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2015 CAPH SNI ANNUAL CONFERENCE

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We are delighted that you have joined us for this year’s conference. The next few days offer us an opportunity to reflect, celebrate, and look ahead.

The theme of this year’s conference is “Advancing High Value Health Care in California’s Safety Net,” and it is with enormous pride and admiration that we reflect on public health care systems’ leader-ship in doing exactly that. Whether you are a leader within a public health care system, a stakehold-er, or a supporter, you have worked alongside all of your fellow attendees to improve the health care, and the health, of millions of low-income Californians.

Our leadership continues with the opportunity to pilot new and better ways to deliver and pay for care within the safety net.

Under a renewed waiver, California’s public health systems will all participate in PRIME (Public Hos-pital Redesign and Incentives in Medi-Cal), the successor to the wildly successful DSRIP, which will help systems continue down the path to care that is integrated, coordinated, efficient, and effective.

The Global Payment Program Pilot under the waiver will be first-in-the-nation payment reform program for the remaining uninsured that will incentivize cost-effective primary care, as opposed to hospital-based care.

Some members are also leading payment reform in their Federally Qualified Health Centers through the Prospective Payment Systems pilot established by SB 147.

And the waiver’s Whole Person Care pilot program will allow Medicaid funding to be used to ad-dress the needs of some of our most challenging patients, beyond the clinical setting.

We celebrate the opportunity to continue this leadership, knowing that it won’t be easy or always clear. And we look ahead to another year of hard work and leadership as we embrace the opportu-nity to better care for the most vulnerable in the communities we serve.

Let’s celebrate our achievements in getting this far, and enjoy our beautiful surroundings and the wonderful community of public health care system leaders and supporters. Thank you for your part-nership, your friendship, and your incredible leadership in advancing high value health care.

WELCOME TO NAPA!

David Shearn, MD Executive DirectorCalifornia Healthcare Safety Net Institute

Erica Murray President and CEOCalifornia Association of Public Hospitalsand Health Systems


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For 30 years, CAPH has passionately believed that everyone deserves an equal opportunity to enjoy good health, regardless of their insurance status or abil-ity to pay, and this belief is what drives our policy and advocacy agenda. As a non-profit trade organization representing California’s public health care systems, CAPH works to strengthen the capacity of its mem-bers to advance community health; ensure access to comprehensive, high-quality, culturally sensitive health care services for all Californians; and educate the next generation of health care professionals.

The California Health Care Safety Net Institute (SNI) is the quality improvement partner of the California Association of Public Hospitals and Health Systems (CAPH). SNI designs and directs programs that accelerate the spread of innovative practices among California’s public hospitals, public clinics and beyond. Because of SNI’s work, more people — especially those most affected by health disparities — receive effective, efficient and respectful health care, regardless of their circumstances.

CAPH MISSION SNI MISSION

The California Association of Public Hospitals and Health Systems (CAPH) and the California Health Care Safety Net Institute (SNI) represent California’s 21 public health care systems and academic medical centers.

ABOUT US

Photo: San Mateo Medical Center


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AGENDAWednesday, December 2nd

9:30 am – 6:00 pm: Registration Location: Carneros Pre Function

10:00 am – 2:00 pm: Waiver Integration Team Workshop: Building the Foundation for Waiver Success (Members Only) Location: Salons C, D, E, F, G, H

12:00 pm – 1:00 pm: Lunch Location: Oakville Terrace

1:00 pm – 3:00 pm: Chief Finance Officers Meeting (Members Only) Location: Salons AK

2:00 pm – 4:00 pm: Annual Meeting of the California Health Care Safety Net Institute / SNI Board Meeting (Members Only) Location: Salons BJ

4:00 pm -6:00 pm: Annual Meeting of the California Association of Public Hospitals and Health Systems / CAPH Board Meeting (Members Only) Location: Salons C, D, E, F, G, H

4:00 pm – 6:00 pm: Chief Information Officers / Chief Medical Information Officers Meeting (Members Only) Location: Salons VII & IX

