U.S. Department of Health and Human Services Health Resources and Services Administration

U.S. Department of Health and Human Services Health Resources and Services Administration

COVER 2

Health Resources and Services Administration Office Of Rural Health Policy Table Of Contents Welcome Message from HRSA s Administrator......................................... 1 Plenary Speakers................................................................ 3 Plenary Speaker Biographies....................................................... 5 Overview of Agenda............................................................ 13 Agenda...................................................................... 15 Agenda for Grant Programs....................................................... 21 Small Health Care Provider Quality Improvement Program.............................. 22 Delta States Rural Development Network Program..................................... 30 Rural Health Network Development Grant Program.................................... 33 Rural Health Network Planning Program............................................. 37 Rural Health Care Services Outreach Grant Program................................... 41 Radiation Exposure and Screening Program........................................... 50 Black Lung Clinics Program....................................................... 54 Flex Program.................................................................. 58 Planning Committee............................................................ 61 The Grand Hyatt Washington Floor Plan............................................. 62

W E L C O M E M E S S A G E Welcome Message from HRSA s Administrator Dear Colleagues: Welcome to HRSA s Office of Rural Health Policy s 2009 Grantee Partnership Meeting. This is a wonderful opportunity to exchange ideas with your HRSA partners and learn from fellow grantees about rural health best practices and programs being implemented across America. Your work supports the President s vision of strengthening our nation s health care workforce by expanding scholarships and loans for providers willing to practice in medically underserved areas. We appreciate your commitment to serving on the frontlines as we work together to deliver vital health care services to those who need them most. At HRSA, we value your voice in working to improve access to quality care in America. We look forward to learning from the important work you do in shaping programs that serve rural Americans. Enjoy your time in the Nation s Capital and have a great meeting. Sincerely, Mary Wakefield Administrator

B i o g r a p h i e s William Corr, J.D. Deputy Secretary Department of Health and Human Services Mary Wakefield, Ph.D., R.N. Administrator Health Resources and Services Administration Plenary Speakers Tom Morris, M.P.A. Associate Administrator, Office of Rural Health Policy Health Resources and Services Administration Rebecca J. Davis, Ph.D. Executive Director National Cooperative of Health Networks Terry J. Hill, M.P.A. Executive Director, National Rural Health Resource Center Martha McLeod, M.O.E., R.D., L.D. Executive Director North Country Health Consortium, Inc. Chris Tilden, Ph.D. Director, Bureau of Local and Rural Health (BLRH) Kansas Department of Health and Environment Alan Morgan, M.P.A. Chief Executive Officer National Rural Health Association

B i o g r a p h i e s William Corr Deputy Secretary Department of Health and Human Services. On May 6, 2009, Bill Corr was unanimously confirmed by the Senate as Deputy Secretary of the Department of Health and Human Services. As Deputy Secretary, he is responsible for the operations of the largest civilian department in the federal government. Bill Corr s policy expertise and management experience will be invaluable as we work together to manage the Department and pass and implement comprehensive health reform, Secretary Sebelius said. Bill knows our department inside and out, and I look forward to partnering with him in the years ahead. Bill Corr most recently served as executive director of the Campaign for Tobacco-Free Kids. Previously, Corr served for 12 years as counsel to the U.S. House of Representatives Subcommittee on Health and the Environment. Additionally, Corr served as Chief of Staff for the Department of Health and Human Services. Corr is a graduate of the University of Virginia and the Vanderbilt University School of Law.

