thriving patients caring systems healthy...

2016 CAPH SNI ANNUAL CONFERENCE

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THRIVING PATIENTSCARING SYSTEMSHEALTHY COMMUNITIESANNUAL CONFERENCE 2016

DECEMBER 7-9 THE LANGHAM HOTEL PASADENA, CA


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We are honored and pleased that you have joined us for CAPH/SNI’s Annual Conference.

Each year we gather to applaud and appreciate the critical work that our public health care systems do every day, providing lifesaving care, regular preventive care, and everything in-between, to many of the most complex and vulnerable patients in California. We are also here to recognize that, as our members are improving the lives of patients through high quality care, they are also transforming the way in which care is delivered, continually testing and implement-ing delivery system improvements, particularly in ways that incorporate and address patients’ lives outside our walls. We all know a person’s health is mostly determined by what happens in their communities – so it is there that we should be seeking solutions to improved health outcomes.

For this reason, our 2016 conference theme is “Thriving Patients, Caring Systems, Healthy Communities,” which seeks to delve deeper into the profound connections between health care delivery and overall health. Our keynote speakers, gatherings, discussions and events are all geared towards strengthening our understanding of those connections.

On the ground, these connections can be seen in the dramatic improvements our member systems are making in the quality and efficiency of care through Medi-Cal 2020 programs like PRIME, the Global Payment Program and Whole Person Care, alongside other delivery system improvement and payment reform efforts. These approaches to improving the health of our patients and our communities are more important than ever.

The landscape of health care in California has arguably changed more in the last five years than in the previous twenty five, and California’s public health care systems have not only been a part of these changes, they have been at the forefront. We will do everything we can to ensure that our members can continue to lead.

We are delighted to share with you this opportunity to hear from national experts in the field and connect with each other, to reflect on the importance of community health-oriented provider systems, and to start this next year of our journey together. The path may not be clear, and our efforts will be challenging, but this is always the case for those on the leading edge. Thank you for your partnership and your shared commitment to our communities.

WELCOME TO PASADENA!

Giovanna Giuliani Executive DirectorCalifornia Healthcare Safety Net Institute

Erica Murray President and CEOCalifornia Association of Public Hospitalsand Health Systems


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AGENDA

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: UC San Diego Health


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AGENDARegistrationLocation: Viennese Foyer

Waiver Integration Team (WIT) Convening (Open to CAPH/SNI members)Location: Viennese Ballroom

Lunch Location: Viennese Foyer

Chief Finance Officers Meeting (Open to CAPH/SNI members)Location: Diplomat Room

Annual California Health Care Safety Net Institute Board Meeting (Open to CAPH/SNI members)Location: Pavilion Room

Annual California Association of Public Hospitals and Health Systems Board Meeting (Open to CAPH/SNI members)Location: Georgian Ballroom

Chief Information Officers / Chief Medical Information Officers Meeting (Open to CAPH/SNI members)Location: Ambassador Room

Conference Begins for All Attendees

Chairs ReceptionLocation: Lobby Lounge and Terrace

Wednesday, December 7

9:30 am — 6:00 pm

10:00 am — 1:50 pm

12:00 pm — 1:30 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 pm

SNI MISSION

Photo: Contra Costa Regional Medical Center and Health Centers


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Thursday, December 8

6:45 am — 4:00 pm

6:45 am — 8:30 am

7:00 am — 8:00 am

8:00 am — 4:00 pm

8:15 am — 8:30 am

8:30 am — 9:20 am

9:20 am — 10:10 am

10:10 am — 10:15 am

10:15 am — 11:00 am

11:00 am — 11:25 pm

11:25 am — 12:25 pm

12:25 pm — 12:55 pm

12:55 pm — 1:40 pm

1:40 pm — 2:30 pm

2:30 pm — 2:40 pm

2:40 pm — 3:30 pm

Registration Location: Huntington Foyer

Continental BreakfastLocation: Huntington Foyer

Public Health Care System FinancingLocation: Huntington Ballroom I

ExhibitsLocation: Huntington Foyer

Opening RemarksWilliam Walker M.D., Director and Health Officer, Contra Costa Health Services and Chair, CAPH Board of DirectorsErica Murray, President and CEO, CAPHLocation: Huntington Ballroom II and III