6:00 pm Conference Begins for All Attendees

6:00pm – 8:30pm: Chairs Reception Location: Estate Wine Cave

Wednesday, December 2

9:30 am — 6:00 pm

10:00 am — 2:00 pm

11:30 pm — 1:00 pm

2:00 pm — 3:50 pm

2:00 pm — 3:50 pm

4:00 pm — 6:00 pm

4:00 pm — 6:00 pm

6:00 pm

6:00 pm — 8:30 pmSNI MISSION


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Friday, December 4th:

7:00 am – 11:00 am: Registration Location: Carneros Pre Function

7:00 am – 8:30 am: Breakfast Buffet Location: Oakville Terrace 8:45 am – 9:00 am: Welcoming Remarks David Shearn, MD, Executive Director, SNI Iman Nazeeri-Simmons, MPH, Chief Operating Officer, San Francisco General Hospital Location: Salons A, B, J, K

9:00 am – 10:00 am: Patient Perspectives: What Safety Net Patients Value in Health Care Gary Langer, President of Langer Research Associates Introduction: Iman Nazeeri-Simmons, MPH, Chief Operating Officer, San Francisco General Hospital Location: Salons A, B, J, K

10:00 am – 10:50 am: ThedaCare’s Journey to Patient-Centered Continuous Improvement John Toussaint, MD, CEO of ThedaCare Center for Healthcare Value Introduction: Iman Nazeeri-Simmons, MPH, Chief Operating Officer, San Francisco General Hospital Location: Salons A, B, J, K

10:50 am – 11:20 am: Addressing Your Top Patient Engagement Hurdles Gary Langer, President of Langer Research Associates John Toussaint, MD, CEO of ThedaCare Center for Healthcare Value Moderator: David Shearn, MD, Executive Director, SNI Location: Salons A, B, J, K

11:20 am – 11:30 am: Closing Remarks Erica Murray, President and Chief Executive Officer, CAPH Location: Salons A, B, J, K

11:30 am: Adjourn

Friday, December 4

7:00 am — 11:00 am

7:00 am — 8:30 am

8:45 am — 9:00 am

9:00 am — 10:00 am

10:00 am — 10:50 am

10:50 am — 11:20 am

11:20 am — 11:30 am

11:30 am

Thursday, December 3rd

6:45am – 3:30pm: Registration Location: Carneros Pre Function

6:45am – 8:30am: Continental Breakfast Location: Carneros Pre Function

7:00am – 8:00am: Public Hospital Financing 101 Location: Salons D, E, F, G 8:30 am – 8:40 am: Opening Remarks Santiago Muñoz, Chief Strategy Officer, UCLA Health System and Chair, CAPH Board of Directors Erica Murray, President and CEO, CAPH Location: Salons A, B, C, H, J, K

8:40 am – 9:30 am: Lessons in Persuasive Communication from the Political Debate on Health Care George Lakoff, Goldman Distinguished Professor of Cognitive Science and Linguistics, University of California at Berkeley Introduction: Diane Ung, Esq., Foley & Lardner LLP Location: Salons A, B, C, H, J, K

9:30 am – 10:20 am: The National Landscape: How Performance Measurement and Payment Reform Are Driving High Value Health Care Christine Cassel, MD, President and CEO, National Quality Forum Introduction: Susan Ehrlich, MD, Chief Executive Officer, San Mateo Medical Center Location: Salons A, B, C, H, J, K

10:20 am – 10:30 am: Break

10:30 am – 11:20 am: Surviving and Thriving After a Suicide Attempt: How the Health Care System Impacted My Journey Kevin Hines, National Mental Health Advocate Introduction: Roland Pickens, Director, San Francisco Health Network Location: Salons A, B, C, H, J, K

11:20 am– 11:45 am: Break

11:45am – 1:15pm: CAPH/SNI Quality Leaders Awards Luncheon Location: Salons A, B, C, H, J, K

