2016 Clinical Conference on Quality & Chronic Disease PLATINUM SILVER

Transcription

1 Durham, North Carolina April 14 15, 2016

2 2016 Clinical Conference on Quality & Chronic Disease CONFERENCE SPONSORSHIPS PLATINUM Amerigroup LabCorp SILVER American Cancer Society ChartSpan NC Division of Public Health-Cancer Prevention & Control Branch North Carolina Network Consortium CONFERENCE EXHIBITORS Alliant Quality, Inc. NC AIDS Training and Education Center NC DHHS DPH Children and Youth CONFERENCE DONORS North Carolina Network Consortium NCCHCA wishes to thank the following for their generous support of this conference. NCCHCA does not support any specific vendor, product or services.

3 THURSDAY, APRIL 14, :00AM 5:00PM Registration Open Balcony Pre-Function 9:00AM 12:00PM HealthSpan Breakfast and Face to Face Meeting Greenbriar A This is a closed meeting available to only HealthSpan participants. 12:00PM 1:30PM Lunch and Opening Plenary Brightleaf E-H Sponsored by: Amerigroup Data Driven Care: This is our time! In this plenary, the presenter will share the impact of Health Information Technology on chronic care in practices that employ Quality Improvement. Additionally, the potential future steps to reduce individual risk of poor outcomes will be outlined. By the conclusion of this session, 1. Understand the value of risk stratification in chronic disease management; 2. Identify high impact measures in patient care; and 3. Design and incorporate population management strategies that engage and re-engage individuals at-risk. Samuel Cykert, MD Professor of Medicine, UNC School of Medicine and Principal Investigator For Heart Health Now 1:30PM 2:00PM Networking and Refreshment Break Balcony Pre-Function Take This Opportunity to Mingle with Sponsors and Exhibitors! 2:00PM 3:15PM Concurrent Sessions Greenbriar A Identifying Autism in Infants and Toddlers: Red Flags and Screening Techniques This session will highlight recent evidence that suggests the behavioral characteristics of autism can be seen in some children as young as months of age and the implications for practice of efforts to identify infants and toddlers with or at-risk for autism. By the conclusion of this session, 1. Identify symptoms of autism infants and toddlers; 2. Choose the appropriate tool for screening for autism in infants and toddlers; and 3. Describe strategies for collaborating with parents in screening and discussing results. Elizabeth Crais, Ph.D., Professor/Coordinator of Ph.D. Studies in the Division of Speech & Hearing Sciences of the Department of Allied Health Sciences, UNC School of Medicine Rebecca Edmondson Pretzel, Ph.D., Associate Director, Carolina Institute for Developmental Disabilities and Division of Speech and Hearing Sciences, UNC School of Medicine Implementing the Million Hearts Champion Strategies Greenbriar B The presenter will describe the strategies prevalence of the leading CVD risk factors and the progress made in the Million Hearts. Additionally, participants will analyze strategies of champions who have demonstrated success in improving the ABC S of clinical quality measures and ways to implement these strategies in practice. By the conclusion of this session, 1. Describe the prevalence of the leading CVD risk factors; 2. Verbalize successful strategies in improving the ABC S clinical quality measures; and 3. Successfully implement the strategies by the use of various avenues, including electronic health information and technology, team based care and evidence-based guidelines supporting patients in self-management and medication adherence. Jean Ann Davison, DNP, FNP-BC, Family Nurse Practioner and Clinical Assistant Professor, University of North Carolina Chapel Hill