What Trump’s Election Means for the ACA: The First 100 DaysSara Rosenbaum J.D., Health Law and Policy Professor George Washington UniversityIntroduction: René Santiago, Deputy County Executive and Director, Santa Clara Valley Health and Hospital SystemLocation: Huntington Ballroom II and III

A View from WashingtonJon Favreau, Assistant to the President and Director of Speechwriting for President Barack Obama (2009-2013)Introduction: Santiago Muñoz, Chief Strategy Officer, UCLA Health SystemLocation: Huntington Ballroom II and III Stretch Break

Engaging Communities for Better HealthAmerica Bracho M.D., Executive Director of Latino Health AccessIntroduction: Frank Arambula, Chief Financial Officer, Arrowhead Regional Medical CenterLocation: Huntington Ballroom II and III Break

CAPH/SNI Quality Leaders Awards LuncheonLocation: Huntington Ballroom II and III

Break, or Viewing of Extremis, as seen on Netflix Documentary set at Alameda Health System examining end-of-life care Extremis viewing location: Pavilion Room

Care Models that Engage and EmpowerJessica Cruz MPA/HS, Executive Director, National Alliance on Mental Illness (NAMI), California Introduction: Diane Ung, Esq., Foley & Lardner LLPLocation: Huntington Ballroom II and III Progress in Advancing Health EquityCara James Ph.D., Director of the Office of Minority Health at the Centers for Medicare & Medicaid Services (CMS)Introduction: William Walker M.D., Director and Health Officer, Contra Costa Health Services and Chair, CAPH Board of DirectorsLocation: Huntington Ballroom II and III

Break Reducing Disparities: Best Practices for Today & Planning for TomorrowJoseph Betancourt, M.D., Director, The Disparities Solutions CenterIntroduction: Christina Ghaly, M.D., Chief Operations Officer, Los Angeles County Department of Health ServicesLocation: Huntington Ballroom II and III


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Thursday, December 8Continued

3:30 pm — 5:30 pm

6:00 pm — 10:00 pm

Friday, December 9

8:00 am — 9:30 am

9:00 am — 9:10 am

9:10 am — 10:00 am

10:00 am — 10:50 am

10:50 am — 11:40 am

11:40 am — 11:45 am

11:45 am

PRIME Managers Meeting (Open to CAPH/SNI Members)Location: Colonnade Room

Holiday Gala DinnerLocation: Viennese Ballroom

Registration and Breakfast Buffet Location: Viennese Foyer

Welcoming RemarksGiovanna Giuliani, Executive Director, SNIChester Kunnappilly, M.D., CEO, San Mateo Medical Center Location: Viennese Ballroom

Aligned Approaches to Social Determinants of Health & Quality ImprovementRishi Manchanda, M.D., MPH, President and Founder, Health Begins: Upstreamist Institute Introduction: Giovanna Giuliani, Executive Director, SNILocation: Viennese Ballroom

Transitioning Patients, Transforming CareShira Shavit, M.D., Associate Professor at UCSF and Executive Director of the Transitions Clinic NetworkIntroduction: Giovanna Giuliani, Executive Director, SNILocation: Viennese Ballroom

Lessons in Safety Net Delivery System TransformationBruce Goldberg, M.D., Senior Fellow, Oregon Health & Science University Center for Health System EffectivenessIntroduction: Giovanna Giuliani, Executive Director, SNILocation: Viennese Ballroom

Closing RemarksErica Murray, President and CEO, CAPHLocation: Viennese Ballroom

Conference Adjourn

Photo: from the Netflix documentary Extremis, filmed at Alameda Health System


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Photo: Santa Clara Valley Health & Hospital System


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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 analytics capacity, and/or leverage data to improve clinical care.

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

Top Honor

Performance Excellence Award

Data-Driven Organization Award

Ambulatory Care Redesign Award


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TOP HONORKAISER PERMANENTE (KP) CLINICAL SYSTEMS DEVELOPMENT AWARD

UC Irvine HealthDevelopment of ACIP and COMPAS to Improve Clinical Operations and Patient Experience in Ambulatory Services

In 2015 UC Irvine Health was facing an expected growth of almost 30% in outpatient encounters, which would be layered on top of patient experi-ence measures that were already in the bottom-third percentile. Add in declining staff satisfaction, and UC Irvine saw that a radical new approach was needed.