1:15 pm –1:30 pm: Break

1:30 pm – 2:20 pm: Making Sense of the Ever-Evolving Political Landscape Representative Henry Waxman, Chairman of Waxman Strategies Moderator: Burt Margolin, President, The Margolin Group Introduction: Russell Judd, Chief Executive Officer, Kern Medical Center Location: Salons A, B, C, H, J, K

2:20 pm –3:10 pm: The Next Phase of Health Reform: California’s Path Towards Higher Value Health Care Secretary Diana S. Dooley, California Health and Human Services Agency Introduction: William Walker, MD, Director and Health Officer, Contra Costa Health Services Location: Salons A, B, C, H, J, K

3:10 pm – 6:00 pm Break

6:00pm – 10:00pm: Gala Dinner Location: Meritage Ballroom, Salons I-VI

Thursday, December 3

6:45 am — 3:30 pm

6:45 am — 8:30 am

7:00 am — 8:00 am

8:30 am — 8:40 am

8:40 am — 9:30 am

9:30 am — 10:20 am

10:20 am — 10:30 am

10:30 am — 11:20 am

11:20 am — 11:45 am

11:45 am — 1:15 pm

1:15 pm — 1:30 pm

1:30 pm — 2:20 pm

2:20 pm — 3:10 pm

3:10 pm — 6:00 pm

6:00 pm — 10:00 pm


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Friday, December 4th:

7:00 am – 11:00 am: Registration Location: Carneros Pre Function

7:00 am – 8:30 am: Breakfast Buffet Location: Oakville Terrace 8:45 am – 9:00 am: Welcoming Remarks David Shearn, MD, Executive Director, SNI Iman Nazeeri-Simmons, MPH, Chief Operating Officer, San Francisco General Hospital Location: Salons A, B, J, K

9:00 am – 10:00 am: Patient Perspectives: What Safety Net Patients Value in Health Care Gary Langer, President of Langer Research Associates Introduction: Iman Nazeeri-Simmons, MPH, Chief Operating Officer, San Francisco General Hospital Location: Salons A, B, J, K

10:00 am – 10:50 am: ThedaCare’s Journey to Patient-Centered Continuous Improvement John Toussaint, MD, CEO of ThedaCare Center for Healthcare Value Introduction: Iman Nazeeri-Simmons, MPH, Chief Operating Officer, San Francisco General Hospital Location: Salons A, B, J, K

10:50 am – 11:20 am: Addressing Your Top Patient Engagement Hurdles Gary Langer, President of Langer Research Associates John Toussaint, MD, CEO of ThedaCare Center for Healthcare Value Moderator: David Shearn, MD, Executive Director, SNI Location: Salons A, B, J, K

11:20 am – 11:30 am: Closing Remarks Erica Murray, President and Chief Executive Officer, CAPH Location: Salons A, B, J, K

11:30 am: Adjourn

Friday, December 4

7:00 am — 11:00 am

7:00 am — 8:30 am

8:45 am — 9:00 am

9:00 am — 10:00 am

10:00 am — 10:50 am

10:50 am — 11:20 am

11:20 am — 11:30 am

11:30 am

Photo: San Joaquin General Hospital


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Photo: UC Davis Health


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QUALITY LEADERS AWARDS

For more than 20 years, CAPH/SNI has delivered the Quality Leaders Awards (QLAs) to recognize outstanding initiatives across California’s public health care systems. The QLAs honor the good work underway to achieve members’ collective 2020 vision:

By 2020, public health care systems will become models of integrated care that are high value, high quality, patient-centered, efficient and equitable, with great patient experience and a demonstrated ability to improve health care and the health status of populations.

Recognizes an outstanding effort to improve system integration, expand access, and provide the highest quality of care.

Recognizes an outstanding effort to improve care processes by removing waste, advancing clinical quality, and/or enhancing patient experience.

Recognizes an outstanding effort to build data infrastructure, develop data analyt-ics capacity, and/or leverage data to improve clinical care.

Recognizes an outstanding effort to deliver “right place, right time care” and, ulti-mately, to improve population health.

