Rural Leadership Series: Strategic Planning for the 21st Century



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APRIL 24-26, 2012 KELLER CONVENTION CENTER EFFINGHAM, ILLINOIS TUESDAY, APRIL 24 1-215 P.M. PRE-CONFERENCE: LEADERSHIP ACROSS THE RURAL HEALTH SPECTRUM Getting Grant Ready: Best Practices in Obtaining Funding Jeff Barlow, MPA, Polycom Grant Assistance Program This session provides information about best practices in finding and winning grants with examples related to telemedicine and distance learning projects. Participants will learn about tools they can use to help get their organization grant ready and identify upcoming funding opportunities. How to Strategic Plan in Today s Healthcare Environment D. David Sniff, President, Midwest Consultants for Rural Health, Inc. In today s rural healthcare environment, leaders have more to contend with than ever before and with fewer resources both human and capital. This presentation will briefly talk about what used to be Strategic Planning in a multi-year, hire a consultant, and create a nice three ring binder on a shelf kind of strategic planning followed by today s remarkably different approach. 2:30 to 4:00 p.m. Leading the Healthcare Reform Revolution Brian Lee, CSP, Custom Learning Systems Group, Ltd. Discover key attributes needed to facilitate your organization s Healthcare Reform Revolution through the power of leadership and inspiration. Identify the most common barriers to creating exceptional resident/patient satisfaction and create an action plan to overcome them. Mobilize and motivate your team by unleashing the genius, power and benefits of goal mastery. Succession Planning for Rural Health Organizations D. David Sniff, President, Midwest Consultants for Rural Health, Inc. Succession Planning is needed more in a rural organization because there are fewer leadership resources to turn to when executive leadership changes occur, but rural organizations in general are less prepared than their urban counterpart. This presentation will identify why succession planning is so important especially for rural hospitals. Tuesday Welcome Reception 5-7 p.m. Firefly Grille 1810 Ave of Mid America Wednesday, April 25th 9-10 a.m. Breakfast and Keynote Speaker Lt. Gov Simon IRHA Conference Breakout Sessions* will be focus on the topics of Research, Quality, Community and EMS Tracks. MORNING BREAKOUT SESSIONS 10:15 TO 11:30 A.M. Past, Present & Future: A Perspective from the Design Field on Innovation and Evidence-Based Design Gary Hall, AIA, LEED AP BD=C, NCARB, The Troyer Group In order to understand our present and future direction, one must understand where we have originated. This seminar will focus on the origins of Innovative Design in the 20 th Century and how we arrived where we are today. These concepts will be applied to healthcare facility design and patient flow as it relates to rural health.

