and Patient SafetyAdverse Events Shannon Dilsaver, Clinical Implementation Director, MedX12 This session will focus on developing effective Patient Safety Reporting Systems to improve risk management and quality.HRSA’s Patient Safety and Pharmacy Collaborative (PSPC): A Kentucky CHC’s Results Becky Cheek, PharmD, White House Clinics Learn from “one of our own how they have reduced adverse events at their Health Center. Dr. Cheek, a faculty coach for the PSPC, will describe how they track and report adverse drug events at White House Clinics and the impact they have had on patient safety. Please ask questions about applying this approach in your clinic and get feedback from one of HRSA’s leading patient safety teams!Southeast Regional Clinicians Network – an introduction Kendra Pierson, Morehouse School of MedicineCultural Competency and Health Literacy Torrie T. Harris, DrPH, Director, KY Office of Health Equity and Assistant Professor, UK College of Public HealthPeer Review and Risk Management: A Primer Tricia A. Shackelford, General Counsel, Crown Medical Mgmt. Group, LLC This session will focus on the various aspects of peer review, including protections to the physician and ways to limit liability to the medical staff. This session will also explore the various facets of risk management, including patient rights, informed consent, reducing malpractice liability, and medical records best practices.Customer Service TrackCustomer Service in Health Care Jan Luke, Rockhurst University Continuing Education Center Back by popular demand! This session and speaker were both so well received at previous Annual Meetings that we’re offering them again! This daylong session will cover: foundations of quality customer service; making your patients and their families feel like VIPs, handling emotional situations unique to the healthcare profession; relieving your own job-related stress; and, developing your communication skills. Who should attend? Medical professionals, patient care representatives, office managers, medical assistants – anyone who interacts one-on-one with patients or their families.Health Center Grant Development Track Individual Appointments Pamela Byrnes, NACHC - Fully booked - 5 HIT TrackThe Basics of EHR Implementation: Developing a Solid Plan for Your Practice Martha Ridell, Carol Ireson, and David Groves, Kentucky’s Regional Extension CentersSelecting or Upgrading Your EHR – Options Through the REC David Groves, Kentucky’s Regional Extension CentersHIT Open DiscussionHuman Resources TrackMastering the Essentials of Human Resources Thomas Gardner, Rockhurst University Continuing Education Center This workshop, taught by an HR professional, will answer your tough questions about the laws and issues that have relevance for your HR job. You’ll be brought up to date on the ever-changing regulatory issues and employment laws and learn to work effectively within the confusing complexities of benefits administration and recordkeeping.Leadership/Governance/Finance TrackSustainable Growth Cynthia Prorok, HRSA Consultant This session will begin with a morning presentation incorporating financial measures and an afternoon of scenario exercises and small group discussion. Health Center board members and executive leadership will be better prepared to evaluate growth opportunities and make realistic assessments of the sustainability of new sites and/or services.Oral Health TrackSuccessful Dental Management Dr. James Patsis, DDS MBA p3 Dental Solutions, Director Topics Include Establishing a Profitable Dental Center by:  Decreasing Overhead Costs  Incorporating Performance-Based Office Designs and Improvements  Optimizing Patient Flow  Developing Effective No-Show Policies  Scheduling Patients EffectivelyDental services within Safety Net practices and community-based non-profit organizations are in great demand. The demand for dental services far exceeds the capacity to supply such services. In the US, there are over 150 million people that are in need of dental services. The access to oral health care for the catchment populations of Medicaid, Underinsured or/and Non-Insured patients is defined by long wait periods, a shortage of providers, and lack of dental delivery infrastructure.Patients, dental staff, and our community health centers are challenged by providing care yet trying to deal with delays, wait times, and no-show patient events. Bundled together6 they become our “personality of practice” and define why delivery inefficiencies exist. Every practice day precious organizational resources are lost while delivering care due to ‘internal’ inefficiencies. This results in an inability to provide patient slots for delivered patient