PROGRAM DESCRIPTION AND LEARNING OBJECTIVES

PROGRAM DESCRIPTION

AND

LEARNING OBJECTIVES

Sunday, May 4

Mega Sessions

A1 - Disaster Nursing and Emergency Preparedness ReadyRN: Making Every Nurse a Prepared Nurse

Faculty: Tener Goodwin Veenema, PhD, MPH, MS, CPNP, FNAP

a nationally recognized expert in emergency nursing and disaster preparedness ReadyRN has been adopted by the National American Red Cross as their standard for preparing nurses and disaster health services volunteers across the country

ReadyRN is a multi-faceted national initiative designed to help hospitals, health departments and community health organizations prepare their nursing workforce with the knowledge needed to care for and protect themselves and patients during any type of disaster event or public health emergency.

Objectives:

ƒ Understand the current status of emergency preparedness and its implications for nursing; ƒ Recognize the importance of personal and family preparedness;

ƒ Identify the essentials of disaster planning for community health care; and ƒ Discuss disaster triage, radiation emergencies, and emerging infectious disease. A2 – IMPACT: Evidence-Based Integrated Care for Depression

Faculty: Rita Haverkamp MSN, CNS-BC

a psychiatric nurse clinical specialist with a master’s degree in psychiatric nursing from the University of

Cincinnati. ANA certified as an advanced practice psychiatric nurse clinical specialist since 1985. Ms. Haverkamp currently does consulting with the IMPACT

dissemination grant within her role at Kaiser Permanente

Faculty: Virna Little, PsyD, LCSW-R,SAP – Vice President Psychosocial Services, The Institute for Family Health

Patients often feel most comfortable receiving depression treatment as part of their primary care and recent data shows that 70-80% of antidepressant medication prescriptions are written by primary care providers. In a

nationwide study, IMPACT care more than doubled the effectiveness of depression treatment provided in primary care while also significantly improving physical functioning and quality of life. These improvements persist for at least one year after the end of treatment and recent analyses show that total healthcare costs for IMPACT patients are $3,300 less over four years than for patients in usual care.

Objectives:

ƒ Describe practical approaches to effectively recognizing and treating depression in primary care; ƒ Describe IMPACT depression care and the evidence base supporting it;

ƒ Describe and demonstrate the key components of depression care management; and ƒ Discuss implementation of IMPACT in various community settings.

A3 – Provider-Patient Communication

Faculty: Bob Morrow, MD – Chair New York Diabetes Coalition; Clinical Associate Professor

Department of Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of

Medicine

The New York Diabetes Coalition is developing networked practice interactive education designed to address providers’ barriers to improved practice, and to involve healthcare professionals in the process of carrying out chronic care initiatives. This skills-building session focuses on creating peer-led professional education to improve patient-provider communication, How can we get our professionals to engage patients in setting self-management goals with respect to chronic conditions? The workshop will in particular focus on the New York Diabetes

Coalition’s Diabetes Registry project and the American Cancer Society’s peer-led colorectal cancer screening program as well as other ongoing projects.

Objectives:

ƒ How to develop and interact with networked peer-led education as part of quality improvement efforts; ƒ Practical, efficient motivational interviewing techniques;

ƒ How to effectively engage patients in their own self-management to improve patient outcomes; and ƒ How to integrate education of providers with meaningful patient outcome measures.

A4 – Obesity Initiative Teams (closed track)

Faculty: Wanda Montalvo, RN, MSN, ANP – Chief Clinical Programs Officer, Community Health Care Association of New York State and RWJ Executive Nurse Fellow; Acklema Mohammad, MD, Physician – Urban Health Plan; Debbie Lester, LMSW, Director of the Urban Health Plan’s Institute for the Advancement of Community Health

Health center teams participating in CHCANYS Obesity Initiative will share progress, challenges, and best practices for addressing obesity.

Objective:

ƒ Share and learn best practices for addressing obesity

ƒ Learn the curriculum of the WE CAN program to reach kids and parents

ƒ Review and discuss effective tools from the Childhood Obesity Action Network

ƒ Review team progress and discuss strategies for improvement on clinical measures around childhood obesity

Monday, May 5

Morning Plenary

Keynote Faculty: Jeff Schiff, MD, MBA – Medical Director, Minnesota Health Care Programs, Minnesota Department of Human Services (invited)

The opening plenary session will focus on Minnesota’s Bridges to Excellence/NCQA standards – Primary Care Medical Home program. The plenary will focus on the theme of: Excelling and Improving Primary Health Care for the Health of the Community.

Minnesota’s work mirrors CHCANYS work related to Childhood Obesity and the goals of NCQA Provider Recognition.