Mary Wakefield, Ph.D., R.N. Administrator, Health Resources and Services Administration Mary Wakefield, Ph.D., R.N., was named administrator of the Health Resources and Services Administration (HRSA) by President Barack Obama on February 20, 2009. HRSA is an agency of the U.S. Department of Health and Human Services. HRSA works to fill in the health care gaps for people who live outside the economic and medical mainstream. The agency uses its $7 billion annual budget (FY 2008) to expand access to quality health care in partnership with health care providers and health professions training programs. Dr. Wakefield joins HRSA from the University of North Dakota (UND), where she was associate dean for rural health at the School of Medicine and Health Sciences, a tenured professor, and director of the university s Center for Rural Health. As a nurse, a Ph.D., and a leading rural health care advocate, Mary Wakefield brings expertise that will be instrumental in expanding and improving services for those who are currently uninsured or underserved, President Obama said in announcing her appointment. Under her leadership, we will be able to expand and improve the care provided at the community health centers, which serve millions of uninsured Americans and address severe provider shortages across the country. Dr. Wakefield brings experience on Capitol Hill to her post at HRSA. In the 1990s, she served as chief of staff to two North Dakota senators: Kent Conrad (D) and Quentin Burdick (D). She also has served as director of the Center for Health Policy, Research and Ethics at George Mason University in Fairfax, Va., and worked on site as a consultant to the World Health Organization s Global Programme on AIDS in Geneva, Switzerland. Dr. Wakefield is a fellow in the American Academy of Nursing and was elected to the Institute of Medicine (IOM) of the National Academies in 2004. She served on the IOM committee that produced the landmark reports To Err is Human and Crossing the Quality Chasm. She also cochaired the IOM committee that produced the report Health Professions Education, and chaired the committee that produced the report Quality through Collaboration: Health Care in Rural America.

In addition, she has served on the Medicare Payment Advisory Commission, as chair of the National Advisory Council for the Agency for Healthcare Research and Quality, as a member of President Clinton s Advisory Commission on Consumer Protection and Quality in the Health Care Industry, and as a member of the National Advisory Committee to HRSA s Office of Rural Health Policy. At UND, Dr. Wakefield also was director of the Rural Assistance Center, a HRSA-funded source of information on rural health and social services for researchers, policymakers, program managers, project officers and the general public. In addition, the Center for Rural Health administered a $1.6 million award from HRSA under the Critical Access Hospital Health Information Technology Implementation program. Dr. Wakefield is a native of Devils Lake, N.D. She has a bachelor of science degree in nursing from the University of Mary in Bismarck and master s and doctoral degrees in nursing from the University of Texas at Austin.

B i o g r a p h i e s Tom Morris, M.P.A. Associate Administrator, Office of Rural Health Policy Health Resources and Services Administration Tom Morris is HRSA s associate administrator for rural health policy. In that role, he oversees the administrative and policy activities of the Office of Rural Health (ORHP) with its $174 million FY 2008 budget. HRSA works to fill in the health care gaps for people who live outside the economic and medical mainstream. The agency uses its $7 billion annual budget (FY 2008) to expand access to quality health care through an array of grants to state and local governments, health care providers and health professions training programs. Morris coordinates ORHP s response to policy issues, especially the impact of Medicare and Medicaid regulations on the rural health workforce and service delivery. As office director, he is responsible for 16 grant programs that focus on building rural health care capacity at the state and community level. Morris came to the federal government in 1996 as a Presidential Management Intern, which led to details on a Federal Intra-Agency Telemedicine Committee, in the U.S. Senate, and at the Centers for Medicare and Medicaid Services. Morris joined ORHP full time in 1998 and has worked in several capacities there, including his prior position as deputy director, and as policy coordinator and grants project officer. Prior to joining the government, he was a reporter and editor covering health care and other issues at two daily newspapers in North Carolina. Morris received his bachelor s degree in journalism from the University of North Carolina at Chapel Hill and a master s in public administration with a concentration in community health from East Carolina University.

B i o g r a p h i e s Rebecca J. Davis, Ph.D. Executive Director National Cooperative of Health Networks Rebecca is the Executive Director of NCHN and has served in this role since July 2006. Prior to this position, she served as the Executive Director of both the Virginia Rural Health Resource Center and the Virginia Rural Health Association. She was the founding Chair of the Council for Rural Virginia, was appointed to the Board of Trustees for the Center for Rural Virginia and serves as the Center s first Secretary. Dr. Davis has served on numerous boards related to rural health issues over the past eight years, including the Governor s Work Group on Rural Obstetrics; Advisory Board of the Rural Health Research Center at the University of Virginia; Virginia Tele-Health Network; Virginia Healthcare Workforce Advisory Committee; Virginia State Health Planning Grant Advisory Committee; Jefferson College of Health Sciences - Physician Assistant Program Advisory Board; and most recently the National Group of Rural Health Professional Membership Organizations Executive Directors. She has presented at both state and national meetings on rural health and rural development topics. Dr. Davis and her family resides in Hardinsburg, KY.