Top Honor

Performance Excellence Award

Data-Driven Organization Award

Advanced Primary Care Award


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TOP HONORKAISER PERMANENTE (KP) CLINICAL SYSTEMS DEVELOPMENT AWARD

Contra Costa Health ServicesAdvanced Access Bundle

The continued implementation of the Affordable Care Act has meant an influx of new patients in every one of California’s public health care systems. For Contra Costa Health Services (CCHS), this has trans-lated into 35,000 new patients in the previous fifteen months alone.

These new patients were being added to a system where “lack of timely access to clinic appointments” was already the number one complaint voiced by patients. Contra Costa’s team knew that a rede-sign of their decades-old appointment system was needed.

In most offices even today, providers’ schedules are booked weeks, if not months, in advance. This was how it worked at CCHS as well, until a newly formed Ambulatory Care Redesign Team (ACRT) determined that the system would need to be streamlined and made more adapt-able.

Seeing the need, Contra Costa’s team created Advanced Access Scheduling, a model that uses an open template, and continuously balances supply and demand to let patients, both new and old, be seen at a time that works for them. The system has very few slots reserved for special situations or patient types, a departure from how it had worked previously. The Advanced Access Bundle includes this scheduling model as well as other strategic initiatives, including a focus on consistent nurse/provider teams, the establishment of an RN telephone clinic, the extension of visit intervals for patients, and pre-visit phone calls to determine whether an in-person visit is necessary, and ensure that patients are prepared if they are going to come in.

The success of the Advanced Access Scheduling model is dependent on engaged stakeholders, including pa-tient representatives, and teams of nurses and providers engaging in strong communication. Results have been dramatic. New patient no-show rates are down 28%, and clinics have reduced their median third-next-available appointments by as much as 62%.

The Advanced Access initiative was kicked off at CCHS’s Martinez Health Center and Miller Wellness Center in January of 2015, spread to both of its Concord Health Centers in April, and then to the West County Health Center and North Richmond Health Center in July – accounting for more than 50% of the system’s total patient population. CCHS plans to spread the model across all its primary care clinics by the middle of 2016.


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PERFORMANCE EXCELLENCE AWARDSanta Clara Valley Health & Hospital SystemImproving Readmission Rates for Homeless Persons in a Public Hospital System

Santa Clara County has the nation’s 4th highest chronically homeless population, with six thousand people on the streets or in insecure housing on any given night. These individuals are some of Santa Clara Valley Health & Hospital System’s (SCVHHS) most vulnerable patients, because of the often-complex nature of their health condi-tions, but also because they are often discharged into very difficult circumstances. Many are patients without social supports, who do not have access to adequate food, shelter, or a safe place to even store medications – let alone focus on recovery. These circumstances lead to a significantly higher risk of readmission and a poorer quality of life for them.

Led by SCVHHS and its Homeless Healthcare Advisory Board, the Santa Clara Medical Respite Program is a unique public-private col-laborative, which also includes eight area hospitals and a homeless shelter. The Medical Respite Program provides homeless patients recently discharged from the hospital access to a 20-bed facility that provides a safe, clean environment for recuperation from hospitaliza-tion. All referred patients at the MRP receive comprehensive health

and psychosocial assessments that allow for individualized plans and services to help link the homeless patients with comprehensive primary care in a health home, specialty care, entitled benefits, substance abuse and mental health treatment, and other needed supports and services.

The program has had 1,800 referrals and has welcomed 700 patients since its inception, and has led to an esti-mated reduction of 2,488 bed days and a cost savings of over $6 million. Among the Medical Respite Program’s patients, the 30-day readmission rate is 18%, compared to the average rate of 50% for homeless patients. But the patients themselves tell the story even better:

“Without the opportunity to stay at the Medical Respite Center, I probably would not have survived during the month of November. (This program is) saving the lives of people on the street and treating us with respect...I am no longer Willie the homeless guy. I am citizen Willie.”

“It’s time to give back to the community, and I thank respite for giving me that opportunity.”