Objective:

ƒ Share and learn inter-state innovative models for primary health care

ƒ Successful implementation of the medical Home project in Minnesota: What has worked and why

Monday, May 5

Morning Workshop Sessions

A1 – Childhood Obesity NICHQ Clinical Guideline Update

Faculty: Patricia Heinrich, RN, MSN, VP for Programs – National Initiative for Children’s Healthcare Quality (NICHQ)

a local and national consult on health care practices, her efforts focus on the most common issues affecting children in primary care today including preventive care, immunizations, overweight and obesity, asthma, mental health including ADHD; special health care needs including epilepsy, hearing screening, and Spina Bifida This session will cover NICHQ clinical guidelines for childhood obesity

Objective:

ƒ Identify strategies for implementing lessons learned from NICHQ guidelines into practice ƒ Review effective tools from the Childhood obesity Action Network

A2 – Improving Care in Kidney Disease

Faculty: Andrew S. Narva, Director - National Kidney Disease Education Program (NKDEP)

a veteran of the Indian Health Services agency of the Public Health Service, Dr. Narva has received several honors for his work

This session will focus on kidney disease testing and treatment in the primary care setting including practical tools and resources to help coordinate care and improve patient outcomes. NKDEP is an initiative of the National

Institutes of Health, designed to reduce the morbidity and mortality caused by kidney disease and its complications. NKDEP aims to raise awareness of the seriousness of kidney disease, the importance of testing those at risk (those with diabetes, high blood pressure, or a family history of kidney failure), and the availability of treatment to prevent or slow kidney failure.

Objective:

ƒ Identify strategies for implementing new practice tools and resources as part of care for at-risk patients.

A3 – Financial Impact of 340B Program Sponsored by NYC Rx

Faculty: Anita M. Lee, RPh, MPH – Executive Director of NYCRx, Lynn D. Silver, MD, MPH – Assistant Commissioner, Bureau of Chronic Disease, NYC Department of Health and Mental Hygiene

The federal 340B Drug Pricing Program provides access to reduced price prescription drugs to cover over 12,000 health care facilities certified by the U.S. Department of Health and Human Services (HHS) as “covered entities.” Effective implementation of the 340B Program can result in improvements for both patient and health centers.

Objectives:

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Discuss savings to patients;

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Identify increased health center revenue; and

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Improve prescription capture rates.

A4 – Early Childhood Mental Health and the Primary Healthcare Setting: A Model Demonstration Project

Faculty: Evelyn Blanck, LCSW – Associate Executive Director, Manhattan Center for Early Learning; Gilbert Foley, EdD – Clinical Director, Manhattan Center for Early Learning; Warria Esmond, MD – Medical Director, Settlement Health; Beth Kastner, PsyD, MPH – Psychologist, Manhattan Center for Early Learning This presentation will discuss the definition of infant mental health and the impact of services on the formation of brain architecture. The economic advantages of intervening early will be discussed. The presenters will discuss the current status of statewide initiatives affecting infant mental health. Presenters will describe a model of integrating mental health services into a primary health care setting in East Harlem. Highlights include clinical vignettes and the project’s impact on the health service delivery system and patients.

Objectives:

ƒ Increase understanding of infant mental health and its’ impact on brain structure; ƒ Acquire information about the status of infant mental health services nationwide; and

ƒ Gain knowledge about a model demonstration project that integrates infant mental health into the primary health care setting.

Monday, May 5

Afternoon Workshop Sessions

Faculty: Janet M. de Jesus, M.S., R.D. – Nutrition Education Specialist, Division for the Application of

Research Discoveries, National Heart, Lung, and Blood Institute; Aklema Mohammad, MD, Physician – Urban Health Plan; Debbie Lester, LMSW, Director of the Urban Health Plan’s Institute for the Advancement of Community Health

we can! – the acronym for Ways to Enhance Children’s Activity & Nutrition is a national educational program designed for parents and caregivers to help children 8-13 years old stay at a healthy weight. Four of the National Institutes of Health have come together to develop we can!: The National Heart, Lung, and Blood Institute in collaboration with the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Child Health and Human Development and the National Cancer Institute. Health professionals play a vital role in bringing this program to the families they serve. This session focuses on how we can! is being adopted into the health care setting and how you can use these resources.

Objectives:

ƒ Learn practical ways to incorporate we can! program resources into your practice; and ƒ Engage patients to use we can! tools as part of their self and family management.

B2 – Integration of Primary Care and Mental Health Services

Faculty: Joseph Di Lullo, MD – Director of Psychiatry, The Institute for Family Health

Board Certified in General and Geriatric Psychiatry and formerly Director of Geriatric Psychiatry and Assistant Professor of Psychiatry at the Soundview Throgs Neck Community Mental Health Center – a satellite of his alma mater, The Albert Einstein College of Medicine, Dr. Di Lullo provides direct care to patients and consultation

services to primary care providers and residents. His areas of interest include: Cognitive Behavioral Therapy, Interpersonal Psychotherapy, Psychosomatic Medicine, suicide prevention, psycho-spiritual issues and patient education.