B i o g r a p h i e s Terry J. Hill, M.P.A. Executive Director, National Rural Health Resource Center Terry Hill has more than 25 years of professional experience working with rural health care providers and their communities. He is currently executive director of the National Rural Health Resource Center, based in Duluth, Minnesota. In that capacity, Hill leads five federally funded rural health initiatives and teaches management and health policy at the University of Minnesota Duluth Medical School and the college of St. Scholastica. He is the current president of the National Cooperative of Health Networks and former president of the Minnesota Public Health Association. Hill has spent the past dozen years working with state offices of rural health, state hospital associations and rural hospitals and clinics throughout the United States, and has made more than 100 presentations at state and national conferences during that time. He has also provided technical assistance in strategic planning, network and community development, quality improvement, health information technology and performance measurement. Hill founded and directed the Minnesota Center for Rural Health, the Northern Lakes Health Consortium, the Arrowhead Regional EMS Program and the Northeast Minnesota Telecommunications Network. These organizations collectively implemented eleven national demonstration projects in the areas of quality improvement, emergency medical services, community development, health network development, telecommunications and health provider recruitment and retention. Mr. Hill has authored numerous articles and papers on a wide range of rural health topics, has chaired or facilitated more than a dozen national meetings on rural health, and has testified before U.S. Congressional committees on seven occasions. Terry Hill was raised in a small town in central Alaska, and has had a longtime commitment to the well being of rural communities. He currently lives in Duluth, Minnesota, and is an avid runner, triathlete and cross country skier. 10

B i o g r a p h i e s Martha McLeod, M.O.E., R.D., L.D. Executive Director North Country Health Consortium, Inc. Ms. McLeod is the Executive Director of the North Country Health Consortium, Inc, (NCHC) a not-for-profit rural health network located in Northern New Hampshire. As Executive Director, she provides leadership to member agencies for collaboration and integration of health and human services to improve the health status of the residents of New Hampshire s North Country. Since joining the network in 1999, Ms. McLeod has worked with state, federal and private foundations to provide member agencies with the resources and technical assistance to carry out community needs and health status assessments, collaborative planning opportunities, grant writing, project management, workforce education and training, local public health capacity enhancement, and community-based disease prevention and health promotion activities. Ms. McLeod s past experience includes working at the community level providing nutrition services to young families and for the NH Division of Public Health in the administration of federal nutrition programs. Martha McLeod is a former member of the New Hampshire House of Representatives representing Grafton County District 2. She was assigned to the House Finance Committee where she served as the Vice Chair of Division III, working on the Health and Human Services budget. She previously served on the House Commerce Committee and chaired the Task Force on Expanded Health Coverage. Ms. McLeod was a candidate for the NH Senate from District 1 (North Country) in 2008. Ms. McLeod is on the Executive Boards of the NH Health Plan, NH s high risk pool and the New England Telehealth Consortium; and serves as the Governor s appointment to the Technology Advisory Board of the Department of Resources and Economic Development. Ms. McLeod holds a Bachelor of Science (BS) in Nutritional Science and a Master of Occupational Education (M.O.E.) in Adult and Vocational Education from the University of New Hampshire. She is a Registered Dietitian licensed to practice in New Hampshire. 11

B i o g r a p h i e s Chris Tilden, Ph.D. Director, Bureau of Local and Rural Health (BLRH) Kansas Department of Health and Environment Chris Tilden, Ph.D. is the Director of the Bureau of Local and Rural Health (BLRH) in the Kansas Department of Health and Environment. He joined the state health department in 2001 as the Program Director of the State Office of Rural Health and was promoted to bureau director in 2003. As Director of BLRH, Dr. Tilden is has administrative oversight of the state office of rural health, state primary care office, a statewide 330-funded Migrant Farmworker Health Program, public health workforce and leadership development programs, and the state trauma program. He also serves on the Kansas Primary Care Collaborative Coordinating Committee, the Kansas Health Information Technology Technical Working Group, and the Kansas Rural Health Options Project. Nationally, Dr. Tilden serves on the board of the National Organization of State Offices of Rural Health and the federal Department of Transportation s National Emergency Medical Services Advisory Committee. He currently serves as the chair of the Joint Committee on Rural Emergency Care, a collaboration of NOSORH and the National Association of State EMS Officials He has served as a grant reviewer and as a chair of grant review panels for HRSA and other federal grant programs. He is an invited speaker at many state and national conferences and serves on the adjunct faculty of the Department of Health Policy and Management at the Kansas University School of Medicine. 12