WEDNESDAY, APRIL 25 10:15 TO 11:30 A.M. MORNING BREAKOUT SESSIONS (CONTINUED) When Enough is Enough: Physician Orders for Life-Sustaining Treatment (POLST) Christine Gorka, PhD,, Ethicist Southern and Central Illinois Advisory Group for Ethics (SAGE) In 2012, the Department of Public Health of Illinois will implement a revised Uniform DNR Advance Directive to include Physician Orders for Life Sustaining Treatment (POLST). This session will provide an overview of the POLST paradigm, criticisms of the movement, and considerations for issuing POLST documentation, distinguish between most commonly used advance directives and IDPH Uniform DNR/POLST form and benefits of IDPH DNR/POLST for health care providers. Community Transformation Grant We Choose Health: A Statewide Initiative to Transform Communities and Ease the Burden of Chronic Disease Leticia Reyes-Nash, BA, Division Chief, Health Policy, Office of Policy Planning and Statistics, Illinois Department of Public Health, Bill Dart, MBA, Assistant Deputy Director, Office of Policy, Acting Division Chief, Center for Rural Health, Illinois Department of Public Health, Robert Wesley, MA, Executive Director, Regional Medical Programs, Southern Illinois University School of Medicine The U. S. Department of Health and Human Services through its National Centers for Disease Control (CDC) has awarded a Community Transformation Grant to the Illinois Department of Public Health to implement a program called We Choose Health. This comprehensive, statewide initiative is aimed at transforming communities and reducing the burden of chronic disease by implementing 10 evidence-based, interrelated interventions designed to make healthy choices the easy choices. Planning for the implementation of We Choose Health is in its final phases. Upon implementation, the majority of the funding from the grant award will be available, on a competitive grant application basis, to a variety of organizations including (though not limited to) local health departments, community based organizations, non-profit organizations and coalitions. Direct funding for communities is limited to 97 counties in rural and downstate Illinois though the Department will work with counties statewide to implement policy and system changes. EMS Advocacy at Work Gregory Scott, RN, MS, EMT-P, CHEC, McLean County Area EMS System This presentation will provide participants an opportunity to interact with the presenter and other participants about the legislative process. Participants will also be able to learn about pending EMS related legislation and the House EMS Task Force and how that process worked. 11:45 a.m. to 1:15 p.m. Lunch WEDNESDAY, APRIL 25 AFTERNOON BREAKOUT SESSIONS 1:30 2:45 P.M.. Critical Access Hospital Specialty Services Impact on Revenue Randy Dauby, Hamilton Memorial Hospital, Lynn Stambaugh, Culverson Memorial Hospital Scott Seaborn, St. Joseph s Memorial Hospital Participants will learn about specialty services that critical access hospitals are incorporating such as Sleep Centers, Wound Care Centers, and Geri-Psych Programs that can positively impact on a CAH s bottom line. Medical Home Transformation for the Rural Practice Rachel A. Winters, MD, Scott G. Allen, MS, Executive Director of Illinois Chapter, American Academy of Pediatrics, Vincent D. Keenan, CAE, Executive Vice President of Illinois Academy of Family Physicians, Margaret Kirkegaard, MD, MPH, FAAFP, Medical Director of Illinois Health Connect The Patient-Centered Medical Home (PCMH) model of health care delivery is gaining traction across the United States as a viable means to reduce costs, improve quality and reduce clinician burnout. This presentation will present a panel discussion on medical home transformation. The Illinois Academy of Family Physicians and the Illinois Chapter of the American Academy of Pediatrics resources on medical home transformation will be showcased. The panel will also feature a solo, rural practitioner reflecting on the transformation process and sharing key lessons learned.

WEDNESDAY, APRIL 25 AFTERNOON BREAKOUT SESSIONS 1:30-2:45 P.M. (CONTINUED) Innovative Rural VA Programs: Managing Chronic Disease through Technology and Home Based Primary Care Tess D. Ford, RN, PhD, Marion VA Medical Center-Home TeleHealth, Carole Sullivan, RN, MSN Marion VA Home Based Primary Care This presentation will share information about two innovative rural VA outreach programs serving southern Illinois, Indiana, and Kentucky. Examples will be presented of the latest types of technology being used in home monitoring for chronic disease. A focus will be on how the use of home monitoring technology and home based primary care can improve health outcomes, reduce negative health consequences and promote healthy behaviors. Filling the Rural EMS Gap: Identifying High-need, Resource-deprived Areas Alex Ramsey, MA, Jenna Jamieson, BA, Southern Illinois University Center for Rural Health and Social Service Development The presentation will summarize a recent evaluation of the current operational needs regarding personnel, equipment, and supplies of the EMS agencies in the southern 34 counties of Illinois. To better understand problems faced by rural EMS agencies, the data was also used to evaluate which training methods would best help EMS workers and which cardiac care services may be suffering in rural medical facilities. AFTERNOON BREAKOUT SESSIONS 3:15-4:30 P.M. Farm Injury and Illness: EMS Assessment, Treatment, and Prevention Rebecca Merten, NP Agriculture is a hazardous industry. The focus of this presentation will be on safety and health issues that are unique to the farm setting. Injuries from animals, machinery, grain bins, manure pits, and other sources will be discussed. Additionally, the effects of exposure to pesticides, fertilizers, and noxious gasses will be presented. Also included will be a review of animal borne illnesses and respiratory diseases caused by grain and dust inhalation. Guidelines for emergency and ongoing medical care as well as recommendations for prevention will be offered. Telemedicine for After Hours, Medical Care in the Post Acute Skilled Nursing Facility: Clinical and Financial Outcomes David Chess, MD, Paragon Clinical LLC/eSNF, LLC With healthcare financing in the midst of significant upheaval, hospitals must have true care partners to meet their financial goals. Nursing facilities traditionally have not had the infrastructure to manage complex medical problems, resulting in a 23+% national hospital readmission average from post acute nursing facilities. esnf and Paragon Clinical (in collaboration with Lexington Health Network), using a specialized telemedicine unit, see, interview and examine SNF patients after hours. The telemedicine units are enhanced with embedded digital stethoscope and otoscopes, allowing for a comprehensive examination. The esnf service has had a significant impact on reduced hospitalizations and strong acceptance by attending staff, nurses and patients. Hot Spots in Revenue Capture and Denial Management Bill Maurice, RHIT, CCS-P, ECS E-Code Solutions, LLC This presentation will discuss barriers to payment including questions to ask yourself regarding billing, hot topics in coding, incorporating best practice to fully capture revenue and managing denial and under-payment issues.