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DATA-DRIVEN ORGANIZATION AWARDSan Francisco Health NetworkImproving Specialty Care Access in a Safety Net System: Assessment, Engagement, and Innovation

It’s not easy to collect accurate data. All health systems know this, and work hard to improve their data collection policies, procedures, and practices. It’s even harder to do something productive with that data once you’ve got it. San Francisco Health Network knew that access to specialized care was a problem for many of its patients, and knew that the solution would require both collecting new data, and just as importantly, analyzing and acting upon it.

SFHN embarked on a two-year project aimed at figur-ing out how to address disparities in access to care and streamline specialty care delivery.

The first step was a needs assessment and gap analysis, which included the collection of baseline data, as well as interviews with leadership and focus groups with pa-tients. A team of physicians and nurses then developed a method for collecting, analyzing and tracking data across specialty care clinics, based on the needs that had been identified. New quality and operational dash-boards were created for all 26 specialty clinics to highlight patient satisfaction and quality metrics, with a focus on “third next available appointment” (TNAA) data, one of the industry standards for measuring access. Once these dashboards were in place and being utilized, the data started coming in, and the performance improvement work could be developed based on the analysis of that data.

This performance improvement work has included (but has not been limited to) the expansion of clinics, the use of non-physicians to evaluate patients, improving efficiencies through workplace organization, the utilization of group classes for patients, and collaboration with outside hospitals to perform the backlog of diagnostic proce-dures.

The results of this work on the system’s specialty care TNAA numbers have been staggering. Before the project, almost one quarter of clinics had a TNAA of more than 120 days. Now that number is less than 3%. At the other end of the spectrum, at the outset of the project only 14% of clinics had a TNAA of fewer than 15 days. Now it’s nearly half. And thanks to a continued emphasis on collecting and analyzing data, these numbers will keep improving.


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ADVANCED PRIMARY CARE AWARDVentura County Health Care AgencyInnovative Diabetes Care with Group Medical Care

We use the phrase “advanced primary care” to describe systems that provide “right place, right time care,” especially for those with chronic conditions. Ventura County Health Care Agency, as part of its work under the Delivery System Reform Incentive Program (DSRIP), created a remarkable program at Las Islas Diabetes Center in South Oxnard.

The clinical teams at Las Islas had the goal of creat-ing a “one-stop shop” approach for their patients in group visits. They started by finding and fixing gaps in the retinal screening workflow, then implemented comprehensive group visits that included a foot exam, blood draw and dietician education.

But these visits offer more than just convenient access to services. Effective diabetes care relies heavily, if not mostly, on a patient’s ability and willingness to care for themselves. These classes

have empowered patients with the tools and social supports to help manage their own conditions.

“I actually have recommended the classes to friends,” says Linda Villegas, a patient at VCHCA. Linda had just been diagnosed with diabetes upon starting the group visits, so hearing about other patients’ experiences with their diabe-tes really helped. “Patients are encouraged to come together and socialize with the goal that they will offer support to one another,” says Karla Alcaraz, RN, CDE, the case manager who organizes group visits. “Many maintain friendships beyond the scope of the class.”

Alcaraz says the programs are showing incredible results. Three quarters of patients who were not at their LDL goal when starting the class did get to an LDL less than 100 upon completion. More than half of patients who were not at their A1c goal achieved an A1c less than 7, or at least a 1-point drop. Some patients have lowered HbA1c by more than 2 points over the course of these visits, and several have lost 15 to 20 pounds.

“The classes put you on track to manage and improve self-care,” says Villegas.


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Photo: Arrowhead Regional Medical Center

Photo: UCSF Health


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SPEAKERSChristine Cassel, MDSec. Diana DooleyKevin HinesGeorge LakoffGary LangerBurt MargolinSantiago MuñozIman Nazeeri-Simmons, MPHJohn Toussaint, MDRep. Henry Waxman

Photo: UCLA Health


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CHRISTINE CASSEL, MD SEC. DIANA DOOLEY

President and CEO, National Quality Forum

Christine K. Cassel, MD is President and CEO of the National Quality Forum. Dr. Cassel is a member of the President’s Council of Advisors on Science and Technology (PCAST).

