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2014 National Combined Councils Meeting05.27.14Theme: Access to Care Achieving Equity in HealthDAY 1: Monday, June 23, 2014:IHS National Councils meeting with the Acting Director, Indian Health ServiceIHS National Council meeting with the Acting Director1:00 – 1:30pmNational Council of Executive Officers(NCEO)1:30 – 2:00pmNational Nurse Leadership Council(NNLC)2:00 – 2:30pmNational Council of Chief Clinical Consultants(NCCCC)2:30 – 3:00pmNational Council of Chief Executive Officers(NCCEO)3:00 – 3:15pmBreak3:15 – 3:45pmNational Council of Chief Medical Officers(NCCMO)3:45 – 4:15pmNational Council of Clinical Directors(NCCD)4:15 – 5:45pmNational Pharmacy Council(NPC)5:45 – 6:15pmNational Oral Health Council(NOHC)Council ChairJames Driving Hawk, BSBAElaine Alexander, MHA/Ed, BSN, RNJean Howe, MD, MPHCAPT Carmen Clelland, PharmDCAPT Harry Brown, MDKathleen Wood, MDCDR Wil Darwin, PharmDCAPT Timothy Lozon, DDSDAY 2: Tuesday, June 24, 2014:8:00 – 8:15am Opening Prayer/WelcomeTribal Vice President Martin Harvier, Salt River Pima-Maricopa Indian CommunityTribal President Diane Enos, BFA, JD, Salt River Pima-Maricopa Indian Community8:15 – 8:30amOpening RemarksCAPT Susan Karol, MD - Chief Medical Officer, Indian Health Service8:30 – 9:15amIndian Health Service Director’s UpdateDr. Yvette Roubideaux, MD, MPH – Acting Director, Indian Health Service9:15 – 9:30amOverview of the WeekBarbara Vize, MD - Acting Improving Patient Care DirectorCDR Wil Darwin, PharmD - National Pharmacy Council (Chair)1
9:30 – 10:30am Affordable Care Act Updates[1 credit/1.0 contact hour/ADG 149 1.0 hour /ACPE UAN 0600-0000-14-261-L04-P (Knowledge type)]Raho N. Ortiz, J.D. Director of Business Office Enhancement, Office of Resource Access and PartnershipsCAPT Harry Brown, MD, Chief Medical Officer, Nashville AreaAlec Thundercloud, MD, Clinical Director, White Earth Health CenterThe reforms included in the Patient Protection and Affordable Care Act (ACA) potentially benefit tribal communities bylowering health care costs, rendering more health choices, and enhancing the quality of health care. In addition, theACA may facilitate special improvements for health in Indian Country via the permanent authorization of the IndianHealth Care Improvement Act and unique protections for American Indians and Alaska Natives in the Health InsuranceMarketplace. The purpose of this presentation is to increase awareness about the ACA and discuss how the ACAimpacts the Indian health care system.After attending this activity participants will be able to: Accurately educate patients about the ACA as it pertains to I/T/U. Recognize impact of ACA implementations on clinical operations. Initiate measures to address current and potential ACA impacts on clinical operations.10:30 – 10:45am Break10:45 – 12:00pm IHS Intercouncil Workgroup Team Meeting: Breakout SessionsIHS Intercouncil Workgroup Team MeetingConcurrent SessionsAffordable Care ActContinuing Education/ConferencePrescription Drug AbuseLead/Facilitator/Co-ChairNCC Member: Charles Magruder, MDHQ Advisory: Geoffrey Roth and Melissa Boney, MPHNCC Member: CAPT Scott Gaustad, PTCSC Advisory: Wesley Picciotti, MPATBHCE Advisory : Chris Fore, PhDHQ Advisory: Charlene Avery, MDNCC Member: CAPT Harry Brown, MDHQ Advisory: Beverly Cotton, MSN andRobin Bartlett, PharmDNCC Member: CAPT Carmen Clelland, PharmDRecruitment & Retention and Workforce DevelopmentHQ Advisory: Lisa Reyes and Robert Pittman, BPharm, MPHHospital ConsortiumNCC Member: CAPT Charles Ty Reidhead, MD andDavid Civic, MDHQ Advisory: Susan Karol, MD12:00 – 1:00pm Lunch break1:00 – 4:30pmIHS National Council Meeting: Breakout SessionsIHS National Council MeetingConcurrent SessionsNational Council of Chief Clinical Consultants(NCCCC)National Council of Chief Executive Officers(NCCEO)National Council of Chief Medical Officers(NCCMO)National Council of Clinical Directors(NCCD)National Council of Executive Officers(NCEO)Council ChairJean Howe, MD, MPHCAPT Carmen Clelland, PharmDCAPT Harry Brown, MDKathleen Wood, MDJames Driving Hawk, BSBA2