B i o g r a p h i e s Alan Morgan Chief Executive Officer Phone: 202-639-0550 E-mail: morgan@nrharural.org Alan Morgan joined the NRHA staff in 2001. He serves as a policy resource for the national media, as well as a presenter at both national and state health conferences. He has more than 17 years experience in health policy development at the state and federal levels. He has worked for former U.S. Congressman Dick Nichols and former Kansas Gov. Mike Hayden. Alan s health policy articles have been published in multiple health journals. Alan earned an M.P.A. from George Mason University and a B.S. in journalism from University of Kansas. 13

GRANTEE PARTNERSHIP MEETING Monday Tuesday Wednesday 7:30 a.m. 8:00 a.m. Registration and Continental Breakfast Continental Breakfast Continental Breakfast 8:45 a.m. Opening Session and Welcome 9:00 a.m. Keynote: Rural Communities in An Evolving Health Care 9:30 a.m. Landscape 10:00 a.m. Break: Networking Opportunity 10:30 a.m. 11:00 a.m. Plenary Session 11:30 a.m. Poster and Exhibits Meetings by Grant Programs Meetings by Grant Programs 12:00 p.m. 12:30 p.m. 1:00 p.m. Working Lunch: Rural Voices Working Lunch: The Evolution of ORHP Grant Programs 1:30 p.m. BREAK 1:45 p.m. 2:00 p.m. Concurrent Breakout Sessions 2:30 p.m. 3:00 p.m. BREAK 3:15 p.m. Concurrent Breakout Sessions 3:30 p.m. 4:00 p.m. 4:30 p.m. BREAK 5:00 p.m. Meetings by Grant Programs Meeting Adjourns 5:30 p.m. 6:00 p.m. Evening Reception Meeting Adjourns 14

Health Resources and Services Administration (HRSA) Office of Rural Health Policy (ORHP) Monday, August 31, 2009.......................................................... 7:30 a.m. 8:45 a.m. Registration and Continental Breakfast Independence Foyer 8:45 a.m. 9:00 a.m. Opening Session Independence A Tom Morris, M.P.A. Associate Administrator, HRSA, ORHP 9:00 a.m. 10:00 a.m. Keynote: Rural Communities in An Evolving Healthcare Landscape-Part 1 Independence A William Corr, J.D. Deputy Secretary, Department of Health and Human Services 10:00 a.m. 10:30 a.m. BREAK Independence Foyer Welcome and Introductions Mary Wakefield, Ph.D., R.N. Administrator, HRSA 15

10:30 a.m. 11:30 a.m. Plenary Session: Rural Communities in An Evolving Healthcare Landscape-Part 2 Independence A Speakers: Rebecca Davis, Ph.D., Executive Director National Cooperative of Health Networks Association, Hardinsburg, KY Terry Hill, M.P.A., Executive Director Rural Health Resource Center, Duluth, MN 11:30 a.m. 12:00 p.m. Exhibits and Poster Sessions Lafayette & Farragut Square and Independence Foyer Chris Tilden, Ph.D., Director, Office of Local & Rural Health, Kansas Department of Health and Environment, Topeka, KS Martha Mcleod, M.O.E., R.D., L.D., Executive Director North Country Health Consortium, Inc, Whitefield, NH Moderator: Nisha Patel, M.A., C.H.E.S. Director, Division of Community-Based Programs, HRSA,ORHP 12:00 p.m. 1:30 p.m. Working Lunch: Rural Voices Independence A Alan Morgan, M.P.A. Chief Executive Office, National Rural Health Association 1:30 p.m. 1:45 p.m. BREAK Independence Foyer Moderator: Carrie Cochran, M.P.A. Deputy Associate Administrator, HRSA, ORHP 16