She was a member of the Commonwealth Fund’s Commission on a High Performance Health System and served on the IOM committees that wrote the influential reports To Err is Human and Crossing the Quality Chasm.

She is an Adjunct Professor of Medicine and Senior Fellow in the Department of Medical Ethics and Health Policy at the University of Pennsylvania School Of Medicine, former Dean of Medicine at Oregon Health and Science University, Chair of Geriatrics at Mount Sinai School of Medicine in New York, and Chief of General Internal Medicine at the University of Chicago.

Dr. Cassel is a prolific scholar, having authored and edited 14 books and over 200 published articles.

Secretary of the California Health and Human Services Agency

Diana Dooley was appointed Secretary of the Califor-nia Health and Human Services Agency in December 2010 by Governor Jerry Brown. She leads 13 state departments within the Agency, chairs Covered California (the Health Benefit Exchange) and serves as chair or member of numerous other boards and commissions.

Previously, Dooley was President and CEO of the California Children’s Hospital Association. Dooley began her career as an analyst for the State and in 1975, she was appointed to the staff of Governor Jerry Brown for whom she served as Legislative Secretary and Special Assistant until the end of his term in 1983.

Before becoming an attorney in 1995, she owned a public relations and advertising agency. Dooley moved into health care in 2000 when she left her private law practice to serve as General Counsel and Vice President at Valley Children’s Hospital.


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KEVIN HINES GEORGE LAKOFF

Speaker, Author, and Mental Health Advocate

Kevin Hines is a global speaker, author and mental health advocate who reaches audiences with his story of an unlikely survival and his strong will to live. Two years after he was diagnosed with bipolar disor-der, (at 19 years of age) he attempted to take his own life by jumping from the Golden Gate Bridge. He is one of only thirty-four (less than 1%) to survive the fall and he is the only Golden Gate Bridge jump survivor who is actively spreading the message of living men-tally healthy around the globe.

Kevin sits on honorary boards of both the Interna-tional Bipolar Foundation (dedicated to healing from Bipolar Disorder) as well as the Bridge Rail Founda-tion (dedicated to ending suicides at the Golden Gate Bridge). He is currently a member of the National Suicide Prevention Lifeline’s Consumer Survivors Sub-Committee. Kevin was a two term member of San Francisco’s Mental Health Board and has spoken in congressional hearings alongside Patrick Kennedy in support of The Mental Health Parity Bill.

Author and Professor of Cognitive Linguistics

George Lakoff is one of the world’s best-known cog-nitive scientists and linguists, and a leading expert on the framing of issues in politics. He is the Goldman Distinguished Professor of Cognitive Science and Linguistics at the University of California at Berke-ley, and the author of numerous bestselling books, including Moral Politics, Don’t Think of an Elephant, Metaphor and War, and The Political Mind.

Professor Lakoff has advised the Democratic cau-cuses in the House and Senate, helped Democratic candidates around the country, and worked with hundreds of progressive advocacy groups on issues ranging from the environment and health care to civil liberties and international relations.

In his academic life, Professor Lakoff is renowned for his discoveries on how the mind is embodied, how metaphorical thought works, what meaning is, and how meaning structures language. His current research is on how language and thought work in the brain.


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GARY LANGER BURT MARGOLIN

President, Langer Research Associates

Gary Langer is president of Langer Research Associates, a New York-based company that designs, manages and analyzes rigorous, in-depth surveys of public attitudes and behavior.

Since 2011, Langer and his colleagues have produced a series of annual surveys for Blue Shield of California Foundation, evaluating the healthcare experiences of low-income Californians and examin-ing ways to improve upon these experiences through primary care redesign, focused on the principles of patient-centered care.

Langer and his staff currently are working with the Foundation to develop a patient engagement tool through which clinics throughout the state can assess and track their progress in achieving a patient-centered approach. Langer has presented the Foundation’s research at numerous conferences and webinars to audiences across the state and beyond, including two invited lectures at the Institute of Medicine in Washington, D.C.