This new approach took the form of two innovative improvement initia-tives: the Ambulatory Care Improvement Project (ACiP) and the Clinical Operations Management & Patient Analytics System (COMPAS).

ACiP is a 6-to-8 week clinic improvement project that uses lean, change management, and innovation methodologies to look at each individual practice and address specific challenges and opportunities. Structured as “events,” ACiP uses a team-based approach to spot challenges, identify solutions, and implement improvement practices tailored specifically to each clinic and the people who make it work. These improvement ideas range from changing the way MAs are scheduled, to the practice of tex-ting reminders to patients, to redesigning the exam rooms themselves.

ACiP works hand-in-hand with COMPAS, an internally developed suite of clinical operation applications that provides real-time patient flow in a live map of the clinic. The COMPAS suite applications (Check-In, Clipboard,

Patient Room, Live Map, and Analytics) allow clinic staff and leadership to accurately capture metrics that track clinic operational performance, including wait times, cycle time, and room utilization, and measure whether the improvement ideas generated through ACiP are working.

ACiP and COMPAS have been implemented in 90% of UC Irvine Health’s ambulatory care clinics based on patient volume, and will spread to all remaining clinics. These practices have led to increases in patient satisfaction, an improvement of more than 30% in both cycle

time and room utilization, a drop of almost 20% in cost-per-visit, and a decrease in time to third next available appointment from more than 24 days to fewer than five days.


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PERFORMANCE EXCELLENCE AWARDSan Mateo Medical CenterNew Patient Connection Center

Historically, at San Mateo Medical Center (SMMC), new patients have had as many as 46 different ways to enter the system seeking care. This had led to a lack of coordination, delayed and/or siloed care, and a frus-trating and confusing experience for patients and staff. With an influx of 20,000 adult patients in 2015, it became unsustainable. With the support of leadership and with consultation from its patient advisory council, San Mateo Medical Center used Lean management techniques to design and create the New Patient Connection Center (NPCC).

The New Patient Connection Center was planned using a Lean improve-ment event, at which staff considered how best to offer all new adult patients a single point of entry that welcomes the patient, connects the patient to a primary care medical home, provides onboarding assistance, helps patients navigate the system, provides insurance information, and improves overall patient experience. The event resulted in dozens of tele-phone lines being streamlined into eight.

The NPCC staff includes five Patient Services Assistants, one Patient Ser-vices Supervisor, two Registered Nurses, and is under the leadership of SMMC’s Patient Centered Medical Home Manager.

At launch, the NPCC conducted triage at one out of six sites, but has now been expanded to handling telephone triage, hospital discharge, and ED follow-up for all six sites, reconciling medications to prevent hospital readmission due to inadver-tent drug misuse. NPCC RNs conduct telephone pre-visit intake for all urgent care patients who have never been seen in an SMMC primary care clinic, and are scheduled for an urgent visit within 48 hours.

From August 2015 to August 2016, the New Patient Connection Center received more than 30,000 calls, provided appoint-ments for more than 2500 patients, empaneled more than 4600 patients into medical homes, and has decreased the “new patient abandoned call” rate from more than 30% to less than 10%. The Center has also given San Mateo Medical Center the ability to proactively reach out to new patients, as the system moves towards population health management, conduct-ing welcome calls every month.

In 2017, the NPCC plans to be able to schedule all new patient appointments, and manage patient queues for all primary care clinics.


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DATA-DRIVEN ORGANIZATION AWARDVentura County Health Care Agency Safe Alprazolam Prescribing

Being data-driven means doing more than collecting numbers. It means analyzing information, both quantitative and quali-tative, then using that analysis to shape decisions, tracking whether those decisions had the desired impact, and sharing the results in order to correct course if needed. It also means going to great lengths to obtain reliable data, if it is not being collected accurately and consistently. In Ventura County, like many communities across the United States, accidental prescription drug overdoses have hit record levels. Ventura County Health Care Agency (VCHCA) identified a lack of consistency among behavioral health providers in the use of evidence-based practices when prescribing alprazolam (Xanax) and other benzodiazepines – a powerful class of medication primarily used for treating anxiety, and one of the most commonly misused. The agency also found that monitoring tools, which have been shown to reduce the risk of overdose, were being underutilized.