1:45 p.m. 3:00 p.m. Concurrent Breakout Sessions Constitution A SESSION 1: Health Information Technology: Rural Considerations Speakers: Louis Wenzlow, Director, Health Information Technology, Rural Wisconsin Health Cooperative, Sauk City, WI Neal Neuberger, President Health Tech Strategies, LLC, McLean, VA Moderator: Florida Devaul, Delta States Program Constitution B SESSION 2: Payment & Health Reform: Rural Considerations Speakers: Danny Fernandez, Government Affairs Manager, National Rural Health Association, Washington, DC Keith Mueller, Ph.D., Associate Dean, Academic Affairs University of Nebraska Medical Center, College of Public Health, Omaha, NE Carrie Cochran, M.P.A., Deputy Associate Administrator, HRSA, ORHP Moderator: Shawn Balleydier, Flex Grant Program Constitution CDE SESSION 3: Workforce: Rural Considerations Speakers: Mark Doescher, M.D., Director Washington-Wyoming-Alaska-Montana-Idaho Rural Health Research Center (WWAMI-RHRC) and the UW Center for Health Workforce Studies, Seattle, WA Jennifer Riggle, J.D., Senior Advisor Bureau of Health Professions, HRSA Michelle Goodman, M.A.A., Public Health Analyst, HRSA, ORHP Moderator: Sandra Ortiz, Outreach Grant Program 17

Independence BCDE SESSION 4: Quality: Rural Considerations Speakers: Ira Moscovice, Ph.D., Director Upper Midwest Rural Health Research Center, Grand Forks, ND Cathleen Pfaff, R.N., Consultant Stroudwater Associates, Deer Lodge, MT Thomas Dean, M.D., Chief of Staff Avera Weskota Memorial Medical Center, Wessington Springs, SD Moderator: Daquarri Rock, Network Development Grant Program 3:00 p.m. 3:15 p.m. BREAK Constitution/Independence Foyer 3:15 p.m. 4:30 p.m. Concurrent Breakout Sessions (repeated) Constitution A Constitution B Constitution CDE Independence BCDE SESSION 1: Health Information Technology: Rural Considerations Speakers: Louis Wenzlow & Neal Nueberger Moderator: Doug Stefak, Quality Grant Program SESSION 2: Payment & Health Reform: Rural Considerations Speakers: Danny Fernandez, Keith Mueller & Carrie Cochran Moderator: Alison Hughes, Flex Grant Program SESSION 3: Workforce: Rural Considerations Speakers: Mark Doescher, Jennifer Riggle & Michelle Goodman Moderator: Camille Nairn, RESEP Grant Program SESSION 4: Quality: Rural Considerations Speakers: Ira Moscovice, Cathleen Pfaff & Thomas Dean Moderator: Janice Probst, Research Center Program 4:30 p.m. 5:00 p.m. BREAK Constitution/Independence Foyer 5:00 p.m. 6:00 p.m. Reception Independence A 18

Tuesday, September 1, 2009........................................................ 7:30 8:30 a.m. Continental Breakfast Independence Foyer / Constitution Foyer 8:30 12:00 p.m. Meetings by Grant Programs 12:00 1:30 p.m. Working Lunch: The Evolution of ORHP Grant Programs Independence A Tom Morris, M.P.A. Associate Administrator, HRSA, ORHP 1:30 5:00 p.m. Meetings by Grant Programs Moderator: Kristin Martinsen, M.P.M. Director, Division of Hospital State Programs, HRSA,ORHP 5:00 p.m. Meeting Adjourns Wednesday, September 2, 2009..................................................... 7:30 8:30 a.m. Continental Breakfast Independence Foyer / Constitution Foyer 8:30 12:00 p.m. Meetings by Grant Programs 12:00 p.m. Meeting Adjourns 19