National Nurse Leadership Council(NNLC)National Oral Health Council(NOHC)National Pharmacy Council(NPC)Elaine Alexander, MHA/Ed, BSN, RNCAPT Timothy Lozon, DDSCDR Wil Darwin, PharmDDAY 3: Wednesday, June 25, 2014:8:00 – 12:30pm IHS Intercouncil Workgroup Team Meeting: Breakout SessionsIHS Intercouncil Workgroup Team MeetingConcurrent SessionsAffordable Care ActContinuing Education/ConferencePrescription Drug AbuseLead/Facilitator/Co-ChairNCC Member: Charles Magruder, MDHQ Advisory: Geoffrey Roth and Melissa Boney, MPHNCC Member: CAPT Scott Gaustad, PTCSC Advisory: Wesley Picciotti, MPATBHCE Advisory : Chris Fore, PhDHQ Advisory: Charlene Avery, MDNCC Member: CAPT Harry Brown, MDHQ Advisory: Beverly Cotton, MSN andRobin Bartlett, PharmDNCC Member: CAPT Carmen Clelland, PharmDRecruitment & Retention and Workforce DevelopmentHQ Advisory: Lisa Reyes and Robert Pittman, BPharm, MPHHospital ConsortiumNCC Member: CAPT Charles Ty Reidhead, MD andDavid Civic, MDHQ Advisory: Susan Karol, MD8:00 – 12:30pm IHS National Council Meeting: Breakout SessionsIHS National Council MeetingConcurrent SessionsNational Council of Chief Clinical Consultants(NCCCC)National Council of Chief Executive Officers(NCCEO)National Council of Chief Medical Officers(NCCMO)National Council of Clinical Directors(NCCD)National Council of Executive Officers(NCEO)National Nurse Leadership Council(NNLC)National Oral Health Council(NOHC)National Pharmacy Council(NPC)Council ChairJean Howe, MD, MPHCAPT Carmen Clelland, PharmDCAPT Harry Brown, MDKathleen Wood, MDJames Driving Hawk, BSBAElaine Alexander, MHA/Ed, BSN, RNCAPT Timothy Lozon, DDSCDR Wil Darwin, PharmD12:30 – 1:30pm Lunch Break3
1:30 – 4:15pmIHS Intercouncil Workgroup Report-Out Summary SessionsIHS Intercouncil Workgroup Report-Out SummarySessions1:30 – 2:00pmAffordable Care Act2:00 – 2:30pmContinuing Education/Conference2:30 – 3:00pmPrescription Drug Abuse3:00 – 3:15pmBreak3:15 – 3:45pmRecruitment & Retention and Workforce Development3:45 – 4:15pmHospital Consortium4:30 – 5:00pmLead/Facilitator/Co-ChairNCC Member: Charles Magruder, MDHQ Advisory: Geoffrey Roth and Melissa Boney, MPHNCC Member: CAPT Scott Gaustad, PTCSC Advisory: Wesley Picciotti, MPATBHCE Advisory : Chris Fore, PhDHQ Advisory: Charlene Avery, MDNCC Member: CAPT Harry Brown, MDHQ Advisory: Beverly Cotton, MSN andRobin Bartlett, PharmDNCC Member: CAPT Carmen Clelland, PharmDHQ Advisory: Lisa Reyes and Robert Pittman, BPharm, MPHNCC Member: CAPT Charles Ty Reidhead, MD andDavid Civic, MDHQ Advisory: Susan Karol, MDClosing Remarks and Q&ACAPT Susan Karol, MD - Chief Medical Officer, Indian Health ServiceDAY 4: Thursday, June 26, 2014:8:00 – 8:15amOpening Remarks/Welcome8:15 – 9:15amPrescription Drug Abuse[1 credit/1.0 contact hour/ADG 157 1.0 hour /ACPE UAN 0600-0000-14-262-L04-P (Knowledge type)]Part 1: Prescription Drug Monitoring ProgramsCDR Cynthia Gunderson, PharmDPart 2: Overview of Pay Flexibilities at the Indian Health ServiceSnehal Bhatt, MD, Medical Director, Addiction and Substance Abuse Programs, Assistant Professor, Psychiatry,University of New MexicoPrescription drug abuse has increased approximately 4-fold in the US since 1990, and deaths due to prescription drugabuse have followed suit. The purpose of this activity is to better acquaint the learner (clinical professionals) with stateprescription drug monitoring programs, and to enable learners to better assess risk for addiction and manage aberrantbehavior in patients with chronic pain.After attending this activity participants will be able to: Access their state’s PDMP, and to use the PDMP effectively and properly. Identify epidemiological and clinical risk factors for aberrant behavior in populations with chronic pain. Develop practical strategies to manage aberrant behavior. Employ the use of clinical tools to assess risk of addiction.9:15 – 10:15am Recruitment, Retention, and Human Resources: Considerations for building your Clinical Staff[1 credit/1.0 contact hour/ADG 149 1.0 hour /ACPE UAN 0600-0000-14-263-L04-P (Knowledge type)]Part 1: Recruitment, Retention and Human Resource OverviewCAPT Carmen Clelland, PharmD, MPA, CEO, Clinton Service UnitPart 2: Recruitment and Retention PracticesJerry N. Harrison, PhD, Executive Director, New Mexico Health ResourcesPart 3: Overview of Pay Flexibilities at the Indian Health ServiceJennifer Fry, Human Resource Compensation Specialist, Division of Human Resources4