President of The Margolin Group, Inc.

Burt Margolin is the President of The Margolin Group, Inc., a company that provides health care clients with strategic guidance and direct advocacy services at both the state and federal level. Burt Margolin began his involvement with health policy as the Chief of Staff for Congressman Henry Waxman.

He is also a former Member of the California State Assembly. During his twelve years of service (1982-1994), he chaired the Assembly Health Committee, the Assembly Insurance Committee and the Budget Subcommittee responsible for health funding.

He currently serves as the Legislative Strategist for the Los Angeles County Board of Supervisors and advises the County on a wide range of state and fed-eral funding issues. He also represents the California Primary Care Association, Santa Clara County and Planned Parenthood Affiliates of California.


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SANTIAGO MUÑOZ

Chief Strategy Officer, UCLA Health, and Chair, CAPH Board of Directors

Santiago Muñoz serves as the Chief Strategy Officer of UCLA Health with responsibility for industry partner-ships, business transactions, clinical business develop-ment, and strategic initiatives to improve market position. Prior to joining the UCLA Health System, Mr. Muñoz held a similar position at UC Health in the UC Office of the President. In that capacity, he led the development of UC Health partnerships and systemwide agreements with all major commercial payers in California, including UC Health’s role in a new HMO product designed as a low-cost healthcare alternative for employees.

Mr. Muñoz has conceptualized partnerships, payment provisions, and strategies that resulted in significant pro-tections and additional payments to academic medical centers. Recent activities include playing a lead role in the development of the UC Center for Health Quality and Innovation, commissioning of the Vivity HMO, develop-ment of the California Rehabilitation Institute (122 bed acute rehabilitation hospital in Los Angeles), and suc-cessfully growing the size and scale of UCLA Health.

Chief Operating Officer, San Francisco General Hospital

Ms. Nazeeri-Simmons is currently the Chief Operat-ing Officer (COO) for San Francisco General Hospital (SFGH). In her role as COO, she provides executive oversight and management for SFGH’s clinical and administrative services.

Prior to this role she served as SFGH’s Chief Quality Officer, responsible for ensuring the hospital and clinics maintain high quality of care and service excellence focusing on patient safety, and that SFGH meets all federal, state and Joint Commission regulatory require-ments. She also serves as Adjunct Faculty at UC Berke-ley’s School of Public Health, teaching a graduate level seminar on health equity.

She has taught undergraduate and graduate courses for over fourteen years at University of Michigan, Portland State University, UC Berkeley and Portland Community College. Ms. Nazeeri-Simmons is the incoming Board Chair of The California Health Care Safety Net Institute (SNI) Board of Directors.


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JOHN TOUSSAINT, MD REP. HENRY WAXMAN

CEO, ThedaCare Center for Healthcare Value

John Toussaint, MD, is the CEO of the ThedaCare Center for Healthcare Value and one of the foremost figures in the adoption of Lean principles in health-care.

Under his leadership, the Center has launched several peer-to-peer learning networks, developed in-depth workshops and advanced the idea of health-care value through delivery reform, transparency and payment reform.

He is a featured speaker, contributor to peer-re-viewed and consumer publications, and author of the groundbreaking books On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry; Potent Medicine: The Collaborative Cure for Health-care; and Management on the Mend: The Healthcare Executive Guide to System Transformation.

Former United States Congressman, Chairman at Waxman Strategies

Representative Henry A. Waxman currently serves as Chairman at Waxman Strategies, a public affairs and strategic communications firm. He advises clients on public policy and continues to focus on the issues he championed while in Congress, including health care, environment, technology and telecommunications.

Rep. Waxman spent 40 years serving in the House of Representatives. He had the distinction of serving as Chairman and Ranking Member of the Energy & Commerce Committee and Committee on Oversight & Government Reform. He was instrumental in pass-ing numerous laws, including the Affordable Care Act and the Ryan White Care Act of 1

Rep. Waxman’s legislative work and tenacity has earned him recognition as “one of the most accomplished legislators of our time” by Washington Post columnist Harold Meyerson. Rep. Waxman is the author of The Waxman Report: How Congress Really Works.