VCHCA’s safe alprazolam prescribing initiative uses a multi-level approach, beginning with the establishment of prac-tice guidelines. The initiative also accesses reports from the CURES prescription drug monitoring program, uses a medication treatment agreement (MTA) between prescriber and patient, utilizes urine drug screens, and ensures that pa-tients have access to non-pharmacologic treatment options, which has included training therapists in cognitive-behavioral therapy.

VCHCA faced a data challenge, since some data – including average daily dose of medication, unclear indications for treat-ment, and certain diagnoses – is not available in the EHR. The safe alprazolam prescribing initiative also has to rely on hard copy chart review.

The program includes the routine tracking of prescriptions and the distribution of a quarterly prescriber report card. Pre-scribers were surprised to learn that 62% of urine specimens were positive for a substance of abuse, and only a third were consistent with the known medications that a patient was supposed to be taking and free of other drugs.

Through the initiative, VCHCA has cut its number of patients prescribed alprazolam to less than a third of what it was in 2014, it has doubled its rate of medication treatment agreements, and increased the percentage of CURES reports run from 18.7% to 97.7%.


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AMBULATORY CARE REDESIGNArrowhead Regional Medical Center High Utilization Patient Care Outreach Program

Like most health care systems, the resources at Arrowhead Regional Medical Center (ARMC) are disproportionately utilized by a very small percentage of patients with multiple comorbidities. The High Utilization Patient Care Outreach Program (HUPCO) is an aggressive nurse care management program designed to improve underlying conditions that have historically led to hospitalization. The program also identifies patients at risk for becoming high utilizers, and

provides education and team support aimed at keeping these patients healthy.

RN Care Managers, embedded in the health centers, are introduced in-person to patients by their primary care providers, with the initial goal of establishing trusting relationships with the program’s patients. RN Care Managers then work with patients and their families and caregivers to assess their individual needs and priorities, coordinate appropriate care, improve health literacy, and to help patients overcome their fears around being seriously ill with limited resources.

In building the program, ARMC reclassified the RN position to create an entirely new outpa-tient nurse care manager position, identified the target population for the program, located community resources to leverage, built all its

policies and procedures from scratch, and began working on how to integrate patient assessments and care plans into its EHR system.

A three-tier classification system was also established to identify those at risk of becoming high utilizers and to deter-mine the appropriate level of intervention. The top tier consists of patients with between three and five comorbidities, the simultaneous use of ten or more medications, and who have had three or more inpatient or emergency depart-ment visits in a calendar year; these are the patients cared for in HUPCO.

This aggressive approach to high-utilizing patients resulted in a 56% increase in care manager visits – which in turn has led to a 27% decrease in length of stay, a 35% decrease in inpatient visits, and a 64% drop in ED visits. The pro-gram has spread from Family Medicine to the Internal Medicine and Pediatric Clinics.


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Photo: Kern Medical

Photo: Riverside University Health System


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SPEAKERSPhoto: Natividad Medical Center

Joseph Betancourt, M.D., MPHAmerica Bracho, M.D.

Jessica Cruz, MPA/HSJon Favreau

Bruce Goldberg, M.D.Cara James, Ph.D.

Chester Kunnappilly, M.D.Rishi Manchanda, M.D., MPH

Sara Rosenbaum J.D.Shira Shavit, M.D.

William B. Walker, M.D.


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JOSEPH BETANCOURT, M.D., MPH

Founder and Director of the Disparities Solutions Center

Dr. Joseph Betancourt, MD, MPH, is the founder and director of the Disparities Solutions Center (DSC), Senior Scientist at the Mongan Institute for Health Policy at Massachusetts General Hospital, an Associ-ate Professor of Medicine at Harvard Medical School and a practicing Internal Medicine physician.

Dr. Betancourt is a nationally and internationally recog-nized expert in health care disparities and cross-cultural medicine, and has served on several Institute of Medi-cine Committees on this topic, including the one that produced the landmark report, Unequal Treatment.

Dr. Betancourt received his Bachelor of Science from the University of Maryland, his medical degree from Rutgers-New Jersey Medical School, and completed his residency in Internal Medicine at the New York Hospital-Cornell Medical Center. Following residency, he completed The Commonwealth Fund-Harvard University Fellowship in Minority Health Policy, and received his Master’s in Public Health from the Har-vard School of Public Health.

AMERICA BRACHO, M.D.