Objectives:

ƒ Discuss the importance of inter-disciplinary communication in the treatment of depressive and anxiety disorders; and

ƒ Increase provider knowledge-base to yield better patient outcomes.

B3- Clinical Impact of 340B Program

Faculty: William H. Shrank, MD, MSHS – Instructor, Harvard Medical School; Lynn D. Silver, MD, MPH – Assistant Commissioner, Bureau of Chronic Disease, NYC Department of Health and Mental Hygiene

The federal 340B Drug Pricing Program provides access to reduced price prescription drugs to cover over 12,000 health care facilities certified by the U.S. Department of Health and Human Services (HHS) as “covered entities.” Effective implementation of the 340B Program can result in improvements for both patient and health centers. Objectives:

ƒ Discuss patient adherence; refill data;

ƒ Learn strategies for changing prescriber patterns to impact adherence rates; and ƒ Discuss formulary development.

B4 – Family Violence/Sexual Abuse Part 1 of 2

Faculty: Linda Cahill, MD – J.E. and Z.B. Child Advocacy Center, Department of Pediatrics, The Children’s Hospital at Montefiore

Dr. Cahill is also Associate Professor of Clinical Pediatrics at the Albert Einstein College of Medicine. She provides medical care to abused and maltreated children; teaches extensively in the areas of pediatrics and child abuse; and trains professionals in the evaluation and treatment of injured and vulnerable children. She is a member of the Helfer Society, the American Society on the Abuse of Children, Co-Chair of the Family Violence Committee of Chapter 3, District II of the American Academy of Pediatrics and serves on the NYC Mayor’s Criminal Justice Task Force on Child Abuse and Neglect.

The Task Force in partnership with the Office of Family and Children’s Services of NYS developed a training curriculum for NYC medical providers, presented in June 2007, on the recognition and reporting of child abuse and neglect. She has co-authored protocols for the care of abused and neglected children for Montefiore Medical Center and NYS physicians, the latter available online entitled: Child and Adolescent Sexual Offense Medical Protocol.

Objective:

ƒ Learn and enhance skills in this critical area.

Monday, May 5

Afternoon Workshop Sessions (continued)

Faculty: Wanda Montalvo, RN, MSN, ANP – Chief Clinical Programs Officer, Community Health Care Association of New York State and RWJ Executive Nurse Fellow, Brian Jones—Wellness Coordinator at Betances Health Center

Selected CHCANYS health center teams will present on their progress in addressing childhood obesity and adult populations

Objective:

ƒ Share best practices, resources and tools

ƒ Identify strategies to engage kids and parents in the 5, 2, 1 0

ƒ Share strategies on delivering consistent evidenced-based messages for all children regardless of weight ƒ Identify interventions that work among the adult population in your health center

C2 – Competency Training: Blood pressure and Point of Service Testing

Faculty: Tracey Capers Nurse, RN, C, MS, MPA and Ann Hinson, RN – Hudson River Health Care

Accurate blood pressure and point of service testing are integral to determining patients’ progress in addressing overall health and particularly when addressing chronic diseases. This workshop will address factors related to staff properly gathering information. The workshop will offer tools to help develop a program/protocol for agencies to utilize in training for all staff conducting tests.

Objective:

ƒ Strengthen techniques;

ƒ Review techniques required for accurate measurement; and ƒ Discuss how best to accomplish staff training.

C3- CHCANYS Data Repository & Charles B. Wang: Using Electronic Health Record to Drive Quality

Faculty: Thomas Tsang, Medical Director, Charles B. Wang Community Health Center & CHCANYS

The power of technology to collect real-time data for leveraging resources and information to support health center work and patient care is at the heart of successfully excelling and improving primary care for the health of the community.

Objective:

ƒ Share innovative work and best practices. C4 – Family Violence/Sexual Abuse Part 2

Faculty: Linda Cahill, MD – J.E. and Z.B. Child Advocacy Center, Department of Pediatrics, The Children’s Hospital at Montefiore

(see B4 description)

Tuesday, May 6

Mega Session – Primary Care Medical Home

Keynote Speakers:

ƒ Dr. Michael Barr – Vice President, Division of Government Policy, American College of Physicians, American College of Physicians

ƒ Dr. Foster Gesten – Medical Director, NYS Office of Health Insurance Programs ƒ Dr. Paul Kaye – Medical Director, Hudson River Health Care

ƒ Dr. Neil Calman – President & CEO, Institute for Family Health

ƒ Wanda Montalvo, RN, MSN, ANP, - Chief Clinical Programs Officer, CHCANYS and RWJ Executive Nurse Fellow

This mega session will help participants understand the importance and implications of the Primary Care Medical Home [PCMH] concept from national and state perspectives. Participants will learn about PCMH and the National Quality Assurance (NCQA) organizational certification process. A health center will share its experience obtaining

NCQA certification and its potential value in bringing quality and payors together. You will also learn about innovative foundation and CHCANYS work to engage several health centers in the prestigious NCQA recognition for Diabetes care.