Health Resources and Services Administration Office Of Rural Health Policy GRANT PROGRAM AGENDA Small Health Care Provider Quality Improvement Program (Independence BCDE).............. 22 Delta States Rural Development Network Program (Burnham Room)........................ 30 Rural Health Network Development Grant Program (Independence FGH).................... 32 Rural Health Network Planning Program (Latrobe Bulfinch)............................... 37 Rural Health Care Services Outreach Grant Program (Constitution AB)....................... 41 Radiation Exposure and Screening Program (Penn B).................................... 50 Black Lung Clinics Program (Penn A)................................................ 54 Flex Program (Conference Theatre)................................................... 58 21

Health Resources and Services Administration Office Of Rural Health Policy Small Health Care Provider Quality Improvement Program Tuesday-Wednesday, September 1-2, 2009 Conference Objectives: The purpose of this conference is to provide advanced content focused on clinical quality improvement using the Chronic/Planned Care Model and registry based information systems, and other supporting systems of care, to: (1) transition rural clinical and critical access hospital team members from diabetes to cardiovascular disease in terms of quality improvement techniques and strategies that result in measurably improved patient outcomes (initially for 3 Diabetes measures and for 3 additional CVD measures); (2) provide cutting edge information on health care quality models and strategies for patient care; and (3) share best practices tested by similar organizations toward spreading knowledge among all rural quality peers. Target Audience: 55 Small Health Care Provider Quality Improvement Program Grantee Organizations (each organization will bring 2-3 participants who are part of their clinical team). Planners Names and Credentials: Jayne Bertovich, M.P.A., Project Director, Rural Quality Program Director, MSCG Kathie Baldwin, B.A., Quality Improvement Lead, Rural Quality Program, MSCG Melinda Dilmore, B.A., Project Coordinator, Rural Quality Program, MSCG Puneet Sahni, M.D., Information Systems Director, CSI Solutions Regina Ballard, M.S.N.,A.R.N.P., C-P.N.P.,Clinical/Technical Expertise, Caring Hands, McAlester, OK Melinda Baker, Key Staff, Brodstone, Superior, NE Becky Basford, C.N.P., Senior and Day to Day Lead, Adams, Seaman, OH Crystal Casteel, Day to Day Lead, Citizens Memorial, Bolivar, MO Lynette Dick, M.B.A., R.D., L.D., Day to Day Lead, Ellsworth, Ellsworth, KS Sharon Grass, R.N., F.N.P.C., Physician Champion, Ste. Genevieve, MO Cathy Harshbarger, B.S.N., R.N., Clinical/Technical Expertise, Ellsworth, KS Rebecca Jordan, R.N., Clinical/Technical Expertise, Appalachian Regional Health, Hinton, West Virginia Karl Palmer, R.N., Day to Day Lead, Red Cedar, Menomonie, WI Jackie Pitman, Day to Day Lead, Lincoln, Davenport, WA Doug Stefek, B.S., Marketing, Ellsworth, KS Carolyn Seyler, R.N., M.S., Day to Day Lead/Clinical Technical, Western Sierra, Downieville, CA (Official Representative of Target Audience) Kathy Reims, M.D., Chief Medical Officer, Rural Quality Program, CSI Solutions (Official Content Area Expert) Margaret Allee, R.N., J.D., Division Director, Safety and Medical Management, Providence Physician Division, Providence Health & Services, Portland, OR (Official Amedco Nurse Planner) 22

Faculty Names and Credentials: Jayne Bertovich, M.P.A., Project Director, Rural Quality Program Director, MSCG Kathie Baldwin, B.A., Quality Improvement Lead, Rural Quality Program, MSCG Melinda Dilmore, B.A., Project Coordinator, Rural Quality Program, MSCG Kathy Reims, M.D., Chief Medical Officer, Rural Quality Program, CSI Solutions Christine St. Andre, M.A.C.H.A., Business Process Engineering Lead, Rural Quality Program, CSI Solutions Puneet Sahni, M.D., Information Systems Director, CSI Solutions Amedco is an approved provider of continuing nursing education by the Wisconsin Nurses Association Continuing Education Approval Program Committee, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This course is co-provided by Amedco and the Small Health Care Provider Quality Improvement Program, Office of Rural Health Policy. Credit hours TBD and statements of credit will be provided to participants within 4 weeks of the end of the program. Tuesday, September 1, 2009........................................................ 8:30 a.m. 9:00 a.m. Independence BCDE Welcome and Updates HRSA will provide a welcome and update on program status and requirements, including year-end reporting on the program s progress and an overview of the PIMS reporting system to be completed by participant organizations at the end of year 1 of the Rural Quality Program. The Rural Quality Project Director, MSCG will summarize rural quality improvement outcome data for the 2008-2009 program year. Participants will gain insights into their progress and benchmarks achieved throughout the year. Speakers: Elizabeth Rezai-zadeh, M.P.H. SHCPQI Program Coordinator, HRSA/ORHP Jayne Bertovich, M.P.A. Rural Quality Project Director, MSCG, Inc. 23