Executive Director of Latino Health Access

Dr. America Bracho is the Executive Director of Latino Health Access, a center for health promotion and disease prevention located in Santa Ana, California. Latino Health Access facilitates mechanisms of em-powerment for the community and trains community health workers as leaders of wellness and change.

Dr. Bracho worked as a physician in her native Venezuela for several years, after which she came to the U.S. to obtain a Master’s Degree in Public Health at the University of Michigan. America is a Certified Diabetes Educator and is the author of the Diabetes Management Curriculum that has being used at LHA for 23 years.

Dr. Bracho has been featured in several documen-taries including the HBO Special “The Weight of the Nation” and a TedMed Talk on the role of patients in improving health care and their communities. Dr. Bracho is a co-author of the recently published book “Recruiting the heart and training the brain: the work of Latino Health Access.”


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JON FAVREAU

Assistant to the President and Director of Speechwriting for President Barack Obama (2009-2013)

From 2009 through early 2013, Jon Favreau served as the director of speechwriting for President Barack Obama, a role he also played for the President during the 2008 presidential campaign. Favreau’s passion for writing and public service first developed at the College of the Holy Cross, where he graduated with degrees in Political Science and Sociology in 2003 and received an honorary doctorate degree in 2014.

Favreau is the co-founder of Fenway Strategies where he has consulted and written speeches for several celebrities, Fortune 500 CEOs, and nonprofit leaders and has been featured in both TIME maga-zine as one of the “100 Most Influential People in the World” and in GQ’s “50 Most Powerful People in D.C.” Favreau is also a columnist for The Daily Beast and taught a weekly seminar as a visiting fellow at the University of Chicago Institute of Politics.

JESSICA CRUZ, MPA/HS

Executive Director for the National Alliance on Mental Illness, California

Jessica Cruz has served as the Executive Director for the National Alliance on Mental Illness, California for over six years. NAMI California is a grassroots orga-nization of families and individuals whose lives have been affected by serious mental illness, advocating for lives of quality and respect, without discrimination and stigma, for all its constituents.

NAMI provides leadership in advocacy, legislation, policy development, education and support through-out California.

Jessica’s desire to further NAMI California’s mis-sion stems from lived experience of being a family member of someone with a mental illness. Jessica received her Masters of Public Administration with an emphasis in Health Services from the University of San Francisco. She continues to work in higher edu-cation as a guest professor at her alma mater, CSU Sacramento in the Communications Department.


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Director of the Office of Minority Health at the Centers for Medicare & Medicaid Services

Dr. Cara James is the Director of the Office of Minority Health (OMH) at the Centers for Medicare & Medicaid Services (CMS). CMS OMH ensures that the voices and needs of minority and underserved populations are present in the development, implementation, and evaluation of CMS programs and services. Its mission is improved minority health, reduced health care dis-parities, and the attainment of health equity. Her guid-ance has led to the development of two of the Office’s flagship initiatives, From Coverage to Care and CMS’s Equity Plan for Improving Quality in Medicare.

Prior to joining the CMS OMH, Dr. James was Director of the Disparities Policy Project and the Director of the Barbara Jordan Health Policy Scholars Program with the Henry J. Kaiser Family Foundation, Dr. James is a member of the Institute of Medicine’s (IOM) Roundta-ble on the Promotion of Health Equity and the Elimina-tion of Health Disparities and has served on several IOM committees.

CARA JAMES, PhD.BRUCE GOLDBERG, M.D.

Senior Fellow, Oregon Health & Science University Center for Health System Effectiveness Bruce Goldberg, MD is currently a Senior Fellow at the Center for Health Effectiveness at the Oregon Health and Science University. Bruce served two Oregon Gov-ernors from 2011-2013 as the Director of the Oregon Office for Health Policy and Research, Director of the Oregon Department of Human Services and then was the founding Director of the Oregon Health Authority.

Bruce led Oregon’s nationally recognized health re-forms transforming Oregon’s Medicaid system to one based on a model of coordinated care. In addition he established Oregon’s Healthy Kids program provid-ing health coverage for all children, and modernized Oregon’s antiquated mental health system.

His experiences span time as an administrator of large complex organizations, a practicing clinician, teacher/academician, a county health officer, medical director for a Medicaid managed care organization and Clinical Director for the US Public Health Ser-vices in Zuni, New Mexico.