4 THURSDAY, APRIL 14, :00PM 3:15PM Concurrent Sessions (Continued) Greenbriar C Part 1 Ladies and Gentlemen Start Your Engines: On the Track to PCMH Recognition The presenter will provide an overview of NCQA s PCMH recognition program with an emphasis on must-pass elements, and how HRSA requirements can be used to meet PCMH factors. Participants will also hear a fast track to achieve Level 1 Recognition. By the conclusion of this session, 1. Understand the requirements for meeting PCMH factors and their alignment to HRSA requirements; 2. Utilize guidance to successfully meet challenging elements; and 3. Access helpful PCMH resources to take back to their organization. Marianne Ferlazzo, PCMH CCE, Quality Improvement Consultant, Ferlazzo PCMH Consulting, Inc. Using Patient Activation Measures (PAM) in Real Life Greenbriar D In this session, participants will learn about the PAM Tool and how it is used in a clinical setting to improve patient outcomes. Additionally, participants will hear about real patient examples and the outcomes as a result of using the PAM. By the conclusion of this session, 1. Identify the benefits and challenges of using the PAM tool; 2. Explain how the PAM tool helps customize the patient education experience; and 3. Learn about resources that support the development of patient and family advocates and the staff that work with them. Laura Owens, RN, MSN, Quality Nurse Specialist, Vidant Health 3:15PM 3:45PM Networking and Refreshment Break Balcony Pre-Function Take This Opportunity to Mingle with Sponsors and Exhibitors! 3:45PM 5:00PM Concurrent Sessions Greenbriar A Whole Person Care for People with Intellectual and Developmental Disabilities: Collaboration, Innovation, and Change People with intellectual and developmental disabilities (I/DD) often have complex healthcare needs that require coordination between healthcare services and providers in multiple settings, along with disability and social supports. This session will offer an overview of an NC initiative promoting collaborative, whole person care for people with I/DD, identifying opportunities for innovation and systems change. By the conclusion of this session, 1. Identify critical health issues for people with intellectual and developmental disabilities; 2. Describe the challenges, gaps, and recommendations identified by diverse stakeholders that offer a foundation for systems change and practice innovations; and 3. Identify strategies and resources that support effective primary care for individuals with intellectual and developmental disabilities as a result of meaningful collaboration with and between providers and consumers. Karen Luken, MS, Disability and Health Consultant, Easter Seals UCP MC

5 THURSDAY, APRIL 14, :45PM 5:00PM Concurrent Sessions (Continued) Meningococcal Disease Overview and Vaccination Recommendations Sponsored by: GlaxoSmithKline Greenbriar B Meningococcal disease is a disease affecting late teens and young adults, particularly during the college years. Meningococcal immunization is often overlooked, as it is a recommended rather than required immunization. However, this disease can have devastating and deadly results. Death can result in less than 24 hours from onset of symptoms; survivors often suffer from debilitating sequelae such as disfigurement and loss of limbs. By the conclusion of this session, participants will be able to: 1. Identify common pathogens associated with Meningococcal disease; 2. Discuss the implications of Meningococcal disease; and 3. Counsel patients and parents on immunization for Meningococcal disease. Heather Crouch, PharmD, Medical Science Liaison, GlaxoSmithKline, Medical Affairs Greenbriar C Part 2 Ladies and Gentlemen Start Your Engines: On the Track to PCMH Recognition The presenter will pick up from where she started in the Part 1 of this session. Participants will continue to hear how to fast track achievement of Level 1 Recognition. Resources, example documents and templates will be shared so participants walk away with a thorough understanding of how to strategically achieve PCMH. By the conclusion of this session, 1. Understand the requirements for meeting PCMH factors and their alignment to HRSA requirements; 2. Utilize guidance to successfully meet challenging elements; and 3. Access helpful PCMH resources to take back to their organization. Marianne Ferlazzo, PCMH CCE, Quality Improvement Consultant, Ferlazzo PCMH Consulting, Inc. Addressing Social Determinants of Health From the Clinic to the Community Sponsored by: BlueCross and BlueShield of North Carolina Foundation Greenbriar D The Social Determinants of Health (SDOH) recognizes that the environments in which people are born, where they live, work, play, learn and worship have significant impacts on health. The growing recognition of the importance of connecting and integrating health care with these factors is challenging healthcare to find new ways to improve the health of their patients. This session will provide participants with an overview of the Social Determinants of Health and provide clinics with a tool to collect information on SDOH barriers for their patients. By the conclusion of this session, 1. Identify Social Determinants of Health (SDOH); 2. Utilize a tool to collect SDOH information in the clinic setting; and 3. Understand the value of multi-stakeholder coalitions in addressing SDOH. Brett Byerly, Executive Director, Greensboro Housing Coalition Linda Kinney, MHA, Deputy Executive Director, Care Share Health Alliance April Richard, MPH, Healthy Homes Team Manager, Greensboro Housing Coalition 5:00PM Dinner on Your Own Get out and see what Durham has to offer! 5:30PM 7:30PM NCCHCA Medical Directors Council Meeting and Dinner Alumni RSVP Previously Required. Roni Christopher, M.Ed., OT/L, Executive Director, Population and Community Health Institute, Mercy Health Foundation