care. Cumulatively, it adversely impacts and can translate to a negative year-end bottom-line for the dental department. Each and every dental practice has an unseen opportunity to thrive and become fiscally- viable by positively transforming their delivery. Today, more than ever community-based dental practices need to improve their delivery speed, cost, and quality of care within the complex and challenging practice landscape in which care is delivered from. Oral Health and Type II Diabetes Dr. Pam Stein, DMD MPH, Associate Professor, UK College of DentistryOral Health Expansion Grant Opportunities for Health Centers Dr. Raynor Mullins, DMD MPH, UK College of Dentistry Dr. James Patsis, DDS MBA p3 Dental Solutions, Director Existing Health Center grantees will have two opportunities to add or expand Oral Health services over the next year:  Adding a mobile dental van under the current New Access Point competition  Oral Health Service Expansion Grant competition later in 2010/2011.Dr. Patsis will speak to the federal grant applications. Dr. Mullins will provide the Kentucky context for need and Medicaid coverage.7 Networking EventsSunday, October 17, 2010Keeneland Outing sponsored by A limited number of Keeneland tickets are available. Please register soon to secure your tickets!Monday, October 18th Noon – 1:30 Luncheon7:00 to 8:00 Reception—light appetizers and cash bar8:00 to 11:00 Music and Dancing with Joey and the Cruisers sponsored by ViP Value in PurchasingTuesday, October 19th Noon – 1:30 Recognition Luncheon8 2010 KPCA Annual Meeting Embassy Suites, 1801 Newtown Pike, Lexington, KY 40511 October 17th, 18th, and 19thRegistration Fees: Payment Received KPCA Members Non-Members After September 10th $375 per person $425 per person (1 day $200) (1 day $250) KPCA Cancellation Policy: Notice of cancellation must be received in writing by the KPCA at least 5 business days prior to the event in order to be eligible for a refund. Send notices to [email protected] on or before October 11th.Please send registration form and fees to: Kentucky Primary Care Association PO Box 751 Frankfort, KY 40602Overnight Accommodations (not included in registration fees):Room Reservations are eligible for the KPCA group rate of $145 per night until September 10th. Please call the Embassy Suites at 1-800-EMBASSY and refer to the KPCA Annual Meeting.Questions? Please contact Sara McClain via email, [email protected], or phone, 502- 227-4379.Please download registration form at https://m360.kypca.net/event.aspx? eventID=17723. Thank you!9 2010 KPCA Annual Meeting Embassy Suites, 1801 Newtown Pike, Lexington, KY 40511 October 17th, 18th, and 19thPresenter BiographiesClinical TrackTricia Shackelford, General Counsel Crown Medical Management Group, LLCTricia Shackelford is General Counsel at Crown Medical Management Group, LLC. Tricia graduated, cum laude, from the University of Miami School of Law in 1999. Tricia has a wide range of experience with corporate and healthcare issues. She has worked in law firms – large and small – and briefly owned her own practice. She serves on the Boards of Directors of the St. Joseph Hospital Foundation and Spindletop Hall. She is licensed to practice law in Kentucky, Florida, and the District of Columbia, and is a member of the Kentucky Bar Association and American Health Lawyers Association. Tricia is regularly asked to speak on a wide variety of health law and corporate law topics. Coding & Billing TrackSherry Thomas, CCP, CCP-AS CEO, Director of Education, PHIAMs. Thomas brings over 30 years experience in the healthcare industry including office management, billing, collections, ICD-9-CM, CPT-4 and HCPCS coding. She has assisted in minor surgical office procedures as well as performed front desk, laboratory, x-ray and medical assistant duties. She developed, authored and teaches the Certified Coding Professional (CCP) curriculum, the certification exam and the study guide to the certification exam. She also provides one-on-one professional assistance to physicians and their staff for all specialties; related to ICD- 9, CPT and HCPCS coding and documentation. Ms. Thomas has also been called upon to provide expert witness in legal matters related to Fraud and Abuse.Customer Service TrackJan Luke National Seminars, Rockhurst University Continuing Education CenterJan Luke has more than 15 years of experience evaluating, developing and presenting education and training programs to all levels of staff and management. She also has significant experience in financial-operations management, and more than 25 years of management experience in health care and business. Founder of her own consulting and training firm, Jan has