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President and Founder, Health Begins: Upstreamist Institute

Dr. Rishi Manchanda is President of HealthBegins, an organization that provides healthcare providers with upstream quality improvement tools to improve care and the social determinants of health. He also serves as Chief Medical Officer for a large self-insured employer, where he leads efforts to transform health and wellness for employees, their families and the communities in which they live, starting in California’s Central Valley. Prior to this, Rishi worked for the VA Greater Los Angeles Healthcare System, where he was the lead physician for homeless primary care, and for a network of community health centers in south Los Angeles, directing clinical and community programs that improved health out-comes by focusing on social risk factors, such as slum housing and food insecurity.

In his 2013 TEDbook, The Upstream Doctors, Rishi introduced a new model of the healthcare workforce that includes “upstreamists” who improve social determi-nants of health. He earned his bachelor’s, medical, and master’s of public health degrees from Tufts University and was the first graduate of UCLA’s combined internal medicine and pediatrics residency.

CEO, San Mateo Medical Center and incoming Chair, SNI Board of Directors

Dr. CJ Kunnappilly is the Chief Executive Officer for San Mateo Medical Center. Dr. Kunnappilly joined San Mateo Medical Center in 2002 as medical direc-tor of two of its outpatient clinics. He was named Chief Quality Officer in 2007 and became Chief Medi-cal Officer in 2009. He has served as Chief Executive Officer since April of 2016. Dr. Kunnappilly received his undergraduate education at Dartmouth College and earned his medical degree from the University of Pennsylvania School Of Medicine.

He completed a residency in Internal Medicine at the Hospital of the University of Pennsylvania. Dr. Kun-nappilly is also a graduate of the California Health-Care Foundation Health Care Leadership Program and the NAPH Medical Leadership Program. He sits on the boards of the California Health Care Safety Net Institute (SNI) and the California Association of Public Hospitals (CAPH). In addition to his adminis-trative duties, Dr. Kunnappilly also serves San Mateo Medical Center as one of its primary care physicians.

RISHI MANCHANDA, M.D., MPHCHESTER KUNNAPPILLY, M.D.


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SHIRA SHAVIT, M.D.

Associate Professor at UCSF and Executive Director of the Transitions Clinic Network

Shira Shavit, MD, is an Associate Clinical Professor of Family Medicine at UCSF and the Executive Director of the Transitions Clinic Network (TCN). For over a decade, Dr. Shavit has been redefining national best practices for the care of criminal justice involved individuals.

She leads the TCN, a national network of 16 community health centers in 7 states and Puerto Rico which provide care to chronically-ill returning prisoners. The TCN also trains people with a history of incarceration to be com-munity health workers, creating opportunities for former prisoners to leverage their incarceration experience toward a healthcare career.

The TCN has received the CMS Innovations Award and has assisted several health systems nationally in im-proving outcomes and reducing costs related to justice involved patients. She worked as a consultant to reform healthcare systems in the California State prisons in collaboration with the Federal Receivership (2006-2011). She is a recipient of the Robert Wood Johnson Commu-nity Health Leader Award (2010).

Health Law and Policy Professor, George Washington University

Sara Rosenbaum J.D. is the Harold and Jane Hirsh Professor of Health Law and Policy and Founding Chair of the Department of Health Policy at the Milken Institute School of Public Health, George Washington University. Professor Rosenbaum has emphasized public engage-ment as a core element of her professional life, providing service to six Presidential Administrations and nineteen Congresses.

She is best known for her work on the expansion of Medicaid, expanding health care access to medically underserved communities, civil rights and health care, and national health reform. She has received many national awards for her work and is a past Chair of AcademyHealth. She is a founding Commissioner of the Medicaid and CHIP Payment and Access Commission (MACPAC), which advises Congress on Medicaid and CHIP policy, and has served as Chair since December 2015.

SARA ROSENBAUM, J.D.


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Director of Contra Costa Health Services, Chair, CAPH Board of Directors

William B. Walker, M.D., is the Health Officer for Contra Costa County and the Director of Contra Costa Health Services (CCHS), a comprehensive public health system in the San Francisco Bay Area with a 166-bed hospital (Contra Costa Regional Medical Center), 10 community health centers, 4,000 employees and a $1 billion annual budget. He has served with CCHS for 40 years, beginning as a staff physician in 1974, as the local Health Officer since 1983, and as the Director of the Department since 1995.