The purpose of this presentation is to increase and enhance the knowledge necessary to support the clinical servicesthrough human resource management. This includes the workforce development in using human resources such asTitle 38, Direct Hire Authority, and workforce structure along with recruitment and retention activities to support theclinical workers in advancing patient care.After attending this activity participants will be able to: Identify the need for increased awareness and actions for recruitment and retention along with humanresources to support clinical and other position. Implement strategies for effective position management. Identify effective best practices and tools to support clinicians10:15 – 10:30am Break10:30 – 11:30am Leadership and Improvement Lessons from the Triple Aim Collaborative - Chinle Service Unit[1 credit/1.0 contact hour/ADG 149 1.0 hour /ACPE UAN 0600-0000-14-264-L04-P (Knowledge type)]Kevin Rand, MD, Clinical Director, Chinle Comprehensive Health Care FacilityRon Tso, Chief Executive Officer, Chinle Comprehensive Health Care FacilityCharlene West, RN, Assistant Chief Nurse Executive for Outpatient, Chinle Comprehensive Health Care FacilityJohanna Bahe, RN, Assistant Chief Nurse Executive for Inpatient, Chinle Comprehensive Health Care FacilityThe Institute for Healthcare Improvement (IHI) developed the IHI Triple Aim in response to the high cost of providinghealth care, pressure to derive greater value from resources, and the increased demands on medical and social servicesby aging populations coupled with chronic health problems. The IHI Triple Aim is a framework that describes anapproach to optimizing health system performance. The IHI believes new designs must be developed to simultaneouslypursue three dimensions: Improving the patient experience of care (including quality and satisfaction); Improving thehealth of populations; and Reducing the per capita cost of health care. This presentation provides an overview of theChinle Service Units’ experiences with embracing the IHI Triple AIM Collaborative redesign concepts.After attending this activity participants will be able to: Assess own health care facility for opportunities to improve the patient experience; improve care, and reduce costs. Implement the Triple AIM- Concept Design. Create a culture of improvement for continual progress and to sustain results.11:30 – 12:30pm Organizational Preparation for Stage 2 Meaningful Use and ICD-10[1 credit/1.0 contact hour/ADG 149 1.0 hour /ACPE UAN 0600-0000-14-265-L04-P (Knowledge type)]CAPT Howard Hays, MD, MSPH, FAAFPCDR Susan Pierce-Richards, MSN, ARNP, FNP-BC, ANP-BC (invited)In the latter part of FY 2014 IHS, Tribal and Urban facilities across the country will be implementing the 2014 CertifiedRPMS Electronic Health Record in preparation for Stage 2 of the ONC/CMS Meaningful Use initiative. This session willprovide participating leaders of IHS, Tribal and Urban health care facilities with an overview of the organizationalplanning and preparation steps in order to facilitate the implementation of the 2014 Certified Electronic Health Record,ensure compliance with Stage 2 Meaningful Use requirements, and prepare for the transition to ICD-10 coding.After attending this activity participants will be able to: Initiate activities to “clean up” RPMS EHR problem lists in preparation for the 2014 Certified EHR. Plan and implement a Clinical Documentation Improvement activity at their facility in preparation forICD-10. Plan for implementation of the Personal Health Record and Direct Secure Messaging at their facility,including the identification of PHR Registrar(s), a Direct Administrator, facility Messaging Agent(s), andorganizational structure for managing Direct communications from patients and outside providers.12:30 – 1:00pm Non-Plenary Non-CE Open Discussion Topic Continuing Education/ConferenceIndian Health system is dedicated to providing an excellence in learning, teaching, and leading professional development concepts.Clinical Support Center (CSC) and the Telebehavioral Health Center of Excellence (TBHCE) Education’s continuing education experienceis to promote the success of each customer’s professional development and in every program.1:00pmAdjournment5
Tribal President Diane Enos, BFA, JD, Salt River Pima-Maricopa Indian Community 8:15 - 8:30am Opening Remarks . CAPT Susan Karol, MD - Chief Medical Officer, Indian Health Service DAY 4: Thursday, June 26, 2014: 8:00 - 8:15am Opening Remarks/Welcome . and prepare for the transition to ICD-10 coding.