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SPONSORS

Photo: Alameda Health System


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PLATINUM SPONSORS

Photo: UC Irvine Health


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Foley offers a comprehensive health law practice providing service and capabilities in 20 markets from coast to coast.Foley’s Health Care Industry Team has been named “Law Firm of the Year — Health Care Law” for three of the last five years on the U.S. News – Best Lawyers® “Best Law Firms” list for our ability to provide a broad range of participants in the health care industry with value-added, pragmatic legal advice in an efficient and cost-effective manner.

For nearly 20 years, our attorneys have played key roles in the development and implementation of California’s innovative Medicaid demonstration projects. We have been instrumental in the formation of some of the nation’s largest multi-institutional health care systems, and have helped establish key precedents in health planning, corporate structuring, and Medicare/Medicaid reimbursement and financing.

To meet the unique needs and issues confronting public health care entities, many attorneys within our Health Care Industry Team concentrate on public sector health care, managed care, and litigation matters. Foley’s public health care clients include numerous county hospitals and health systems, county health agencies, academic medical centers, FQHCs, hospital districts and authorities, publicly operated health maintenance organizations, public health commissions, and associations of publicly operated health care providers. An important part of the Health Care Industry Team’s mission is to anticipate, design, monitor, and respond to the latest developments affecting public agencies that participate in the health care industry.

Our Health Care Industry Team relies on our knowledge, experience, and the perspectives of former industry practitioners, managers, and executives. In addition, many of our attorneys formerly served in key government agencies, including the Centers for Medicare and Medicaid Services, the U.S. Department of Justice, the Office of Inspector General of the U.S. Department of

Health Care Industry TeamHealth and Human Services, and other federal and state agencies. This combination enables us to serve our clients with a comprehensive perspective of the industry.

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GOLD SPONSORS

For over 30 years, Toyon Associates has ensured that hospitals and health systems maximize their allowable Medicare and Medicaid reimbursement while maintaining compliance with government regulations. We are one of the few healthcare reim-bursement consulting firms in the nation to offer comprehensive services from cost report preparation through appeals.

Toyon Associates combines innovative technology with a passion for accuracy and a commitment to service excellence. Our teams of specialists combine hospital, public accounting, and intermediary based experience to create customized solutions within the most technical areas of Medicare and Medicaid reimbursement. In a world of constantly evolving regulations, it takes an expert to apply the latest federal mandates. Our teams of experts routinely exceed client expectations.

For more information, please visit www.toyonassociates.com

SILVER SPONSORSThe CAPH/SNI Annual conference is funded in part by a grant from the California Wellness Foundation (Cal Wellness). Created in 1992 as a private independent foundation, Cal Wellness’ mission is to improve the health of the people of California by making grants for health promotion, wellness education and disease prevention.

Harbage Consulting is a national health policy and communications consulting firm with deep policy, operational and outreach expertise in public programs. We help our clients navigate, develop and implement a wide range of health policies related to Medicaid, CHIP, Medicare, and the Affordable Care Act. Our clients span state Medicaid agencies, county health services departments, state and national health care foun-dations, consumer advocacy organizations, hospitals, health systems, trade associations, and labor unions. Our mission is to promote access to affordable, high quality health coverage and care, and we pursue clients that enable our firm to stay true to that mission.


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Photo: Los Angeles County Department of Health Services

Photo: UC San Diego Health


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BRONZE SPONSORS

EMERALD SPONSORS


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Photo: Natividad Medical Center

Photo: Kern Medical Center


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Photo: Riverside University Health System


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THE MERITAGEMeritage Grand Salon / Ballroom - Main Building Event Space

Carneros Ballroom - West Building Event Space


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RESORT MAP


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2015 caph sni annual conferencecaph.org/wp-content/uploads/2016/09/2015-caphsni-conference-1.pdf ·...

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