Under Dr. Walker’s leadership, CCHS has been widely recognized for developing an integrated health system that is at the forefront of implementing health reform. The system includes the divisions of Hospital and Health Centers, Contra Costa Health Plan, Behavioral Health, Public Health, Environmental Health, Hazard-ous Materials and Emergency Medical Services. Dr. Walker is the outgoing Chair of the California Associa-tion of Public Hospitals and Health Systems (CAPH) Board of Directors.

WILLIAM WALKER, M.D.


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Photo: Los Angeles County Department of Health Services

PLATINUM SPONSORS


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2017 GOVERNMENT RELATIONS ACADEMY

TAKE YOUR ADVOCACY SKILLS TO NEW HEIGHTSThe America’s Essential Hospitals Government Relations Academy helps member government

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Sacramento, California 95814-3954

Foley.com BOSTON • BRUSSELS • CHICAGO • DETROIT • JACKSONVILLE • LOS ANGELES • MADISON • MIAMI • MILWAUKEE • NEW YORK • ORLANDO • SACRAMENTO • SAN DIEGO • SAN FRANCISCO SHANGHAI • SILICON VALLEY • TALLAHASSEE • TAMPA • TOKYO • WASHINGTON, D.C.
















> 340B issues





Suite 3500





Suite 1700



1121 L Street

Suite 111

Sacramento, California 95814-3954Foley.com BOSTON • BRUSSELS • CHICAGO • DETROIT • JACKSONVILLE • LOS ANGELES • MADISON • MIAMI • MILWAUKEE • NEW YORK • ORLANDO • SACRAMENTO • SAN DIEGO • SAN FRANCISCO SHANGHAI • SILICON VALLEY • TALLAHASSEE • TAMPA • TOKYO • WASHINGTON, D.C.
















> 340B issues





Suite 3500





Suite 1700



1121 L Street

Suite 111

Sacramento, California 95814-3954


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Photo: UC San Francisco Health

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


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SILVER SPONSORS

SpectraMedix partners with hospitals, health systems, provider organizations, health information exchanges and payers to improve care delivery and support their transition to value-based care. Our industry leading platform of data integration, quality measurement and population health analytics solutions is utilized to implement key inpatient and ambulatory care initiatives including the Merit-Based Incentive Payment System (MIPS), Medicaid reform pro-grams (Medi-Cal PRIME and DSRIP), electronic Clinical Quality Measures, Clinically Integrated Networks, ACOs, population health management, and financial risk profiling and modeling.

hc1.com enables health systems, diagnostic labs, post acute care, and ancillary service providers to personalize the healthcare experi-ence for patients and providers throughout the entire care journey. hc1 has been adopted across nearly 1,000 locations around the globe and has processed over 2.5 billion clinical transactions to date, generating more than 90 million consumer profiles enabling a five star service experience for industry leaders including Cleve-land Clinic, Sonic Healthcare and Eskenazi Health. The company has received accolades from Gartner Research, was named “Best Healthcare CRM” by Frost & Sullivan, and was featured in the KLAS Healthcare CRM Report 2016.

AristaMD is a digital health company focused on improv-ing access to specialist care and reducing costs by facili-tating rapid collaboration between primary care providers (PCPs, NPs, PAs) and specialists. Designed by practicing physicians, the AristaMD eConsult Platform combines clinical work-up checklists developed at the University of California, San Francisco; eConsults with board-certified specialists and robust data collection and reporting into one easy-to-use software platform that is interoperable with core electronic medical records.

Forward Health Group, Inc. delivers everything on your popula-tion health management and PRIME wish list: Data you can trust. Check. The ability to truly engage your doctors. You bet. Clinical measures that really matter? Outcomes improvement? We’re there.

Don’t go it alone on PRIME. Since 2009 Forward Health Group has been an industry innovator, providing the accurate data, clinical measures— from internal and external sources—needed to im-prove patient health in a timely, cost-effective way. Maximize your PRIME incentives. www.forwardhealthgroup.com


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Photo: UC Davis Health

BRONZE SPONSORS


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Photo: San Joaquin General Hospital

EMERALD SPONSORS


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Photo: San Francisco Department of Public Health


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Photo: UCLA Health


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THE LANGHAM


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