6 FRIDAY, APRIL 15, :30AM 12:30PM Registration Open Balcony Pre-Function 7:30AM 8:30AM Networking Breakfast Brightleaf E-H Take this opportunity to mingle with colleagues! 8:30AM 9:30AM Morning Plenary Brightleaf E-H Sponsored by: BlueCross and BlueShield of North Carolina Foundation Social Determinants of Health When Reverend Joyner joined the Conetoe community in 2005, he found himself presiding over too many funerals for people 32 or younger. The funerals were due largely to diabetes and other conditions associated with poor diet. In response to this, Reverend Joyner started a small community garden tended to by the young church members. The youth led garden effort grew quickly, producing healthy and quality food for their families and community. Currently, 60 students tend to the 25 acres of vegetables with 130 bee hives during after-school and summer programs. The produce is sold to local restaurants, schools, and other organizations with proceeds being reinvested in the community. This successful community development initiative has resulted in local economic and leadership development and improved health in the community. Reverend Richard Joyner, Executive Director and Pastor, Conetoe Family Life Center Larry Chewning, Chief Executive Officer, Nash Health Care 9:30AM 9:45AM Beverage Break Balcony Pre-Function 9:45AM 11:00AM Concurrent Sessions Medical Management for Substance Abuse Greenbriar A In recent years, there has been an increase in the number of patients seeking medical attention for the management of pain. Pain is multidimensional, with a high prevalence of psychiatric disorders in chronic pain. In this session, participants will hear about the key elements of integrated healthcare and how adopting these practices can improve outcomes for chronic pain patients. Participants will also hear how to identify chronic pain patients with substance dependency and how to intervene when chemical coping is identified. By the conclusion of this session, 1. Identify the need for evidence based interventions for substance dependence; 2. Identify pharmacological interventions for substance abuse in a clinical practice; and 3. Understand the management of comorbid psychiatric disorders in substancedependent patients. Ashwin Patkar, MD, Professor of Psychiatry & Community & Family Medicine, Duke University Increasing Colorectal Cancer Screening Rates: Why and How Sponsored by: American Cancer Society Greenbriar B In this session, presenters will cover state-of-the-science information about colorectal cancer screening, and evidence-based strategies to increase systematic and opportunistic screening. Participants will also hear how to design a screening strategy for a practice that will increase UDS and HEDIS measures, and how to implement a high-quality stool-based screening program. By the conclusion of this session, 1. Identify the importance and components of high quality colorectal cancer screening; 2. Identify key steps and evidence based strategies to increasing colorectal cancer screening rates; and 3. Implement effective systematic and opportunistic strategies to increase colorectal cancer screening rates. Durado Brooks, MD, MPH, Director, Prostate and Colorectal Cancer, American Cancer Society