9:00 a.m. 10:15 a.m. Independence BCDE Keynote Address Title: Motivational Interviewing and UB-PAP (Ultra-Brief Personal Action Planning): A Comprehensive Approach to Patient Activation This plenary presents a unified model for encouraging adaptive patient behavior change. Clinicians learn to initiate dialogues with patients about maladaptive behavior by relying on the three core questions of UB-PAP. For patients who do not or cannot develop action plans by themselves, clinicians can selectively back-fill the intervention by utilizing the 5As of self-management support as well as core interventions from the motivational interviewing repertoire. Dr. Cole will discuss the conceptual integration of self-management support, stage of change theory, and motivational interviewing. He will demonstrate UB-PAP and the audience will practice using the tool in small groups. Steven Cole, M.D. Professor of Psychiatry and Head, Division of Medical and Geriatric Psychiatry Stony Brook University Medical Center Moderator: Kathie Baldwin, QI Lead, MSCG, Inc. Concurrent Session for IT Staff: Franklin Square Room Health Information Technology (HIT) Strategies and Discussion. Electronic Health Record Where are we Now? This session will provide IT staff with the latest knowledge and information in terms of the national direction for HIT, including technical strategies for those planning for or currently implementing EMR. The purpose of this session is to share information regarding market trends that will enable organizations to examine their systems and develop a strategy to meet future needs. 10:15 a.m. 10:30 a.m. Break Independence Foyer Will Gaud, Consultant, Will Gaud & Associates Moderator: Jayne Bertovich, M.P.A., Project Director, MSCG, Inc. 24

10:30 a.m. 11:45 a.m. Breakout Sessions: Spreading to CVD Independence BCDE CVD: Clinical Evidence and Practice This session is intended to assist teams as they spread to CVD. There will be a brief overview of the required cardiovascular disease measures as well as an overview of the emerging evidence that supports this measure set. First steps towards integrating care for co morbid depression will also be presented. Speakers: Kathy Reims, M.D., Chief Medical Officer, CSI Solutions Steven Cole, M.D., Professor of Psychiatry and Head Division of Medical and Geriatric Psychiatry Stony Brook University Medical Center Franklin Square Room CVD: A Readiness and Reporting Refresher to the Results Sharing Site of the Knowledge Gateway This session is designed to assist the team member responsible for CVD readiness for reporting including an update and demonstration on how to report for CVD to the Results Sharing Site on the Knowledge Gateway (www.hdnr.org). This session will enable a refresher to use of the Virtual Office and Help Desk for new staff and will provide an opportunity for Qs and As. Puneet Sahni, M.D., IS Director, CSI Solutions 12:00 p.m. 1:30 p.m. Lunch with All-Grantees, ORHP Independence A 1:30 p.m. 2:30 p.m. Sharing Rural Quality Improvement Best Practices Independence BCDE Listen as your colleagues are interviewed regarding best practices and strategies they used during the first project year. Outcomes attained by applying the Care Model or any additional quality initiatives unique to their health care setting will also be shared. Each panelist will address a different area in which they have excelled, such as work with developing a Business Case, using IT Strategies, and creating a Medical Home. Assess for yourself what worked for some and differed for others, and prepare to take back ideas that can be applied to your practice. Speakers are past and present Rural Quality grantees. Business Case Cathy Harshbarger, R.N. and Lynette Dick Ellsworth County Medical Center, Kansas 25