presented hundreds of programs nationally and internationally to a variety of for-profit and not-for-profit 10 firms, particularly in the service, manufacturing and health-care industries and government agencies. Jan’s programs and consultations consistently show measurable, positive changes in staff and manager effectiveness and efficiency, and in teamwork. She inspires and motivates staff and managers to fulfill both personal and professional objectives and to fulfill organizational goals. Her solution-focused training provides participants with the tools and techniques they need to make positive changes at work.Human Resources TrackThomas Gardner National Seminars, Rockhurst University Continuing Education Center Throughout Tom Gardner’s twenty-five year career, he has helped companies with organizational change; individual, team and organizational performance improvement; and customer service management. The industries Tom has served run the gamut from high tech firms to utilities to health care and higher education all the way to manufacturing and government organizations. Tom’s professional expertise is in organizational transformation, process facilitation, management and leadership development, team building and organizational learning, business process redesign and continuous quality improvement. He has spent his career in a variety of managerial and administrative roles in institutions of higher education and as a human resources manager with a professional services firm.Leadership/Governance/Finance TrackCynthia Prorok Senior Consultant, Management Solutions Consulting Group – HRSA ConsultantMs. Cynthia Prorok has 30 years of experience in providing financial management and executive leadership for governmental units and community based non-profit organizations. She is an expert in improving financial management and outcome measurement systems for health and human service organizations. Her special interests are in financial management, maintaining financial stability, financial recovery planning, rate setting and cost reimbursement systems, unit cost reporting, auditing, managed care, strategic planning, policy formulation, program evaluation, and outcomes based management. More specifically, she has a comprehensive understanding of financial accounting, cost accounting, and financial reporting systems, allowing her to properly assess financial conditions, to project the fiscal impact of policy decisions, and to maintain sound financial management practices. She has experience in designing streamlined fiscal operating policies, based on her knowledge of financial regulations and reporting requirements of numerous governmental programs. She has also conducted numerous evaluations of cost systems of public and private insurance systems, governmental programs, and other health and social services. In particular, she has worked with financially troubled community-based health and social service programs, resulting in financial turnarounds, improved financial stability, improved revenue management, and establishment of sound accounting and internal control systems.She has provided technical assistance and compliance review services for the Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration, Center for Disease Control, and Tri-Care Management Activity for Military Health. Her experience includes a variety of financial, administrative, and practice management services for the Bureau of Primary Health Care, Bureau of Clinician Recruitment and Service, HIV/AIDS Bureau, Office of Quality and Data, and HRSA Office of Performance Review (now Office of 11 Regional Operations). She has worked closely with BPHC Officials and Community Health Centers, including new access points, experiencing financial instability, to identify underlying problems and develop financial recovery plans to stabilize operations and restore financial health.Oral Health TrackJames Patsis, DDS MBA p3 Dental Solutions, DirectorDr. James Patsis received his DDS from Case Western Reserve University and holds a MBA degree from the Theseus-Edhec Management Institute (France). Additionally, he holds a 'Black Belt' Master's Certificate in Lean Six Sigma Healthcare from Villanova University. Dr. Patsis served as the Dental Director for Middletown Community Health Center in NY and Family First Health in PA. As a dental consultant, he supports community health centers, large enterprise dental centers and private practices in PA, NY, NJ, DC, and MD. His lectures on Continuous Practice Improvement, Waste, Variation, and Complexity in Dental Operations and Clinical Delivery are recognized as innovative and timely. 12

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