7 FRIDAY, APRIL 15, :45AM 11:00AM Concurrent Sessions (Continued) Hepatitis C in North Carolina Greenbriar C The incidence of Hepatitis C in is on the rise. There is currently no vaccination to prevent Hepatitis C and treatment can be challenging as patients will sometimes have little or no symptoms. In this session, participants will hear how Hepatitis C is affecting North Carolina and the best way to prevent the transmission of Hepatitis C once someone is diagnosed. By conclusion of this session, participants will be able to: 1. Identify the areas of North Carolina most affected by acute Hepatitis C; 2. Describe factors influencing the increase in Hepatitis C cases reported in NC; and 3. Identify prevention methods that can help reduce hepatitis C. Megan Davies, MD, State Epidemiologist and Chief, Epidemiology Section, NC Division of Public Health Greenbriar D Incorporating the Patient Voice: Asthma Patient Care with Shared Decision Making In this session, the presenter will cover the history and background description of Shared Decision Making (SDM). Research suggests that patients are more knowledgeable and open to the care they receive when this model is utilized. Additionally, a description of the SDM Toolkit will be discussed and an overview of the ADAPT-NC and ACE Studies will be shared, providing participants the various components of SDM as it relates to asthma. By the conclusion of this session, participants will be able to: 1. Identify the five components of asthma shared decision making; 2. Identify ideal patients for asthma shared decision making; and 3. Utilize an online toolkit for asthma shared decision making. Lindsay Shade, MHS, PA-C, Physician Assistant, Director of Clinical Trials and Quality, Clinical Assistant Professor, Carolinas HealthCare System 11:00AM 11:30AM Networking and Refreshment Break Balcony Pre-Function Take This Opportunity to Mingle with Sponsors and Exhibitors! 11:30AM 12:45PM Concurrent Sessions Integrating Behavioral Health into Primary Care Greenbriar A Patient behavioral choices and how those are best modified to achieve optimal control of chronic disease remains a challenge. Behavioral co-morbidities, such as distress and depression are also frequently present and may interfere with patient care management efforts. In this session, presenters will describe the role of integrated care delivery models and examine optimal strategies for engaging patients and facilitating disease management. By the conclusion of this session, 1. Differentiate co-located versus integrated care delivery models; 2. Describe the prevalence of behavioral co-morbidities and their consequences; and 3. Articulate a strategy for implementing an integrated care delivery process in primary care. Doyle Cummings, PharmD, FCP, FCCP, Berbecker Distinguished Professor of Rural Medicine, East Carolina University Brody School of Medicine Family Medicine Dennis Russo, PHD, ABPP, Clinical Professor of Family Medicine and Psychology, East Carolina University Brody School of Medicine

8 FRIDAY, APRIL 15, :30AM 12:45PM Concurrent Sessions (Continued) Science & Strategy: Breast and Cervical Cancer Screening and HPV Vaccination Sponsored by: American Cancer Society Greenbriar B In this session, presenters will cover state-of-the-science information about breast and cervical cancer screening guidelines, as well as HPV vaccination. Participants will hear about evidence- based strategies to increase systematic screening and vaccine uptake, and the free support American Cancer Society staff can provide to support your efforts. By the conclusion of this session, 1. Identify the importance and components of high quality breast and cervical cancer screening programs; 2. Implement effective systematic and opportunistic strategies to increase breast and cervical cancer screening rates; and 3. Identify the importance of HPV vaccination in girls and boys (ages 11-12) and implement effective strategies to increase vaccination rates. Debbie Salow, PhD, Director, Breast and Gynecologic Cancer, American Cancer Society STD Update 2016 Greenbriar C In this session, presenter will provide an overview of STDs in NC. Participants will have an opportunity to hear about the current syphilis and HIV epidemiology. Additionally, an overview of a PrEP program, which seeks to protect individuals who are high risk for getting HIV. By the conclusion of this session, 1. Describe the symptoms of ocular syphilis; 2. Identify the patient who should have extra-genital STD Screening; and 3. Describe the essential components of a PrEP program. Heidi Swygard, MD, MPH, Medical Epidemiologist and Consultant, NC Department of Health and Human Services, HIV/STD Treatment and Prevention Greenbriar D To Test or Not To Test: The Role of Glucose Self-Monitoring in Type 2 Diabetes Take a vote! Self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes that do not use insulin is debatable. In this session, presenters will debate the pros and cons of SMBG testing. The audience will be active participants and vote on outcomes. By the conclusion of this session, 1. Understand the evidence for and against SMBG testing in patients with type 2 diabetes not on insulin; 2. Identify the goals and review baseline findings of an ongoing large pragmatic clinical trial designed to evaluate the effectiveness of glucose monitoring in the real world setting; and 3. Incorporate current guidelines for SMBG testing into clinical care. Katrina Donahue, MD, MPH, Family physicians and Professor, UNC Chapel Hill Department of Family Medicine Laura Young, MD, PhD, Endocrinologist and Assistant Professor of Medicine, UNC--Chapel Hill Department of Medicine

9 FRIDAY, APRIL 15, :45PM 2:00PM Closing Plenary Brightleaf E-H Sponsored by: LabCorp Where We re Headed in Healthcare Health care transformation is inevitable and requires comprehensive changes to our business model. This closing plenary will provide an overview of the health care landscape and where value based care is headed. Grace Terrell, MD, MMM, CPE, FACP, FACPE, Chief Executive Officer, Cornerstone Health Care GRAND RAFFLE PRIZE Be sure to stick around! You must be present to win!