WEDNESDAY, APRIL 25 (CONTINUED) AFTERNOON BREAKOUT SESSIONS 3:15-4:30 P.M. Building Healthier Communities Through Policy, System, and Environmental Changes Miriam Link-Mullison, MS, Administrator, Jackson County Health Department This presentation will address a community-based approach to improving the health of residents in the southern 16 counties of Illinois. Topics to be covered include identifying and engaging potential partners for PSE support, identifying possible PSE strategies for improving chronic disease rates and communicating successes. 4:45 P.M. TO 6:30 P.M. COCKTAIL RECEPTION AND AUCTION THURSDAY, APRIL 26 8:00 10:00 IRHA ANNAUL BREAKFAST MEETING & KEYNOTE MAGGIE ELEHWANY, NRHA VP GOVERNMENT AFFAIRS MORNING BREAKOUT SESSIONS 10:15-11:30 A.M. Health Information Exchange in the Metro-East Steve Lawrence, CPA, MBA, Executive Vice President of Southern Illinois Healthcare Foundation (SIHF) Health Information Exchange (HIE) is a secure electronic network designed to share clinical and administrative data among healthcare providers in the state of Illinois. HIE allows health care providers to exchange a patient s health information in a secure environment and provide authorized access to a patient s comprehensive medical record. Electronic Health Records (EHR): Meaningful Use and Beyond and the Changing Landscape in Rural Illinois Roger L. Holloway, MHA, Illinois Health Information Technology Regional Extension Center and Melanie Pita, Prognosis Health Information Systems This presentation will provide an overview of the current status of electronic health record implementation in rural communities throughout Illinois. It will also provide the practical strategies that rural providers need to overcome inherent disadvantages and truly get on the fast track toward successful EHR implementation, the realization of government incentive funds and, most importantly, long-term improved care for rural populations. It will also tie together the pieces of electronic health care record adoption, health information exchange, and the value that those pieces coming together will create for rural Illinois. Build Your Future on Quality Pat Merryweather, MA, Betty Wendford, RN-BC, IFMC-IL IFMC-IL is the Medicare Quality Improvement Organization (QIO) for the state of Illinois, under contract with CMS. IFMC-IL is providing technical assistance, resources and tools to break down organizational, cultural, and geographic barriers by facilitating large scale learning and action networks, collaborative projects, online learning, best practice sharing, shared tools and peer to peer education. EMS Patient Navigator: Transitioning Patients to Appropriate Transportation and Medical Services Dennis Presley, MPA, Southern Illinois University Center for Rural Health and Social Service Development (CRHSSD) The inappropriate use of EMS services by many consumers for non-medically necessary purposes is an issue that both threatens the financial stability of an often fragile EMS system, as well as diverts EMS services away from those patients who truly need emergency medical services. The Rural Medical Transportation Network (RMTN), is currently conducting a pilot study, in conjunction with Jackson County Ambulance Service, which is designed to curtail these occurrences.

i-*net and IRHA are co-providing continuing education presentations for nurses. i-net is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Up to 7.5 Nurse Contact Hours are available for participation at the IRHA conference. Criteria for successful completion includes full attendance at each session for which you are requesting contact hours and submission of a completed evaluation form for each session. Credit will only be awarded for sessions attended. This program is being co-provided between i-net and IRHA and though all tasks involved in planning and implementing this activity are shared, i-net as the approved provider unit, has maintained responsibility for key program elements. The planning committee members and presenters have declared no conflict of interest. The presenters have agreed to present information fairly and without bias.